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Building Permit # 11/19/2015
& %40RTH 0 4q�eo BUILDING PERMIT TOWN OF NORTH ANDOVER -~ APPLICATION FOR PLAN EXAMINATIm N * - w Permit N a Date Received It Argo Date Issued: C� IMPORTANT: Applicant must complete all items on this page mr / / r / ,. ,r /„✓ ,,,,,, rc r r, ,r, ,,/i, ,/ � of, /� /„ / r r ,•,,.,� ,/ ,r a � ., � /r// .� ,,, ri, �,. /� -., i TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building (_1,6 ne,family El Addition ❑ Two or more family ❑ Industrial Alteration �,�[o,rrr" No. of units: Commercial [ Repair, replacement ❑ Assessory Bldg [a Others: ❑ Demolition [IOther /,Well ❑ 1=Jp Iain :W' tlar� CI Waj�s 'D�sri / CI Septic odp /r r, ,r // he /r, /V , ro ,....i_.t.I I.ZJ-N' t> Identification Please Type or Print Clearly) OWNER: Name: 11-14A ViN0('1 P A- b(" V Phone: L LZ bl sq2 Address: I `.. I-tcLr J.yurt(I St ,,;., ,r,,, •, ,�r rr, /ii rrie/ /i //a/ vii l.../i/ / ,✓�/, r ,,, INNIS// 1111111 �^v r rr r /i //r�i/f/o/i�Jj�i// //„✓ire//i, i// , «l/ //// // /r! r, / / /, � ,/ /i /,i r/„ / , // / //, % �.// ...., 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: $ 90 1 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access o the gu;ranty� �d Signature of Agent/Owner Signature of contractor Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i NOTESand DATA— (For department use) 11� 1 L) Notified for pickup Call Email Date Time Contact Name - ......................-......_.__....._..._.... ........._......... ._....._._.. Doc.Building Permit Revised 2014 t%oRTH Town of _EAndover ® `. to ® T _ bit O LAKEh ver, ass, _ COC KI C KE WICK N, 04-ATIED PP¢ �5 s BOARD OF HEALTH LD Food/Kitchen P �M� Rm TN. Septic System IT, THIS CERTIFIES THAT ®11�4 , , BUILDING INSPECTOR ...............................................: ....... . ....... ..... . . ........A... ....... ..��. .. .. Foundation has permission to erect.......................... buildings on ........... . � ..... ....'.... .. Rough ;9to be occupied as ....... ..... .. .......... .. ... . ... .. .. ........ .i .. .... Chimney provided that the person accepting this permit shall 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 IT EXPIRES IN 6 MONT ELECTRICAL INSPECTOR LESS IO 'ST S Rough Service ................... . . ....... ..... .................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired to Occupy Ruildin 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. UNI'T'ED S' 1LAR A S S 0 C I A T E S , L L C November 2, 2015 Phung Ngo United Solar Associates 452 Pleasant Street Second Floor Malden, MA 02148 Town of North Andover Building Department 1600 Osgood Street North Andover,MA 01845 Dear Inspector: Please accept the enclosed permit applications for a residential solar system installation at 225 Hay Meadow Road.It would be greatly appreciated if the permits could be mailed to us together with receipt once being reviewed and approved.A self-addressed stamped envelope is enclosed for your convenience. Thank you for your cooperation. If you have any questions or if anything else is needed from us, please do not hesitate to contact me at 978-394-8231 or Jon Millburg at 781-264-4762. Sincerely, Ph`i gW Ng ')' Project Assistant United Solar Associates . - _ . DocuSign Envelope ID: 126167CB-8B18-4EDB-8062-OAF813886415 00,14 jill, s u nGEVITY' Homeowner's Agent Authorization Form State of Massachusetts 1, Ilia Vinogradov & Natalia Shutova (print name) am the owner of the property located at address: 12 Harwood st North Andover MA 01845 (print address) I hereby authorize Sungevity or its subcontractor to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a PhotoVoltaic System located on my Property. Docuftned by, Customer Signature: F/ M �88D2591'W854AA Date: 10/7/2015 Print Name: Ilia Vinogradov & Natalia Shutova Sungevity MA Home Improvement Contractors License # 168430 66 Ftanklin Street, Suite 310 p 510.496,5500 866,SUN.4ALL Oakland, (A 04607 USA f 510A96.5501 W VW ,,,Ut r'jv,i t y c o 1o Inc STRUCTURAL ENGINEERS October 14,2015 Sungevity 66 Franklin Street Oakland, CA 94607 TEL: (510)496-5621 Subject: Structural Certification for Installation of Solar Panels Job Number: 20156984 Client: Vinogradov-1787588 Address: 12 Harwood St.,North Andover, MA 01845 Attn.:To Whom It May Concern, A field observation of the condition of the existing framing system was performed by an audit team from Sungevity. From the field observation of the property,the existing roof structure was observed as follows: The existing roof structure consists of composition shingles over plywood sheathing that is supported by 2x6 roof rafters at 16"on center at Arrays 1 &2. The rafters at all arrays are sloped at approximately 25 degrees and have a maximum projected horizontal span of 13'-4"at Array 1 and 12'-7"at Array 2 between load bearing walls. All attached structural calculations are based on these observations and the design criteria listed below: Design Criteria: • Applicable Codes=2009 IBC,ASCE 7-05 and 2005 NDS • Ground Snow Load=55 psf • Roof Dead Load=7.4 psf(All Arrays) • Basic Wind Speed= 110 mph Exposure Category C • Solar modules=as indicated in attached drawings. As a result of the completed field observation and design checks: • Arrays 1 &2 are inadequate to support the loading imposed by the installation of solar panels and modules.New 2x6 SPF No.2 rafters are required to be sintered to the existing roof rafters to support the additional loading. See drawing sheet PV- 2.0 for structural upgrades. I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements in accordance with the 2009 IBC. If you have any questions on the above, do not hesitate to call. (N OF A4,1,9,9 9 PAUL K. CyG ZACHER Prepared by TRUCTURAL PZSE, INC. - Structural Engineers 50100 Roseville, CA S/ONA1- 8150 Sierra College Blvd, Suite 150—Roseville,CA 95661—916.961.3960 p —916.961.3965—www.pzse.com 1 2 3 4 5 SHEETINDEX PHOTOVOLTAICSYSTEM SYSTEM SIZE: EQUIPMENT: PVO.0 COVER AND SITE PLAN AC/DC kW STC: 5.004kW\5.75kW PV MODULES: (23)Hyundai HIS-M25ORG(BK) PV1.O GENERAL NOTES SCOPE OF WORK: INVERTER(S): (1)SolarEdge SE5000A-US PV2.0 ARRAY LAYOUT INSTALLATION OF A SAFE AND CODE-COMPLIANT PV3.0 LINE DIAGRAM GRID-TIED SOLAR PV SYSTEM ON AN EXISTING PV4.0 LABELS RESIDENTIAL ROOF TOP. PV5.0 DIRECTORY A S1.0-1.1 STRUCTURAL UPGRADES A KEY: — PROPERTY LINE ——— CONDUIT RUN E] INVERTER 4 --- DRIVEWAY 0 SUBPANEL FENCE Q DC DISCONNECT O O FIRE CLEARANCE V STRUCTURAL D AC DISCONNECT UPGRADES [DD JUNCTION BOX SOLAR MODULE ED MONITORING UNIT 0 MAIN SERVICE PANEL Q COMBINER BOX Q UTILITY METER ❑ ROOF Q PV METER OBSTRUCTION APPLICABLE CODES: 2014 NEC 2009 INTERNATIONAL CODES WITH MA AMENDMENTS i r-- B CONTRACTOR INFORMATION: B BOSTON SOLAR WOBURN 55 SIXTH ROAD WOBURN,MA 01801 JURISDICTIONAL INFORMATION: CONDUIT RUN ON ROOF NORTH ANDOVER,TOWN OF LOCATION OF(N)MSP, 1600 OSGOOD ST. INSIDE GARAGE NORTH ANDOVER,MA 01845 y� NOTES TO INSTALLER: 0 0 ROOF1 ROOF2 ARRAY 1 FOR INSTALLER USE ONLY ARRAY POST INSTALL SUNEYES REQUIRED? YES 1 CERTIFY THAT NO CHANGES HAVE C BEEN MADE TO THE ARRAY LAYOUT: C � CONDUIT RUN ON ROOF CUSTOMER INFORMATION: ILIA VINOGRADOV 12 HARWOOD ST NORTH ANDOVER,MA 01845 SITE PLAN CONDUIT RUN ON (617)504.6993/#1767588 N INTERIOR WALL - SCALE: N.T.S. {�'v( DESIGNED BY: REV#: DATE: PV-0.0 11 TUSHAR.K 10 10/13/15 SYNCEVITYINC.66 FRANICJN ST SUITE 3100AI4AND,CA 54607 By:MHEIME OnI.—L-1-VI-g.-1787588BVI Sh-Slzo 11.17 THESE ORnN1NOS.SPECIFICATIONS,AND DESIGNS ARE THE PROPERTY OF SUWEVRY INC.NO PMT SHALL BE COPIED OR USED FOR OR KITH ANY OTHER WORK OTHER THAN THE SPEdFlC PROJECT FOR WHICH THEY HAVE BEEN OEVELOPEDWITHOUT OUR WRITTEN CONSENT 1 2 3 4 5 MODULE SPECIFICATIONS (23)Hyundai HIS-M25ORG(BK) MODULE WEIGHT: 37.9 SISTER RAFTERS TO EXISTING FRAMING �21_21'� MODULE LENGTH: 64.57 MEMBERS THAT EXCEED 12'-4"IN THE MODULE WIDTH: 39.29 HORIZONTAL DIMENSION INTO WHICH ROOF 1 SPECS THE ARRAY IS LAGGED. RAFTER SIZE: 2X6 NOMINAL um RAFTER SPAN: 13'-4" SEE STRUCTURAL UPGRADE PAGE S1.1 FOR DETAILS RAFTER SPACING: 16 W ROOFMATERIAL: I COMPOSITE SHINGLE CONTINUE TO ARRAY 1 SPECS ARRAY2 NUMBER OF MODULES: 17 A I ! ! TOTAL MOD.WEIGHT(Ibs): 644.3 A RACKING WEIGHT(Ibs): 136.8 Y� ARRAY WEIGHT(lbs): 781.1 ! ARRAY 1! ! , � ,`� �' f- }-- ,� -f --f F- 2 s. ARRAY AREA(sgtt): 299.5 ! k ; �{ - ! ARRAY DEAD LOAD(lbs/sgft): 2.6 ROOF 1 NUMBER OF MOUNTS: 40 LOAD PER MOUNT(Ibs): 19.5 I I ARRAYAZIMUTH(") 213 I. --- L...... ,:.. � { �; —�„ __ ! ARRAY TILT(') 25 NUMBER OF FLOORS 2 __L.... J U L._ �— _.._ ! ! ROOF 2SPECS ! ! f ! j 0 ! q ! I RAFTER SIZE: 2X6 NOMINAL p� __ __ RAFTER SPAN: 127" ! ! 1 U" ! ! RAFTER SPACING: 16" n ROOF MATERIAL: I COMPOSITE SHINGLE ARRAY2 SPECS NUMB32'-11" 6,�, TOTAL M O.WEIGHT(lMODULES 6 TOTAL MOD.WEIGHT(lb,,): 227.4 RACKING WEIGHT(lbs): 42.6 BRAY-1 LAYOUT ARRAY AREA WEIGHT 270 05. 1 ARRAY AREA(sgft) 105.7 SCALE: 3/16"=1'-0" ARRAY DEAD LOAD(lbs/sgft): 2.6 NUMBER OF MOUNTS: 14 SISTER RAFTERS TO EXISTING LOAD PER MOUNT(lbs): 19.3 FRAMING MEMBERS THAT ARRAY AZIMUTH(`) 123 B EXCEED 12'-4"IN THE ARRAYTILT(°) 25 B HORIZONTAL DIMENSION INTO NUMBER OF FLOORS 2 WHICH THE ARRAY IS NOTE: ( LAGGED. MODULES SHALL NOT BE GREATER THAN 8 SEE STRUCTURAL UPGRADE SYMBOL KEY: INCHES ABOVE ROOF COVERING I I ! 'b' � PAGE S1.1 FOR DETAILS RAIL RAFTERS ROOF ! L FIRE CLEARANCE 5 ARRAY2 (E)- (j) STRING CONFIG. F o b STRUCTURAL SOLAR MODULE CONTINUE I L_ � I � F UPGRADES FROM ARRAY1 1-3 SOLAR MODULE _ p ® MOUNT IRONRIDGE XR100 - ! ! T w ! ROOFSKYLIGHT _-FOOT / € B ® CHIMNEY QMSE-LAG SHINGLE c PLUMBING OR ATTICVENT COMPOSITE SHINGLE p ATTIC VENT C C 5"X5/16"-LAG BRAY-2 LAYOUT CUSTOMER INFORMATION: 2.5"MIN.EMBEDMENT PER SCREW 2 SCALE: 3/16"=1'-0" NOFM', 2X6 NOMINAL,16 O.C. VjSSg 1P OV HARWOOD S PAUL K NORTH ANDOVER,MA 01845 MOUNTING DETAIL ZA5010 -' (617)504-6993/#1787588 TRUCTURAL y 3 50100 SCALE: NTS �0 /S7 G DESIGNED BY:JjEV#: RATE- NAI. FPV- U TUSHAR.K 0 10/13/15 6UNONI-INC—FRA—INSTSNTE3100-I—D,CA%607 01 MHE-E Ml.VlnoOroOov-17676Sa 1S—tSpa:11.17 THESE DMWINOS,S—FICATIONS.ANDOESIONS ME THE PROPERTY OF SUNOEV INC.NO PART SHALL BE COPIED OR USED FOR OR WITH ANY OTHER WORK OTHER T THE SPEC PROJECT FORWHIOH THEY—E REENDEVELOPED WITHOUT OUR WRITTEN CONSENT 1 2 3 1 4 5 ELECTRICAL KEY: INVERTER 7 SPECIFICATIONSMODULE ELECTRICAL SPECIFICATIONS SOLAREDGE SE5000A-US (23)Hyundai HIS-M25aRG(BK) �L BREAKER RATED WATTS(EACH): 5000 SHORT CIRCUIT CURRENT(Isc): 8.7 �— SWITCH AC OPERATING VOLTAGE(V): 240 OPEN CIRCUIT VOLTAGE(Voc): 37.4 n SCREW TERMINAL AC OPERATING CURRENT(A): 21 OPERATING CURRENT(IMP): 8.1 m FUSE NUMBER OF MPPT CHANNELS 0 OPERATING VOLTAGE(VMP): 30.9 • SPUCE INVERTER EFFICIENCY: 0.98 MAX SERIES FUSE RATING: 15 EARTH GROUND INTEGRATED DC DISCONNECT STC RATING: 250 /77 CHASSISGROUND INVERTER I INPUT SPECIFICATIONS PTC RATING: 222 ——— GEC NOMINAL CURRENT PER STRING(Inom): 7.9,8.6 DESIGN CONDITIONS EGC NOMINAL VOLTAGE(Vnam): 350 HIGHEST 2%DB DESIGN TEMP(°C): 32 MAX SYSTEM VOLTAGE(Vmax): 500 MIN.MEAN EXTREME ANNUAL DB(°C): -18 A MAX CURRENT PER STRING(Imax): 15 A MAX INPUT CIRCUIT CURRENT(Imax): 30 100A MAIN BREAKER (3)#10 THWN-2 (3)#10 THWN-2 (3)#10 THWN-2 (4)#10 PV-Wire (4)#10 THWN-2 (1)#8 GEC (1)#8 GEC (1)#8 GEC (1)#10 EGC (1)#10 EGC 3/4"EMT 3/4"EMT 3/4"EMT FREE AIR 3/4"EMT METER AC DISCONNECT, (E)LOADS (N)SE5000A-US 30AMP, INVERTER W/INTEGRATED NON-FUSIBLE,C-H (E)LOADS DC DISCONNECTS DG221URB (N)125A MSP 1 STRING OF + LOCUS 30A 2P 240V 2P 3- 1� 11 MODULES Z -AC METER OPT.CURRENT=7.86A DC— OUTPUT LOAD LINE B ---------_ -- - -�- -- ---- 1 STRING OF + 12 MODULES Mcm _OPT.CURRENT=8.57A INVERTER ` GEC IRREVERSIBLY SPLICED TO EXISTING GEC OR BONDED DIRECTLY TO EXISTING GROUNDING ELECTRODE (IF APPLICABLE) MIN.NEMA3R UL LISTED JUNCTION BOX WITH 90°C TERMINAL RATINGS LOCATED ON ROOF C C Inom=(12 x 250W)/350V=8.6A CONDUIT ELEVATION:1/2 TO 3-1/2"=22°C 23 MODULES TOTAL OPERATING VOLTAGE=35OVDC(REGULATED) HIGH AMBIENT TEMPERATURE:32"C 23 x 222(PTC WATTS)x 0.98=5004 CEC WATTS CUSTOMER INFORMATION: EXTREME LOW:-18°C ILIA VINOGRADOV 125 x 1.2=150 ROOFTOP AMBIENT TEMP(Twrr):54°C=0.76 SE5000A-US MAX OUTPUT CURRENT=21A 150-100(MCB)=50A CONDUIT FILL(Cfill):0.8 BREAKER SIZE=21A x 1.25=2625A=>30A 12 NORTH ANDOVER, 01845 MAX ALLOWABLE AC PV BREAKER=50A NORTH ANDOVER,87 88 CONTINUOUS USE=Imax"125=15A (617)504-6993/#1787588 CONDITIONS OF USE=Imax/Toorr/Cfill =15A/0.76/0.8=24.67A CONDUCTOR SIZE FOR 24.67A DESIGNED BY: REV#: DATE: PV-3.0 INSTALLATION SHALL USE MIN.#10 AWG TUSHAR.K 0 10/13/15 SUNOCVR 1-66FRANKLINSTSUITE3100ANLPND,CAB,607 By.MHEII�PE DOIa—Lan VNoproU I787DS85VISho°i5V-o:11.17 THESE DRAWINOS,SPECIFICATIONS,AND DESIGNS ARE THE PROPERTY OF SUNOEVITY INC.NO PART SHALL BE COPIED OR USED FOR OR HATH ANY OTHER WORNOTHER THAN THE SPEORC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPEDWTHOUT OUR WRITTEN CONSENT 1 2 3 4 5 NOTE: IF WOOD IS SEEN SPLITTING DURING CONSTRUCTION PRE-DRILL HOLES INTO RAFTERS A A -------- ---\ / (N)SISTER RAFTER \ SIMPSON SDW22300 WOOD SCREWS AT 16"O.C.STAGGERED (E)RAFTER (� (E)RAFTER (N)2 x 6 LAPPED SISTER (E)RAFTER OR#14X2-7/8"GRABBER LAG MASTER SCREWS AT 16"O.C.STAGGERED o \_____ ——_/ RAFTER SEE DETAIL FOR TOP VIEW OR 16d COMMON NAILS AT 6"D.C.STAGGERED SIMPSON o 2300 O OC- OR#14X2-7/8"GRABBER LAG MASTER SCREWS SE>GZO OD SCREWS AT STAGGERED o ) AT 16"O.C.STAGGERED VPP e -`Fj �.i (N)2 x 6 SISTER RAFTER v-- P , 5'6 2 FASTENERS EACH END-TYP - 2 FASTENERS EACH END-TYP o - (E)ROOF TRUSS WEB MEMBERS (E)ROOF TRUSS WEB MEMBERS WHERE OCCURS _ WHERE OCCURS Bo ��i1 y/ 5.6 (E)CEILING JOIST WHERE OCCURS `''6 ' ��\\ (E)CEILING JOIST WHERE OCCURS (E)BEARING WALL _-`I �(E)BEARING WALL ASIDE VIEW-OPTION#1 1 B SIDE VIEW-OPTION#2 �Fl SCALE: NTS SCALE: NTS RAFTER REINFORCEMENT DETAIL-ROOF 1 `"OF�ss9 1SCALE: NTS PAUL K ZACHER TRUCTURAL y 50100 O R /STE� �SStONAt C C CUSTOMER INFORMATION: ILIA VINOGRADOV 12 HARWOOD ST NORTH ANDOVER,MA 01345 DESIGNED BY: REV#: DATE: S 1.Q TM 1 0 10/13/15 sUNOEVITY1N-6 FRANKLIN ST SUITE 310 OAKI-AND,CA94607 AY:...NEE Omo—Lxa0a0.Nno0raew-t7a75eS AV1 Soa1 S-11.17 THESE DRAWINGS,SPECIFlCATIONS,AND DESIGNS ME THE PROPERTY OF SUNGEVRT INC.NO PART SHALL RECOPIED OR USED FOR OR WITHAW OTHER WORK OTHER THAN THE SVECI—ROJECT FOR—CH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT 1 2 3 4 5 NOTE: IF WOOD IS SEEN SPLITTING DURING CONSTRUCTION PRE-DRILL HOLES INTO RAFTERS A A /---------------� +� (N)SISTER RAFTER \ SIMPSON SDW22300 WOOD SCREWS AT 16"0.STAGGERED (E)RAFTER I (E)RAFTER I (E)RAFTER (N)2 x 6 LAPPED SISTER OR#14X2-7/8"GRABBER LAG MASTER SCREWS AT 16"O.C.STAGGERED o \_—————————————_,/ RAFTER SEE DETAIL FOR TOP VIEW i/�OR 16d COMMON NAILS AT 6"O.C.STAGGERED a iin a SIMPSON SDW22300 WOOD SCREWS - (N)2 x 6 SISTER RAFTER ,/� _, `" " AT 16'.D.C.STAGGERED OR#14X2-7/8"GRABBER LAG MASTER SCREWS VNP'SEESOP AT GERED 2 FASTENERS EACH END-TYP 2 FASTENERS EACH END-TYP _ (E)ROOF TRUSS WEB MEMBERS i (E)ROOF TRUSS WEB MEMBERS WHERE OCCURS _— ,,- WHERE OCCURS B _ __________________ --------------------- e :_________________ ____ _1_________________ a B c (E)CEILING JOIST WHERE OCCURS fi (E)CEILING JOIST WHERE OCCURS (E)BEARING WALL (E)BEARING WALL n SIDE VIEW-OPTION#1o SIDE VIEW-OPTION 2 B SCALE: NTS 1 SCALE: NTS \,1M OFn'/4SS. CRAFTER REINFORCEMENT DETAIL-ROOF 2 PAUL 9 i SCALE: NTS ZAGREB STRUCTURAL m 50100 O /STE� �a`�� �SS/ONAL C C CUSTOMER INFORMATION: ILIA VINOGRADOV 12 HARWOOD ST NORTH ANDOVER,MA 01845 DESIGNED BY: REV#: DATE: Lr TM 1 0 10/13/15 SUNOEVB'YINC.66 FRANI(I.IN ET SUITE 110 OARIAND,CAIRROT By:MHEIWE Mt.—Lomuon.-.9.6-17875e8SV1 S-t11x17 THESE DRAWINGS,SPECIFlCATIONS,AND OEECNB ARE THE PROPERTY OF SUNOEVITY INC.NO PART SHALL BE COPIED OR USED FOR OR WT1AN1'OTHER VNRI<OTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WTHOU7 OUR WRITTEN CONSENT Poly-crystalline Type Nominal output(Pmpp) w 230 233 235 238 240 245 250 Voltage at Pmax(Vmpp) V 30.1 30.3 30.3 30A 30.5 30.7 30.9 Current at Pmax(Impp) A 7.7 7.7 7.8 7.8 7.9 8.0 8.1 Open circuit voltage(Voc) V I 37.1 37.3 37.4 37.4 i 37.7 38.0 38.2 Short circuit current(Isc) A 8.2 8.2 8.3 8.3 8.3 8.4 8.6 Outputtolerance % +3/-0 No.of cells&connections PCs 60 in series Cell type I 6"Poly-crystalline silicon Module efficiency % 14.2 14.4 14.5 14.714.8 15.2 15.5 Temperature coefficient of Pmpp %/K { -0.43 -0.43 -0.43 -0.43 1 -0.43 -0.43 -0.43 Temperature coefficient ofVoc %/K -0.32 -0.32 -0.32 -0.32 -0.32 -0.32 -0.32 Temperature coefficient of Isc %/K 0.048 0.048 0.048 0.048 j 0.048 0.048 0.048, X All data at STC(Standard Test Conditions).Above data maybe changed without prior notice. Mono-crystalline Type l � Nominal output(Pmpp) w I 240 243 245 248 250 255 Voltage at Pmax(Vmpp) V1JI 30.1 30.1 30.3 30.3 30.5 30.8 Current at Pmax(Im ) A 8.0 8.1 8.1 8.2 8.2 8.3 Open circuit voltage(Voc) V 37.3 37.3 37.4 37.5 37.5 37.7 Short circuit current(Isc) A ( 8.5 8.6 8.6 8.7 8.7 8.8 Outputtolerance % +3/-0 No.of cells&connections PCs 60 in series Cell type 6"Mono-crystalline silicon Module efficiency °h 14.8 15.0 15.2 15.3 15.5 15.8 Temperature coefficient of Pmpp %/K -0.45 -0.45 -0.45 -0.45 -0.45 -0.45 Temperature coefficient ofVoc %/K -0.33 -0.33 -0.33 -0.33 -0.33 -0.33 Temperature coefficient of Isc %/K 0.032 0.032 j 0.032 0.032 ' 0.032 0.032 X All data at STC(Standard Test Conditions).Above data maybe changed without prior notice. Module Diagram( (unit:mm,inch) I-V Curves CurtesrttA) Fto N 1 B t-) (t) 85 033 { Incldlrtad=7.W0Y/hn' \1 W-09371 IOOU-139371 DETAILA 3 --OPergn9CdiTang=SC 1` 4mm�GElE6 41 'CASLE6 i -OpvrthgCdiTanp=25C COlNEC�1 COUCTOA WSLOTTM -op-thicdlT w=46-C I --OperMi0CdlTe P=65C '- Vdt{gefY3 CilSMIND MARL( $ 8(037 COrtmttAl _y�11 Nt3d=IiIOJW/m' DETAILS a MdiBtd-900Whnt ._._ _\� EeN4rad=SOW/m ��1' \ti !o MU1DHOLE 60(2A7 110.43r166=(Of65 a krad=700W/m 939 36-977 s e W') Ci Celltemp=.25'C S83(3&70') C 2455 9.66 �. SECTION GC a s to is x n m 3s a M."tv) Installation Safety Guide 1 tr 46•c;t2 Only qualified personnel should install or perform maintenance. - i -40-85-C •Be aware of dangerous high DC voltage. ' DC 1,000V(IEC) •Do not damage or scratch the rear surface of the module. DC 6o0V(ul) •Do not handle or install modules when they are wet. `',..,..'`. -„� 15 A [Latest Update:July 20121 SANEL SOLAR-SANEL N -SANEL HYUNDAI peocedonrsccearee Antwerpsesteenweg 491A- B 2500 Lier- elgie FSC �rr4narwPe. Sacramentsbogerd 21-3343 BP Hendrik-Ido-Ambacht-Nederland HEAVY INDUSTRIES CO.,LTD. T(BE):+32(0)3 451.21.54-T(NL)+31(0)78 682.20.44 www.sanel-solar.he-www.sanel-solar.nl-sales@sanel-sclar.be-sales@sanel-solar.nl Single haye Inverters for North America soft I a r=@ "W- SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE1140OA-US SE3000A-US I SE380OA-US SE5000A-US I SE6000A-US SE760OA-US SE10000A-US I SE11400A-US OUTPUT Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA 10000,(R240V Max.AC Power Output 3300 4150 6000 8350 12000 VA 5400 @ 208V 10800 @ 208V saso @ zaov 109so,@ zaov .............. ........ .. ..... ................ ................ . AC Output Voltage Min.-Nom:Max.(') 183-208-229 Vac AC Output Voltage Min:Nom:Max.(1) 211-240-264 Vac AC Frequency Min,.Nom:Max:l'I•...... 59.3.60-60.5(with Hl country.setting•57-60-60.5) Hz . Max.Continuous Output Current...... .....12.5......I......16......I...2?�°1 240V...I.......25.......I......32.......1...482 240V...I......47.5....... ....A..... GFDIThreshold .............1. ...................... ....A..... Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 W Transformer-less,UngroundedYes .................................... ................. ........... Max.Input Voltage 500 Vdc Nom.DC Input Voltag?................. ............ 325 @ 208V/350 @ 240V......... .................. .................. ...Vdc.... .... Max.Input Current .................. ......9.5.......I......13......I..15:5.�°.240V.. .......18.......I.......23....... ..30 5 @204 V.. ......34......... ...Adc.... ......................... Max.Input Short Circuit Current ....................... 45 Ad Reverse-Polarit Protection . ..................•.......,.,..Yes Ground-Fault Isolation Detection 600kQ Sensitivity .......................... ................ ............... . .. .................. .................. ........... Maximum Inverter Efficiency........ :97.?......1.....98.Z.....I..97. 240V..I.....98.3...... .......98...... ..97 5.@.?240V..I.......98........ ....�..... CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 ................I........... Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1 Optionails) ..... ...... Rapid Shutdown—NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed4 ............................................................................................ ....................... ........... STANDARD COMPLIANCE Safety UL1741,UL16996,UL1998 t CSA 22.. . ....................................... ........... Grid Connection StandardsIEEEIS47 ........ .. ............................................ .... ......................................... .......... .. . p ........... . Emissions FCC art15 class B INSTALLATION SPECIFICATIONS AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4.'minimum/8.3 AWG DC input conduit size/#of strings/ g / 3/4' minimum/1-2 strings/16-6 AWG 3/4"minimum/1-2 strings ,AWG,ran&e.......... ......... ..... ..........14.6 AWG ... . ............. .................................................................................... . Dimensions with Safety Switch 30.5 x 12.5 x 7.2/77S x 315 x 184 30.5 x 12.5 x 10.5/ in/ IHxWxD)................................ ................................ ................................................... ..........775 x 315 x 260......... .rnm.... Weight with Safety Switch 51.2/23:2. .........I 54.7/ 24: 88.4/40.1............ ..lb/kg. .... ............ Natural convection Cooling Natural Convection and internal Fans(user replaceable) fan(user ........................................... ................................................................... .replaceable). . .................................... ........... Noise <.25 <50 dBA Min.-Max.Operating Temperature -13 to+140/ 25 to+60(40 to+60 version available(')) `F/'C ..Rang?................................... ...........................................................................................I.............................. ........... ..Protection Rating.............. ......................................................NEMA 3R (s)For other regional settings please contact SolarEdge support. (')A higher current source may be used;the inverterwill limit its input current to the values stated. ia)Revenue grade inverter P/N:SExxxxA-USOOONNR2(for 7600W inverter.SE7600A.US0021,11,1112). (4)Rapid shutdown kit P/N:SE1000-RSD-Sl. (s(AO version P/N:SExxxxA-USOOONNU4(for 7600W inverter:SE7600A-US002NNU4). sunsaEc '�..d' n_`19 AA�,IRONRIDGE Roof Mount System AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s)shown below to the models described in the Product(s)" Y\ Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report.This authorization also applies to multiple listee model(s)identified on the correlation page of the Listing Report. «` This document is the property of Intertek Testing Services and Is not transferable.The certification mark(s)may be a applied only at the location of the Party Authorized To Apply Mark. Applicant: IronRidge,Inc. Manufacturer. IronRidge,Inc. 1495 i ��lIit Zephyr Ave 1435 Baechtel Road Address: Address: Willits,CA 95490 Hayward,CA 94544 tk Country: USA Country: USA Contact: Yarn Schwarz Contact: Jim Nosworthy _—� Phone: (800)227-9523 Phone: (800)227-9523 (510)225-0973 459-1833 Email: ysch�rz@ironddge.com hwarz@ironddge.com Email: jnor33 FAX: smrthy@ironddge.com '`;• Party Authorized To Apply Mark: Same Manufacturer G J— `J ` g ` Report Issuing Office: Lake Forest, est,CA Control Number: 4007559 Authorized by: for Thomas J.Patterson,Certification Manager ONus f uo or seer's touches'r roa s. Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. IronRidge builds the strongest roof mounting system in solar.Every component has been tested to the limit lim candlbo of Pea -am no l.ebiliry t.-y parry.o ^o— nY lee nae and proven in extreme environments. mot`a°t or.°ba to°M°rko°lrt^oa t SapPar,�a°toper 111 hoar1oto�"trea°Par°etotaMeMo d—,,ty' oPgod t°b condNono l°,d oul In No oproom°nt pId In P,a Aut^orv-oWn to Mork Any lunnprum al Pa lntanak name for No vale or adveNmm ¢tamad .1,product or wrvice m°at raved In vrtibnp by lntanek lnibal Fpgary A¢ea¢¢menG and F°b°wup Sarviw¢aro br Po puNaae of eeaurmd vppmpnata uwOa of PO Certlf 0°n°mark,n acwrdanw wtP the apreament. Our rigorous approach has led to unique structural features,such as curved rails and reinforced flashings,and 1h,".%'o lorPap°�o¢aa"prod°°tan,°atM—ataaddanotrau oPaobantalPa°obbaabaa„^t^Pore pa= is also why our products are fully certified,code compliant and backed by a 20-year warranty. Intertekresnng services NAInc. 545 East Algonquin Road,Arlington Heights,IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672 Strength Tested PE Certified UL Subject 2703 Outline of Investigation for Rack Mounting Systems and Clamping Devices for Flat-Plate < Standard(s): All components evaluated for superior ” Pre-stamped engineering letters Photovoltaic Modules and Panels,Issue Number:1,October 4,2010 structural performance. available in most states. Product: xR Rails with Integrated Grounding. Brand Name: N/A Models: 51-61GD-005,51-61GD-005B,51-5000-001,and 51-65-001 � Class A Fire Rating - Design Software f Certified to maintain the fire resistance Online tool generates a complete bill of rating of the existing roof. materials in minutes. M Integrated Grounding 20 Year Warranty R. UL 2703 system eliminates separate Twice the protection offered by module grounding components. ME competitors. ATM for Report 101541132LAX-002 Page 1 of 3 ATM Issued:10-Nov-2014 era ts.nts U�an.v7 Manaamn ITIM UMI IRONRIDGE Integrated Grounding System Installation Overview Install Roof Attachments — _ Install appropriate roof flashing and/or standoff for roof type. >. For Great„,,Sa ety&Lo�.tive•Cost u Attach L-Feet to flashing or standoff. Traditionally,solar modules are grounded by attaching lugs,bolts or clips to the module frame,then connecting 1 Prepare Rail Connections these to a copper conductor that runs throughout the array.This process adds time and cost to the installation, Insert splice into first rail,then secure with Grounding Strap and and often results in improper grounding,creating self-drilling screw. significant long-term safety risks. S Slide second rail over splice,then secure with opposite end of The IronRidge Integrated Grounding System solves these `h Grounding Strap and self-drilling screw. challenges by bonding modules directly to the mounting rails.This approach eliminates separate module Mount&Ground Rails grounding hardware,and it creates many parallel j grounding paths throughout the array,providing ' Attach rails to L-Feet and level rails. V greater safety for system owners. E Grounding Mid Clamp Install one Grounding Lug per row of modules. Each Grounding Mid Clamp pierces through the anodized coatings of both the module frame and Connect Grounding Lug to grounding conductor. the mounting rail to form secure electrical bonds, which are repeated throughout the array. Install Modules&Clamps —� Install first module using End Clamps and Grounding Mid Clamps. Install additional modules using Grounding Mid Clamps. Finish row with a second pair of End Clamps. Testing&Certification ti The IronRidge Integrated Grounding a� Module Frame Compatibility System has been tested and certified to Dimension i Range UL 2703 by Intertek Group plc. i A ( 31.Omm-51.Omm UL 2703 is a proposed UL standard l3 1 5.08mm(minimum) j for evaluating solar module mounting Any module frames whose parameters are not listed in the and Clamping deVICOS.It ensures these provided table have not been tested for crompatlblllty. R, devices will maintain strong electrical and ' p �� �v3•� mechanical connections over an extended period of time in extreme outdoor The Grounding Clamp has proven robust in grounding 60-cell and environments. 72-cell solar module frames with box construction and a range of anodization thicknesses. The testing process closely mirrors that All solar modules listed to UL 1703 and with frame construction Grounding Strap ; of UL 1703,the solar module testing ( within the parameters stated above are compatible with the ;3 Grounding Straps are used to P P j bond rail-to-rail connections. standard,including temperature and IronRidge Integrated Grounding System, Grounding Lug They are only required on the humidity cycling,electrical and mechanical rail with the grounding lug. Asingle Grounding Lug load testing,and manufacturing quality �^ h connects an entire row 9 9Q Y j � Gc to ironridge.comndig d of Pv modules to the reviews. j grounding conductor, DocuSign Envelope ID:7597CA37-B95D4B23-9677-0443EEE735EB DocuSign Envelope ID:7597CA37-B95D-4B23-9677-0443EEE735EB Solar Service Agreement SUnGEVITY" Agreement Overview SUnGEVITY° Solar Power Service Agreement Summary GENERATE POSITIVE' GENERATE POSITIVE' Ilia Vinogradov 12 Harwood st,North Andover,MA,01845 SOLAR PEACE OF MIND ESTIMATED SOLAR ENERGY OUTPUT TO BE DELIVERED . Sunrun offers a Performance Guarantee.If your system does not produce the power output guaranteed in this YEAR 1: 6,340 kilowatt-hours(kWhs) agreement,we'll refund you for lost power. INITIAL TERM: 120,493 kWhs . If your system overperforms you keep the excess power free of charge. . Our customer care team is available by phone and email to respond promptly to any questions or concerns you have. CONTRACT PRICE . When we arrange for installation of a system,Sunrun owns the panels,and we monitor them constantly.Sunrun will insure,maintain,and repair the Solar Facility at no additional cost to you including inverter replacement. Non-refundable Electricity Deposit(due today) $0 . Sunrun only works with insured partners who have all required licenses to perform the work necessary to install and maintain your system. Initial Electricity Payment(due at start of installation) $0 AGREEMENT OVERVIEW Monthly billt Year 1 $74.38(plus taxes,if applicable) While its still necessary to read your entire Agreement,there are a few important points to be aware of: Annual increase 0.0% . After going solar you will continue to receive a bill from your Utility.Based on the information you provided about your Cost per kWh,Year 1 $0.141,excluding Upfront Payment(if any) previous year's power consumption of 6,425 kWhs,your system is sized to offset 99%of the power you currently purchase from your Utility. t Monthly payments shown include a$15.00 discount for paying through ACH withdrawal from your checking or savings account.If you do not elect automatic payment through ACH withdrawal from your checking or savings account you will not receive this discount and each monthly . This Agreement becomes effective when both you and Sunrun have signed the Agreement and continues in effect for payment will be$15.00 greater. 20 years following the date your Utility grants permission to operate the Solar Facility. . Your first year monthly payment amount is$74.38.This amount will increase by 0.0%annually for the term of the Your initials indicate that you have read,understand and accept the explanation of estimated energy output,energy Agreement.This amount includes a$15.00 discount per month for automatic payment through ACH withdrawal from sources and payment terms.You understand that Sunrun has the right to check your credit and you agree that Sunrun will your checking or savings account. make final determination of customer eligibility. De . Sunrun offers a 100%Performance Guarantee.If your system underperforms,Sunrun will refund you for lost power at lV the rates shown in Exhibit A.If your system overperforms,you keep the excess power at no extra charge.Sunrun warrants that roof penetrations will be weather-tight for a period of five(5)years after installation. . You are responsible for payments during the full term of this Agreement.If you sell your house,you have two options: 1)Transfer the Agreement to the new homeowner,2)Purchase the system.You may prepay the remainder of the THE SOLAR FACILITY IS OWNED BY SUNRUN INC.AND/OR ITS AFFILIATES. payments due under the Agreement to make the transfer even more attractive to the new homeowner. Whichever SUNRUN INC.1 595 Market Street,29th Floor,San Francisco,CA 94105 1 1-855-478-6766 option you choose,Sunrun will guide you through the process. . Your request for a pricing plan change must be submitted within 21 days of signing this Agreement,but before installation has begun.If installation begins within 21 days of signing this Agreement,the start of installation will mark the date after which you can no longer change your pricing plan. . You may only purchase the Solar System at certain specific times during the term of this Agreement.Those times are listed in section 10. . At the end of this Agreement's 20 year Initial Term:1)Sunrun will remove the Solar Facility at no cost to you,unless you 2)Purchase the Solar Facility at its then fair market value,or unless 3)This Agreement is automatically renewed per the terms specified In Section 12sExhibit A. yid jiff lv Your initials indicate that you have read,understand and accept the information listed above. 09/23/2015 P87A14FFBVB9V93-H(Custom PPA Fixed) Page 1 of 18 09/23/2015 P87A14FFBVB9V93-H(Custom PPA Fixed) Page 2 of 18 DocuSign Envelope ID:7597CA37-B95D-4B23-9677-0443EEE735EB DocuSign Envelope ID:7597CA37-895D-4B23-9677-0443EEE735E8 S.Purch-P and Sale of Electricity 7.P=ayments for Electric Energy (a)As of the In-Service Date,you must be taking service from the Standard Net Metering Service("NfMService")from your local utility("(yti/i()').You agree (a)At any time,you may prepay all of the expected amounts you will owe Sunrun during the remaining portion of the Initial Term("Prepayment')by that you will continue to take NEM Service for as long as this Agreement Is in effect.You agree to use the NEM Service currently in effect for this Utility or, contacting Sunrun. in the event that the NEM Service is no longer in effec4 you agree to use a substitute metering program as chosen by Sunrun.You agree to execute all documentation associated with NEM Service,or any substitute metering service,and any refund,credit or rebate program promptly at the request of (b)The Prepayment shall equal the remaining monthly payments for the current year,plus the discounted value of each successive year's expected annual Sunrun,its affiliates,and/or the Utility. payment.Future year's expected payments will be calculated by multiplying the Estimated Output for that year by the price per kWh rate as set forth in Exhibit A.The future years'payments will be discounted at the lesser of(x)the prime rate(as published by the Wall Streetjournap plus 100 basis points or (b)Sunrun agrees to sell to you,and you agree to purchase from Sunrun,all electric energy produced by the Solar Facility.All electric energy produced by (y)5.0%. the Solar Facility will be made available to you for use at the Property. (c)If you make a Prepayment,Sunrun will continue to guarantee the output of your Solar Facility and will issue refunds as described in Section 8. (c)If at any time you need more electric energy than is being produced by the Solar Facility("Suppternentd/fnergV'),you will be solely responsible for purchasing that electric energy from another supplier,such as your Utility.During the term of this Agreememyou should expect to purchase (d)If you decide to make a Prepayment the Solar Facility will remain at your Property and Sunrun will maintain it for the remainder of the Initial Term. Supplemental Energy from your Utility.Depending on the terms of your NEM Services,the Utility will bill you either annually or monthly.Sunrun will not be in default of this Agreement and will not be responsible for any Supplemental Energy you purchase to complement the electric energy produced by the 8.cuaranteed Output and d 2 Solar Facility. (a)Sunrun guarantees that the Solar Facility will generate one-hundred percent(100%)of the Guaranteed Output during the Initial Term of this (d)You agree that for all electric energy you purchase from Sunrun under this Agreement you will pay Sunrun the prices set forth in Exhibit A. Agreement or Sunrun will issue you a refund as described below. (e)The price specified In subpart(d)above does not include taxes.If any taxes are assessed on the sale of electric energy,the Property,or on your (b)On the anniversary of the In-Service Date and on every anniversary thereafter,Sunrun will calculate the"Actual Output"of the Solar Facility.For the purchase of the Solar Facility from Sunrun under this Agreement,and such taxes are paid by Sunrun rather than you,you agree to pay or reimburse purposes of this Agreement"Actual Output'shall mean the amount of electric energy created by the Solar Facility to date plus any kWh for which you Sunrun for all such taxes,except to the extent that you are prohibited from doing so by applicable laws. have previously received a refund.If the Actual Output is less than the Guaranteed Output for that anniversary date set forth on Exhibit A.Sunrun will issue you a refund.This refund will be calculated by subtracting the Actual Output for that anniversary date from the Guaranteed Output for that (f)You agree that title to and risk of loss for the electric energy purchased under this Agreement shall pass from Sunrun to you at the time when the anniversary date,and multiplying the result by the kWh rate for that anniversary date set forth in Exhibit A. electric energy reaches the point of interconnection,i.e.,at the point where the Solar Facility connects to the Property's connection to your Utility. (c)If you purchase the Solar Facility from Sunrun pursuant to Settlor 10,and at the time of purchase the Actual Output is less than the Guaranteed Output (g)You agree that Sunrun alone will receive any credit rebate,environmental attribute,or other payment or offset that may be attributable to the Solar for that anniversary date,Sunrun will apply a credit towards the purchase price for the Solar Facility.This credit will be calculated by subtracting the Actual Facility and all incentives will be sole property of and transferable by Sunrun.Notwithstanding the foregoing,if you purchase the Solar Facility from Output from the Guaranteed Output and then multiplying the result by the refund per kWh set forth on Exhibit A for the anniversary date that precedes Sunrun,you will own,and be entitled to proceeds from the sales of,solar renewable energy credit and renewable energy credit earned after the date you the date of purchase. purchase the solar facility from Sunrun. (d)[f Actual Output is greater than Guaranteed Output per Exhibit A,you will not be charged any additional amount for this overproduction.Sunrun may 6.Filling and Payment use this overproduction amount(kWhs)to offset future underproduction should.Actual Output be less than Guaranteed Output. (a)For each billing cycle,Sunrun will prepare a written or electronic Invoice and charge your account for the Monthly Payment as set forth in Exhibit A. (e)For the purposes of the prior calculations,Actual Output shall include any kWh of electricity that would have likely been produced during any day that Your billing cycle begins on the In-Service Date,and subsequent billing cycles will begin on the same date each month(the"Billing Cycle Day').You will be grid failure disabled the Solar Facility or any day that you caused or requested the system to he shut down or to generate significantly less electric energy. billed on a monthly basis.You will receive this invoice within 10 days of the conclusion of the billing cycle and your payment will be due the day before the For the avoidance of doubt Guaranteed Output will be reduced if Sunrun notifies you that a tree or other obstruction is reducing electric energy next Billing Cycle Day.Sunrun reserves the right to update its billing systems from time to time and will notify you if your payment due date changes.In no production and you do not remedy,or cause to be remedied,such reduced energy production within 30 days. event will Sunrun decrease the amount of time you have to pay your invoices. 9.51'h<t ate P,avments (b)Sunrun will mail or e-mail you an invoice no later than ten(10)days after the end of each billing cycle.You agree to pay the amount specified in each invoice by the due date specified in such invoice.If Sunrun does not receive your payment by the due date on the invoice,Sunrun may charge you the (a)You agree that if,through no fault of Sunrun,you cause or request the Solar Facility to be shut dawn,or if you cause an event that significantly reduces lesser of an administrative late fee of(i)one and a half(1.5%)percent per month on the portion of your balance that is more than thirty(30)days past the production of electric energy by the Solar Facility,you will pay Sunrun a fee during each month that the Solar facility is shut down or experiencing due,or(ii)the maximum amount permitted under and subject to applicable law.This late fee is not an interest charge,finance charge,time price reduced production("Subsiltute Payments").However,Sunrun will not charge you Substitute Payments for the first seven(7)days during the Initial Term differential or other such charge or payment of a similar nature. that the Solar Facility has been shut down or Is experiencing reduced output. (c)Monthly payments shown include a 515.00 discount for paying through Automated Clearing House(ACH)withdrawal.If you do not elect automatic (b)For each billing cycle during the first year that this Agreement is in effect the Substitute Payment will equal(i)the current price per kWh established in payment through ACH withdrawal from your checking or savings account you will not receive this discount and each monthly payment will be$15.00 Exhibit A.multiplied by fill the estimated daily generation implied in Section 2(d),as well as the number of days for which Substitute Payments are due, greater. minus(iii)any payment due for any kWh that are produced by the Solar Facility during the current billing cycle.Substitute Payments shall be in addition to other payments otherwise due under this Agreement. (d)Deposit and Initial Payment payable with credit card,money order or a check drawn on a United States bank account.Monthly payments are payable with a check drawn on a United States bank account or you may agree to authorize Sunrun to deduct the invoice amount directly from your bank account (c)For each billing cycle after the first year that this Agreement is in effec4 the Substitute Payment will equal(i)the current price per kWh established in each month(subject to subsection(c)above). Exhibit A,multiplied by(ii)the kWh produced by the Solar Facility during the corresponding billing cycle in the previous year,minus(iii)any payment due for any kWh that are produced by the Solar Facility during the current billing cycle.Substitute Payments shall be in addition to other payments otherwise due under this Agreement. (d)You will not be charged Substitute Payments for times when a grid failure results in the Solar Facility being deactivated. 09/23/2015 P87A14FFBVB9V93-H(Custom PPA Fixed) Page 5 of 18 09/23/2015 P87A14FFBV89V93-H(Custom PPA Fixed) Page 6 of 18 DocuSign Envelope ID:7597CA37-B95D-4B23-9677-0443EEE735EB DocuSign Envelope ID:7597CA37-B95D-4623-9677-0443EEE735EB 14.Insurance 16.Re-lufon of Disputes (a)Sunrun agrees to carry insurance that covers all damage to and theft of5unrun's Solar Facility.You will not be responsible for insuring the Solar Facility. (a)You agree that to expedite the resolution of and to control the costs of disputes,resolution ofany dispute relating to this Agreement("Dispute%will be Sunrun agrees to provide you evidence of 5unrun's insurance policy for the Solar Facility upon request.If Sunrun does not maintain insurance that covers resolved according to the procedure set forth in this Section 16. damage to Sunrun's Solar Facility,it will be responsible for the consequences of not maintaining such insurance. (b)Unless otherwise agreed in writing,Sunrun and you agree to continue to perform each patty's respective obligations under this Agreement during the (b)You agree to carry insurance that covers all damage to your Property during the term of this Agreement,including damage resulting from the Solar course of the resolution of the Dispute. Facility,provided such damage was not caused by the gross negligence of Sunrun.It is your responsibility to determine if the installation of the Solar Facility will impact your existing coverage.If additional insurance is required to maintain your existing coverage,you will be responsible for either(i) (c)You and Sunrun agree to first try to resolve informally and in good faith any Dispute.Accordingly,you agree to send a written notice of Dispute to the procuring and maintaining such insurance or(ii)the consequences of not procuring and maintaining such insurance. address on the first page of this Agreement,and Sunrun will send a written notice of Dispute to your billing address.If you and Sunrun do not reach an informal agreement to resolve the Dispute within 45 days after the notice of Dispute is received,you or Sunrun may commence a formal proceeding as (c)Sunrun requires its contractors performing the Solar Facility installation to maintain insurance coverage as follows:workers compensation,subject to detailed below.All applicable statutes of limitation and defenses based upon the passage of time shall be tolled for the 45 days during which the parties statutory limits;Employers liability,with a minimum of one million(81,000,000)dollars each occurrence;commercial general liability,in an amount not try to informally resolve any Dispute. less than one million(81,000,000)dollars per occurrence and two million(82,000,000)dollars annual aggregate;commercial automobile liability,in an amount not less than a combined bodily injury and property damage limit of one million(81,000,000)dollars per accident;excess liability insurance with a (d)if Sunrun and you cannot resolve the Dispute informally,the Dispute will be resolved by binding arbitration.ARBITRATION MEANS YOU WANE YOUR limit of one million(81,000,000)dollars per occurrence and in the annual aggregate in excess of the limits of insurance provided above;and any other RIGHT TO AJURYTRIAL AND ALL DISPUTES SHALL BE DECIDED BY AN ARBITRATOR.This agreement to arbitrate Disputes is governed by the Federal insurance required by applicable laws or regulations. Arbitration Act("FAA").The arbitration will be conducted under the rules ofJAMS that are in effect at the time the arbitration is initiated('JgAfSRu/ei')and under the rules set forth in this Agreement.If there is a conflict between the JAMS Rules and this Agreement,this Agreement will govern. Your initials indicate that you have rejand understand and accept the limitations and obligations set forth in this Section 14. I V (e)CLASS ACTION WAIVER.ARBITRATION MUST BE ON AN INDIVIDUAL BASIS.AS A RESULT,NEITHER YOU NOR SUNRUN MAVJOIN OR CONSOLIDATE Accepted by(Initials).? CLAIMS IN ARBITRATION BY OR AGAINST OTHER CUSTOMERS,OR LITIGATE IN COURT OR ARBITRATE ANY CLAIMS AS A REPRESENTATIVE OR MEMBER OF A CLASS OR IN A PRIVATE ATTORNEY GENERAL CAPACITY. 15.I irn tar ons of Uab'I'ty (f)You may,in arbitration,seek all remedies available to you under this Agreement as interpreted under California law.If you decide to initiate arbitration against Sunrun,Sunrun will pay the costs for initiating the arbitration proceedings.If Sunrun decides to initiate arbitration,Sunrun will be required to pay (a)SUNRUN WILL BE LIABLE TO YOU AND ANY OTHER PERSON FOR DAMAGES OR LOSSES DIRECTLY ATTRIBUTABLE TO ITS NEGLIGENCE OR WILLFUL the costs associated with initiating the arbitration proceeding.Sunrun also agrees to pay the costs of initiating the arbitration proceeding if the arbitrator MISCONDUCT.TOTAL LIABILITY FOR SUCH DIRECT DAMAGES OR LOSSES WILL IN NO EVENT EXCEED ONE MILLION DOLLARS.THIS WILL BE YOUR SOLE finds in your favor.Other fees,such as attorneys fees and expenses of travel to the arbitration,will be paid in accordance with JAMS Rules.If the AND EXCLUSIVE REMEDY AND ALL OTHER REMEDIES OR DAMAGES AT LAW OR EQUITY ARE WANED,EVEN IF YOU HAVE GREATER RIGHTS UNDER arbitrator finds in your favor,Sunrun will pay your attorney's fees and expenses of travel to the arbitration.The arbitration hearing will take place in the MASSACHUSETTS'S LAWS,WHICH YOU SHOULD CONSULT.SUNRUN is NOT RESPONSIBLE FOR ANY CONSEQUENTIAL,INCIDENTAL,PUNITIVE,EXEMPLARY federal judicial district of your residence,unless you and Sunrun agree to another location in writing.In order to initiate arbitration proceedings,you or OR INDIRECT DAMAGES,LOST PROFITS OR LOSSES RELATING TO THIS AGREEMENT,IN TORT OR CONTRACT,INCLUDING ANY NEGLIGENCE OR Sunrun must take the following actions: OTHERWISE. (i)Write a demand for arbitration.The demand must include a description of the Dispute and the amount of damages you are seeking.The form of (b)EXCEPT AS EXPRESSLY PROVIDED HEREIN,SUNRUN MAKES NO WARRANTY OR REPRESENTATION,EITHER EXPRESS OR IMPLIED,REGARDING ITS Demand for Arbitration can be found under ADR Forms at www.jamsadr.com. OBLIGATIONS OR THE SOLAR FACILITY.THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE,AND ANY AND ALL (ii)Send three copies of the demand for arbitration to the current JAMSlocation in San Francisco,California. IMPLIED WARRANTIES ARE DISCLAIMED. (iii)Send one copy of the demand for arbitration to the other parry. (g)In accordance with the FAA and the JAMS Rules,the arbitrator's decision will be final and binding.Any right to appeal is likewise governed by the FAA and JAMS Rules.Any arbitration award may be enforced in any court with jurisdiction. (h)You and Sunrun agree to receive service of process of the arbitration demand by registered or certified mail,return receipt requested,at your billing address and Sunrun's principal executive office,as applicable. 17.Force Majeure (a)Neither you nor Sunrun will be in default of this Agreement for any delay or failure in the performance under this Agreement(including any obligation to deliver or accept the electric energy output of the Solar Facility)if the delay or failure is due to Force Majeure.Force Majeure includes acts of God such as storms,fires,floods,lightning and earthquakes,sabotage or destruction by a third parry of the Solar Facilities,war,riot,acts of a public enemy or other civil disturbance,or a strike,walkout lockout or other significant labor dispute.Force Majeure does not include economic hardship of either you or Sunrun,a power grid failure(except if caused directly by a Force Majeure event),a failure or delay in the granting of permits,or insufficiency, unavailability,failure,or diminishment of solar resources,except as a result of an event that would otherwise qualify as a Force Majeure. (b)Force Majeure cannot be attributable to fault or negligence on the part of the parry claiming Force Majeure and must be caused by things beyond that party's reasonable control.Additionally,you or Sunrun must have taken all reasonable technical and commercial precautions to prevent the event (c)In order to claim Force Majeure as a reason for non-performance,you or Sunrun must give notice to the other parry of the Force Majeure within fourteen(14)days of the occurrence of the Force Majeure and estimate how long it will last and what the potential impact is on the Agreement.The parry claiming Force Majeure must(i)make reasonable attempts to continue to perform under the Agreement(ill quickly take action to correct the problem caused by the Force Majeure,and(iii)make reasonable efforts to limit damage to the other party.Finally,the party claiming Force Majeure must notify the other party when the Force Majeure event ends and performance will resume as contemplated in this Agreement. (d)If you or Sunrun is prevented from performing under this Agreement for a period of either(i)three hundred sixty-five(365)consecutive days or more, or(ii)seven hundred thirty(730)non-consecutive days or more(whether full or partial days),the other party may terminate this Agreement,without liability of either parry to the other,upon thirty(30)days written notice at any time during the Force Majeure. 09/23/2015 P87A74FFBVB9V93-H(Custom PPA Fixed) Page 9 of 18 09/23/2015 P87A74FFBVB9V93-H(Custom PPA Fixed) Page 10 of 18 DocuSign Envelope ID:7597CA37-B95D-4B23-9677-0443EEE735EB DocuSign Envelope ID:7597CA37-B95D4B23-9677-0443EEE735EB EXHIBIT A:SUNRUN ELECTRICITY PRICING SUNRUN MONTHLY AUTOMATIC ELECTRONIC PAYMENTS At the signing of this Agreement you will pay Sunrun a non-refundable Deposit("Deposit')of$0.At the start of installation of the Solar Facility,you will As a Sunrun customer,you agree to pay your monthly bill with automatic electronic payments.If you do not choose to select automatic payment as a form pay Sunrun an Initial Payment("In/t/a/Payment')of$O.Together,these payments comprise the Upfront Payment("UPtront Payment"). of payment,then you will lose the discount in Section 6 and be expected to pay your monthly Sunrun bill by-check payments.Regardless,you will receive all Sunrun bills via email unless you contact Sunrun directly to request invoices to be sent through the US mail. Electricity Payments:In addition to the Upfront Payment,you agree that for all electric energy you purchase from Sunrun during the Initial Term of this Agreement,you will pay a price per kWh in the form of monthly payments("Monthly Payments")as shown below.The Monthly Payments shall increase by 0.0%annually during the Initial Term of this Agreement effective as of the Monthly Payment that covers any calendar month that includes an anniversary Terms and Conditions for Recurring Payments: of the In-Service Date(and such increase would not apply to any part of a Monthly Payment that covers the days in a calendar month leading up to an anniversary of the In-Service Date).The payments shown below are before any applicable taxes and include a$15.00 discount for paying through BYACCEPTING THETERMS AND CONDITIONS AND ENROLLING IN THE AUTOMATIC ELECTRONIC PAYMENT OPTION,YOU ARE AUTHORIZING SUNRUN TO Automated Clearing House(ACH)withdrawal.If you do not elect automatic payment through ACH withdrawal from your checking or savings account you AUTOMATICALLY DEDUCT YOUR MONTHLY INVOICE AMOUNT FROM THEBANK ACCOUNT YOU HAVE DESIGNATED.SUNRUN WILL ADVISE YOU BY will not receive this discount and each monthly payment will be$15.00 greater.(As described in Section 6(a),the table below also is based on the MONTHLY INVOICE OF THE AMOUNT AND DATE OF THE PAYMENT THAT WILL BE AUTOMATICALLY DEBITED. assumption,for convenience purposes,that the In-Service Date will be the 1st day of the month.) 1.Sunrun will provide you with a monthly electronic statement of your account.You agree to review each invoice you receive for any errors.Under federal law,you have the right to holdup or stop an electronic funds transfer provided you give your financial institution or credit card issuer notice of at least -- --- -- - three business days before the scheduled transfer date.If you inform Sunrun that an error exists on your statement Sunrun will attempt to correct that Performance Guarantee Prepay Option Purchase Option errorprior to your next statement to the extent permitted by law.Sunrun shall bear no liability or responsibility for any losses of any kind that you may End of Yearly Price Monthly Guaranteed kWh Refund/kWh If Guaranteed Estimated Price to Prepay Balance of Minimum Cash incur as a result of an erroneous statement or due to any delay in the actual date on which your account is debited. Year Per kWh Payment Output to Date.. Output Not Met Initial Term Purchase Price N/A N/A N/A N/A $11,865 N/A 2.If any changes occur in the information on your application,you must immediately notify Sunrun in Writing of such changes.If Sunrun incurs charge- - _... __.. _._. _... -.... back fees as a result of inaccurate information you provide,then Sunrun shall bill you for those fees. 1 $0.141 $74.38 6,340 $0.141 $11,477 N/A -- --- --- -- -- --- _. 3.If you either do not notify Sunrun in writing of such changes or do so in an untimely fashion,Sunrun shall bear no liability or responsibility for any 2 $0.141 $74.38 12,633 $0.141 $11,072 $21,174 losses incurred to the extent permitted by law.Sunrun's sole liability to you shall be Sunrun's obligation to make any appropriate changes once in receipt 3 '..$0.142 $74.38 18,895 $0.142 $10,650 $17,385 of your written notification.The actual settlement date(or date the ACH transaction occurs against your checking or savings account or is charged to your check or credit card)will be no earlier than three(3)days before the invoice due date. 4 .$0,143 $74.38 25,125 $0.143 $10,211 ,$13,578 ' - 4.You agree to ensure that there are sufficient funds in your designated account on the settlement date to pay the amount of the debit.If Sunrun incurs 5 '..$0.144 $74.38 31,323 $0.144 $9,752 $9,752 charge-back fees as a result of insufficient funds in your designated account then Sunrun shall bill you for those fees. 6 $0.144 $74.38 37,489 $0.144 $9,274 $9,274 S.Sunrun reserves the right to change these conditions at anytime.Notice maybe given on or with your bill or by other methods.Either party may 7 $0.145 $74.38 43,624 $0.145 $8,776 $8,776 terminate this arrangement at any time by giving the other parry written notice reasonably in advance of the date of termination or any scheduled --- ---- ---- --- --- --- -- ---- ---. settlement date.You may also terminate this arrangement by calling Sunrun Customer Care at 1-855-478-6786 or by changing your billing preference in 8 $0.146 $74.38 49,728 $0.146 $8,256 $8,256 the Sunrun Customer Portal.Termination shall not prevent a debit transaction authorized before any notice of termination. 9 $0.147 $74.38 55,799 $0.147 $7,714 $7,714 6.You agree to be bound by any rules your financial institution requires for pre-authorized electronic funds transfer or credit card issuer requires for pre- 10 $0,147 $74.38 61,839 $0.147 $7,150 '..$7,150 authorized credit card charges. 11 $0148 '..$74.38 67,847 $0.148 $6,561 $6,561 7.Check with your financial institution to see if there are any fees associated with the pre-authorized payment option.You will be responsible for all such _.... _.. _.. fees. 12 ($0.149 $74.38 73,823 $0.149 $5,947 '.$5,947 - --- I authorize automatic electronic payments and accept these Terms and Conditions.You will receive a separate electronic request to securely enter your 13 $0.150 $74.38 _ 79,768 $0.150 $5,308 $5,308 bank account information. 14 $0.150 $74.38 85,681 $0.150 $4,641 $4,641 15 '',$0.151 $74.38 91,562 $0.151 $3,946 $3,946 _ CUSTOMER ',.16 $0.152 $74.38 97,412 $0.152 $3,221 $3,221 17 ',,$0.153 $74.38 103,230 $0.153 $2,465 $2,465 18 ''.$0.153 $74.38 109,016 $0.153 $1,677 ''.$1,677 Dater 9/23/2015 19 $0.154 $74.38 114,770 $0.154 $856 $856 I'o.v��elog�nea by: 20 $0.155 $74.38 120,493 $0.155 $0 $0 Signature: C0. VIIAA/�{"0. `Pursuant to Section 7,you may prepay the balance of your estimated obligations under this Agreement Any prepayments you make to Sunrun will Increase the refunds for which you are eligible. After the initial Term,SunRun shall on each anniversary of the In-Service Date establish anew price per kWh that is equal to ten percent(10%)less than the"Average cost of electric energy'as established by your Utility or Its successor."Average cost of electric energy'shall be the price you would otherwlse pay for electric energy to your Utility or Its successor for the 12 months preceding the start of each Renewal Term. Notwithstanding the foregoing,In no event shall this price per kWh be less than$0.010 per kWh. Pursuant to Secdon 10,if you purchase the Solar Facility before he Guaranteed Output has been achieved,Sunrun velli Issue you a refund.The estimates In this column assume the Solar Facility achieves Its Estimated Output and that ou make the final Initial Payment upon the first anniversary. 09/23/2015 P87A14FFBVB9V93-H(Custom PPA Fixed) Page 13 of 18 09/23/2015 P87A74FFBVB9V93-H(Custom PPA Fixed) Page 14 of 18 DocuSign Envelope ID:7597CA37-B95D-4B23-9677-0443EEE735ES DocuSign Envelope ID:7597CA37-B95D-4B23-9677-0443EEE735EB DUPLICATE COPY EXHIBIT E:SUNRUN DEPOSIT FORM If you are paying your deposit by check,please enclose this document with your payment and include your Sunrun Proposal ID reference in the memo line of your check. Name:Ilia Vinogradov NOTICE OF CANCELLATION Address:12 Harwood sl,North Andover,MA 01845 Proposal ID:P87A74FFBVB9V93 Deposit Amount$0 DATE: Please send payments to: (Enter date of transaction) Sunrun Inc. P.O.Box 511612 Los Angeles,CA 90051-8167 YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN TEN CALENDAR DAYS FROM THE Thank you for choosing Sunrun! ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENT MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 CALENDAR 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 MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN 20 DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUTANY 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 TO SUNRUN INC.,595 MARKET STREET,29TH FLOOR,SAN FRANCISCO,CA 94105 NOT LATER THAN MIDNIGHT OF (DATE) I HEREBY CANCEL THIS TRANSACTION. DATE: CUSTOMER SIGNATURE: NOTICE OF CANCELLATION MAY BE SENT TO SUNRUN ATTHE ADDRESS NOTED ON THE FIRST PAGE OF THIS CONTRACT. 09/23/2015 P87Al4FFBVB9V93-H(Custom PPA Fixed) Page 17 of 18 09/23/2015 P87A14FFBVB9V93-H(Custom PPA Fixed) Page 18 of 18 The Commonwealth of Massachusetts Department of Industrial Accidents d I Congress Street, Suite 100 Boston,MA 02114-2017 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual):United Solar Associates, LLC Address:452 Pleasant Street, Second Floor City/State/Zip: Malden, MA 02148 Phone#:855-786-1776 Are you an employer?Check the appropriate box: Type of project(required): 1.[D 1 am a employer with 5 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.®I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 F]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.F-]Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 14.�✓ Other Solar Install 6.❑We are a corporation and its officers have exercised their right of exemption per MGL a 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 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 must submit a new affidavit indicating such. $Contractors 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:TRAVELERS Policy#or Self-ins.Lic.#:7PJUB-5650763-8-15 Expiration Date:7/23/2016 Job Site Address:12 Hardwood St City/State/Zip:N.Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A co f this statement may be fo 'arded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and the aims�rnd pe ire's p y that the information provided above is true and correct. Si nature: Date: Phone#•855-786-1776 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AIC"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11/9/2015 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 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 CONIAUI NAME: iA Asset One Insurance PHONE 714-625-8204 AIC, E Ext: (A/c,No): 714-625-8290 AIL 575 Anton Blvd.,3rd FL ADDRESS: araCsolarinsure.com INSURERS)AFFORDING COVERAGE NAIC# Costa Mesa CA 92626 INSURER A: Westchester Surplus Lines Insurance Company 10172 INSURED INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERI( 25674 United Solar Associates,LLC INSURER C: American Zurich Insurance Company 16535 452 Pleasant Street,Second Floor INSURER D: INSURER E: Malden MA 02148 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 AUL)LJ5Ut5K POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X] OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Anyone person) $ 10,000 A G27527966 001 11/10/2015 11/10/2016 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAG $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ A EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? ❑ N/A 7PJUB-5B50763-8-15 7/23/2015 7/23/2016 '.. (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Property ER07771654 5/26/2015 5/26/2016 $522,302.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department AUTHORIZED REPRESENTATIVE 1600 Osgood St., Building 20,Suite 2035 North Andover MA 01845 �i`?tt 9 T �1 L2J7 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD r i., w, ELECTRIC�ANS Y „ ISSUES THE pOLLOWIlO L1"DENSE REO dOURNEYHAN ELECTRICIAN ,e emit�1 DANIEL J MCGRATH aif#,,,,„..„ 0l7BT 114 BOYLSTON ST 2. MA1b111ifill►02`I1r�7f31 ' '` ' 580f"t.E:tkey e+•« + MALA,EN MA 02148-7931 1 lA sachtlt is -Dep9tirtment of Public SAtet B rei of Building ReOtxIaft1o€1s and Standards ,r License: CSFA-104876 DANBLJ MOOR ►")"Ii ,� �,� 114 BOYLSTON ST r MALDLN MA 01148 Expiration G sstartef 0911IN2016 r !��r !(OUIN/nlrUr[Y1��7/P`n/[t11,ilJP�/LN'�lJ '.. met of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR ELECTRICAL UNLIMITED JOLIRNEYPERSON e91stratl0n: 16-8524 Type: DANIEL J MCGRATH xplrati0n: 317ml'7 Individual 114 BOYLSTON ST DANIEL MCGRATH MALDEN,MA 02148-7931 DANIEL MCGRATH 114 BOYLSTON ST LIC,3 h r E 1 PtRES MALDEN,MA 02148 LC.019�i3-E2 10/01/2014 09/30/2015mail I'm I Undersecretary . STATEOf=tVIAfNE DEPT OF PROfEt131011�tL 6 FIMANrriAL gOULATION ELF—C, UNLIMITED CCM RACTOR � ELECTRIctANB'i�fAfufiic,"s0ARD DANIEL J MCGRATH LICENSE#MSM20703 I1.4 BOYLS'I'ON ST tYiAL171;N,b1A 02148-7131 DANIEL MCGRATH MASTERELECTRICIAN u , ,Arn io: CLLri L xr=��ce ry ISSUED AUG 2B,2013 EXPIRES Aug 31,2015 ELC.0'L01855-El 08131/2015 UI/30/2016