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36-352 (8) BP-2023-0345 41 EMERSON WAY COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-352-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0345 PERMISSION IS HEREBY GRANTED TO: Project# 203 POWERWALLS Contractor: License: Est. Cost: 37000 LUNEX POWER INC 070750 Const.Class: Exp.Date: 11/30/2023 Use Group: Owner: SOLOMON ELLEN R Lot Size (sq.ft.) Zoning: SR Applicant: LUNEX POWER INC Applicant Address Phone: Insurance: 54 ELIZABETH ST 813-638-5178 WC202200000 UXBRIDGE, MA 01569 ISSUED ON: 03/24/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 2 13.5 KW TESLA POWERWALLS 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I I• Fees Paid: $240.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner r/ECe.--1"102e 1 ax-0 l` 54'1 Sr t>111%6 37Z / /1 ,.�4, The Commonwealth of Massachusetts q, 1 W Board of Building Regulations and Standards FOR Massachusetts State Building Code, 78Q'€)'R,,` �0(93 ` MUNICIPALITY ��ly,�' 0i1 i USE Building Permit Application To Construct,Repair, Renova�'e3.r Demolish a Revised Mar 2011 One-or Two-Family Dwelling v This Section For Official Use Only Building Permit Number: 6P"A 3 -3'f Date Applied: 4,...., &, /� 3-2,4.zoz: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Prope7 d-res�� 1.2 Assessors Map& Parcel Numbers 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use 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 pply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private 0 Zone: Outside Flood Zgue" Municipal IVOn site disposal system 0 Check if yes SECTION 2: PROPERTY OfWWNERSHIP' 4 /,, 2.1pa.,•,c(so_y?zditio/t/ /14 Name(Print) City,State,ZIP //e VTdy? Vidy S7 -,Z3 ,J/17 4/ /(1 I1 - No.and Street Telephone Email Address / � SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Additio 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: ` dif�L'��Z Brief Description Pr osed Wor c2: 7/a)V dam-/9- Zd/ —7- iD�� i SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ $7 .ed , 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ / ❑ Standard City/Town Application Fee 4 ,� 1. ❑Total Project Cost3 (Item 6)x multiplier [�V �x 6,5 3.Plumbing $ 2. Other Fees: $ A,J �� jW� 4. Mechanical (HVAC) $ List:7/)6 - t.675 5. Mechanical (Fire Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $37 eQ D 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES f2j,(//J 5. nstructio Supervisor License(CSL) /1� n 4 ffJ/0 11 g/9�er�3 ,�/Q� �j 1y4 / License Number Ex irati n Date Name of C,S Ho e 3ain/le/214 List CSL Type(see below) No. d S eet Tyke Description j/ i, /� 1'/5// U Unrestricted(Buildings up to 35,000 cu.ft.) / / /,/j q U --� Restricted 1&2 Family Dwelling City/Town, State,LIP M Masonry RC Roofing Covering WS Window and Siding '�/�/� T SF Solid Fuel Burning Appliances I) / w/ - / J d lk4kg/Ne I Insulation Telephone Email ss D Demolition 5. Re/glistered onie�.ImmproTveme t ontract• H ) c /1//////- 2%le tioon Ntuber HI Comp 's r G��� ,� iiV / N eAd _, — `� Email d ess &II City/Town,Stat , IP Tele hone 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 Issu ce 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 L�C , 1 ' i2?dG' J /9/�/ 'Y /21 to act on my behalf,in all matters relative to work a thorized by this building permit application. fd Zi /-ReT 77d 7::C/ Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pain nd penalties of perjury that all of the information containe ate to the best/o y knowledgee and�unnderstanding. F Ujkii v Øe 3/9/2023 Print Own ct nic ignature 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" ENERGY STORAGE SYSTEM LUNN)POWER 41 EMERSON WAY, NORTHAMPTON, MA 01062 472ENGRADYAE TAMPA,FL 33614 LIC#:CVC57085 PROJECT DATA GENERAL NOTES VICINITY MAP PHONREVISIONS V 5178 RSIONS PROJECT 41 EMERSON WAY, oescnlvrros DATE REV ADDRESS NORTHAMPTON, MA 01062 1. ALL COMPONENTS ARE UL LISTED AND CEC CERTIFIED,WHERE WARRANTED. 2. THE SOLAR PV SYSTEM WILL BE INSTALLED IN ACCORDANCE WITH ARTICLE 690 OF THE NEC 2020. P Ittiheld -+- OWNER: ELLEN SOLOMON 3. THE UTILITY INTERCONNECTION APPLICATION MUST BE APPROVED AND PV SYSTEM INSPECTED PRIOR TO PARALLEL O OPERATION. •__ �,�TH OfS 4. ALL CONDUCTORS OF A CIRCUIT,INCLUDING THE EGC,MUST BE INSTALLED IN THE SAME RACEWAY,OR CABLE,OR 41 Emerson Way, 't'• 114 �� s9O CONTRACTOR: LUNEX POWER INC. OTHERWISE RUN WITH THE PV ARRAY CIRCUIT CONDUCTORS WHEN THEY LEAVE THE VICINITY OF THE PV ARRAY. - MIL.hfAEL A. yG Northampton,MA 4721 N GRADY AVE ' g MQGUIRE 5. WHERE METALLIC CONDUIT CONTAINING DC CONDUCTORS IS USED INSIDE THE BUILDING,IT SHALL BE IDENTIFIED AS • 01062,United States ,� 0 T TAMPA,FL 33614 "CAUTION:SOLAR CIRCUIT"EVERY LOFT. CLECT:,-, PHONE:813-638-5178 •.3F515 6. HEIGHT OF THE AC DISCONNECT SHALL NOT EXCEED 6'-7"PER NEC CODE 240.24. Springfield `. ,9 DESIGNER: ESR 7. A GROUNDING ELECTRODE SYSTEM IN ACCORDANCE WITH NEC 2020 690.47 AND 250.50 THROUGH 60 AND 250-166 SHALL BE • f ��F F��STEP�4��Q PROVIDED.PER NEC GROUNDING ELECTRODE SYSTEM OF EXISTING BUILDING MAY BE USED AND BONDED TO THE SERVICE _ 1 `rS/DIAL BAG ENTRANCE.IF EXISTING SYSTEM IS INACCESSIBLE OR INADEQUATE A SUPPLEMENTAL GROUNDING ELECTRODE WILL BE USED "ram SCOPE: 02-13.5 KWH TESLA POWERWALLS AT THE INVERTER LOCATION CONSISTING OF A UL LISTED 8 FT.GROUND ROD WITH ACORN CLAMP.GROUNDING ELECTRODE , - sealed 16feb2023 mike@h2dc.com CONDUCTORS SHALL BE NO LESS THAN#8 AWG AND NO LARGER THAN#6 AWG COPPER AND BONDED TO THE EXISTING HOUSE PHOTO H2DC PLLC MA CoA#:001239603 GROUNDING ELECTRODE TO PROVIDE FOR A COMPLETE SYSTEM. ELECTRICAL ONLY AUTHORITIES HAVING JURISDICTION: BUILDING:HAMPSHIRE COUNTY 8. PHOTOVOLTAIC MODULES ARE TO BE CONSIDERED NON-COMBUSTIBLE. DATE:02/16/2023 ZONING:HAMPSHIRE COUNTY PROJECT NAME 8 ADDRESS UTILITY:NATIONAL GRID 9. PHOTOVOLTAIC INSTALLATION WILL NOT OBSTRUCT ANY PLUMBING.MECHANICAL,OR BUILDING ROOF VENTS. 10. ALL WRING MUST BE PROPERLY SUPPORTED BY DEVICES OR MECHANICAL MEANS DESIGNED AND LISTED FOR SUCH USE. WRING MUST BE PERMANENTLY AND COMPLETELY HELD OFF THE ROOF SURFACE. 0 SHEET INDEX 11. ALL SINAGE TO BE PLACED IN ACCORDANCE MATH THE LOCAL BUILDING CODE.IF EXPOSED TO SUNLIGHT,IT SHALL BE UV Z 0 0 PV-1 COVER SHEET RESISTANT.ALL PLAQUES AND SINAGE WILL BE INSTALLED AS REQUIRED BY THE NEC AND AHJ. 0 w Q Q PV-2 SITE PLAN 12. INVERTER(S)USED IN UNGROUNDED SYSTEM SHALL BE UL 1741 LISTED. a U PV-3 ELECTRICAL PLAN _1z z0 Z PV-4 ELECTRICAL LINE DIAGRAM 13. THE INSTALLATION OF EQUIPMENT AND ALL ASSOCIATED WRING AND INTERCONNECTION SHALL BE PERFORMED ONLY BY 0 "-sill CO O PV-5 WRING CALCULATIONS QUALIFIED PERSONS[NEC 890.4(C)] g,- Q I- PV-6 LABELS W O- PV-7 PLACARD 14 SWITCHES.ALL OUTDOOR EQUIPMENT SHALL BE NEMA 3R RATED(OR BETTER),INCLUDING ALL ROOF MOUNTED TRANSITION BOXES AND w w w Q PV-8+ EQUIPMENT SPECIFICATIONS • J I 15. ALL EQUIPMENT SHALL BE PROPERLY GROUNDED AND BONDED IN ACCORDANCE WITH NEC ARTICLE 250. J 1- W 0 16. SYSTEM GROUNDING SHALL BE IN ACCORDANCE WITH NEC 690.41. z PROFESSIONAL ENGINEER SEAL 17 PV SYSTEM CIRCUITS INSTALLED ON OR IN BUILDINGS SHALL INCLUDE A RAPID SHUTDOWN FUNCTION IN ACCORDANCE WITH 4'�` NEC 890.12 CODE REFERENCES DRAWN BY 18. DISCONNECTING MEANS SHALL BE LOCATED IN A VISIBLE.READILY ACCESSIBLE LOCATION WITHIN THE PV SYSTEM EQUIPMENT OR A MAXIMUM OF 10 FEET AWAY FROM THE SYSTEM[NEC 690.13(A)] PROJECT TO COMPLY WITH THE FOLLOWING: ESR 19. ALL WRING METHODS SHALL BE IN ACCORDANCE WITH NEC 690.31 2015 INTERNATIONAL BUILDING CODE(IBC) SHEET NAME 20. WORK CLEARANCES AROUND ELECTRICAL EQUIPMENT WILL BE MAINTAINED PER NEC 110.26(A)(1),110.26(A)(2)AND 110.28(A)(3). 2015 INTERNATIONAL RESIDENTIAL CODE(IRC) COVER SHEET 2015 INTERNATIONAL FIRE CODE(IFC) 21. ROOFTOP MOUNTED PHOTOVOLTAIC PANELS AND MODULES SHALL BE TESTED,LISTED&IDENTIFIED IN ACCORDANCE WITH 2020 NATIONAL ELECTRICAL CODE(NEC) UL1703 SHEET SIZE 22. ELECTRICAL CONTRACTOR TO PROVIDE CONDUIT EXPANSION JOINTS AND ANCHOR CONDUIT RUNS AS REQUIRED PER NEC. ANSI B 23. THE TESLA POWERWALL AS PART OF THE ENSEMBLE SYSTEM DOES NOT EXPORT POWER TO THE GRID IN ANY STORAGE 11 X 17" MODE. SHEET NUMBER PV-1 PROJECT DESCRIPTION: 33 EXISTING:HANWHA SOLAR Q.PEAK DUO BLK-G6 340W PV MODULES C�Q- =- :Q'�C(, L �?OW ER ROOF MOUNTED SOLAR PHOTOVOLTAIC MODULES f pQ - �1 3\• EQUIPMENT SUMMARY Q� II� ) •\(i2 33 EXISTING:HANWHA SOLAR Q.PEAK DUO BLK-G6 340W MODULES �� `L , i F LUNEX POWER INC. 01 EXISTING SOLAREDGE:SE10000H-US(240V)INVERTER ,p ,X "-(-', 4721 N GRADY AVE 02 13.5 KWH TESLA POWERWALLS ('i..� —s '\ TAMPA,FL 33614 N ��'i�' LIC#:CVC57085 fSC \ ROOF#4 PHONE:813-638-5178 = (( ) (05)EXISTING:HANWHA SOLAR Q.PEAK DUO BLK-G6 340W REVISIONS I� H `\ ) '� MONO MODULES WITH DESCRIPTION GATE REV ///(((r,", D .`f/ /) ',\ EXISTING SOLAREDGE:P340 POWER OPTIMIZERSi) l ROOF#2 � + �, (09)EXISTING:HANWHA SOLAR Q.PEAK DUO BLK-G6 340W NTH OF ,,L • \ �n MONO MODULES WITH dk! d .,,/ \ 71\ �y EXISTING SOLAREDGE:P340 POWER OPTIMIZERS +� L' k...r„ \ ROOF#1 �� MICHAEL A. y, MoGUIRE m •� ) \ (15)EXISTING:HANWHA SOLAR Q.PEAK DUO BLK-G6 340W • o _ � �&j \ MONO MODULES WITH tLECT: / • EXISTING SOLAREDGE:P340 POWER OPTIMIZERS ••.38515 (E)MAIN SERVICE PANEL(INSIDE BASEMENT) '�F9F��STEP���cckQ ��� 444/11111° A ssrQr�AL�?� �\� 3 Sealed 16Ieb2023 mike@h2dc.com com �� ELECTRICAL RIC MA CoA#:001239603 '\ ELECTRICAL ONLY 5 J�G \ '`\ DATE:02/16/2023 ``!!` ,it. ti�•O PROJECT NAME 8 ADDRESS co C. er \ -), —3 \ c_(...- W / 0 Z Z ---) \ ‘,.. • 3 W W w Q ce / W O Z ,J,�-at .� / ( / (E)TREES �\ / �®N DRAWN BY ESR �• ji / ROOF#3 l /- y (04)EXISTING:HANWHA SOLAR Q.PEAK DUO BLK-G6 340W SHEET NAME �,�, /' �P MONO MODULES WITH .� •. . ,� /-' Owl EXISTING SOLAREDGE:P340 POWER OPTIMIZERS SITE PLAN („•r� /' �5 ,, SHEET SIZE 1-1 _ \'` ANSI B 1 SITE PLAN c...,t_M e• SHEET NUMBER PV-2 SCALE:1/16"=1'-0" � `C Pv 2 BILL OF MATERIALS EQUIPMENT QTY DESCRIPTION NOTE TESLA ENERGY GATEWAY 2, A. THE ESS MUST BE LISTEDINSTAND LABELED ID N EWITHACCORDANCE• LUN=�POH/ TESLA ENERGY GATEWAY 2 1 200 A,UL LISTED,NEMA 3R WITH UL 9540 AND BE INSTALLED IN ACCORDANCE WITH THE MANUFACTURER'S INSTRUCTIONS AND NFPA 70.[2020 NFPA •s lu TESLA POWERWALL 2 2 13.5 KWH TESLA POWER WALL 2, 855:15.21. UL LISTED,NEMA 3R B. INDIVIDUAL BATTERY STORAGE UNITS ARE TO BE LUNEX POWER INC. SEPARATED FROM EACH OTHER BY NOT LESS THAN 3 FEET (914MM)EXCEPT WHERE SMALLER SEPARATION DISTANCES 4721 N GRADY AVE ARE ALLOWED BY THE MANUFACTURER'S SPECIFICATIONS. N TAMPA,FL 33614 [2020 NFPA 855:15.51 LIC#:CVC57085 C. ESS SHALL NOT BE INSTALLED IN THE LIVING AREA OF i DWELLING UNITS,IN SLEEPING ROOMS,OR CLOSETS OR PHONE:813638-5178 8 SPACES OPENING DIRECTLY INTO SLEEPING ROOMS.[2020 NFPA 855:15.6.2). REVISIONS D. A HARDWIRED-POWERED SMOKE ALARM SHALL BE DESCRIPTION DATE REV INSTALLED IN THE IMMEDIATE VICINITY OF THE ESS AND f INTERCONNECTED WITH THE SMOKE ALARMS INSTALLED THROUGHOUT THE DWELLING IN COMPLIANCE WITH 780 CMR R314.WHERE ESS ARE INSTALLED IN AN ATTACHED GARAGE OR AN AREA IN WHICH SMOKE ALARMS CANNOT BE INSTALLED IN ACCORDANCE WITH THEIR LISTING, A HARDWIRED-POWERED, INTERCONNECTED LISTED HEAT (N)2-TESLA POWERWALLS �j:A- Fq�ALARM SHALL BE INSTALLED AND BE CONNECTED TO THE F,0^ �$'s(N)VISIBLE,LOCKABLE, SMOKE ALARM SYSTEM REQUIRED BY 780 CMR R314.[2020 -�� '1'�LABELED ESS AC DISCONNECTS NFPA 855:15.9.1 AND 15.9.2j ,�� 114(CEL A yG E. INVERTERS SHALL BE LISTED AND LABELED IN ACCORDANCE (LOCATED WITHIN 10'OF UTILITY METER) WITH UL 1741 OR PROVIDED AS PART OF THE UL 9540 p McGUIRE • �. (N)TESLA ENERGY BACKUP GATEWAY 2 LISTING.SYSTEMS CONNECTED TO THE UTILITY GRID SHALL tLECT: USE INVERTERS LISTED FOR UTILITY INTERACTION. [2020 •.38515 NFPA 855:15.8.1] •77 (E)PRODUCTION METER F. AN ESS INSTALLED IN A LOCATION SUBJECT TO VEHICL(E)NO VISUSED ASIBLE, OCC SCONNECTED D[2AM GENF SBLL15EOI ROTECTED BY APPROVED BARRIERS. ,/OA1 E(LOCATED WITHIN 10'OF UTILITY METER) G. INDOOR INSTALLATIONS OF ESS THAT PRODUCE HYDROGEN »�y OR OTHER FLAMMABLE GASES DURING CHARGING ARE TO (E)SOLAREDGE SE10000H-US BE PROVIDED WITH MECHANICAL VENTILATION IN sealed 16(eb2023 mike@h20D.com (240V)INVERTER ACCORDANCE WITH 780 CMR M1307.4 H2DC PLLC MA CoA#:001239603 (E)VISIBLE,LOCKABLE, H. A LABEL SHALL BE REQUIRED ON THE INSTALLED SYSTEM ELECTRICAL ONLY LABELED FUSED AC DISCONNECT CONTAINING THE CONTACT INFORMATION FOR THE DATE:02/16/2023 • I I f (LOCATED WITHIN 10'OF UTILITY METER) QUALIFIED MAINTENANCE AND SERVICE PROVIDERS.[2020 NFPA 855:15.4.1]INSTALLED PROJECT NAME&ADDRESS I. ESS SEALS BE INSTALLED IN THE FOLLOWING LOCATIONS: 1. IF THE ESS IS INSTALLED OUTDOORS ON EXTERIOR WALLS, N #111.11.#44%*4‘ THE ESS MUST BE MOUNTED ON NON-COMBUSTIBLEO4 (E)UTILITY METERCONSTRUCTION(SIMILAR TO ELECTRICAL PANELS). ZO � (E)MAIN SERVICE PANEL(INSIDE BASEMENT) p. IF THE ESS IS INSTALLED WITHIN AN ENCLOSURE THAT 0 }o SHARES A WALL WITH THE DWELLING UNIT, HEAT Z W DETECTION SHOULD BE PROVIDED AND BE INTERCONNECTED WITH THE DWELLING UNIT SMOKE 0 Z Z ALARMS. J Z 0 LU O (33)EXISTING SOLAREDGE: W d P340 POWER OPTIMIZERS Z U) W 2 � W Lu 2 J � � W 0 Z \ /\ P LEGEND n -TESLA POWERWALL nDRAWN BY -TESLAENERGY ESR BACKUP GATEWAY 2 SHEET NAME COMBINER BOX ACD -AC DISCONNECT ELECTRICAL PLAN ^ SHEET SIZE -UTILITY METER ANSI B IMSP -MAIN SERVICE PANEL 11'X 1711 1 ELECTRICAL PLAN sD -SOLADECK SHEET NUMBER PV-3 SCALE. 3/32"=1'-0" —— -CONDUIT PV-3 INTERCONNECTION NOTES: 1.INTERCONNECTION SIZING,LIMITATIONS AND COMPLIANCE GROUNDING&GENERAL NOTES: DETERMINED IN ACCORDANCE WITH[NEC 705.12],AND(NEC 690.59]. 1.GROUNDING ELECTRODES AND GROUNDING ELECTRODE CONDUCTORS. 2.GROUND FAULT PROTECTION IN ACCORDANCE WITH[NEC 215.9], ADDITIONAL GROUNDING ELECTRODES SHALL BE PERMITTED TO BE L•1 1 N POW Eil [NEC 230.95]. INSTALLED IN ACCORDANCE WITH 250.52 AND 250.54.GROUNDING ELECTRODES V1'J 3.ALL EQUIPMENT TO BE RATED FOR BACKFEEDING. SHALL BE PERMITTED TO BE CONNECTED DIRECTLY TO THE PV MODULE 4.PV BREAKER TO BE POSITIONED AT THE OPPOSITE END OF THE FRAME(S)OR SUPPORT STRUCTURE PER[NEC 690.47(8)1 BUSBAR RELATIVE TO THE MAIN BREAKER. 2.PV INVERTER IS UNGROUNDED,TRANSFORMER-LESS TYPE. LUNEX POWER INC. 3.DC GEC AND AC EGC TO REMAIN UNSPLICED,OR SPLICED TO EXISTING 4721 N GRADY AVE DISCONNECT NOTES: ELECTRODE 1.DISCONNECTING SWITCHES SHALL BE WIRED SUCH THAT WHEN 4.ANY EXISTING WIRING INVOLVED WITH PV SYSTEM CONNECTION THAT IS TAMPS,FL 33614 THE SWITCH IS OPENED THE CONDUCTORS REMAINING LIVE ARE FOUND TO BE INADEQUATE PER CODE SHALL BE CORRECTED PRIOR TO FINAL LIC#:CVC57085 CONNECTED TO THE TERMINALS MARKED"LINE SIDE"(TYPICALLY INSPECTION. PHONE:813-638-5178 THE UPPER TERMINALS) 5.SOLADECK QUANTITIES,AND PLACEMENT SUBJECT TO CHANGE IN THE 2.AC DISCONNECT MUST BE ACCESSIBLE TO QUALIFIED UTILITY FIELD-SOLADECK DEPICTED ON ELECTRICAL DIAGRAM REPRESENT WIRE REVISIONS PERSONNEL,BE LOCKABLE,AND BE A VISIBLE-BREAK SWITCH TYPE TRANSITIONS. - DESCRIPTION DATE REV 3.DISCONNECT MEANS AND THEIR LOCATION SHALL BE IN 6.AC DISCONNECT NOTED IN EQUIPMENT SCHEDULE OPTIONAL IF OTHER NOTE:WIRE SCHEDULE CALLOUTS NOTE:CHARGING CAPABILITY AND ACCORDANCE WITH[NEC 225.31]AND[NEC 225.32]. AC DISCONNECTING MEANS IS LOCATED WITHIN 10'OF SERVICE DISCONNECT. (E)IS FOR EXISTING SYSTEM DISCHARGING CAPABILITY-5SW 7.RACEWAYS AND CABLES EXPOSED TO SUNLIGHT ON ROOFTOPS SHOULD BE - • INSTALLED MORE THAN 7/8'ABOVE THE ROOF USING CONDUIT SUPPORTS. 8.ALL NEW SERVICE INSTALLATIONS AND REPLACEMENTS REQUIRE A SURGE-PROTECTIVE DEVICE(SPD)IN ACCORDANCE WITH[NEC 230.67], _ THE SPD SHALL BE TYPE 1 OR TYPE 2 AND IS REQUIRED TO BE AN INTEGRAL PART OF Zt1 OF/�� THE SERVICE EQUIPMENT OR LOCATED IMMEDIATELY ADJACENT THERETO. . �,l IS+ s 4E MIU)IAEL A.�yc -.. MOGUI9E . m III TRUE PORT) —I REMOTE NI OAT) tLECT: MYrDU .. 385t5 I1:TPJT::f.VAC.I-A TEAR IMTEVNV2 •VT'CT1'UE CHE(l f-FFlG P'X': 'GAIEYAY LENS J LRL'..'US IE'n'NNA_':.F'u. INTERNAL MLSKIT RATED2012R 9 vA Hri'>UIO TYO J:-LgSCvf:R_..l RATm,2p120, r,I TUIT a.,F FGISTEP��tc�`•. = ICI =oP�E S/�NAI ' � , A... _ _ TIN I �" Irv;;, sealed 164E62023 mike@I12dC.Wm I - r-T -' r- H2DC PLLC MA CDA#:001239603 I ,e .... * -•--F i--- .- I ELECTRICAL ONLY d r r • . • ld�d WASTES LL - 23 } ,„� I PROJECT NAME 8 ADDRESS I 'TM ___� „ 4 ,..... .�, p.:.I t-' _ _ " COPPER GEC N - .i L.__Jt=-- '� — - NOTE RELCGTE EASING GEC TO Z O II II II — 0 } 1 --� 0 �A \A 1LLI_I LINE � W < 2 rI0 Z Z v II 0 W 0 ii oRL] II rcm11 0 ft- li1 W ��/// (E)AMA 9NAI®M TO LLl I OTES APPENDIX(AS APPLICJIBLE FOR TO BE BUST DRAWING SETS)(Al TOTAL AC VOLTAGE DROP 1101 TO EXCEED 2%TO NTERCOINECTON-3% II I 110u>E NOV 206VB _l W Q FROM IINERTERISI TO UTILITY TRANSFORMER(8)ALL CONNECTORS 75C RATED(C)ALL CONDUCTORS COPPER.UNLESS OTHERWISE NOTED DUE TO II — + II — + ��' —I F- HIGHER COEFFICIENT OF EXPMISIOI I ALUMINUM CONDUCTORS REQUIRE MORE MNUTEIWICEMISPECTION THAN COPPER CONDUCTORS ANNUAL II ' --�� IMI(OR!SEMI CC RE TOFNXJEIIG AS WELL AS INFRARED INSPECTION MINIMALLY BE CAREFUL 1101 TO CONNECT ALUMINUM WITH COPPER RATED CONDUCTORS OR II_A II PwB, LLI AN FIITGS DURING CONSTRUCTION TERMINALS SHOULD BE DUAL RATED MATERIAL FOR NEUTRAL AND EGC SHOULD BE TIE SUE NI A GNEII 'Loot II --6-6 'R'ED'NN 0 SEGMENT(D)OUTDOOR EQUIPMEI IT IIEMAAR.(EI ALL CONDUCTORS FOR PV A ESS SYSTEMS MUST BE PROTECTED FROM ACCESS BY A FENCE OR 0412SAW TEMA IM MS SAI TES. —6-b _ Z SUITABLE COVER,OR OUT OF REACH(F)PROPERTY LANES BOUNDARIES MO ALL OTHER EXTERIOR MEAS(NIFMEIITS ARE FOR REFERENCE ONLY,AND POWER WALL RORER Mt/ MUST BE VERIFIED BY A LICENSED SURVEYOR OR CIVIL ENGIIIEER (GI ENERGY STORAGE SYSTEMS ARE REQUIRED 10 BE INSTALLED II LOCATIONS IA LISTED.NEIMR ALISTED NEM4 m �__—y U AA MI) XI I IERS III COMPLIANCE WITH THEIR LISTING REQUIREMENTS(H)IF TRAVEL ACROSS A ROOF IS LIMITED 10 FIRE SETBACK AREAS,FALL RESTRAINT SYSTEMS MAY BE REQUIRED(I)I1 PVC ALLOWED 01N ROOF OR II ATTIC (J)MCA CONNECTORS MAY NOT BE JOINED WITH 14CA DRAWN BY COMPATIBLE'CONNECTORS(K)FOR COMMERCIAL SYSTEMS-UNDER MOW LE WIRE MANAGEMENT SYSTEMS ARE REWIRED.RACEWAY FILL MUST NOT EXCEED 40%REFER TO LOCAL REGULATIONS FOR EXCEPTIONS(L)FOR LINE SIDE TAPS CONNECTION NI PANEL MUST NOT VIOLATE CONDITIONS OF ESR ACCEPTABILITY FROM PANEL MANUFACTURER'S NIRTL LISTING,OR FELD LABEL REQUIRED(MI PV WIRES MAY 1107 BE LAID DIRECTLY ON ROOF,WIRE MANAGEMENT SUCH AS SNAKE TRAY ETC MUST BE USED 40%FILL MAX 01)TY WRAPS FOR WIRE MANAGEMENT T MUST BE STRUCTURAL(571)U APPROVED OR SUN BUIIDL ER OR EQUAL(0)ORAWRIGS ARE DIAGRAMATIC AID INDICATE GENERAL ARRANGEMENT OF SYSTEMS AND WORN SHEET NAME CONDUIT ROUTING,WHEN INDICATED.IS SHOWN DIAGRAMMATICALLY AND DOES NOT SHOW ALL OFFSETS.DROPS.AND RISES OF RUNS THE CONTRACTOR SHALL ALLOW III HIS PRICE FOR ROUTING OF CONDUIT TO AVOID OBSTRUCTIONS IP)BURIED CONDUITS UNDER AREAS SUBJECT TO VEHICLE TRAFFIC REQUIRE MIN 24'COVER(0)SOLAREDGE INVERTERS MAY BE EQUIPPED WITH OCPD ON DC LINES,IF NOT EXTERNAL OCPD MAY BE ELECTRICAL LINE DIAGRAM REQUIRED FOR STRINGS NUMBERING 3OR MORE(R)BATTERIES MUST BE III AN APPROVED BATTERY ENCLOSURE(SPECIFIED BY THE BATTERY MANUFACTURER),SUITABLE FOR THE LOCATION IS)NM-B OR PAPER INSULATED CONDUCTORS MAY NOT BE USED EXTERIOR INSTEAD USE THWN-2 OR EQUAL IN EMT CONDUIT(T)FOR MULTIPLE BATTERIESVERTERS SHARING A COMMON DC BUS.OCPD PROTECTION IS REQUIRED ONBOTH SIDES OF CITY CONDUCTOR INFORMATION CONDUIT TYPE CCS¢E IT IN SHEET SIZE THE BUS MIDST INVVERTERS DUE TO 2 WAY CURRENTS(UITHE DEVELOPER IS REQUIRED TO CONFIRM EXISTING ELECTRICAL SERVICE SIZE FROM THE UTILITY.AND MAY NOT RELY SOLELY ON EXISTING RQFAEFR SIZES (2) x10AWG- THWM-2(L1,L2) ANSI B aIII x10AWG- THWN-2N EMT.LFSWI ORLFNC 714- (1I x10ANG- THWN-2GND .1.1"X 1711 1 I_ELECTRICAL LINE DIAGRAM O I 111II x2l0AWG- THWN-2(L1.2) 1 1 /� x2/0AWG- THIN-2 N EAT,LFTIC OR LFNC 1 VT (1) x6A11G- THWN-2GND SHEET NUMBER PV-4 SCALE:NTS r 121 x2VAWG- THWN-2 IL1121 PV-4 III x2DAWG- THAN-2 N EMT,LFMC OR LFNC I VT PERCENT OF NUMBER OF CURRENT AMBIENT TEMPERATURE SPECS VALUES CARRYING CONDUCTORS IN EMT RECORD LOW TEMP -zo° ��� ���_ .80 4-6 AMBIENT TEMP(HIGH TEMP 2%) 32° .70 7-9 .50 10-20 LUNEX POWER INC. 4721 N GRADY AVE TAMPA,FL 33614 LIC#:CVC57085 AC WEEDER CALCUTATION PHONE:813-638-5178 I IDEANNA FACTOR DERATION FACTOR 90% CONDUCT° REVISIONS RN.WAD )S'[ TOTAI CC DESCRIPTION DATE REV VOLTAGE FU•1E OCPO CONDUCTOR ANPACITY AMINO 90'C FOR AMBIENT FOR CONDUCTORS ANPACITY ANPACITY PEEOER R VOTAOE CONCUR CONDUIT CIRCUIT ORIGIN CIRCUUT DESTINATION NAPS VIA. NEUTRAL UN 60111O UZI MPACT' CONDUCTORS IEN6Tll DROP AT M W IN SIN SIZE (RI CNECR81 WAN.('CI NY RACEWAY PEETAMPACITY IA)TEMPERATURE NEC PER RACEWAY NEC DEPATED CHECK 12 ) RESISTANCE M734) SITE PL111) 31D.ISI811211RI 310.1500301 (AI (OHI ON ' TESIA GATEWAY ES AC DISCONNECT i 240 24 30 30 CU PIDAWG CURIOAWG CURIO AWG 35 PAW 32 2 40 09I; 1 3.4 PAS5 5 1.24 0.124 3,/4'EMT 158349 ESSAC DISCONNECT TESEA POWERWAII ' 240 24 30 30 CU RIOAWG CU OIOAWG CU P10 AWG 35 PASS 32 2 40 09L 1 38.4 PASS 5 1.24 0.124 3/4'EMT 15.8349 ' TESEA GATEWAY MAIN SERVICE PANEL 240 166 166 175 CU VA AWG CU TWANG CU42/OAWG 175 PASS 32 2 195 096 1 187.2 . 4,455 5 0.0967 0.067 11/T EMI 3'.14558 TESIA GATEWAY 2 POI I 740 166 166 175 CU 12/OAWG N/A CU 12/0 AWES 175 PASS 32 2 195 096 1 187.2 99195 5 0.0967 0.067 21/T EMI .I2.7554 AOLZH OF/4,1 9 .Z,� -G.'MICHAEL A. '. MOGUIRE , YU'Yl ELECT: — Id.38515 9q.9Fr2/STEAE.4 FSS/ONAL v,-,. sealed 16161,2023 mike@h2dc.com H2DC PLLC MA CoAN:001239603 ELECTRICAL ONLY DATE:02/16/2023 PROJECT NAME 8 ADDRESS CV CO Z } O 0 U z < O Z W OZ OD � O Z w a J w D_ w I J V H. w o Z ELECTRICAL NOTES 1. ALL EQUIPMENT TO BE LISTED BY UL OR OTHER NRTL,AND LABELED FOR ITS APPLICATION. 2. ALL CONDUCTORS SHALL BE COPPER,RATED FOR 600 V AND 90 DEGREE C WET ENVIRONMENT. DRBVV N BY 3. WIRING,CONDUIT,AND RACEWAYS MOUNTED ON ROOFTOPS SHALL BE ROUTED DIRECTLY TO,AND LOCATED AS CLOSE ESR AS POSSIBLE TO THE NEAREST RIDGE,HIP,OR VALLEY. 4. WORKING CLEARANCES AROUND ALL NEW AND EXISTING ELECTRICAL EQUIPMENT SHALL COMPLY WITH NEC 110.26. SHEET NAME 5. DRAWINGS INDICATE THE GENERAL ARRANGEMENT OF SYSTEMS.CONTRACTOR SHALL FURNISH ALL NECESSARY OUTLETS,SUPPORTS,FITTINGS AND ACCESSORIES TO FULFILL APPLICABLE CODES AND STANDARDS. WIRING CALCULATIONS 6. WHERE SIZES OF SOLADECI RACEWAYS,AND CONDUITS ARE NOT SPECIFIED,THE CONTRACTOR SHALL SIZE THEM ACCORDINGLY. SHEET SIZE 7. ALL WIRE TERMINATIONS SHALL BE APPROPRIATELY LABELED AND READILY VISIBLE. ANSI B 8. MODULE GROUNDING CLIPS TO BE INSTALLED BETWEEN MODULE FRAME AND MODULE SUPPORT RAIL,PER THE GROUNDING CLIP MANUFACTURER'S INSTRUCTION. 11 R X'I 7" 9. MODULE SUPPORT RAIL TO BE BONDED TO CONTINUOUS COPPER G.E.C.VIA WEEB LUG OR ILSCO GBL-4DBT LAY-IN LUG. SHEET NUMBER 10. TEMPERATURE RATINGS OF ALL CONDUCTORS,TERMINATIONS,BREAKERS,OR OTHER DEVICES ASSOCIATED WITH THE SOLAR PV SYSTEM SHALL BE RATED FOR AT LEAST 75 DEGREE C. PV-5 : AC DISCONNECT 3 OF 4 -- L : DISCONNE. - Ll POWEiR .- --. �. 1 OEM „I.I.IIN,.., I,I-A: I.. mum JJJ YF NA!WWO -- ^ I = - POWER SOURCE OUTPUT `� �. LABEL-12: o. u , - '..I:,:,,:,,- CONNECTION. DO NOT LABEL LOCATION LABEL- ® LUNEXPOWERINC. INVERTER 4721 N GRADY AVE LABEL-1: RELOCATE THIS CODE REF:NEC 690.54 LABEL LOCATION. MAIN SERVICE PANEL TAMPA,FL 33614 LABEL LOCATION: AC DISCONNECT 1 OF 4 AC DISCONNECT OVERCURRENT DEVICE SUBPANEL LIC#:CVC57085., - -�,_ AC DISCONNECT PHONE:813-638-5178 LABEL-7'. CODE REF NEC 690.54 LABEL LOCATION: AC DISCONNECT 4 OF 4 REVISIONS • MAIN SERVICE PANEL(ONLY IF SOLAR IS BACK-FED) - DESCRIPTION DATE REV SUBPANEL(ONLY IFESS III=7:.h h = . - CODE REF:NEC 70SSOLARN2)BACK-FED) _ ICED AC DISCONNECT "..'III' 1 \:E LABEL-13: „I.InUIwv.J ".."F,I:.,. 'IJ_."';f Emn V RY 10'ON CON•UI-. NCLOSURES LABEL LOCATION: LABEL-2: SOLAR PV SYSTEM EQUIPPED MAIN SERVICE PANEL LABEL LOCATION: SUBPANEL _ WITH RAPID SHUTDOWN AC DISCONNECT LABEL-20: EMT/CONDUIT RACEWAY CODE REF:NEC 690.54 LABEL LOCATION. �ZH OF�9 SOLADECK/JUNCTION BOX -"` '-" - MAIN SERVICE PANEL 'yA'P ss TURN RAPID SHUTDOWN SUBPANEL CODE REF.NEC 690.31(DN2) SWITCH TO THE AC DISCONNECT 2 OF 4 •C' MIL'HAEL A.go yN' "OFF"POSITION TO ).--)..I:-',.7 I'l,'4.1: AC DISCONNECT �' CODE REF:NEC 690.54 Z MoGUIRE Tom. SHUT DONM PV SYSTEM L: :IS:.JMJE:.- C. tLECT: AND REDUCE • SHOCK HAZARD "Cnvuw•„:i„.-In[..,. ,,I,. ®' _ _ r •.38515 ELECTRICAL SHOCK HAZARD IN THE ARRAY ,,, of,I,-S, „IS;:.E;n- -r`- _ I��o9FG/STEPE� • LABEL-8: LABEL-14 TERMINALS ON THE LINE AND LOAD SIDES MAY LABEL LOCATION: LABEL LOCATION ` ` - `\ `__`11/ �S'S1DNALC-1 BE ENERGIZED IN THE OPEN POSITION AC DISCONNECT MAIN SERVICE PANEL ^ Z-: _ 'F. CODE REF:IFC 605.11.3.1(1)8 NEC 690.56(C) SUBPANEL LABEL-3 ` r` `_ sealed 161e02023 mike@h2c1c.com AC DISCONNECT LABEL LOCATION: H2DC PLLC MA CoA#:001239603 AC DISCONNECT CODE REF NEC 690.54 LABEL-21: ELECTRICAL ONLY INVERTER _ LABEL LOCATION: MAIN SERVICE PANEL -_- ` S_` ``I"I,\ `I I -u t..l ESS DISCONNECT DATE:02/16/2023 SUBPANEL MAXIMUM VOLTAGE CODE REF NEC 706 1 C __ _ _ _ 51 1 PROJECT NAME 8 ADDRESS MAIN SERVICE DISCONNECT CODE REF:NEC 690.13(B) .., -` \ 1� MAXIMUM CIRCUIT CURRENT ®" CV A A-I ING nil POWER SOURC-:. LABEL-9: MAXIMUM RATED OUTPUT co CURRE1uT OF THE CHARGE O . - - 'I.,ITOVOLTAIC SY' -D f I LABEL LOCATION. CONTROLLER OR DC-TO IIIII�I' O } 0 I_SS S S E AC DISCONNECT CONVERTER(IF INSTALLED) Q CODE REF NEC 690.56(C/2) 2 I-U 2 LABEL-4 U LABEL LOCATION: PRODUCTION METER LABEL-15: J Z Z UTILITY METER - l _ 1 LABEL LOCATION: LLI 0 Z MAIN SERVICE PANEL - ' ` - INVERTER ELECTRIC SHOCK HAZARD 0 CO 0 MAIN CODE REF:NEC 690.53 DO NOT TOUCH TERMINALS - w 4. CODE REF:NEC 705.12(C)8 NEC 690.59 TERMINALS EONR BOTH LINE I LOAD SIDES MAYBE ENERGIZED IN OPEN POSITION Z IN.LI W < - ( / I DO NOT DISCONNECT FUSES UNDER LOAD J CC Sp ry g , 1-_ THE DC CONDUCTORS OF THIS J .a I- 1A-i� Jj C' LABEL 10: 1 UNGROUNDED AND MAYBE ENERGIZED LUPHOTOVOLTAIC SYSTEM ARE 0 - - '-Z r! LABEL LOCATION: LABEL-16: TURN OFF PHOTOVOLTAIC AC AC DISCONNECT LABEL LOCATION: PHOTOVOLTN:SYSTEM Z CODE REF:NEC 690.13(B) MAIN SERVICE DISCONNECT(ONLY IF MAIN SERVICE DISCONNECT IS PRESENT) DC DISCOrvrvECT DISCONNECT PRIOR TO CODE REF-NEC 690 13(B) AUTHORIZED PERSONNEL ONLY WORKING INSIDE PANEL _- - -- DRAWN BY LABEL-5: - - ' - - - - Note:WARNING labels must resemble format ESR LABEL LOCATION: I I I.-_= in example above over-sized WARNING, MAIN SERVICE PANEL exclamationtriangle,colors,etc.point in SUBPANEL withSHEET NAME LABEL-17 MAIN SERVICE DISCONNECT LABEL LOCATION. CODE REF:NEC 110.27(C)8 OSHA 1910.145(f)(7) PRODUCTION METER(ONLY IF PRODUCTION METER IS USED) _ LABEL-11': /"S" "k'1"fFF't'- 'I Tl' LABEL LOCATION: __^ -, SHEET SIZE L� l,/1lJ I IIJIN INVERTER CA DN = I - - v J-B ANSI Q PHOTOVOLTAIC SYSTEM CIRCUIT IS CODE REF.NEC690.13(B) BACKFEED . ._ FOR SERVICE; LO EX POWER 11"X 17' LABEL-6 8 T 3-538-5178 LABEL LOCATION: SHEET NUMBER MAIN SERVICE PANEL ONLY IF SOLAR IS BACK-FED) LABEL-18. SUBPANEL(ONLY IF SOLAR IS BACK-FED) PV-6 CODE REF:NEC 705.12(D)8 NEC 690.59 DocuSign Envelope ID: B5FDEF4B-8926-4236-9D51-D1D69F7F5554 ,,,w "� ., vvI- I This is a copy view of the Authoritative Copy h M by the designated custodian Su n n rWp Sunnova +SunSafe®Add-on Battery Service ■ Easy Own Plan TM Equipment Purchase BUYER ELLEN SOLOMON DATE ISSUED 12/14/2022 5:43 PM ADDRESS 41 EMERSON WAY INSTALLATION 41 EMERSON WAY NORTHAMPTON, MA 01062 LOCATION NORTHAMPTON, MA 01062 System Cost Agreement Terms Total Project Cost $37,000.00 Monthly Payment $156.65 Down Payment - $0.00 APR 1.99 0/ Total Amount $37,000.00 Agreement Term 2- -ar Financed AGREEMENT BENT FITS & i, ‘T, LLAT►JN • Sunnova Sales and Sunnova will install an Energy • If you your home or property interest, you Storage System ("ESS") consisting of 2 battery(ies) may transfer this agreement, to the new with a total capacity of 27.00 on your home. homeowner provided that they meet Sunnova's • The Term of this agreement is 25 years. credit requirements. • The purchase of your ESS is financed as provided • Sunnova Sales will complete the installation for for in the Consumer Note. (Exhibit 2) You will be your ESS, and Sunnova will review the required to make monthly payments under the installation to ensure it meets our high-quality Consumer Note for the Term of the agreement. standards. • You will receive a $10.00 discount each month when • Once your storage system is turned on and you set up automatic payments from your checking operating, you will receive a monthly bill for your or savings account(monthly payment above already new ESS. This may be in addition to monthly reflects discount). bills you receive for your existing solar system and/or your local utility. • Your ESS maintenance and warranty are covered by • When the electric grid goes down, the ESS will the Limited Warranty and Additional Coverage provide limited back up power. (Exhibit 3)for the Limited Warranty Term. • Your agreement gives you a 7-day cancellation • This agreement requires the parties to resolve period without incurring any fees. their disputes by arbitration rather than by lawsuits in court;jury trials and class actions are not permitted. I have reviewed, understand and agree with the above agreement terms and process. The pricing provided in this Easy Own Plan T" Equipment Purchaseis valid until January 12, 2023 's initials Co-Buyer's initials rtef S ©2021 Sunnova Energy International, Inc.All Rights Reserved. Agreement ID: V%006552000 DocuSign Envelope ID: B5FDEF4B-8926-4236-9D51-D1D69F7F5554 I i na la•►WI- M This is a copy View of the Authoritative Copy h S U n n rva Sunnova +Sunare°XW'cr on`iaiery Service Easy Own Plan TM Equipment Purchase BUYER NAME ELLEN SOLOMON CO-BUYER AND ADDRESS 141 EMERSON WAY NAME NORTHAMPTON, MA 01062 (IF ANY) INSTALLATION 41 EMERSON WAY CONTRACTOR Sunnova Sales LOCATION NORTHAMPTON, MA 01062 CONTRACT ID YZ005332680 CONTRACTOR Sunnova Sales ADDRESS License AR: 0426630523 I AZ: ROC 335748 I CA: 1003498 I CO: EC.0101708 I CT: HIC.0659681 I DC: ECC40000225 DE: 202170739 I FL: EC 13011880 1 GA: N218103 I HI: CT-34115 I ID: 056852 IL`: P208-1349, SE7563, 2020-194, E6978I LA: 74071 I NC: U.30860 I NE: 72523-22 I NJ: 13VH09974400, 34EB015489001 NH: 0497C I NV: 0079706 I MD:111608 MA:184093 I MI: 6114392 I OH: EL.48037 PR: 163781 I TN: 76395 ITX: 33134 PA: PA129306 I RI: 39710 I SC: 49755, SL-00031 UT: 12158185-5501 I VA: 2705177872 (ELE) & (AES) I WA: SUNNOEC798N9 I WI: 1538836 I WI: DC- 052200537 111 WV: WV061088 CO - SALESPERSON Eric Ziegler DAT Eric Ziegler HIS #: 139525 SP I Address: Sunnova Sales Sunnova Energy Corporation 20 Greenway Plaza, Suite 540 Houston Sunnova License: MA184093 20 East Greenway Plaza Ste 475, Houston,TX 77046 Date: 12/15/2022 281.985.9900 www.sunnova.com CD2021 Sunnova Energy International, Inc.All Rights Reserved. 1 Contract ID: YZ006332880 DocuSign Envelope ID:BSFDEF4B-8926-4236-9D51-D1D69F7F5554 +r na le M VW I- , Thus Is a copy view of the Authoritative Copy h S u n n nva Sunnova +Surd t��e4901:1 onega ery Service IN Easy Own Plan TM Equipment Purchase RESIDENTIAL HOME IMPROVEMENT AGREEMENT FOR ENERGY STORAGE SYSTEM YOU ARE ENTITLED TO A COMPLETELY FILLED IN COPY OF THIS RESIDENTIAL HOME IMPROVEMENT AGREEMENT, SIGNED BY BOTH YOU AND THE CONTRACTOR, BEFORE ANY WORK MAY BE STARTED. YOU MAY CANCEL THIS RESIDENTIAL HOME IMPROVEMENT AGREEMENT AT ANY TIME PRIOR TO MIDNIGHT ON THE SEVENTH BUSINESS DAY AFTER THE DATE YOU SIGN THIS RESIDENTIAL HOME IMPROVEMENT AGREEMENT. SEE EXHIBIT 1, THE ATTACHED NOTICE OF CANCELLATION FORM, FOR AN EXPLANATION OF THIS RIGHT. INTRODUCTION This Residential Home Improvement Agreement (this"Home Improvement Agreement") is between Sunnova s ("Contractor," "we," "us," and "our") and you, the Buyer and any Co-Buyer named above, for the sale and install n of the energy storage system ("ESS", "Battery", or"Project") described below, to be used in connection with an e . tin photovoltaic solar system (the"System") at your home (the"Property" or your"Home"). The terms "Buy% ," d "your" refer to the Buyer and any Co-Buyer, individually and jointly. The Terms& Conditions of Sale are attached and are incorporated by this reference and made a part of this Home Improvement Agreement. The Terms & Conditions of Sale require the parties to resolve their disputes by arbitration rather than by lawsuits in court;jury trials and class actions are not permitted. Buyer has also entered into a Consumer Note with Sunnova Energy Corporation, as creditor("Creditor") in that instance. The Consumer Note is incorporated as Exhibit 2 and made a part of this Home Improvement Agreement. The ESS will be located at your Property or your Home, listed at the Installation Location above, and includes all applicable accessories, mounting hardware, and attachments, as described more fully in this Home Improvement Agreement. KEY TERMS AND CONDITIONS 1. Contract Price The contract pri " ontract Price")for the Project is$37,000.00. The Contract Price for the Project includes sales tax of$0.00. 2. Finance Charge You have chosen to fina all portion of the Contract Price by entering into a Consumer Note with Creditor. Pursuant to the terms of t e Consumer Note, you agree to pay interest on the unpaid balance of that Contract Price at an interest rate of 1.99 %, (when payments are made by auto-ACH), in accordance with the terms and conditions provided in the Consumer Note. 3. escription of the Project and Estimated Description of Significant Materials to be Used and Equipment to be Installed Description of ESS Tesla/ Powerwall 2 AC Battery/2 Standard Components. ESS, battery management system, wiring and conduits per the National Electric Code. Standard Labor. Install ESS in relation to the existing System. Install specified ESS in good workmanlike manner. Complete and submit utility interconnection documents (if any) and permits (if necessary). Coordinate building, electrical and utility inspections (as applicable). YOU AGREE THA7.__Y , REVIEWED THE ABOVE DESCRIPTION OF THE ESS AND EQUIPMENT. Buyer's Signature: ) S'nilthi" '-6A2E4454714C4D8... Co-Buyer's Signature: 20 East Greenway Plaza Ste 475,Houston,TX 77046 Date: 12/15/2022 281.985.9900 www.sunnova.com ©2021 Sunnova Energy International, Inc.All Rights Reserved. 2 Contract ID: YZ000332600 DocuSign Envelope ID: B5FDEF4B-8926-4236-9D51-D1D69F7F5554 I'11,1 1,1 M %,vr I This is a copy view of the Authoritative Copy h S U n n nvaTM Sunnova +Sun aeeOsionaton`lua ery Service in Easy Own Plan TM Equipment Purchase Communication Equipment. During installation or at any time thereafter during the Term of the Consumer Note agreement, we may install, replace or update communication equipment(for example, an antenna) (the "Communication Equipment") at the Home. The Communication Equipment will be used in connection with the ESS and the System and to enhance connectivity and communication. If you initial the space below, you consent to the installation of the Communication Equipment if,when and as needed. Buyer's Initials 4. Downpayment You will be required to make a downpayment of$0.00. Contractor will not require progress payments to be made prior to the Installation Date, as defined below. Because you have chosen to finance all or a portion of the Contract Price by entering into a Consumer Note with Creditor, payments under that Consumer Note are due to the Creditor pursuant to the terms of that Consumer Note. 5. Approximate Start Date The work to be performed by Contractor pursuant to this Home Improvement A eement sh ence in 3 days from the date that is the later of the date in which (a) all permits have been issued (if app ); (b) any homeowner's association approval letter has been received (if applicable); and (c) all materials h been delivered to the site (the"Commencement Date"). 6. Approximate Installation Date All work shall be completed as soon as possible, but in no event more than three (3) months from the Commencement Date, subject to any applicable amendments. The time between Commencement Date and Installation Date will vary depending on a number of factors, some outside the control of Contractor. These factors include the process for obtaining the necessary building permits and utility approval for your ESS. The Project shall be deemed completed upon the date the ESS is connected to and operating with the System (the "Installation Date"). 7. Notice to Owner Any contractor or subcontractor who performs on the contract, or any materialman who provides home improvement goods or services and is not paid, may have a claim against the owner which may be enforced against the property in accordance with the applicable lien laws. 8 ' ermits Contractor shall obtain any and all necessary construction-related permits. Owners who secure their own onstruction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee und. 9. Registration All home improvement contractors and subcontractors shall be registered by the Office of Consumer Affairs and Business Regulation. Any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: (617) 973-8700 10. List of Documents that are Incorporated into this Home Improvement Agreement • EXHIBIT 1: Notice of Cancellation (7-day Right to Cancel); • EXHIBIT 2: Consumer Note; 20 East Greenway Plaza Ste 475,Houston,TX 77046 Date: 12/15/2022 281.985.9900 www.sunnova.com ©2021 Sunnova Energy International, Inc.All Rights Reserved. 3 Contract ID: YZOO11332 80 DocuSign Envelope ID: B5FDEF4B-8926-4236-9D51-D1D69F7F5554 II UV Iva M vc.►r I This is a copy view of the Authoritative Copy h S un nnVa Sunnova +Sulgagfe a n%AVIV Service Easy Own PlanTM Equipment Purchase • EXHIBIT 3: Limited Warranty and Additional Coverage; and • EXHIBIT 4: Grid Services Agreement(for Connected Solutions Program). 11. Notice of Right to Cancel You may cancel this Home Improvement Agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight OF THE SEVENTH BUSINESS DAY AFTER THE DATE YOU SIGN THIS HOME IMPROVEMENT AGREEMENT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM, FOR AN EXPLANATION OF THIS RIGHT. DO NOT SIGN THIS HOME IMPROVEMENT AGREEMENT IF THERE ARE ANY BLANK SPACES. Buyer's Name: ELLEN SOLOMON p-DocuSigned by: Signature flir / S'61011,00 -6A2E4454714C4D8... Date: December 15, 2022 I 10:08 MST Co-Buyer's Name (if any): Signature: Date: Contractor: Sunnova Sales Signature:JohwSanto-Sadvo- Date: December 15, 2022 *To be signed when Buyer decides to purchase 20 East Greenway Plaza Ste 475,Houston,TX 77046 Date: 12/15/2022 281.985.9900 www.sunnova.com ©2021 Sunnova Energy International, Inc.All Rights Reserved. 4 Contract ID:YZ006333660 9 COMMONWEALTH OF MASSACHU S DIVISION OF OCCUPATIONAL LICENSURE BOARD OF ELECTRICIANS ISSUES THE FOLLOWING LICENSE REGISTERED ELECTRICAL BUSINESS LUNEX POWER INC 65 MCCRACKEN RD W MILLBURY,MA 01527-1526 8225 Al 07/31/2025 334077 LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER I rlC L tJIVIIVIIJIVVVC/AL I rl ur IVIHJJHUrlUJC I I J Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration 4 Z ' ----- Type: Corporation LUNEX POWER INC rru Registration: 204117 3149 W VARN AVE _ Expiration: 01/09/2024 TAMPA,FL 33611 A 'N i i Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Exairation 1000 Washington Street -Suite 710 204117 01/09/2024 Boston.MA 0211e JNEX POWER INC. 4NIEL GAWRYCH MCCRACKEN ROAD ;,,,,,,,,,,,d.%;,;:e4me. ILLBURY.MA 01527 Undersecretary Not valid without signature Commonwealth of Massachusetts ii Division of Occupational Llcensure Board of Building Regqulations and Standards iTIf Constlon Srvisor N. CS-070750 _ �tpires: 11/30/2023 • JOSEPH P MARTIN III 7.4 3 OLD COLONY ROAD •- AUBURN MA'�11501 ;0, . r _ l' • tr it 4 n � /r- ssioner : fi. -„ct'ca C r' C•MM•NWEALTH O i SSA . _ _. s -. MMONWEALTH •F A H DIVISION OF OCCUPATIONAL LICENSURE DIVISION OF OCCUPATIONAL LICENSURE BOARD OF BOARD OF ELECTRICIANS ELECTRICIANS ISSUES THE FOLLOWING LICENSE ISSUES THE FOLLOWING LICENSE W QW CC REG JOURNEYMAN ELECTRICIAN m REGISTERED MASTER ELECTRICIAN D CRAIG LUMB 0 6i CRAIG LUMB 54 ELIZABETH ST w 54 ELIZABETH ST w W UXBRIDGE, MA 01569-1325 UXBRIDGE, MA 01569-1325 Aw 22986 A 07131/2025 330077 13562 B 07/31/2025 330078 ICENSE NUMBER EXPIRATION DATE SERIAL NUMBER LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia The Commonwealth of Massachusetts ) �ih /. Department of Industrial Accidents ?/II 1 Congress Street,Suite 100 C= �eI= Boston, MA 02114-2017 i( www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information '/��/ ^//f Please Print Legibly Name (Business/Organiza• n/Individual): ak±/\ JDv�� i/VC� Address: a,6 /Q &',c / / ` /6�J City/State/Zip fifZeif1 /Y�//,�. //// �, �y � � Phone#: � �� �� / A Are y u an employer?Check the appropriate box: Type of project(required): l. I am a employer with 64 employees(full and/or part-time).* 7. 0 New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑ Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 ❑ Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. oof repairs These sub-contractors have employees and have workers'comp.insurance? p 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other So\� i 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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: 7t 94/}("��4/JA iic-iy_729zi Policy#or Self-ins.Lic.#: le DD 2t 2 Expiration Date: ()IJ 6/ ay Job Site Address: 4/ C% /:—V / 7/1 / *%� !City/State/Zip: 4 0/& Attach a copy of the workers' compensation policy deflaration page(showing the policy number and ex tration/ate). 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 of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do h• ., en un•er • ,, ' s a • •• •lties of per'ury that the information provided above is true and correct. Si.nature. 4411011k a `' — Date: ` (�©�a Phon- : .i — _\3 15 `` Official 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(MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 02/07/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME. PHONE(NC,No,Ext): (800)277-1620 X 4800 FAX(NC,No): (727)797-0704 FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS: 100 South Missouri Avenue INSURER(S)AFFORDING COVERAGE NAIC# Clearwater,FL 33756 INSURER A: Frank Winston Crum Insurance Company 11600 INSURED INSURER B: INSURER C: FrankCrum UC/F Lunex Power Inc. INSURER D: 100 South Missouri Avenue INSURER E Clearwater. FL 33756 INSURER F. COVERAGES CERTIFICATE NUMBER: 904333 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSRD WVD (MMIDD/YYYY) (MM/DDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE ri OCCUR PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 17 PROJECT I]LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO OWNED AUTOS SCHEDULED BODILY INJURY(Per person) E ONLY AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ ONLY -AUTOS ONLY (Per accident) UMBRELLA LIAB _OCCUR EACH OCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND WC202200000 01/01/2023 01/01/2024 X PER STATUTE OTH- ERA EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERMIEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $1,000.000 (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Effective 07/02/2021,coverage is for 100%of the employees of FrankCrum leased to Lunex Power Inc. CERTIFICATE'1Ct.^ER CANCELLATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Attn:Building Department POLICY PROVISIONS. 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 02/07/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Certificates Department NAME: Single Source Insurance PHONE (727)298-0302 FAX (727)298-0029 (A/C,No,Est): (A/C,No): 2189 Cleveland Street E-MAIL certificates@singlesourceins.coln ADDRESS: Unit 235 INSURER(S)AFFORDING COVERAGE NAIC# Clearwater FL 33765 INSURER A: Clear Blue Insurance Company INSURED INSURERS: AmGUARD Insurance Company 42390 Lunex Power Inc. INSURER C: 3149 WVarn Ave INSURER D INSURER E: Tampa FL 33611 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2182613584 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ DAMAGE 10 RENTED 300,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A Y Y BGFL0023977400 08/27/2022 08/27/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ g OWNED SCHEDULED LUAU249845 07/14/2022 07/14/2023 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Medical payments $ 500 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) License:CVC57085 Certificate Holder is listed as Additional Insured with regards to General Liability.Primary&Non-Contributory Wording included.Certificate Holder listed in favor of Waiver of Subrogation with regards to General Liability.30 day written notice in the event of cancellation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn Building Department AUTHORIZED REPRESENTATIVE 212 Main Street Northampton, MA 01060 Y( li d'+-1' I { ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD City of Northampton fs.' Massachusetts str ', {y{ �g DEPARTMENT OF BUILDING INSPECTIONS y Pilo . `' 212 Main Street • Municipal Building JL CD �. Northampton, MA 01060 -SNy� 3 �1, 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: 100 Leicester Street North Oxford, MA 01537 _ The debris will be transported by: Name of Hauler: Casella Waste Systems Signature of Applicant: Date: 3/9/2023