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30A-053 ELECTRIC COC 300-053-0ol M.D.P.U.No. 1468 Canceling M.D.P.U.No. 1320 Sheet 104 of 170 STANDARDS FOR INTERCONNECTION OF DISTRIBUTED GENERATION ATTACHMENT 2 Certificate of Completion for Simplified Process Interconnections Installation Information: L] Check if owner-installed Interconnecting Customer Name(print): ALDEN BOURNE Contact Person: Mailing Address: 56 LIBERTY ST City: FLORENCE State: MA Zip Code: 01062-2714 Telephone(Daytime): (917) 816-2437 (Evening): Facsimile Number: E-Mail Address: acbourne@gmall.com Address of Facility(if different from above): 56 LIBERTY ST FLORENCE MA 01062 Electrical Contractor's Name(if appropriate): PV SQUARED Mailing Address: 311 WELLS ST. SUITE B City: GREENFIELD State: MA Zip Code: 01301 Telephone(Daytime): 413-772-8788 (Evening): Facsimile Number: E-Mail Address: interconnection@pvsquared.coop License number: 3877 Al Date of approval to install Facility granted by the Company: 3.14.2023 Application ID number: 00505981 Inspection: The system has been installed and inspected in compliance with the local Building/Electrical Code of Ax)r Ake �� (City/County) Si ed(Local trical Wiring Inspector,or attach signed electrical inspection): Name(printed): U`n cvn- IN a to Date: c- /q- 2 3 License# 'yb (,c(R, Exhibit A M.D.P.U. No. 1468 Canceling M.D.P.U. No. 1320 Sheet 105 of 170 STANDARDS FOR INTERCONNECTION OF DISTRIBUTED GENERATION As a condition of interconnection you are required to send/fax a copy of this form along with a copy of the signed electrical permit to(insert Company's name below): Name: Company: NATIONAL GRID Mail 1: ATTN: DISTRIBUTED GENERATION Mail 2: 40 SYLVAN RD City, State ZIP: WALTHAM, MA 02451 Fax No.: DISTRIBUTED.GENERATION@NATIONALGRID.COM Exhibit A