HomeMy WebLinkAboutBuilding Permit # 10/23/2015 ...... _. .......
TOWN OF NORTH
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
r r r
r
//
/ / / �/ 11 ,✓
„�,/!,r '� ,/„ r r ./.,i./����,//%c. ✓/.rr.�/G... ,n�r, lr,.r.�/��%f/J���ti a.����r������✓��//ir// /, /r/Jii,
/ r(� �, r�i. // �� ,r / / r f�r. J ri . i,,, ✓>//�/ / i rc / //r i rf ,,, ai/,✓a,, / ,
AP„
„ r r , , .r✓/,J% ar,r r i x i. n /.%///%/r,/ r l. �, r /p////../ r� /.
/�/ /,Yli ,�j, '; ,rrr' ,,'�,i r//�r,;2 s ,., 1 r; ar„i/..,/,..✓/,/G/� ,J o ,`,.. / � //i //,, ,,,,,,,r /,r
,r„
/ i/r/ / 1Ji1✓i/ / // / / / rc,/,,, /,
✓,
/,
es ;no
TYPE OF IMPROVEMENT. PROPOSED USE
Residential Non- Residential
ew Building 3ROne family 1
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic %�Well r �❑ Fldodplam ❑W ❑ Watershed District
S' ,,,,,
DESCRIPTION OF WORK TO BE PERFORM D:
Id tification Please Te or Print Clearly)
OWNER: Name: Phone.
Address:
CONTRACTOR Name /
w
/�N;
/i
, /
:, /l� / ,.. / %GOi, / r,/Darr /i /,i //u✓, a r,/,r // ,/,G/< ;�,(, / o/ J /ri, /i ////i,:r/
'Address
// rr
II
ARCHITECT/ENGINEER Phone:
Address: Reg. No,
FEE SCHEDULE;BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 2 .7, FEE: $
w
Check No.: Receipt No.: � �Z
NOTE: Persons contractin ith unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans
F FORTH
Town
:. - w.
over
® T
00,
• -
-�� h ver, Mass,
COCMICMCWICK y1.
A°R•,TE P� '(y
s �
BOARD OF HEALTH
Food/Kitchen
rw E LD Septic System
THIS CERTIFIES THAT ... ... . ... . ......... ... ... „ .. .... BUILDING INSPECTOR
Foundation
has permission to erect
.......................... buildings n ... ... ... ..... ... ....... .
Rough
....
U ied as ... . .........
to be occ . ..... ....... �......... .�... ...�....... Chimney
p
provided that the person accepting this permit sliall in every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
LESS CO STR CTIO ST RTS Rough
Service
................................................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
�
�^�V"' a e111111" ��
� " � ^�\,� l �� � 330"1 � Way, �
����U���|����UK����U�k� �ehi, UT 84043
Structural Group P: (8O{} 234'7050
Scott E. Wyssling, FE |
Senior Manager myEngineering scott.myss8ng0vivin/sn/axmzmn
|
|
October 1S' 2O15 |
|
Mr. Dan Rock, Project Manager |
Vivint Solar
3301 North Thanksgiving Way, Suite 5OO �
Lehi, UT84043 �
Re: Structural Engineering Services
AppartiReeidenoo
43Upland St, North Andover MA
8-4GS7942
5.46 kW
Dear Mr. Rock:
Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of
the above referenced home:
1. Site Visit/Verification Form prepared by e Vivini Solar representative identifying specific site
information including Size and spacing of members for the existing roof structure.
2. OgoiQn drawings of the proposed system including 8 site plan, roof plan and connection details for
the solar panels. This information was prepared by the Design Group and will be utilized for
approval and construction ofthe proposed system.
3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar
system.
4. Photographs ofthe interior and exterior ofthe roof system identifying existing structural members
and their conditions.
Based onthe above information vvehave evaluated the structural capacity of the existing roof system to support the
additional loads imposed by the solar panels and have the following comments related to our review and evaluation:
Description ofResidence:
The existing residence is typical wood framing construction with the roof system consisting of the following:
° Roo( Section 1: Roof section is composed of2x8dimensional lumber at 18" on center with 1x8
collar ties every 48" The attic space is unfinished and photos indicate that there was free access to
visually inspect the size and condition ofthe roof members.
All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or bettor with standard
construction components. The existing roofing material consists of composite shingle. Our review ofthe photos of
the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying �
members.
Stability Evaluation:
A. Wind Uplift Loading
1. Refer to attached Eco|ibrium Solar calculations sheet for ASCE/SEI 7-10 Minimum Design Loads
for Buildings and other Structures, wind speed of 100 mph based on Exposure Category and 27
degree roof slopes on the dwelling areas. Ground snow load is 50 PSF for Exposure B, Zone 2 per
(ASCE/SEI 7-10).
2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the
dwelling. �
�
����^ � �������
�� � �� � 11"�
�
�
/
Rage 2Df2
B. Loading Criteria
�
10P8F= Dead Load (roofing/framing) 50 PSF = Live Load
3 PSF = Dead Load (solar panels/mounting hardware)
Total Dead Load= 13 PSF
The above values are within acceptable limits of recognized industry standards for similar structures and in �
accordance with the 2009International Residential Code with Massachusetts Amendments. Analysis performedon
the existing roof structure utilizing the above loading criteria indicates that the existing members will support the
additional panel loading without damage, ifinstalled correctly.
C. Roof Structure Cmpmo/t/ |
1. The photographs provided of the attic space and roof rafters show that the framing is in good
condition with nnvisible signs ofdamage caused byprior overstressing.
D. Solar Panel Anchorage
1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation /
Manual", which can be found on the Eco|ibrium Solar website (mon|ibriummo|er.oum). If during solar
panel installation, the roof framing members appear unstable or deflect non-uniformly, our office
should benotified before proceeding with the installation.
2. The solar panels are 1 !6" thioh and mounted 4 K/' off the roof for atotal height off the existing roof
of 6". At no time will the panels be mounted higher than 6"above the existing plane of the roof.
3. Maximum allowable pullout per lag nCrevv is 205 lbs/inch of penetration as identified in the Nation
Design Standards (NDS) oftimber construction specifications for Gpruoe'Pine-Firassumed. Based
on our evaluation, the pullout value, utilizing o penetration depth of 2 1/2'. is |aoe than the maximum
allowable per connection and therefore ivadequate.
4. Roof Section 1: Considering the roof slopes, the size, apacing, condition of the ronf. the panel
supports shall be placed at and attached no greater than every fourth roof member as pono|e are
installed perpendicular across members and no greater than the panel length when installed
parallel to the members (portrait). No panel supports spacing nh8|| be greater than four (4) spaces
or 64" o/c, whichever is |oao.
5. Panel support connections shall be staggered to distribute load to adjacent members.
Based on the above ev8|umdion, with appropriate panel anchors being utilized the roof system will adequately
support the additional loading imposed by the solar panels. This evaluation is in conformance with the 2009
International Residential Code with yWm0000huoetto Am*ndmon1o, current industry standards and practice, and the
information supplied to us o1the time of this report.
Should you have any questions regarding the above or if you require further information do not hesitate to contact
mm. '
V truly yours, OF
sc
2 SLIN
Scott E. Wysslin 4 No,
MA License No. 5 07
�
����~�III,`����
m� � ��
�
I f,j I hank"'gmng W,ly, I 0o Lol'o, OI i
("ow
V 11,V I rl,li,th 1,jx: 801 /6') 1,)h8
RESIDENTIAL SOLAR POWER PURCHASE AGREEMENT
........................
10/03/2015 4667942 .119
CUSTOMER INFORMATION
U,hkl Albert Apperti
(978) 376-5462 mappertiOl @verizon.net
(&,-� ok"
Melissa Apperti
0 o W,N("�
PROPERTY INFORMATION
j (,43 Upland St
North Andover MA 01845
...............
DOC UMEN I'S 11-11, A(TREE MEN'T �PK0J[',A`S Di FOLIOWING ()OCLWEN'(S;
6 oe(",f �,I a,�r f 'j f
1 ,dohO A
lho "''j,
Nof c r rj ( m (a,HNana?)F P P o b/h( I I r)" P f f
IVh,w k , e,,j f� "Y'
P r(f, 8 1//taunt "I I �9 I dal* til I P)8
RESIDEN"TIAL SOLAR POWER PUK"HASE AGREEMENT
this RLSH)EN f'1A[ 1,0i AR POWLR PUKHAIE pefrriisso�,
fon, fcf ;)erate the �ystern with th( Utility,
A6MAIVILNIT (together With 311 (JOCW& ,-Wrl`(S (",YPVTSS? Aithough We wih proi,T)ptly roquedr interconriection
incorporah.-?d herewitir, this "Agreernent"i is (,,,rterecj arid pernuss�Of� i:0 Op(?Iat(,� the System, We cannot
into on the lransactior� Date set forth, above,, by and prc)rmse or rguarantee the datcn perrnscion w�ll be
between VMtV SOLAR DLVLI0P[,.R, LL( a L)Oawan, recewed tnory'r the Utihty After We receive the Utility's
kinited liatifity(ornpany (together wit[",e Our succe5sor perrrijssEon to operate, We wiH activatp the System and
and assigns, "Seller", "We", "Us", "Our") arid the cause Pt to generate Energy (as such terin is defined in
urviersigned CUS!'OIVIER(s) (together Yor,Br successors SeMon Rgj), YOU ARE NOf ALLOWED 10 TURN ON
and perrnitted assigns, "Customel", "You", "Yauf', rJNflLWE N017�f-YYOU rHAl' HIE (JT11-11Y
together with Us, the "Parties",, and each, a "Party') 1HAS GiVEN I IS PEMSSION 10 OPLRA'11. PURSUANT
1. Design, Installation, and Activation. 'TO SEC110
2N-jjhj, YOU ARE LIABLE f OR ANY COSJ S OR
(a C rSrP,Bf fPt rr of.tfls'x� DAMAGE RELAT�NG 10 YOUR PREMATURE
of the sigriificant matenals to be s
Ue a d . , ION OF
d n _tqj�,..rnent M.—T�VA T' THE SYSHM
to, be instaked, We will design, install, servuce, and 2. Term and Renewal.
maintain a solar photovoltaic systerIn on Your horrue at (a) 'Terni rhes Agreement is effective as of the
the property address set forth above (the "ProperW"), Transaction Date and shaft continue untl the twentieth
whuch thrill include all solar pariels, mverters, meters, (20th) anniversary, of the In-Service Date (together
and other components (collectively, the "System'"), as wth any renewall terns descnbed in Sect i,qn.,.�Jb)fi the
further described in the Custorner Packet and the 'Te"n"), I'he "In-Service Date" shall be the first day
Work Order(s) that We will provucle to YOU hereafter-. after ak of the fol[owmg have been achieved: (i) the
All material portions of the Systern will be instaHed by System has been installed and us capable of gerierabrig
Our ernployed technicians and electricians, ai7rd not Energy, (WN) all perp-" its, inspections, and approvals
subcontractors. With Yoi.jr cooperatmn, We arils necessary to operate the Systern have been obtame.d;
(i) design, unstaH, and connect the System m rriater4 and (iu[) the System has been interconnected with the
compliance with all apphcable laws; (ti) complete .all Utikty artd recehved permission to operate,
requa-ed inspections, and (rii) obtain aH required (b( Jrrn (tJ Your Opttons, At the end
certifications arid pern-Wits, In ordYc'"r to desPgn a System of the f'ei,rn, so long as there is no Ciistor-ner Default'
that meets Your needs, You ap
,,ree (1( that We may ongompcontinue with this
You may elect to� I
obtain Your electi c.al usage history frorn Your electnc Agreement for a renewal term of five (5) years at the
Utihty PrOMI(N- (tl)e "Utillty"), (2) to provide Us vith kenewz0 Pnce (as described in S""e'ct"o
' 'r1,._Ah,)
- (ri));
copies of bills � d other inf(:)rmation hom 'Your Ut0ity (2) purch,ise the Systen'r (as described in
and (3) to enter into and execute any rate rconne(l�or� SecttQr),2jb)jiq)j ,and this Agn"Trrierit wik autorriatically
or other agieerrwnts that inay be required by 'v'our teirrn�naN,,,, or (3) havp the `,')ysterr rernoved at no co sit
Utihty We wih desir?,n and install the Systern at no r:ost to You (as described in Sec,t,iq arid thus
t0 Yo u, o t I I e r t h13 il t 1)e E rl e r gy P t I c e Agreernent vviH �30WRIZItI1aallY ti?rr-nm,,jte, At Oeast sWy
(1,9) Aj,,qnoxiinate sto I "I irl d d d yaa 1,,)r 9aaB tai t h e f?f h d ant t I f f"".r r V,1, W 1,�w 11 0,t Id tri
S r 4 bI e(",t to t 1)e d v l,,i f p yr rri @ t t g Yo�,; noti(,e (oncerning Your (,,,'nd of term (,,)ptiows,
Un(,1udn tf r rent,"Wal" purch"'Ise, w',Jr�d carrccfllatl(')n
linsu"iHallon (""4 01("� Sy":,ntorn gc",�rlvraHy tike-, c,"me forrw, If Yoo (to not c,fle(t a n y (:Of t V1 e s("'* thO
rers t-Itlon,,,
1) il'ov, and Rcl anticlpak,','d to �A,'Jrr, i"ind tura shibs,tanzially thv, Agrecry,wril mll wm, w Orl J YN)i' to
coiriplf,Ao no lat(,r thar) 03/31/2016 , year ba','Os (as cfoscnbed in 2(f))(vj), (n,�Renewal
.............................
(c) ktrLat!c),-f, After rristakat6on, Optfon The reriew,0 torrn wih set forth the new En(.ngy
and receipt c)f aH necessary approvfls to the, Pnce for 0,`Yerenewaterm" based on Our assessmont
f'qstern, We Ye` iH rc,,quest inter(onnedion of anxl of thi, then availaL0e rnarket �nforrnaoon �jnd Our
det or ininat lor) of the then ci,jrrerit fair olalki't V;,� Ijv� of 3. Price and Payment.
the Syst(,�m the "Renewal Price"), 11, You r-lect the (,,I) Sjje of f,1ei_tncjty (t) Saio, Thts Aird ornent
renowal option, tben We will nieed to receive YC`;ur rs for the Sale of energy by Us to Yoo and riot the
Corn plotc-!d rerrowal form not less than thirty (30) days ,,a i e of t h `System, k,h e, S y%t e rn I n,t e r P s 1 (as s o C I I term
prior to the end of the Term. If You choose not to is s defined in SectjonAUffl, or a solar energy device.
renew, then You may elect (under Section 2jb't') to Beginning with the In-Service Date, We will sell to You
purchase the System or to have the Systerri rernovei-Ij anti You will buy from Us all of the energy produced by
at no cost to You. (irr) Purchase Option, The purcirtase the Systern (the "Energy'). Energy does not include
form will set forth the purchase pace based on the the Systern Interests. (ii)Price. For all Energy produced
then-current fair market value of the Systern as by ',the System, You shall pay Us $0, 119 ,per
determined by an independent appraiser's valuaUcin kilowat-, hour ("kWh") (the "Energy Price"), PLUS
of similarly sized photovoltaic systems m Your APPLICABLE TAXES. On each anniversary of the In-
geographic region (the "Purchase Option Price°}- The Service Date, the Energy Price shall increase by two
appraiser's valuation will be provided to You it) writing and nine-tenths percent (2.9%). (fio Delivery. Title to
and will be binding. If You elect the purchase optUon, and risk of Toss with respect to the Energy shall transfer
then We will need to receive Your completed purchase from Us to You at the point where the System is
option form, Your payment of the Purchase Option interconnected with Your Property's electrical wiring.
Price, costs of the appraisal, appficable taxes, and all Energy from the Systern will be delivered to You in
other amounts then owing and unpaid hereunder not comphance,with all requirements of the Utility. A good
less than thirty (30) days prior to the end of the Term. faith estimate of the System output, measured in
Upon receipt of the foregoing, We will, transfer kilowatt hours,will be provided to You in the Customer
ownership of the System to You on an"As Is,Where Is" Packet, provided that we reserve the right to modify
basis. (iv) Removal Option, If You elect the removal the size of the System at the time of installation as
option, then We will need to receive Your competed reqwred by applicable law or in Our reasonable
removal form and all amounts then owing and unpaid discre-ion— (i-v) Limits on Obligation to Deliver- We are
hereunder not less than thirty (30) days prior to the not 2 utility or public service company and do not
end of the Term. After which., We will remove the assume any obligations of a utility or public service
System from Your Property within nineety (90) days company to supply Your energy requirements. We are
after the end of the Term. (v)Automatic Renewot IF not subject to rate review or other utility or public
YOU DO NOT NOTIFY US OF YOUR ELECTION BY service company regulation by governmental
SENDING THE APPLICABLE COMPLETED FORM TO US authorities. During the Term,You understand that You
EITHER BY E-MAIL OR U.S, MAIL AT OUR ADDRESS may require more electricity than the System may
FIRST SET l'ORTH ABOVE AT LEAST TF1IRTY (30) DAYS, generate, If You need any such additional energy, then
PRIOR TO THE END OF THE TERNA, THEN (UNLESS WE You shall be solely responsible to obtain such energy
ELECT TO TERMINATE THIS AGREEMENT) THIS from the Utility at Your cost, OTHER THAN AS
AGREEMENT WILL AUTOMATICALLY RENEW ON A EXPLICITLY SET FOPTIJ ON EXt11B-I'I' B, WE 00 NOT
YEAR-TO-YEAR BASIS AT TEN PERCENT (1(Y%) LESS WARRANT OR GUARANTEE (1) THE AMOUNT OF
THAN THE THEWCURRENT AVERAGE RATF ClAARGED FIN-4c RGY PR(.-)DiJf-Er) RY Tf-tE cYSTFM FOR ANY PERIOD,
BY YOUR U-1 IU TY UNTIL YOU NOTIFY US IN WRITING OF 62', ANY COST SAVINGS, OR (3) THE EXISTENCE OF ANY
YOUR ELECTION TO CANCEL AT LEAST TI,-IIRTY (30) NET METERING PROGRAM, 0R UTILITY 0R
DAYS PRIOR TO THE END OF 1,11E RENEWAL TERM, GOVERNNIFNT INCENTIVE PROGRAM,
YOU AND WE AiCiRLE, THAI SUCH ENERGY PRfCE (b P_yj (i)Invoicioq Beginning
with the
D(JRING AN AUTOMATIC RENEWAL, TLRM FAIRILY first (I tlrt orth following the in Serwco Date rind each
REI-11C IS AND ISA REASONABLE ESTIMATION 01' till" rnonth throup
,hout the Yarm, We will send You all
FAIR MARKET VALUE OF THE INLRG'Y PRODU(ED BY invoice refferting the charges for the Energy prodocod
1`111 SYSVUVI. by the System. If the System is not reporting Energy
I/WE AGREE TO THE AA production to Us, We rylay charge You the Shutdown
FOREGOING AUTOMATIC Payment (as such term is defined in Section G(aj).
RENEWAL PROVISION: There is no financing charge associated with this
q, We Carry COMnic'!rcial V
,oneral
iblktv �w,�Ararce, wc)rkers' im jjrm
P,iY11,11"witt" to Us by ak,itomati(, paymerit frt,,)frn a t,�
Your, diVsigiiatod cht.�,,-(kwg account or by automatic and, pnoperly or) the System, Vor rnore,
chaf Fe to Y(,.)or (,,-i edit (ard It i! Your responsibirtty ua concerning Our irvluran(e, irrOuding Our
ensure that there are adequate funds or an adequate insurance coverage limits, and to obtain a COPY Of OLIF
credit limo, (iii) Account Debit Discount. The Energy certificate to f insurance, please visit:
Price and all other payments in this Agreement inc'ide vitNw.,itvtntsolar.com/inst.irance,
a rive Dollar ($S) monthly discount for allowing Us to (C) Risk of Loss; (asuAlty Losses. We shall bear
automatically debit Your checking account- You will aiI risk of loss with respect to the System, except for
not receive such Five Dollar ($S) monthly discount if losses arising frorn the acts or omissions by You or Your
You choose to pay by any means other than automatic licensees, guests, tnvttees, contractors, or agents or
debit from Your checking account (e.q_ credit care. other,�wse covered by Your insurance pursuant to
(iv)Late Payments, For all payments more than ten(10) Section Sfb).. If the System is damaged or destroyed by
days past due, We may Impose a late charge equal to fire, Storm, flood, earthquake, or other disaster or
Fifteen Dollars ($15) and Interest at an annual rate accident (each, a "Casualty Event") fully covered by
equal to the lesser of ten percent (10%) or the Our insurance, We will promptly repair or replace the
maximum rate permitted by applicable law, plus damaged portions of the System as necessary to
applicable taxes, You agree that Your monthily restore it to good working condition. If the System is
payments, as well as any late charges incurred by You damaged or destroyed by a Casualty Event not fully
as described in this Section 3, may be electronically covered by Our insurance, We may, at Our option (i)
debited automatically from Your checking account or repair and restore the System to good working
charged to Your credit card. If You continue to fad to condition; or(!i)terminate this Agreement and,at Your
make any payment within ten (10) days after We give electron, either convey the System in its then-existing
You written notice, then We may exercise all remedies condition, "As is, Where Is", to You for no additional
available to US pursuant to Section 6LWJLC consideration or remove the System from Your
(v) Unconditional Payment- You agree that the Property.
obligation to pay any amount due under this (d) Disconnection of System. We may cause
Agreement shall be absolute and unconclittonal, and the System to be disconnected from any electrical
shall not be subject to any abatement, defense, `acdities, including the Utility's facilities, if they require
counterclaim, setoff, recoupment, or reduction. You, such disconnection or We are required to do so under
and We agree that all amounts payable by You applicable
pplicable law, including (but not limited to) any
hereunder shall be payable in all events including by disconnection directed by the Utility as part of a
Your heirs, successors, and permi;tted assigns, Except Curtailment or other order or instruction.
for Your right to terminate under the Notice of (el Limited installation and Roof Penetration
Cancellation or after a Seller Default (as such term is Warranty. During the entire Term of this Agreement,
defined in Sect9on 6(b)(ik)), You hereby waive ad rtghts, -undler customary use and operating conditions, We
YOU may have to reject or cancel ths Agreemerrit, to provide a workmar-iship warranty that the System, w1h
revoke acceptance of the System,or to Prant a security l-r- frpo- fram material defects in lesion and
U
interest in the System. w-cirkmanship, When We penetrate Your roof during
4. Our Services. irisakat.ion of the System, We warrant that all rooftop
1) C)pi,,,'r,i t i q r, and MamtrFrit t?. Doting the pernetratiofi--, are watefught, This roof penetration
entire Torrn of thi,; Aproervient, We will honor the warrantywth run hek,)ngerof
lirvitod wirfarity di,;.ncribed below n., irv,;taVatiori the Sy-ikrn, (ti} the length of any new
"'Ind Wo will opetato and rn,imlain the h(r-mi?b(;iIdvt warranty for Y(,nir roof; and
`,)y°;torv� ( ) pit Our 'wle cost and experv,,�e; (ii) in good (m) any period re(,,.1riirod byapplicabic) law,
condition, and (ik) in rTiatr-,lrial comp,,Eiance with ail (t)
Nilwitifdcturers' Warranties. We do riot
applicable laws and per-nits and the U-hry's provide anv warranty to You with respect to any
requirements. camponenz of the System. Any manufactureCs
,wrarranty is for Our benefit as owner of the System and
I�s irldf-!pl,-'rldent of t 11 o i i rn i"(?d frist a Ila t lon vvar;ant y coHeci, Elie' data, We will s t r,)r(,-,. s r,i c h i-n(,,'t e r data
dw(,,iibod above in `-e(tiori 4(e), sciA
-L35 throhlotit �hv Term and prrwicit.� it to You upon Your
J
rriodrj4?s carry a rninIMUrn warrarity of reasonarfle request. Yoci agree to allow Our pf,-,rionrirzI
twt,,my(20) years as followsi (i)during tho first ten (1(:j re-asorlablo, access to Your Property to collect such
years of use, the modules' electrical output vviH not data At Our discretion, We may test the accuracy of
degrade by more, than ten percent (10%) from ,he the performance rneters from time to time. If testing,
originally rated output; and (d) during the first tiventj, indicates that the meter is inaccurate by more than
(20) years of use, the modules' elects cal output �wffl plus or minus five percent (±S`I, then We will (i) repair
not degrade by more than twenty percent (20%), fnarn and recalibrate the Meter, at no cost to You; and
the originally rated output. The System's inverters (ii) make retroactive adjustments to Your payments
carry a minimum manufacturer's warranty of ten (10) based on corrected meter data for the period of such
years against defects or component breakdowns inaccuracy. If the meter is inoperable for any reason,
During the Term, We will enforce these warranties as including Your failure to maintain working broadband
owner of the System- internet or electrical connections, We may (1) charge
(g) Exclusions and Disclaimer of Warranty The You, the Shutdown Payment, and/or (2) estimate any
limited installation and roof warranty set forth in performance guarantee payment,
Section 4(e) above, does not apply to and does rtot (i) Etig,_5�r��tM
I __qnd te rests,
cover problems resulting from: (i) Your acts or Our Ownership of the .Systema and the Systern
omissions, including Your failure to abide by the terms triterests. We shall own and hold all property rights in
of this Agreement; (ii) exposure to harmfu� materials (1)the Systern,and (2)any credits, rebates, incentives,
and chemicals, (iii) any Force Majeure Event (as such affowances, or certificates that are attributed,
term is defined in Section 6
Ad
J), (iv) vandalism, theft, allocated, or related to the System, the Energy, or
or tampering with the System by anyone; (v) damage environmental attributes thereof (collectively, the
caused by hail or ball strikes, and (w) any other cause 'SWem lnter '). You hereby disclaim and, if
beyond Our reasonable control. Our warranty and applicable, assign to Us any and all right, title and
maintenance obligations under Sections 4(a) and Eel interest tn the System and the System Interests that
may be transferred to a third party. EXCEPT AS SET
-1 You may have at any time, whether arising under
FORTH IN THIS SECTION 4 AND EXHIBIT B, WE MAKE applicable law or otherwise, and You agree to execute
NO O'141ER WARRANTY TO YOU OR ANY OT,�11ER all documents and instruments We reasonably request
PERSON, WHETHER EXPRESS, IMPLIED, OR to carry into effect the terms and intent of the
STATUTORY; AS TO THE MERCHANTABILITY OR foregoing assignment and to otherwise cause Us to be
FITNESS FOR ANY PURPOSE OF THE EQUIPMENT, the exclusive owner of the System and the System
INSTALLATION, DESIGN, OPERATION, 0"R interests. You shall have no property interest in the
MAINTENANCE OF THE SYSTEM;THE PRODUCTION OR System or the System Interests except for (A) the
DELIVERY OF ENERGY, OR ANY OTHER ASSOCIATED Energy that the System generates, and (13) any credits
SERVICE OR MATTER I-IEREUNDER, ALL OF WHICH WE or payments available under Your Utility net
HEREBY EXPRESSLY DISCLAIM OUR LIABILITY FOR ANY metering program for the Energy that the System
BREACH OF ANY WARRANTY IS t jj�,AIT ED TO RE PAtPING mess-srates. Yolu agree to keep the System and Systerr,
THE SYSTEM OR YOUR PROPERTY TO THE EXTENT Interests free frorn all liens, security interests, levies,
REQUIRED UNDER T[I IS AGREEMENT YOU attachments, and encumbrances of any type, and You
rione of the System, no(- my of its
ACKNOWLEDGE THAT WE ARE RELYIN(i ON jrkno�.-vledge that
AS A CONDITION AND MA TE RIAL r,->mponents nor any System Interests, may be, sold,
INDUC,EMENT TO [NIER INTO IHIS A6RE[ME Nr lejsed, issirgned. moriVagod, p4edged, or ciricurnberod
FHERE ARF NO WARRANTILS WHICH IXTFNI") B[YOND by You,, Yoti shall inder-rinify Us ,.against
,all
I H I", D[SC-R I P IT 0 N 0 F IF 1-4 E' FACE I1€ IT E 0 f (Lwns, amd exponies (iri( lurlinV
g attorrioys' foes)
(h) Melterft'i& We will irstill perforrn.ar,,�e fflcufftld by Us tr discharging and releasing any such
rneter(s) as needed to measure the Energy produced ker,, encumbrance, pledge, levy, or attachment arising
by the System (the "Met& ). We will collect by, under or through You. You agree to not take any
performance data remotely or use Our personnel to action or allow any cimiss;on that could have the effect
of slYipatCli7t tf7€," 1E 11.14" t7" t `i "' Systern of the { CI° lr"rS1!{)Icjt"s(")Cl.;, .art&; 11t(it,Ir)„Cl`,s, WF.`'.
IItIof(' t°, Yola r'h.ill IlrtrlFi tai luE=fy 1101y U,� ts°px)r't .E air not o held ( ) f';ir(�bPf;.' for #rly k'e;ti"Ain vi€,1 ',)nuns
f)r"C€>rr7il�g awar(r* 4A tl"i t," oc uirrnce t7t pay ., bilrly t.sf of appficabi€:,." buildtr!g, regi'llat"t€"n" r:ir orcfinan r'"s on
l.1ri`a IrTi; aalrnra'nt• (a) Pers000l Property Nature r the Your Prtapert°j, whs,,4 er oted by the ,:ppropriatt:
Systern. 1`1otwithstar4ng the wanner in which the authority or not. We are not responsible for any
Systern is attached to Yot.1r Property, nor any fixture preexisting conditions on Your Property. Prior to
filing by Us, You and We hereby agree that the System msta.=atton, You shad give to Us a copy of any
and the System Interests shall remain Our sole: easerrierits, restrictions, or rights of way relating to the
personal property and shad not be deemed or Property, if You do not do so, We will assume that
characterized as a "fixture" or arty part of the "realty', none exist, and You shall be solely liable for any
as these terms may be defined by applicable late_ it as vrotatlon of such easement, restriction, or right of way
further agreed that the instal►at6on of the System shall[ (dr Grant of Access,
You hereby grant to Us
not be a repair, remodel, alteration, conversion, and Our employees, agents, and contractors the right
nnodernization of, or addition to, Your Property, to access and use Your Property so that We may
(irr) Notices of System Ownership. You authorize Us to (i) install, operate, and maintain the System
make filings and recordings with relevant throughout the Term, (ii) enforce Cour rights as to this
governmental authorities as may be necessar,' to Agreement and the System and the System Interests,
provide notice of and to take security interest in Our and ('ir) take any other action reasonably necessary in
ownership in the system and the System Interests,a€cl connection with the construction, installation,
Our right to access Your Property, including (without operation, maintenance, repair, or removal of the
limitation) financing statements and flxture flings_ System. The foregoing rights of access to Your
Upon termination of this Agreement, each such filing Property shall[ constitute a license coupled with an
will be terminated. You understand that the System interest and sha l be irrevocable for up to ninety (90)
shall be marked and identif€ed as Our property. days after this Agreement terminates to provide Us
S. Customer Obligations. with time to remove the System at the end of the
(a) Representations and Warranties. You Tera-1.
represent, warrant, and agree that each of the (e) Modifications after Install. (r) Altercations.
following is true and correct; (i� all information You shall not (1) touch, handle, operate, alter, repair,
concerning You herein rs true, correct, and compete; or otherwise rnodrfy the System or any component
(ii)You are the only fee simple owner(s) of the Property thereof; and (2) take any action that could void or
(i,e., You have full and exclusive ownership rights to impair any warranty relating to the Systern. You will be
the Property); (Ill:) You own the roof on the Proper y responsible for any damage to the System that is
and have the unrestricted right to Install the System caused at any tirne by You or Your licensees, guests,,
thereon; (iv) Your roof is in good condition and repair, invitees, contractors, or agents. (ii) Property Repairs.
without material defects, sufficient for Us to instaal the You are not permitted to make repairs or
System; (v) You are at least eighteen (18) ,Years of age, improvennents to Your Property that may Interfere
and (vil You have had the opportunity to review and , tth the performance or operation of the System
discuss tits Agreement with Our `s'a'es, agent and ar,y ,t.,hout tw37r,r p rtorconsent pursuant to this
other" advisor You may desire to consult. you Section `� a After the fifth (Si") anniversary of the In
understand that any mistake, InisreplresentatierT, or Ser�iCe Date, If You provide Us with thirty (30) days`
omr,',i .
r)r7 In Ihl°� f�F�ri�a'iCtt'tlt ETla3I:�t;> by Yt7tr r3 me3rt'9Bn)I 'prior written notice" then We will tr'r?1h1E>rarlly rewC?"d'r^
bre,,,at;h of this Agrc'erni,! it and enItitte s I,s,x eo they and rei stall the System at Your requ(_,!st to allow for
r( 1`11t'dli:a`x provided for in i)4sl.;,t, ()ri 61 (11) We make n,",) ,udh tepalr or Irripr:1veraiont (a "Customer-Requested
rt pEEy'>i7riiaaEl(7t`1':; `7r w,jir+arinex ecr,,.,illi 34 F'°,X1.7rr;'sl;f '. 't Sh-utdowd') Y(:u 'vIII b€% rogkiIr§"d 'o (1,) p bpi to Us a hie
fort In Ihis Ay reornt rit r-qua€ to Four Hundred and ( riety f,Jlrle ($,'199)
(fa) CLP t0o'1(:"r II)SUrdr"ICO YOU Cur[C1,r)t 'y+ ":b v(l befoce? VVe',, t'errin`e the System; (2) `4eG.utely 'store the
and ap,ree to rnaintain custornary property and `IabOti Systern. Corriporents during the Custt`mer-Requested
insurance with respect to Your Property. Shutdown, and (1'p pay the Shutdown Payment if the
Sy,stern, is not reinstalled within thirty ( 0) days of
remova I. A Customer-Ri-"(Ttjc",ste d Sf,-tutdc)vt;n (it,it rg thc-, Se�,tEori, without proof of ary darnages or I oP tinf, of
hr'.It hve('.1) yoar,, of will bedono 0 any bkwd or ,,-wndar se(i,jnty
sokdiscretmn and al, cost nroatially agroi?d before fg� Ngr_
You ark,--, to
]HECUSTOMER REQUESILD erls,1(0 that Your Property (inclu(Jing rill electricai
SHUTDOWN COSTS DESCRIBLD IN THIS SECTION 5(e,� systems, and the roof} is maintained in good condition
ARE NOT AN LARLY CANCLLLAIION rLE. OTHER THAN and repair. It is Your responsibility to remove of,
AS SCT I ORTH IN THL NOTICE OF CANCELI-AfIC1r4 AND protect any personal property or fixtures (including,
n), b(b), AND L(C YOU ARE NOT but not lirnited to, decorations, furniture, vehicles,
J,
ALLOWED TO TERMINATE OR CANCEL 1 HiS plants, and other valuables) in the areas of Our work
AGREEMLNI PRIOR TO THE END OI` TI-iE TERM- and the locations surrounding the System. We are not
(iia) Required Choriges. If You, the Utility, or any responsible for damages or loss of said items whether
governmental agency requires (1) any change t.,,!-j the caused by Our personnel, equipment, or natural
System after its installation, You shall pay Our standard causes (including, without limitation, damage caused
parts and labor charges, or(2)that We pay any tax,fee, by snow falling from Your roof).
or other charge in relation to the System or this (h Use of the System. You shall use the Energy
Agreement after the In-Service Date, then You Shad be from the System primarily for personal, family, or
responsible to reimburse Us for such tax, fee, or other household purposes,, but not to heat a swimming pool.
charge (including any taxes under Section 5J .. At all times, You snail ensure that the Property remains
N Insolation. You acknowledge and agree grtd-connected to the Utility.
that the Systems unobstructed access to sun4ght H Broadband Internet Connection. You must
("Insolatiott') is essential to Us and is a material provide the System with continuous access to a
inducement to Our entering into this Agreement- At afl, I
,uncttoning broadband internet connection with one
times during, the Term, You shall not cause, permit, or (1t wired Ethernet port and standard electrical outlet,
otherwise allow any circumstance or condition &Ahiri at Your cost. IfYou fail to maintain broadband internet
Your control that could adversefy affect Insolation, or electrical connection for a period of time, We may
including (without limitation): (i) any material (I) charge You the Shutdown Payment, and/or
alteration of Your Property where the Systeme is (it) estimate any performance guarantee payment.
installed; (ii) the installation of any structure, or any (j) Authorizations. Pnor to installation of the
other obstruction,, (di) the growth of trees and other
System, You shall obtain from Your mortgagee, home
foliage; or (iv) the emission from Your Property of owners' association, or any other person with an
particulate matter, smoke, fog, steam or any other interest in Your Property all authorizations necessaryi
airborne rmpediments that materially affect Insolation. `or Us to install, operate, and maintain the System.
You agree to trim alli trees and other foliage to ensure Your failure to obtain these authorizations in a timely
that shading of Your roof and the System is no worse manner may result in termination of this Agreement.
than on the Transaction Date, If You become aware of M Taxes. You will pay all taxes assessed on or
any potential development or other activity or, aristrig from installation or operation of the System,
adjacent or nearby properties that could dimmish the including any transaction privilege, general excise, use,
insolation, You -;hall promptly notify "Is and sh-:111 saies or ether tran-saction-based taxes on the Energ,/
cooperate with Us in reasonable rneastufes We may produced by the Systern, and any real or personal
take in an attempt to preserve existing levels of propert*,/ taxes on the System that Your local
, ct;an way lcvy,
any,,Ahef tig y ) "I I
�i t o r r ,e FT-1 f?-d t, I&Cfi
provided in taus Agwernont, You agrett that We wouid 0) Upon Our requt,,st,
bti iiroparibly hartried by Your birecich of You, shali promptly siv
,n and return, or oth.0.r,wi,S
e a,,,wst
obligittow,; under fl-ii`l 'r-_�ection ejrvi thA an award of U,, in obtaininV
(i) my appIi(ati(,,,)n, �p
or
would be inadequate lo ic%mt?idy su�(h a rither dor ijmp?nt neces,3ary for Cl', to obtain any Sy,;to.,,_rn
broach, and that therefore We-! shall be eni�tled cy interests; (it� arly permits, interconiteMon, net
equitable relief, including specific performance, to metering agreements, and other documents required
compel Your comphance with the provisions of th�is by the Utility, (id) my docurrient necessary to verify
Our Ownership interest to the System and System
I ritei c-,,k; ,and (iv) Ymj shall proiript ly con-ply with any, w'!I?T f"',n ri o t I(,e to y fo u and Y o i,,j will be o b I i ga t d to p a y
L)ta f an -iriiount oqual to F("jur Oollais (�4) Per watt
r,)f (Jor uldwonj! ioque,�tfi ,o that We� may ot - � vco JI
P(m,soiorl of ad to thy, extent irista'led, ,�ubject to a reduction of five pprcent (51,!K,,l
Perrmtte,(I by law, You hefeby 0,1 per year, , in year, 20., the Transfer Paymer)t will be
to complete any docurnents referenced above ri this S-1,5,6 Per watt installed), Plus applicable taxes (the
Section 's l by adding any information. necessary .'7" Pay t'1. After You pay to Us the transfer
(rn) D�fy to N'o-tify, You shall promptly notify Us Payment, We will transfer ownership of the System to
if (i) You notice any person or thing Interfering mth the You on an "As Is,Where Is" basis;provided that We will
operation of the System, (ii) Your Property has anq retair, all right and title to the System Interests,
ordinance or permit vioIations or encumbrance that Notwithstanding any other provision in this
may prevent proper System permitting
, installation,or Agreement, if the proposed transfer of Your Property
operation; {iii) You take any emergency action with to the Property Transferee is a lease or other transfer
respect to the System, or (iv) You receive or other,,wse that is not a fee simple sale., You will remain
acquire any System interests, including any incentive responsible for performance of Your obligations under
payments. Your failure to promptly notify Us of such, this Agreement. You agree that the death of all
matters shall be a Customer Default under Custorriers hereunder shall be deemed a transfer of
Se!qi,o,p-6-( In the event of an emergency affecting Your Property, and We will work with Your successors
the System, You shall contact Us immediate y. if We and heirs to transfer this Agreement tinder this
are unable to timely respond, You may (az Your own Section S(n),
expense) contract with a hcensed and qualified solar 6. Special Circumstances.
installer to remove the System as necessary to make (a) System Shutdowns. (i) Safety Shutdown.
repairs required by the emergency. You shak be In, addition to Our nght to shut down the System for
responsible for any damage to the System that results maintenance, We may shut down the System if We
from actions taken by Your contractor. reasonably believe that Property conditions or
(n) Traps pt_?rqp qy. You are required to activities of persons on the Property, which are not
notify Us thirty (30) days prior to any sale or transfer under Our control,whether or not under Your control,
Of Your Property- When notifying Us, You will be may interfere with the safe operation of the System
required to provide the fodowmig information: the (a 'Sakety Shutabwf). During the pendency of a
name of the person buying Your Property or the Safety Shutdown, You will pay Us the Shutdown
transferee ('the "Property rranskar '), the anticEpated Payment. (it' Property 'located, In the event that You
date of the sale or transfer, and any additional vacate Your Property for any period of time as a result
information We reasonably request. If' the Property of an event that is not a Force Nfa)eure Event or a Seller
Transferee meets Our credit qualifications, ther, Default, You will continue to pay Us for all the Lnergy
(where permitted by the Utility arid applicabfe lawi the produced by the System. (ih) interconnection
Property Transferee can sign a transfer agreement, Deoc-twation, ff interconnection with the Utility
assuming all of Your rights and obligations under th�--,, becomes deactivated for reasons that are not (1) a
Agreement. Prior to any si,-jch sale or transfer Of Your Force Nlajeure Event,or(2)caused by or related to Our
Property, You agree to have the Property Transferee u'-excused action or inaction, such that the System is
sign the transferee agreement, YOU ACKNOWLEDGE no longer able to produce electricity or transfer
AND AGREE THAT UNTIL TETE PR0PLR1Y TRANSFEREE electricity to You or to the Utility, You will pay Us the
HAS SI(MID IH E TRANSFIR AGRFEMENT AN'D WE Shutdown PaymeW ((v,fI Shutdown Payment, The
HAW: AC('-1,P LL D THL PROPERTY TRANSFEREE -Shttdown Payrrwrrt' °.ihall equal thr, uim of
I fill RLUNDER, YOU SHALL R[MAIN RESP()NSIB11 f,'014 E 11 payrrient,; of die [nitrgy Price that You would 1-iavi,'�
ALL 0111,16ATIONS IN THIS A(,;),R[J MENT Alter riatively, rriade to Us as describ(,-M in Se,(,t,io,n ',i(,),), for the [norgy
it We determini, that thrr Property Tr.,jrv,,fcr( e i, nic)t rhat wotild haw'! been prc)(Juced by the System citrroig,
'idequateiy ci editworthy to assurve ' ( c I'', I - shutdown; (2) the valu e to Us -i thii
k)ur 1b igalior�s tFic, penod of the o
under this Agreement, or the Property '!rariSferee System Interests that We would have received during
refuses to assurne Your obligations under th,s suerh shutdown, avid (3) applicable taxes.
A p
,reernent, We may terminate ths Agreement on, Detemination of the amount of Inergy that would
have beon produced dorlrlf,,� thf,'» porlo<"i of Vle ,uch faiture is riot 6 tired within thirty (30) days aflf,,xr
-1 -,F You g�ve CUs wrtttt.,,�n r i o t i i:e of ,u(-,h I,ill,r,
.hutdo-wri shall be basf,�--( on ws"I'mated ('A a j e
production If We hill You for, the '.3hiAtdowni P�,iyrrie(It J'fv) Remedies for Seller 0efritfit If a Seller Def,',irilt
b0CaLJ'S0 th(?Si/"Aern is n(:)t reporttrip
n(.,�r py p r odu r,t t o ii riccurs and rs continuing, You wlay� (1) torminate, this
to Us, and We subsequently determine that We have Agreement and request removal of the System frorn
either overestimated or underestimated the actual Your Property,, and/or (2) except as provided below,
Energy production, then We will adjust the next exercise any other remedy avairable, to You in this
invoice with a non-refirriclable credit (for over-bOhng) Agreement or under applicable law. Notwithstanding
or an additional charge (for under-billing) You wsdriot the foregoing,, You will have no night to claim dainages
be charged for Shutdown Payment when the Systern rs as a result of the termination of this Agreement,
not producing Energy due to Our fault. If a shutdown except for (x) the actual costs to remove the System, if
pursuant to Section S(e) or this Section continues We fail to remove the System from Your Property
for one hundred and eighty (180) days or 'longer, We pursuant to Section. 6(c), and (y) any damages to Your
may, in Our sole discretion, terminate this Agreement Property, resulting from the removal of the System by
and require You to pay the Default Payment. Us or Our contractor. (v) Default Payments. if this
(b) Events of Default. (i) Customer Default, A Agreement is terminated for any reason, other than
"0jstomer Defauft' shall mean the occurrence of any pursuant to the Notice of Cancellation, Sectio or
of the following: (1) Your failure to make any payment a Seiler Default, You will pay to Us the Default
under this Agreement within ten (10)days of when due Payment. The "Del'ault Payment' shall be an amount
and such failure is not cured within ten (10) days after equal to Seven Dollars ($7) per watt installed, subject
We give You written notice of such failure; (2i Your to a reduction of five percent (5%) per year (e.g., in
failure to perform any obligation under this Agreement year 20, the Default Payment will be $2.68 per watt
and such failure is not cured within thirty (30days instaffed), plus applicable taxes. You agree that the
after We give You written notice of such failure; (3)You Default Payment fairly reflects the value of the System,
deny Us, Our contractors or agents, governmental and, in the case of a Customer Default, is a fair
authorities, or the Utility access to Your Property and representation of the damages and losses that We
such access is not given within thgrty(30)days after We expect to incur. After You pay to Us the Default
give You written notice of the failure to provide such Payment, We will transfer ownership of the System to
access; (4) Your bankruptcy, insolvency, or admission You on an "As is, Where is" basis;provided that We will
of Your inability to pay Your debts as they mature, or retain all right and title to the System Interests.
(5) Your Property becoming subject to a foreclosure (c) Termination. (i,j Termination by Seiler. We
proceeding. (ii) Remedies for Customer Default- If a, May, in Our sole discretion, terminate this Agreement
Customer Default Occurs, We may exercise any of the (1i 4 prior to the in-Service Date, upon cleirvery of
following remedies, (1) teri-ninate,th=s Agreement and written notice to You, or (2) upon the occurrence of a
demand You pay the Default Payment,. (2) ieave the Customer Default. Within ninety (90) days after
System in place on Your Property, but deny You use of termination of this Agreement, other than under the
the Energy it produces, which may be redirected and circumstances in which the System is transferred to
sold at Our election; (3) disconnect or take back the You under Sart yrs )N �-i tron 5 or Sproon 6N
Systern as permitted by applicable law, (,4) place a lien xa,Ve will remove the System and restore all rooftop
on Your Property; (5) engage a collection agericy to penetrations to be free frorn leaks. If We elect to
piywenr,,,, from Your (6� repo!t YcA.JF detauA u) to rmmwtG� tho, Agreement, VA/e will have no further
credit reporting aged!,res, sus p en d ()t or habikty to You. (a,j Terinmotfoo by Custoryier. You may
p r,,'r,fo r rria n c o i i ri d e r the AV a Cr lerrninatc,,$ tris Agr(,�ernerit (1) pursirant to the Tori-ris (,)I
Agra e n i e n I n d I/ �
(8) (,�xerdso jiiy other romc,!dy availatdc', to Us .rl TIM,,, 'hw"Notice of Cancedat loci, or (2) upon a Seder DO."tault
Agra'( it You or We uriabio to
,,reornont or tirider al;p lir,,able law, Sc,,Ilor's romt?die"', ((I 1� (
set forth il') thlS SeCt[0n_qWJrl) JH2 CLJlT)LJIJtiVe dl-d riot perfo,") any of the obligations under this A,,reement
exclusive. (Iii) Seller Default. A "Seher nefault" shat because of a f=orce Maleure Event, such affected Party
mean Our failure to perform! any (it Our material wiir be excused from whatever performance is affected
obligations under this Agreement anil the effect of by the Force Majeure Event, provided that the
suponsiciii of such obfigations of nc) scopo othf,,ft apr,,,�ernont concerning the �ubj(,'ct n'lattol
.11ytf of n i) I o i i V e r d r,i r,)t i c)n than .S r o q u I r,("d t)y tile?1--")r he'c"m; fiti) any broa(h, df!fmlt, or tol ruirlatioll of thl",
Majoure Lvent. "ForceA4,q1eum_ Event' ,hafl ru(,�ar, ,,tny Agreernent, and (ivthe irliit(,,�rprot.,ation, vahcfiity, or
event, (ondiliorl, (;)r c€rcunri-.tance beyond thc,,� curnlroi er-4 of this Agr o ewent, mr-ludii ig t 11 o,
of the affected Party which, by the exercise of due determinanon of the scope or applicability of this
foresight such Party could not reasonably have been S. gcton Ye (each, a "Disputd'), Prior to commencing
expected to avoid, and which by the exercise of due arbitration or an action in small claims court, a Party
diligence such Party without fault attributable tot s must first send a written "Notice of Dispute" via
unable, to overcome, including, but riot llmfted to, certified mail to the other Party, If You elect to
action by a governmental authority, the failure to act commence arbitraVon or file a claim in small claims
on the part of any governmental authonty or the Uttiay ca.,r-z, the Notice, of Dispute must be sent to VIVINT
(provided that such action has beer, timely requested SOLAR DEVELOPER, LLC, 3301 N Thanksgiving Way,
and diligently pursued), failure to obtain or maintairg a Suire SOC, Lehi, UT 84043, Ann: Legal Department. If
permit, license, consent, or approval (provided that We elect to initiate arbitration or file a claim in si-riall
such Party has made tim6y and reasorabie clafms, court, We will send the Notice of Dispute to
commercial efforts to obtain and maintain the same), Your biking address. The Notice of Dispute must
labor dispute, strike, work-stoppage, slow-down, lock- describe the nature and basis for the Dispute and the
out, flood, earthquake, volcano, fire, lightning, wind, relief sought, if You and We are unable to resolve the
epidemic, war, terrorism, riot, economfc sanct,ort ol
Dispute within thirty (30) days thereafter, then either
embargo, civil disturbance, act of god,, unavailability of Party may commence arbitration. The arbitration shall
electricity from the Utility, eqwpment, supplies of be administered by JAMS pursuant to its Streamlined
products, power or voltage surge caused by scmeorle Arbitration Rules and Procedures and in accordance
other than the affected Party, or failure of eqwpment with JAMS Policy on Consumer Arbitrations Pursuant
not utilized by or under the control of the affected to Pre Dispute Clauses Minimum Standards of
Party. In no event shall a Porce Majeure Event excuse Procedural Fairness (available at:
You from any of Your payment obligations under this hrzp://www.)amsadr.com, the "JAMS Rul&') and
Agreement. under the rules set forth in this Agreement. Any claim
(e) Arbitration of Disputes. Most customer agamst a state home improvement guarantee fund
concerns can be resolved quickly and amicabl-y by (fnclucling under Maryland Code § 8-405(c)) by You
calling Our customer service department at shali, be stayed until the completion of any mandatory
877.404.4129, If Our customer service department is arbitration proceeding. The arbitrator shall be bound
unable to resolve Your concern, You and We agree to by the terms of this Agreement. No matter the
resolve any Dirspute (as such term is defined beiow) circumstances, the arbitrator shall not award punitive,
through binding arbitration or small claims court special, exemplary, indirect,or consequential damages
instead of courts of general jurisdiction. BY SIGNfNG to either Party or any other award inconsistent with
BELOW, YOU ACKNOWLEDGE, AND AGRE[ THAT 'he 6lmtatioris set forth in Se'ct-ior,'7(-a'1.
(1) YOU ARE HIREBY WAIVING 111E RIGHT TO A TR;AL Oaf ms for less than $10,000 If the relief sought by
By jUF2 -1 D 11,1 IMI, A(-_AJN1QT ifg� the,-Party is for iess than $10,00(01, the followmg-hall
,y; YOU MAY [
CI
11 LA, , AGAINS, US I
ONLY IN YOUR INDIVIDUAL CAPACITY, AND NO! AS A apply, You may choose whether the arbitration will be
PLAINII[F OR CLASS MLMBER IN ANY PURPORTED conducted solely on the basis of documents submitted
CLA'S,S OR REPRESENFATIVE PROCEI DING, AND(3i THE` to lh� irbarator, through a teleptionic, hearing, car by
[EDI1.'RAt, ARR-ITRAIION ACT (1) 0 S C, § I (,,t seq l an per,,c)n heanng near Your Property ("'i")11"Istent
(:iOVIRNS III[-, INHIRPRI-TAHON AND I-NIORCEM[NI with,, tho JAMS if You tie required to pay a filing
01: 1141S PROVI` ION Exr,,ept for,Oairw= bro_jghl in, 'e e, aItr r W e ro,.r eve n o t t c o t I'l a t y(,-.)i i h a v(,,,i:o rn ro, n(,,,,ed
Oalryvl o"xid, Yclu and Wjgrect(,,,) arborate ,ih arbizration,, Wo wili prorrintly WiMburse Yor,J for Your
disputes, cliti-irls, and Coll trovert"=es al-ising (jut Of or p,'iyrt-,ent of any filing fees. If thry arbitrator issue�s You
relating to (i) any aspect of the relatonship between art av-iard that is greater than the value of Our last
You And Us, whether based in contract, tort, st3tute, written settlernent offer made before an arbitrator
-lot rnake a set0ernent offer
Car any other legal theory; (ii) this Agreernent c), ari�j �*,��4S sefected (or if We did i
b('11foio in arbttralot waf.fle(,todl, than We ~ ll pay [/WE AGREETO ARBITRATION
you thl- lw,,�e, ,ir-noi-4rit of the award oi AND WAIVE THE RIGHT TO A
plea, rc'asorlabfe attorneys' by You and, JURY TRIAL
.Awaided by fl,)e jrbrtri:)for Except as expressly set
forth herewi, the Payr-hent of all costs, filing fees, and (f) GoveLn10z-Law. This Agreement, and any
administrabon and arbArator fees will be governed by instn-fment or agreement required hereunder, shall be
the JAMS Rules. governed by, and construed under, the internal laws of
Claims for $10,OW or more. If the tehef sought by the state where the Property is located.
either Party is for $10,000 or more, ail fees and costs 7. Miscellaneous.
(including filing fees, administration and arbitrator (a) Limitation of Liability. You understand that:
(d We are not an insurer of Your Property, personal
fees, all attorneys' fees, travel expenses, and other
costs of the arbitration} shall be borne by You and Us propefty, or personal safety of persons to or on Your
in accordance with the JAMS Rules, JAMS Poi;cy on Property,. (it) You are solely responsible for providmg
Consumer arbitrations Pursuant to Pre Dispute any insurance with respect to Your Property and its
Clauses Mtrumum Standards of Procedural Fairness, contents; (iii) the amount You pay to Us is based only
and applicable law. The arbitration shall be conducted on the value of the Energy produced by the System and
at a mutually agreeable location near Your Propery. not on the value of Your Property or its contents;
Regardless of the manner in which the arbitra-on is 00 the System may not always operate properly for
conducted, the arbitrator shall issue a reasoned, vartous reasons; (v) it is difficult to determine in
written decision sufficient to explain the essentraadvance the value of the components of the System
findings and conclusions on which the award is based that might be lost or destroyed if the System fails to
and judgment on an arbitration award may be entered operate properly: and (vi), it is difficult to determine in
in any court of competent jurisdiction. Nothing in advance what portion, if any, of any property loss,
this Section 6(e) shall preclude You or We from seeking personal injury, or death would be proximately caused
provisional remedies in aid of arbitration from a court by Our failure to perform, Our negligence, or a failure
of competent]Uns&ction. of the System, or the System installation.
NOTICE: BY INITIALING IN THE SPACE BELOW, YOU NOTVVITHSTANDING ANY BREACH OF THIS
ARE AGREEING TO HAVE ANY DISPUTE ARISING OUT AGREEMENT, ANY FAILURE Or THE SYSTEM, OR ANY
OF THE IvIAT-FERS INCLUDED IN THE "ARBITRATION OF NEGLIGENT' ACT THAT CAUSED ANY INJURY OR LOSS
DISPUTES" PROVISION DECIDED BY BINDING NEUTRAL (WHETHER PROPERTY DAMAGE, PERSONAL INJURY,
ARBITRATION AS PROVIDED BY THE FEDERAL OR DEATHI TO ANYONE, TO `H--jE FULLEST EXTENT
ARBITRATION ACT AND OTHER APPLICABLE UkVi AND PERMITTED BY APPLICABLE LAW, WE AND YOU AGREE
YOU ARE GIVING UP ANY RIGHTS YOU MIGHT POSSESS THAT, UNLESS SUCH INJURY OR LOSS WAS CAUSED BY
To HAVE TI-IE DISPUTE LITIGATED IN A COURT'OR JURY A PARTYS GROSS NEGLIGENCE, FRAUD, VIOLATIONS
TRIAL, BY INITIALING IN TFIE SPACE BELOW, YOU ARE OF LA1,A1, OR 10/11-LFUL INJURY, SUCT1 PARTYS LIABILITY
GIVING UP YOUR JUDICIAL RIGHTS TO DISCOVERY AND ARISING OUT Or OR RELATING TO THIS AGREEMENT
APPEAL, U1',ILLSS THOSE RIGHTS ARE SPECAFKALLY SHALL IN NO EVENT EXCEED THE DEFAULT PAYMENT.
D C pUTC YOU AND WE AGREE THAT THIS AMOUNT ISA FAIR
INCLUDED IN "A"IBITRATIO-IN 0-4 11-1 EEI"
PROVISION, IF YOU REFUSE TO SUBMIT,
P TO EPRESENTATIOrl OF THE DAMAGES THAT YOU OR WE
ARBITRATION AFTER AGREEING TO 1HISS PROV6iON, EXPECT TO INCUR IN T-HE CASE Or ANY INJURY OR LOSS
'r � '14
YOU MAY BE C(AAPELLED TO ARBITRATE UNDER 'HE 4I F ONDFIR
FL,I)FRAt, ARBIFRAtION ACT AND OTIAER APPLICABLE TO THE PULLESI EXTENT PERMITTED BY APPI,ICABLF
LAW YOI,,)R AGRI-EM(NT 10 THIS ARI,31TRA.T?ON LAW, NO CLAtNI SHALL BE MADE BY YOU A6AINSI U'J
PROVISION IS VOLUNTARY YOU HAVE RLAD AND OR A,",,Y (> OUR AT FlUATILS, 1AREC-TORS, F"IVIPLOYLE"31
U 1\1 D I,RSIAND ]HE FOREGOING AND AGREE TO A,1GENTS, OR (1-1()1NTRA(,TORS FOR ANY SPECIAL,
SUBMIT DISPUILS ARISING OUT Of THE MATTER!], V,XF,1%?TPl-ARY, INDIRECT, INCIDENTAL,
INCLUDED IN THE "ARBITRATION OF DISPUTES- CONSEQUUNTIAL, OR PUNITIVE DAMAGES. (WHETHER
PROVISION 10 NEUIRALARBITRAIION. OR NOT.. 11,11 CLAIM THLREFORE IS BASED ON
CONIRACT, TORT, DUTY IMPOSED BY LAW, OR
01 IF ERWISIA 1 ('11-7 ION WITH, ARISIN6 r(1-1nt1tut(':1 tl"1e er"tire agree".merit be'wt''aeri You and IP"
ok IN ANY WAY R11:1LAIL11) 10 Ifil lRAN:,,A( TK'-)N,,'> A I n e p,o t ia t i o wi,
pri(,,ir i-,)I and writtr,,�i
and ('orrr.-,,',,-;f)ond0nc'0
Ok/IISSION OR EVENT O(J-'IJRP1!N6 IN CONN[('"ION pertarntng to thestjbject aiatte!r herpof.
FHLRLWIIH. YOU IFLRLBY WAIVL, RELEASE, AND (f Our Transfer, We rriay assign, sek, or
AGREE NOL TO SUE UPON ANY SUCIA CLAIM p-'OR ANY transfer (in whole or in oartj this Agreement:, the
SUCH DAMAGES, WHLIHLR OR NOT ACCRULD AND Systerri, or the Systern Interests without Your consent
WHLTH[R OR NOT KNOWN OR sUISPLCILD TO EXIS1 and without notice, if such assignee agrees in writing
IN YOUR FAVOR, YOU I`IJRTHLR AGRLL i'IAAf NO to ,assn..me all of Our rights and oblivations, under this
CLAIM, LAWSUIT, OR ANY OTHER LEGAL OR Agreement, We will have no further liability or
ARBITRATION PROCEIDING IN CONNEC110114 obligation under this Agreement upon the
ARISING OUT OF, OR IN ANY WAY RELATED TO THIS effecuveriess of such assignment,
AGREEMENT MAY BE BROUGHT, COMMLNCIDE OR (g) Binding Effect. This Agreement shah be
HLED MORE THAN ONE (I) YEARAI'JER THE iNCIDEN-lr brridmig upon and inure to the benefit of You and Us
GIVING RISE TO SUCH CIJ-kIM. YOU ACKNOWLLDGL' and Our and Your respective heirs, legal
H1AT WE ARE RELYING ON THIS SECTION 7(.3) AS, A representatives, successors, and permitted assigns.
CONDITION AND MATERIAL INOUCEMENT TO ENTER Except as otherwise expressly provided in this
INTO THIS AGREEMENT. Agreement, or by operation of law, neither this
(b) Indemnification, To the fullest extent Agreement nor any of the rights, interests, or
permitted by applicable law, You hereby agree to obligations hereunder may be assigned by You without
indemnify, advance expenses, and hofd harmless Us Our prior written consent. Any assignment by You
and Our affiliates, directors, employees, agents, %urthout Our prior written consent shall be void.
contractors, and Our successors and assigns (each, a (h tf Notice. All notices, requests, demands, and
"C,overedPersofi') from any and all third party cla€ms, other communications required or permitted to be
actions, costs, expenses (includmig reasonable giver under this Agreement shall be in writing
attorneys' fees and expenses), damages, liabiltues, delivered to the applicable Party at the address set
penalties, losses, obligations, injur,es, demands, and forth in this Agreement or to such other address as any
[tens of any kind or nature in connection with, ar-rsing Party may designate from time to time by written
out of, or in any way refated to (i) Your breach of this notice to the other Party.
Agreement, or (ii) Your negligence or wdlfu (1)
Surv�val. After termination or expiration of
misconduct; provided that Your inderrinificatelon ,his Agreement, any provisions which by their nature
obligations under this Section 7(bj' shaH not apply if'the are intended to survive such termination or
harm or damage that is the basis for such third party cancellarion shall survive, including (without
claim occurred while, one of Our employees or ag - hrnktatiorij, Sections 2 1:
ge rt s 3
4(dj, JgL U 5,�6 and L and
was at Your Property and such harm or darnalge ,vas Exhibits A and B attached hereto.
caused by the gross negligence, violation of la,,-,(, or $f7
If any provision of this
willful misconduct of such employee, or agent, Agreement g's hei'd to be invalid, prohibited, or
(c) Su Iro g a I ion. Y o u a g r e o e'e as e a 1 -Ihervose i nPrifor-eable by an arbitrator or court of
_y" , L "_' - - . 11.' J - I T
Covered Persons frons any claim-Is of any parties sivng cornoetent )urisclictior, this Agreement shall be
through Your authority or in Your narrie, as Your consAdered drvistle and such provision shill be
H 4
V)UFJH(A-� CJXTI�),Jfly, 31-id YOU dp�,-CV t0 rd def ideew:ed incpt,,,rative to the extent A ri def rned invalid,
,M int ris t a rry s i i c h c Ii i rn, YO() AG R L I, TO N 0 11 F Y '(0 UR pruhibitfxd, or uneriforceable, ijnd in ah other respects
H'A,, Agreement %hfll rorn�,'jm in hill force jr)(1 affect;
INSURANCL, COMPANY (A� 11-111") RE LLASII.
(d Arj') ndrnt n t 3tId W�'flW?rS T its s orcwidrd, hcm,,ever, that if any .`such provr>ion m,'-iy his
rnay Only be ."v-nenried r)r 9''10difit, d b-y fin ry-'OHle enforceable by %lich
in wi iting signed by both, You and I-!' prc-e,.osron shill bo de erned to be so I i in ited i nd shall be
L Liq i r e 11
Zre�-Lment. I hts Agreerr'ient, the emforceable to the maximulm extent permitted by
Customer Packet, the Work Order, arid any c',ther appkable law
agreerrients or clocurrients :ncorporated herewmh'
(k) �„oijr)tet ,;s, This t'gri"fi'Ct')f;nt m=iy be forever reiea,e €j,,, for .:any Disputt' to or"''1rl`.'slne,
ssEor lih'd €n Gini'” Of rr OI("f r.ountef "),Arts, ,ar'd '14 luc" "i out of, ,I)('7
coilrlte°rudrt z shah bc! df,,!eriled to (..on ztilute one (rn) (rt A?l.,.,� ECI (t7o41F C:t1t'',)n ttVltf"i C:f1t
irr,BYterrient / of po tabfe do(tdrnct-nt format t.xet;`uIi(,,)n, of thts Afjri:,!ement and exit any Ono during
(`°pdf") shail constitute an originaf for purposes hrecJ t1he 'feral, You hereby authorize Us to (i) obtain Your
(I) [Igbbh!��ity, You hereby auth,onze Us to use credit rating and report from credit reporting agencies;
Your and Your Property's voice, Photograph, voceo,. (rrf to report Your payment performance under this
and €ik:eness in print media, radia, television, e rr)aif, Agreement to credit reporting agencies; and
sacral media, web rriaterials, and arty audio or video disclose this and other information to Our affiliates
recording' provided that We agree that We vvul not and actuai or prospective lenders, financing parties,
disclose any of Your personally identifytnig inforrnatron investors, insurers, and acquirers.
(except as provided in Section 7 ). You waive and [SIOGN U E pAGL t CILLOWSj
NOTICE TO CUSTOMERS
A II`.>� 01 DO lJtvt NIS 101,41 INr;:OR110RA II D entitfed to a completely filled In cagy of this
I III, t ON,I RA(,I Agreement, signed by both You and Us, before any
I Resident;al Solar Power Purchase Agneern rr t, word may be started.
i1. Exhibit A . Notrce of Cancellation, YOU MAY CANCELTHIS TRANSACTION AT ANY TIME
Eli Lxhrbit [I State Notices and Discica ure BEFORE THE LATER OF: (1) MIDNIGHT OF THE THIRD
W. Custom-ger Packet, and (3RD) BUSINESS DAY AFTER THE TRANSACTION DATE,
Work. Order(s). OR(11)THE START OF INSTALLATION OF THE SYSTEM OR
These documents are expressly rncorporate-d into t`"ri`3 ANY OTHER WORK DONE BY VIVINT SOLAR DEVELOPER,
Agreement and apply to the relatr,onship between Ycu LLC ON YOUR PROPERTY. IF YOU WISH TO CANCEL THIS
and Us. CONTRACT, YOU MUST EITHER: (1) SEND A SIGNED
I3 II IS NO] LEGAL i`OR US IO LN ILP.YOUR PRI-MIS_S AND DATED WRITTEN NOTICE OF CANCELLATION BY
UNLAW[`ULLY OR COMMIT ANY t3RLACH OF =tri REGISTERED OR CERTIFIED MAIL, RETURN RECEIPT
PLACE 10 REMOVE GOODS INSIALLLD UNDER 'HIS REQUESTED; OR (2) PERSONALLY DELIVER A SIGNED
AGRELMLN T. AND DATED WRITTEN NOTICE OF CANCELLATION TO:
C DO N01 SIGN TMS AGRLLMLN I BEI'ORL YOU' VIVINT SOLAR DEVELOPER, LLC, 3301 N THANKSGIVING
HAVE REAL) ALL OE 11 S PAGES. You acknowledge that WAY, SUITE 500, 1 FHI, UT €34043, ATTN: PROCESSING
You have read and received a legible copy of this DEPARTMENT. SEE THE ATTACHED NOTICE OF
Agreement, that We have s=greed the Agreement, and CANCELLATION FOR AN EXPLANATION OF THIS RIGHT.
that You have read and received a legkble copy of eve,-y THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU
document that We have signed during; he A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. DO
negotiation. NOT SIGN BELOW UNLESS THE CONTRACTOR HAS
Ll YOU RISK THL LOSS OF ANY PAYMENTS MADE TO GIVEN YOU A `NOTICE OF THE THREE-DAY RIGHT TO
A SALES RE PRESENTAI IVE. CANCEL.'
L DO NOT SIGN THIS AGREEMENT 9E T€ !S You have -he right to require us to have a
AGREEMENT CONTAINS ANY BLANK SPACES. You are performance and payment bond.
VIVINT SOLAR DEVELOPER, LLC CUSTOMER(S):
Mckenzie Watts Albert Apperti 1
Pr7nf�r�PJnrn f r e
103254
i<,<< trrsc;r fJr?
Melissa Apperti
Federal Employer ID No.: 80-0/',I 4lin State and Local License Nos.: AZ RO 28862 1', (,,A. ('40/( 10 9/1/`)O,
t.O 1,C OIC?t11CJC1, ( I III(' Cit> /T1 2, tL(J)18 0V) 11, 11 r;000038, 11 €(,1-WOO/40, til t:11 CI I1/144;
(A Lr `)'1/'r3; MA 111( 1/0848, I ! 1 ,111 A, %1'3 c!I(; Iiir `8'), NJ pil(; 1 ivffOO")N;"1300 (( i/IE,1ll011t)3' t:ifi,
NIVI. LL98 38:J22J, NAV. LC 00801 /0, NY N: a-att C:_, H24199100, Putr�ani Ci). PCoIJ14, Rockl,ind Co
H 11912 404)0 t)U, S�rffoik Co. `>1228 19, 49)92 ilvtt . >°.°estc �--st�,r Cc 26664 Hl,t OR CCB-1965')S, BCD CLR28,
PA. HI(_. 0999/0, L;1 S200 SJ02 9b94C,'03 `IAJI, ID HIC 420213(X)00')2, LCC 90732//
Ei, (IAAAJ�
NOTICE OF CANCELLATION
................
(Custalrer Copy)
froosoctloo Dote., 10/03/2015 Service No.:
YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE(3) BUSINESS DAYS
OF THE ABOVE DATE, OR (IF LATER) UNTIL THE START OF INSTALLATION OF THE SYSTEM OR ANY OTHER WORK
DONE BY VIVINT SOLAR DEVELOPER, LLC ON YOUR PROPERTY. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY
PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU
WILL BE RETURNED WITHIN TEN(10) BUSINESS DAYS FOLLOWING RECEIPT BYTE SELLER OF YOUR CANCELLATION
NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,
YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS
WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE, OR YOU MAY, IF YOU WISH,
COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE
SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT
PICK THEM UP WITHIN TWENTY(20) DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETAIN OR
DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO
THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN
LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL
OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR
SEND A TELEGRAM,TO VIVINT SOLAR DEVELOPER,LLC,AT 3301 N THANKSGIVING WAY,SUITE 500, LEHI,LIT 94043,
ATTN: PROCESSING DEPARTMENT PRIOR TO THE LATER Of: (1)MIDNIGHT OF THE THIRD(3rd)BUSINESS DAY AFTER
THE TRANSACTION DATE, OR (11) THE START OF INSTALLATION OF THE SYSTEM OR ANY OTHER WORK DONE BY
VIVINT SOLAR DEVELOPER, LLC ON YOUR PROPERTY.
I HEREBY CANCEL THIS TRANSAC7nON DATED:
Customer's Signature.
NQTi
(v frit 'olar V"r°py)
rronvo tion oote: 10/03/2015 er rr-e Na,
YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR€BLIG TIO ,WITHIN THREE(3) BUSINESS GAYS
OF THE ABOVE DATE, OR (IF LATER) UNTIL THE START OF INSTALLATION OF THE SYSTEM OR ANY OTHER WORK
DONE BY VIVINT SOLAR DEVELOPER, LLC ON YOUR PROPERTY. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY
PAYMENTS MADE BY YOU UDDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU
WILL BE RETURNED WITHIN TEN(10) BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION
NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,
YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS
WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE, OR YOU MAY, IF YOU WISH,
COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE
SELLER'S EXPENSE AND RISK, IF YOU DO MAKETHE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT
PICK THEM UP WITHIN TWENTY(2 ) DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETAIN OR
DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. T YOU FAIL TO MAKE THE GOODS AVAILABLE TO
THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO,THEN YOU REMAIL
LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL
OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR
SEND A TELEGRAM,TO VIVINT SOLAR DEVELOPER,LLC,AT 3301 N THANKSGIVING WAY,SUITE 500, LEHI,UT 84043,
ATTN: PROCESSING DEPARTMENT PRIOR TO THE LATER OF: (I)MIDNIGHT OF THE THIRD(3rd)BUSINESS DAY AFTER
THE TRANSACTION DATE, OR (II) THE START OF INSTALLATION OF THE SYSTEM OR ANY OTHER WORK GONE BY
VIVINT SOLAR DEVELOPER, LLC ON YOUR PROPERTY,
I HEREBY CANCEL THIS TRANSACT10N DATED
Customer's 5 npcature_
EXHIBIT B,.n_MASSACHUSETTS
STATE; NOTICES AND DISCLOSURES
A. OBTAINING PERMITS
Homeowners who secure their own Permits _l.ai` be exc laded fron-i the state guaranty f',ini
B. OUR LICENSES. HOME IPS{'€OVLMLN, re_OrYa?RA !€QRS ARL RL00RLD I"U BL RLGWLRLD G I1H DIE
DIRL-0014 01' IHL MASSACHUSLfIS OlIi[L (-)� (-ON'--rz OILR All-AI ?S Al,11.� BUSINLS; RL(.)ULAIION. rOR
IN[ORMATION ABOUT CONTRACTOR RLGISIR���trt;N RLQU REMLINIS, CUA'NTACT THE MASSACHUSLI IS Of I-ICL
O3 CONSUMER AFFAIRS ANO BUSINLSS RLGUL-AT' `r"t ALN PARK PLd'Z& SUITE SIM BOSON, Mot 02.116,
611 913.8/00 OR 838.2833/�/.
C. ,ARBITRATION. Notwithstandmg an'yih,rnR tcy tie contrary r, the Agreement, the contractor and honneowner
hereby mutuafly agree In advance that in the ev'ent tha_ the contractor has a dispute concerning this contract,
the contractor may submA such dispute to a private arbs rai -on servr ce .vh1ch has been approved by the Office of
Consumer Affairs and Lousiness Regulation and the con-sumer shall be requ red to submit to such arbitration as
provided in M.G.L. c 142,x. NOT ICL The signat::res of tree parties, below apply only to the dispute resolution
inArated by the contractor. f he owner may m1iate a€ternare ve dispute resolution even .where this section is not
separately signed.
VIVINT SOLAR DEVELOPER, LLC CUSTOMER(S).
Printed,'varve. Mckenzie Watts — n,rT�,t�, �-� Albert Apperti
weswer,on No 10.3254
" Melissa Apperti
Customer Info
Name:
Email
Phone:
Project Info
Identifier: 53405
Street Address Line 1: 43 Upland St
Street Address Line 2:
City: North Andover
State: MA
Zip: 01845
Country: United States
System Info
Module Manufacturer: Trina Solar
Module Model: TSM 260-PD05.08
Module Quantity: 21
Array Size (DC watts): 5460.0
Mounting System Manufacturer: Ecolibrium Solar
Mounting System Product: EcoX
Inverter Manufacturer: SolarEdge Technologies
Inverter Model: SE6000A-US (240V)
Project Design Variables
Module Weight: 43.0 lbs
Module Length: 65.0 in
Module Width: 37.0 in
Basic Wind Speed: 100.0 mph
Ground Snow Load: 50.0 psf
Seismic: 0.0
Exposure Category: B
Importance Factor: II
Exposure on Roof: Partially Exposed
Topographic Factor: 1.0
Wind Directionality Factor: 0.85
Thermal Factor for Snow Load: 1.2
Lag Bolt Design Load - Upward: 820 Ibf
Lag Bolt Design Load - Lateral: 288 Ibf
EcoX Design Load- Downward: 722 Ibf
EcoX Design Load - Upward: 765 Ibf
EcoX Design Load - Downslope: 297 Ibf
EcoX Design Load - Lateral: 233 Ibf
Module Design Moment—Upward: 3655 in-Ib
Module Design Moment—Downward: 3655 in-Ib
Effective Wind Area: 20 ft2
Min Nominal Framing Depth: 2.5 in
Min Top Chord Specific Gravity: 0.42
k .(tohbriurn Solar
Plane Calculations (ASCE 7-10): Roof 1
Roof Shape: Gable Edge and Corner Dimension: 4.4 ft
Roof Type: Composition Shingle Stagger Attachments: Yes
Average Roof Height: 25.0 ft Include Snow Guards: No
Least Horizontal Dimension: 44.0 ft
Roof Slope: 27.0 deg
Truss Spacing: 16.0 in
Snow Load Calculations
Description Interior Edge Corner Unit
Flat Roof Snow Load 42.0 42.0 42.0 psf
Slope Factor 0.79 0.79 0.79
Roof Snow Load 33.2 33.2 33.2 psf
Wind Pressure Calculations
Description Interior Edge Corner Unit
Net Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf
Net Design Wind Pressure Downforce 11.4 11.4 11.4 psf
Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0
Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf
Design Wind Pressure Downforce 16.0 16.0 16.0 psf
ASD Load Combinations
Description Interior Edge Corner Unit
Dead Load 2.6 2.6 2.6 psf
Snow Load 33.2 33.2 33.2 psf
Downslope: Load Combination 3 14.6 14.6 14.6 psf
Down: Load Combination 3 28.6 28.6 28.6 psf
Down: Load Combination 5 11.9 11.9 11.9 psf
Down: Load Combination 6a 29.3 29.3 29.3 psf
Up: Load Combination 7 -10.3 -17.8 -27.4 psf
Down Max 29.3 29.3 29.3 psf
Spacing Results(Landscape)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 62.4 62.4 62.4 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in
Max Cantilever from Attachment to Perimeter of PV Array 20.8 20.8 20.8 in
Spacing Results(Portrait)
Description Interior Edge Corner Unit
Max Allowable Spacing Between Attachments 43.7 43.7 43.7 in
Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in
Max Cantilever from Attachment to Perimeter of PV Array 14.6 14.6 14.6 in
Layout
17E 1 177
Skirt
Coupling Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal
Clamp expansion and contraction. See Installation Guide for details.
Warning: PV Modules may need to be shifted with respect to roof trusses to comply with
Bonding Jumper maximum allowable overhang.
Ecolibrium molar
Roof Weights
In Conformance with Solar ABC's Expedited Permit Process
Module Quantity: 21
Weight of Modules: 903 lbs
Weight of Mounting System: 92 lbs
Total Plane Weight: 995 lbs
Total Plane Array Area: 351 ft2
Distributed Weight: 2.84 psf
Number of Attachments: 46
Weight per Attachment Point: 22 lbs
Bill Of Materials
Part Name Quantity
ECO-001_101 EcoX Clamp Assembly 46
ECO-001_102 EcoX Coupling Assembly 25
ECO-001_105B EcoX Landscape Skirt Kit 0
ECO-001-105A EcoX Portrait Skirt Kit 6
ECO-001_103 EcoX Composition Attachment Kit 46
ECO-001_116 EcoX Flat-Tile Flashing 0
ECO-001_117 EcoX S-Tile Flashing 0
ECO-001_118 EcoX W-Tile Flashing 0
ECO-001_363 EcoX Lower Support-Tile 0
ECO-001_109 EcoX Electrical Assembly (optional) 1
ECO-001_106 EcoX Bonding Jumper Assembly 5
ECO-001_104 EcoX Inverter Bracket Assembly 0
ECO-001 338 EcoX Connector Bracket 0
ECO_001-359 EcoX Lower Support- Low Slope 0
W o
U rn
m
W �o
�rn
o�
U)rn<m
rLo>z
L
a 0
00
L�QZ
�O
_ _ _ _ _ _ _ _ _ _ _ _ Z Q
70'OF 1"PVC CONDUIT
V INTERCONNECTION POINT,
INVERTER,ANSI METER LOCATION, FROM JUNCTION BOX TO ELEC PANEL r
I LOCKABLE DISCONNECT SWITCH,
&UTILITY METER LOCATION JUNCTON BOX ATTACHED TO
ARRAUSING ECO HARDWARE TO I —
FIEEP�JUNCTION BOX OFF ROOF
� I I
I
j
I
1 N
I I I m
_ROW o
I
v
O
I 1
_ m
N
O m
V
0 K
O U 2
II z m Q
P/Elz 0
> z6Y
Z
w U }
W W Z m
I (21)Trina Solar TSM-260 PD05.08 MODULE I r J
PV SYSTEM SIZE: � ¢ o
Zzmo
r
5.460 kW DC SHEET
NAME:
— — — — — — — — — — — — — — — — W J
U
SHEET
NUMBER:
PV SYSTEM SITE PLAN o
r
SCALE: 1/8"= V-0" >
o
V m
o
v�
oLu
^ommm
ry a>Z
� ZQ
OMP.SHINGLE
TIE INTO METER#
13161223
ROOF VENT(S HIMNEY
Mom
N
� O
W
_ p
N
J
N
C
p N
O �
CI �
d r
U) Q
U
~ w x
L—PVSTRING#l: ��VSTRING#2: j
Roof Section 1 12 MODULES 9 MODULES > Z W =
Roof Azimuth:168 m y
Roof Tilt:27 Lu LU w m
F CO J
N Q
Z
Z Z
LLUMBING VENT(S) SHEET
NAME:
U- Z
ry Q-
SHEET
NUMBER:
PV SYSTEM ROOF PLAN o
N
SCALE: 3/16"= V-0" ?
a.
CLAMP
MOUNTING SEALING
PV3.0 DETAIL WASHER
2
LOWER
CI)r4<ul
SUPPORT 0-2m
>z
M
0F
mcz
�Ev<z)
PV MODULES, TYP. MOUNT 0
OF COMP SHINGLE ROOF, FLASHINGZ<
PARALLEL TO ROOF PLANE
2 1/2" MIN <
5/16"0 x 4 1/2"
MINIMUM STAINLESS
PV ARRAY TYP. ELEVATION STEEL LAG SCREW
NOT TO SCALE TORQUE=13±2 ft-lbs
CLAMP ATTACHMENT
NOT TO SCALE
goo
CLAMP+
ATTACHMENT
CANTELEVER L14 OR LESS
COUPLING
L=PERMITTED CLAMP
ECO SPACING SEE CODE COMPLIANT
COMPATIBLE LETTER FOR MAX ALLOWABLE
MODULE CLAMP SPACING.
COUPLING
PERMITTED
CLAMP o
CLAMP CLAMP U) <
LU
ATTACHMENTSPACING
COUPLING PHOTOVOLTAIC MODULE
z 6i
& w cn
Lu Uj z m
z
3:
0) U) <
K- K121
SHEET
NAME:
L=PORTRAIT U)
Z)CLAMP SPACING <
o F-
ECO LU
COMPAT
L=LANDSCAPE MODULEIBLE SHEET PV SYSTEM MOUNTING DETAIL NUMBER:
CLAMP SPACING
MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE 1 0
cy)
NOT TO SCALE >
a- I
O Conduit and Conductor Schedule DC Safety Switch Notes: Solar PV System AC Point of Connection
Tag Description Wire Gauge #of Conductors Conduit Type Conduit Size AC output Current
Rated for max operating condition of inverter Accoding to Nec 31.25 Amps
1 Solar Edge Cable 10 AWG 2(V+,V-) N/A-Free Air NIA-Free Air 690.6(13)(1)
NEC 690.35 compliant Nominal ACVolta a zao Volts
1 Bare Dopper Ground(EDC/GEC) 6 AWG 1 N/A-Free Air N/A-Free Air . 9 �
opens all ungrounded conductors THIS PANEL FED BY MULTIPLE SOURCES (�
2 THWN-2 10 AWG 4(2-V+,V-) PVC 1"
2 THWN-2-Ground 8 AWG 1 PVC 1" (UTILITY AND SOLAR) a) @ c
3 THWN-2 8 AWG 3(1-1-1,1-L2,1-N) PVC 1" Notes: SE600OA-US-U Inverter Specs'. -0 s�
3 THWN-2-Ground 8 AWG 1 PVC V Wire size and breaker calculations dependent upon CEC Efficiency 97.5% U)a m
inverter Continuous Maximum Output. (D
4 THWN-2 8 AWG 3(1-L1,1-L2,1-N) PVC 1" AC Operating Voltage 240V a,Z
Example:SE38000A-US-U Max Output=16A -
Continuous Max Output 25A _
4 THWN-2-Ground 8 AWG 1 PVC 1" <20A. Therefore a 20A solar breaker will be needed for P �'C z
5 THWN-2 6 AWG 3(1-L1,1-L2,1-N) PVC 1" each SE3800A-US-U inverter. Wire Gauge should also DC Maximum Input Current 18A � o
5 THWN-2-Ground 8 AWG 1 PVC 1" be determined with 16A Max for each inverter. N z<
ALL CONDUCTORS Solar Edge Optimizer Specs:
P300 DG Input Power 300W
SHALL BE COPPER DC Max Input Voltage 8-48V Q
DC Max Input Current 12.5A
Design Conditions: DC Max output Current 15A
ASHRAE 2013 Max String Rating 5250W
Highest Monthly 2%DB Design Temp 35.6°C. Module Specs:
21 PV MODULES PER INVERTER=5460 WATTS STC Lowest Min.Mean Extreme DB -17°C Trina Solar TSM-260 PD05.08
1 STRING OF 12 PV MODULES VOC Temp coefficient V/°C
Short Circuit Current(Isc) 9.00A
1 STRING OF 9 PV MODULES Open Circuit Voltage(Voc) 38.2V v
System Specs: Operating Current(Imp) 8.50A
Max DC Voltage 500V Operating Voltage(Vmp) 30-6V
0 F2 1 ° ° ° 11 12 Nominal DC Operating Voltage 350V Max Series Fuse Rating 15A
1 Max.DC Current per String 15A STC Rating(Pmax) 260W
Nominal AG Current 25A Power Tolerance -0/+3%
> J
- ° ° z N EXISTING
SUPPLY-SIDE ENTRANCE
SOLAR TAP CONDUCTORS
D D D D 1 SOLAREDGE NEC 705.12(A) M RATED:200A 5 CR o a
SE6000A-US-R vOi U Q
f INVERTER'
Square D#D222NRB :D _
60Af240V FUSED NEMA3 Z 6i Y
SOLAREDGEOR EQUIVALENT 200A W W 2 m
M. ti DC SAFETY J w Z
t SWITCH
H r a
\� SOLAREDGE °p 36A Z Z g KQ
P300 OPTIMIZERS _ SHEET
=ffEXISTING
NAME:
240V/200A AC z X
— G LOAD-CENTER =i0
VISIBLE WITH 1-40AFUSED cn Q
^)
LOCKABLE DISCONNECT �
JUNCTION Box L
I--
DISCONNECT L�. SHEET
WITH IRREVERSIBLE — NUMBER:
GROUND SPLICE
0
*CONFORMS TO ANSI C12.1-2008 W
o
O
n �
C n
-moi 0 c
ED
m C/) m�
C7 0 0
C Z �vm
DO0 n
G no
m mz
O Z z�
-n �o�
C/)
m C
z�
0 2
0
(A m
0
0
v
ED
z 11109r,
i
/f j 1
6
t
.�d. O 0 ri ii f,
T
���
io
�All
for
1,4rj//if o
� r
Jf v y
T
/G
f 1
z to z rn INSTALLER:V) INT SOLAR MM 4
3 m DESIGN>K m INSTALLER NUMBER:1.877.404.4129 �` 1M1 L� 1i4 »�' Appe `i Residence
PV 4.0 A MA LICENSE:MAHIC 170848 ��al ����� IWI4 pn7 ML ,1 F 43 Upland St
LOGIC North Andover,MA 01845
DRAWN BY:KH AR 4667942 Last Modified:10/16/2015 UTILITY ACCOUNT NUMBER:91009-19005
ASC"R" 01/051/20152015 CERTIFICATE OF LIABILITY INSURANCE DATE NY-YY)
v
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 policy(ies) must be endorsed. If SUBROGATION IS 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 USA INC. NAME`
1225 17TH STREET,SUITE 1300 A/c No Ext): aC No):
DENVER,CO 80202-5534 E-MAIL
Attn:Denver.CertRequest@marsh.com Fax:212-9484381 ADDRESS:
INSURERS AFFORDING COVERAGE NAIC#
INSURERA: Evanston Insurance Company 35378
INSUREDZurich American Insurance Company 16535
Vivint Solar Developer LLC INSURER B
3301 North Thanksgiving Way INSURER C:American Zurich Insurance Company 40142
Suite 500 INSURER D:
Lehi,UT 84043
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: SEA-002524287-01 REVISION NUMBER:2
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. 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 AFFORDED 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.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR D POLICY NUMBER MM/DD MM/DD/YYYY
A GENERAL LIABILITY 14PKGWE00274 11/01/2014 11/01/2015 EACH OCCURRENCE $ 1,000,000
X DAMAGE TO RENTED 50,000
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $
CLAIMS-MADE I—XI OCCUR MED EXP(Any one person) $ 5,000
X $5,000 Ded.BI&PD PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICYFXPRO- LOC $
B AUTOMOBILE LIABILITY BAP509601500 11/01/2014 11/01/2015 COMBINED SINGLE LIMIT 1,000,000
Ea accident
AINY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOSO
X HIRED AUTOS X AOWNED PROPERTY DAMAGE
eri.cident $
X
$
A UMBRELLA LIAB X OCCUR 14EFXWE00088 1110112014 11/01/2015 EACH OCCURRENCE $ 5,000,000
X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
DED RETENTION$ $
C WORKERS COMPENSATION WC509601300(CA,HI,MD,NJ,NY,OR,UT) 11/01/2014 11/01/2015 X WC STATU- OTH-
AND EMPLOYERS'LIABILITY
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC509601400(MA) 11/01/2014 1110112015 TORY LIMITS ER 1,000,000
OFFICER/MEMBER EXCLUDED? N] N/A E.L.EACH ACCIDENT $
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I $
A Errors&Omissions& 14PKGWE00274 11101/2014 11/0112015 LIMIT 1,000,000
Contractors Pollution DEDUCTIBLE 5,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
CERTIFICATE HOLDER CANCELLATION
Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1600Osgood St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building 20 Suite 2035 ACCORDANCE WITH THE POLICY PROVISIONS.
North Andover,MA 01845
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Kathleen M.Parsloe
@ 1988-2010 ACORD CORPORATION. All rights reserved.
ACORDI(2010/05)(2010/05) The ACORD name and logo are regist r d marks of ACORD
I IE
The Commonwealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
1 Congress Street,Suite 100
V. Boston,M4 02114-2017
wwev mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
applicant InformationPteusc Pt int Le�ihly
Name (Business/Organization/Individual)' Vivlflt Solar Developer, LLC
Address:3301 North Thanksgiving Way,Suite 500
City/State;Zi :Lehi, UT 64043 Phone#:801-377-9111
Are you an employer?Check the appropriate box: Type of project(required):
L® I am a employer with I Q 4. F1 I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors b. New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet_ 7. Remodeling
ship and have no employees These sub-contractors have S. ❑Demolition
working for me in any capacity. employees and have workers' g 7 Building addition
[No workers' comp. insurance comp, insurance.
required.] 5. [] We are a corporation and its 10.0 EIectrical repairs or additions
3.7 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs
insurance required.]t c. 152,§1(4),and we have no 13,0 Other Solar Installation
employees_ [No workers'
comp,insurance required.]
*Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mustsubmit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp,policy number.
f am an employer that is providing workers'compensation insurance for my employees. Below Is the policy and job site
information.
Insurance Company Name:Zurich American Insurance Company
Policy#or Self-inns.Lie.#:WC 509601300 Expiration Date:111112015
Job Site Address: " i� �Jptlllnd 91.
City/State/Zip:
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 MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator_ Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify sander flee pains and penalties ofperjury that the information providel above is true correct.
Sip-nature: Date: [
801-2296459
Official use only. Do not write in this area,to he completed by city or town official_
City or Town: Permit/License#
Issuing Authority(circle one):
t. Board of health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing inspector
6.Other
Contact Person: Phone It:
Offs e 0�'�c�ns�:rn�r�A�f���t•s ndBusiness
� ' regulation
10 Farb Plaza - Sulu 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 170848
Type: Supplement Card
VIVINT SOLAR DEVELOPER LLC. Expiration: 1J5/2016
JAMES SHERMAN
4931 FORTH 300 WEST
PROVO, LIT 84604
Update Address and return card.Mark reason for change.
Address Renewal Employment E] Lost Card
t Maw sua.,Iw ss tts - t`eparfi-tent of PuWic Safety
� Ed4., rd of Cia,Hding Regulations and Standards
Conn truttio.n Super%isor
i_ir.a���seg CS-M254 �R,, P
.'AMS R SMR
f,Fox Hollow brie
SAUGUS MA 01,006
Erpis—@fiu:,,�n
c:;ea,ae ta,, iaoaae 08128(2016