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10-004 (2) SOLAR NfBP-2018-00160 GIS#: COMMONWEALTH OF MASSACHUSETTS MJS-2018-000226 CITY OF NORTHAMPTON Ma2-Block:Lot PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS _ Permit:13pilding DO NOT HAVE ACCESS TO THE GUARANTY FUND(MGL c.142A) BUILDING PERMIT. Permit# N413P-2018-00160 Proj ec t# MJS-2018-000226 Est.Cost: 5051 Fec:75 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(% ft.): Owner: Gretchen Brockmegar Zoning WSP Applicant: John Jalbert AT. SOLAR Applicant Address: Phone: Insurance: 150 PADGETTE ST UNIT B (413)331-0769 3776500117en CHICOPEE,MA 01022 ISSUED ON: 0811512017 TO PERFORM THE FOLLOWING WORK. 41 Panels. 11.48KW POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate ofOccupancy Signature: FeeType: Date Paid: Amount: Check Number: Building 08/11/2017 75 6356 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck--Building Commissioner File#MBP-2018-00160 APPLICANT/CONTACT PERSON: V1VlNT SOLAR DEVELOPER LLC AD 150 PADGETTE ST UNIT B CHICOPEE,MA 01022(413)331-0769 PROPERTY LOCATION MAP:LOT. ZONE uec* THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ZONING FORM FILLED OUT ENI� SED REQUIRED DATE Fee Paid $75.00 Buildina Permit Filled out Fee Paid $75.00 TypeofConstruction: 41 Panels. 11.48KN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildiniz Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF TION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR_ Special Permit With Site Plan ZONING BOARD PERNUT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: —Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health —Permit from Conservation Commission —Permit from CB Architecture Committee —Permit from Elm Street Commission Permit DPW Storm Water Management —Demolition Delay Signature of Building Official Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. Department use only r Ci'�y o Northampton Status of Permit: Bl ildirg Department Curb Cut/Driveway Permit -212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability. Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 14=oj'7 Me(�� , Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of ecord: a Name(Print) C ailin s Telep one Signature 2.2 Authorized Agent: Savina Cervone 150 Padgette St, Chicopee, MA 01022 N/�) _ Current Mailing Address: ,k A 413-331-0769 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 4 5,afY (a)Building Permit Fee 2. Electrical n n'C904 ^ (b) Estimated Total Cost of (,J Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building CommissionerlInspector of Buildings Date t Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO a DON'T KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained 0 , Date Issued: C. Do any signs exist on the property? YES ® NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO O IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 6-DESCRIPTION OF PROPOSED WORK(check all applicable) New House F� Addition ❑ Replacement Windows Roofing El Or Doors M Accessory Bldg. El Demolition El New Signs (0] Decks [0 Siding[0] Other[01 Brief Description of Proposed Work: Installation of roof mounted Motovol wic ars 34st�nis#of modules 411 11.4e kW rf):�N/ Perm It (5t) n iteration ol axis ting�edroom Yef? 0*1 L go Adding new bedroom V"Ie'es Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6aJf New house and or addition to existing housing, complete the following: a. Use of building :One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain-Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank_ City Sewer_ Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 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. Signature of Owner Date I, Vivint Solar Developer as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Signed under the pains and penalties of perjury, Savina Cervone Print me AAA �Ifv'MJL— ahohrl Siglrgulre of-owner/Agent Date I SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: John A Jalbert CS070940 License Number 150 Padgette St Unit B, Chicopee,MA 01022 03/25/2017 Address Expiration Date c z- 4 413-331-0769 ature Telephone 9.Registered Home Improvement Contractor: Not Applicable 0 VIVINT SOLAR DEVELOPER, LLC/John A Jalbert 170848 Company Name Registration Number 1800 W Ashton Blvd. Lehi UT 84043 1/5/2018 Address Expiration Date Telephone 413-331-0769 SECTION 10-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....... 0 No...... 0 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildlina permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,You may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts - ----- r>f- Department of Industrial Accidents = ' ( I Congress Street,Suite 100 Boston, MA 02114-2017 www.mass.govldia t�orkers'Compensation Insurance Affidavit:Builders/ContractorsMectricians!Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Let=_ibly Name (Business/Organization/individual):Vivint Solar Developer LLC Address:1800 W Ashton Blvd City/State/Zip:Lehi, UT Phone#:855-877-2974 Are you an employer?Check the appropriate box: Type of project(required): I(D I am a employer with 217 employees(full and/or part-time).* 7. ❑New construction 2.❑I atn a sole proprietor or partnership and have no employees working for me in g, ❑Remodeling any capacity.[No workers'comp.insurance required] 9. El Demolition 3.O 1 am a homeowner doing all work myself.[No workers'comp.insurance required.)t 10 0 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property t will ensure that all contractors either have workers'compensation insurance or are sole I I Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5❑1 am a general contractor and f have hired the sub-contractors listed on the attached sheet. 1 ❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.) *Any applicant that checks box#I must also GU out the section below showing their workers'compensation policy information. I 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins.Lic.#:WC509601302 Expiration Date:11/01/17 Job Site Address City/State/Zip: /Pe,(4,,3. i�A Attach a copy of the workers'compensation VKhey declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify, d aitrs'a o rjury that the information provided above is true and correct Si nature: _. Date: le Phone#:855-877- 4 Oficial 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#: ® DATE(MMIDDIYYYY) ACORL7 CERTIFICATE 4F LIABILITY INSURANCE 01/19/2017 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 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). CONTACT PRODUCERAME NAME: _.... MARSH USA INC. PHONE FAX C 122517TH STREET,SUITE 1300 Ext1 A1C Not: DENVER,CO 80202-5534 E-MAIL AODREss:, Attn:Denver.CertRequest@marsh.com Fax:212-948-4381 _.._.—. -- — INSURrRIS1 AFFORDING COVERAGE NAIC# INSURER A:Axis Specialty Europe INSURED u INSURER B:Zurich American Insurance Company 16535 Vivint Solar,Inc. T Vivint Solar Developer LLC INSURER c:American Zurich insurance Company 40142 Vivint Solar Provider LLC INSURER D:N/A NIA 1800 W.Ashton Blvd. Lehi,UT 84043 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002920387-14 REVISION NUMBER:4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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.POLICYEXP — INSR TYPE OF INSURANCE D L SUER POLICY NUMBER MWDDlYYYY MWDDDIYYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY 37765GO117EN 01/29/2017 11/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE LLI OCCUR PREMISES(Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,W0,000 X PODGY JECT PRO- El LOC PRODUCTS-COMP/OP AGG $ 1,000,(100 $ OTHER: B AUTOMOBILE LIABILITY BAP509601502 11101!2016 11/01(2017 COMBINED SINGLE LIMITEa accident) $ ,. 1,000,000 X ANY AUTO BODILY INJURY(Per person) $� ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident) Comp/CollOed $ 1,000 A X UMBRELLA LIAR X OCCUR 3776500217EN 01/29/2017 11/01/2018 EACH OCCURRENCE — $ u 5,000,000 X EXCESSSLIAB CLAIMS-MADE GL Only AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION WC509601302 11/01/2016 11/01/2017 X STATUTE OTH _ AND EMPLOYERS'LIABILITY Y i N AZ,CA,CT,FL,HI,MA,MD,NJ, E1,000,000 ANY PROPRIETORlPARTNERtEXECUTIVE IN NIA A .L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ,NY,PA,SC,TX,UT 1,000,000 (Mandatory in NH) NME.L.DISEASE-EA EMPLOYE $ B If yes,descrbe under WC509601402 MA 11/01/2016 11/01/2017 1,000,000 DESCRIPTION OF OPERATIONS below { E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 212 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton,MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.ParsloetKyClriii�jlr f52t¢lsc O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1800 W Ashton Blvd. e Lehi, UT 84043 Structural Group Jon P. Ward, SE, PE J. Matthew Walsh, SE, PE Clint C. Karren, PE Structural Engineering Manager Senior Structural Engineering Manager Structural Engineering Manager ion.ward(pvivintsolar.com james.walshOa vivintsolar.com clint.karrenCa)vivintso/ar.com July 24, 2017 Re: Structural Engineering Services Brockmeyer'Residence 357 Kennedy Rd, Leeds, MA S-5702745; MA-04 To Whom It May Concern: We have reviewed the following information regarding,solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a representative from our office under my supervision identifying specific site information including size and spacing of members for the existing roof structure. 2. Proposed layout of the system including connection details for the solar panels. 3. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information, we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: A. Description of Residence: The existing residence is typical wood framing construction with a maximum of two layers of composite shingle roofing. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir#2 or better with standard construction components and consists of the following: • Roof Section 1: Dimensional lumber - assumed 2x6 at 16" on center with interior wall supports 8' from the ridge. The attic space is finished and photos indicate that there was not free access to visually inspect the size and condition of the roof members. The interior horizontal length of the rafter used for design verification is 16.28'with an additional V eave. • Roof Section 2: Dimensional lumber- 2x6 at 16"on center and 2x4 collar ties at 32"on center. The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof members. The interior horizontal length of the rafter used for design verification is 14.26' with an additional 1' eave. Based on the span of the existing rafters for this roof section, a structural upgrade is required to strengthen the roof system. Select from options presented in paragraph C below, and locate the upgrade between 2.4'and 11.6'from the ridge. • Roof Section 3: Dimensional lumber- 2x6 at 16"on center and 2x4 collar ties at 32" on center. The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof members. The interior horizontal length of the rafter used for design verification is 14.26' with an additional V eave. Based on the span of the existing rafters for this roof section, a structural upgrade is required to strengthen the roof system. Select from options presented in paragraph C below, and locate the upgrade between 2.4'and 11.6'from the ridge. • Roof Section 4: Dimensional lumber - assumed 2x6 at 16" on center. The attic space is finished and photos indicate that there was not free access to visually inspect the size and condition of the roof members. The interior horizontal length of the rafter used for design verification is 10.21' with an additional V eave. Page 1 of vivint, Page 2 of 3 B. Loading Criteria 9.13 PSF= Dead Load (roofing/framing) 2.59 PSF= Dead Load (solar panels/mounting hardware) 11.72 PSF=Total Dead Load 50 PSF=Ground Snow Load (based on local requirements) Wind speed of 90 mph (based on Exposure Category B-the total area subject to wind uplift is calculated for the Interior, Edge, and Corner Zones of the dwelling.) C. Approved Structural Upgrade Options The method of strengthening the roof shall be determined by the Licensed Construction Supervisor(CSL) under my direction and based on actual field conditions such as access to the attic and location of load bearing walls, and shall be chosen from the following options: 1. Knee wall or purlin constructed of either 2x4's or 2x6's with top and bottom plates attached to the rafters and attic joists respectively, shall be built in the attic. The top plate of the support shall be as described above. The bottom plate shall be within 12" of a parallel load bearing wall below the attic. The maximum permitted angle of the knee wall or purlin struts shall be 45 degrees from vertical. 2. Full length sistered rafters shall be installed from the ridge to the exterior wall same size as the existing rafters. The sistered rafters shall have 2 rows of 10 penny nails or #8 x 2 '/z" wood screws at 18" on center. The rows shall be staggered by 9". One splice in the new rafter may be permitted if plywood mending plates (min 24" in length) are installed on both sides of the rafter with 3/8" carriage bolts. Minimum of 2 bolts are required on both sides of the butt joint with construction adhesive utilized. D.Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent"Unirac, Inc. Installation Manual", which can be found on the Unirac, Inc. website (www.unirac.com). If during solar panel installation, the roof framing members appear unstable or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. The solar panels are 11/2" thick and mounted 41/2' off the roof for a total height off the existing roof of 6". At no time will the panels be mounted higher than 6" above the existing plane of the roof. 3. Maximum allowable pullout per lag screw is 205 lbs/inch of penetration as identified in the National Design Specifications (NDS) of timber construction specifications for Spruce-Pine-Fir. Based on our evaluation, the pullout value, utilizing a penetration depth of 21/2", is less than the maximum allowable per connection and therefore is adequate. 4. The maximum allowed spacing was calculated for the Wind Speed shown in paragraph A above, using the wind load uplift procedures of ASCE 7-10 and is specified below. The following values have been verified by in- house testing and the mounting hardware manufacturers' data, which are available upon request. Panel support connections shall be staggered to distribute load to adjacent members. Modules in Landscape Modules in Portrait Roof Zone Interior Ede Corner Interior Ede Corner Max Vertical Spacing On 40 40 40 66 66 66 Max Horizontal Spacing in 72 72 72 48 48 48 Max Uplift Load Obs 159 131 125 268 221 210 1ft viint: ' / ~ Page 3 {f3 E.Summary Based on the above evaluation,with the structural upgrade installed as prescribed and appropriate panelanchors being utilized,the roof system designed qnwill adequately support the additional loading imposed by the solar oanmo' ifinctaUodoorreoUy.This eva|uadonioinconformance v�ththe 2000International Roaidenda| Code with 'Massachusetts Amendments, current industry standards and practice, and the information supplied to us at the time of this report. If there are any questions regarding the above, or if more information is required, please contactmo. OF Regards, Jon P. Ward, SE, PE AR K8ALicense No.52584 140. 525 — NA pry T ������������ �� � n� �� ��w ce of Consumer At€airs&Business Regulation re ME IfSPROVEMENT CONTRACTOR egistration: 170848 Type: p, f. Expiration: 1/512018 Supplement Card VIVINT SOLAR DEVELOPER ILC, JOHN JALBERT 3301 N THANKSGIVING W k'Y SUI ---- Mt rZJT 84043 Undersecretary Massachusetts Oepsrtment of PWNic Safety Board of Building Regulations and Standerde Licanee: CS-070W :onstruct on Supervisor e; J004N A JAt W*T 24 RATTLE FffLL R011, SOUTHAMPTON MA f !�c. •�' Expiration: COmmissioner 0313612018 �4 .X LoonzL08£#'oaVhl!ign WdUcGIOLILUL"41onIsel ra, 6-0 S4LZQLS £SOLOVW'spaal ��.r' ` p� b5EaGi 3SN3�Il VW W W ��'�d F W 11 1 1� pZ{�ipaUUBJ!LC�'�` �. . ■•■ 6ZL9404'GLH't'il38WtiN 233ilVtSNI 2 4 3.11$ 'L 2 fl.Y /td auap!saa 3a(aw�oo3a MOS MAIA H3TiMM Z 0 z �w i " za za 3a' ,z o wx E9 5i I 7i Q a> z 4 o ❑ oa ® ® ® U) 9 W � U) J Q a u) F------------------------------------------� I � j I — I t ❑ I t L-----------------------------------------J C90 W VVY spaa-1 "M APODUOA L9C w _ wx 0w r a r {J ,� }aYgdj� °wit zogows zrcUn Nodaraaa UCgit t G3 oVi ggYf Co�a/02EaIE-ao, �LL° KW a zz. a w�s q R ggY ! w -� w9' q10 a �� af « ..« ^ \ / � m wI , _z�2 . Sil� # �®� � � | | \k 'n w (k&zad m @� m m {_ a e7 § R§ \ aF _ - =\ e ! $2 > ° ! \ ) � - ` � § - ! $ 5 \ E ` / IE q � \ \ \ § / \ ` } U \ � 2 ) z ;( b \ \ . \\ \ \ \ \ LU \ � LL !k , \ i ) E = 2 ! ) \ \ \ \ ). \ UN \ k e \ / 0 \ ° / 77 \ \ U- uj� \ \ �2 me - } =uz ® } ° CV i00ZSZL08£:iunmov Aimin LT(TZ(L:paieaj) SVLZOLS ESOL VW'SO331 �y 6S£OLT 3SN3�11 VW aped (14 A03NN3)1 LSE ' U 6Ziti'404'LLS'T N39WfiN U311tl15NI w � sa;aµ y � Z'3 a:)uaplsay jaAawMiojq • s MVIOSINIAIA 213 ISNI z z E v Y " o m E u o m m E 3 a U B E jp L C N C iV @ A:E O 11 v U p a f3'i E v m y «O V (^ u Y ro S v E X ° — a= c =�n �i 0 t7 U d a b o O L VI « E w L c Q' ID .0 a !r _a m ° 3 y a m d O Z,,v- O d O M Ci m E M E 5 u E'm m E 0 ^ « c 43 $ n a.° a a X R E @ 6 m b ZK m T p >� C'x m u m u m E X u od C o °,c'c t m a y '� 0 ti 0 ro a 12 v V v s YO YO « > > O M� � u c � �u u ry u o' o O= N O w II` b0 CA fO o u m v`i ° O C ° � ° T o mocE0a'+Tnio�E, d °o �o 'o m Q > > Q Q E o O m d > d p a u a W O 0 Y m 3" ry @ U U m @ @ n o E E -_5 2: -Om = cr6 > c vm> 'v u m v v = fb '�° E v a o@ °' o u m axO1 ai a o y u �, a m > > a d c m Z E `° v v o x o E Y c E ❑ @ ti n c *. c w%n a c v o inn° c.r 3; Z x � � ~ 5 a a `�-°m m QQ g o V = O O O = N fh C c u v Z w �Z m t L N E O N GO t u N aE E 0 ° m3 > a ¢ vo3' > aaa Q O & �o O 7;,77 Vwl O of O V1 C +� '«O - m f N c o N .9 D = E ❑ C m a v m c v w U w c u c -0 n c c 0 O ❑ O ❑ ❑ � � V d V ❑ vii � �� E a- a¢ Qa The Notice of Cancellation may be sent to this address: 1800 W Ashton Blvd, UT 84043 vivintSolar support@vfvintsolar.com I www.vivintsolar.com Phone: 877.404.4129 1 Fax: 801.765.5758 RESIDENTIAL SOLAR ENERGY SYSTEM PURCHASE AGREEMENT CUSTOMER NAME AND CONTACT INFORMATION : Name(s): Gretchen Brockmeyer Primary Phone: (413)478-7766 Marjorie Osherow Account No: 5702745 E-mail: gbrockme@comcast.net Sale of Environmental Attributes Opt-in(Exhibit E): INSTALLATION AND SYSTEM INFORMATION : 0 @ Property Address: 357 KENNEDY RD System Size: 11.480 kW DC Leeds MA 01053 Approximate Installation Start Date and Approximate Completion Date: 2018-01-21 OUR PROMISES: YOUR COMMITMENT: . We will design,install, monitor and maintain the * Pay the Contract Price to purchase the System. System. 0 Ensure that Your Property and roof are in good . The solar panel manufacturer provides a 25-year linear condition. performance warranty,and the inverter manufacturer . Respond to Our sales and support teams when provides a 20-year workmanship warranty. scheduling and completing paperwork. . We will fix or pay for any damage We may cause to * Continue service with Your Utility for any energy Your Property or belongings. used above and beyond the System's production. . We will not place a lien on Your Property. ADMINISTRATIVE AND WARRANTY SUPPORT You may cancel this contract at any time SERVICES, AND MAINTENANCE SERVICES: before midnight of the third business day . We will remotely monitor the System and provide after the Transaction Date, or prior to warranty and customer support for up to 20 years. commencement of work at or near Your . We will provide operating support and repair or replace Property associated with installation of certain System components for up to 10 years. Your System, whichever is later. . You will need to comply with all terms of the Agreement, maintain a broadband internet connection,give Us access to Your Property,and notify Us if You sell Your Property. Vivint Solar Developer, LLC(EIN: 80-07564383 is a licensed contractor in each state in which we operate,for information about our licenses please visit http://www.vivintsolar.com/licenses. 'WE MAY HAVE PRESCREENED YOUR CREDIT PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TOSTOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM USAND OTHER COMPANIES BY CALLING TOLL-FREE 888.567.8688. SEE PRESCREEN&OPT-OUT NOTICE BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. SIGNATURE PAGE AND NOTICE TO CUSTOMERS A. INCORPORATED DOCUMENTS. These documents performance and payment bond. are incorporated into this Agreement and apply tothe relationship between You and Us: /1\ Residential Solar H. CUSTOhAEWS RIGHT TOCANCEL.YOU MAY CANCEL Energy System Purchase Agreement, (2) Exhibit A: THIS CONTRACT ATANY TIME BEFORE THE LATER OF: Notice ofCancellation, (3) Exhibit B: State Notices and (1) MIDNIGHT OF THE THIRD (3RD) BUSINESS D/Vf Disclosures, (4) Exhibit[: Our Insurance, (5) Exhibit D: AFTER THE TRANSACTION [ATE OR(11)THE START OF System Interests, (6) Exhibit E: Sale of Environmental ANY WORK ATQR NEAR YOUR PROPERTY ASSOCIATED Attributes; (7) [Customer Packet]; and (8) Change WITH INSTALLATION OFTHE SYSTEM. |FYOU WISH T8 Order(s). CANCEL THIS AGREEMENT, YOU MUST EITHER: B. WE HAVE NOT GUARANTEED, PROMISED OR (1)SEND A SIGNED AND DATED WRITTEN NOTICE OF OTHERWISE REPRESENTED ANY REDUCTION IN CANCELLATION 8YREGISTERED OR CERTIFIED &H4.|L, ELECTRICITY COSTS|mRELATION TOTHE SYSTEM THAT RETURN RECEIPT REQUESTED; OR (2) PERSONALLY WILL BE INSTALLED OMYOUR PROPERTY. DELIVER A SIGNED AND DATED WRITTEN NOTICE OF C. |T|5NOT LEGAL FOR USTOENTER YOUR PREMISES CANCELLATION TO: \y>V|NTS]iAR DEVELOPER, LLC UNLAWFULLY OR C{]MK4|T ANY BREACH OF THE 1800 VV ASHlON BLVD, UEH|^ UT 84043, ATTN: PEACE TO REMOVE GOODS INSTALLED UNDER THIS PROCESSING DEPARTMENT. IF YOU CANCEL THIS AGREEMENT. CONTRACT WITHIN SUCH PERIOD, YOU ARE ENTITLED D. DO NOT SIGN THIS AGREEMENT BEFORE YOU TOAFULL REFUND OFYOUR MONEY. REFUNDS MUST HAVE READ ALL[)FITS PAGES. You acknowledge that BEMADE WITHIN TEN /10\ DAYS OFOUR RECEIPT OF You have read and received a legible ropy of this THE CANCELLATION NOTICE. BEE THE NOTICE OF Agreement,that VVehave signed it, and that You have CANCELLATION IN EXHIBIT A FOR/\NEXPLANATION OF read and received a legible copy of every document THIS RIGHT. OO NOT SIGN BELOW UNLESS WE HAVE that VVehave signed during the negotiation. GIVEN YOU THE"NOTICE OFCANCELLATON°. E YOU RISK THE LOSS OF ANY PAYMENTS MADE TO |. You may not terminate this Agreement after the ASALES REPRESENTATIVE. later of:U\midnight ufthe third(3nd)business day after F. DO NOT SIGN THIS AGREEMENT IF THIS the transaction date, or (ii)the start cf any work ator AGREEMENT CONTAINS ANY BLANK SPACES. You are near Your Property associated with installation ofthe entitled to m completely filled in copy of this System. |fYou seek tmcancel thereafter,then You will Agreement, signed 6vboth You and Us, before any forfeit any amounts previously paid and You may owe work may bestarted. Us the Default Payment. G. You have the right to require Us to have a V|V|NTSOLAR DEVELOPER, LLC CUSTOMER(S): Signature: Signature: ' Printed Name: Margaret Blair Printed Name: Gretchen BrOCkmOeVer 205063 Jul 21, 2017 Salesperson No.: Date: Date: Jul 21. 2017 Signature: PrinuedNome: Marjorie Osherow Date: Jul 21' 2017 • solar=e SolarEdge Power Optimizer Module Add-On For North America P300 / P400 / P405 PV power optimization at the module-level — Up to 25%more energy - Superior efficiency(99 S%) - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading — Flexible system cdes+gn for max mum space utilization — Fast installation with a single bolt - Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY FRANCE - JAPAN - CHilNA - ISRAEL AUSTRALIA www.solaredge.us solar - s e ;� SolarEdge Power Optimizer Module Add-On for North America P300 / P400 / P405 P300 P400 P405 (for 60-ceR modules) (tor 72&%-can modules) {for thin film modulasl INPUT Rated Input DC Pcwersil 300 400 405 W Absolute Maximum Irtput Voltage (Voc at lowest temperature] 48 80 125 Vdc . . .. ......... ... . MPPT Operating Range 8-48 8-80 12.5-105 Vdc Maximum Short Circuit Current(Isc) 10 Adc Maximum DC Input Current 12.5 Adc Maximum Efficiency.. 99.5 % WeVted.Efflciency 98.8 % Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) 11 Maximum Output Current ' 15 Adc Maximum Output Voltage, 60 85 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Power Optimizer_ 1 j Vdc STANDARD COMPLIANCE EMC FLL Part15 Class 8,IEC61000-6-2,IEC61UUO-6-3 Safety IEC6210971(class II safety),U11741 ROHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc Pxxx,2 series, 141 x 212 x 40.5/5.55 x 8.34 x 1.59 mm/in Dimensions(W x l x Ha PxxxSsenes 128 x 152 x 27.5 J 328 x 152 x 35 J 128 x 152 x 48/ mm/in 5x5.97x1.08 5x5.97x1.37 5x5.97x1.89 Weight(including cables) Pxxx•2'series 950/2.1•-..• gr/lb ••�••.-••• . Pxxx-5 ser€es 770111 i 930/2.05 � 930/2.05 gr/Ib input Conneckor MC4 Compatible Output Wire Type/Connector Double Insulated;MC4 Compatible Output Wire Length0.95/3.0 1.2/3,9 m/ft Operating,Temperature Range....... -40-+85/-40-+185 `C/'F Protection Rating Pxxx-2 series IP65 i NEMA4 Pxxx-S series IP68/NEMA6P ... . ...... .. Relative Humidity 0-100 % 'Rsted ST[Power&the module Modudita€up t.,5%power tolerencax€lawed PV SYSTEM DESIGN USING A SOLAREDGE INVERTEIN's SINGLE PHASE THREE PHASE 208V THREE PHASE 480V Minimum String Length 8 10 SS (Power Optimizers) Maximum String length (Power Optimizers) 25 25 5o Maximum Power per String 5250 6000 12750 W Parallel Strings of Different lengths Yes or Orientations tillt;s not allowed to mix P405 with P70Q/P400/P60U/P700 in ane string sol r *e m., SalarEdge Single Phase Inverters For north America SE300OA-US/ SE380OA-US/SE500OA-US/SE600OA-US/ SE760OA-US/ SE10000A-US/SE1140CA-US o r �a��a�o~ The best choice for Solar€dge enabled systems Integrated arc fault protection(Type 1)for NEC 2011 694.11 compliance Superior efficiency(98%) Small,lightweight and easy to install on provided bracket • Built-in module-level monitoring Internet connection through Ethernet or Wireless Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only Pre-assembled Safety Switch for faster installation Optional—revenue grade data,ANSI C12.1 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS ISRAEL www.solaredge.us ,. Single Phase Inverters for North America siolar. SE3000A-USISE380OA-USISE500OA-USISE6000A-USJ SE7600A-US/SE10000A-US/SEI 140OA-US SE300OA-US SE380OA-US SESOOOA-US SF600OA-US SE760OA-US ' SESOOOAA-US SE1140CA-US OUTPUT Nominal AC Power Output 30GO MOD 5000 6000 7600 9980 @ 208V 11400 VA 1000{!P240V Max.AC Power Output 3300 4150 ,'Inn @ 20kv 6000 8350 10800 @ 208V 12060 VA 5d`Yt7 rq)74UV 10950�2AOV AC Output Voltage Min:Nom-Maxlal ✓ ✓ 183.208-229 Vac. AC Output Voltage Mm:Nom:Max!" ✓ ✓ ✓ ✓ ✓ ✓ ✓ 211-240-264 Vac AC Frequency Min:Nom.-Max.l'r 59.3 60-60.5(with NI country setting 57-60-6051 biz 20$V @ V Zd @ Max.Continuous Output Current 12.5 t6 21 @ 240V I 25 32 d8 2O8 4.2 @ 240V I 47.5 A GFDI k A Utility Monitoring,Islanding Protection,Country Cuntigurable Thresholds Yes Yes INPUT Recommended Max.DC Powerlx 3750 4750 6250 1500 9500 12400 14250 W WC) ,. Transformer-less,Ungrounded Yck Max input Voltage 500 Vdc Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc 16.5 @ 208V I i 33 @ 209V Max.Input Currentl't 9S 13 15:5 2434 S i$ 23 @ 7d345 Ade 0V j 0V Max.Input Short Circuit Current 45 Adc ...... ............................ Reverse-PolaritV Protection Yes Ground-Fault Isolation Detection 600ktt Sensitivity Maximum Inverter Efficiency 977 982 98.3 983 9$ 98 911 s. CEC Weighted Efficiency 97.5 98 97 5 @ 208V 97") 975 97 @ 208V 975 4; 98,@.Z40V 97.5 @ 240V Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES Supported Communication Interfaces RS485,RS232,Ethernet,2ikaee(optional) Revenue Grade Data,ANSI C12.I optional," Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installedt$I STANDARD COMPLIANCE Safety U1.1741,UL16998,UL1998,CSA 222 Grid Connection Standards IEEE1547 Emissions FCC pattl5 ciass 8 INSTALLATION SPECIFICATIONS AC output conduit size/AWG range 3/4"minimum/16.6 AWG 3/4"minimum 18-3 AWG DC input conduit size J#of strings/ AWG range. 314"minimum 11-2 strings/116-6 AWG 3J4"minimum j 1-2 strings f 14-6 AWG Dimensions with Safety 5wit0h 30.5 x 12.5 x 7/ 30 5 x 12 5 x 7 5] 30.5 x 12.5 x 10 5 1775 x 315 x 260 In/ -(Hxwxp), _ , 775 x 315 x 172 775 x 315 x 191 mm Weight with Safety Switch 51.2/23.2 54.7/24.7 88,4/40.1 Ib/its Cooling Natural Convection Fans(user replaceable) Noise <25 <50 d8A Min-Max.Operating Temperature -13 to+140/-25 to+60(40 to+60 version available1e1) 'F/.c Range Protection Rating NEMA 3R 1'I For other reAlonal settings please mnlact Sularfdpe support ni I unnod to 175%for lat:,hnnc where thr Ye IV aurrage high trmpere[urr is.,Love 77"F/75 C.,nd to 135%1n1 1—h-1 it 77'1125`,^. Por deleiled inranxatian,refer la 111 -c-r.>,-I tC:,111',.,i + "r'.:h,tNl iE.BLR djt�14".AL pt A hixher Cu Irtni SaurCe rfl ay be used;the fneeder wilt imR its"input Qanient to the VaiUeS Stated. RI Revenue Arad,inverter PIN:SExxxxA'700NNR I'I Rapid shutdown kit PIN:SE7000-Nsn-51 141 40 vetsan P/N:5LxxxxA-USo00NNUA 2120M15 Power Optimizer I SolarEdge %'Gr(w rig P(wt at L,,Q4, A,ranee fl,,gr�w, English(North America) Search Follow Us CORPORATE SOLUTIONS PRODUCTS TO ORDER Ad Ad AA • Power Optimizer Inverter Monitoring Power Optimizer Rccommoad ShAFG 0-91solarEdge Power Optimizers The SolarEdge power optimizer is a OC/DC converter which is connected by installers to each PV module or embedded by module manufacturers, replacing the traditional solar junction box.The SolarEdge power opfinnizers,increase energy output from PV systems by constantly tracking the maximum power point (MPPT) of each module Individually. Furthermore, the power optimizers monitor the performance of each module and communicate performance data to the SolarEdge monitoring portal for enhanced,cost-effective module-4ovel maintenance.Each power optimizer is equipped with the unique SateDC10 feature which automatically shuts down modules'DC voltage whenever the inverter or grid power is shut down. The MPPT per module allows for flexible installation design with multiple orientations,bits and module types in the same string. When working with Solat-Edge Inverters,SolarEdge power optimizers automatically maintain a Axed string voltage,allowing installers even greater flexibility with longer strings and strings of different lengths in order to design optimal PV systems. The SolarEdge power optimizers are compatible with c-Si and thin-film imodulas and have a 25 year warranty. The following power optimizer models are available: p4drissmilidUISAW:011 —24111iters Connected by installers to the Pli modue,and compatible with a wide range of modules Power Optimizer P Model Module Power Module Voc P300 s300W <48V P400 s400W <80V P405 5405W <125V Commornial solution connecting two modides,per nower nptimzef Power Optimizer Model Module Power Module Voc P600 S600W* <96V P700 s700VV* <125V Rated combined STC power of 2 modules connected in series.Module of up to+5%power tolerance allowed http!/twww.solareclge.usigroups/us/powerbox-power-oomizer 11/2 20015 Power Optimizer I SdarEdgo Feature highlights of SolarEdge Power optimizers: Per-module Maximum Power Point Tracking(MDPT} Superior efficiency(99,5%peak efficiency,98,8%weighted efficiency) Mitigates All types of modulus mismatch-loss,from,niartifiietunrig tolerance to partial shading Designed For ext,eme,drivironmentaii conditions 26 year reliability and warranty Advanced,real-time performance measurement Automatic module CC voltage shut-down for installer and firefightef safety Embedded by module manufacturers,or connected by installers to o-Si and thin-flim modwas SolarEdge Teohnalogles[no.0 All Rights Reserved Careers I Contact I Subscribe I RSS Foods I Terms&Conditions http:/twww.sdareto.usigroups/Wpowerbox-power-opbmlzer 2/2 S G� TmpnaaD - t • • n o x : 3 3 a x x man x x G . o a , o' a o I 3 o 7 m O O. m ~ W N t+ • cr 0a o 3 F n 'D fD oD ro N 0 p t 7• 3 T C on o F O o H ,; 00 ►+ as 0�0 A °O: 0~o N A 3 i r• o ro • "ilt rr���y•� G v /➢ N -4 ;— 00- X • •tt�•o t/4i/`—� C"J 30b cr v = o a a N 3 3 o v K aF In • "� m a o d g to • �.... n w c D A A p1 d y N 8V 7 01 • v rp n � ,Z 00 A N A N 3 • jr D O N W H N 7 1 tig t 7 t tt n .� m • � O N • v S ro W W W W N • o 0000 00 00 00 3 '.- i-• Gn to • m CL Lq CL - m *� ea vi Ln p ;•t y lD D 700 v iD _q0000 CL 0 V N O 0 • O r, U7 W ID �• c #� Y • .di j • • .K O • A n ma a n C • N t A r CcM M O w DHT1 z '17 �^ CD o . 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I tib t<1 C W M r, < =r C 0 3 -0 0 � a) : — moo tz 0 cr = M� ET !�2 =r, = 0 9 �E- N rn LO m = c ou C. to (=D rD cu rD W < 0 m 0 La 0 < 7R rt - 'E' 0 rD - < C7 > - 01 0- :30. rD 0 1L M to ML cr CU 0 _r 0 Qj rD -7- = 3 , , Z3 m X, 0 < LO cu E Ln rD rD CM 0- ru �D' ET 0 0 rD WOO Intertek ; AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing Report. This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be applied only at the location of the Party Authorized To Apply Mark. Applicant: Unirac, Inc Manufacturer: Jiaxing Pacific Energy Equipment Corp. No. 8 Haiwan Ave Address: 1411 Broadway Blvd NE Address: Hangzhou Say Ddao New Area Albuquerque, NM 87102 Haiyan Economic Development Area Jiaxing City, Zhejiang Province Country: USA Country: China Contact: Klaus Nicolaedis Contact: Lili Zeng Phone: 505-301-3605 Phone: 510-979-1920 FAX: NA FAX: NA Email: klaus.nicolaedis@unirac.com Email: lzeng@ccmfg.com Party Authorized To Apply Mark: Same as Manufacturer Report Issuing Office: Lake Forest, CA Control Number: 5003278 Authorized by: for Thomas J. Patterson, Certification Manager OOT - us Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. This Authorization to Mark is for the exclusive use of interleWs Client and Is provided pursuant to the Certification agreement between Intertek and Its Client,InterteWs responsibility and liability are limited to the terms and conditions of the agreement.Intertek assumes no liability to any party,other than to the Chant in accordance with the agreement,tot any less,expense ordamage occasioned by the use of this Authorization to Mark.Only the Client is authorized to perritit copying or distributor of this Authorization to Mark and then only in its entirety.Use of Intertek's Cartiflication mark is restricted to the conditions laid out in The agreement and in this Authorization to Mark.Any further use of the intertak name for the safe or advertisement of the tested malarial,product or service must fifst be approved in writing by Intertek.Initial Factory Assessments and Follow Lip Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the agreement,they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect. Intertek Testing Services NA Inc. 545 East Algonquin Road,Arlington Heights, IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672 Standard(s): UL 2703 Issued: 2015/01/28 Ed: 1 Mounting Systems, Mounting Devices, Clam ping/Retention Devices, and Ground Lugs for Use with Flat-Plate Photovoltaic Modules and Panels Product: Sun Frame Micro Rail Brand Name: Unirac IModels: Unirac SFM ATM for Report 102393982LAX-002 Page 1 of 1 ATM Issued: 5-May-2016 ED 16.3.15(1-Jan-13)Mandatory