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Patenaude Building Permit AppThe 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 RequiredProvided 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 1of 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. OtherNumber of Units_____Specify:________________________ 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:$ Brief Description of Proposed Work2:_________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 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 atwww.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: ___________ NJ, ElectricalContractor business permit number34EB01547400NJ, HIC reg. #13VH01244300For 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.(“TrinitySolar”)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-SAVES2211AllenwoodRoadPh:732-780-3779Wall,NewJersey07719Fax:732-780-6671www.trinity-solar.comFORINFORMATIONABOUTCONTRACTORSANDTHECONTRACTORS’REGISTRATION ACT,CONTACT THE NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY,DIVISION OF CONSUMERS AFFAIRS AT 1-888-656-6225. Richard Patenaude June 29, 2023 22 Hatfield St Northampton, Massachusetts 01060 United States National Grid 8796568028 Richard Patenaude Richard Patenaude Northampton, MA August 2, 2023 212 Main St. Northampton, MA 01060 Trinity Solar No. 22 Hatfield St 2023-06-897054 Northampton, MA 01060 MA License No. 56687 RE: PATENAUDE, RICHARD 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 R3 is true 2x6 at 27 o.c.; existing rafter span= 11' 2"; (horizontal projection) 2. Roof Loading: • 3.0psf dead load (pounds per square foot - PV panels, mounting rails & hardware) • 5.7psf - existing roof loads (1.7 psf - 2x6 framing, 1.5psf roof sheathing, 2.5 psf shingles) • Ground Snow Load - 40psf - per AHJ (Authority Having Jurisdiction) • Wind criteria - Exposure Category B, 117 mph wind 3. Existing roof modification at R3 - provide 2x4 (@13.5" o.c.) "knee wall" reinforcing to limit the maximum span of the existing rafter to 8'- 0". Locate bottom of "knee wall" within one foot of existing bearing wall below. 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 22 HATFIELD ST NORTHAMPTON, MA 01060 42.333551,-72.655735 HATFIELD ST P1 ISSUED TO TOWNSHIP FOR PERMIT 8/4/2023 NO.DESCRIPTION DATE PATENAUDE, RICHARD- TRINITY ACCT #: 2023-06-897054 22 HATFIELD ST NORTHAMPTON, MA 01060 42.333551,-72.655735 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/4/2023 DRAWN BY:NH REVISED BY: DC SYSTEM SIZE:4.86kW AC SYSTEM SIZE:3.8kW MODULE COUNT:12 MODULES USED:HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:8796568028 UTILITY METER #:87804626 DEAL TYPE:SUNNOVA P1 R 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com ROOF 1 MODULES: 0 PITCH: 34° ORIENTATION: 42° ROOF 2 MODULES: NA PITCH: NA° ORIENTATION: NA° ROOF 3 MODULES: 12 PITCH: 23 ORIENTATION: 222 ROOF 4 MODULES: 0 PITCH: 23° ORIENTATION: 42° ROOF 5 MODULES: NA PITCH: NA° ORIENTATION: NA° ROOF 6 MODULES: 0 PITCH: 34° ORIENTATION: 42° ROOF 7 MODULES: 0 PITCH: 23° ORIENTATION: 42° ROOF 8 MODULES: 0 PITCH: 10° ORIENTATION: 222° ROOF 9 MODULES: NA PITCH: NA° ORIENTATION: NA° ROOF 10 MODULES: 0 PITCH: 23° ORIENTATION: 312° ROOF 11 MODULES: 0 PITCH: 23° ORIENTATION: 132° DC AC D ep M DC AC UD ***NOTE: DETACHED NONHABITABLE STRUCTURE EXEMPT FROM ROOFTOP SETBACKS PER 2021 NFPA 1 - 11.12.3.3.1.3 NS2709 0 13522545 31542.333551,-72.655735 12 HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405) 1 SE3800H-US000BEi4 INSIDE OUTSIDE. OUTSIDE (UTILITY ACCESSIBLE)OUTSIDE. P1 ISSUED TO TOWNSHIP FOR PERMIT 8/4/2023 NO.DESCRIPTION DATE PATENAUDE, RICHARD- TRINITY ACCT #: 2023-06-897054 22 HATFIELD ST NORTHAMPTON, MA 01060 42.333551,-72.655735 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/4/2023 DRAWN BY:NH REVISED BY: DC SYSTEM SIZE:4.86kW AC SYSTEM SIZE:3.8kW MODULE COUNT:12 MODULES USED:HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:8796568028 UTILITY METER #:87804626 DEAL TYPE:SUNNOVA P1 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 CONDUCTORS REQUIRED CONDUCTOR AMPACITY PER STRING [NEC 690.8(B)(1)]: (15.00*1.25)1 = 18.75A AWG #10, DERATED AMPACITY AMBIENT TEMP: 33°C, TEMP DERATING FACTOR: .96 RACEWAY DERATING = 2 CCC: 1.00 (40*.96)1.00 = 38.40A 38.40A >_ 18.75A, THEREFORE WIRE SIZE IS VALID TOTAL AC REQUIRED CONDUCTOR AMPACITY 16.00A*1.25 = 20.00A AWG #10, DERATED AMPACITYAMBIENT TEMP: 30°C, TEMP DERATING: 1.0 RACEWAY DERATING <_ 3 CCC: N/A 40A*1.0 = 40A 40A >_ 20.00A, THEREFORE AC WIRE SIZE IS VALID CALCULATION FOR PV OVERCURRENT PROTECTION TOTAL INVERTER CURRENT: 16.00A 16.00A*1.25 = 20.00A --> 20A 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 ON ASHRAE MINIMUM MEAN EXTREME DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION. LOWEST EXPECTED AMBIENT TEMP = -16°C 3.) HIGHEST CONTINUOUS AMBIENT TEMPERATURE BASED ON ASHRAE HIGHEST MONTH 2% DRY BULB TEMPERATURE FOR ASHRAE LOCATION MOST SIMILAR TO INSTALLATION LOCATION. HIGHEST CONTINUOUS TEMP = 33°C 4.) 2005 ASHRAE FUNDAMENTALS 2% DESIGN TEMPERATURES DO NOT EXCEED 47°C IN THE UNITED STATES (PALM SPRINGS, CA IS 44.1°C). FOR LESS THAN 9 CURRENT-CARRYING CONDUCTORS IN A ROOF-MOUNTED SUNLIT CONDUIT AT LEAST 0.5" ABOVE ROOF AND USING THE 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 WITH NEC 690.12(A) THROUGH (D) 6.) PHOTOVOLTAIC POWER SYSTEMS SHALL BE PERMITTED TO OPERATE WITH UNGROUNDED PHOTOVOLTAIC SOURCE AND OUTPUT CIRCUIT AS PER NEC 690.41 (A)(4) 7.) UNGROUNDED DC CIRCUIT CONDUCTORS SHALL BE IDENTIFIED WITH THE FOLLOWING OUTER FINISH: POSITIVE CONDUCTORS = RED NEGATIVE CONDUCTORS = BLACK NEC 210.5(C)(2) 8.) ARRAY AND SUB ARRAY CONDUCTORS SHALL BE #10 PV WIRE TYPE RHW-2 OR EQUIVELANT AND SHALL BE PROTECTED BY CONDUIT WHERE EXPOSED TO DIRECT SUNLIGHT. SUB ARRAY CONDUIT LONGER THAN 24” SHALL CONTAIN ≤ 20 CURRENT CARYING CONDUCTORS AND WHERE EXPOSED TO DIRECT SUNLIGHT SHALL CONTAIN ≤ 9 CURRENT CARRYING CONDUCTORS. 9.) ALL WIRE LENGTHS SHALL BE LESS THAN 100' UNLESS OTHERWISE NOTED 10.) FLEXIBLE CONDUIT SHALL NOT BE INSTALLED ON ROOFTOP AND SHALL BE LIMITED TO 12” IF USED OUTDOORS 11.)OVERCURRENT PROTECTION FOR CONDUCTORS CONNECTED 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 A UTILITY AND THE OTHER AN INVERTER, PV BACKFEED BREAKER(S) SHALL BE LOCATED OPPOSITE FROM UTILITY NEC 705.12(B)(3)(2) 13.) ALL SOLAR SYSTEM LOAD CENTERS TO CONTAIN ONLY GENERATION CIRCUITS AND NO UNUSED POSITIONS OR LOADS 14.) ALL EQUIPMENT INSTALLED OUTDOORS SHALL HAVE A NEMA 3R RATING LOCKABLE 60A DISCONNECT FUSED W/ 20A FUSES SQUARE D PN: D222NRB ISOLATED NEUTRAL 240V 1Ø NEUTRALEXISTING MAIN BREAKER LOAD CENTER INSULATED LINE TAPS INSTALLED ON MAIN FEEDERS NEC 705.11 M 2p100AMAIN240V 1Ø 100A MAIN BREAKER 100A BUSBAR INVERTER #1 - SE3800H-US000BEi4 DC AC Imp 10.5 Pout 3800 Vmp 380 Imax 16 Voc 480 OCPDmin 20 Isc 15 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 BGH SQUARE D DU222RB 60A UNFUSED DISCONNECT ISOLATED NEUTRAL 240V 1Ø A #6 THWN-2 GEC TO EXISTING GROUND ROD G 3/4'' CONDUIT W/ 2-#6 THWN-2, 1-#6 THWN-2, 1-#8 THWN-2 GROUND B 3/4'' CONDUIT W/ 2-#10 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND H 1" PVC W/ 2-#10 THWN-2, 1-#10 THWN-2, 1-#10 THWN-2 GROUND (TRENCHED APPROX. 40') C 3/4'' CONDUIT W/ 2-#10 THWN-2, 1-#10 THWN-2 GROUND D 3/4'' CONDUIT W/ 2-#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 NOTE: CONDUIT TYPE SHALL BE CHOSEN BY THE INSTALLATION CONTRACTOR TO MEET OR EXCEED NEC AND LOCAL AHJD REQUIREMENTS INVERTER #1 PV+L1 L2 N PV-D SOLAR MODULES MOUNTED TO ROOF ON 1 ARRAY 12 - 405W MODULES W/ 1 SOLAR EDGE S440 PER MODULE 15 ADC MAX PER STRING 1 STRING OF 12 MODULES IN SERIES - 380 Vmax *TERMINATED INSIDE INVERTER 1 f 8"x8" JUNCTION BOX NOTE: INTERNAL REVENUE GRADE MONITORING CONTAINED WITHIN SOLAR EDGE INVERTER SOLAR EDGE PN. RWND-3D-240-MB EXISTING 1Ø 120/240V DUAL GANG UTILITY METER M NEC 2023 P1 ISSUED TO TOWNSHIP FOR PERMIT 8/4/2023 NO.DESCRIPTION DATE PATENAUDE, RICHARD- TRINITY ACCT #: 2023-06-897054 22 HATFIELD ST NORTHAMPTON, MA 01060 42.333551,-72.655735 PROPOSED PV SOLAR SYSTEM DRAWING DATE:8/4/2023 DRAWN BY:NH REVISED BY: DC SYSTEM SIZE:4.86kW AC SYSTEM SIZE:3.8kW MODULE COUNT:12 MODULES USED:HANWHA 405 MODULE SPEC #:Q.PEAK DUO BLK ML-G10+ 405 UTILITY COMPANY:NAT'L GRID UTILITY ACCT #:8796568028 UTILITY METER #:87804626 DEAL TYPE:SUNNOVA P1 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 THISCERTIFICATE 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 belowIf 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 HIREDAUTOS ONLY 5/26/2023 Arthur J.Gallagher Risk Management Services,LLC4000MidlanticDriveSuite200MountLaurelNJ08054 856-482-9900 856-482-1888 CherryHill.BSD.CertM@AJG.com Gotham Insurance Company 25569 TRINHEA-03 National Union Fire Insurance Company of Pittsburg 19445TrinitySolarInc.4 Open Square Way,Suite 410Holyoke,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 ACD X 5,000,000 X EX202100001871ELD300069891011000231834-06 6/1/20236/1/20236/1/2023 6/1/20246/1/20246/1/2024 5,000,000 Limit x of$5,000,000 19,000,000 B XWC135881076/1/2023 6/1/2024 1,000,000 1,000,000 1,000,000 B AutomobileComp/CollusionDed.CA 2960145 6/1/2023 6/1/2024 All Other UnitsTruck-TractorsandSemi-Trailers $250/500 $250/500 Evidence of Insurance Evidence of Insurance JOB NAME:PATENAUDE, RICHARD- ADDRESS:22 Hatfield St Northampton, MA 01060 42.333551,-72.655735 30.592 ESTIMATED PERSONNEL HOURS 1.27 DAYS 0.96 DAYS 0.64 DAYS •12 HANWHA 405's (4.86KW)(CREW OF 3)(CREW OF 4)(CREW OF 6) •1 ARRAY •28' PEAK TO GROUND •0 PORTRAIT & 12 LANDSCAPED •1 INVERTERS INSTALLED OUTSIDE •40' TRENCH ESTIMATED SENT TO JOB USED □HANWHA 405 (Q.PEAK DUO BLK ML-G10+ 405)12 ______ □S440 SE OPTIMIZERS 12 ______ □SE3800H-US000BEi4 1 ______ □60A OUTDOOR FUSED DISCONNECT W/ (2) 20A FUSES 1 ______ □60A OUTDOOR NON-FUSED DISCONNECT 1 ______ □SOLADECK BOX(ES) & HAYCO CONNECTOR(S)1 ______ □PV LEAD WIRE 50'______ □INSULATED BUG BITES (LINE TAPS)2 ______ □ECOFASTEN 2012025 CF STD RAIL MLL AL 171.5 12 ______ □ECOFASTEN 2012013 CF RAIL SPLICE 6 ______ □ECOFASTEN 2099017 CF END CLAMP 32MM BLK 12 ______ □ECOFASTEN 2099022 CF MID CLAMP SHORT BLK 18 ______ □ECOFASTEN 4011011 MODULE JUMPER 2 ______ □GROUNDING LUG (NOT PROVIDED BY ECOFASTEN)1 ______ □ECOFASTEN 2012022 CF UNIV L-FOOT MLL 3 45 ______ □ECOFASTEN 3012020 GF-1 FLASHING GLV BLK 8 x 10 45 ______ □ECOFASTEN 2012019 CF MLPE MOUNT 12 ______ □ECOFASTEN 2012020 CF WIRE MGMT CLIP 12 ______ □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 22 HATFIELD ST PATENAUDE, RICHARD- 22 HATFIELD ST NORTHAMPTON, MA 01060 42.333551,-72.655735 R APPENDIX CONTENTS LABELS, STICKERS, AND PLACARDS EQUIPMENT DATA SHEETS 2211 Allenwood Road Wall, New Jersey 07719 877-786-7283 www.Trinity-Solar.com