HomeMy WebLinkAboutBuilding Permit # 12/21/2015 V/0-4�
i BUILDINGPERMIT
TOWN OF NORTHA V
APPLICATION FOR PLAN EXAMINATION g - y
Permit NO: Date Received
Date Issued:15 Dec 2016
IMPORTANT: Applicant must com fete all items on this paEe
LOCATIO"N „ , ,49,Nleadowoo'd R ,,
North Arrdour,MA 41845
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PRFSPERTY1NNER Befh Barwick :'.
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PARCEL. .: C}NINC� I�TRICT'
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑ Two or more family ❑ Industrial
M Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
D Septic ° a 1Nell ° O„floodplain 0 Wefilands :;; , EY W,tershed Disfr ct
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Roof mounted solar pv array
3.24 kW (12 panels)
Identification Please Type or Print Clearly)
OWNER: Name: Beth Barwick Phone:978-688-0747
Address: 49 Mead owood Road, North Andover, MA 01845
CC}NTRACTOf�:-Name /aarOri Katz Ph 888-997446ex705
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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: $12690 FEE: $
Check No.:
Receipto.:
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STRUCTURAL ENGINEERS
December 18,2015
Town of North Andover Building Department
120 Main Street
North Andover,MA
RE: Barwick Residence Solar Installation
49 Meadowood Road
North Andover,MA
Structural Assessment of Roof Framing
MPP Project No: 1.5-3970
Dear Sir or Madam:
Pursuant to your request,MPP Engineers has performed a limited structural evaluation of the roof
framing at the above referenced site to determine if the roof has adequate capacity to support the proposed
solar panels. Our analysis was based on the framing information and configurations provided by Bright
Planet Solar. It is our understanding that the structural components of the existing roof framing are in
good condition.It is further understood that all existing connections between the various roof framing
members, including ceiling joists,rafters, and collar ties,are adequate to resist the current loading
conditions and behave in the manner that a typical rafter and ceiling tie system is intended to behave prior
to installation of the solar panels.
Results
Southeast Roof—adequate to support the proposed solar panels
Structural Data and Code Information
Our analysis was performed in accordance with the requirements of the 780 CMR 51.00:Massachusetts
Residential Code which has adopted the 2009 International Residential Code with Massachusetts
amendments.Per Table R301.2(1),the ground snow load to be used for each town is in accordance with
Table R301.2(5), Similarly,the wind speed for each town is in accordance with Table R301.2(4).The
roof framing was analyzed in accordance with Section R104.11 of the of the 2009 International
Residential.Code which allows for alternate approved design such as using the ASCE 7 code for
determining actual snow loads on roofs(e.g. deriving flat or sloped roof snow loads from the specified
ground snow load referenced in Table R301.2(5)).Wood members are analyzed and designed in
accordance with the NDS 2005.
The roof area for the solar panels of this residence is framed with conventional 2x wood rafters and collar
ties in a gable configuration.The existing roof structure is in good condition and has one layer of asphalt
shingles.The pertinent data is listed below:
MPP Engineers,LLC 1 34 South Main Street, Suite D I Allentown,NJ 08501
609-489-5511 (Phone) 1 609-489-5916 (Fax)
Barwick Residence Solar Installation
49 Meadowood Road
North Andover,MA
Southeast Roof:
Roof Rafters: 2"x 8"(#2 Spruce Pine-Fir Assumed)
Spacing: 16" O.C.
Roof Slope: 36 Degrees
Horizontal Projected
Length of Rafter
(Horizontal Projection): 12 feet
Ceiling Joists: Present
Collar Ties: Present
Roof Sheathing: Plywood Sheathing
Condition of Framing: Good
Roof Covering: Asphalt Shingles
Ground Snow Load,Pg: 50 PSF from Table R301.2(5)of Massachusetts Residential Code
Importance Factor,I: 1.0
Exposure Factor,Ce: 1.0(Conservatively taken as Partially Exposed)
Thermal Factor,Ct: 1.1 with Panels(Cold Roof)
1.0 existing condition(Warm Roof)
Design Snow Loads
On sloped roof: 29.75 PSF(Existing—Unobstructed Warm Roof)
21.82 PSF(New Condition—Slippery Surface on Cold Roof)
Basic Wind Speed: 100 MPH from Table R301.2 (4)of Massachusetts Residential Code
Importance Factor: 1.0
Exposure: B
Analysis Results:
General Considerations
➢ The proposed solar panels consist of solar panels which impose a total weight of approximately
2.5 to 3 pounds per square foot(PSF)on the roof surface.From a practical standpoint,the
International Residential Code allows up to 2 roof coverings on a residential dwelling.Each layer
of roofing imposes a net load of about 2.5 to 3.0 PSF on the roof.From this perspective,since the
existing roof has only a single layer of shingles,a second layer is allowed to be added by the code
without analysis.This 21'layer of shingles essentially weighs the same as the proposed solar
panels that will be added instead.
➢ Materials such as metal roofs or solar panels are considered slippery surfaces. Since the solar
panels are mounted slightly above the roof line,it would be conservative to consider a thermal
factor Ct of 1.1,treating the panel surface as a cold roof rather than as a warm roof Based on the-
roof
heroof slope and considering it as a slippery surface,the snow load is reduced by 27%(7.93 PSF)
compared with the snow load acting directly on the existing shingled roof surface.This reduction
completely offsets the weight of the solar panels.
Page 2
Barwick Residence Solar Installation
49 Meadowood Road
North Andover,MA
Gravity Loading:
Southeast Roof—adequate to support the proposed solar panels
It is our understanding that the panels will be installed using Pro Solar Roof Trac Rail(or equal)with L-
feet(or equal)at approximately 38 inches on center.The leveling feet will be fastened directly into the
existing joists with 5/16"diameter lag screws with a minimum embedment of 3".In addition,it is
important that the leveling feet support locations be staggered between adjacent panels so that no single
rafter supports more load than under the existing conditions.
Wind Loading:
Based on our calculations,the net wind loads imposed on the roof framing with an attachment spacing as
indicated above will be less than the current loading on the roof framing. In addition,provided that the
leveling feet are attached to the roof framing members in a typical staggered fashion,the overall wind
loading imposed on the structure and the individual framing members will not be impacted to any great
extent.
If you have any questions regarding this matter,please feel free to contact my office at 609-489-5511.
We appreciate the opportunity to assist you with this evaluation.
Sincerely,
MPP Engineers,LLC
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Asma Farugi
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Ashutosh Patel,P.E.
MA Prof. Eng.Lic,No.48235
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Here are the key terms of your NVI'Licenses, LLC Power Purchase Agreement
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Prepayment (if any) po
Down payment (if any) ;P0.00
First Year Electricity rate 61
per kWh
25
Annual Electricity Rate
Escalator
Estimated Total System
Production during the 5 99 ;
Initial Term
Agreement term 20 years
Approximate Installation 01/07/2016
Commencement Date
Approximate Substantial ®1/21/2 O 16
Completion Date
NVT Licenses, LLC Promises to You
• We insure,maintain,and repair the System(including the inverter)at no additional cost to you,as specified in the agreement.
• We provide 24/7 web accessible monitoring at no additional cost to you,as specified in the agreement,
• We warrant your roof against leaks and restore your roof at the end of the agreement,as specified in the agreement.
• The rate you pay us for electricity,exclusive of taxes,will never increase by more than 2.9%per year.
boo Clipper Drive, Belmont, CA 94002
STATE AND LOCAL LICENSE NUMBER(S): CT HIC.o639752, MA 178207,MD 4622816,NV 77618,
[Document Generated on 2015-10-29]MA-BAR-00779260
DocuSign Envelope ID: iC423769-68D5-4092-9E76-3A8FOA07BEC6
Homeowner's Name &Service Co-Owner Name (If Installation Location
Address Any) Email, Phone
Beth Barwick 49 Meadowood Road Nortli
49 Meadomood Road Andover, MA 01845
North Andover,MA 0184
(978)688-o74-7
lauretibarlvick@gmail.eonz
Options for System purchase and transfer: Options at the end of the 20 year term:
® If you move,you may transfer this agreement to the ® Provider may remove the System at no cost to you.
purchaser of your Home if the purchaser meets credit o You may purchase the System from Provider for its fair
criteria and agrees to take on the obligations under this market value as specified in the agreement.
agreement and if other conditions are met,as specified in
the agreement. You may renew this agreement for up to ten(io)years in
two(2)five(5)year increments.
® At certain times,as specified in the agreement,you may
purchase the System.
These options apply during the term of our agreement.
NTT Licenses, LLC Residential Power Purchase Agreement
a2
DocuSign Envelope ID:iC423769-68D5-4092-9E76-3A8FOA07BEC6
Massachusetts Notice
REGISTRATION OF HOME IMPROVEMENT CONTRACTORS
All home improvement contractors and subcontractors in Massachusetts must be registered by the
Office of Consumer Affairs and Business Regulation. Our registration number is 178207 and our
federal ID number is 20-3835445• Inquiries about a contractor or subcontractor relating to a
registration should be directed to:
Office of Consumer Affairs and Business Regulation
Ten Park Plaza, Suite 5170
Boston, MA 02116
Phone: (617) 973-8700
SYSTEM DESCRIPTION
Turnkey Solar Array of 3.24 kW-dc-STC with all associated hardware:
Total nameplate capacity 3.24 kW-dc
Photovoltaic Modules SunEdison - BoB 270
Photovoltaic Inverters Enphase Energy
Racking/Support Structure SunEdison Racking
Monitor &Meter Hardware SunEdison Monitoring System
PERMITS
It is the obligation of a registered home improvement contractor in Massachusetts to obtain any and
all construction-related permits necessary for the work being performed by that contractor. The
permits needed for our installation of the System include the following:
Building Permit, Electrical Permit, Interconnection Permit
Be aware that delays in obtaining permits (among other circumstances and events) may delay the
Substantial Completion Date.
Please note that homeowners that secure their owner construction-related permits or deal with
unregistered contractors are excluded from recovering from the Residential Contractor's Guaranty
Fund established by the Commonwealth of Massachusetts to compensate homeowners for losses
caused by registered home improvement contractors.
NVT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 Notice-1
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
MECHANICS LIENS
Anyone who helps improve your Property,but who is not paid, may record what is called a mechanics
lien on your property.A mechanics lien is a claim,like a mortgage or home equity loan, made against
your property and recorded with the county recorder. Provider does not otherwise intend to place a
lien on your Property.
HOMEOAVNER'S RIGHTS
A homeowner's rights under the Home Improvement Contractor Law and other consumer protection
laws may not be waived in any way, even by agreement. However, homeowners may be excluded
from certain rights if the contractor they choose is not properly registered as prescribed by law.
EXECUTION OF CONTRACT
This contract must be executed in duplicate and should not be signed until a copy of all exhibits and
referenced documents have been attached. Parties are also advised not to sign the document until all
blank sections have been filled in or marked as void, deleted, or not applicable. One original signed
copy of the contract with attachments is to be given to you and the other kept by Provider. Any
modification to the original contract must be in writing and agreed to by both parties. Contracted
work may not begin until both parties have received a fully executed copy of the contract, and the
three day rescission period has expired.
ACCELERATED PAYMENTS
A contractor may not demand payments in advance of the dates specified on the payment schedule in
cases where the homeowner deems him/herself to be financially insecure. However, in instances
where a contractor deems him/herself to be financially insecure, the contractor may require that the
balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the
contracted work. Withdrawal of funds from said account would require the signatures of both parties.
ARBITRATION RIGHTS
The Massachusetts Home Improvement Contractor Law provides homeowners with the right to
initiate an arbitration action (as an alternative to court action) if they have a dispute with a
contractor. The same right is not automatically afforded to a contractor. Provider would have to
resolve any potential disputes in court unless you and Provider agree to the arbitration provisions in
Section 17 below(or, if Section 17 is held to be unenforceable with respect to PPAs in Massachusetts,
the arbitration provisions included in this Massachusetts Notice). This clause extends arbitration
rights to you and Provider. Further to Section 17 below, the following terms shall apply to PPAs in
Massachusetts:
N VT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 Notice-2
DocuSign Envelope ID:1C423769-68D5-4092-9E76-3A8FOA07BEC6
You and Provider hereby mutually agree in advance that in
the event Provider has a dispute concerning this Power
Purchase Agreement, Provider may submit the dispute to a
private arbitration firm which has been approved by the
Secretary of the Executive Office of Consumer Affairs and
Business Regulation and you shall be required to submit to
such arbitration as provided In Massachusetts General Laws,
chapter 142A.
DocuSigned by:
E
c . 15AM&
OF66AODFEE5B44F._
Owner's Signature
Co-Owner's Signature
Co-Owner's Signature
Provider's Signature
NOTICE: The signatures of the parties above apply only to
the agreement of the parties to alternative dispute resolution
initiated by the Provider.You may initiate alternative dispute
resolution even where this section is not separately signed by
the parties.
For the avoidance of doubt,the terms of this Massachusetts Notice shall apply to PPAs for Systems
installed in Massachusetts.
J-KNVE4MAD AND UNDERSTAND THIS MASSACHUSETTS NOTICE:
�ba' banvt- October 29, 2015
OF66AODFEE5B44F...
Owner Date: NVT Licenses, LLC Date:
Co-Owner Date:
NVT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 Notice-3
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
turned on.The Initial Term plus any additional
i. Introduction. renewal terms(if any),as described in Section 23,is
referred to as the"Term".
This Power Purchase Agreement (this "Power
Purchase Agreement" or "PPA") is the agreement
between you and NVT Licenses, LLC(together with its Initial Term
successors and assigns, "Provider" or "we"), covering Number of Consecutive PPA Years: 20
the sale to you of the power produced by the solar
panel system (the "System") we will install at your Number of Consecutive PPA 240
home. Provider agrees to sell to you, and you agree to Months:
buy from Provider, all of the power produced by the Estimated Initial Term Start Date: 02/04/2016
System. The System will be installed by Provider or its Annual Power Price Escalator: 2.9%
subcontractors at the address you listed above (the
"Property" or your "Home.") This Power Purchase
Agreement is 17 pages long and has two Exhibits, 3• Intentionally Left Blank.
Exhibit 1, Notice of Cancellation; and Exhibit 2, 4. Power Purchase Agreement Payments;
Limited Warranty and Guaranty (the "Limited
Amounts.
Warranty"). By signing this Power Purchase
Agreement you represent and warrant that (i) you are (a) Power Price. You are purchasing all of the power
either a citizen of the United States or not exempt the System produces. During the first year of the
from paying Federal income taxes, (ii) your home is term, the Power Price is $0.125 per kWh. After
not subject to any encumbrances (including, but not the first year, the price per kWh will increase
limited to, homeowners' association, condominium annually by 2.9% of the previous year's price
association, community association or cooperative ("Annual Power Price Escalator"). There are no
„
covenants, restrictions, bylaws or administrative
„ installation costs to you. Power Price„ means the
provisions Restrictive Covenants ) that would given Power Price in any year of the Term.
prohibit, modify or restrict the installation of the
System on your home, (iii) you have the requisite (h) Payments.
authority to sign this PPA, satisfy the obligations and
grant the rights to Provider hereunder(in each case on Your monthly payment("Monthly Payments")is the
your own behalf and on behalf of each person or entity product of the output of the System in kWh and the Power
with an ownership interest in the Home), and (iv) if Price. Each month after the first full calendar month
your Home has been placed into a trust, you are, or a following the Interconnection Date,we will send you an
signatory hereto is, the grantor, trustee, and invoice via U.S.mail detailing the output of the System for
beneficiary of such trust with requisite authority to the prior month in kWh and the Monthly Payment.If you
bind the trust under this PPA. Each of you shall be are paying your Monthly Payment by automatic debit from
jointly and severally liable under this PPA, and in the your checking or savings account(ACH)we will debit your
case of more than one homeowner signing, by bank account on or about the loth day of each month
signature on this PPA, appoint each other following the month of delivery of the electricity during the
homeowners to act on your behalf in all future matters Term(e.g. debits for electricity delivered in January are
associated with this PPA, including signing any made on February loth).If you are not paying automatic
amendment to this PPA, cancelling this PPA,
confirming any other matters or receiving any notice debit,your Monthly Payments will be due on the loth day associated with this PPA, and similar matters. By of each month and should be sent to this payment
address:
execution of this PPA, you are hereby binding your
estate, heirs, executors, administrators, legal NV Licenses,LLC
representatives, personal representatives, trustees,
successors and assigns to the obligations of this PPA. Attention: SunEdison Residential PPA
If you have any questions regarding this Power
Purchase Agreement, please ask your Provider sales
consultant. boo Clipper Drive
2. Term. Belmont,CA 94002
Provider agrees to sell you the power generated by the
System for 20 years. We refer to this period of time as Down payments due upon installation,if any,are due
the"Initial Term." The Initial Term begins on the immediately prior to commencement of installation.You
Interconnection Date. The "Interconnection Date"is will make no Monthly Payments if you are fully
the date that the System is turned on and generating prepaying this PPA. In this case,you will pay only
power. Provider or one of its subcontractors will the amounts listed in the key terms summary on
notify you by email when your System is ready to be page one of this PPA.
NVT Licenses, LLC Residential Power Purcbase Agreement MA-BAR-00779260 T&C-1
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
Table 1
%fit, o
1 $11,491.23
2 $11,102.33
3 $9,777.42
4 $8,402.29
s $7,037.40
6 $5,649.85
7 $5,202.45
8 $4,930.30
9 $4,630.95
10 $4,302.99
u $3,942.40
12 $3,818.79
13 $3,676.54
14 $3,514.71
15 $3,330.30
16 $3,122.09
17 $2,934.11
is $2,721.86
19 $2,482.26
20 $2,213.58
production, then we will adjust the next bill
(c) Estimated Production. If (i) the System is shut downward (to refund overbilling) or upward (to
down for more than seven (7)full twenty-four(24) make up for lost billing). You will not be charged
hour days cumulatively during the Term because for Estimated Production when the System is not
of your actions; (ii) you take some action that producing electricity due to Provider's fault, or if
significantly reduces the output of the System; (iii) it's due to grid failure or power outages caused by
you don't trim your bushes or trees to their someone other than you. PROVIDER DOES NOT
appearance when you signed this PPA to avoid WARRANT OR GUARANTEE THAT YOU WILL
foliage growth from shading the System; or (iv) REALIZE ANY SAVINGS AS COMPARED TO
your System is not reporting production to THE COSTS OF PURCHASING YOUR POWER
Provider (e.g. you have disconnected the Internet FROM THE LOCAL UTILITY.
connection or SunEdison's Gateway cellular
function discussed in Section 5(a)(xii) below or 5. Power Purchase Agreement Obligations.
such connection goes down on the reporting day),
then Provider will reasonably estimate the amount (a) System,Home and Property Maintenance
of power that would have been delivered to you
during such System or reporting outages or You agree to:
reduced production periods ("Estimated
Production") and shall consider Estimated (i) only have the System repaired pursuant to
Production as actual production for purposes of the Limited Warranty and reasonably
this paragraph. In the first year of the Term, cooperate when repairs are being made;
Estimated Production will be based on our (ii) keep trees,bushes and hedges trimmed so
production projections. If we bill you for that the System receives as much sunlight
Estimated Production because your System is not as it did when Provider installed it;
reporting production to Provider, and we (iii) not modify your Home in a way that
subsequently determine that we have either shades the System;
overestimated or underestimated the actual
NVT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 T&C-2
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
(iv) be responsible for any conditions at your you intentionally damage the System;
Horne that affect the installation(e.g., Upon damage or destruction to the
blocking access to the roof, or removing a System,you will not be entitled to receive
tree that is in the way,prior work you have or retain any insurance proceeds. In cases
done on your Home that was not where we bear the risk of loss,our sole
permitted); obligation to you will be to repair or
(v) not remove any markings or identification replace the System to the extent required
tags on the System; by the Limited Warranty
(vi) As set forth in 5(f)(i),permit Provider,its (vi) repair the System pursuant to the Limited
designees,affiliates,or financing parties, Warranty and reasonably cooperate with
after we give you reasonable notice,to you when scheduling repairs;
inspect the System for proper operation as (vii) not put a lien on your Home or Property.
we reasonably determine necessary;
(vii) use the System primarily for personal, (c) Home Renovations or Repairs
family or household purposes,but not to
heat a swimming pool; If you want to make any repairs or improvements
(viii) not do anything,permit or allow to exist to the Property that could interfere with the
any condition or circumstance that would System(such as repairing the roof where the
cause the System not to operate as System is located),you may only have the System
intended at the Property; removed and replaced pursuant to the Limited
(ix) notify Provider if you think the System is Warranty.
damaged or appears unsafe;if any part of
the System is stolen; and prior to (d) Automatic Payment,Late Charges
changing your power supplier;
(x) return any documents we send you for In addition to the other amounts you agree to pay
signature(like incentive claim forms) in this Power Purchase Agreement, you agree to
within seven(7)days of receiving them; pay the following:
(xi) maintain and make available,at your cost,
a functioning indoor Internet connection (i) Automatic Payment Discount: If you
with one available wired Ethernet port elect to make automatic Monthly
and standard AC power outlet within Payments from your checking or savings
eighty(8o)feet of the System's AC/DC account,then you will receive a discount
inverter(s)or if the service is available in of$10 on your Monthly Payments. If you
your area,you may opt into utilizing do not elect automatic Monthly Payments,
SunEdison's Gateway cellular function. this discount will not be applied to your
Applicable fees may apply; and Monthly Payments and each Monthly
(xii) notify us of the placement of any Payment will be$10 greater;
encumbrance or Restrictive Covenant on (ii) Returned Check Fee: $20(or such
your home that would prohibit the lower amount as required by law)for any
installation or existence of the System on check or withdrawal right that is returned
your roof or require modifications to the or refused by your bank; and
System. (iii) Late Payments :A late charge of
$30, (or such lower amount as
(b) System Construction, Repair, Insurance and required by applicable law), shall be
Provider's obligations: applied to any late payments not
received within ten(io) days after
Provider agrees to: the date such payment is due.
(iv) Taxes
(i) schedule the installation of the System at a
mutually convenient date and time; Your Provider electricity rate of$0.125 per kWh is
(ii) construct the System according to written composed solely of an electricity rate of$0.125.
plans you review; State excise,sales and use(or similar)taxes may
(iii) notify you if the System design has to be be due with respect to your purchase of electricity
materially changed so that you can review pursuant to this PPA and/or your purchase of the
any such changes; System,We have estimated the amount of such
(iv) clean up after ourselves during the taxes in the Cover Pages;however,you agree to
construction of the System; pay any and all applicable taxes related to this PPA
(v) insure the System against all damage or regardless of whether and to what extent shown in
loss unless(A)that damage or loss is this PPA. Thus,if additional taxes are imposed or
caused by your gross negligence; or(B) tax rates change,the amount you pay may change.
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Similarly,if you exercise any of the purchase UCC-1 financing statement, fixture filing
options set forth in this PPA,you agree to pay any or other notice that confirms its interest in
applicable tax on the Purchase Price(as defined the System.You agree to cooperate with
below)or the System. You also agree to pay any us by providing information regarding
applicable real or personal property(or similar) title to your home so that we may exercise
taxes on the System that your state or local the rights referred to in this paragraph.
jurisdiction may levy. Neither this PPA nor any UCC-1 financing
statement or notice we may file in
(e) No Alterations connection with this PPA constitutes or
imposes a consensual lien on your Home
You agree that you will not make any or Property.
modifications,improvements,revisions or
additions to the System or take any other action (g) Indemnity
that could void the Limited Warranty on the
System without Provider's prior written consent. (i) To the fullest extent permitted by law,
If you make any modifications,improvements, you shall indemnify,defend,protect,
revisions or additions to the System,they will save and hold harmless Provider,its
become part of the System and shall be Provider's employees,officers,directors, agents,
property. financing partners,affiliates,
subcontractors,successors and assigns
(f) Access to the System from any and all third party claims,
actions,costs,expenses(including
(i) You grant to Provider,its financing reasonable attorneys'fees and
parties,affiliates,employees,agents and expenses),damages,liabilities,
contractors the right to reasonably access penalties,losses,obligations,injuries,
all of the Property as necessary for the demands and liens of any kind or nature
purposes of(A)installing, constructing, arising out of,connected with,relating
operating,maintaining,owning,repairing, to or resulting from your negligence or
removing and replacing the System or willful misconduct;provided,that
making any additions to the System or nothing herein shall require you to
installing complementary technologies on indemnify Provider for its own
or about the location of the System;(B) negligence or willful misconduct.The
enforcing Provider's,its financing parties provisions of this paragraph shall
or affiliates rights as to this Power survive termination or expiration of this
Purchase Agreement and the System; (C) Power Purchase Agreement.
installing,using and maintaining electric (ii)To the fullest extent permitted by
lines and inverters and meters,necessary law,we shall indemnify,defend,
to interconnect the System to your electric protect,save and hold harmless
system at the Property and/or to the
utility's electric distribution system; or(D) you and your permitted assigns
taking any other action reasonably against any actual loss that u
map hereafter suffer by reason of
necessary in connection with installing,
constructing,operating,maintaining, (i)a mechanics lien being filed by
any subcontractor retained by us
owning,repairing, removing and replacing
in connection with installation or
the System.This access right shall
continue for up to ninety(go)days after repair of the System, (ii)M
this Power Purchase Agreement expires to payment or other claim by any
provide Provider with time to remove the subcontractor retained by us in
System at the end of the Power Purchase connection with the System, and
Agreement. Provider shall provide you (iii)any damage caused to your
Property by a subcontractor
with reasonable notice of its need to
access the Property whenever retained by us in connection with
commercially reasonable. the System. Our liability under
(ii) During the time that Provider has access this Section 5(g)(ii)shall in no
rights you shall ensure that its access case exceed the amount of the
rights are preserved and shall not claim,but maybe less if the lien
interfere with or permit any third party to can be settled for less, or your loss
is less. You will keep us notified at
interfere with such rights or access. You
the Provider address provided in
agree that the System is not a fixture,but
Provider has the right to file or record any Section?of Exhibit 2 ( Notice
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Address") of all legal papers, the Property,including,if applicable,
notices or other papers served on geotechnical work), (B)the final System
you b�any such subcontractor, design, and(C)real estate due diligence to
and in no event shall you make any confirm the suitability of the Property for
settlement,payment or the construction,installation and
accommodation with such operation of the System;
subcontractor in connection with (ii) approval of this Power Purchase
the System,or otherwise this Agreement by Provider's financing
indernni1y to you shall be null and parties;
void. To the extent permitted by (iii) your meeting the applicable credit criteria;
applicable law,we will conduct the (iv) confirmation of rebate,tax credit and
defense at our expense at all times renewable energy credit payment
of the mechanics'lien against such availability in the amount used to
subcontractor. calculate the Monthly Payments set forth
in this Power Purchase Agreement;
(h) Payments (v) confirmation that Provider will obtain all
applicable benefits referred to in Section
YOU AGREE THAT THE OBLIGATION TO PAY 9;
ALL PAYMENTS AND ALL OTHER AMOUNTS (vi) receipt of all necessary zoning,land use
DUE UNDER THIS PPA SHALL BE, and building permits;and
ABSOLUTE AND UNCONDITIONAL UNDER (vii) completion of any renovations,
ALL CIRCUMSTANCES AND SHALL NOT BE improvements or changes reasonably
SUBJECT TO ANY ABATEMENT,DEFENSE, required at your Home or on the Property
COUNTERCLAIM,SETOFF,RECOUPMENT which have been agreed upon in writing
OR REDUCTION FOR ANY REASON (e.g.,removal of a tree or necessary roof
WHATSOEVER,IT BEING THE EXPRESS repairs to enable us to safely install the
INTENT OF THE PARTIES THAT ALL System).
AMOUNTS PAYABLE BY YOU HEREUNDER
SHALL BE,AND CONTINUE TO BE,PAYABLE Provider may terminate this Power Purchase
IN ALL EVENTS INCLUDING BY YOUR HEIRS Agreement without liability if,in its reasonable
AND ESTATE AND,EXCEPT AS SET FORTH judgment, any of the above listed conditions (i)
BELOW IN SECTIONS 6, 24 AND 25,YOU through(vii)will not be satisfied for reasons
HEREBY WAIVE ALL RIGHTS YOU MAY beyond its reasonable control. Once Provider
HAVE TO REJECT OR CANCEL THIS PPA,TO starts installation,however,it may not
REVOKE ACCEPTANCE OF THE SYSTEM,OR terminate this Power Purchase Agreement for
TO GRANT A SECURITY INTEREST IN THE your failure to satisfy conditions(i)through(vii)
SYSTEM. above.
(i) Credit Check (b) Amendments.
You authorize Provider,or its designee,to
obtain your credit report now and in the future, You authorize Provider to make corrections to
check your credit and employment history, the utility paperwork to conform to this PPA or
answer questions others may ask regarding your any amendments to this PPA we both sign.
credit and share your credit information with
Provider's financing partners and affiliates.You 7, Warranty.
certify that all information you provide to us in
connection with checking your credit will be true YOU UNDERSTAND THAT THE SYSTEM IS
and understand that this information must be WARRANTED SOLELY UNDER THE LIMITED
updated upon request if your financial condition WARRANTY ATTACHED AS EXHIBIT 2,AND
changes. THAT THERE ARE NO OTHER REPRESENTATIONS
OR WARRANTIES, EXPRESS OR IMPLIED,AS TO
6. Conditions Prior to Installation of the THE MERCHANTABILITY,FITNESS FOR ANY
System; Change Orders. PURPOSE,CONDITION,DESIGN, CAPACITY,
SUITABILITY OR PERFORMANCE OF THE SYSTEM
(a) Provider's obligation to install the System and sell OR ITS INSTALLATION.
you the power it produces is conditioned on the
following items having been completed to its g. Transfer.
reasonable satisfaction:
(i) completion of(A)the engineering site Provider may assign this PPA to one of its financing
audit(a thorough physical inspection of partners or affiliates.You agree that Provider may
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assign,sell or transfer the System and this Power (ii) when you sell your Home pursuant to the
Purchase Agreement,or any part of this Power terms of Section 11 below;
Purchase Agreement or the exhibits,without your (iii) if Provider ever ceases its operations and
consent. This assignment does not change Provider's fails to provide for a substitute provider;
or assignee's obligation to maintain and repair your and
System as set forth in the Warranty.Any assignment (iv) at the end of the Initial Term or any
of Provider's rights and/or obligations under this additional renewal term.
Agreement shall not result in any change to your rights
and obligations under this Agreement with respect to In each of(i),(iii)and(iv)above,the price you will pay
assignee. for the System will be the greater of System's fair
market value("FMV")or the"Termination Value"
9. Ownership of the System-, Tax Credits and shown in Table 1 for that year. The interests of any
Rebates. financing party shall not be taken into account when
determining the FMV; a third party independent
You agree that the System is Provider's personal appraiser will be retained to compute the System's
property under the Uniform Commercial Code. You FMV. In the instance of(ii)above,the price you will
understand and agree that this PPA is not a contract to pay for the System will be determined in accordance
sell or lease the System to you. Provider owns the with Section 11 below(each such price applicable to
System for all purposes,including any data generated each of(i), (ii), (iii)and(iv)above,the"Purchase
from the System. You shall at all times keep the Price"). If the option to purchase under(i)through
System free and clear of all liens,claims,levies and (iv)is selected you agree to pay any applicable tax on
legal processes not created by Provider,and shall at the purchase price for the System. If the option to
your expense protect and defend Provider against the purchase under(i)through(iv)is selected and fully
same. performed in accordance with this PPA,none of you,
You understand and agree that any and all tax credits, us,or any future owner of the System will have any
incentives, renewable energy credits,green tags, further obligations under this PPA(other than those
carbon offset credits,utility rebates or any other non- which,by their terms,expressly survive termination of
this PPA).Providers maintenance and repair
power attributes of the system are the property of and obligations under the Limited Warranty(Exhibit 2)
for the benefit of Provider,usable at its sole discretion. will continue when you purchase the System until
Provider shall have the exclusive right to enjoy and use what would have been the end of the Initial Term,as
all such benefits,whether such benefits exist now or in set forth in Exhibit 2.
the future. You agree to refrain from entering into any
agreement with your utility that would entitle your ii. Selling Your Home.
utility to claim any such benefits. You agree to
reasonably cooperate with Provider so that it may
claim any tax credits,renewable energy credits, (a) If you sell your Home you can:
rebates,carbon offset credits or any other benefits (i) Transfer this Power Purchase
from the system.This may include to the extent Agreement and the Monthly
allowable by law,entering into net metering Payments
agreements,interconnection agreements,and filing
renewable energy/carbon offset credit registrations
and/or applications for rebates from the federal state If the person buying your Home meets
or local government or a local utility and giving these Provider's then current credit
tax credits,renewable energy/carbon credits,rebates requirements and agrees take the
or other benefits to Provider. obligations under this agreement,
then
where permitted by the local utility,the
1o. Purchasing.the S s� tem. person buying your Home can sign a
transfer agreement assuming all of your
You have the option to purchase the System as rights and obligations under this Power
detailed below. To exercise this option you must be in Purchase Agreement.
good standing under this Power Purchase Agreement (ii) Purchase the System
and you need to give us at least one(1)month's,but
not more than three(3)months'prior written notice. If you sell your home, at any time during the Term,
You can purchase this System: you can purchase the System(the"Purchase to Sell
Option")by paying us the greater of(A)the FMV of
be
(i) the six(6)year anniversary of the the System as determined by an appraisal and(B)the
beginning of the Initial Term and every "Termination Value"shown in Table 1 which
annual anniversary after the six(6)year corresponds to the twelve(12)-month period which
anniversary(the"Early Purchase includes the month in which the Purchase to Sell
Option"); Option is exercised,plus all amounts accrued and
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unpaid under this PPA including,without limitation, (b) If there is loss, damage, theft, destruction or a
all accrued and unpaid Monthly Payments,penalties, similar occurrence affecting the System, and you
late charges,if any,and taxes,plus any applicable are not in default of this PPA,you shall continue to
excise tax,sales taxes,use tax or governmental charges timely make all Monthly Payments and pay all
(including any amounts that may be imposed,or other amounts due under the PPA and, cooperate
required to be collected by us,with respect to the with Provider, at Provider's sole cost and expense,
recapture or forfeiture of any government incentives, to have the System repaired pursuant to the
including any related government penalties)related to Limited Warranty.
the purchase and sale of the System. The appraisal
will be conducted,if at all, at your sole cost;provided 13. Limitation of Liability.
that should such cost exceed three hundred dollars
($300),we will pay such additional amounts over (a) No Consequential Damages
three hundred dollars($300). You are required to
give us at least two(2)weeks'prior written notice(to PROVIDER'S LIABILITY TO YOU UNDER THIS
Notice Address)of your intention to exercise the POWER PURCHASE AGREEMENT SHALL BE
Purchase to Sell Option. If this Purchase to Sell LIMITED TO DIRECT,ACTUAL DAMAGES
Option is selected and fully performed in accordance ONLY. YOU AGREE THAT IN NO EVENT
with this PPA,none of you, us,nor the new owner of SHALL EITHER PARTY BE LIABLE TO THE
the home will have any further obligations under this OTHER FOR CONSEQUENTIAL,INCIDENTAL,
PPA(other than those which,by their terms,expressly PUNITIVE,EXEMPLARY, SPECIAL OR
survive termination of this PPA).Provider's INDIRECT DAMAGES.SOME STATES DO NOT
maintenance and repair obligations under the Limited ALLOW THE EXCLUSION OR LIMITATION OF
Warranty(Exhibit 2)will continue when you purchase INCIDENTAL OR CONSEQUENTIAL DAMAGES,
the System until what would have been the end of the SO THE ABOVE LIMITATION MAY NOT APPLY
Initial Term, as set forth in Exhibit 2. You understand TO YOU.
that the sale of your home and/or your purchase of the
System may result in increased state and local (b) Actual Damages
property tax liabilities.
EXCEPT FOR CLAIMS UNDER SECTION 5(G),
(b) You agree to give Provider at least fifteen(15)days AND TO THE FULLEST EXTENT PERMITTED
but not more than three (3) months prior written UNDER APPLICABLE LAW,NEITHER PARTY'S
notice if you want someone to assume your PPA LIABILITY TO THE OTHER WILL EXCEED AN
obligations. In connection with this assumption, AMOUNT EQUAL TO THE MAXIMUM AMOUNT
you, your approved buyer and Provider shall THAT COULD BE PAYABLE BY YOU UNDER
execute a written transfer of this PPA. SECTION 15(H),EXCEPT TO THE EXTENT
DAMAGE IS CAUSED BY A PARTY'S WILLFUL
(c) If you sell your Home and cannot comply with any MISCONDUCT,GROSS NEGLIGENCE,FRAUD
of the options in subsection (a) above,you will be OR VIOLATION OF LAW. DAMAGES TO YOUR
in default under this Power Purchase Agreement. HOME,BELONGINGS OR PROPERTY
Section 14(d) includes a Home sale by your estate RESULTING FROM THE INSTALLATION OR
or heirs. OPERATION OF THE SYSTEM ARE COVERED
IN SECTION 6(C)OF THE LIMITED
(d) EXCEPT AS SET FORTH IN THIS SECTION, WARRANTY.
YOU WILL NOT ASSIGN, SELL, PLEDGE OR IN
ANY OTHER WAY TRANSFER YOUR INTEREST 14. Default.
IN THIS PPA WITHOUT OUR PRIOR WRITTEN
CONSENT, WHICH SHALL NOT BE You will be in default under this Power Purchase
UNREASONABLY WITHHELD. Agreement if any one of the following occurs:
12. Loss or Damage. (a) you fail to make any payment when it is due and
such failure continues for a period of ten (1o)
(a) Unless you are grossly negligent or you days;
intentionally damage the System, Provider will
bear all of the risk of loss, damage, theft, (b) you fail to perform any material obligation that
destruction or similar occurrence to any or all of you have undertaken in this PPA (which includes
the System. Except as expressly provided in this doing something you have agreed not to do, like
PPA, no loss, damage, theft or destruction will alter the System) and such failure continues for a
excuse you from your obligations under this PPA, period of fourteen(14)days after written notice;
including Monthly Payments.
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(c) you have provided any false or misleading your System back on after we disconnect or turn
financial or other information to obtain this Power off the System due to your default;
Purchase Agreement;
(h) recover from you (i) a payment equal to the
(d) you assign, transfer, encumber, sublet or sell this Purchase Price as set forth in this agreement plus
PPA or any part of the System without Provider's (ii) all taxes, late charges, penalties, interest and
prior written consent; all or any other sums then accrued or due and
owing; and(iii)seek a pre or post judgment lien or
(e) you make an assignment for the benefit of similar security interest on or against your home;
creditors, admits in writing its insolvency, files or or
there is filed against you or it a voluntary petition
in bankruptcy, is adjudicated bankrupt or (i) use any other remedy available to us in this PPA or
insolvent or undertakes or experiences any by law.
substantially similar activity;
(f) you default on any obligation secured by your We may submit to credit reporting agencies(credit
Home; or bureaus) negative credit reports that would be
reflected on your credit record if you do not pay any
(g) any representation you made under this PPA was amounts due under this PPA as required.
false at the time you signed this PPA, including,
without limitation, the representation that you You agree to repay us for any reasonable amounts we
Pay to correct or cover your default.You also agree to
have the requisite authority to sign this PPA,
satisfy the obligations and grant the rights to reimburse us for any costs and expenses we incur
Provider hereunder (in each case on your own relating to the System's return resulting from early
behalf and on behalf of each person or entity with termination. By choosing any one or more of these
an ownership interest in the Home). remedies,Provider does not give up its right to use
another remedy. By deciding not to use any remedy
1y. Remedies in Case of Default. should this Power Purchase Agreement be in default,
Provider does not give up our right to use that remedy
If this Power Purchase Agreement is in default,we in case of a subsequent default.
may take any one or more of the following actions. If 16. System Removal; Return.
the law requires us to do so,we will give you notice
and wait any period of time required before taking any At the end of the Initial Term or the termination of
of these actions. We may: this PPA,if you have not renewed this PPA or
exercised your purchase option(if any)and you have
(a) terminate this PPA; not defaulted,then within thirty(3o)days you agree to
email Provider at the email listed in Section 7 of
(b) take any reasonable action to correct your default Exhibit 2 to schedule a convenient time for Provider to
or to prevent our loss; any amount we pay will be remove the System from your Home at no cost to you.
added to the amount you owe us and will be
immediately due; 17. Applicable Law;Arbitration.
(c) require you, at your expense, to return the System PLEASE READ THIS SECTION CAREFULLY.ARBITRATION REPLACES THE RIGHT TO GO TO
or make it available to us in a reasonable manner; COURT,INCLUDING THE RIGHT TO A JURY AND
(d) proceed, by appropriate alternative dispute THE RIGHT TO PARTICIPATE IN A CLASS ACTION
OR SIMILAR PROCEEDING.IN ARBITRATION,A
resolution procedure, to enforce performance of DISPUTE IS RESOLVED BY AN ARBITRATOR
this PPA and to recover damages for your breach; INSTEAD OF A JUDGE OR JURY.
(e) disconnect, turn off or take back the System by We agree that any dispute,claim or disagreement
legal process or self-help, but we may not disturb between us(a"Dispute")shall be resolved exclusively
the peace or violate the law; by binding arbitration and that the Federal Arbitration
Act governs the interpretation and enforcement of this
(f) report such non-operational status of the System Agreement to Arbitrate. The laws of the state where
to your utility, informing them that you are no your Home is located shall govern the substantive
longer net metering; claims arising from this PPA without giving effect to
conflict of laws principles.
(g) charge you a reasonable reconnection fee for The arbitration,including the selecting of the
reconnecting the System to your utility or turning arbitrator,will be administered by JAMS,under its
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Streamlined Arbitration Rules(the"Rules")by a single apply to any arbitration between us. The arbitrator will
neutral arbitrator agreed on by the parties within thirty issue a decision or award in writing,briefly stating the
(3o)days of the commencement of the arbitration. essential findings of fact and conclusions of law.
Either party may initiate the arbitration process by BECAUSE YOU AND WE HAVE AGREED TO
filing the necessary forms with JAMS.To learn more ARBITRATE ALL DISPUTES,NEITHER OF US WILL
about arbitration,you can call any JAMS office or HAVE THE RIGHT TO LITIGATE THAT DISPUTE IN
review the materials at www.jamsadr.com.The COURT,OR TO HAVE A JURY TRIAL ON THAT
arbitration shall be held in the location that is most DISPUTE,OR ENGAGE IN DISCOVERY EXCEPT AS
convenient to your Home.If a JAMS office does not PROVIDED FOR IN THE RULES.FURTHER,YOU
exist within 50(fifty)miles of your Home,then we will WILL NOT HAVE THE RIGHT TO PARTICIPATE AS
use another accredited arbitration provider with offices A REPRESENTATIVE OR MEMBER OF ANY CLASS
close to your Home. If the value of the relief sought is PERTAINING TO ANY DISPUTE.THE
$1o,000 or less,you may elect to have the arbitration ARBITRATOR'S DECISION WILL BE FINAL AND
conducted by telephone or based solely on written BINDING ON THE PARTIES AND MAY BE
submissions,which election shall be binding, subject to ENTERED AND ENFORCED IN ANY COURT
the arbitrator's discretion to require an in-person HAVING JURISDICTION,EXCEPT TO THE EXTENT
hearing,if the circumstances warrant. IT IS SUBJECT TO REVIEW IN ACCORDANCE WITH
If you initiate the arbitration,you will be required to APPLICABLE LAW GOVERNING ARBITRATION
pay the first$125 of any filing fee. We will pay any AWARDS.OTHER RIGHTS THAT YOU OR WE
filing fees in excess of$125 and we will pay all of the WOULD HAVE IN COURT MAY ALSO NOT BE
arbitration fees and costs. If we initiate the arbitration, AVAILABLE IN ARBITRATION.
we will pay all of the filing fees and all of the arbitration
fees and costs. We will each bear all of our own 18.Waiver.
attorney's fees and costs except that you are entitled to
recover reasonable attorney's fees and costs if you Any delay or failure of a party to enforce any of the
prevail in the arbitration and the award you receive provisions of this PPA,including but not limited to any
from the arbitrator is higher than Provider's last remedies listed in this PPA, or to require performance
written settlement offer. When determining whether by the other party of any of the provisions of this PPA,
your award is higher than Provider's last written shall not be construed to (i)be a waiver of such
settlement offer your attorney's fees and costs will not provisions or a party's right to enforce that provision;
be included. or(ii)affect the validity of this PPA.
Only Disputes involving you and Provider may be
addressed in the arbitration.Disputes must be brought 19. Notices.
in the name of an individual person or entity and must All notices under this PPA shall be in writing and shall
proceed on an individual(non-class,non- be by personal delivery,facsimile transmission,
representative)basis.The arbitrator will not award electronic mail,overnight courier,or certified or
relief for or against anyone who is not a party. If either registered mail,return receipt requested.
of us arbitrates a Dispute,neither of us,nor any other
person,may pursue the Dispute in arbitration as a class 2o.Entire Agreement; Changes.
action, class arbitration,private attorney general action
or other representative action,nor may any such This PPA contains the parties'entire agreement
Dispute be pursued on your or our behalf in any regarding the sale and purchase of power generated by
litigation in any court.Claims regarding any Dispute the System. There are no other agreements regarding
and remedies sought as part of a class action,class this PPA,either written or oral. Any change to this
arbitration,private attorney general or other PPA must be in writing and signed by both parties. If
representative action are subject to arbitration on an any portion of this PPA is determined to be
individual(non-class,non-representative)basis,and unenforceable,the remaining provisions shall be
the arbitrator may award relief only on an individual enforced in accordance with their terms or shall be
(non-class,non-representative)basis.This means that interpreted or re-written so as to make them
the arbitration may not address disputes involving enforceable.
other persons with disputes similar to the Disputes
between you and Provider. 21. FIntentionally Omitted].
The arbitrator shall have the authority to award any 22.Subcontractors.
legal or equitable remedy or relief that a court could
order or grant under this agreement.The arbitrator, Provider may have some or all of its obligations
however,is not authorized to change or alter the terms hereunder performed by subcontractors without
of this agreement or to make any award that would Buyer's consent.
extend to any transaction other than yours.All statutes
of limitations that are applicable to any dispute shall
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23.Renewal. I have read this Power Purchase Agreement and the
Exhibits in their entirety and I acknowledge that I
If you are in compliance with your PPA,you and your have received a complete copy of this Power Purchase
Provider have the option to renew your PPA for up to Agreement.
ten(io)years in two(2)five(5)year renewal periods. DO NOT SIGN THIS CONTRACT'IF THERE ARE ANY
We will send you renewal forms three(3)months prior BLANK SPACES.
to the expiration of the Initial Term,which forms shall
set forth the new Monthly Payments due under the
renewal PPA,based on our assessment of the then Owner's Name: �gj4ig Boxy vicic
current fair market value of the System. If you want to
renew,complete the renewal forms and return them to Signature: U�
us at least one(1)month prior to the end of the PPA. In
the event that you cancel the PPA or express your October 29, 2015
disapproval of the new Monthly Payments in writing Date:
this PPA shall expire by its terms on the termination
date.
ARE YOU A TRUSTEE FOR A TRUST INTO
IF YOU DON'T SEND US ANYTHING IN WRITING WHICH THE HOME IS PLACED?
AFTER WE SEND YOU THE RENEWAL FORMS,
THEN THIS PPA SHALL RENEW FOR AN YES X NO
ADDITIONAL ONE(1)YEAR TERM AT TEN
PERCENT(io%)LESS THAN THE THEN-CURRENT
AVERAGE RATE CHARGED BY YOUR LOCAL IF YOU HAVE CHECKED"YES",PLEASE ALSO
UTILITY AND SHALL CONTINUE TO RENEW FOR EXECUTE HERE:
ONE(1)YEAR TERMS AT THE SAME RATE(IN
ABSOLUTE TERMS)AS YOUR FIRST RENEWAL The undersigned is bound by this PPA and
UNTIL(I)YOU CALL US AT THE TELEPHONE certifies that he or she is the Grantor,Trustee, and
NUMBER LISTED IN SECTION 7 OF EXHIBIT 2 AT Beneficiary of the Trust into which the Home has
LEAST THIRTY(3o)DAYS PRIOR TO A RENEWAL been placed.
TERM TO INFORM US THAT YOU DO NOT WISH TO
RENEW; OR(II)WE SEND YOU A NOTICE BethBarwicic as trustee for the Trust into which the
TERMINATING THE PPA. Home has been placed:
24.NOTICE OF RIGHT TO CANCEL. Signature:
YOU,THE BUYER,MAY CANCEL THIS
TRANSACTION AT ANY TIME PRIOR TO Date:
MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION.
SEE THE ATTACHED NOTICE OF IF YOU HAVE CHECKED "NO",PLEASE ALSO
CANCELLATION FORM(EXHIBIT i)FOR AN EXECUTE HERE:
EXPLANATION OF THIS RIGHT.
25.ADDITIONAL RIGHTS TO CANCEL. The undersigned certifies that the Home has not
been placed into a Trust.
DocuSigned by:
IN ADDITION TO ANY RIGHTS YOU MAY f'
—[b
HAVE TO CANCEL THIS PPA UNDER Signature: t�
SECTION 24,YOU MAN ALSO CANCEL THIS
PPA AT NO COST AT ANY TIME PRIOR TO
COMMENCEMENT OF CONSTRUCTION OF Date: October 29, 2015
THE SYSTEM.
Co-Owner's Name (if any):
Signature:
Date:
NVT Licenses, LLC Residential Power purchase Agreement MA-BAR-00779260 T&C-10
DocuSign Envelope ID:iC423769-68D5-4092-9E76-3A8FOA07BEC6
NVT Licenses, LLC Power Purchase Agreement
Signature: �4i heti_ --__-
I isha 1 9 70151
Name: Lisha Liu
Date: Nov 2, 2015
Finance Operations
NVT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 T&C-11
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
EXHIBIT 1 (Provider COPY)
I HAVE READ THIS NOTICE OF CANCELLATION on October 29, 2015pM?
,
gnMpiiature:
f?"I&
OF68AODFEE5B44F...
Co-Owner's Signature:
Co-Owner's Signature:
NOTICE OF CANCELLATION
STATUTORILY-REQUIRED LANGUAGE
Notice of Cancellation
Date of Transaction:The date you signed the Power Purchase Agreement.
You may CANCEL this transaction,without any penalty or obligation,within THREE BUSINESS DAYS
from the above date. If you cancel, any property traded in, any payments made by you under the contract
or sale and any negotiable instrument executed by you will be returned within TEN BUSINESS DAYS
following receipt by the seller(NVT Licenses,LLC)of your cancellation notice, and any security interest
arising out of the transaction will be canceled. If you cancel,you must make available to the seller(NVT
Licenses,LLC)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(NVT Licenses,LLC)regarding the return shipment of the goods at the seller's(NVT Licenses,LLC
's)expense and risk. If you do make the goods available to the seller(NVT Licenses,LLC)and the seller
(NVT Licenses,LLC)does not pick them up within 20 days of the date of your notice of cancellation,you
may retain or dispose of the goods without any further obligation. If you fail to make the goods available
to the seller(NVT Licenses, LLC), or if you agree to return the goods to the seller(NVT Licenses,LLC)
and fail to do so,then you remain liable for performance of all obligations under the contract.
To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice, or any
other written notice,or send a telegram to NVT Licenses, LLC, at 600 Clipper Drive,Belmont, CA 94.002,
NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the
Power Purchase Agreement.
I,Beth Barwick, HEREBY CANCEL THIS TRANSACTION on [Date].
Owner's Signature:
Co-Owner's Signature:
Co-Owner's Signature:
NVT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 T&C-12
DocuSign Envelope ID:1C423769-68D5-4092-9E76-3A8FOA07BEC6
EXHIBIT x (CUSTOMER COPY)
NOTICE OF CANCELLATION
STATUTORILY-REQUIRED GUAGE
Notice of Cancellation
Date of Transaction:The date you signed the Power Purchase Agreement.
You may CANCEL this transaction,without any penalty or obligation,within THREE BUSINESS DAYS
from the above date. If you cancel, any property traded in, any payments made by you under the contract
or sale and any negotiable instrument executed by you will be returned within TEN BUSINESS DAYS
following receipt by the seller(NVT Licenses, LLC)of your cancellation notice, and any security interest
arising out of the transaction will be canceled. If you cancel,you must make available to the seller(NVT
Licenses,LLC)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(NVT Licenses, LLC)regarding the return shipment of the goods at the seller's(NVT Licenses,LLC
's)expense and risk. If you do make the goods available to the seller(NVT Licenses,LLC)and the seller
(NVT Licenses, LLC) does not pick them up within 20 days of the date of your notice of cancellation,you
may retain or dispose of the goods without any further obligation. If you fail to make the goods available
to the seller(NVT Licenses,LLC), or if you agree to return the goods to the seller(NVT Licenses,LLC)
and fail to do so,then you remain liable for performance of all obligations under the contract.
To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice, or any
other written notice, or send a telegram to NVT Licenses,LLC, 600 Clipper Drive, Belmont, CA 94002,
NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the
Power Purchase Agreement.
I, Beth Barwick,HEREBY CANCEL THIS TRANSACTION on [Date].
Owner's Signature:
Co-Owner's Signature:
Co-Owner's Signature:
N-VT Licenses, LLC Residential Dower Purchase Agreement MA-BAR-00779260 T&C-13
DocuSign Envelope ID:1C423769-68D5-4092-9E76-3A8FOA07BEC6
EXHIBIT 1 (CUSTOMER COPY)
NOTICE OF CANCELLATION
STATUTORILY-REQUIRED LANGUAGE
Notice of Cancellation
Date of Transaction:The date you signed the Power Purchase Agreement.
You may CANCEL this transaction,without any penalty or obligation,within THREE BUSINESS DAYS
from the above date. If you cancel, any property traded in, any payments made by you under the contract
or sale and any negotiable instrument executed by you will be returned within TEN BUSINESS DAYS
following receipt by the seller(NVT Licenses,LLC)of your cancellation notice,and any security interest
arising out of the transaction will be canceled. If you cancel,you must make available to the seller(NVT
Licenses,LLC) 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(NVT Licenses,LLC)regarding the return shipment of the goods at the seller's (NVT Licenses,LLC
's)expense and risk. If you do make the goods available to the seller(NVT Licenses,LLC)and the seller
(NVT Licenses,LLC)does not pick them up within 20 days of the date of your notice of cancellation,you
may retain or dispose of the goods without any further obligation. If you fail to make the goods available
to the seller(NVT Licenses,LLC),or if you agree to return the goods to the seller(NVT Licenses,LLC)
and fail to do so,then you remain liable for performance of all obligations under the contract.
To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice, or any
other written notice,or send a telegram to NVT Licenses, LLC, 600 Clipper Drive, Belmont, CA 94002,
NOT LATER THAN MIDNIGHT of the date that is THREE BUSINESS DAYS from the date you signed the
Power Purchase Agreement.
I,Beth Barwick,HEREBY CANCEL THIS TRANSACTION on [Date].
Owner's Signature:
Co-Owner's Signature:
Co-Owner's Signature:
NVT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 T&C-14
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
EXHIBIT 2
LIMITED WARRANTY AND GUARANTY
1. INTRODUCTION
This Limited Warranty and Guaranty(this"Limited Warranty")is Provider's agreement to provide you warranties on the
System you are hosting pursuant to our PPA. The System will be professionally installed by Provider or its
subcontractors at the address you listed in the PPA.We will refer to the installation location as your"Property"or your
"Home." This Limited Warranty begins when we start installing the System at your Home. We look forward to helping
you produce clean,renewable solar power at your Home.
2. LIMITED WARRANTIES
(a) Limited Warranties
Provider warrants the System as follows:
(i) System Warranty
During the Initial Term,under normal use and service conditions,the System will be free from defects in
workmanship or defects in,or a breakdown of,materials or components(the"System Warranty");
(ii) Roof Warranty
When we penetrate your roof during a System installation we will warrant roof damage we cause due to our
roof penetrations. This roof warranty will run the longer of(A)one(1)year following the completion of the
System installation; and(B)the length of any existing installation warranty or new home builder
performance standard for your roof(the"Roof Warranty Period");and
(iii) Repair Promise
During the Initial Term,Provider will honor the System Warranty and will repair or replace any defective
part,material or component or correct any defective workmanship,at no cost or expense to you(including
all labor costs),when you submit a valid claim to us under this Limited Warranty(the"Repair Promise"). If
we damage your Home,your belongings or your Property we will repair the damage we cause or pay you for
the damage we cause as described in Section 6. Provider may use new or reconditioned parts when making
repairs or replacements.Provider may also,at no additional cost to you,upgrade or add to any part of the
System to ensure that it performs according to the guarantees set forth in this Limited Warranty. Cosmetic
repairs that do not involve safety or performance shall be made at Provider's discretion.
(b) Warranty Length
(i) The warranties in Sections 2(a)(i)and 2(a)(iii)above will start when we begin installing the System at your
Home and continue through the Initial Term but never less than ten(1o)years.Thus,for as long as you host
the System from Provider under a PPA,you will have a System Warranty and our Repair Promise.
(ii) The Roof Warranty Period may be shorter than the System Warranty,as described in Section 2(a)(ii)above.
(iii) If you have assumed an existing PPA,or purchased the System during the Initial Term of your PPA,then this
Limited Warranty will cover you for the remaining balance of the existing Initial Term.
(c) System Performance Guaranty
NVT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 T&C-15
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(i) Provider guarantees that during the Initial Term the System will operate within manufacturer's
specifications and if it does not that Provider,or one of its subcontractors,will repair or replace any defective
part and restore System performance.
(ii) We warrant that the System will not experience more than a(A)io%degradation of the originally rated
electrical generation output during the five(5)year period starting on the date of installation of the System
or(B)starting on the date of installation of the System,1%degradation per year of electrical generation
output during the Initial Term.
(d) Maintenance and Operation
(i) When the System is installed,Provider will provide you with a copy of its Solar Operation and Maintenance
Guide(the"Guide").This Guide provides you with System operation and maintenance instructions,answers
to frequently asked questions,troubleshooting tips and service information. Provider will perform all
required System maintenance.
(e) Making a Claim;Transferring this Warranty
(i) Claims Process
You can make a claim by emailing us at the email address in Section 7 below.
(ii) Transferable Limited Warranty
Provider will accept and honor any valid and properly submitted Warranty claim made during the Initial
Term by any person who either purchases the System from you or to whom you properly transfer the PPA.
(f) Exclusions and Disclaimer
The limited warranties and guaranty provided in this Limited Warranty do not apply to any lost power production
or any repair,replacement or correction required due to the following:
(i) someone other than Provider or its approved service providers installed,removed,re-installed or repaired
the System;
(ii) destruction or damage to the System or its ability to safely produce power not caused by Provider or its
approved service providers while servicing the System(e.g.,if a tree falls on the System we will replace the
System per the Power Purchase Agreement,but we will not repay you for power it did not produce);
(iii) your failure to perform,or breach of,your obligations under the Power Purchase Agreement,provided,that
if the PPA has been terminated in the event of a purchase of the System by the host of the System,this
Limited Warranty will not apply in the event that the host of the system fails to perform or breaches its
obligations under Sections 5(a)(other than subsection(x)),5(c),5(e),5(f)and 5(g)of the PPA,which shall
survive termination of the PPA;
(iv) your breach of this Limited Warranty,including your being unavailable to provide access or assistance to us
in diagnosing or repairing a problem,or your failing to maintain the System as stated in the Guide;
(v) any Force Majeure Event(as defined below);
(vi) shading from foliage that is new growth or is not kept trimmed to its appearance on the date the System was
installed;
(vii) any system failure or lost production not caused by a System defect(e.g.,the System is not producing power
because it has been removed to make roof repairs or you have required us to locate the inverter in a non-
shaded area);and
(viii) theft of the System(e.g.,if the System is stolen we will replace the System per the Power Purchase
Agreement,but we will not repay you for the power it did not produce).
I VT Licenses, LLC Residential PoNver Purchase Agreement MA-BAR-00779260 T&C-16
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
This Limited Warranty gives you specific rights,and you may also have other rights which vary from state to state.
This Limited Warranty does not warrant any specific electrical performance of the System other than that
described above.
THE LIMITED WARRANTIES DESCRIBED IN SECTIONS 2(a)and(c)ABOVE ARE THE ONLY EXPRESS
WARRANTIES MADE BY PROVIDER WITH RESPECT TO THE SYSTEM. TO THE EXTENT PERMITTED BY
APPLICABLE LAW,PROVIDER HEREBY DISCLAIMS,AND ANY BENEFICIARY OF THIS LIMITED
WARRANTY HEREBY WAIVES,ANY WARRANTY WITH RESPECT TO ANY COST SAVINGS FROM USING
THE SYSTEM.
3. PROVIDER'S STANDARDS
For the purpose of this Limited Warranty the standards for our performance will be(i)normal professional standards of
performance within the solar photovoltaic power generation industry in the relevant market;and(ii)Prudent Electrical
Practices. "Prudent Electrical Practices"means those practices,as changed from time to time,that are engaged in or
approved by a significant portion of the solar power electrical generation industry operating in the United States to
operate electric equipment lawfully and with reasonable safety,dependability,efficiency and economy.
4. SYSTEM REPAIR OR REMOVAL
(a) You agree that if(i)the System needs any repairs that are not the responsibility of Provider under this Limited
Warranty or(ii)the system needs to be removed and reinstalled to facilitate remodeling of your Home,you will
have Provider,or another similarly qualified service provider,at your expense,perform such repairs,removal and
reinstallation on a time and materials basis.
(b) If at the end of the Initial Term you want to return the System to Provider under Section 16 of the PPA then
Provider will remove the System at no cost to you.Provider will remove the posts,waterproof the post area and
return the roof as close as is reasonably possible to its original condition before the System was installed(e.g.
ordinary wear and tear and color variances due to manufacturing changes are excepted).You agree to reasonably
cooperate with Provider in removing the System including providing necessary space,access and storage,and we
will reasonably cooperate with you to schedule removal in a time and manner that minimizes inconvenience to
you.
5. FORCE MAJEURE
If Provider is unable to perform all or some of its obligations under this Limited Warranty because of a Force Majeure
Event,Provider will be excused from whatever performance is affected by the Force Majeure Event,provided that:
(a) Provider,as soon as is reasonably practical,gives you notice describing the Force Majeure Event;
(b) Provider's suspension of its obligations is of no greater scope and of no longer duration than is required by the
Force Majeure Event(i.e.,when a Force Majeure Event is over,we will make repairs);and
(c) No Provider obligation that arose before the Force Majeure Event that could and should have been fully performed
before such Force Majeure Event is excused as a result of such Force Majeure Event.
"Force Majeure Event"means any event,condition or circumstance beyond the control of and not caused by Provider's
fault or negligence. It shall include,without limitation,failure or interruption of the production,delivery or acceptance
of power due to: an act of god;war(declared or undeclared);sabotage;riot;insurrection;civil unrest or disturbance;
military or guerilla action;terrorism;economic sanction or embargo;civil strike,work stoppage,slow-down,or lock-out;
explosion;fire;earthquake; abnormal weather condition or actions of the elements;hurricane;flood;lightning;wind;
drought;the binding order of any governmental authority(provided that such order has been resisted in good faith by all
reasonable legal means);the failure to act on the part of any governmental authority(provided that such action has been
timely requested and diligently pursued);unavailability of power from the utility grid,equipment,supplies or products
(but not to the extent that any such availability of any of the foregoing results from Provider's failure to have exercised
reasonable diligence);power or voltage surge caused by someone other than Provider including a grid supply voltage
outside of the standard range specified by your utility; and failure of equipment not utilized by Provider or under its
control
NVT Licenses, LLC Residential Power Purchase Agreement MA-BAR-00779260 T&C-17
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
6. LIMITATIONS ON LIABILITY
(a) No Consequential Damages
YOU MAY ONLY RECOVER DIRECT DAMAGES INCLUDING THOSE AMOUNTS DUE PURSUANT TO
SECTIONS 6(C)UNDER THIS LIMITED WARRANTY,AND IN NO EVENT SHALL PROVIDER OR ITS AGENTS
OR SUBCONTRACTORS BE LIABLE TO YOU OR YOUR ASSIGNS FOR SPECIAL,INDIRECT,PUNITIVE,
EXEMPLARY,INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY NATURE. SOME STATES DO NOT
ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES,SO THE
ABOVE LIMITATION MAY NOT APPLY TO YOU.
(b) Limitation of Duration of Implied Warranties
ANY IMPLIED WARRANTIES,INCLUDING THE IMPLIED WARRANTIES OF FITNESS FOR A
PARTICULAR PURPOSE AND MERCHANTABILITY ARISING UNDER STATE LAW,SHALL IN NO
EVENT EXTEND PAST THE EXPIRATION OF ANY WARRANTY PERIOD IN THIS LIMITED
WARRANTY. SOME STATES DO NOT ALLOW LIMITATIONS ON HOW LONG AN IMPLIED
WARRANTY LASTS,SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU.
(c) Limit of Liability
Notwithstanding any other provision of this Limited Warranty to the contrary,Provider's total liability arising out
of relating to this Limited Warranty shall in no event:
(i) For System Replacement: exceed the greater of(a)the sum of the Monthly Payments over the Initial Term
of the Power Purchase Agreement and(b)the original cost of the System;and
(ii) For damages to your Home,Belongings and Property: exceed two million dollars($2,000,000).
7. NOTICES
All notices under this Limited Warranty shall be made in the same manner as set forth in the Power Purchase Agreement
to the addresses listed below:
TO PROVIDER: NVT Licenses,LLC
Attention: SunEdison Residential PPA
600 Clipper Drive
Belmont,CA 94002
TO YOU: At the billing address in the Power Purchase Agreement
or any subsequent billing address you give us.
8. ASSIGNMENT AND TRANSFER OF THIS LIMITED WARRANTY
Provider may assign its rights or obligations under this Limited Warranty to a third party without your consent,provided
that any assignment of Provider's obligations under this Limited Warranty shall be to a party professionally and
financially qualified to perform such obligation. This Limited Warranty protects only the person who hosts the System.
Your rights and obligations under this Limited Warranty will be automatically transferred to any person who purchases
the System from you or to whom you properly transfer the Power Purchase Agreement.Sections 5(g)(i),17 and 22 of the
PPA shall apply to this Limited Warranty and shall suivive the termination of the PPA in the event of a purchase of the
System by the host of the System.This Limited Warranty contains the parties'entire agreement regarding the limited
warranty of the System.
NVT licenses, LLC residential Power Purchase Agreement MA-BAR-00779260 T&C-18
DocuSign Envelope ID: 1C423769-68D5-4092-9E76-3A8FOA07BEC6
AUTHORIZATION FOR AUTOMATIC PAYMENTS FROM FOUR CHECKING ACCOUNT
Setting up automatic payments from your checking account is a convenient service that saves you time and money and
ensures your Monthly Payments will always be made on time. Provider and ("Customer")agree to establish
automatic payments of the payments due under the Power Purchase Agreement(the"Agreement")between the parties.
Customer hereby authorizes Provider to initiate debit entries to the checking account indicated below to facilitate
payments for(i)Monthly Payments(as defined in the Agreement)and applicable excise,sales and use(or similar tax); and
(ii)any returned check fees or late payments as set forth in Section 5(d)of the Agreement. Customer hereby authorizes
the depositing financial institution named below to enter such debits or credits to such account.Customer also
acknowledges that Provider may assign the Agreement to a third-party and that the assignee may then initiate debit
entries per this Authorization Agreement.
Bank Name:
Routing No.:
Account No.:
Payment Terms
Provider will supply Customer with a monthly bill detailing the amount owed for that billing period. Provider will process
debit entries to the above account in an amount not to exceed the amount due under the Agreement for scheduled
Monthly Payments which are due on the loth day of each calendar month.
Notice of Changes
Customer hereby acknowledges that the automatic payment information provided is correct. If this information changes,
Customer must notify Provider immediately.If Provider incurs any fees as a result of inaccurate or out of date
information, Customer will be billed for those charges.Also,Provider reserves the right to change the conditions of the
Agreement at any time.Notice will be given on or with the monthly bill or by other methods.
Customer has a right to receive written notice when a preauthorized electronic fund transfer will vary in amount from the
previous transfer under the same authorization.By signing below, Customer hereby agrees to receive notice only when a
transfer falls outside the range of Monthly Payment amounts set forth in the Agreement.
Limitation of Liability
Provider bears no liability or responsibility for any losses incurred due to any delay in the actual date on which the bank
account is debited.In order to process the electronic funds transfer,Customer must have sufficient funds available in the
bank account provided.Additionally,Customer is responsible for any fees the account-holding financial institution may
charge for electronic payments.Customer hereby agrees to be bound by any rules the account-holding financial institution
requires for automatic electronic payments
Termination and Right to Cancel
Customer hereby acknowledges that this Authorization Agreement will not be terminated until the Agreement is paid in
full,or Customer provides written notification via certified mail of such termination of this Authorization Agreement and
has allowed Provider a reasonable amount of time to act upon the request. The termination of the Authorization
Agreement does not terminate the Agreement or Customer's obligation to make payments required by the Agreement.
Under federal law,Customer has the right to stop an automatic payment. Customer must give at least three business days
oral or written notice before the scheduled payment date in order to stop an automatic payment.
By signing below, Customer represents to Provider that all persons whose signatures are required to withdraw funds from
the above referenced account have executed this Authorization Agreement.Customer hereby acknowledges receipt of a
copy of this Authorization Agreement for his/her records.
Customer: Date:
Installation Location: 49 Meadowood Road North Andover,MA o1845
IAV Licenses, LLC residential Power Purchase Agreement MA-BAR-00779260 T&C-19
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1. Solar Modules and solar module assembly shall be mounted to perlins
2. Rails shall be supported and attached per engineering specs
3. Modules shall be fastened to perlins using Unirack engineered mounting solutions
4. Modules shalt be fastened to mounting rails using ironridge top down brackets at all frame-rail joints to specified torques.
Site Number:2099033 Tilt:36° Premise Owner: Beth Barwick((978)688 0741) Design Team: `
Mounting system: Unirack Planet
-
Azimuth:136° Address: 49 Meadowood Rd., DiGregorio& Prabhu re
Modules: Silvantis R-Series: 270WStet
North Andover, MA 01845 suna3oe
Inverter: SolarEdge: SE3800 Sheet Date we=rou°n,mA°1$$1
Description: Beth's 3.24kW system 2 12/10/15 plc
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. m �aL t e ti;'�t 1L}L craise a 1ZzaF 1 mt Lma wt rma�a ° Rm akrtlerl tc„atil kv of Trs" ti ;tt t fiv, Mtlk Fvr iat-g,ria is
I da he feAV etar#fr farmer the trraaht;andlyeitaftlet n� dralJr LRYo i�tare taaarFCorr a
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City ar' ON'k°n P rwit ,iccrrsc
11 arrl ra #Ith .Ruiltling Tk p aartdnrent 3_Cit5aowit Clerk 4.FWtrical dr.,;�.p mctmr[ 5.Plumbing Inspector
ti Other
t:rrrtttar"t. `cL°� Lm� t"lrrtma
NOTICE NOTICE
m
W
TO TO
� r
EMPLOYEES �aW EMPLOYEES
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
1 Congress Street, Suite 100, Boston, Massachusetts 02114-2017
617-727-4900 - http://www.state.ma.tis/dia
As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice
that I(we) have provided for payment to our injured employees under the above-mentioned chapter by
insuring with:
AmGUARD Insurance Company
NAME OF INSURANCE COMPANY
P.O. Box A-H, 16 S. River Street, Wilkes-Barre, PA 18703-0020
ADDRESS OF INSURANCE COMPANY
R2 W C654512 12/18/2015 12/18/2016
POLICYNUMBER 306 Washington Street (Rt 53) EFFECTIVE DATES
GORDON INSURANCE Norwell, MA 02061 781-659-2262
NAME OF INSURANCE AGENT ADDRESS PHONE#
BRIGHT PLANET SOLAR INC 69 Milk Street Westborough, MA 01581
EMPLOYER ADDRESS
10/26/2015
EMPLOYER'S WORKERS' COMPENSATION OFFICER(IF ANY) DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of
employment to furnish adequate and reasonable hospital and medical services in accordance with the
provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the
injured employee. The employee may select his or her own physician. The reasonable cost of the ser-
vices provided by the treating physician will be paid by the insurer, if the treatment is necessary and
reasonably connected to the work related injury. In cases requiring hospital attention, employees are
hereby notified that the insurer has arranged for such attention at the
NAME OF HOSPITAL ADDRESS
TO BE POSTED BY EMPLOYER
CERTIFICATE LIABILITY DATE(NN10DiYYYY)
errs �sRrra,cA'rs is , �E As A �TroN ONLYAND cv� Rs�o Rt�H u T v �ri�, A°r HOLDER.retia
S TW. T D0E6 AFFI LY �IEQ I Y AMEND �iD � ALTER rH�Cr3vsRAc��AI�F�DI�r�E� THE FQLl�1
BELOW. THIS +� TIF1�/�'i� OF INSURANCE DOES (� y Ct�lV9TIi°UrE A CONTRACT EN THE l35�lIPdO INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE TIPICATE HOLDERr
ES
rpn�r8 an: c tna ce rsra the,polls �n�anrrraNAl.trusclREt�,Bhe ee�+i y melst n�ar�,d, rrf sus��e Tr rs � �,subJe ka
4lte f®rrn�and caltditranl3 of ttlte palm,rt�rt In MUSS May eaqull�un�rigOrS �,ara�ement an tela r�rt,�rcata Dass no catdar wzig�QO���
ve>tIhcate holder in Uelu of Such ands n a.
pRc3auoaR
Andy,sw G. Gordon, no, Fans Logan
306 Washington Etre'at {7t31?659-2262 (7t31)s��a7aa
Norwell MA02061 I s A�aI� c3E NATO#
IN&URt3p i RERA:�C'lCr�iG� H00 7
B,Vigf It Planet Soler, incl. RERB: ® � �� Com. 4"/54
as Sewall 'fare.
INU a:
e�ok1 Y+ L
02446 t n:
'COVERAGES
E CE,TIFrG NUMRER*J;�t6
T IIB A To Cf:RT,IY THAN THE POLICIES OF INSURANCE LISTED BELOW HAItE SEEN ts9UED TZ�THE IN9UFtED NAME q A av gRr THR PO
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EX LUST A A9AY SE ISSUED OF MAY PERTAIN, THE INSURANCE'AFFORD ED BY THE P'®LICIES DESCR,9t;b HEREIN tS SU LICY Fl:RIOD
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES:LIMITS 9HOM MAY HAVI"SFgN REDUCEb sY PAID CLAIMS.
EJECT TO ALL THE TERMS,
L '�1't'EdFINBURAPICB
®ENPa LtAmuly a
LIMt9B
OOMMMCIALt3ENSRIU LKOILITY PAC a cE s 2 000,000
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ane a 10,000
B,AUVINJURY s 11000,000
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A T48D 80171LY IhIJIlF2Y Per Z 000 00
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FNREE 7 AUTOS (Per e�ttlenp
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Town of North Andover 9H®uLv,�uYpPTH�A��„�n�s��,ap�Ltala�������L�®��F�
'PHE Etd1PIRATiaR1 mATa °rNt�BOF, tva'nc� mnr_L aB DELIV �a IN
120 Main Street ���tiR+a�Nc�v�,.��Pa�, ��L�tq��.
North Andover, MA 01845 AO OMMO "TAT”
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ri.t�.`LfDI� i�t9ztez ward Insurance .
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CERTIFICATEDATE(NNlapn'YYYj
`rNl� TiPSt�ATE Cita ISSUED AS A flflATTER 4 INF4I�MA�QQN 4NL'�AW4 tl4N�EE�N4�tiMt?�UPt�N THS CER r�iGAI HdLE}E
18 2 Is
CEFtYiPfCATE fj4�S IddT A��IRNlA Lt�f�tN NEt�AY�tIMV AMEND
, a N4 UA A1.M THE �C4Vf� �3 A�41�pEra EY Tt�E P4LIT �
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ttHPttItElYt A�FVE t9fa PR UCMt�,At413 71iE CERTICA7 PrtU4®EEC.
I ORT : If the aErttfiaat�f►0 dap to en 4 A IN
E ,t p txy �� rnUat 4a endmraed, tf t3 tt TICN IS WA ,$Nbjcat to
Rhe terms and eandittans at thA volley,cnrtaln po0etes nxay raputre ste Bred-rm�r-. A etatnrwant an thta carttttca4e daaa nae tanQair rlgh¢s 4a the
rtif fate hbtdelrin Iteu of such a dn►aamEnl a
PRODUCER
GORDON INSURANCE w a z
30 WMshingtart Street(At 53)
NOrwrJ1 MA 02oej r r A ctxV&
INSURED s
BRIGHT PLANET RCLAR.INC x
55 SEWELL AVEtfaspREROx
tNaUFt6Fmh•
SRCIOKLINE MA 02446
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uvsu�arrCE-,ter OR10 a-�r� tai rs�wet�s-t�s _t� txtw_I�sue, ar�ra_al .
rccLtrstonrs AIUp 00NpITi0N5 ria such aaLtaes uA�ITs 6HCYVJN MAY HAVE KEEN 14Ef1uCEO V pAl0 t7LA1Ms. THfs°TJ5RM8
1R TYPBaP'tNBURANGE POC$ V 8Ea I
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0 RrrPktNAT H R
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Town of North Andover SIHOULDMyOPTHEABOVaDESCRIBED POLICI Be ,cftLEaBEFORE
120 Main Street Ttie EXPIRATON nAY9 T148RIa0Fx NOTICE WLt, Be DELIVERED 1N
A000ft0MCffi1AIRHTHapaUoVPtta t@N&
North Andover, MA 01845 AUTHOEO
ACORD 25(2tA9t9/a5)
The ACORU name and logo are registered ma(1)
4 rks qPACR4 CQRPUttA tBN. Att rights r�servadb
The Commonwealth of Massachusetts
Department ofIndustrial
Office of Investigations
600 Washington.Street
Boston, MA 02111
kv wiv►vanass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): R I(1 l �Lffije 'SoFe-
Address: '(l'�11,,IQ ITCH
City/State/Zip: We P_M. b 14 1, M 0 0 5 Z31 Phone#: t" C1617 -44 A
Are you an employer?Check the appropriate box: Type of project(required):
1.[N I am a employer with 2Q 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.E1 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers' comp. insurance. g, ❑Building addition
[No workers' comp,insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.F1 Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs
insurance required.]t employees. [No workers' 13.0 Other
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 their workers'comp.policy information.
I arra aii employer tliat is providing workers'compeiisation insurance for nay employees. Beloiv is the policy and job site
information.
Insurance Company Name: ikwo kweaNca
Policy#or Self-ins.Lic.#: V-2AW X61 512. Expiration Date: 12 f �
Job Site Address: 49 Mead®W®®d Fid City/State/zip: North 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD.ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of peijuay that the information provided above is trate and correct.
Si ature: Date: 12/15/15
Phone#: (,'p 1
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 Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
r'i�/te `C�c»r,rJ�o3rir-ear'Gli��C��Ia,J�cfuseC�
` .+ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: 182102 Type; Office of Consumer Affairs and Business Regulation
✓� Expiration: 512612017 Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
BRIGHT PLANET SOLAR,-ING
AARON KATZ `
55 SEWALL AVE.
BROOKLINE, MA 02446
'Undersecretary y Not valid without signature
Massachusetts -DePai tment of Public ret+�•
Board of Building ;•��tii"tIons and'S'ranctu;ras
�'un,triactinn `SupeYlisur t �:
' W i�amtiE '
license: CSFA-106067 ;;
AARON KAT2
55 SEWELL AVENUE
Brooh'Jitle MA 0246
r "
rl ti.`
rnnlnlissioner
12/08/2016
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