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Home My WebLink AboutBuilding Permit # 1/4/2016 OORTHBUILDING PERMIT 9 TOWN OF NORTH ANDOVER - _ APPLICATION FOR PLAN EXAMINATION ;y yn Permit NO: � Date Received `�� <�A.. Date Issued: tui_ IMPORTANT:A licant must com Tete all items on this 2age Pant 6'ROPIR`fl(Q'uuNE1R. MAP NCJ l?ARCEL„�ZOPJjNt 1 -I� RICT HistorNc Dfstr�ct yes na Lachine Sho Village yep no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family I..1 Industrial CI Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic ❑Well T cl Floodplain ❑Wetlands ❑ Watershed District 1 Wtow ewe r s -. cto Identification Please Type or Print Clearly) OWNER: Name: hf, ,Y' i C �l Phone: h-1 a 6 a- 1. � Address: 1 ? Ck-(A 1-k V{ GN1'RATFNen � hong, � 4 �'� ► t t> Supervta r's:Cr�natruction I*scan a Exp., Date: e Ior,em is ae sip Date. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:EULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: 51 FEE: $ Check No.: Receipt No.: °" NOTE: Persons contracting reit unregistered contractors do not have access tat, guaranty fund Signature of Agent/Owner Signature of contractor �.> IA°RrH Town of ndover N . Y _ �O ��.ie h ♦er Mass, COCNIC.t_jCK 1' RATED PP�`y�(� U BOARD OF HEALTH Food/Kitchen PER LD Septic System THIS CERTIFIES THAT ,ti 1!�{, BUILDING INSPECTOR .............. .. .... ............ .. . ............................ has permission to erect .......................... buildings on ......ftft.47W. me ............................. Foundation tRough to be occupied as 406 R........................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR UNLESS CO STRUCTIO TSRough Service ........................................................ Final BUILDING INSPECTOR y lDy� 7 7 GAS INSPECTOR Occupancy Permit Required t0 Occupy llilding Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Version#53.6-TBD PIL SolarCity December 22,2015 RE: CERTIFICATION LETTER ,q Project/Job#0183253 � Project Address: Tenenbaum Residence JAS N V'E'IL IN cP 125 Peachtree Ln Lot 13 10N11AD ` + North Andover, MA 01845 0 STRUCTURAL a) AH] North Andover � N4.a 554 SC Office WilmingtonC�! 0lST � � ` Design Criteria: Ai' 3/2015 -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= 11 psf,Roof LL/SL=32.5 psf(Non-PV Areas),Roof LL/SL= 17.5 psf(PV Areas) - MP2: Roof DL= 14 psf,Roof LL/SL=32.5 psf(Non-PV Areas),Roof LL/SL= 17.5 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 evaluationI 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. 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. Digitally signed by Jason Toman Date: 2015.12.23 00:32:40 -07'00' 3055 Clearview Way San Mateo, CA 94402 T(650)638-1028 (888)SOL-CITY F(650)638-1029 solarcity.com Version#53.6-TBD PIL '' SolarCity HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landscape Modules'Standoff'Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPI 64" 24" 39" NA Staggered 63.1% MP2 64" 24" 39" NA Staggered 63.1% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration -Uplift DCR MPI 48" 20" 65" NA Staggered 78.7% MP2 48" 20" 65' NA Staggered 78.7% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MPi Stick Frame @ 16 in.O.C. 400 Member Impact Check OK MP2 Vaulted Ceiling @ 16 in.O.C. 400 Member Impact Check 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 r- (680)638-1029 solarcity.com STRUCTURE ANALYSIS LOADING SUMMARY AND MEMBER CHECK- MP1 Member Prosties Summary MPl Horizontal Member Spans Rafter Properties Overhang 1.16 ft Actual W 1.50" Roof System Properties Span 1 16.88 ft Actual'D 9.25" Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofing Material Comp Roof San 3 A 13.88 in A2 Re-Roof No Span 4 SX 21.39 in.^3 Plywood Sheathing Yes San 5 I 98.93 in.^4 Board Sheathing None Total Rake Span 23.55 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 1.42 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 16.75 ft Wood Grade #2 Rafter Slope 400 PV 2 iStart Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi Top Lot Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emi„ 510000 psi Member Loading Summary Roof Pitch 10/12 Initial Pitch Adjust Noe-PV Areas PV Areas Roof Dead Load DL 11.0 psf x 1.31 14.4 psf 14.4 psf PV Dead Goad PV-DL 3.0 psf x 1.31 39 psf Roof Live Load RLL 20.0 psf x 0.70 14.0 psf Live/Snow Load LL/SL112 0.0 psf x 0.65 1 x 0.35 32.5 psf 17.5 psf Total Load(Governing LC I TL 1 1 46.9 psf 1 35.8 psf Notes; 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2) 2. pf=OJ(Ce)(CO(Is)Pg; Ce=0.9,Q=1.11 I5=1.0 Member Design Summan, per NDS) Governing Load Comb CD CL + CL - CF Cr D+S 1.15 1.00 0.24 1.1 1.15 Member Analysis Results Summa GoverningAnalysis Pre-PV Demand st-PVDemandl Net 1m act Result Gravity Loading Check 1239 psi 936 psi 1 0.76 Pass CALCULATION OF DESIGN WIND LOADS - MP1 Mounting Plane Information Roofing Material Comp Roof PV System Type SolarCity SleekMounVm Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 400 Rafter Spacing 16"O.C. Framing T 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 Searn/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully Enclosed Method Basic Wind Speed V 100 mph Fig. 6-1 Exposure Category C Section 6.5.6.3 Roof Style Gable Roof Fig,6-11B/C/D-14A/B Mean Roof'Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor KA 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor < I 1.0 Table 6-1 Velocity Pressure qh qh=0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 20.6 psf Wind Pressure Ext. Pressure Coefficient U G -0.95 Fig.6-118/C/D-14A/B Ext.Pressure Coefficient Down GC,mown) 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p=qh(GCP) Equation 6-22 Wind Pressure U -19.6 Psf Wind Pressure Down 18.0 Psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64 39" Max Allowable Cantilever Landscape 24" NA Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib = 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T actual -316 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 63.1% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever Portrait 20" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T actual -394 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity I DCR 78.7% STRUCTURE ANALYSIS LOADING SUMMARY AND MEMBER CHECK- MP2' Member Pro erties Summary MP2 horizontal Member Spans Rafter Properties Overhang 1.16 ft Actual W 1.50" Roof System Pro ernes Span 1 8.95 ft Actual D 9.25" Number of Spans(w/o Overhang) 2 San 2 10.75 ft Nominal Yes Roofing Material Comp Roof San 3 A 13.88 in.A2 Re-Roof No San 4 S. 21.39 in.A3 Plywood Sheathing Yes San 5 I 98.93 in.A4 Board Sheathing None Total Rake Span 27.23 ft TL Defl'n Limit 180 Vaulted Ceiling Yes PV 1 Start 0.33 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 15.58 ft Wood Grade #2 Rafter Slope 400 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 I Full PV 3 End Emin 510000 psi Member Loading Summary Roof Pitch 10/12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 14.0 psf x 1.31 18.3 psf 18.3 psf PV Dead Load PV-DL 3.0'psf x 1.31 3.9 psf Roof Live Load RLL 20.0 psf x 0.70 14.0 psf Live/Snow Load 1.L SL''2 50.0 psf x 0.65 1 x 0,35 32.5 psf 17.5 psf Total Load(Governing LC I TL 1 50.8 psf 1 39.7 psf Notes: 1. ps=Cs*pf,Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(CO(Is)p9; Ce=0.9,Ci=1.l,I5=1.0 Member Design Summary(per NDS Governing Load Comb I CD Cl. + Cl. - CF I Cr D+'S 1.15 1.00 1 3.00 1 1.1 1.15 Member Analysis Results Summary GoverningAnalysis I Pre-PV Demand Post-PV DemandNet Impact ResultGravity Loading Check 1 -468 psi 1 -391 psi E 0.84 Pass CALCULATION OF DESIGN WIND LOADS - MP2 Mounting Plane Information Roofing Material Comp Roof PV System Type SolarCity SleekMountTm Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 400 Rafter Spacing 16"O.C. Framing T 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 Searn/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully Enclosed Method Basic Wind Speed V 100 mph Fig. 6-1 Exposure Category C Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof rHeight h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor Kzt 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh=0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 20.6 psf Wind Pressure Ext. Pressure Coefficient U G -0.95 Fig.6-11B/C/D-14A/B Ext.Pressure Coefficient Down G Down` 0.88 Fig.6-118/C/D-14A/B Design Wind Pressure P p=qh(G ) Equation 6-22 Wind Pressure Up p„ -19.6 psf Wind Pressure Down 18.0 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape (All39" Max Allowable Cantilever Landscape 24" NA Standoff Configuration Landsca Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T actual -316 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 63.1% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever Portrait 20" NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T actual -394 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 78.7% DocuSign Envelope ID:11B75B9E-F7D9-4624-99A3-5E752DC69315 1a ("' ty I PPA Customer Name and Address Installation Location Date Betsy Tenenbaum 125 Peachtree Ln Lot 13 12/14/2015 Carl Tenenbaum North Andover,MA 01545 125 Peach Tree Ln North Andover,MA 01845 Here are the key terms of your Power Purchase Agreement 0 12 ,900c 20yrs 5ystero.installation Bast Electricity ra....,os rr t e ,:' DS t -6_' ',- _� Initial here here DS The SolarCity Promise A •We guarantee that if you sell your Home,the buyer will qualify to assume your Agreement . .. ..,.. Initial here •We warrant all of our roofing work. Ds •We restore your roof at the end of the Agreement. •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 never increase by more than 2.90%per year. •The pricing in this Agreement is valid for 30 days after 12/14/2015. Your SolarCity Power Purchase ern Details Your Choices at the End of the initial Options for System Purchase: Amount due at contract signing Term: •At certain times,as specified in $0 •SolarCity will remove the System at no the Agreement,you may Est,amount due at installation cost to you, purchase the System. $0 •You can upgrade to a new System with •These options apply during the 20 the latest solar technology under a new year term of our Agreement and Est.amount due at building inspection contract. not beyond that term, 0 •You may purchase the System from '.. Est,first year production SolarCity for its fair market value as 13,091 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 VVay, Sart Mateo, CA 94402 1 888.7651489 1 sralarcityacrtrn 140752.3 Power Purchase Agreement,version 9,1.0,November 11,201.5 SAP(/SFFA Compliant Contractors License MA HIC 168572/FL-11.36MR CA Document generated on 12/14/2015 Copyright 2008-2015 SolarCity Corporation,All Rights Reserved DocuSign Envelope ID: 11 B75B9E-F7D9-4624-99A3-5E752DC6931 5 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:Betsy Tenenbaum EXPLANATION OF THIS RIGHT. 24. ADDITIONAL RIGHTS TO CANCEL. Dwaigned by: IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL Signature: 4FF1BIWI23149-... THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL THIS PPA AT NO COST AT ANY TIME PRIOR TO Date: 12/14/2015 COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this PPA is valid for 30 days after 12/14/2015. If you don't sign this PPA and return it to us Customer's Name: Carl Tenenbaum on or prior to 30 days after 12/14/2015,SolarCity reserves DocuSignod by: the right to reject this PPA unless you agree to our then Signature: fi -- - 9C6pp9A(72CFE464.. current pricing. Date: 12/14/2015 Power Purchase Agreement SolarCity approved Signature: Lyndon Rive, CEO Date: 12/14/2015 Power Purchase i�areemern,version 9.i.o,NJ vemher il,HIS [oil rfR] 1 d011,23 W wm Tire Cammompeatth ofMusadjusoUs D pertntent oflndustrialAce"ents Dice ofinvestigations X Congress Skree4 Suite 100 Xostm,MA 42114-2017 www.massgou/din Workers'Compensation Insurance All�itlavit:Builtlen/Contract ers&lectriicians/Plumbers AiaWWwUafv—woMmiesse Pri t I.e i t Na=(Ausiness/organiaatlon/lndmdual): SolarCit Corp. Addxess• 3055 Clearview Wad/ T� Cit /Stater/Za : San Mateo CA. 94402 Phone#: 888-765-2489 Are you-aa etmployer?Check the appropriate box: ^Type olproject(required): i.jZi am a employer with 5,000 4_ [] I am a general contraotor and 1 employees(full and/or part-time).* have hired the sub-contractors 6 New construction 2.0 1 ata a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees Those sub-contractors have g, Demolition -working for mein arty capacity. employees acid have workers' 9. wilding addition 1116 workers`comp, insurance comp,iasi ranca. required.] 5.[J We tzre a corporadott and its 10.0 Electrical repairs or additions 3.01 am a homeowner doing all'work offtaars have exercised their 11.Q.Plumbing repairs or additions iYoulf:(No workers'camp. Aghtof cx u*Vor,pw VtGL 12.C3 Roof repairs insurance rMquiredj t c. 152,§1(4),and we have no employees.[No workers' 13[DOther Solar/PV camp.fpsurance required.] *Any applicant that eheaks box#I must utso tilt out the section below showing their workers'compensation policy Information. 4 Homeowners who submit this a€ttdavh indiastixg they are doing all work and then hire outside eantrecto s must submit anew affidavit indicatingsua. :Contmwors that chock this box must attached on additional shoat showing the ma»e of the subcontractors and state whether or not those entities have employees. If the sub•confraotoishave imployces,they inust provide their workete camp pt)teynumber. Yant an employer that fs providing workers'compensadon.Insurancefor my dtttployees. Below Is tare policy acrd job site hrljbrmatiun. Insurance Company Mame., Zurich American Insurance Company Policy#or Self-ins.Lic.#: WC0182015-00 Expiration Date:9/1/2016 Job Site Address:__ ; S _ _ 'C'Ll C_V)'A 1'- e L-CtyAfi-- City/statcop:_N 0 (1h, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage its required under Stiction 25A of MOL o. 152 can food to the imposition of criminal penalties of a fine up to 51,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of tip to$250.00-a day against the violator. Be advised that a copy of this statement may be forAwded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby cent" the,pallis aiulperrall/es ofperjury tient the in,forruatlon provided above►s tare aitd correct -sign attire Phone t/: Official use 0)4y. Do stet writd in fids area,to he CVrntyteted by city or town oj)Mal. City or Tower: Permit/License# Issuing Authority(circle one). I.Board of Health 2,Rufiding Department 3.City/rown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person, Phone M }�C�1�i 1Da DATE(MMIDD/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 policy(les)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(leu of such endorsement s. PRODUCER CONTACT MARSH RISK& INSURANCE SERVICES PHONe _........_ ._. ._... .. .... FAX...._._ .._._ ....------.--- 346 CALIFORNIA STREET.SUITE 1300 AAI..NS..M;..... ..._.._ ..._ .._ ........... .. .._.. .�i!V�No}:.need.._.. ._......_...._......_.._ CALIFORNIA LICENSE N0.0437153 EMAIL SAN FRANCISCO,CA 94104 APP_89ft. ..... .... ........ deed.------- ed_.._._....-----• Ruin Shannon ScoU4157438334 INSURERS APFORD - _._..... t.f. .......INacavERat NAIc r need_......_.... ._......__.�.....-.__.-----.. 99830t-STNO-GAWUE-15 __ _ ._ _. _.....--_ _ _---. INSURER A:Zurich American insurance Company _ 16535 ..---•--_—_-_._ .. _.need...._ .... - - � - -- ....... ---- -.._...--I•---__ __._ ._.... INSURED INSURER B;N/A .- -. ".. ;N/A SolarCity Corporation 3055 Clearview Way _IHSIIRER C.:.N/A NIA San Mateo,CA 94402 INSURER-D:American Zurich Insurance Company A0142 •INSIrR�R E:... __..._.._.. deed----------. ._._..__.._.._ ._....�........... .... .. IN UR R P: COVERAGES CERTIFICATE NUMBER: SEA-002713836.06 REVISION NUMBER:A THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR-CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLiCY'EXP? LTR TYPEOFINSURANCE P LICYNUMBER I MIDDIYYYY MMIDDIYYYY ! LIMITS A IGL001821 -00101/2015 0A1120t6FCURRENCE _$_..... 3,060,000 CLAIMS-MADE .X.. OCCUR i PFREMf�ESIEaoccun4Ylre1._-g.....__._.._._.3,000,000 X SIR:$250,000 f...._MED.......EAOgg porsOn _5.000 .__.i................_ ..need_.. ........... ... , XP{. rty GENL AGGREGATE LIMIT APPLIES PER, I r GENERAL AGGREGATE Y S 3,000,000 I....., �_.. r need. .. .. . . .. ..�....... ......6,000,000 .X :POLICY;., PRO JECT LOC ( PRODUCTS-COMP/OP AGO :S 6,000.000 � i.... _._. ._ .... . iOTHER. A AUTOMOBILE LIABILITY `9AP0182017.00 '0910112015 09/01/2016 COMBINED SINGLE LIMIT :$ 5 0� :1F.0 acC:deDt)...... .. XANY AUTO I ;BODILY INJURY(Per person) :$ X..I ALL OWNED -.X SCHEDULED .._.. . _.. . ...de +.._......_ -..._.. .... -- }...d AUTOS F AUTOS BODILY INJURY IPer acddeM);fi X NON-OWNED 1'FtOPERTY DAMAGE + X 'HIREORUTOS AUTOS F_' :... i .. .._.... - ._.._..._..... i COMPICOLL DED: '$ $5,000 UMBRELLA LIAR E :OCCUR j EACH OCCURRENCE $ EXCESS LIAB ! _1...CLAIMS MADE ) AGGREGATE g. DED LRLTEMON$ I $ D WORKERS COMPENSATION :WC0t82014.00(AOS} ;09101/2015 09101/2016 X PTATU77 ' AND EMPLOYERS LIABILITY I A YI N I WC0182015.00(MA) :0910112015 0910112016 H ACCIDENT I g 1,000,000 ANY PROPRIETOR/PARTNERIEXECIrrIVE i I 'f L F1uC OFFICERIMEMSER EXCLUDED? ®NIA 1 F.:. __...... . __.._..... ...i... {Mandatory In NH) ` SWC DEDUCTIBLE:$500,000LE.L DISEASE•EA EMPLOYEil$ 1000,000 If yes,describe under I DESCRIPTION OF OPERATIONS below I E L DISEASE.POLICY LIMIT;S 100,000 I I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORR fel,Additions)Remarks Schedule,maybe attached If more space Is required) Evlddnca of Insurance. CERTIFICATE HOLDER CANCELLATION SolarCity Corporalion SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE: 3055 Clewilew Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA M02 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk a Insurance Services Charles Marmolejo - 01888.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014[01) The ACORD name and logo are registered marks of ACORD 1f.J� 41 /F' 0/ � Ofee of Consumer Affairs and Business usiness Regulation e ulation -' 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/8/2017 ASTRID BLANCO -_- 3055 CLEARVIEW WAY SAN MA`i'EO, CA 94402 _-_-- __ __.__.. __-_------ Update -__.Update Address and return card,Mark reason for change. SCA I 20%05 sr ( j Address i�"_) Renewal � EmPloyrnent [-] Lost Card ff bice of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation _>Registration: 908572 TYRO' 10 Park Plaza-Suite 5170 Expiration: 3/$!2017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION ASTRID BLANCO 24 ST MARTIN STREET BLD 2UNI �� 'WI-BOROUGH,MA 41752 Undersecretary Not valid without signature Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3fM12017 DAN FONZI 24 ST MARTIN STREET BLD 2UNIT 11 MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. Address � Renewal E] Em ployment Lost Card -Office of Consumer Affairs&Business Regulation License or registration valid for individul use only '�KOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer affairs and Business Regatation Registration: 168572 Type: 10 Park Plaza-Suite 5170 Expiration: 31812017 Supplement Cerci Boston,MA 02116 SOLAR CITY CORPORAT[ON DAN FONZI 3055 CLEARVIEW WAY SAN MATEO,CA 94402 Undersecretary Not valid without signature CS-1 D1687 13ANMLIlk FONZ[- 15 KELLEY RD WnXIINGTON KA, 01887 0911312016