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HomeMy WebLinkAboutBuilding Permit # 11/24/2015 AIV lh ORTH BUILDING PERMIT 0, -t%�UFD $6 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �-A Permit No#: Date Received o4Ar.ED C Date Issued: ✓ IMPORTANT: Applicant must complete all items on this page 1/3 101 i��Iw HIM 11 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building One family 0 Addition 0 Two or more family D Industrial 11 Alteration No. of units: 11 Commercial 11 Repair, replacement [I Assessory Bldg 11 Others: 11 Demolition 0 Other ff'.�ft "'11. —A— uff 6,-epg 0 O'd p I i/g I dffiffi g �rj vy y MOON" N DESCRIPTION OF WORK TO BE PERFORMED: 44y- zktdri(ak N4C-W% - ipar\cls En4-e-666- I K-W Identification- Please Type or Print Clearly OWNER: Name: Phone:,5t)9. gAg.- Sq Address: ff\ondtj g" 6. '0 � ir///a 'e MAE ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BULDINGPERMIT:VZOO PER$1000-00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 00 FEE: (9 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Sr nature of,contractADI DocuSign Envelope ID:C3B3D998-4AF8-4EA9-BACO-95E54F77A448 PPA Customer Name and Address Installation Location Date James Marini 21 Moody St 11/9/2015 21 Moody St North Andover,MA 01845 North Andover,MA 01845 Here are the key terms of your iPower Purchase Agreement $0 15e04 � 20yrs System installation cost Electricity rakWh Agreement TgSm Initial here_ Initial here_ DS The SolarCity Promise �k . Initial here__ .We guarantee that if you sell your Home,the buyer will qualify to assume your Agreement ...:. —_—_._ •We warrant all of our roofing work. ^DS •We restore your roof at the end of the Agreement. J — •We warrant, insure,maintain and repair the System. ............. ..... ...... Initial here •We fix or pay for any damage we may cause to your property. •We provide 24/7 web-enabled monitoring at no additional cost. •The rate you pay us will remain fixed for the term of the Agreement. •The pricing in this Agreement is valid for 30 days after 11/9/2015. Your SolarCity Power Purchase Agreement Details Your Choices at the End of the Initial Options for System Purchase: Amount due at contract signing T Term: •At certain times,as specified in $0 •SolarCity will remove the System at no the Agreement,you may Est.amount due at installation cost to you. purchase the System. $0 •You can upgrade to a new System with •These options apply during the 20 the latest solar technology under a new year term of our Agreement and Est.amount due at building inspection contract. not beyond that term. $0 •You may purchase the System from Est.first year production SolarCity for its fair market value as 8,590 kWh specified in the Agreement. •You may renew this Agreement for up to ten(10)years in two(2)five(5)year increments. 305-5 Clearview Way, San Mateo, CA 94402 1 $88.765.2489 1 solarcity.corrii 1z917sz Power Purchase Agreement,version 9.0.4,October 22,2015 SAPC/SEFA Compliant Contractors License MA HIC 168572/EL-1136MR •� Document generated on 11/9/2015 Copyright 2008-2015 SolarCity Corporation,All Rights Reserved moi' DocuSign Envelope ID:C3B3D998-4AF8-4EA9-BACO-95E54F77A448 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR their entirety and I acknowledge that I have received a TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE complete copy of this Power Purchase Agreement. DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name:James Marini EXPLANATION OF THIS RIGHT. ^DocuSigne/e1�d�,by: 24. ADDITIONAL RIGHTS TO CANCEL. Signature: , S rv�a iw, IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL Date: 11/9/2015 THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this PPA is valid for 30 days after 11/9/2015. Customer's Name: If you don't sign this PPA and return it to us on or prior to 30 days after 11/9/2015,SolarCity reserves the right to Signature: reject this PPA unless you agree to our then current pricing. Date: Power Purchase Agreement SolarCity approved Signature: Lyndon Rive, CEO Date: 11/9/2015 Power hrchase«greer�ei7t,version _2�I.01h,ber 22,201 � 129175? Version#53.4-TBD PIL ' ',' :,,'SolarGty �ttt ofi Mq November 11, 2015 `4 RE: CERTIFICATION LETTER IREDIM>+. QDR�DRE.&t. $ No.5my q Project/Job # 0183106 Project Address: Marini ResidenceG�sT6 �� 21 Moody St i4SrpNp� North Andover, MA 01845 AH] North Andover SC Office Wilmington Design Criteria- -Applicable Codes= MA Res. Code, 8th Edition,ASCE 7-05, and 2005 NDS - Risk Category= II -Wind Speed = 100 mph, Exposure Category C - Ground Snow Load = 50 psf - MP1: Roof DL= 10.5 psf, Roof LL/SL= 35 psf(Non-PV Areas), Roof LL/SL= 35 psf(PV Areas) - MP2: Roof DL= 10.5 psf, Roof LL/SL= 35 psf(Non-PV Areas), Roof LL/SL= 35 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category(SDC) = C < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural-evaluation was based on site observations and the design criteria listed-above. Based on this evaluation, I certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. This review relies on the roof's structural system having been originally designed and constructed in accordance with the building code requirements and having been maintained to be in good condition. Additionally, I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. Digit.liy zig dby . W IImm A Eldredge Jr. William A. Eldredge, P.E. Ze:2015.11.11 1024:42-05'OW Professional Engineer T: 888.765.2489 x58636 email: weldredge@solarcity.com 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com Version #53.4-TBD PIL SolarGty. HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES'' Landscape Hardware-Landscape Modules'Standoff Specifications Hardware X-X SpacingX-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi 64" 22" 39" NA Staggered 62.4% MP2 64" 22" 39" NA Staggered 62.4% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi 32" 14" 65" NA Staggered 51.9% MP2 32" 14" 65" NA Staggered 51.9% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MP1 Stick Frame @ 16 in.O.C. 280 Member Analysis OK MP2 Stick Frame @ 16 in.O.C. 280 Member Analysis OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IEBC. 3055 Clearview Way San Mateo,CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com STRUCTURE ANALYSIS LOADING SUMMARY AND MEMBER CHECK MPI MP1 Horizontal:Member,S an_s Ritr.Pro ernes Overhang 1.16 ft Actual W 1.50" ,; hoof Syste„m Pro ,ernes,,;;; San 1 13.15 ft Ac#ual D 7,25” Number of Span w/o Overhan 1 Span 2 Nominal Yes Roofing Material Comp Roof San 3 A ' 10.88"in,^2 Re-Roof No Span 4 SX 13.14 in A3 Plywood Sheathing Yes San 5 I 47.63 in.^4 Board Sheathing None Total Rake Span 16.21 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 1;75 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 13.58 ft Wood Grade #2 Rafter Slope 280 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Member ioad�n Summa Roof Dead Load DL 10.5 psf x 1.13 11.9 psf 11.9 psf PV Dead Load PV-DL 3.0 psf x 1.13 3.4 psf Roof Live Load RLL 20.0 psf x 0.88 17.5 psf Live/Snow Load LL/SL1 z 50.0 psf x 0.7 1 x 0.7 35.0 psf 35,0 psf TotalLoad " oWernin`L T1,`:" ,.< ; Notes: 1. ps=Cs*pf; Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(I0 p9; Ce 0.9,Ct=1.1,I5=1.0 Merbr,©eslgn,,,Sum►lna" er NbS CJt, 1.15 :,,�,,:� 1.00 6,41 12` i.f5 #�ualsis 1esults Spume , r Bending + Stress 1298 psi 7.8 ft 1389 psi 0.93 Pass CALCULATION OF DESIGN WIND LOADS - MP1' Moiunti `:Pl rie 3nfc r aati�r� . . Roofing Material Comp Roof PV System Type SolarCity SleekMountTm Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 280 Rafter Spacing 16"O.C. Framing Type Direction Y-Y Rafters Purlin Spacing X-X Purlins Only NA Tile Reveal Tile Roofs Only NA TileAttachment System Tile Roofs Only NA ,Standing Seam/Trap Spacing SM Seam Only NA Wind Desf n Ciriterrla Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully Enclosed'Method Basic Wind Speed V 100 mph Fig. 6-1 Exposure Category C Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pit�ss r+�:Calci�atrlon,Coeff�cients,.�, Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor K, 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor 1 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V12)(I) Equation 6-15 20.6 psf Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext.Pressure Coefficient Down GC Down 0.88 Fig,6-11B/C/D-14A/B Design Wind Pressure p p= qh(GC ) Equation 6-22 Wiiiid,"Pi;6" ur U Wind Pressure Down 18.0 psf ALLOWABLE STANDOFF SPACINGS X-Digitin Y ... ;�, - :Dirction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever Landscape 22" NA Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -312 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity I DCR 62.4% X=DiXetfon -Y-Diirection Max Allowable Standoff Spacing Portrait 32" 65" Max Allowable Cantilever Portrait 14" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 14 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual ', -259 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity I DCR 1 51.9% STRUCTURE ANALYSIS LOADING SUMMARY AND MEMBER CHECK- MP2 .. Mem eir Pr©pestles S�un�m MP2 „H4r�zontal,Meber,S ,ans ..,,,., Rafker P,ro ernes,.; Overhang 1.16 ft Actual W 1.50" „, '+. ,, Roof„Rr°y keYh Properties, San 1 12.56 ft Actual D 7.25" Number of Spans w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof San 3 A 10.88in,^2 Re-Roof No Span 4 SX 13.14 in./13 Plywood Sheathing Yes San 5 I 47.63 in A 4 Board Sheathing None Total Rake Span 15.54 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 2.75 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 13.58 ft Wood Grade #2 Rafter Slope 280 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lat Bracing Full PV 3 StartE 1400000 psi s PV 3 End `! Bot Lat Bracing At SupportEm;" 510000 psi f Memter Loading Sump f .,. r r: �, , � Roof;P�tch,.," "'7 3,2, :,,, ,'.,,'� ;,.,Inftta�,. ,,, ,,,,' ��P�telt Atf u`st ;,Non�P\/l►reas P�preas,�`. Roof Dead Load DL 10.5 psf x 1.13 11.9 psf 11.9 psf PV Dead Load PV-DL 3.0 psf x 1.13 3.4;psf Roof Live Load RLL 20.0 psf x 0.88 17.5 psf Live/Snow Load LL/SL"2 50.0'psf x 0.7 x 0.7 35.0 psf 35.0 psf Notes: 1. ps=Cs*pf; Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(IS)p9; Ce 0.9,Ct=1.1,I5=1.0 1±.�?n r Des,;tgri Surnma 1,05" Go.,ve'r►itl ioad Comb Cr 1;00 , ;0.43.` 1.2 i:15 Meilfnber Anal sls Resu�Is Summa06 r.; . ,,,:Gove►iairA`.Aifal s3s„ ,. Nlaac.Dem...and . Cm,,>_ocatioiti, ,;: ,,..,,.'„GaPawtv Bending + Stress 1180 psi 7.5 ft 1 1389 osi 1 0.85 Pass CALCULATION OF DESIGN WIND LOADS - MP2 Ma�unti� `°Plant'Tn�foraitian �=` �, Roofing Material Comp Roof PV System Type SolarCity SleekMountTm Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 280 Rafter Spacing 16"O.C. Framing Type Direction Y-Y Rafters Purlin Spacing X-X Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System Tile Roofs Only NA ,Standing Seam/Trap Spacing SM Seam Only NA Win410 n°Crlterla Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully Enclosed Method Basic Wind Speed V 100 mph Fig. 6-1 Exposure Category C Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind.#? sureCalcu�atari`Coeff,�cielt>ts,,..; Wind Pressure Exposure KZ 0.95 Table 6-3 TopographicFactor KA 1:00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor 1 1.0 Table 6-1 Velocity Pressure qh qh = 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 20.6 psf ,�ll)1iOd Pressure Ext. Pressure Coefficient U GC -0.95 Fig.6-11B/C/D-14A/B Ext. Pressure Coefficient Down GC W„ 0.88 Fig.6-11B/C/D-14A/8 Design Wind Pressure p p= qh (GC ) Equation 6-22 Wind Pressure°U` „ 19:6' 1Nina PressureAoxun 18.0,psf ALLOWABLE STANDOFF SPACINGS ti "x' Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever Landscape` 22" NA Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -312 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 1 62.4% Max Allowable Standoff Spacing Portrait 32" 65" Max Allowable Cantilever Portrait 14" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 14 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -259 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 51.9% The Comrnonivealth of trssuciiusefts Department of 1'ndristrialAccidents Offree ofInvestlgadons ' J Congress Stree4 Suite 100 Boston,MA 02114-2017 www.inass.gov1dia Worlrera'Compensafian Insurance Affidavit:Buil►leers(Contractolrs/Electriciau$)'i`i,mberx ADRLicant Information, Please Print Lc ibl 'Name{$usiness/Urganizationlindividua!): SolarCity Corp. Address: 3055 Clearview Way GitylSlaWZip: San Mateo CA. 94402 Phone#:888-765-2489 Are you an employer?Check the appropriate box: Type orprojeet(required): ! 000 4. ❑ I ant a general contractor and 1.�✓ 1 am a employer with 5, 6. 0, Now constrtletian erriployt:as(full and/or part-time)." have hired the sub-contractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub•writractors have g. C3 Demolition working for me in any Capacity, er'riployees and have workers' 9. E]Building addition [No 3vorkers' comp. insurance comp.insurance.l regnired.i S. ] We are a corporation and its 10.0 mectrioal repairs or additlorrs 3.0 1 am a homeowner doing all work officers have exercised their I IQ Plumbing repairs or additions lrryseli. [No wor3 crs' comp. iighi ui exemprtiun per IYiGI. 12.0 Roof repairs insurance required,)t c. 152,§1(4),and we have no employees.[No workers' 13 0 Other Solar/PV comp. insurance required.] "Any applicant that Oaks box N t must also fill-eat the section below showing their workers'"mpcnsa#ion policy information. I Homeowners who submitthis affidavit indican igibey are doing all work and then hire onts'tdc contractors must subniita nets affidavit.indicalingsach. 2Nstmcwrs that check this box mast aitwhcd an additional sheat showing ilia name of the sub•conuaaors acrd stato whcikr or not those entities have employees. if the sub•contr8aas have employees,they toast provide their workers'comp policy number. I tem an employer that isprov{dlrng workers'compensation,insurance for my employees. Below is the pokey=aind job site information. Insurance Company Name: Zurich American Insurance Company policy A or Soi-ins.Lic.#: WC0182015-00 Expiration Date; 9/1/2016 Job Site Addmss: jl t(�(�t�urr�1 city/State/Gip: N, 1f1nllp Ya,_01 045 Attach a copy of the workers' compensation policy doeluration page(showing the policy number and expiration date). Faifut--to secure coverage as required under Section 25A of MGL c. I52 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and it fine of up to$250.00-a clay against the violator. Be advised that a copy of this statement may he fonvarded to the Office of Investigations of the DIA for insuranct;Coverage verification. X do hereby oerllfy tile paints and penalties¢f perjrrrJ=that tine inforniadon provided above is true arra correct Si ntts 13atc: r � Ii r Phone#' - (?f,�icirr{::se an{y, Leo not write in this area,to Ie completed by cloy or town ojIcial. City or Town: PerrtritJi:ieearse i� Issuing Authority(circle one): 1.Board u.Hvalth 2.Ruitding Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector G.Other Contact Person: Phone#; — Ar"ti�®� DATE IMMIDD(YYYY) �/ CERTIFICATE OF LIABILITY INSURANCE 08/17/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL.INSURED,the poticy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK& INSURANCE SERVICESAM ' - ANON$ . ._... ... .._.......... ..,-FAX.. ...- _. ............-- -- 345 CALIFORNIA STREET,SUITE 1300 IAtQ,NSt..Ex1I�.._..._.._...... .... ... ..... . . ..,...... ..{Arc,iJp):, ....-..-- -....... ................... CALIFORNIA LICENSE NO.0437153 rw.MAIL SAN FRANCISCO,CA 94104 _ao�Rgss. ..... ......... .. ... ...... .. ._ _....-_. _.._.._.... ........ ....._. .._ ..:.... ... Attn:$tlaMpn Scott 415-743-8334 NAIL# 99$301-STND-GAWUE-15.16 _-INSURER"A. Zurich American Insurance Company 16535 INSURED INSURER B!NTA VIA SolarCkCorporalion _ .. ....,. _ .. I. . . .. ........ ..._.... .. -....._...._. +.. .. ....... ._. 3055 Cleamew Way INSURERC NIA IN1A _...._. ...... . ........ .. .. _... _._ .........._.._.._......_._ ...... ..... ..... .. _. San Mateo,CA 94402 INSURER.D,Arnefican Zurich Insurance Company 40142 "INSURER E:.. .._..._ INSURER r: COVERAGES CERTIFICATE NUMBER: SEA-002713836.08 REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE: MAY 13E 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'T .___._._.......... ...... ...... ADDL•SUBR._.._............._....—..---... _._..-..._. ...r POLICY EFF POLICY EXP' .---._._._.. ...._ ._.. LIR TYPE OF INSURANCE POLICY NUMBER I MM19DD/YYYY MMIDOIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY iGLOO182016-00 I091011205 `0910112016 EACH OCCURRENCE .S 3,400,004 "-� bAMP,GE'fQ RENTED 0,000 CLAIMS-MADE ;X OCCUR PREMISES{Eaoccurrence� S 3,00 . ._.._ 5000 X_ SIR;$250,000 MED EXP(Any one person) $ .._. _................._......._.... ............. . . . ._. _ _.._ . i . ._..._...__...._...---..._..._...__ ......._.. E PERSONAL&ADV INJURY $ 000,000 i.G.-E..N,'LAGGREGA_TELIMITAPPLIESPER I � _.._ ..... 6000000GEG .. .. . ..... _.._ ?+ POLICY i :PRO- "LOC [• i = PRODUCTS-COMPIOP.AGG.,S.. . . 6,000,000 . .- :JECT i... OTHER 8 A AUTOMOBILE LIABILITY `BAP018201T00 ;0910112015 09101/2016 COMBINED SINGLE LIMIT $ 5,000,DOO XANY AUTO , BODILY INJURY(Por person) 3 X .ALL OWNEDX SCHEDULED BODILY INJURY(Per accident) S �._ _+AUTOS i... AUTOS r L_.. .... ..... ......... ...... .- -- X ' X NDN-OWNED pROPEFFY dAtNAGE I. ... HIRED AUTOS ident). f.,. AUTOS FtFeracc _... _.. ..._+.. .. ......_.._.._......--- _ 1 COMPICOLL DED- $5,000 UMBRELLA LIAR ':OCCUR I 'EACH OCCURRENCE '$ EXCESS LIAB CLAIMS MADE: AGGREGATE $ .1. ....,. .._.-- ..- . .--_._.._... DED RETENTIONS i S D WORKERS COMPENSATION W00162014-00(AOS) :0910112015 09101!2016 i X '.PER OTH- ' IAND EMPLOYERS'LIABILITY STATU.Tl �R A YIN! �WC0182015.04 MA :0910112015 . ;0910112016 - IANY PROPRIETORIPARTNERIEXECUTIVE N 'EL. EACH ACCIDENT "$ 1,000,000 OFFICEWMEMBER EXCLUDED? a;NIA [ F- ----...-.._.._.._..... ... ....;.. .. .. (Mandatory In NH) SWC DEDUCTIBLE:$500,000 E.L DISEASE-EA EMPLOYEF"S" 1,000,000 ? ...._.-.E ..._ ._ . ... -. If yes,describe er DESCRIPTION�OFOPERATIONS below I E L DISEASE-POLICY LIMIT 1 S 1,000,000 I I ! DESCRIPTIO!OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Evidence of insurance. CERTIFICATE HOLDER CANCELLATION SDIarCity Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 Ctearview Way THE EXPIRATION DATE THEREOF, NOTICE WILL OF DELIVERED 1N San Mateo,CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Charles Marmolejo �L�--- 031988-2094 ACORD CORPORATION. All rights reserved. ACORD 26(2014!04) The ACORD name and logo are registered marks of ACORD ll(Oe F��"'� �,�t } J' E Qfic,e of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card Expiration: 3/812017 SOLAR CITY CORPORATION ASTRID BLANCO 3055 CLEARVI EW WAY -- SAN MATEO, CA 94402 __ _.._-- --------- ----._.� Update Address and return card.Mark reason for change. Address i-] Renewal E] Employment ( a] lost Card "Pe✓/1s1 fice of Consumer Affairs&Business Regulation license or registration valid for individul use only vW,�a-., before the expiration date. If found return to: Po MOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation , J Registration: 168572 Typky' 10 Park Plaza-Suite 5170 Expiration: 3/8!2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION ASTRID BLANCA 24 ST MARTIN STREET BLD ZUNI TlIAkLBOROUGH,MA 01752 Undersecretary Not valid without signature N Office of Consumer affairs and Business Regulation 10 Farb Plaza - Sure 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3812017 DAN FONZI 24 ST MARTIN STREET BLD 2UNIT 1 - - MARLBOROUGH, MA 01752 _. - ----_ Update Address and return card.Mark reason for change. ] Address -,—1 Renewal ED Employment 4 lost Card -Office of Consumer Affairs&Business Regulation license or registration valid for individul use only �..�: ME IMPROVEMENT CO=NTRACTOR before the expiration data if found return to: Office of Consumer Affairs and Business Regulation Registration: 168572 Type: 10 Park Plaza-Suite 5130 Expiration: 3/812017 Supplement Cerd Boston,MA 02116 SOLAR CITY CORPORATION DAN FONZi 3055 CLEARVIEW WAY •,r. . — ,� SAN MATED,CA 94402 undersecretary Not valid without signature CS-101687 DANIEL D IFONZI , 15 KELLEY RID ~' WHZAOENGTON MA 01497 _. 09113=16