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Bigony Permit AppsThe Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling FOR MUNICIPALITY USE Revised Mar 2011 This Section For Official Use Only Building Permit Number: _____________________ Date Applied: ______________________________ ___________________________________ ____________________________________________ ___________ Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: ____________________________________________ 1.1a Is this an accepted street? yes_____ no_____ 1.2 Assessors Map & Parcel Numbers _____________________ ____________________ Map Number Parcel Number 1.3 Zoning Information: _______________ ___________________ Zoning District Proposed Use 1.4 Property Dimensions: _____________________ ____________________ Lot Area (sq ft) Frontage (ft) 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c. 40, § 54) Public Private 1.7 Flood Zone Information: Zone: ___ Outside Flood Zone? Check if yes 1.8 Sewage Disposal System: Municipal On site disposal system SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner 1 of Record: ________________________________________ _________________________________________________ Name (Print) City, State, ZIP _____________________________________________ _________________ ___________________________________ No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction Existing Building Owner-Occupied Repairs(s) Alteration(s) Addition Demolition Accessory Bldg. Number of Units_____ Other Specify:________________________ Brief Description of Proposed Work2:_________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials)Official Use Only 1. Building $1. Building Permit Fee: $_______ Indicate how fee is determined: Standard City/Town Application Fee Total Project Cost3 (Item 6) x multiplier _______ x _______ 2. Other Fees: $_________ List:_________________________________________________ ____________________________________________________ Total All Fees: $_______________ Check No. ______Check Amount: _______Cash Amount:______ Paid in Full Outstanding Balance Due:__________ 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Suppression)$ 6.Total Project Cost:$ Structural upgrades as described in engineering letter SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) ________________________________________________________ Name of CSL Holder _________________________________________________________ No. and Street _________________________________________________________ City/Town, State, ZIP _________________________________________________________ __________________ ______________________________________ Telephone Email address _____________________ ______________ License Number Expiration Date List CSL Type (see below) _______________ Type Description U Unrestricted (Buildings up to 35,000 cu. ft.) R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation D Demolition 5.2 Registered Home Improvement Contractor (HIC) ______________________________________________________________ HIC Company Name or HIC Registrant Name ______________________________________________________________ No. and Street ________________________________________ ____________________ City/Town, State, ZIP Telephone _____________________ ______________ HIC Registration Number Expiration Date _______________________________________ Email address SECTION 6: WORKERS’ COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ……….  No ………..  SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER’S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property, hereby authorize_____________________________________________________ to act on my behalf, in all matters relative to work authorized by this building permit application. ______________________________________________________ ______________________ Print Owner’s Name (Electronic Signature) Date SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. _____________________________________________________________ ______________________ Print Owner’s or Authorized Agent’s Name (Electronic Signature) Date NOTES: 1.An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor (HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2.When substantial work is planned, provide the information below: Total floor area (sq. ft.) _________________________ (including garage, finished basement/attics, decks or porch) Gross living area (sq. ft.) __________________ Habitable room count ______________________ Number of fireplaces______________________ Number of bedrooms _____________________ Number of bathrooms ____________________ Number of half/baths ______________________ Type of heating system ___________________ Number of decks/ porches __________________ Type of cooling system_____________________ Enclosed ______________Open _____________ 3.“Total Project Square Footage” may be substituted for “Total Project Cost” Phil SmithPhil Smith 6 Torrey St6 Torrey St Easthampton, MA 01027Easthampton, MA 01027 413-203-9088 applications.westma@trinity-solar.com CS CS-108025 9/29/20234/22/2024 U Trinity Solar Inc DBA Trinity Solar 20 Patterson Brook Road - Unit 10 West Wareham MA 02576 413-203-9088 170355 10/11/202110/11/2023 applications.westma@trinity-solar.com Please See Attached X X X x x City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number ________________ is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ___________________________________________________ The debris will be transported by: Name of Hauler: ______________________________________________________ Signature of Applicant: __________________________________Date: ___________ Casella- 295 Forest Street, Peabody, MA 01960 Trinity Solar 9/11/2023 NJ, ElectricalContractor business permit number34EB01547400 NJ, HIC reg. #13VH01244300 For other jurisdictions, please visit: http://www.trinity-solar.com/about-us/locations-and-licenses HOMEOWNERS AUTHORIZATION FORM I,, (print name) am the owner of the property located at address: . (print address) I hereby authorize Trinity Solar Inc. (“Trinity Solar”)and its employees, agents, and subcontractors, including without limitation,, to act as my Agent for the limited purpose of applying for and obtaining local building and other permits from the Authority Having Jurisdiction as required for the installation of a Photovoltaic System, Battery System, roofing or other Trinity Solar offerings located on my property, applying and obtaining permission and approval for interconnection with the electric utility company, and registration with any state and/or local incentive program(s). This authorization includesthe transfer/re-administering, and/or cancellation of any existing permits on file for the purpose of updating/applying with an alternate subcontractor. Without limitation to the generality of theforegoing Ispecifically authorize Trinity Solar et al. to populate technical details, fill-in, edit, compile, attach drawings, plans, data sheets and other documentation to, date, submit, re-submit, revise, amend and modify application, submission and certificationdocuments(“ApprovalsPaperwork”),includingthoseforwhichsignaturepagesareincluded herewith for my signature, in furtherance of the relatedtransaction, and I am providing any signatures to Approvals Paperwork for purposes of the foregoing. Trinity Solar will provide copies of Approvals Paperwork when submitted. My authorizations memorialized herein shall remain in full force and effect until revoked. I acknowledge that theseauthorizations are not required to proceed withthe transaction andare not a condition of the related agreement included herewith but are being given for my own convenience and benefit in order to expedite the approvals processes. ElectricUtility Company: ElectricUtilityAccount No.: Name on Electric Utility Account: Customer Signature PrintName Date CorporateHeadquarters1-877-SUN-SAVES 2211AllenwoodRoadPh:732-780-3779 Wall,NewJersey07719Fax:732-780-6671 www.trinity-solar.com FORINFORMATIONABOUTCONTRACTORSANDTHECONTRACTORS’REGISTRATION ACT, CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY, DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. Constance Bigony May 22, 2023 32 Water St Leeds, Massachusetts 01053 United States National Grid 1596794018 Constance Bigony Constance Bigony Northampton, MA August 21, 2023 212 Main St. Northampton, MA 01060 Trinity Solar No. 32 Water St 2023-05-877908 Leeds, MA 01053 MA License No. 56687 RE: BIGONY, CONSTANCE Trinity Solar | 4 Open Square Way, Suite 410 | Holyoke, MA | (413) 203-9088 To the Building Official: The following information constitutes a summary of the relevant design criteria and recommendations for the support of a new photovoltaic [PV] system on the existing roof framing components at the above-referenced location. Criteria is as follows: 1. Existing roof framing: Conventional roof framing at R1 is 2x4 at 24 o.c.; existing rafter span= 7' 6"; (horizontal projection) 2. Roof Loading: • 3.0psf dead load (pounds per square foot - PV panels, mounting rails & hardware) • 5.1psf - existing roof loads (1.1psf - 2x4 framing, 1.5psf roof sheathing, 2.5psf shingles) • Ground Snow Load - 40psf - per AHJ (Authority Having Jurisdiction) • Wind criteria - Exposure Category B, 117 mph wind 3. Existing roof modification at R1 - provide 2x4 (@24" o.c.) "knee wall" reinforcing to limit the maximum span of the existing rafter to 5'- 11". Locate bottom of "knee wall" within one foot of existing bearing wall below. Alternatively, existing roof rafters may be "sistered" with the new 2x4 rafters extending the full length of the existing rafters and terminated before the existing rafter support connection. Non-full-length rafter sisters must "overlap" its accompanied sister a minimum of 24" with nailing from each side in the overlap. Typical sister nailing consists of 10d nails top and bottom at 8" o.c. Within overlap, same nailing at 4"o.c. This installation design is in general conformance with the manufacturers’ specifications and complies with all applicable laws, codes, and ordinances – specifically the International Building Code (2015 edition) and the International Residential Code (2015 edition), including all Massachusetts regulations and amendments. The spacing and fastening of the mounting brackets is a maximum of 48” o.c. between mounting brackets (staggered) and is secured using 5/16” diameter corrosive-resistant steel lag bolts. A minimum of 2½” of penetration (embedment) per lag bolt is required, which will resist all stated loads above – including wind shear. Per NDS Section 12.1.4, clearance holes - equal to the diameter of the shank - need to be bored into a primary framing member for the full-length of the threaded portion of the bolt to avoid splitting of the framing member. Regards, Ihor Bojcun, PE Structural Engineer - Trinity Solar INSTALLATION OF NEW ROOF MOUNTED PV SOLAR SYSTEM 32 WATER ST LEEDS, MA 01053 42.352739,-72.702155 WATER ST R2 LAYOUT REVISION 9/19/2023 R1 LAYOUT REVISION 8/24/2023 P1 ISSUED TO TOWNSHIP FOR PERMIT 8/17/2023 NO. DESCRIPTION DATE BIGONY, CONSTANCE- TRINITY ACCT #: 2023-05-877908 32 WATER ST LEEDS, MA 0105342.352739,-72.702155 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/17/2023 DRAWN BY:HL REVISED BY: JC DC SYSTEM SIZE:6.075kW AC SYSTEM SIZE:5kW MODULE COUNT: 15 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #:1596794018 UTILITY METER #: 97443453 DEAL TYPE: SUNNOVA R2 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com ROOF 1 MODULES: 7 PITCH: 5 ORIENTATION: 177 ROOF 2 MODULES: 8 PITCH: 30 ORIENTATION: 177 ROOF 3 MODULES: 0 PITCH: 30° ORIENTATION: 357° ROOF 4 MODULES: 0 PITCH: 10° ORIENTATION: 267° ROOF 5 MODULES: 0 PITCH: 14° ORIENTATION: 87° ***NOTE: 2021 NFPA 1 - 11.12.3.2.4.1PLAN VIEW TOTAL ROOF AREA: 1435.6 FT²PHOTOVOLTAIC ARRAY TOTAL AREA: 303.0 FT² ARRAY PERCENTAGE OF PLAN VIEW TOTAL ROOF AREA: 21.1% ***NOTE: ROOF NUMBER 1 PITCHED LESS THAN 9.5 DEG (2/12) EXEMPT FROM ROOF ACCESS AND PATHWAYS PER 2021 NFPA 1 - 11.12.3.2.2 DC ACD ep M N S270 901352254 5315 42.352739,-72.702155 15 HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) 1 SE5000H-US000BEi4 INSIDE OUTSIDE. OUTSIDE (UTILITY ACCESSIBLE)OUTSIDE. R2 LAYOUT REVISION 9/19/2023 R1 LAYOUT REVISION 8/24/2023 P1 ISSUED TO TOWNSHIP FOR PERMIT 8/17/2023 NO. DESCRIPTION DATE BIGONY, CONSTANCE- TRINITY ACCT #: 2023-05-877908 32 WATER ST LEEDS, MA 0105342.352739,-72.702155 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/17/2023 DRAWN BY:HL REVISED BY: JC DC SYSTEM SIZE:6.075kW AC SYSTEM SIZE:5kW MODULE COUNT: 15 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #:1596794018 UTILITY METER #: 97443453 DEAL TYPE: SUNNOVA R2 NOTES: 1.) ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS. 2.) 3.) ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION. ALL OUTDOOR EQUIPMENT SHALL BE RAIN TIGHT WITH MINIMUM NEMA 3R RATING. M UD SP P DC AC ep D DC R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com SD TS CALCULATIONS FOR CURRENT CARRYING CONDUCTORSREQUIRED CONDUCTOR AMPACITY PER STRING[NEC 690.8(B)(1)]: (15.00*1.25)1 = 18.75A AWG #10, DERATED AMPACITYAMBIENT TEMP: 33°C, TEMP DERATING FACTOR: .96RACEWAY DERATING = 4 CCC: 0.80(40*.96)0.80 = 30.72A 30.72A >_ 18.75A, THEREFORE WIRE SIZE IS VALID TOTAL AC REQUIRED CONDUCTOR AMPACITY21.00A*1.25 = 26.25A AWG #10, DERATED AMPACITYAMBIENT TEMP: 30°C, TEMP DERATING: 1.0RACEWAY DERATING <_ 3 CCC: N/A40A*1.0 = 40A 40A >_ 26.25A, THEREFORE AC WIRE SIZE IS VALID CALCULATION FOR PV OVERCURRENT PROTECTIONTOTAL INVERTER CURRENT: 21.00A21.00A*1.25 = 26.25A --> 30A OVERCURRENT PROTECTION IS VALID ARRAY CIRCUIT WIRING NOTES1.) LICENSED ELECTRICIAN ASSUMES ALL RESPONSIBILITYFOR DETERMINING ONSITE CONDITIONS ANDEXECUTING INSTALLATION IN ACCORDANCE WITHNEC 2020 2.) LOWEST EXPECTED AMBIENT TEMPERATURE BASED ONASHRAE MINIMUM MEAN EXTREME DRY BULBTEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TOINSTALLATION LOCATION. LOWEST EXPECTED AMBIENTTEMP = -16°C 3.) HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASEDON ASHRAE HIGHEST MONTH 2% DRY BULBTEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TOINSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP =33°C 4.) 2005 ASHRAE FUNDAMENTALS 2% DESIGNTEMPERATURES DO NOT EXCEED 47°C IN THE UNITEDSTATES (PALM SPRINGS, CA IS 44.1°C). FOR LESS THAN 9CURRENT-CARRYING CONDUCTORS IN A ROOF-MOUNTEDSUNLIT CONDUIT AT LEAST 0.5" ABOVE ROOF AND USINGTHE OUTDOOR DESIGN TEMPERATURE OF 47°C OR LESS(ALL OF UNITED STATES) 5.) PV SYSTEM CIRCUITS INSTALLED ON OR IN BUILDINGSSHALL INCLUDE A RAPID SHUTDOWN FUNCTION THATCONTROLS SPECIFIC CONDUCTORS IN ACCORDANCE WITHNEC 690.12(A) THROUGH (D) 6.) PHOTOVOLTAIC POWER SYSTEMS SHALL BE PERMITTEDTO OPERATE WITH UNGROUNDED PHOTOVOLTAICSOURCE AND OUTPUT CIRCUIT AS PER NEC 690.41 (A)(4) 7.) UNGROUNDED DC CIRCUIT CONDUCTORS SHALL BEIDENTIFIED WITH THE FOLLOWING OUTER FINISH:POSITIVE CONDUCTORS = REDNEGATIVE CONDUCTORS = BLACKNEC 210.5(C)(2) 8.) ARRAY AND SUB ARRAY CONDUCTORS SHALL BE #10 PVWIRE TYPE RHW-2 OR EQUIVELANT AND SHALL BEPROTECTED BY CONDUIT WHERE EXPOSED TO DIRECTSUNLIGHT. SUB ARRAY CONDUIT LONGER THAN 24” SHALLCONTAIN ≤ 20 CURRENT CARYING CONDUCTORS ANDWHERE EXPOSED TO DIRECT SUNLIGHT SHALLCONTAIN ≤ 9 CURRENT CARRYING CONDUCTORS. 9.) ALL WIRE LENGTHS SHALL BE LESS THAN 100' UNLESSOTHERWISE NOTED 10.) FLEXIBLE CONDUIT SHALL NOT BE INSTALLED ONROOFTOP AND SHALL BE LIMITED TO 12” IF USEDOUTDOORS 11.)OVERCURRENT PROTECTION FOR CONDUCTORSCONNECTED TO THE SUPPLY SIDE OF A SERVICE SHALL BELOCATED WITHIN 10' OF THE POINT OF CONNECTION NEC690.9(A)(3)(2) 12.) WHERE TWO SOURCES FEED A BUSSBAR, ONE AUTILITY AND THE OTHER AN INVERTER, PV BACKFEEDBREAKER(S) SHALL BE LOCATED OPPOSITE FROM UTILITYNEC 705.12(B)(3)(2) 13.) ALL SOLAR SYSTEM LOAD CENTERS TO CONTAIN ONLYGENERATION CIRCUITS AND NO UNUSED POSITIONS ORLOADS 14.) ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVEA NEMA 3R RATING LOCKABLE 60A DISCONNECT FUSED W/ 30A FUSES SQUARE DPN: D222NRB ISOLATED NEUTRAL 240V 1Ø E NOTE: INTERNAL REVENUE GRADE MONITORINGCONTAINED WITHIN SOLAR EDGE INVERTERSOLAR EDGE PN. RWND-3D-240-MB INVERTER #1 - SE5000H-US000BEi4 DC AC Imp 13.5 Pout 5000 Vmp 380 Imax 21 Voc 480 OCPDmin 26.25 Isc 30 Vnom 240 PV MODULE SPECIFICATIONS HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) Imp 10.83 Vmp 37.39 Voc 45.34 Isc 11.17 A #6 THWN-2 GEC TO EXISTING GROUND ROD B 3/4'' CONDUIT W/ 2-#10 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND C 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND D 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND E 3/4'' CONDUIT W/ 2-#10 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND F #10 PV WIRE (FREE AIR) W/ #6 BARE COPPER BOND TO ARRAY G 3/4'' CONDUIT W/ 2-#6 THWN-2, 1-#6 THWN-2, 1-#8 THWN-2 GROUND NOTE: CONDUIT TYPE SHALL BE CHOSEN BY THE INSTALLATION CONTRACTORTO MEET OR EXCEED NEC AND LOCAL AHJD REQUIREMENTS INVERTER #1 PV+L1 L2 N PV-D SOLAR MODULES MOUNTED TO ROOF ON 2 ARRAYS 15 - 405W MODULES W/ 1 SOLAR EDGE S500B PER MODULE15 ADC MAX PER STRING 1 STRING OF 7 MODULES IN SERIES - 380 Vmax 1 STRING OF 8 MODULES IN SERIES - 380 Vmax *2 STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER 1 f 8"x8" JUNCTIONBOX NEUTRALM 120/240VUTILITY METERMETER MAIN COMBOSUPPLYING UTILITY 1Ø 120/240VEXISTING MAIN BREAKER LOADCENTER 1Ø 2p200AMAIN1Ø 200A MAIN BREAKER200A BUSBAR MAIN BREAKER / METER PAN COMBOINSULATED LINE TAPS ON LOAD SIDE OFMAIN BREAKER NEC 705.12(12)2p200AMAINNEUTRAL240V 200A MAIN BREAKER200A BUSBAR 240V G NEC 2023 R2 LAYOUT REVISION 9/19/2023 R1 LAYOUT REVISION 8/24/2023 P1 ISSUED TO TOWNSHIP FOR PERMIT 8/17/2023 NO. DESCRIPTION DATE BIGONY, CONSTANCE- TRINITY ACCT #: 2023-05-877908 32 WATER ST LEEDS, MA 0105342.352739,-72.702155 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/17/2023 DRAWN BY:HL REVISED BY: JC DC SYSTEM SIZE:6.075kW AC SYSTEM SIZE:5kW MODULE COUNT: 15 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #:1596794018 UTILITY METER #: 97443453 DEAL TYPE: SUNNOVA R2 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 5/26/2023 Arthur J. Gallagher Risk Management Services, LLC 4000 Midlantic Drive Suite 200 Mount Laurel NJ 08054 856-482-9900 856-482-1888 CherryHill.BSD.CertM@AJG.com Gotham Insurance Company 25569 TRINHEA-03 National Union Fire Insurance Company of Pittsburg 19445Trinity Solar Inc. 4 Open Square Way, Suite 410 Holyoke, MA 01040 Endurance American Specialty Ins Co 41718 Liberty Insurance Underwriters Inc 19917 129732996 A X 2,000,000 X 100,000 5,000 1,000,000 2,000,000 X GL202100013378 6/1/2023 6/1/2024 2,000,000 B 2,000,000 X CA 2960145 6/1/2023 6/1/2024 A C D X 5,000,000 X EX202100001871 ELD30006989101 1000231834-06 6/1/2023 6/1/2023 6/1/2023 6/1/2024 6/1/2024 6/1/2024 5,000,000 Limit x of $5,000,000 19,000,000 B XWC 13588107 6/1/2023 6/1/2024 1,000,000 1,000,000 1,000,000 B Automobile Comp/ Collusion Ded.CA 2960145 6/1/2023 6/1/2024 All Other Units Truck-Tractors and Semi-Trailers $250/500 $250/500 Evidence of Insurance Evidence of Insurance JOB NAME:BIGONY, CONSTANCE- ADDRESS: 32 Water St Leeds, MA 01053 42.352739,-72.702155 33.59 ESTIMATED PERSONNEL HOURS 1.4 DAYS 1.05 DAYS 0.7 DAYS •15 HANWHA 405's (6.075KW)(CREW OF 3) (CREW OF 4) (CREW OF 6) • 2 SEPARATE ARRAYS •16' PEAK TO GROUND •12 PORTRAIT & 3 LANDSCAPED • 1 INVERTERS INSTALLED OUTSIDE • NO TRENCH ESTIMATED SENT TO JOB USED □HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405)15 ______ □ S500B SE OPTIMIZERS 15 ______ □SE5000H-US000BEi4 1 ______ □60A OUTDOOR FUSED DISCONNECT W/ (2) 30A FUSES 1 ______ □60A OUTDOOR NON-FUSED DISCONNECT 1 ______ □SOLADECK BOX(ES) & HAYCO CONNECTOR(S)2 ______ □ PV LEAD WIRE 100'______ □INSULATED BUG BITES (LINE TAPS)2 ______ □ ECOFASTEN 2012025 CF STD RAIL MLL AL 171.5 10 ______ □ ECOFASTEN 2012013 CF RAIL SPLICE 7 ______ □ ECOFASTEN 2099017 CF END CLAMP 32MM BLK 12 ______ □ECOFASTEN 2099022 CF MID CLAMP SHORT BLK 24 ______ □ ECOFASTEN 4011011 MODULE JUMPER 1 ______ □GROUNDING LUG (NOT PROVIDED BY ECOFASTEN)2 ______ □ ECOFASTEN 2012022 CF UNIV L-FOOT MLL 3 38 ______ □ ECOFASTEN 3012020 GF-1 FLASHING GLV BLK 8 x 10 38 ______ □ ECOFASTEN 2012019 CF MLPE MOUNT 15 ______ □ ECOFASTEN 2012020 CF WIRE MGMT CLIP 15 ______ □ECOFASTEN 2012024 CF END CAP 12 ______ MATERIAL LIST R(FOR INTERNAL USE ONLY) 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com INSTALLATION OF NEW ROOF MOUNTED PV SOLAR SYSTEM 32 WATER ST BIGONY, CONSTANCE- 32 WATER ST LEEDS, MA 01053 42.352739,-72.702155 R APPENDIX CONTENTS LABELS, STICKERS, AND PLACARDS EQUIPMENT DATA SHEETS 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 City or Town of: __________________________________ Date: ___________________ To the Inspector of Wires: By this application, the undersigned gives notices of his or her intention to perform the electrical work described below. Location (Street & Number): ____________________________________________ Unit No.: ________________________ Owner or Tenant: __________________________________________ Email: ____________________________________ Owner’s Address: ____________________________________________________ Phone No.: ______________________ Is this permit in conjunction with a building permit? (Check appropriate box) Yes No Permit No.:_________________ Purpose of Building: _____________________________________ Utility Authorization No.: ___________________ Existing Service: _____________ Amps _____/_____ Volts Overhead Underground No. of Meters: _____ New Service: _____________ Amps _____/_____ Volts Overhead Underground No. of Meters: _____ Description of Proposed Electrical Installation: _____________________________________________________________ ______________________________________________________________________________________________________ Completion of the following table may be waived by the Inspector of Wires. No. of Receptable Outlets: No. of Switches: Generator KW Rating: Type: No. Luminaires: No. of Recessed Luminaires: No. Wind Generators: Wind KW Rating: No. Appliances: KW: No. Water Heaters: KW: No. Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW: No. Heat Pumps: Total KW: Total Tons: Fire Alarm System No. of Devices: Swimming Pool: In-Grnd. Above-Grnd. Hot-Tub No. of Self-Contained Detection/Alerting Devices: No. Oil Burners: No. Gas Burners: Video System No. of Devices: No. Air Conditioners: Total Tons: Telecom System No. of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System No. of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No. of Modules: Roof-Mount Ground-Mount No. of Electric Vehicle Supply Equipment: Level 1 Level 2 Level 3 Rating: OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: _________________________________ (When required by municipal policy) Date Work to Start: _________________ Inspections to be requested in accordance with MEC Rule 10, and upon completion. FIRM NAME: ___________________________________________________ A-1 or C-1 LIC. No.: ____________ Master/Systems Licensee: __________________________________________ LIC. No.: __________________________ Journeyman Licensee: _____________________________________________ LIC. No.: __________________________ Security System Business requires a Division of Occupational Licensure “S” LIC. S-LIC. No.: __________________________ Address: ____________________________________________________________________________________________ Email: __________________________________________________________ Telephone No.: ________________________ I certify, under the pains and penalties of perjury, that the information on this application is true and complete. Licensee: ____________________________Print Name: ________________________________Cell. No.: _______________ INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability including “completed operation” coverage or its substantial equivalent. The undersigned certifies that such coverage is in force and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND OTHER Specify: _____________________________________ OWNER’S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the: (Check one) Owner Owner’s agent Owner / Agent: _______________________________________________ Tel. No.: ________________________________ Signature: ____________________________________________________ Email.: _________________________________ Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No.: __________________________ Occupancy and Fee Checked: ____________ [Rev. 1/2023] Residential X TBD Trinity Solar Inc.4434 A1 Brian K. Macpherson Brian K. Macpherson 21233 A 32 Grove St, Plympton, MA 02367 applications.westma@trinity-solar.com 413-203-9088 508-577-3391Brian Macpherson X X 12525 B Install kW solar on roof. () panels INSTALLATION OF NEW ROOF MOUNTED PV SOLAR SYSTEM 32 WATER ST LEEDS, MA 01053 42.352739,-72.702155 WATER ST R2 LAYOUT REVISION 9/19/2023 R1 LAYOUT REVISION 8/24/2023 P1 ISSUED TO TOWNSHIP FOR PERMIT 8/17/2023 NO. DESCRIPTION DATE BIGONY, CONSTANCE- TRINITY ACCT #: 2023-05-877908 32 WATER ST LEEDS, MA 0105342.352739,-72.702155 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/17/2023 DRAWN BY:HL REVISED BY: JC DC SYSTEM SIZE:6.075kW AC SYSTEM SIZE:5kW MODULE COUNT: 15 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #:1596794018 UTILITY METER #: 97443453 DEAL TYPE: SUNNOVA R2 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com ROOF 1 MODULES: 7 PITCH: 5 ORIENTATION: 177 ROOF 2 MODULES: 8 PITCH: 30 ORIENTATION: 177 ROOF 3 MODULES: 0 PITCH: 30° ORIENTATION: 357° ROOF 4 MODULES: 0 PITCH: 10° ORIENTATION: 267° ROOF 5 MODULES: 0 PITCH: 14° ORIENTATION: 87° ***NOTE: 2021 NFPA 1 - 11.12.3.2.4.1PLAN VIEW TOTAL ROOF AREA: 1435.6 FT²PHOTOVOLTAIC ARRAY TOTAL AREA: 303.0 FT² ARRAY PERCENTAGE OF PLAN VIEW TOTAL ROOF AREA: 21.1% ***NOTE: ROOF NUMBER 1 PITCHED LESS THAN 9.5 DEG (2/12) EXEMPT FROM ROOF ACCESS AND PATHWAYS PER 2021 NFPA 1 - 11.12.3.2.2 DC ACD ep M N S270 901352254 5315 42.352739,-72.702155 15 HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) 1 SE5000H-US000BEi4 INSIDE OUTSIDE. OUTSIDE (UTILITY ACCESSIBLE)OUTSIDE. R2 LAYOUT REVISION 9/19/2023 R1 LAYOUT REVISION 8/24/2023 P1 ISSUED TO TOWNSHIP FOR PERMIT 8/17/2023 NO. DESCRIPTION DATE BIGONY, CONSTANCE- TRINITY ACCT #: 2023-05-877908 32 WATER ST LEEDS, MA 0105342.352739,-72.702155 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/17/2023 DRAWN BY:HL REVISED BY: JC DC SYSTEM SIZE:6.075kW AC SYSTEM SIZE:5kW MODULE COUNT: 15 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #:1596794018 UTILITY METER #: 97443453 DEAL TYPE: SUNNOVA R2 NOTES: 1.) ALL EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS. 2.) 3.) ALL LOCATIONS ARE APPROXIMATE AND REQUIRE FIELD VERIFICATION. ALL OUTDOOR EQUIPMENT SHALL BE RAIN TIGHT WITH MINIMUM NEMA 3R RATING. M UD SP P DC AC ep D DC R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com SD TS CALCULATIONS FOR CURRENT CARRYING CONDUCTORSREQUIRED CONDUCTOR AMPACITY PER STRING[NEC 690.8(B)(1)]: (15.00*1.25)1 = 18.75A AWG #10, DERATED AMPACITYAMBIENT TEMP: 33°C, TEMP DERATING FACTOR: .96RACEWAY DERATING = 4 CCC: 0.80(40*.96)0.80 = 30.72A 30.72A >_ 18.75A, THEREFORE WIRE SIZE IS VALID TOTAL AC REQUIRED CONDUCTOR AMPACITY21.00A*1.25 = 26.25A AWG #10, DERATED AMPACITYAMBIENT TEMP: 30°C, TEMP DERATING: 1.0RACEWAY DERATING <_ 3 CCC: N/A40A*1.0 = 40A 40A >_ 26.25A, THEREFORE AC WIRE SIZE IS VALID CALCULATION FOR PV OVERCURRENT PROTECTIONTOTAL INVERTER CURRENT: 21.00A21.00A*1.25 = 26.25A --> 30A OVERCURRENT PROTECTION IS VALID ARRAY CIRCUIT WIRING NOTES1.) LICENSED ELECTRICIAN ASSUMES ALL RESPONSIBILITYFOR DETERMINING ONSITE CONDITIONS ANDEXECUTING INSTALLATION IN ACCORDANCE WITHNEC 2020 2.) LOWEST EXPECTED AMBIENT TEMPERATURE BASED ONASHRAE MINIMUM MEAN EXTREME DRY BULBTEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TOINSTALLATION LOCATION. LOWEST EXPECTED AMBIENTTEMP = -16°C 3.) HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASEDON ASHRAE HIGHEST MONTH 2% DRY BULBTEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TOINSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP =33°C 4.) 2005 ASHRAE FUNDAMENTALS 2% DESIGNTEMPERATURES DO NOT EXCEED 47°C IN THE UNITEDSTATES (PALM SPRINGS, CA IS 44.1°C). FOR LESS THAN 9CURRENT-CARRYING CONDUCTORS IN A ROOF-MOUNTEDSUNLIT CONDUIT AT LEAST 0.5" ABOVE ROOF AND USINGTHE OUTDOOR DESIGN TEMPERATURE OF 47°C OR LESS(ALL OF UNITED STATES) 5.) PV SYSTEM CIRCUITS INSTALLED ON OR IN BUILDINGSSHALL INCLUDE A RAPID SHUTDOWN FUNCTION THATCONTROLS SPECIFIC CONDUCTORS IN ACCORDANCE WITHNEC 690.12(A) THROUGH (D) 6.) PHOTOVOLTAIC POWER SYSTEMS SHALL BE PERMITTEDTO OPERATE WITH UNGROUNDED PHOTOVOLTAICSOURCE AND OUTPUT CIRCUIT AS PER NEC 690.41 (A)(4) 7.) UNGROUNDED DC CIRCUIT CONDUCTORS SHALL BEIDENTIFIED WITH THE FOLLOWING OUTER FINISH:POSITIVE CONDUCTORS = REDNEGATIVE CONDUCTORS = BLACKNEC 210.5(C)(2) 8.) ARRAY AND SUB ARRAY CONDUCTORS SHALL BE #10 PVWIRE TYPE RHW-2 OR EQUIVELANT AND SHALL BEPROTECTED BY CONDUIT WHERE EXPOSED TO DIRECTSUNLIGHT. SUB ARRAY CONDUIT LONGER THAN 24” SHALLCONTAIN ≤ 20 CURRENT CARYING CONDUCTORS ANDWHERE EXPOSED TO DIRECT SUNLIGHT SHALLCONTAIN ≤ 9 CURRENT CARRYING CONDUCTORS. 9.) ALL WIRE LENGTHS SHALL BE LESS THAN 100' UNLESSOTHERWISE NOTED 10.) FLEXIBLE CONDUIT SHALL NOT BE INSTALLED ONROOFTOP AND SHALL BE LIMITED TO 12” IF USEDOUTDOORS 11.)OVERCURRENT PROTECTION FOR CONDUCTORSCONNECTED TO THE SUPPLY SIDE OF A SERVICE SHALL BELOCATED WITHIN 10' OF THE POINT OF CONNECTION NEC690.9(A)(3)(2) 12.) WHERE TWO SOURCES FEED A BUSSBAR, ONE AUTILITY AND THE OTHER AN INVERTER, PV BACKFEEDBREAKER(S) SHALL BE LOCATED OPPOSITE FROM UTILITYNEC 705.12(B)(3)(2) 13.) ALL SOLAR SYSTEM LOAD CENTERS TO CONTAIN ONLYGENERATION CIRCUITS AND NO UNUSED POSITIONS ORLOADS 14.) ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVEA NEMA 3R RATING LOCKABLE 60A DISCONNECT FUSED W/ 30A FUSES SQUARE DPN: D222NRB ISOLATED NEUTRAL 240V 1Ø E NOTE: INTERNAL REVENUE GRADE MONITORINGCONTAINED WITHIN SOLAR EDGE INVERTERSOLAR EDGE PN. RWND-3D-240-MB INVERTER #1 - SE5000H-US000BEi4 DC AC Imp 13.5 Pout 5000 Vmp 380 Imax 21 Voc 480 OCPDmin 26.25 Isc 30 Vnom 240 PV MODULE SPECIFICATIONS HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) Imp 10.83 Vmp 37.39 Voc 45.34 Isc 11.17 A #6 THWN-2 GEC TO EXISTING GROUND ROD B 3/4'' CONDUIT W/ 2-#10 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND C 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND D 3/4'' CONDUIT W/ 4-#10 THWN-2, 1-#10 THWN-2 GROUND E 3/4'' CONDUIT W/ 2-#10 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND F #10 PV WIRE (FREE AIR) W/ #6 BARE COPPER BOND TO ARRAY G 3/4'' CONDUIT W/ 2-#6 THWN-2, 1-#6 THWN-2, 1-#8 THWN-2 GROUND NOTE: CONDUIT TYPE SHALL BE CHOSEN BY THE INSTALLATION CONTRACTORTO MEET OR EXCEED NEC AND LOCAL AHJD REQUIREMENTS INVERTER #1 PV+L1 L2 N PV-D SOLAR MODULES MOUNTED TO ROOF ON 2 ARRAYS 15 - 405W MODULES W/ 1 SOLAR EDGE S500B PER MODULE15 ADC MAX PER STRING 1 STRING OF 7 MODULES IN SERIES - 380 Vmax 1 STRING OF 8 MODULES IN SERIES - 380 Vmax *2 STRINGS TO BE TERMINATED IN PARALLEL INSIDE INVERTER 1 f 8"x8" JUNCTIONBOX NEUTRALM 120/240VUTILITY METERMETER MAIN COMBOSUPPLYING UTILITY 1Ø 120/240VEXISTING MAIN BREAKER LOADCENTER 1Ø 2p200AMAIN1Ø 200A MAIN BREAKER200A BUSBAR MAIN BREAKER / METER PAN COMBOINSULATED LINE TAPS ON LOAD SIDE OFMAIN BREAKER NEC 705.12(12)2p200AMAINNEUTRAL240V 200A MAIN BREAKER200A BUSBAR 240V G NEC 2023 R2 LAYOUT REVISION 9/19/2023 R1 LAYOUT REVISION 8/24/2023 P1 ISSUED TO TOWNSHIP FOR PERMIT 8/17/2023 NO. DESCRIPTION DATE BIGONY, CONSTANCE- TRINITY ACCT #: 2023-05-877908 32 WATER ST LEEDS, MA 0105342.352739,-72.702155 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/17/2023 DRAWN BY:HL REVISED BY: JC DC SYSTEM SIZE:6.075kW AC SYSTEM SIZE:5kW MODULE COUNT: 15 MODULES USED: HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY: NAT'L GRID UTILITY ACCT #:1596794018 UTILITY METER #: 97443453 DEAL TYPE: SUNNOVA R2 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 5/26/2023 Arthur J. Gallagher Risk Management Services, LLC 4000 Midlantic Drive Suite 200 Mount Laurel NJ 08054 856-482-9900 856-482-1888 CherryHill.BSD.CertM@AJG.com Gotham Insurance Company 25569 TRINHEA-03 National Union Fire Insurance Company of Pittsburg 19445Trinity Solar Inc. 4 Open Square Way, Suite 410 Holyoke, MA 01040 Endurance American Specialty Ins Co 41718 Liberty Insurance Underwriters Inc 19917 129732996 A X 2,000,000 X 100,000 5,000 1,000,000 2,000,000 X GL202100013378 6/1/2023 6/1/2024 2,000,000 B 2,000,000 X CA 2960145 6/1/2023 6/1/2024 A C D X 5,000,000 X EX202100001871 ELD30006989101 1000231834-06 6/1/2023 6/1/2023 6/1/2023 6/1/2024 6/1/2024 6/1/2024 5,000,000 Limit x of $5,000,000 19,000,000 B XWC 13588107 6/1/2023 6/1/2024 1,000,000 1,000,000 1,000,000 B Automobile Comp/ Collusion Ded.CA 2960145 6/1/2023 6/1/2024 All Other Units Truck-Tractors and Semi-Trailers $250/500 $250/500 Evidence of Insurance Evidence of Insurance JOB NAME:BIGONY, CONSTANCE- ADDRESS: 32 Water St Leeds, MA 01053 42.352739,-72.702155 33.59 ESTIMATED PERSONNEL HOURS 1.4 DAYS 1.05 DAYS 0.7 DAYS •15 HANWHA 405's (6.075KW)(CREW OF 3) (CREW OF 4) (CREW OF 6) • 2 SEPARATE ARRAYS •16' PEAK TO GROUND •12 PORTRAIT & 3 LANDSCAPED • 1 INVERTERS INSTALLED OUTSIDE • NO TRENCH ESTIMATED SENT TO JOB USED □HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405)15 ______ □ S500B SE OPTIMIZERS 15 ______ □SE5000H-US000BEi4 1 ______ □60A OUTDOOR FUSED DISCONNECT W/ (2) 30A FUSES 1 ______ □60A OUTDOOR NON-FUSED DISCONNECT 1 ______ □SOLADECK BOX(ES) & HAYCO CONNECTOR(S)2 ______ □ PV LEAD WIRE 100'______ □INSULATED BUG BITES (LINE TAPS)2 ______ □ ECOFASTEN 2012025 CF STD RAIL MLL AL 171.5 10 ______ □ ECOFASTEN 2012013 CF RAIL SPLICE 7 ______ □ ECOFASTEN 2099017 CF END CLAMP 32MM BLK 12 ______ □ECOFASTEN 2099022 CF MID CLAMP SHORT BLK 24 ______ □ ECOFASTEN 4011011 MODULE JUMPER 1 ______ □GROUNDING LUG (NOT PROVIDED BY ECOFASTEN)2 ______ □ ECOFASTEN 2012022 CF UNIV L-FOOT MLL 3 38 ______ □ ECOFASTEN 3012020 GF-1 FLASHING GLV BLK 8 x 10 38 ______ □ ECOFASTEN 2012019 CF MLPE MOUNT 15 ______ □ ECOFASTEN 2012020 CF WIRE MGMT CLIP 15 ______ □ECOFASTEN 2012024 CF END CAP 12 ______ MATERIAL LIST R(FOR INTERNAL USE ONLY) 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com INSTALLATION OF NEW ROOF MOUNTED PV SOLAR SYSTEM 32 WATER ST BIGONY, CONSTANCE- 32 WATER ST LEEDS, MA 01053 42.352739,-72.702155 R APPENDIX CONTENTS LABELS, STICKERS, AND PLACARDS EQUIPMENT DATA SHEETS 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com