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Building Permit # 9/21/2015
�eJ31 � zs /s- BUILDING PERMIT �ORT11 ,bq�O TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit iVo#: Date Received '1s Ro�RA7E0 ®/ �SSgCHUSE� Date Issued: 2-/ MPORTANT: Applicant must complete all items on this page LOCATION c) d' `- Print PROPERTY OWNER QfQ WanQQ.nQ Print 1 100 Year Structure yes no MAP t-f? PARCEL:10-7 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑ Two or more family ❑ Industrial C/Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ..,.._... .z✓ .T.:, ,..Yf.. ;': ..r ,rl': a as; :',�':' lrs -�r .� .;e�`..,�"a:'."�T f✓r,.rc r;r, art��,y,fir' y.��.° � i'u x ax �.cr-2.fr r. "'r�<.>f�dui'�:{,r;t "' edD�l. �15�C'.L`%ra.,� ll�:: Se tri . °1IVeII X x d Flood lain ❑WetlandsA❑ Watersh s , P DESCRIPTION OF WORK TO BE PERFORMED: I - h� I -a �� �� r jqlsar c nne-ced w 1� 4--� Identification- Please Type or Print Clearly OWNER: Name: Phone:q,?�- Address: �-(5� &CL 4 d Contractor Name: Cc l Phone: 2- Email c lam` P o Address: tI , I M i nqAW 00 - CY) 7 Supervisor's Construction Licenser (a 8-7 Exp. bate: Home Improvement License: (Os-s- Z Exp. Date:' rs ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ I �U� FEE: $ a Check No.: T73 y 9 Receipt No.: 3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund F DocuSign Envelope ID:AAOB983C-91B3-48A1-A3FE-AEB42D35D409 Ic- . _ rCity IPPA Customer Name and Address Installation Location Date Anthony Mangano 45 Rock Rd 9/15/2015 45 Rock Rd North Andover, MA 01845 North Andover, MA 01845 Here are the key terms of your Power Purchase Agreement $0 15 . 041 20yrs System installation cost Electricity rate �,kWh Agreement Tgjm Q�' Initial here Initial here DS The SolarCity Promise QM ®We guarantee that if you sell your Home,the buyer will qualify to assume your Agreement. ......................................................................... Initial here_ ®We warrant all of our roofing work. Ds ®We restore your roof at the end of the Agreement. Q�( ®We warrant, insure, maintain and repair the System. ......................................................................................................................._......................................................................................... Initial here ®We fix or pay for any damage we may cause to your property. ®We provide 24/7 web-enabled monitoring at no additional cost. ®The rate you pay us will remain fixed for the term of the Agreement. ®The pricing in this Agreement is valid for 30 days after 9/15/2015. ®You are free to cancel any time prior to construction at no charge. Your SolarCity Power Purchase Agreement Details Your Choices at the End of the Initial Options for System Purchase: Amount due at contract signing Term: ®At certain times,as specified in $0 ®SolarCity will remove the System at no the Agreement,you may Est.amount due at installation cost to you. purchase the System. $0 ®You can upgrade to a new System with ®These options apply during the 20 the latest solar technology under a new year term of our Agreement and Est.amount due at building inspection contract. not beyond that term. ®You may purchase the System from Est.first year production SolarCity for its fair market value as 6,572 ICWh specified in the Agreement. You may renew this Agreement for up to ten(10)years in two(2)five(5)year increments. 3055 Clearview flay, San Mateo, CA 94402 1 888365.2489 1 solarcity.com 1118720 Power Purchase Agreement,version 9.0.3,August 24,2015 SAPC/SEFA Compliant Contractors License MA HIC 168572/EL-1136MR Document generated on 9/15/2015 Copyright 2008-2015 SolarCity Corporation,All Rights Reserved DocuSign Envelope ID:AAOB983C-91B3-48A1-A3FE-AEB42D35D409 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR their entirety and I acknowledge that I have received a TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE complete copy of this Power Purchase Agreement. DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:Anthony Mangano EXPLANATION OF THIS RIGHT. uSigned by: 24. ADDITIONAL RIGHTS TO CANCEL. Docc IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL Signature: Fw6vi k"A.IAA THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO Date: 9/15/2015 COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this PPA is valid for 30 days after 9/15/2015. Customer's Name: If you don't sign this PPA and return it to us on or prior to 30 days after 9/15/2015,SolarCity reserves the right to reject this PPA unless you agree to our then current pricing. Signature: Date: Power Purchase Agreement SolarCity approved Signature: Lyndon Rive, CEO Date: 9/15/2015 Power Purchase Agreement version 9.0.3,August 24,2015 1118720 Version#49.2 %A OF September 17,2015 t' N a tiG Project/Job # 0182734 RE: CERTIFICATION LETTER v 1 L 1 � Project: Mangano Residence 45 Rock Rd SS NAL ESU` North Andover, MA 01845 09/17/2015 To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes = MA Res. Code, 8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 100 mph, Exposure Category C -Ground Snow Load = 50 psf - MPI: Roof DL = 10 psf, Roof LL/SL = 35 psf(Non-PV Areas), Roof LL/SL = 23.5 psf(PV Areas) - MP2: Roof DL = 10 psf, Roof LL/SL = 38.5 psf(Non-PV Areas), Roof LL/SL = 28 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category(SDC) =C < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res. Code, 8th Edition. Please contact me with any questions or concerns regarding this project. Digitally signed by Nick Gordon Date:2015.09.17 12:29:30-07'00' 3055 Clearview Way Sari Mateo, Cly 94402 T(650)638--1028 (888)SCOL-CITY F(650)638-1029 solarcity,eom 09.17.2015 Version#49.2 PV System Structural "SolarCity. Design Software PROSECT INFORMATION &TABLE OF CONTENTS Project Name: Mangano Residence AHJ: North Andover Job Number: 0182734 Building Code: MA Res. Code,8th Edition Customer Name: Mangano,Anthony Based On: IRC 2009/IBC 2009 Address: 45 Rock Rd ASCE Code: ASCE 7-05 City/State: North Andover, MA Risk Category: II Zip Code 01845 Upgrades Req'd? No Latitude/Longitude: 42.674613 71.123475 Stamp Req'd? Yes SC Office: Wilmington PV Designer:, Ran Stemmerik Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category(SDC) =C < D 1 2-MILE VICINITY MAP 114 133 125 i 125 la W V 45 Rock Rd, North Andover, MA 01845 Latitude: 42.674613,Longitude: -71.123475, Exposure Category: C STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK- MP1 Member Properties Summary MPI Horizontal Member Spans Rafter Properties Overhang 0.99 ft Actual W 1.50" Roof System Properties Span 1 12.06 ft . Actual D 5.50" Number of Spans w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof San 3 A 8.25 in.^2 Re-Roof No Span 4 S. 7.56 in.^3 Plywood Sheathing Yes San 5 I 20.80 in.^4 Board Sheathing None Total Rake Span 15.07 ft TL DefPn Limit 120 Vaulted Ceiling No PV i Start 0.83 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 12.33 ft Wood Grade #2 Rafter Sloe 300 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracino Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Member Loading mary Roof Pitch 7/12 Initial PitchAdjust Non-PV Areas PV Areas Roof Dead Load DL 10.0 psf x 1.15 11.5 psf 11.5 psf PV Dead Load PV-DL 3.0 "psf x 1.15 3.5 psf Roof Live Load RLL 20.0 psf x 0.85 17.0 psf Live/Snow Load LL/SL 1,2 50.0;psf x 0.7 1 x 0.47 35.0 psf 23.5 psf Total Load(Governing LC TL 1 46.5 psf 38.5 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Q)(IS)Pg; CQ=0.9,Ct=1.1,I5=1.0 Member Desi n Summa ' (per NDS Governing Load Comb CD CL + CL = CF Cr D+S 1.15 1.00 1 0.53 1 1.3 1.15 Member Anal sis Results Summa Maximum Max Demand @ Location Capacity DCR Load Combo Shear Stress 54 psi 1.0 ft. 155 psi 0.35 D+ S Bending + Stress 1460 psi, 7.1 ft. 1504 psi 0.97 D+S Bending - Stress -47 si 1.0 ft. -790 psi 0.06 D + S Total I oad Deflection 1.1 in, 152 7.0 ft. 1.N in. 120 0.79 D+S CALCULATION OF DESIGN WIND LOADS - MP1 Mounting Plane Information Roofing Material Comp Roof PV System Type SolarCfty SleekMount7m Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 300 Rafter Spacing 16"O.C. Framing Type Direction Y-Y Rafters Purlin Spacing X-X Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System Tile Roofs Only NA ,Standing Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully Enclosed Method Basic Wind Speed V 100 mph Fig. 6-1 Exposure Category " C Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/13 Mean Roof Height I h 1 25 ft I Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor KA 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 20.6 psf Wind Pressure Ext, Pressure Coefficient U GC u -0.95 Fig.6-1113/C/D-14A/13 Ext.Pressure Coefficient Down G, p 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh (G ) Equation 6-22 Wind Pressure U „ -19.6 psf Wind Pressure Down 18.0 Psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever Landscape: 24" NA Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -312 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 62.5% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max AllowableCantilever Portrait 17" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -390 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 77.9% STRUCTURE ANALYSIS - LOADING SUMMARY AND MEMBER CHECK MP2 Member Properties Summary MP2 Horizontal Member Spans Rafter Properties Overhang 0.99 ft Actual W 1.50" 'Roof System Properties Span 1 10.31 ft Actual D 5.50" Number of Spans w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof San 3 A 8.25 in.^2 Re-Roof No San 4 SX 7.56 in.^3 PI ood Sheathing Yes San 5 I 20.80 in.^4 Board Sheathing None Total Rake Span 13.05 It TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 1.92 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 10.58 ft Wood Grade #2 Rafter Slope 300 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End I I F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emi„ 510000 psi Member Loading mary Roof Pitch 7112 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 10.0 psf x 1.15 11.5 psf 11.5 psf PV Dead Load PV-DL 3.0 "psf x 1.15 3.5 psf Roof Live Load RLL 20.0 psf x 0.85 17.0 psf Live/Snow Load LL/SLs,2 50.0 psf x 0.77 1 x 0.56 38.5 psf 28.0 psf Total Load(Governing LC I TL I 1 50.0 psf 43.0 psf Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Q)(Is)pg; Ce=0.9,Q=1.1, I5=1.0 Member Design Summary(per NDS) Governing Load Comb CD CL + CL - CF Cr D+S 1.15 1.00 1 0.61 1 1.3 1.15 Member Anal sis Results Summa Maximum Max'Demand @ Location CapacitV DCR Load Combo Shear Stress 57 psi 1.0 ft. 155 psi 0.37 D + S Bending + Stress 1180 psi 6.2 ft. 1504psi ' 0.78 D+S Bending - Stress -69 psi 1.0 ft. -910 psi 0.08 D + S Total Load Deflection 0.65 in. 220 6.2 ft. 1.19 in. 120 0.54 b +S CALCULATION OF DESIGN WIND LOADS - MP2 Mounting Plane Information Roofing Material Comp Roof PV System Type SolarCity SleekMountTm Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 300 Rafter Spacing 16"O.C. Framing Type Direction Y-Y Rafters Purlin Spacing X-X Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System Tile Roofs Only NA Standin Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully;Enclosed Method Basic Wind Speed V 100 mph Fig. 6-1 Exposure Category C Section 6.5.6.3 Roof Style Gable Roof Fig. 6-11B/C/D-14A/B Mean Roof Height h 1 15 ft I Section 6.2 ' Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.85 Table 6-3 Topographic Factor Krt 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 i Velocity Pressure qh qh = 0.00256(Kz)(Kzt) (Kd)(V^2)(I) Equation 6-15 18.5 psf Wind Pressure Ext. Pressure Coefficient U G d -0.95 Fig. 6-11B/C/D-14A/B Ext.Pressure Coefficient Down G o0 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p =qh(GC,)) Equation 6-22 Wind Pressure U -17.6 psf Wind Pressure Down Wdownl 16.2 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max AllowableCantilever Landscaper 24" NA Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T=actual -278 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 55.6% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable'Cantilever Portrait 16" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -347 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 69.3% The Commonivedth ofMassuchusetts Deparlorent of Indristrial Aeehlents Office oflr:vestfgatx'ons ki p I Congress street, Smile 100 .Boston,MA 02114-20J7 www.mass.golvIdia Workers'Compensation Insurance Affidavit:Buitlidelrs/Contrastales/Etoctricians/Plumlhers A licant Fa olrmatigg Please Print Le itbl NaMe (tusincss(Organizationlindividuai). SolarCity Corp. Addrrrss: 3055 Clearview Way CitylStatt,fZip: San Mateo CA. 94402 Phone#_888-765-2489 Are you an employer?Cheep:the appropriate box: - - � 4. Tania enteral contr�at:tor aria I Type°f project(requited): 1.L_Jlam a employer with 5,000 Ci g emplayebs(full and/or part-time). have hired the sub-contractors Now construction 2.Q I am a stile proprietor or partner listod on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have g. CD Demolition working for me in any capacity, employees and have workers' [No workers' comp, insurance comp.insurance., 9. Q Building addition required.) 5• [] We are a corporation and its 10.[]Electrical repairs or additions 3.❑ I ain a homeowner doing all work officers have exercised their 11,E]Plumbing repairs or additions ttnysvIf [No woOcrs' comp. right Vf uXualptiun Pei,'A JI, 12-El Roof repairs insurance required.)t c. 152,§1(4),and wt;have no employees.tWoworkers' 13[0 Other Solar/PV coinp, insurance required.] *Any applicant that chocks bux#t must also fill out the section below snowing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outsiidc contractors must submit a new afl"rdavit indicating such. lConttacwts that check this box must attached an additional sheet showing ilia name of'thr,subcontractors and stats whether or not thosa entities have employees. ffihesub Cttatrsaors have employees,thoy must proviik their workers'comp policy number. I am at;employer that isprovWfng workers'compensation.insurance formy employees. Below r5 ibapolicy andlob site informatlun. Insurance Company Name. Zurich American Insurance Company Policy#or Sci-ins.laic.#: WC0182015-00 Expiration Date: 9/1/2016 Job Site Address: City/State/zip. A Q r-4-h 1)Td.0-V0— Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section)25A of NGL c. I52 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDI?„It and a fine of up to$250.00-a day against the violator. Be advised drat a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby carry the paints and penaldes vfperjury that Me informaden provider!above is trace and correct: Si ' trite Date; Phone ft- Official:,a army, Do not}Vrlle in this area,to bz campleted by city or town official, city or Town: porrnitll:.icense# Issuing Authority(circle one): 1.Board of Ilcalth 2.Building Pepartment 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector b.Other Contact Person: Phone#; A DATE{12015 YYYY) ����111���A CERTIFICATEOF LIABILITY INSURANCE 08117/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE;CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL. INSURED,the poticy{les}must be endorsed. If SUBROGATION 1S WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK& INSURANCE SERVICES NAME: -------- ---- .. -. ._... 345 CALIFORNIA STREET,SUITE 1300 -lAtONlExtlL ..._.._........... .._. ... ..... . . .........i.tAtc,Nol:. ......... ......... ................... CALIFORNIA LICENSE NO.0437153 E-MAIL ADDRESS:. SANFRANCISCO,CA 94104 _ ..... .............. ... ..:.. .. ..........: .... ............ ....._. ......... ..._..T._.._......._........._.. Attn:Shannon Scott 415-743.8334 INSURERS)AFFORDING COVERAGE.. ... . .. ... ..._-______.+.-. NAIC# _ 998301-STND-GAWUE-15.16 INSURER A;Zurich American Insurance Company 16535 -- ....... --- ---...----........... ... .. .......... - -- --._. ...._ ...._. ....__...._ INSURED NIA NIA SolarCity Corporation INSURER B 3055 Clearview Way _IHSUREtz.c.:NIA 'NIA San Mateo,CA 94402 INSURERD:American Zurich Insurance Company 40142 INSURER E:... - INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002713836.08 REVISION!NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD tNDICATEO. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROEiD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _...... (NSR _T....._........ . ............ T...... .... ... 1 TAtigLTSl16R POLICY EFF - POLICY EXr LIMITS LTR j TYPE OF INSURANCE P(yL{CY NUMBER ( MMIDDIYYYY � MMlDDlYYYY A X COMMERCIALGENERALLIABILITY 11GLO0162016-00 10910112015 `0910112016 _EACH OCCURRENCE S 3,000,.00.0 - DAMAGE TQ A2 NTEP CLAIMS-MADE X_]OCCUR I PREMISES(Eaoccurrencel,,,"+_53,0.00,000 X SIR:$250,000 MED EXP(Any one person) S .. ........................._. 5,000 4 .1 . ..._....__ ...._..._......_..._................... PERSONAL&ADV 3,000,000 i --. ._.. ..I.NJUR_Y._.._S... ............ GEN'LAGGREGATE LIMITAPPLIES PER, ....-63,,00- _0..,0_0 6RAL AGGRATE i PRO- S- ;S 6,90.0,00.0- X POLICY PRODUCT i.. JECT i... LOC ..._..._........COM _...AGG... ..._.. . . . OTHER S A AUTOMOBILE LIABILITY 'BAP0182017.00 :0 910 112 01 5 :09!011201$ COMBINED SINGLE LIMIT $ 5,000,000 :.Tfq.pcccder)11.......... ....... ..... ....._.._..._ X :ANY AUTO BODILY INJURY(Per person) :3 ,.. ..,ALL OWNED SCHEDULED i..... .. ......... ....._. _ X X BODILY INJURY(Per accident);$ ,.: ..�AUTOS r.... AUTOS - .... .............. ._... -- --- X X NON-OWNED PROPERT1f DAtvlftGE S HIRED AUTOS AUTOS : 1Peracctdent). ..... _.. .....+.. .. ...... _... _..._.........._ 1 r COMPICOLL DED: 5,aoo UMBRELLA LIAB OCCUR I EACH OCCURRENCE $ h. ----.__------ .... .....}. _...... ........... ......... EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTIONS :$ D I WORKERS COMPENSATIONWC0182014-00(AOS) 0910117015 ;0910112016 X ;STATu R.. . H T> 1 ........r. . AND EMPLOYERS'LIABILITY _.. A Y,N: :VVC0182015.00 MA 09101/2015 ;0910112016 (ANY PROPRIETDR/PARTNERIFXECUTIVE ' � ) `E.L EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED? �iNIA r_..____..._.._.._.._..... .. (Mandatory In NH) ( WC DEDUCTIBLE:$500,000 E.L DISEASE-EA EMPLOYE ` $ 1.000,000 If yes.describe under I - ... ._. . . DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1 $ 1,000,000 i 1 I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidenrz of insurance. CERTIFICATE HOLDER CANCELLATION SolarCily Corporation SHOULD ANY OF THE ABOVE:DESCRIBED POLICIES BE CANCELLED BEFORE 3055 CleaMew Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N San Mateo,CA 99402 ACCORDANCE=WITH T14E POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Charles Marmolejo -- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD 0/ (-)i, Of c,e of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 ASTRID BLANCO 3055 CLEARVIEW WAY SAN MATED, CA 94402 - ---- - ----- - - Update Address and return card.Mark reason for change. SCA 1 0 0M-051 I U Address [—j Renewal (� Employment F] Lost Card Pffice of Consumer Affairs&c Business Regulation License or registration valid for individul use only 17. before the expiration date. 1f found return to: IMPROVEMENT CONTRACTOR Registration: Office of Consumer Affairs and Business Regulation Re 168572 Typ�> 9 10 Park Plaza-Suite 5170 Expiration: 3/8/2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION ASTRID BLANCO 24 ST MARTIN STREET BLD 2UNI - � — iWLBOROUCH, MA 01752 Undersecretary Not valid without signature Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 'Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/812017 DAN FONZI 24 ST MARTIN STREET BLD 2UNIT 11 MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. Address :] Renewal Employment 11 Lost Card -Ofrice of Consumer Affairs&Business Regulation License or registration valid for individul use only 14OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 168572 Type: 10 Park Plaza-Suite 5170 Expiration: 3/8/2017 Supplement Cerd Boston,MA 02316 SOLAR CITY CORPORATION DAN FONZI 3055 CLEARVIEW WAY SAN MATEO,CA 94402 Undersecretary Not valid without signature CS-'109667 DANIEL D FON2!49I 15 KELLEY RD WHIME[NGTON MA 01187,` tn'-z' 0911312016