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BLDG & ELEC Permit AppsThe Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling FOR MUNICIPALITY USE Revised Mar 2011 This Section For Official Use Only Building Permit Number: _____________________ Date Applied: ______________________________ ___________________________________ ____________________________________________ ___________ Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: ____________________________________________ 1.1a Is this an accepted street? yes_____ no_____ 1.2 Assessors Map & Parcel Numbers _____________________ ____________________ Map Number Parcel Number 1.3 Zoning Information: _______________ ___________________ Zoning District Proposed Use 1.4 Property Dimensions: _____________________ ____________________ Lot Area (sq ft) Frontage (ft) 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c. 40, § 54) Public Private 1.7 Flood Zone Information: Zone: ___ Outside Flood Zone? Check if yes 1.8 Sewage Disposal System: Municipal On site disposal system SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner 1 of Record: ________________________________________ _________________________________________________ Name (Print) City, State, ZIP _____________________________________________ _________________ ___________________________________ No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction Existing Building Owner-Occupied Repairs(s) Alteration(s) Addition Demolition Accessory Bldg. Number of Units_____ Other Specify:________________________ Brief Description of Proposed Work2:_________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials)Official Use Only 1. Building $1. Building Permit Fee: $_______ Indicate how fee is determined: Standard City/Town Application Fee Total Project Cost3 (Item 6) x multiplier _______ x _______ 2. Other Fees: $_________ List:_________________________________________________ ____________________________________________________ Total All Fees: $_______________ Check No. ______Check Amount: _______Cash Amount:______ Paid in Full Outstanding Balance Due:__________ 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Suppression) $ 6. Total Project Cost:$ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) ________________________________________________________ Name of CSL Holder _________________________________________________________ No. and Street _________________________________________________________ City/Town, State, ZIP _________________________________________________________ __________________ ______________________________________ Telephone Email address _____________________ ______________ License Number Expiration Date List CSL Type (see below) _______________ Type Description U Unrestricted (Buildings up to 35,000 cu. ft.) R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation D Demolition 5.2 Registered Home Improvement Contractor (HIC) ______________________________________________________________ HIC Company Name or HIC Registrant Name ______________________________________________________________ No. and Street ________________________________________ ____________________ City/Town, State, ZIP Telephone _____________________ ______________ HIC Registration Number Expiration Date _______________________________________ Email address SECTION 6: WORKERS’ COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ……….  No ………..  SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER’S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property, hereby authorize_____________________________________________________ to act on my behalf, in all matters relative to work authorized by this building permit application. ______________________________________________________ ______________________ Print Owner’s Name (Electronic Signature) Date SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. _____________________________________________________________ ______________________ Print Owner’s or Authorized Agent’s Name (Electronic Signature) Date NOTES: 1.An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor (HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2.When substantial work is planned, provide the information below: Total floor area (sq. ft.) _________________________ (including garage, finished basement/attics, decks or porch) Gross living area (sq. ft.) __________________ Habitable room count ______________________ Number of fireplaces______________________ Number of bedrooms _____________________ Number of bathrooms ____________________ Number of half/baths ______________________ Type of heating system ___________________ Number of decks/ porches __________________ Type of cooling system_____________________ Enclosed ______________Open _____________ 3.“Total Project Square Footage” may be substituted for “Total Project Cost” Phil SmithPhil Smith 6 Torrey St6 Torrey St Easthampton, MA 01027Easthampton, MA 01027 413-203-9088 applications.westma@trinity-solar.com CS CS-108025 9/29/20234/22/2024 U Trinity Solar Inc DBA Trinity Solar 20 Patterson Brook Road - Unit 10 West Wareham MA 02576 413-203-9088 170355 10/11/202110/11/2023 applications.westma@trinity-solar.com Please See Attached X X X x x City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number ________________ is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ___________________________________________________ The debris will be transported by: Name of Hauler: ______________________________________________________ Signature of Applicant: __________________________________Date: ___________ Northampton, MA June 8, 2023 212 Main St. Northampton, MA 01060 Trinity Solar No. 795 Westhampton Road 2023-05-873591 Northampton, MA 01062 MA License No. 56687 RE: BLAIS, RAYMOND; RISER, ROSEANNE Trinity Solar | 4 Open Square Way, Suite 410 | Holyoke, MA | (413) 203-9088 To the Building Official: The following information constitutes a summary of the relevant design criteria and recommendations for the support of a new photovoltaic [PV] system on the existing roof framing components at the above-referenced location. Criteria is as follows: 1. Existing roof framing: Conventional roof framing at R1 is 4x6 at 24 o.c.; existing rafter span= 6' 6"; (horizontal projection) Conventional roof framing at R2 is 4x6 at 24 o.c.; existing rafter span= 14' 0"; (horizontal projection) Conventional roof framing at R4 is true 2x10 at 16 o.c.; existing rafter span= 13' 6"; (horizontal projection) Conventional roof framing at R14 is 2x8 at 16 o.c.; existing rafter span= 8' 0"; (horizontal projection) 2. Roof Loading: • 3.0psf dead load (pounds per square foot - PV panels, mounting rails & hardware) • 5.7psf - existing roof loads (1.7 psf - 4x6 framing, 1.5psf roof sheathing, 2.5 psf shingles) • 6.9psf - existing roof loads (2.9 psf - 2x10 framing, 1.5psf roof sheathing, 2.5 psf shingles) • 6.3psf - existing roof loads (2.3 psf - 2x8 framing, 1.5psf roof sheathing, 2.5 psf shingles) • Ground Snow Load - 40psf - per AHJ (Authority Having Jurisdiction) • Wind criteria - Exposure Category B, 117 mph wind 3. Existing Roof modification - none required; existing roof framing is acceptable for PV installation. This installation design is in general conformance with the manufacturers’ specifications and complies with all applicable laws, codes, and ordinances – specifically the International Building Code (2015 edition) and the International Residential Code (2015 edition), including all Massachusetts regulations and amendments. The spacing and fastening of the mounting brackets is a maximum of 48” o.c. between mounting brackets (staggered) and is secured using 5/16” diameter corrosive-resistant steel lag bolts. A minimum of 2½” of penetration (embedment) per lag bolt is required, which will resist all stated loads above – including wind shear. Per NDS Section 12.1.4, clearance holes - equal to the diameter of the shank - need to be bored into a primary framing member for the full-length of the threaded portion of the bolt to avoid splitting of the framing member. Regards, Ihor Bojcun, PE Structural Engineer - Trinity Solar INSTALLATION OF NEW ROOF MOUNTED PV SOLAR SYSTEM 795 WESTHAMPTON ROAD NORTHAMPTON, MA 01062 42.3006255,-72.7092244 WESTHAMPTON ROAD P1 ISSUED TO TOWNSHIP FOR PERMIT 6/12/2023 NO. DESCRIPTION DATE RISNER, ROSANNE- TRINITY ACCT #: 2023-05-873591 795 WESTHAMPTON ROAD NORTHAMPTON, MA 01062 42.3006255,-72.7092244 PROPOSED PV SOLAR SYSTEM DRAWING DATE:6/12/2023 DRAWN BY: RK REVISED BY: DC SYSTEM SIZE:8.505kW AC SYSTEM SIZE:7.6kW MODULE COUNT: 21 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #: 5145854007 UTILITY METER #: 46598741 DEAL TYPE: SUNNOVA P1 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com ROOF 1 MODULES: 4 PITCH: 45 ORIENTATION: 83 ROOF 2 MODULES: 7 PITCH: 45 ORIENTATION: 263 ROOF 3 MODULES: 0 PITCH: 37° ORIENTATION: 352° ROOF 4 MODULES: 8 PITCH: 45 ORIENTATION: 263 ROOF 5 MODULES: 0 PITCH: 34° ORIENTATION: 82° ROOF 6 MODULES: 0 PITCH: 34° ORIENTATION: 262° ROOF 7 MODULES: 0 PITCH: 37° ORIENTATION: 172° ROOF 8 MODULES: 0 PITCH: 14° ORIENTATION: 262° ROOF 9 MODULES: 0 PITCH: 14° ORIENTATION: 82° ROOF 10 MODULES: 0 PITCH: 10° ORIENTATION: 264° ROOF 11 MODULES: 0 PITCH: 18° ORIENTATION: 82° ROOF 12 MODULES: 0 PITCH: 18° ORIENTATION: 262° ROOF 13 MODULES: 0 PITCH: 34° ORIENTATION: 353° ROOF 14 MODULES: 2 PITCH: 34 ORIENTATION: 173 ROOF 15 MODULES: 0 PITCH: 10° ORIENTATION: 352° ROOF 16 MODULES: 0 PITCH: 43° ORIENTATION: 83° ROOF 17 MODULES: 0 PITCH: 34° ORIENTATION: 82° ROOF 18 MODULES: 0 PITCH: 34° ORIENTATION: 262° ROOF 19 MODULES: 0 PITCH: 45° ORIENTATION: 263° ROOF 20 MODULES: 0 PITCH: 27° ORIENTATION: 82° ROOF 21 MODULES: 0 PITCH: 27° ORIENTATION: 262° sp DC AC D ep M NS27090 1 3 5 22545315sp DC AC D ep M ***NOTE: DETACHED NONHABITABLE STRUCTURE EXEMPT FROM ROOFTOP SETBACKS PER 2021 NFPA 1 - 11.12.3.3.1.3 42.3006255,-72.7092244 21 HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) 1 SE7600H-US000BEi4 INSIDE OUTSIDE. OUTSIDE (UTILITY ACCESSIBLE)OUTSIDE. P1 ISSUED TO TOWNSHIP FOR PERMIT 6/12/2023 NO. DESCRIPTION DATE RISNER, ROSANNE- TRINITY ACCT #: 2023-05-873591 795 WESTHAMPTON ROAD NORTHAMPTON, MA 01062 42.3006255,-72.7092244 PROPOSED PV SOLAR SYSTEM DRAWING DATE:6/12/2023 DRAWN BY: RK REVISED BY: DC SYSTEM SIZE:8.505kW AC SYSTEM SIZE:7.6kW MODULE COUNT: 21 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #: 5145854007 UTILITY METER #: 46598741 DEAL TYPE: SUNNOVA P1 NOTES: 1.) ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS. 2.) 3.) ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION. ALL OUTDOOR EQUIPMENT SHALL BE RAIN TIGHT WITH MINIMUM NEMA 3R RATING. M UD SP P DC AC ep D DC R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com SD TS CALCULATIONS FOR CURRENT CARRYING CONDUCTORS REQUIRED CONDUCTOR AMPACITY PER STRING [NEC 690.8(B)(1)]: (15.00*1.25)1 = 18.75A AWG #10, DERATED AMPACITY AMBIENT TEMP: 33°C, TEMP DERATING FACTOR: .96 RACEWAY DERATING = 4 CCC: 0.80 (40*.96)0.80 = 30.72A 30.72A >_ 18.75A, THEREFORE WIRE SIZE IS VALID TOTAL AC REQUIRED CONDUCTOR AMPACITY 32.00A*1.25 = 40.00A AWG #8, DERATED AMPACITY AMBIENT TEMP: 30°C, TEMP DERATING: 1.0 RACEWAY DERATING <_ 3 CCC: N/A 55A*1.0 = 55A 55A >_ 40.00A, THEREFORE AC WIRE SIZE IS VALID CALCULATION FOR PV OVERCURRENT PROTECTION TOTAL INVERTER CURRENT: 32.00A 32.00A*1.25 = 40.00A --> 40A OVERCURRENT PROTECTION IS VALID ARRAY CIRCUIT WIRING NOTES 1.) LICENSED ELECTRICIAN ASSUMES ALL RESPONSIBILITY FOR DETERMINING ONSITE CONDITIONS AND EXECUTING INSTALLATION IN ACCORDANCE WITH NEC 2020 2.) LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON ASHRAE MINIMUM MEAN EXTREME DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION. LOWEST EXPECTED AMBIENT TEMP = -16°C 3.) HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED ON ASHRAE HIGHEST MONTH 2% DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP = 33°C 4.) 2005 ASHRAE FUNDAMENTALS 2% DESIGN TEMPERATURES DO NOT EXCEED 47°C IN THE UNITED STATES (PALM SPRINGS, CA IS 44.1°C). FOR LESS THAN 9 CURRENT-CARRYING CONDUCTORS IN A ROOF-MOUNTED SUNLIT CONDUIT AT LEAST 0.5" ABOVE ROOF AND USING THE OUTDOOR DESIGN TEMPERATURE OF 47°C OR LESS (ALL OF UNITED STATES) 5.) PV SYSTEM CIRCUITS INSTALLED ON OR IN BUILDINGS SHALL INCLUDE A RAPID SHUTDOWN FUNCTION THAT CONTROLS SPECIFIC CONDUCTORS IN ACCORDANCE WITH NEC 690.12(A) THROUGH (D) 6.) PHOTOVOLTAIC POWER SYSTEMS SHALL BE PERMITTED TO OPERATE WITH UNGROUNDED PHOTOVOLTAIC SOURCE AND OUTPUT CIRCUIT AS PER NEC 690.41 (A)(4) 7.) UNGROUNDED DC CIRCUIT CONDUCTORS SHALL BE IDENTIFIED WITH THE FOLLOWING OUTER FINISH: POSITIVE CONDUCTORS = RED NEGATIVE CONDUCTORS = BLACK NEC 210.5(C)(2) 8.) ARRAY AND SUB ARRAY CONDUCTORS SHALL BE #10 PV WIRE TYPE RHW-2 OR EQUIVELANT AND SHALL BE PROTECTED BY CONDUIT WHERE EXPOSED TO DIRECT SUNLIGHT. SUB ARRAY CONDUIT LONGER THAN 24” SHALL CONTAIN ≤ 20 CURRENT CARYING CONDUCTORS AND WHERE EXPOSED TO DIRECT SUNLIGHT SHALL CONTAIN ≤ 9 CURRENT CARRYING CONDUCTORS. 9.) ALL WIRE LENGTHS SHALL BE LESS THAN 100' UNLESS OTHERWISE NOTED 10.) FLEXIBLE CONDUIT SHALL NOT BE INSTALLED ON ROOFTOP AND SHALL BE LIMITED TO 12” IF USED OUTDOORS 11.)OVERCURRENT PROTECTION FOR CONDUCTORS CONNECTED TO THE SUPPLY SIDE OF A SERVICE SHALL BE LOCATED WITHIN 10' OF THE POINT OF CONNECTION NEC 690.9(A)(3)(2) 12.) WHERE TWO SOURCES FEED A BUSSBAR, ONE A UTILITY AND THE OTHER AN INVERTER, PV BACKFEED BREAKER(S) SHALL BE LOCATED OPPOSITE FROM UTILITY NEC 705.12(B)(3)(2) 13.) ALL SOLAR SYSTEM LOAD CENTERS TO CONTAIN ONLY GENERATION CIRCUITS AND NO UNUSED POSITIONS OR LOADS 14.) ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE A NEMA 3R RATING LOCKABLE 60A DISCONNECT FUSED W/ 40A FUSES SQUARE D PN: D222NRB ISOLATED NEUTRAL 240V 1Ø INVERTER #1 - SE7600H-US000BEi4 DC AC Imp 20 Pout 7600 Vmp 400 Imax 32 Voc 480 OCPDmin 40 Isc 30 Vnom 240 PV MODULE SPECIFICATIONS HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) Imp 10.83 Vmp 37.39 Voc 45.34 Isc 11.17 EG NOTE: INTERNAL REVENUE GRADE MONITORING CONTAINED WITHIN SOLAR EDGE INVERTER SOLAR EDGE PN. RWND-3D-240-MB A #6 THWN-2 GEC TO EXISTING GROUND ROD G 3/4'' CONDUIT W/ 2-#6 THWN-2, 1-#6 THWN-2, 1-#8 THWN-2 GROUND B 3/4'' CONDUIT W/ 2-#8 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND H 1" PVC W/ 2-#3 THWN-2, 1-#3 THWN-2, 1-#8 THWN-2 GROUND (TRENCHED APPROX. 20') C 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND D 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND E 3/4'' CONDUIT W/ 2-#8 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND F #10 PV WIRE (FREE AIR) W/ #6 BARE COPPER BOND TO ARRAY NOTE: CONDUIT TYPE SHALL BE CHOSEN BY THE INSTALLATION CONTRACTOR TO MEET OR EXCEED NEC AND LOCAL AHJD REQUIREMENTS INVERTER #1 PV+L1 L2 N PV-D SOLAR MODULES MOUNTED TO ROOF ON 4 ARRAYS 21 - 405W MODULES W/ 1 SOLAR EDGE S440 PER MODULE 15 ADC MAX PER STRING 1 STRING OF 10 MODULES IN SERIES - 400 Vmax 1 STRING OF 11 MODULES IN SERIES - 400 Vmax *2 STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER 1 f 8"x8" JUNCTION BOX C DC DISCONNECT NEUTRALMEXISTING 120/240V UTILITY METER 2p200AMAIN240V 1Ø 200A MAIN BREAKER 200A BUSBAR NEUTRAL2p100AMAIN240V 1Ø 100A MAIN BREAKER 100A BUSBAR EXISTING MAIN BREAKER LOAD CENTER H NEW MAIN BREAKER LOAD CENTER INSULATED LINE TAPS INSTALLED ON MAIN FEEDERS NEC 705.11 2p50A BREAKER FEEDING SUB P1 ISSUED TO TOWNSHIP FOR PERMIT 6/12/2023 NO. DESCRIPTION DATE RISNER, ROSANNE- TRINITY ACCT #: 2023-05-873591 795 WESTHAMPTON ROAD NORTHAMPTON, MA 01062 42.3006255,-72.7092244 PROPOSED PV SOLAR SYSTEM DRAWING DATE:6/12/2023 DRAWN BY: RK REVISED BY: DC SYSTEM SIZE:8.505kW AC SYSTEM SIZE:7.6kW MODULE COUNT: 21 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #: 5145854007 UTILITY METER #: 46598741 DEAL TYPE: SUNNOVA P1 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 5/26/2023 Arthur J.Gallagher Risk Management Services,LLC 4000 Midlantic Drive Suite 200 Mount Laurel NJ 08054 856-482-9900 856-482-1888 CherryHill.BSD.CertM@AJG.com Gotham Insurance Company 25569 TRINHEA-03 National Union Fire Insurance Company of Pittsburg 19445TrinitySolarInc. 4 Open Square Way,Suite 410 Holyoke,MA 01040 Endurance American Specialty Ins Co 41718 Liberty Insurance Underwriters Inc 19917 129732996 A X 2,000,000 X 100,000 5,000 1,000,000 2,000,000 X GL202100013378 6/1/2023 6/1/2024 2,000,000 B 2,000,000 X CA 2960145 6/1/2023 6/1/2024 A C D X 5,000,000 X EX202100001871 ELD30006989101 1000231834-06 6/1/2023 6/1/2023 6/1/2023 6/1/2024 6/1/2024 6/1/2024 5,000,000 Limit x of $5,000,000 19,000,000 B XWC135881076/1/2023 6/1/2024 1,000,000 1,000,000 1,000,000 B Automobile Comp/Collusion Ded.CA 2960145 6/1/2023 6/1/2024 All Other Units Truck-Tractors and Semi-Trailers $250/500 $250/500 Evidence of Insurance Evidence of Insurance APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 City or Town of: __________________________________ Date: ___________________ To the Inspector of Wires: By this application, the undersigned gives notices of his or her intention to perform the electrical work described below. Location (Street & Number): ____________________________________________ Unit No.: ________________________ Owner or Tenant: __________________________________________ Email: ____________________________________ Owner’s Address: ____________________________________________________ Phone No.: ______________________ Is this permit in conjunction with a building permit? (Check appropriate box) Yes No Permit No.:_________________ Purpose of Building: _____________________________________ Utility Authorization No.: ___________________ Existing Service: _____________ Amps _____/_____ Volts Overhead Underground No. of Meters: _____ New Service: _____________ Amps _____/_____ Volts Overhead Underground No. of Meters: _____ Description of Proposed Electrical Installation: _____________________________________________________________ ______________________________________________________________________________________________________ Completion of the following table may be waived by the Inspector of Wires. No. of Receptable Outlets: No. of Switches: Generator KW Rating: Type: No. Luminaires: No. of Recessed Luminaires: No. Wind Generators: Wind KW Rating: No. Appliances: KW: No. Water Heaters: KW: No. Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW: No. Heat Pumps: Total KW: Total Tons: Fire Alarm System No. of Devices: Swimming Pool: In-Grnd. Above-Grnd. Hot-Tub No. of Self-Contained Detection/Alerting Devices: No. Oil Burners: No. Gas Burners: Video System No. of Devices: No. Air Conditioners: Total Tons: Telecom System No. of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System No. of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No. of Modules: Roof-Mount Ground-Mount No. of Electric Vehicle Supply Equipment: Level 1 Level 2 Level 3 Rating: OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: _________________________________ (When required by municipal policy) Date Work to Start: _________________ Inspections to be requested in accordance with MEC Rule 10, and upon completion. FIRM NAME: ___________________________________________________ A-1 or C-1 LIC. No.: ____________ Master/Systems Licensee: __________________________________________ LIC. No.: __________________________ Journeyman Licensee: _____________________________________________ LIC. No.: __________________________ Security System Business requires a Division of Occupational Licensure “S” LIC. S-LIC. No.: __________________________ Address: ____________________________________________________________________________________________ Email: __________________________________________________________ Telephone No.: ________________________ I certify, under the pains and penalties of perjury, that the information on this application is true and complete. Licensee: ____________________________Print Name: ________________________________Cell. No.: _______________ INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability including “completed operation” coverage or its substantial equivalent. The undersigned certifies that such coverage is in force and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND OTHER Specify: _____________________________________ OWNER’S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the: (Check one) Owner Owner’s agent Owner / Agent: _______________________________________________ Tel. No.: ________________________________ Signature: ____________________________________________________ Email.: _________________________________ Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No.: __________________________ Occupancy and Fee Checked: ____________ [Rev. 1/2023] INSTALLATION OF NEW ROOF MOUNTED PV SOLAR SYSTEM 795 WESTHAMPTON ROAD NORTHAMPTON, MA 01062 42.3006255,-72.7092244 WESTHAMPTON ROAD P1 ISSUED TO TOWNSHIP FOR PERMIT 6/12/2023 NO. DESCRIPTION DATE RISNER, ROSANNE- TRINITY ACCT #: 2023-05-873591 795 WESTHAMPTON ROAD NORTHAMPTON, MA 01062 42.3006255,-72.7092244 PROPOSED PV SOLAR SYSTEM DRAWING DATE:6/12/2023 DRAWN BY: RK REVISED BY: DC SYSTEM SIZE:8.505kW AC SYSTEM SIZE:7.6kW MODULE COUNT: 21 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #: 5145854007 UTILITY METER #: 46598741 DEAL TYPE: SUNNOVA P1 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com ROOF 1 MODULES: 4 PITCH: 45 ORIENTATION: 83 ROOF 2 MODULES: 7 PITCH: 45 ORIENTATION: 263 ROOF 3 MODULES: 0 PITCH: 37° ORIENTATION: 352° ROOF 4 MODULES: 8 PITCH: 45 ORIENTATION: 263 ROOF 5 MODULES: 0 PITCH: 34° ORIENTATION: 82° ROOF 6 MODULES: 0 PITCH: 34° ORIENTATION: 262° ROOF 7 MODULES: 0 PITCH: 37° ORIENTATION: 172° ROOF 8 MODULES: 0 PITCH: 14° ORIENTATION: 262° ROOF 9 MODULES: 0 PITCH: 14° ORIENTATION: 82° ROOF 10 MODULES: 0 PITCH: 10° ORIENTATION: 264° ROOF 11 MODULES: 0 PITCH: 18° ORIENTATION: 82° ROOF 12 MODULES: 0 PITCH: 18° ORIENTATION: 262° ROOF 13 MODULES: 0 PITCH: 34° ORIENTATION: 353° ROOF 14 MODULES: 2 PITCH: 34 ORIENTATION: 173 ROOF 15 MODULES: 0 PITCH: 10° ORIENTATION: 352° ROOF 16 MODULES: 0 PITCH: 43° ORIENTATION: 83° ROOF 17 MODULES: 0 PITCH: 34° ORIENTATION: 82° ROOF 18 MODULES: 0 PITCH: 34° ORIENTATION: 262° ROOF 19 MODULES: 0 PITCH: 45° ORIENTATION: 263° ROOF 20 MODULES: 0 PITCH: 27° ORIENTATION: 82° ROOF 21 MODULES: 0 PITCH: 27° ORIENTATION: 262° sp DC AC D ep M NS27090 1 3 5 22545315sp DC AC D ep M ***NOTE: DETACHED NONHABITABLE STRUCTURE EXEMPT FROM ROOFTOP SETBACKS PER 2021 NFPA 1 - 11.12.3.3.1.3 42.3006255,-72.7092244 21 HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) 1 SE7600H-US000BEi4 INSIDE OUTSIDE. OUTSIDE (UTILITY ACCESSIBLE)OUTSIDE. P1 ISSUED TO TOWNSHIP FOR PERMIT 6/12/2023 NO. DESCRIPTION DATE RISNER, ROSANNE- TRINITY ACCT #: 2023-05-873591 795 WESTHAMPTON ROAD NORTHAMPTON, MA 01062 42.3006255,-72.7092244 PROPOSED PV SOLAR SYSTEM DRAWING DATE:6/12/2023 DRAWN BY: RK REVISED BY: DC SYSTEM SIZE:8.505kW AC SYSTEM SIZE:7.6kW MODULE COUNT: 21 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #: 5145854007 UTILITY METER #: 46598741 DEAL TYPE: SUNNOVA P1 NOTES: 1.) ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS. 2.) 3.) ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION. ALL OUTDOOR EQUIPMENT SHALL BE RAIN TIGHT WITH MINIMUM NEMA 3R RATING. M UD SP P DC AC ep D DC R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com SD TS CALCULATIONS FOR CURRENT CARRYING CONDUCTORS REQUIRED CONDUCTOR AMPACITY PER STRING [NEC 690.8(B)(1)]: (15.00*1.25)1 = 18.75A AWG #10, DERATED AMPACITY AMBIENT TEMP: 33°C, TEMP DERATING FACTOR: .96 RACEWAY DERATING = 4 CCC: 0.80 (40*.96)0.80 = 30.72A 30.72A >_ 18.75A, THEREFORE WIRE SIZE IS VALID TOTAL AC REQUIRED CONDUCTOR AMPACITY 32.00A*1.25 = 40.00A AWG #8, DERATED AMPACITY AMBIENT TEMP: 30°C, TEMP DERATING: 1.0 RACEWAY DERATING <_ 3 CCC: N/A 55A*1.0 = 55A 55A >_ 40.00A, THEREFORE AC WIRE SIZE IS VALID CALCULATION FOR PV OVERCURRENT PROTECTION TOTAL INVERTER CURRENT: 32.00A 32.00A*1.25 = 40.00A --> 40A OVERCURRENT PROTECTION IS VALID ARRAY CIRCUIT WIRING NOTES 1.) LICENSED ELECTRICIAN ASSUMES ALL RESPONSIBILITY FOR DETERMINING ONSITE CONDITIONS AND EXECUTING INSTALLATION IN ACCORDANCE WITH NEC 2020 2.) LOWEST EXPECTED AMBIENT TEMPERATURE BASED ON ASHRAE MINIMUM MEAN EXTREME DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION. LOWEST EXPECTED AMBIENT TEMP = -16°C 3.) HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED ON ASHRAE HIGHEST MONTH 2% DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP = 33°C 4.) 2005 ASHRAE FUNDAMENTALS 2% DESIGN TEMPERATURES DO NOT EXCEED 47°C IN THE UNITED STATES (PALM SPRINGS, CA IS 44.1°C). FOR LESS THAN 9 CURRENT-CARRYING CONDUCTORS IN A ROOF-MOUNTED SUNLIT CONDUIT AT LEAST 0.5" ABOVE ROOF AND USING THE OUTDOOR DESIGN TEMPERATURE OF 47°C OR LESS (ALL OF UNITED STATES) 5.) PV SYSTEM CIRCUITS INSTALLED ON OR IN BUILDINGS SHALL INCLUDE A RAPID SHUTDOWN FUNCTION THAT CONTROLS SPECIFIC CONDUCTORS IN ACCORDANCE WITH NEC 690.12(A) THROUGH (D) 6.) PHOTOVOLTAIC POWER SYSTEMS SHALL BE PERMITTED TO OPERATE WITH UNGROUNDED PHOTOVOLTAIC SOURCE AND OUTPUT CIRCUIT AS PER NEC 690.41 (A)(4) 7.) UNGROUNDED DC CIRCUIT CONDUCTORS SHALL BE IDENTIFIED WITH THE FOLLOWING OUTER FINISH: POSITIVE CONDUCTORS = RED NEGATIVE CONDUCTORS = BLACK NEC 210.5(C)(2) 8.) ARRAY AND SUB ARRAY CONDUCTORS SHALL BE #10 PV WIRE TYPE RHW-2 OR EQUIVELANT AND SHALL BE PROTECTED BY CONDUIT WHERE EXPOSED TO DIRECT SUNLIGHT. SUB ARRAY CONDUIT LONGER THAN 24” SHALL CONTAIN ≤ 20 CURRENT CARYING CONDUCTORS AND WHERE EXPOSED TO DIRECT SUNLIGHT SHALL CONTAIN ≤ 9 CURRENT CARRYING CONDUCTORS. 9.) ALL WIRE LENGTHS SHALL BE LESS THAN 100' UNLESS OTHERWISE NOTED 10.) FLEXIBLE CONDUIT SHALL NOT BE INSTALLED ON ROOFTOP AND SHALL BE LIMITED TO 12” IF USED OUTDOORS 11.)OVERCURRENT PROTECTION FOR CONDUCTORS CONNECTED TO THE SUPPLY SIDE OF A SERVICE SHALL BE LOCATED WITHIN 10' OF THE POINT OF CONNECTION NEC 690.9(A)(3)(2) 12.) WHERE TWO SOURCES FEED A BUSSBAR, ONE A UTILITY AND THE OTHER AN INVERTER, PV BACKFEED BREAKER(S) SHALL BE LOCATED OPPOSITE FROM UTILITY NEC 705.12(B)(3)(2) 13.) ALL SOLAR SYSTEM LOAD CENTERS TO CONTAIN ONLY GENERATION CIRCUITS AND NO UNUSED POSITIONS OR LOADS 14.) ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE A NEMA 3R RATING LOCKABLE 60A DISCONNECT FUSED W/ 40A FUSES SQUARE D PN: D222NRB ISOLATED NEUTRAL 240V 1Ø INVERTER #1 - SE7600H-US000BEi4 DC AC Imp 20 Pout 7600 Vmp 400 Imax 32 Voc 480 OCPDmin 40 Isc 30 Vnom 240 PV MODULE SPECIFICATIONS HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) Imp 10.83 Vmp 37.39 Voc 45.34 Isc 11.17 EG NOTE: INTERNAL REVENUE GRADE MONITORING CONTAINED WITHIN SOLAR EDGE INVERTER SOLAR EDGE PN. RWND-3D-240-MB A #6 THWN-2 GEC TO EXISTING GROUND ROD G 3/4'' CONDUIT W/ 2-#6 THWN-2, 1-#6 THWN-2, 1-#8 THWN-2 GROUND B 3/4'' CONDUIT W/ 2-#8 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND H 1" PVC W/ 2-#3 THWN-2, 1-#3 THWN-2, 1-#8 THWN-2 GROUND (TRENCHED APPROX. 20') C 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND D 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND E 3/4'' CONDUIT W/ 2-#8 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND F #10 PV WIRE (FREE AIR) W/ #6 BARE COPPER BOND TO ARRAY NOTE: CONDUIT TYPE SHALL BE CHOSEN BY THE INSTALLATION CONTRACTOR TO MEET OR EXCEED NEC AND LOCAL AHJD REQUIREMENTS INVERTER #1 PV+L1 L2 N PV-D SOLAR MODULES MOUNTED TO ROOF ON 4 ARRAYS 21 - 405W MODULES W/ 1 SOLAR EDGE S440 PER MODULE 15 ADC MAX PER STRING 1 STRING OF 10 MODULES IN SERIES - 400 Vmax 1 STRING OF 11 MODULES IN SERIES - 400 Vmax *2 STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER 1 f 8"x8" JUNCTION BOX C DC DISCONNECT NEUTRALMEXISTING 120/240V UTILITY METER 2p200AMAIN240V 1Ø 200A MAIN BREAKER 200A BUSBAR NEUTRAL2p100AMAIN240V 1Ø 100A MAIN BREAKER 100A BUSBAR EXISTING MAIN BREAKER LOAD CENTER H NEW MAIN BREAKER LOAD CENTER INSULATED LINE TAPS INSTALLED ON MAIN FEEDERS NEC 705.11 2p50A BREAKER FEEDING SUB P1 ISSUED TO TOWNSHIP FOR PERMIT 6/12/2023 NO. DESCRIPTION DATE RISNER, ROSANNE- TRINITY ACCT #: 2023-05-873591 795 WESTHAMPTON ROAD NORTHAMPTON, MA 01062 42.3006255,-72.7092244 PROPOSED PV SOLAR SYSTEM DRAWING DATE:6/12/2023 DRAWN BY: RK REVISED BY: DC SYSTEM SIZE:8.505kW AC SYSTEM SIZE:7.6kW MODULE COUNT: 21 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #: 5145854007 UTILITY METER #: 46598741 DEAL TYPE: SUNNOVA P1 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER: $ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 10/3/2022 (802) 234-6215 12294 Apex Energy Tek LLC 11 B Solar Drive Clifton Park, NY 12065 10677 10510 35378 A 1,000,000 PK202200025980 8/1/2022 8/1/2023 100,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000B EBA 0661449 8/1/2022 8/1/2023 3,000,000A EX202200002656 8/17/2022 8/1/2023 3,000,000 C CCWC363001 8/1/2022 8/1/2023 1,000,000 N 1,000,000 1,000,000 D Excess Liability MKLV1EUE101144 8/17/2022 $2MM OCC/$2MM AGG 2,000,000 B Excess Auto Liab EXS0662909 8/17/2022 8/1/2023 $5MM OCC/$5MM AGG 5,000,000 General Certificate of Insurance Trinity Heating & Air Inc dba Trinity Solar 2211 Allenwood Road Wall Township, NJ 7719 APEXENE-01 SAVANAHFELLOWS NFP Property & Casualty Services, Inc. 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