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Baranowski Bldg Permit AppThe 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:$ Install 11.34kW DC solar on ground mount (28 panels). Trench 200 feet. 20 15 20256 36/40 148 Solar installation 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 NJ, ElectricalContractor business permit number34EB01547400 NJ, HIC reg. # 13VH01244300 For other jurisdictions, pleasevisit: http://www.trinity-solar.com/about-us/locations-and-licenses HOMEOWNERS AUTHORIZATION FORM I, , (print name) am the owner of the property located at address: . (print address) I hereby authorize Trinity Solar Inc.(“Trinity Solar”)and its employees, agents, and subcontractors, including without limitation, , to act as my Agent for the limited purpose of applyingfor and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System, Battery System, roofing or other Trinity Solar offerings located on my property, applying and obtaining permission and approval for interconnection with the electric utility company, and registration with any state and/or local incentive program(s). This authorization includesthetransfer/re-administering, and/or cancellation of any existing permits on file for thepurpose of updating/applying with an alternate subcontractor. Without limitationto thegenerality of theforegoing Ispecificallyauthorize TrinitySolar et al.to populate technical details, fill-in, edit, compile, attach drawings, plans, data sheets and other documentation to, date, submit, re-submit, revise, amend and modify application, submission and certificationdocuments(“ApprovalsPaperwork”),includingthoseforwhichsignaturepagesareincluded herewith for my signature, in furtherance ofthe relatedtransaction, and I am providing any signatures to Approvals Paperwork for purposes of the foregoing. Trinity Solar will provide copiesof Approvals Paperwork whensubmitted. My authorizations memorialized herein shall remain in full force and effect until revoked. I acknowledge that theseauthorizations are not required to proceed withthe transaction andare not a condition of the related agreement included herewithbut are being given for my own convenience and benefit inorder to expedite the approvals processes. ElectricUtility Company: ElectricUtilityAccountNo.: Name on Electric UtilityAccount: CustomerSignature PrintName Date Corporate Headquarters1-877-SUN-SAVES 2211AllenwoodRoadPh:732-780-3779 Wall,NewJersey07719 Fax:732-780-6671 www.trinity-solar.com FORINFORMATIONABOUTCONTRACTORSANDTHECONTRACTORS’REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. Glenda Baranowski March 30, 2023 219 Glendale Rd Florence, Massachusetts 01062 United States National Grid 2652150011 Ronald Baranowski Glenda Baranowski 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: ___________ INSTALLATION OF NEW ROOF MOUNTED PV SOLAR SYSTEM 219 GLENDALE RD FLORENCE, MA 01062 42.290913,-72.716662 GLENDALE RD P1 ISSUED TO TOWNSHIP FOR PERMIT 5/2/2023 NO.DESCRIPTION DATE BARANOWSKI, GLENDA- TRINITY ACCT #: 2023-03-847689 219 GLENDALE RD FLORENCE, MA 01062 42.290913,-72.716662 PROPOSED PV SOLAR SYSTEM DRAWING DATE:5/2/2023 DRAWN BY:KTD REVISED BY: DC SYSTEM SIZE:11.34kW AC SYSTEM SIZE:10kW MODULE COUNT:28 MODULES USED:HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:2652150011 UTILITY METER #:05108677 DEAL TYPE:SUNNOVA P1 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com IN BASEMENT OUTSIDE. OUTSIDE (UTILITY ACCESSIBLE)OUTSIDE. N S270 9013522545315P1 ISSUED TO TOWNSHIP FOR PERMIT 5/2/2023 NO.DESCRIPTION DATE BARANOWSKI, GLENDA- TRINITY ACCT #: 2023-03-847689 219 GLENDALE RD FLORENCE, MA 01062 42.290913,-72.716662 PROPOSED PV SOLAR SYSTEM DRAWING DATE:5/2/2023 DRAWN BY:KTD REVISED BY: DC SYSTEM SIZE:11.34kW AC SYSTEM SIZE:10kW MODULE COUNT:28 MODULES USED:HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:2652150011 UTILITY METER #:05108677 DEAL TYPE:SUNNOVA P136.0'148.3'40.9'256.1' D ep MDC AC UD GM 1 MODULES: 28 PITCH: 30 ORIENTATION: 180 42.290913,-72.716662 28 HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) 1 SE10000H-US000BEi4 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 P1 ISSUED TO TOWNSHIP FOR PERMIT 5/2/2023 NO.DESCRIPTION DATE BARANOWSKI, GLENDA- TRINITY ACCT #: 2023-03-847689 219 GLENDALE RD FLORENCE, MA 01062 42.290913,-72.716662 PROPOSED PV SOLAR SYSTEM DRAWING DATE:5/2/2023 DRAWN BY:KTD REVISED BY: DC SYSTEM SIZE:11.34kW AC SYSTEM SIZE:10kW MODULE COUNT:28 MODULES USED:HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:2652150011 UTILITY METER #:05108677 DEAL TYPE:SUNNOVA P14'-0"1'-0" MIN APPROX GRADE 3500 PSI OR GREATER POURED CONCRETE FOOTING GALVANIZED STEEL PIPE (REFER TO POST DESIGN IN THE MANUFACTURER SPECIFICATIONS)MINE-W SPAN/LEG SPACING (TYP)N-S LEG SPACING (TYP)(REFER TO MANUFACTURER SPECIFICATIONS FOR SPACING) CL CL CLCLINDICATES 1 PAIR OF LEGS. (REFER TO ARRAY CONFIGURATION FOR THE TOTAL AMOUNT OF PAIRS) CONCRETE FOOTING W/ GALVANIZED STEEL PIPE (REFER TO MANUFACTURERSPECIFICATIONS FOR SPACING)R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com 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 42.00A*1.25 = 52.50A AWG #6, DERATED AMPACITY AMBIENT TEMP: 30°C, TEMP DERATING: 1.0 RACEWAY DERATING <_ 3 CCC: N/A 75A*1.0 = 75A 75A >_ 52.50A, THEREFORE AC WIRE SIZE IS VALID CALCULATION FOR PV OVERCURRENT PROTECTION TOTAL INVERTER CURRENT: 42.00A 42.00A*1.25 = 52.50A --> 60A 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 INVERTER #1 - SE10000H-US000BEi4 DC AC Imp 27 Pout 10000 Vmp 400 Imax 42 Voc 480 OCPDmin 52.5 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 BH SQUARE D DU222RB 60A UNFUSED DISCONNECT ISOLATED NEUTRAL 240V 1Ø 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-#6 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND H 1 1/4" PVC W/ 2-#2 THWN-2, 1-#4 THWN-2, 1-#4 THWN-2 GROUND (TRENCHED APPROX. 200') 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-#6 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 1 ARRAY 28 - 405W MODULES W/ 1 SOLAR EDGE S440 PER MODULE 15 ADC MAX PER STRING 2 STRINGS OF 14 MODULES IN SERIES - 400 Vmax *2 STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER 1 f 8"x8" JUNCTION BOX NOTE: INTERNAL REVENUE GRADE MONITORING CONTAINED WITHIN SOLAR EDGE INVERTER SOLAR EDGE PN. RWND-3D-240-MB LOCKABLE 60A DISCONNECT FUSED W/ 60A FUSES SQUARE D PN: D222NRB ISOLATED NEUTRAL VV 1Ø GNEUTRAL EXISTING MAIN BREAKER LOAD CENTER MEXISTING 120/240V UTILITY METER 2p200AMAIN240V 1Ø 200A MAIN BREAKER 200A BUSBAR NEW TAP BOX INSULATED BARREL LUGS INSTALLED ON MAIN FEEDERS NEC 705.12(A) P1 ISSUED TO TOWNSHIP FOR PERMIT 5/2/2023 NO.DESCRIPTION DATE BARANOWSKI, GLENDA- TRINITY ACCT #: 2023-03-847689 219 GLENDALE RD FLORENCE, MA 01062 42.290913,-72.716662 PROPOSED PV SOLAR SYSTEM DRAWING DATE:5/2/2023 DRAWN BY:KTD REVISED BY: DC SYSTEM SIZE:11.34kW AC SYSTEM SIZE:10kW MODULE COUNT:28 MODULES USED:HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:2652150011 UTILITY METER #:05108677 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 VERSION: v2.3REVISION DATE: 12/9/20 INSTALLATION GUIDE INSTALLATIONFLASHING AND L FEET Installation of flashing and L feet • ClickFit for comp shingle roofs uses EcoFasten Solar’s GFl watertight flashing system • Other roof types may use different EcoFasten Solar attachments, see www.EcoFastenSolar.com for more information. Installation Steps: 1. Locate rafter lines. 2. Drill l/4” pilot holes at all attachment points and back fill using roof- compatible sealant. 3. Separate shingles where flashing is to be installed. Insert the flashing so the top portion is under the next row of shingles North. Ensure the flashing is pushed to the third-course of shingle to prevent water infiltration through the vertical joints between shingles. 4. Align GFl flashing hole with pilot hole. Insert the lag bolt with pre-installed bonded washer through the L foot and EPDM grommet. Tighten the lag bolt until a ring of EPDM is visible around the circumference of the bonded washer. Tighten the lag until fully seated. The EPDM Ring visual indicator is the most effective way to ensure a watertight seal. 1 2 3 *Note the orientation of the L foot and Clicker. The two Clicker “arms” should be facing downslope* PAGE 09