12-015 (3) 49 COUNTRY WAY BP-2019-1238
GIS 9, COMMONWEALTH OF MASSACHUSETTS
Mpp:Block: 12-015 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:SOLAR ELECTRIC SYSTEM BUILDING PERMIT
Permit# BP-2019-1238
Proiect# JS-2019-001996
Est.Cost: $29799.00
Fee:$75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor. License:
Use Group: VIVINT SOLAR DEVELOPER LLC 070940
Lot Size(w.ft.): 24262.92 OWner: WINGFIELD EDWARD&I PATRICIA
Zoning: Applicant. VIVINT SOLAR DEVELOPER LLC
AT: 49 COUNTRY WAY
Applicant Address. Phone: Insurance:
150 PADGETTE ST UNIT A-Atilt Savina Cervone (413)259-8044 0
WC
CHICOPEEMA01022 ISSUED ON:519/1079 0:00:00
TO PERFORM THE FOLLOWING WORK.ROOF MOUNT PV SOLAR SYSTEM - 43
MODULES, 13.545 KW
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector or 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 of Occupancy Sienalure:
FeeTvpe: Date Paid: Amount:
Building 519120190:00:00 $75.00
212 Main Street.Phone(413)587-1240,Fax:(413)587.1272
Louis Hasbrouck—Building Commissioner
(a, r
Oepartrnenl use only
City of Northapto ECEIV ofP h:
Building Depa me wD eway Pennit
212 Main S real fSee�e/Sept Availability
Room t MAY 2 ?� e ell vailabiliryNorthampton, 01 60 ets o Structural Plans
phone 413-587-1240 F X 41 - to Pk ns
DE"OF BUILDING INSp %pa
NORTHAMPIQN,UAIJ
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 PmQ a Address: This section to be completed by office
H( (�JnMap Lot tp L5 n
ions Owrlsy District
EM SL DISWet CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 ner ofRecord-
,C ,^
r. kart L(�111a�ielc� ttiu�9 (p�D�unfml
me luau
Ns (Piano HIr:9t'1 XA/-3l57
Telephone
Signature
2.2 Authorized Acent:
Savina Cervone 150 Padgette St, Chicopee, MA 01022
Na (Pool) Cunant Mailing Address:
0.tJ�rtA 0i 413-217-4033
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
cam letedb emit applicant
1. Building 50 (a)Building Permit Fee
2. Electrical dn (b)Estimated Total Cost of
Construction from 8
3. Plumbing Building Permit Fee r
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
IssuDatetl:
Signature: l S t
Building Commissionerdnspedor of Buildings Date
Section 4. ZONING NI Irdormabon Must be Completedni
.permit Can Be Deed Due To Incomplete Information
Existing Proposed Required by Zoning
This column to ba fillet in by
Building Dcpanment
Lot Size
Frontage
Setbacks Front
Side L: R: U R:
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Iot area minus bldg&paved
Parking)
N ofloarking Spaces
Fill:
valuma&luteum
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Boric Page and/or Document at
B. Does the site contain a brook, body of water or wetlands? NO O 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 O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
IF YES, describe size, type and location:
E. Wil the construction activity disturb(cleaning,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO O
IF YES,then a Northampton Stono Water Management Permit from the DPW is required.
i
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alferation(s) ❑ Raoflng ❑
or Doors O
Accessory Bldg. ❑ Demolition ❑ New Signs [01 Decks [M Siding[01 Other(0]
Brief Description of Prosed
rk: Installation proof mount d holo of 'c sol r s s s g of modules M,
Alterati c ezistin i ro m esln o tl ing eco edroe es _Tia `�'�
Attached Narrative Renovating unfinished basement _Yes No
Plans Attached Roll -Sheet
Ga. If 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?
it. Proposed Square footage of new construction. Dimensions
e. Number of stories?
if 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 Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS 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.
Signature of Owner Date
I, Vivint Solar Developer. LLC 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 underline pains and penalties of perjury.
Savin Cemone
Pd ame
Signature of OwnerlAgent to
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: John A Jalbert CS070940
Uceme Number
150 Padgette St Unit B. Chicopee. MA 01022 03/25/2019
Address Expiration Dale
413-2174033
SignaWre Telephone
9.Repbtered dome Improvement Contractor. Not Applicable O
VIVINT SOLAR DEVELOPER. LLC/John A Jalbert 170848
Company Name Registration Number
1800 W Ashton Blvd. Lehi UT 84043 1/4/2020
Address Expiration Date
Telephone 413-2174033
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e.183,$311c(811
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit vnll result
in the denial of theissuance of the bei ing permit.
Signed Affidavit Attached Yes...._. No.__. ❑
11. - Home Owner Exemption
The current exemption for"homeowners"was cx ended 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 790. Sixth Edition Section 1093.5.1.
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 belittled permit.
As acting Construction Supervisor your presence on thejob 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
Department oflndustrial Accidents
Office of Investigations
TJ 600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leeibly
Name(Business/OrganiratioNlndividual)1 Vivint Solar Developer, LLC
Address: 1800 W Ashton Blvd
City/State/Zip: Lehi, UT 84043 Phone#:801-845-0286
Are you an employer?Check the appropriate box: Type of project(required):
I.® I am a employer with 300 4. ❑ 1 am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors; 6. EJ New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers'
cont insurance.;
req 9. [] Building addition
workers'comp. insurance R
required.] 5. ❑ We ore a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself.[No workers'comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]t c. 152,§I(4),and we have no
employees.[No workers' 13.❑ Other
camp. insurance required.]
'Any applicant that checks box#1 main else fill out the sedan below stowing their worker%conipensrion policy irimmution.
I Homeowners who submit this affidavit indicating they we doing all'wurk and ihm hire outside contractors most submit a new affidavit indicating such
=Contractor that check this box must coached an additional sheet showing the name of the sub-contmators 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'compemadon insurance for my employees. Below is the policy and job site
Information.
Insurance Company Name: Zurich American Insurance Company
Policy#or Self-ins.Lic.#: WC509601404 Expiration Date:11/01/2019 y�{/n.
Job Site Address:, '(.cun+(za �C.� City/Stme2ip: r h (7'✓'
Attach a copy of the workers'compo ration po declaration page(showing the policy number and ezpi tion date}
Failure m secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify a d pa' an a hies of perjury that the information provided above Is true and correct
Signature, Date: 30, 2bl
Phone#: 801-845!0286U ff
OJ)INal use only. Do not write In this area,to he completed by city or town offlehrt
City or Town: Permit/Ircense#
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#:
011lca a Ppubrlon
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JOHN J MH O
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LEHI,lJT 840x3 111�6Bdre�ry
Conanonwea0h of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Constr0ctfOd Sopervisor
CSd709" _ EOpires: 0312512021
JOHN AJALBERT _
24 RATTLE HIE}ROAD,
SOUTHAMPT04 M�'A`011073a�
Commissioner ✓"� /�
---"4 CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM MN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE ODES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIFa
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUfHORI>E•D
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
IMPORTANT: N Me cMMkab holder M an ADDITIONAL INSURED Me pdicy(MB)must have ADOITIONAL INSURED pmvbldns or las MdRreeQ
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INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERRN IS SUBECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS
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01888-2018 ACORD CORPORATION. All rights Iasrved.
ACORD 28(2016103) The ACORD name and logo are registered marks of ACORD
vivint. solar 800 W Ashton 4043
Structural Group Lehi, UT 84043
J. Matthew Walsh, PE Samuel Brown,PE-Civil
Senior Structural Englneenog Manager Stmctural Engineering
lames.weZvivintsolarcom sam.brown@v/vintsolar.com
May 01,2019
Re: Structural Engineering Services
Wingfield Residence
49 Country Way, Northampton,MA
S-6101838;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 by a representative from our office under my supervision identifying specific interior and
exterior site information including the condition of the existing roof system and the size, spacing, and
condition of existing structural framing members. Information gathered during the site visit includes
photographs,sketches,and verification forms.
2. Design drawings of the proposed PV System layout, including details to mount the new solar panels to
the existing roof.
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:
X 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 24" on center. Survey photos indicate that there
was not free access to verify the framing size and spacing.
• Roof Section 2: Dimensional lumber- assumed 2x6 at 24" on center. Survey photos indicate that there
was not free access to verify the framing size and spacing.
• Roof Section 3: Dimensional lumber- 2x6 at 16"on center and 2x6 collar ties at 32" on center. Survey
photos indicate that there was free access to verity the framing size and spacing.
• Roof Section 4: Dimensional lumber- 2x6 at 16"on center and 2x6 collar ties at 32" on center. Survey
photos indicate that there was free access to verity the framing size and spacing.
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
20 PSF=Roof Live Load
40 PSF=Ground Snow Load(based on local requirements)
Wind speed of 120 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.)
Page f oft vivint. solar
Page 2 of 2
C.Solar Panel Anchorage
1. Installation shall proceed in accordance with the applicable guidelines and recommendations indicated below.
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.
• EcoFasten Solar Installation Manual, which can be found on the EcoFasten Solar website
(www.ecofastensolaccom).
2. The solar panels are 1`h" thick. At no time will the panels be mounted higher than 10" above the existing
surface of the roof.
3. The following mounting types shall be used. Please refer to the mounting details for the associated required
penetration depth. Based on our evaluation, the pullout demand is less than the maximum allowable per
connection and therefore is adequate.
• EcoFasten Solar: (1) 5/16" lag screw. Pullout capacity based on National Design Specifications (NDS)
of timber construction specifications for Spruce-Pine-Fir is 235 lbs/inch penetration.
4. The maximum allowed spacing was calculated for the Wind Speed shown in paragraph B above, using the wind
load uplift procedures of ASCE 7-10 and is specified below. These spacing requirements apply to all mount
types indicated above. The following values have been verified by in-house testing and the mounting hardware
manufacturers'data,which are available upon request. Panel support connections should be staggered,where
possible,to distribute load to adjacent members.
Modules in LandModules in Portrait
Roof Zone Interior sc Ede Corner Interior 1 Edge Corner
Max Vertical S in 40 1 40 1 40 68 1 66 66
Max Horizontal Spacino(in) 72 1 72 1 72 48 1 48 48
Max Uplift Load Ibs 194 159 150 327 268 252
D.Summery
Based on the above evaluation,with appropriate panel anchors being utilized the roof system designed on will
adequately support the additional loading imposed by the solar panels, if installed correctly.This evaluation has
been performed for the structural elements only and verifies that they are in conformance with the 2015 International
Residential 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 contact me.
OF
Regards,
J.yATT
J.Matthew Walsh, PE
u
MA License No. 54057 No.sxosT
4 'C/STEP6��i�t�'
NAL
05/01/2019
05/01/2019
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Docul Envelope ID:003589332929/EA6-B544-1E5A8&5F9ECa
vivint.Solar
Residential Solar Power Purchase Agreement
Customer Name&Contact Information: Installation Location:
Name(s): Edward Wingfield Address: 49 COUNTRY WAY
NORTHAMPTON MA 01062-1025
Email: jpwingacomcast.net
Approx.Installation Start and Completion Date: 10/20/2019
PrimaryPhone: (413) 584-6157 Date of Customer Signature: April 23, 2019 1 12:04 PM MDT
Account No.: 5-6101838
$ O $ . 144 20Yr 2e9 %
Up-Front Cost Energy Price($/kWh) Initial Term Escalator-Per Year
Our Promises
a We will design,install,operate and maintain a solar energy system on your home(the"Sysaii
a We warranty all of our work,and that our roof penetrations will be watertight,for 20 years.
a We will 6x or pay for any damage we may cause to your Property or belongings.
a We will not place a lien on your Property,but will record a erlier of our ownership of the System.
a You will not be responsible for any personal property taxes assessed on the System.
a The Energy Price incl odes a$5 monthly disco.at for paying by automatic debit from your bank accou nt.
a If you need to make Property repairs,we will remove and reinstall the System if you pay our estimated costs.
Al the End of Your Initial Term If You Move
a You can renew the Agreement for a subsequent term; a You can transfer the Agreement to the new homeowner,
is You can purchase the System;or regardless of credit rating;
a You can request that we remove the System at no a You can prepay the Agreement;
additional cost. a After the sixth anniversary,you can purchase the System;or
a You can relocate the System under certain circumstances.
Your Commitment
• Pay us for all the power the System produces for 20 years.
• Keep your roof in good condition throughout the Initial Term.
• Respond to our sales and support teams when scheduling work and completing paperwork.
is Maintain a broadband internet connection.
a Continue service with your utility for any energy used beyond the System's production.
You may central this Agreement any time prior to commencement of any work at or near your Property associated with
installation of the System.
Vivint Solar Developer,LLC(EIN: 80-0756438)is a licensed contractor in each state in which we operate, including
Massachusetts,Contractor License Nos. HIC-170848 and EC.13141A. For more information about our contractor licenses
please visit www.vivintsoler.com/licenses.
WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACTYOURCREDIT SCORE.
YOU CAN CHOOSE TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM US AND OTHER COMPANIES BY
CALLING TOLL-FREE 888.567.8688. SEE PRESCREEN &OPT-OUT NOTICE BELOW IN SECTION 25 OF THE GENERAL
PROVISIONS FOR MORE INFORMATION ABOUT PRESCREENED OFFERS.
The Notice of Cancellation may be sent to this address: help@vivintsolar.com I vivintsolar.com
1800 W Ashton Blvd., Lehi, UT 84043 Phone 877404.4129 i Fax 801.765.5758
ATTN: Processing Department
Copyright 91 2018 Vivi t Solar Developer,LLC. All Rights Reserved. PPA(3/2018,0.0.1) 1 Page 1 of 16
DowSign Envelope ID:00358933 n294EAB-B5 JE5A885F9EC8
SIGNATURE PAGE AND NOTICE TO CUSTOMERS
A. UST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT. These documents are incorporated as part
of this Agreement and apply to the relationship between you and us: (1) Residential Solar Power Purchase
Agreement, (2)General Provisions, (3)Customer Packet; and (4)Change Orders,as applicable.
B. WE HAVE NOTGUARANTEED,PROMISEDOR OTHERWISE REPRESENTEDANY REDUCTION IN ELECTRICITY COSTS
IN RELATION TO THE SYSTEM THAT WILL BE INSTALLED ON YOUR PROPERTY.
C. IT IS NOT LEGAL FOR US TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE
TO REMOVE GOODS INSTALLED UNDER THIS AGREEMENT.
D. IF YOU DO NOT ELECT ANY OF THE END-OF-TERM OPTIONS SET FORTH IN SECTION 2 OF THE PPA, THIS
AGREEMENT WILL AUTOMATICALLY RENEW ON A YEAR-TO-YEAR BASIS. CONSULT SECTION 2 OF THE PPA
FOR MORE INFORMATION.
E. YOU RISKTHE LOSS OF ANY PAYMENTS MADE TO A SALES REPRESENTATIVE.
F. DO NOT SIGN THIS AGREEMENT IF THIS AGREEMENT CONTAINS ANY BLANK SPACES. You are entitled to a
completely filled in copy of this Agreement,signed by both you and us, before any work may be started.
G. YOU, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD
BUSINESS DAYAFTER THE TRANSACTION DATE OR,IF LATER,UNTILTHE START OF ANY WORKATOR NEAR YOUR
PROPERTY ASSOCIATED WITH INSTALLATION OF THE SYSTEM. SEE THE ATTACHED NOTICE OF CANCELLATION
FOR AN EXPLANATION OF THIS RIGHT.
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Saksp<rsan No
ooN April 23, 2019 112:04 PM MD April 23, 2019 1 12:04 PM MDT
FoRoffKEUSEONLY
TN6 AGREEMENT 6 NOT ERECIIVE NOR BWDING
UPONVMMSOW 0Ml.OPER,UCUMILSIGNEDRYAN Sgnatur<
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Dore 4/30/2019
Procruvp No 122095
PPA(32912, v4.0.1) 1 P,ig, 10 of 16