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23C-007 (2) 40 LANDY AVE BP-2018-1387 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23C-007 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category ROOF BUILDING PERMIT Permit# BP-2018-1387 Proiect# JS-2018-002454 Est.Cost $3650.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group SUNRUN INC 080034 Lot Size(sp.ft.): 7492.32 Owner: YOUNG JAMES Zoning,URB(100)/ Applicant: SUNRUN INC AT. 40 LANDY AVE Applicant Address: Phone: Insurance: 734 FOREST ST STE 400 (978) 793-8584 WC MARLBOROMA01752 ISSUED ON:6/27/2018 0:00:00 TO PERFORM THE FOLLOWING WORIGSTRIP & RE-ROOF 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: Fre 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 of Occupancy signature: FeeType: Date Paid: Amount: Building 6/27/2018 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax(413)587-1272 Louis Hasbrouck—Building Commissioner City of Northampton ,..a . 8 Building Department - Permit r 212 Main Street Room 100 rthampton, MA 01060 n mit 587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLWO SECTION 1-SITENIFORMATION 1.1 This section W be cumpleisd by office Map 23C Let 007 unit 001 40 Landy Avenue Zone o„RrisyDbVk tamutxdda aDWVIA SECTION 2-PROPERTY OWNERSHI IALWHORIZED AGENT 2.t Ovnpr of lbeerd: James Young 40 Landy Avenue Northampton MA 01062 Name(P" Cum~gyp Address: (413) 539-7607 Tmpmm 2.2 Auamdnd Asset, Craig Om 734 Forest Street, Suite 400, Marlborough, MA 01752 Itmne(Phi" Curet MaMg Address: 7 7. (978) 793-8584 alpnMn Tests— SECTION Item Estimated Cod(Dollars)to be OMdsl Use or* ow~by Parmit agpicant 1. Building 3,650.00 (s)Brod"Permit Fee 2. Electrical (b)Estimated Taal Cod of Construction from 3. Plumbing Building Permit Fee 4. MedwwcN(NAC) y0. (~ S Fin Proisction S. Totd- 1 +2+3+4+5) $ 3 650.on Chock Number 2,1 This Section For Official Use Buldhg Permit Number: Wis Issued: Sgneturo' emMV 4npedor of mdeega Dap Cru d� @ EM,VL ADDRESS(REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING An IMormMW Must Be Completes.Perms Can Be DeIdM Dw To Incomplete Infamanon Existing Proposed Required by Zoning Tbir as.b to files in by BuiNing Depamam Lot Sim Frontage Setbacks Front itiQf L. R: - L: R.L. Rm Building Height Bldg.Sure Foorge -, .' tee Opaa Space Footage - _J % Qeramwatalpa arvN i._. .._.. - 01ofPaikiggSpamoms . .'. Fill: A. Has a Special Permit/Variance/Findklg ever been Issued for/on the site? NO O DONT KNOW • YES O IF YES,date issued:' IF YES: Was the permk recorded at the Registry of Deeds? NO O DONT KNOW • YES O IF YES: enter Book Page, _ and/or Docwnent If B. Does the site contain a brook,body of water or wetlands? NO • DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES,describe sin, type and Location: D. Are there any proposed changos to or addltiom of signs intended for the property? YES O NO • IF YES, describe size, type and location: E. YO the construction activity disturb( gratlkp,excavation,or hBi ii)over 1 acre a'is it pan m of a common plan Mat wg dislurD over 1 acre? YES NO • IF YES,Man a Northampton Storm Water Management PemJt from live DPW is required. SECTION b DESCRIPTION OF PROPOSED WORK Icheck ONapplicable) Near Hous ❑ AddMon ❑ Rep,a"em""E1� miners Albration(s) ❑ Roofing Q Or Door Accessory Bog. ❑ Demolition E] New Signa (I7] Decks iq Siding 1[31 Ona(q WV'ior:'—" 'of Pf0Po' Strip and re-roof. Nerakon of eriagrp boftom_Ves V No Adding new bedroom_Ys V No Atlwhed Nan*n Renovating unfinished batenrerd _Yes V No Plan Medved Rall -Sheat Ga.X Now houses and or addition to existing housing,coinolete the following, a. Us of brdlding:Om Fsu* Two Famty OMw It. Number of moms in each W*unit Number of Barrooms c. Is Mem a garage xftKhW? d. Proposed!Square footage of new construction. Dhlemsons e. Number of storks? f. Mediad of hear g? Fireplaces or Woodstoros Number of each g. Energy Conservation Compleam. Mantneck Em agy Compliance form aced ad? h. Type of conafuction I. Is conatruclkn*411 100 R of wetlands?_Yes _No. to construction wiMin 100 yr. boodp,aln_Ves_No j. Depth of basement or caller floor below finished Wan L WW building conform to In Building and Zoning regulation? _Yes_No. L Septic Tank_ Cky Sower_ Pnvala Wall_ City water Supply_ SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ,, James Young as Oa1er of ft subject property hanby auelodze Sunrun / Craig Orn to ani on my behalf,in all MOM relative to work au fund by tin Deeding peen appkatbm sgmsm sown IoM Craig Orn .as OwredAaglonrld Agent hereby declare that the statements and Information on On foregoing application aro hue and accurate,to the best of my knowledge and beat. Signed under the pains an penalties of perjury. Craig Orn Pdra Name Slplrve Of O~Agsni Dale -- SECTIONS•CONSTRUCTION SERVICES E7 Lkawad CasbucUmSuwrvkar. Not Appaoabk 0 N.m. of Llc wNntlx: Craig Orn Lk.me Numw 734 Forest Street, Suite 400, Marlborough, MA 01752 CS-080034 Adp Expr.OM ow. ("�, r'7. 783-8584 Tebpt T°�'01 0112212019 Not AppkabN 0 Sunrun 178937 1100*11 M Number Fncesi StreEt Ruite 400-Marlborough MA 01752 06/02/2018 ExpimSon Daft TeNpwna (978) 549-9436 SECTION IP WORKERS'COMPENSATION INSURANCE AFFIDAVIT(N.O.L u.163,1 2$C(S0 WatkMaCaup.lx winumwaRiOrvit mustMmrtpMHtl&W wbrrStbd wIM Sw.pplicsom FaWm b povMa StkandvR Will ra.W .x»dl as■r , o<Sr SWAd ARRA AURdW Yaa.__.. rd No.-... ❑ City of Northampton Massachusetts l�J1R'aQl'f Ol"z=zMG IM8B Xoa3 212 Win stswt awniciW Wild " aerthW tnn, M 01010 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, 554, 1 acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed wild waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 40 Landy Avenue (Please print house number and street name) Is to be disposed of at: M name and location of facilty) Or will be disposed of in a dumpster onsite rented or based from: Graham Waste Services, Inc. 215 Chief Justice Cushing Highway ompanyName and Address) Cohasset, MA 02025 signature of Permk/ leant or Owner Date If,for any reason,the debris will not be disposed of as indicated,the Applicant or Owner shall notify the Bukft Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia R'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTIIORITV. Applicant Information Please Print Legibly Name(Business/OrgmimtiorVIndividual):Sunrun Address:775 Fiero Lane, Suite 200 City/State/Zip:San Luis Obispo, CA 93401 phone#:978-549-9438 Are you an employer'Check the appropriate box: Type of project(required): I.0 l sm a employer with 35 employees(full and/or pen-time).• y. ❑New construction 2.❑I am a sole proprietor or partnership and have nocmployees working for mein 8. Remodeling any capacity.INa workers'comp.insuranw required.) 9. El Demolition 3.❑l am a homeowner doing all work myself [No workers'compinsurance required.l 4.❑I am a homeowner and will be hiring etimmetors m conduct all work on my property. I will 10❑Building addition crime,that all convectors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.[]I am a general contractor and I have hired the subcontractors listed on the attached Adel 13.�Roof repairs These sub-wnuaaors have employee and have warders'comp.no mnce,t 6.❑We area aorporwe h ve its employees have o weasel their right u exemption per MGL c. 14.QOther Rooftop Solar 154,§1(4),and we have no employeav[No workers'comp_Insurance rcquird_] •Any appheanuhat checks hox#I must slu fill out the section below showing their workers'compensation policy information. I Homeowners who submit this notion indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lCommenors that check this box must att ch d an additional sheet showing the name of the sub-commmors and state whether or not thou entities have employees. Ifthe subcontracmrs have employees,they must provide their workers'comppolicy number. 1 am an employer that is providing workers'compens Ilion insurance far my employees. Below is the policy andlob she information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins.Lic.#.WC013696003&WC013696103 Expiration Date: 10/01/2018 Job Site Address:40 Landy Avenue City/State/Zip:Northampton MA 0106 Attach a copy ofthe workers'compensation policy 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 fine 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 ofthis statement may be forwarded to the Office of Investigations ofthe DIA for insurance coverage verification. I do hereby certify under the pabrs a dpnuEdtr of perJrq a fafomration provided above is true and correct. Si nature: Dow- Phone 4:978-793-8594 ate:Phone#:978-793-8564 Official use only. Do am we"eb4 area,to be completed by cty or bown official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Craig Orn / 734 Forest Street, Unit 400, Marlborough, MA 01752 (978)793-8584 craig.orn@sunrun.com mapermits@sunrun.com ® Massachusetts Department of Public Safety Construction Supervisor Board of Building Regulations and Standards Restricted to: Unrestricted-Buildings of any use group which contain License:CS-080034 less Man 35,000 cubic feet(991 cubic meters)of Construction Supervisor enclosed space. i CRAIG M 73 WALNUTT ST OXFORD MA 01510 Failure to possess a current edition of the Massachusetts Wnc-- Expiration: Stem Building Code is cause for fevocetbn of this license. Commissio .r 01117@019 DPS Licensing information visit:WWW.MASS.GOYIDPS oma a cenws.Mxn s rrmtACDOR MIY YaPptNFNfEYCOYteSCTtxi Tres: slspinalCee stoo mm Lmkom 1110120 1Rnsmis Srann 1wb11Wbn_Selwab ono. camigom 715 Flo ,Lane aiM 200 VIIcR.o---- San Luis ObYpo.CA'93401 U r T PP LJ /Wa1�Y �.,lWwaa'J LWeW1a� ppla,abn vYa far MNIAaI up arP/ wMetlu session eWw ■barW alum m: OYae Of faYunOa MWnaW Burma eyWaaa 10 Pak hhk 02011 ee alA BOWOn.MR 116 11"valid wfli Ngnahlr. tlpsi/malymaaw kA WkOU* xM59d4910®eMlTlp*x -1 to 4c� CERTIFICATE OF LIABILITY INSURANCE F 1 DA E,MNTOM ) 9/11/2017 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 pollcyfles)must have ADDITIONAL INSURED provisions or bB 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 dome to the certificate hostler In lieu of such endorsemen s. PRODUCER NAME, Arthur J. Gallagher&Co. PNGNE q15-546-9300 FAa .415-536-8499 Insurance Brokers of CA Inc. License#0726293 EJAAIL 1255 Battery Street#450 MICRAIMA San Francisco CA 94111 INSURERIS)AFFORDING COVERAGE NAIc. INSUREXA?urich American Insurance Company 16535 INSURED SUNRINC-01 INSURER B:Navigators Specialty Insurance Company 36056 Sunrun Installation Services, Inc. INSURERC: 775 Fiero Lane,Suite 200 INSURER D: San Luis Obispo, CA 93401 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:926932864 REVISION NUMBER: 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. ILTFR TWE OF INSURANCE INSD WVD POUCYNUMBER ...I one.DYYYy, LIMfs B X COMMERCIALGENERALIMMINTY Y ILA17CGL230321 IC 10/1/2011 'OUQ01B EACHOOCUBRENCE 11,000,000 CLAIMS MADE %OCCUR PREMISES Ea acurtrenca s300 NO % $50000RmxtMn MED EXE Any ma parson) $5000 PERSONAL&ACV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE E2,000,N0 X POLICY % I JECCT LOC PRODUCTS-COMPICP AGO 12,000,000 OTHER. Total Policy Limit 310,000,000 A AUTOMOBILE uaBILm Y EA,FIR 155X250d 10/112017 1011/2010 Ea mPmnl E£,000,NO X ANY AUTO PoDILY INJURY Per rmon) E OV M ONLY AUTOS LED PoDILY INJURYJNI MEeni) 1 AUTOSHnso ONLY ABTNOS ONLY (P..-.,) q E 1 UMBRFILA LUM OCCUR FACH OCCURRENCE E E%OESS LJAS CLAIMS-MADE AGGREGATE E OED RETEWIONS E A WdLXERS COMPENSATION WC013696003 10/1/2017 1W1I2018 % STATUTE CERN A AND EMPLOYERS'U ILITV yIN WC013696103 10/112011 1W1YL010 ANY PROPRIETORNARTNENE%EG11IIVE ❑ Nle EL.EACHACCIOENT $1,000,000 OFFICERMEMSER E%CLUOR MmGbry In NX) EL.DISEASE-EAEMELOVE 31,000000 1Ye onAm JINN GE3CRIRION OF OPERATIONS Cdwv EL016EASE-POLICY LIMIT 51000000 OEWBIPCON OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,AamN—I In man&Schmm,my umhad If man RAM.X mulm, WC013696003-$25,000 Deductible;WC013696103-FL, HI,MA, NJ, NY, OR,VA,VVI onlyy. Named Insureds: Sunrun Inc.,Sunrun Installation Services Inc., Sunrun South LLC,AEE Solar, Inc.,Clean Energy Experts LLC, Sunrun Solar Electrical Corporation Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Northampton THE E%PIRATN)N DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 Main St ACCORDANCE WITH THE POLICY PROVISIONS. Northampton MA 01060 AUTHORREO REPRESEXTAPVE ®1911 ACORD CORPORATION. All rights reserved. ACORD 25(2016/05) The ACORD Came and logo are registered marks of ACORD °v d CERTIFICATE OF LIABILITY INSURANCE )/:12017" - THIS CERTIFICATE-A-ISNED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EI(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE AS ENO INSURER(8), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: MIM ab IS MIM is an ADDITIONAL INSURED,the pa0ay(bt)must M tndwnd. N 3UBROGATION M WANED,subject Is Ws bans and aorm*b else paltry,wrbdn po5eles may reaoks an etdaHbtWct. A sbbm nt on tltb aertMtete date not curler dShb Is Ma terWkte he- rim Bte atsuchandomema •. Marvell Risk South Eastern Insurance Group LLC 77 Accord park Drive Unit E1 Morwall 2A 02061 CIO m Insurawcal, Company veer S Ser ter Indencity Grahan Thal SerriO Inc 3nrblrand I 213 Chief Justice Cushing Huy Cohasset US 02023 COVERAGES ICATE NUS BER:16-17 Smatar REVISION NUMBER: THE A TO COUIFY IHWT THE IOUCU OF FdnRaNCE LIFTED BELOW IWVE S®t NASD TO THE MOM WAS)Above FOR THE POLICY PERgG wCLC M. NOTNWMTANOM ANY IEOINtBENT.TEM OR CONDITION OF ANY CONIRACT OR OTHER DOOIILENT WITH RWMM TO WNCH THA CERTIFICATE MY SE NSD®OR MY PeRTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H EMON A SULSICT To ALL THE TERNS, EXCLUSIONS AND W1pTIOM OF IRCH POLICES.LIMITS SHOWN MY MVEBEEM REDUCED BY PM CLAMS. 1MYPaMtRm tteie rrAltrtesm 100000 XpraretarrA aorAt 100 A Q,,yM,.ap 1py.0"jt /21/2011 2/31/2017 uA t 1100 rmtosit ~wrAn4 10000 sea sanAewanlrrArFw rmL .cuawP Iaa1 x { AeroY0aae1MRM A .00110 H1KYaMrtr0�P..N i MnpeIEO X eCIN1AE1 2/21/2010 /21/2017 tlOLYeµEYPlrraba 2 X IaeDAU1W X AYiae { XtaMBLA 1Ha 0012ma101 { 2 000 0 A OrfeS{USe . 17120 ApwKlla { 2,000,0001 X 16, 2/21/2019 /21/2017 B AIW I x A X YIN _ pM1 SMO MIA 027222224 /27/2011 /27/2017 LLMIAII-Mt 2 500.02 2.101{lVl-rO11aY4Yr 2 500,99 C R... ObbrellA 20000212000 2/21/2011 2/21/2017 F2rAaaNresr 3,000,0 ANAyar 3,000,00 H{CRInam or assurance aalY2feC1Y HIYI,AWIID IH.AMlmrlemrlberArb4enr2 mrbner2eR Svi4ves of Insurance CERTIFICATE HOLDER CANCELLATION THE AMYOF"IEATI! IEMEN.EDPOLIGNBE CANCDI UD IN 7C E1PN EWE ale 7HEREaF, MODC[ WLL Be DelAreReD w Sn11Ian Inc. AOCORDAMCe HTH THE POLICY FROVISIOM{. 734 Forest Strest, Suit 000 Marlborough, MIL 01752 AImaR®2EaasmAms John tacagal/Jed ACORD 25(2010MS) O 1058.2010 ACORD CORPORATION. All rlghb ream"d. '11025(twits 01 The ACORD name end logo are registered marks of ACORD ACOR& CERTIFICATE OF LIABILITY INSURANCE GATE(M-) 04130/2018 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: It Ne certificate holder Is an ADDITIONAL INSURED,the policy(les)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 Wrtificete does not confer rights to the certificate holder In Hou of such Ondorsement(s). FROPI NAME, ISABELE CORDEIRO Bmzway tnsumnce Ix NE 978-455-5991 978-455-9934 AC No: 345 Main St Unit 131 %i%NgLss.info@bramayinsuranceagency.com Tewksbury MA 01876 INSURNINS1 AFFORDING COVERAGE NAI01 INSURER":ATLANTIC CASUALTY INSURED INSURERS COMMERCE INSURANCE TECHNOLOGY ROOFING DESIGNS INCNSURER D:NAUTILUS INSURANCE 969 WESTFORD ST INSURER D.AIM MUTUAL LOWELL MA 01851 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 NMICH THIS CERTIFICATE MY 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. IN30. EFF POICYEXP in TYPE OF INSURANCE 1— UBR POLICY NUMBER MMT�OIYYYY AW IDOW"" LIMB COMMERCMLGENEMLWMLITY EACHOCCURRENOE $ 1,000,000 C(AIMSAMDE ©OCCUR PREMISE$ Esocwm,ue $100,000 MED EXP(Any ore Pemonl 15,000 A L117002782 03106/2018 03/0612019 PERSONAL a ADV INJURY $1,000,000 GEN L AGGREGATE LIMIT APPLIES PER'. GENERALAGGREG4TE 52,000,000 POLIOv0 jE'T ❑LOG PROWCTS-COMP/)PAGG 12,000.000 OTHER: AUTOMOIN ELIAUDRY LEAan wno n IN LE LIMIT 11,000,000 ANYAUTO ROD I LY INJURY(Per P&DI S B CANEDONLV AUTOSULED GRM759 04/11/2018 W1112019 EDGILY INJURY(Fer amaan) S AUTOSHIRED NOND ED PROPERTY DAMAGE S AUTOS ONLV AUTOS ONLY PM 9UWan1 S UMBRELLA LIAR OCCUR EACHOCCURRENCE 5 3,0110,000 C EXCESS ME CIMS MADE AN037249 03/06/2018 OW06IM19 AGGREGATE $3,000,000 DEC I I RETENTION§ S WgiMCOMPENSATIONANDEMPLOYERWUUuNUTY STATUTE ER ANVPROPRIETOWPARTNENEXECUTIYE YIN EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBERE%CWOEDa a NIA AWC40070345642017A D612W2017 0612x2018 1,000,000 D DEEMvrory NGEN EL.DISEASE rya oaamDaomar DESCRIPTION OF OPERATIONS LAIw EL.DISEASE-POLICY LIMIT 5 1,000,000 0 OEKRIPMOFWEMTIONSILMAT S;VEHICLES UICOR0101,AtlJMarol RvmvrLv 8cM0ux,meybaXacMEXmonsWcs le,vquiaJ) PAINTING,CARPENTRY,SIDING AND ROOFING SERVICES 2002 DODGE RAM 1600 VIN:3D7HA18N82G1495M CERTIFICATE HOLDER CANCELLATION SUNRUN INSTALLATION SERVICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 734 FOREST ST SUITE 400 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MARLBOROUGH,MA,01752 AUTHDRMEDREPRESENTAME 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PneUCW wine Fonm Bova WM software.wxw.F0nn.Bnu.eom IcI onwinn a PUMMIng UgUU&uV