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QguEFO1 0 Town of Southold ooy 6/15/2021 0 P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42086 Date: 6/15/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 575 Old Harbor Rd.,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-3-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/4/2021 pursuant to which Building Permit No. 46021 dated 4/2/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory ground-mounted solar panels as applied for. The certificate is issued to Koehler Fam Ltd Ptnrship of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46021 5/20/2021 PLUMBERS CERTIFICATION DATED thze Signature �SUFeoc,r�o TOWN OF SOUTHOLD ,moo BUILDING DEPARTMENT H x TOWN CLERK'S OFFICE o,� • �� SOUTHOLD, NY poi� Sao BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46021 Date: 4/2/2021 Permission is hereby granted to: Koehler Fam Ltd Ptnrship C/O Tack Development Co 108 Allen Blvd Farmingdale, NY 11735 To: install ground-mounted solar panels as applied for. At premises located at: 575 Old Harbor Rd., New Suffolk SCTM # 473889 Sec/Block/Lot# 117.-3-6 Pursuant to application dated 3/4/2021 and approved by the Building Inspector. To expire on 10/2/2022. Fees: ACCESSORY $100.00 ELECTRIC $100.00 CO-ACCESSORY BUILDING $50.00 A, Total: $250.00 it ing Inspector Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. ox 117 Southoldd,,NY 11971-0959 Sean.devlin(aD-town.Southold.ny.us �' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Koehler Fam Ltd Partnership Address: 575 Old Harbor Rd city New Suffolk st: NY zip: 11956 Building Permit#• 46021 Section- 117 Block 3 Lot- 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Long Island Power Solutions License No: 36178ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Solar X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 1 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 27.720kW Ground Mounted PV Solar Energy System w/ (72) MSE 385W Modules Backfed AC Disco w/ 270x2 Breakers Notes: Solar Inspector Signature: �.� Date: May 20, 2021 S.Devlin-Cert Electrical Compliance Form.xls SOUT9p� O&V 5 7 L 4 # # TOWN OF SOUTHOLD' BUILDING DEPT. courm 765-1802 - [ ] FOUNDATION IST- [ ] ROUGH PLBG. [ ° ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ - ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Of DATE S INSPECTOR < �,, 'TOWN OF SOUTHOLD- BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND [)/INSULATI WCAULKING FRAMING /STRAPPING FINAL 70�/ ]' FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION- FIRE RESISTANT CONSTRUCTION FIRE-RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE-VIOLATION PRE C/O REMARKS: DATE INSPECTOR u- u I/ Michael E. Miele, PE Licensed Professional Engineer Licensed In New York, New Jersey, Connecticut&California New York License#079676 New Jersey License#44042 Connecticut License#23158 California License#31508 February 24, 2021—Revised March 22, 2021 Town of Southhold Building Department The Office of the Building Inspector 54375 NY-25 Southold, NY 11971 R'e:_ John Koehler—575 Old Harbor Road, New Suffolk, NY 11956 Ground Mount Solar Installation, Solar Panel Loading Certification Town of Southhold, County of Suffolk, State of New York Dear Building Department I am the engineer of record for the above referenced project. I have prepared the attached plans dated January 5, 2021 that consists of the installation of(72) MSE385SR9S solar panels on a ground mount installation at the above referenced location. I can herby certify that the ground mount installation meets the requirements of The 2020 Residential Code of New York State, Publication Date, November 2019 . The design loads were as follows, Wind Design Load: 130mph If you have any questions, please feel free to call me at any time.Thanks in advance. Sincerely Yours, SOF NEw �-'D W4 y0 Q) r ° m R, 11 � '� w Michael E. Miele, PE 90RESSIONP 705 Orrs Mills Rd., New Windsor NY 12553 ♦ Phone/Fax:845.534.2628 ♦ mmielepe@yahoo.com FIELD INSPECTION REPORT DATE COMMENTS `h FOUNDATION(1ST) -------------------------------- FOUNDATION(2ND) � (n O U ROUGH FRAMING& H PLUMBING Qj I� • r INSULATION PER N.Y. y STATE ENERGY CODE vJ FINAL ADDITIONAL COMMENTS UA Z rn O d r� • b y TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPHICAMN FOR BULONG PERNT f For Office Use Only PERMIT NO. Building Inspector: ar 2-02- � Applications and formsmust be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the own,er,an owner's Authorization form(Pai&2)shall be completed. Date: OWNER(S)OF PROPERTY: Name:John Koehler T;CTM#1000-117-3-6 Physical Address:575 Old Harbor Road, New Suffolk, NY 11956 Phone#:516-779-2727 Email:jkoehier@koehlerorg.com Mailing Ad-dress:108 Allen Blvd., Farmingdale, NY 11735 CONTACT PERSON: Name:Sue Estabrooke or Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Ph one#:631-348-0001 Email:sue@longislandpowersolutions.com DESIGN PROFESSIONAL INFORMATION:' Name:Michael E. Miele, PE Mailing Address:.705 Orrs-Mills Road, New Windsor, NY 12,553 Phone#:845-629-9693 Email:MieleE ngineering@gmaii.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 1 Email:mike@longisl and powersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION EINewStructure OAddition RAlteration []Repair E]Demolition Estimated Cost of Project: IR Other Proposed(72)panel Ground mounted array. (27.720)kW System $52,350.00 Will the lot be re-graded? E]Yes W No Will excess fill be removed from premises? []Yes W No Inverters:(2)Fronius Prinno 12 5-1/Modules:Mission Solar:MSE 385W/Ground Mounting System:Iron Ridge XR-1 000 1� PROPERTY INFORMATION Existing use of property:Sin le Famil lirlg Intended use of property:Single Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8 Check BOTS After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements,made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Catizone Electrical/L ng Island ower So utions Application Submitted By(print name): ` I@Authorized Agent ❑Owner Signature of Applicant: __ Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Michael Catizone being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Contractor (Contractor,Agent,Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this I!S day of 20�� - - k ,, 'a , LYNDE SUSETTE ESTABRQOKE NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHOR0� `� gistration No.®1�S6259297 (Where the applicant is not the oner) Qualified in Dutchess County Commission Expires Apri1,,16-,2024 residing atans (s � Michael Catizone/Long Island Power Solutions 1��tS6 do hereby authorize to apply on 'my b alf t4ign"a Southold Building Department for approval as described herein. e Date b �G IG Print Owner's Name 2 LONGISLAND O��R 2060 Ocean Ave Ronkonkoma, NY 11779 CoS® 631 348-0001 LUT IONS www.longislandpowersolutions.com OWNER AUTHORIZATION This affidavit certifies that Long Island Power Solutions has been granted permission to sign for and obtain permit(s) on behalf of the property owner(s). Ql� \� , Owner of the property located at: Street Town Stat& Zip Tax Map ID 7- Co Do hereby give: Long Island Power Solutions permission to sign all applications and to have the permit(s) sent directly to: Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Attn:Permit Dept. J(3-h Y-0 fiv (Property Owner) Print Name P Signature Sworn To Before Me This t Day Of 172C_ , 20 20 1 (NOT RYPUBLICSIGNATURE) �� C 1 htef F}o�yPubec Seo of I l No.01 K08381908 Qualified in Suffolk County Commission Expires 10115/2022 I i I Notary Stamp GO Green Save Green BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 ZZ Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(M-southoldtownny.gov - sea ndP-southoldtown ny.-gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Catizone Electrical/Long Island Power Solutions Name:Michael Catizone License No.:36178-ME email: sue@longislandpowersolutions.com Address: 2060 Ocean Avenue,Ronkonkoma,NY 11779 Phone No.: 631-348-0001 JOB SITE INFORMATION (All Information Required) Name: John Koehler Address: 575 Old Harbor Road, New Suffolk, NY 11956 Cross Street: New Suffolk Rd Phone No.: 516-779-2727 Bldg.Permit#: (a 0 d- I email: ikoehier@koehlerorg.com Tax Map District: 1000 Section: 117 Block: 3 Lot:6 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed (72)panel Ground mounted array. (27.720)kW System. Inverters: (2) Fronius Primo 12.5-1 /Modules: Mission Solar.MSE 385W/Ground Mounting System: Iron Ridge XR-1000 Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead 1# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection FormAs LONG ISLAND C:s OWER 2060 Ocean Ave Ronkonkoma, NY 11779 PSCOLUTIONS 631348-0001 www.longislandpowersolutions.com March 3, 2021 TOWN OF SOUTHOLD—Building Division J10) Town Hall Annex Building MAR ' 4 2021 54375 Route 25 P.O. Box 1179 Southold,NY 11971 �e• r ; '4r,.J"�.,�. 0 7�� Dear Building Dept: As per your Building Department, enclosed please find the building permit application, submitted on behalf of our client/property owner: Property Owner: John Koehler—516-779-2727 Project/Property Address: 575 Old Harbor Rd.,New Suffolk,NY 11956 Section/Block/Lot: 1000-117-3-6 Electrician/36178-ME: Michael Catizone—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Contractor/53562-H: LI Power Solutions—2060 Ocean Ave.,Ronkonkoma,NY 11779—(631)348-0001 Architecture&Planning: Michael E.Miele,PE—705 Orrs Mills Rd,New Windsor,NY 12553—845-629-9693 Enclosed Please find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings& Specs • Liability, Disability & Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Sincerely, Sue Estabrooke Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx- 631-348-0018 sue@longislandpowersolutions.com G® Green Save Green h _ i 4ea 1 r r L,.+P�r ex�•af.., 3V...va• 70 Be Le C rr��{¢c cb 3All gaffs .f 1• ,II��;`I 1 CiI�IDWG r I- ,�d;Oa`� _ �t ' ''i i I ' I 1 }}� ill II QTS- __ ---roP,llor;aF Bxi G71Nn ��cPG � ,4r/ +•�• � '� 1 � s!II I! "J h I+I J!li{I{{,i 11 ` >r nevavec• `2 •r y � T L i 'ji ° "i I+ �, I, !�'lln If11.f• –'. ...,.• �,• I Lg'z'� LuIs 9 11.1. ,� 11 ' '•I�II���•II' •t �' �' ¢`��� � dr �1 ! 51 TF SECTION GENEF7A L NOTES 7� ` n'•1..+••.T ♦ra+r.••.1N�--•�nwi�nc-N-•� • ��5 ti l=aT`O MAavC3YA+p Gp�• v Y y/� (/ � 'l•5A Y I \ _CC.c,O.TLy YVG iT.-�a C Ta t-P. at3•+N r ` T„ ( �,/�` r„ . .- �\ Lar,N ,.�rM+ ..c w u.,r _ 1t} _,v��"•r• �` \\ ,.6 F' �j® '{ \ `,', ` Ah-LAITCCT a�E4 I+C PB9N..•.•aE1_fr•f tTa= W- I V� �1A, •� i �, 1 \ xu-war,aec cauxce�••:,u Tere ,.—o...,,ri.cr.• �» ! 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E I -•--__.__. 4r CT•H - T0.T+ 4 ; i / �•-`` - `� P.ssxac Gt ,•+wFi rY.a�eNr esc:yT+.�N r , 7Ntl p1Te•.T iS TMk lra.A�,N� � I r—T➢Mi!v n R!'AMCAD f y -,.I T ,MFM ..,,r I.�•.-- it , r ;f, "l1•�I�'I ; `;�; A-° .I'Ij?+'r'•.iir�lr-,ss :•' �.-....K ':0.1 K..�•�^ rr I', ';I •,I --,`_ _ tp• :,-r',s i�T`+y�' . ,...,- � 'a1�'- �T�i.A.rn aK+ $ rf r +;illj.! 1- ~T;' c. ,,,ra ..;r;';Il,,lii'��t Ct,l•• I --- -.A..,.'rnr ac.-zu or :+ _ '�. - __ __-" -- -•'}' t i5' •'PI i •..ii 'i'. fl�rr oe rrd 'T. -fmir• �t,_,u= - _ -a �,. 1 ; �� ,:_..Jr-,;: .\ti s l;.e!y•t,}��]aF 11;ti4r{�,• }�:��i�� I ' I }+ t{fi�,� ,� __�,. _ 17'i I�IL if .`-_rte _� .t(S`Z:-.lis'tli{ �j ll�'lsf`ili•I,-i 1'"i �I�I II r(e II I!jl�,ll•.��i __-vv e.n -n tiv 1 -urc oa.v.o 1�.� rI I I ' .-�- "` - - a� I I t I.II"+t I ;!� 1 r.:I�� I 6V.oeF• eN rulNo 10—��1 II, ,� t�11'' •II 11•.i , �{I'�I,i�'`,�I II �1'•'•t��e'��� -'—�• _Y-�:�+. � - _ - F- n'-�—,f e1 1 _ F2TIAL5ITF PLAN y osacr� ' ' rolu N) 1.25.2; rc_�rl+fw-1,r - { THIRD MODIFICATION OF THE KOEHLER FAMILY LIMITED PARTNERSHIP AGREEMENT DATED JANUARY 1,1999 This Indenture, dated as of June 1, 2019, pertaining to THE KOEHLER FAMILY i LIMITED PARTNERSHIP (the "Partnership") further modifies that certain agreement r i known as THE KOEHLER FAMILY LIMITED PARTNERHSIP AGREEMENT DATED ; JANUARY 1,1999 (die'Agreement")pursuant to Section 13 of the Agreement. In consideration of the -mutual understandings and other good and valuable consideration, the parties hereto agree and modify the Agreement as follows: Section 12-No Transfer of Partnership Interest: Section 12 of the Agreement is modified and the following subsections 12.2, 12.3 and 12.4 are added and shall be read and given effect as follows: t 12.2 Permitted Transfers. A. A Partner may transfer his or her interest in the Partnership in equal shares either by Will at death, or by intervivos transfer during life, to not fewer than all other members of the Partnership on a PeT stirpes basis, which transfer may be either outright or in trust. B. A Partner may also transfer his or her interest in the Partnership as i -----follows:— -- --- — - ---- - -- ---� r (a) By testamentary trust at death for the benefit of the Partner's spouse. In the event the spouse of the Partner shall survive Partner, the terms of the trust i shall provide the sole beneficiary of the trust is to be the Partner's spouse for the duration of Partner's spouse's life. Following the death of the Partner's spouse, the terms of trust shall • o a } provide the trust assets shall be continued in further trust in equal shares for the benefit of all of the Partner's descendants, if any, considered per stir es until each such descendant shall receive their share of the Partner's trust remainder not earlier than distributions of principal be made at ages 25, 30 and 35. Upon the attainment of the respective ages, I distribution of such Paftnerskiip Interest shall be paid over to such descendants in such percentages'as shall be set forth in the trust instrument documenting the transfer;or (b) A Partner may transfer his or her Partnership Interest,in equal shares,to all of his or her descendants,if any,provided that such transfer shall not be outright I until such descendant shall have attained the age of at least 35, and until the fulfillment of such contingency,such interest shall be held in either a testamentary or intervivos trust,until the descendant attains the ages of at least 25,30 and 35. Upon the attainment of the respective i ages,distribution of such Partnership Interest shall be paid over to such descendants in such percentages as shall be set forth in the trust instrument documenting the transfer. 12.3 Transfers-Subi ect to Default. If after giving effect to the provisions of Section i 12.2 (Permitted Transfers), a Partner shall die without having provided for a Permitted i Transfer thereunder, the Partnership Interest of a then deceased Partner shall revert to.the i Partnership, and the General Partner shall distribute and transfer the deceased Partner s i Partnership interest in equal shares to all of the then surviving Partners,Per stir es. 12.4 Prohibited Transfers. A. Subject to the provisions of Sections 12.2 A and J P ( ) I (B), a Partner is prohibited from transferring by Will, intestate succession or intervivos transfer (a "Prohibited Transfer") any portion or all of his or her interest in the Partnership outright to any natural person not a direct descendant of FREDERICK W.KOEHLER,JR. or i SHARON KOEHLER,as the case may be. 2 4 B. In the event there shall be a Prohibited Transfer, there shall be a i forfeiture of the interest in the Partnership in question resulting in a reversion to the FLP and whereupon the subject Partnership Interest shall be distributed by the General Partner u1 equal shares to the remaining Partners,per slimes. 12.5 Shares Continue Subject to the Agreement. All shares of Partnership Interest regardless of the filature of the transfer shall continue in all respects subject'to the i I terms and conditions of the Agreement. i Section 15-Limited Partner's Death,Insanity,or Incompetency. j Section 15 of the Agreement is modified to delete the present Section 15.1 of the Agreement in its entirety and in its place, the following Section 15.1 is to be read and given a effect as follows: 15.1 Death Insanity or Incompetency. The death or adjudication of insanity or incompetency of a Limited Partner shall-not dissolve the Partnership. As so amended and modified, the Agreement continues in hull force and effect. Ili WITNESS of the acceptance of the above Modification and Amendment, the parties have signed this Amendment and Modification as of the date which first appears f above as follows: r KOEHLER MANAGEMENT,LLC, I \^ Q ener_ Partner l� ANN KOEHLER WARD, By. _ Limited Partner J. H .KO HLER,Mana B : JEM CUTRONE,Limited Partner AV J.I EHLER, Manager r l SCOTT ROMOND,Limited Partner JdA E LER,Limited Partner NORA O'CONNOR,Limited Partner FREDERICK W.KOEHLER,III, Limited Partner 1'-e' V I lj'� a #111RUMPF,Lim-ftei trier AN POLLINA,Limited Partner M Y ELLEN EYE, ted Partner A ID J1 KOEHLER,Trustee U/W M A KOEHLER,Deceased, AGN KO HLER,Linlite tner L' ited artier STATE OF NEW YORK ) SS.. COUNTY OF NASSAU ) On the Le day of-:h,"F, , in the year 2019, before me, the undersigned, a Notary Public in and for said State, personally appeared JOHN KOEHLER, personally known to me or proved to me on the basis of satisfactory evidence,to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted, executed the instrument. f l NOTARY PUBLIC XftV w%* i STATE OF NEW YORK ) [ Ire k ) SS.. COUNTY OF NASSAU ) On the LP day of J uNF , in the year 2019, before me, the undersigned, a Notary Public in and for said State,personally appeared DAVID J.KOEHLER,personally known to me or proved to me on the basis of satisfactory evidence, to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted, executed the instrument. NOTARY PUBLIC Stamm Koehler Rotely Pubb,State of Ne' y4* Nd.01 81 Qualified Fn SuffolkCounty COmmlasion Exptrea 1ON5/2082 4 STATE OF NEW YORK ) I SS.: COUNTY OF NASSAU ) On the (P day of JUNG , in the year 2019,_before me, the undersigned, a Notary Public in and for said State, personally appeared FREDERICK W. KOEHLER, III, personally known to me or proved to me on the basis of satisfactory evidence..to be the Individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in`his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the f individual acted,executed the instrument. NOTARY PUBLIC t 8t�un®Koehta� � R' y Public,State oftwYciltj N0.01Ka8381M _ } Ckm%d In STATE OF NEW YORK ) Commisa'tME p�iW SS.. 512022 COUNTY OF NASSAU ) On"the Jt1NE(p day of , in the year 2019, before me, the undersigned, a Notary Public in and for said State,personally appeared JOAN POLLINA,personally known to me or proved to me on the basis of satisfactory evidence,to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. f t NOTARY PUBLIC Shaw Koehler STATE OF NEW YORK ) hobwyPublic,,%teofNewYb* No.ol1(ossa1s08 SS.: MOW in Suffolk County � COUNTY OF NASSAU ) G'�ommisstonExplresl0/15/2022 On the l.p day of JO N0 , in the year 2019, before me, the undersigned, a Notary Public in and for said State,personally appeared ANN KOEHLER WARD,personally known to me or proved to isle on the basis of satisfactory evidence,to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,and that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted, executed the instrument. NOTARY PUBLIC Shauna Koehler Notary Pubpo,State of N®wYbrtc No.011(08981908 QualHisd In Suffolk County Commisslon Explres 10/15/2022 5 STATE OF NEW YORK ) SS.: COUNTY OF NASSAU ) i On the Lo day of J WEi , in the year 2019, before me, the undersigned, a Notary Public in and for said State, personally appeared JEAN CUTRONE, personally known to file or proved to me on the basis of satisfactory evidence, to be the individual whose name is subscribed to i the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument,the individual,of the person upon behalf of which the individual acted, executed the instrument. + I l NOTARY PUBLIC i i Shauna"fir Notary Public,State of New York No.01K06381908 Qualified In Suffolk County STATE OF NEW YORK ) CommGselon Expires 10/15/2022 SS.. COUNTY OF NASSAU ) On the day of JUNE , in the year 2019, before me, the undersigned, a Notary Public in and for said State, personally appeared SCOTT ROMOND, personally known to me or proved to me on the basis of satisfactory evidence, to be the individual whose name is subscribed to the withifi instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted, executed-the instrument. NOTARY PUBLIC i Shauna Koehler Notary Public,State of New York STATE OF NEW YORK ) No.01K063818o8 Qualified In Suffolk County i SS.: Commission Expires 10/15/2022 COUNTY OF NASSAU ) On the lQ day of JUN r , in the year 2019, before me, the undersigned, a Notary 1 Public in and for said State, personally appeared NORA O'CONNOR, personally known to me or proved to me on the basis of satisfactory evidence, to be the individual,whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted, executed the instrument_ �p NOTARY PUBLIC Shauna Koehler Notary Public,State of New York No.01KO6381Goa Qualified to Suffolk County Commission Expires 10/15/2022 6 STATE OF NEW YORK )E COUNTY OF NASSAU ) On the t0 day of JUN6 , in the year 2019, before me, the undersigned, a Notary Public in and for said State,personally appeared JANE RUMPF, personally known to me or proved j to me on the basis of satisfactory evidence,to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her ' signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Q6 Wim_ NOTARY PUBLIC r Shauna Koehler Notary Public,State of,NewYark ! No.01K06381908 STATE OF NEW YORK ) Qualified In Suffolk County Cominissfon,EVIres 10/15/2022 SS.. COUNTY OF NASSAU ) On the lo day of JUNI , in the year 2019, before me, the undersigned, a Notary Public in and for said State, personally appeared MARY ELLEN EYE, personally known to'me or proved to me on the basis of satisfactory evidence,to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in,her capacity,and that by her signature on the instrument,the individual,or'the person upon behalf df which the individual acted, executed the instrument. NOTARY PUBLIC i , Shauna Koehler Notary Pubilc,State of New York J No.011(oMe19o8 STATE OF NEW YORK ) Qualified in Suffolk County Ss.: eommisslon&pires i0/15/2022 COUNTY OF NASSAU ) ' i On the (0 day of JU'N' , in the year 2019, before me, the undersigned, a Notary i Public in and for said State, personally appeared AGNES KOEHLER, personally known to me or I proved to me on the basis of satisfactory evidence,to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,and that by her signature on the instrument,the individual,or the person upon behalf of which the individual acted, executed the instrument. I NOTARY PUBLIC Shoune Koehler Notary Public,State of Newyork No.01KO6361908 Qualified in Suffolk County Commission Expires 10/15/2022 7 Suffolk County Dept Of Labor,Licensint&Car Unlier Affalrs 1445TER&POTRICAL LICENSE Name 1ACIViEL J CATiZONE M;3[hass Name This wrOwn tttal ft hewer is duhe Icequed Catmane E�L�@01 Contracuriq lac b,p,the Cointy of nw!folk U-conse Number:ME-361 713 Roselle Drago 15ewed, Com ltisetirier Explres: 12MOZ022 Suffolk County Dept.of Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE Name MICHAEL CATIZONE Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer is duty licensed by the County of suffolk License Number:ME-53560 Rosalie Drago Issued: 06/0612014 Commissioner Expires: 0610112022 Suffolk County Dept.of fir Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name MICHAEL J CATIZONE Business Name This certifies that the LONG ISLAND POWER SOLUTIONS INC bearer Is duty licensed by the County of suffolk License Number:H-53562 Rosalie Drago Issued: 06106/2014 Commissioner Expires: 0610112022 { YORIcWorkers' nrs Compensation CERTIFICATE OF INSURANCE COVERAGE sr Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured LONG ISLAND POWER SOLUTIONS INC 2060 OCEAN AVE 6313480001 RONKONKOMA, NY 11779 Work Location of Insured(Onlyregwred,fcoverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 27-1175107 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Southold � P Y 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 R97411-000 3c.Policy effective period 1/1/2015 to 9/14/2021 4. Policy provides the following benefits: Q A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: FmJ A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as descFq9d above. Date Signed 9/15/2020 By &A �?Aa;t (Signature of Insurance carrier's authoriz d representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 12 12) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(only if Box 4C or 56 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (10-17) 111111111D11°°�°1°1°111°1°������11°1°111°1111111 NI F 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 LOVELL SAFETY MGMT CO.,LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 -Alm SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER LONG ISLAND POWER SOLUTIONS INC TOWN OF SOUTHOLD 2060 OCEAN AVENUE 53095 ROUTE 25 RONKONKOMA NY 11779 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z 2467 078-8 928983 04/01/2020 TO 04/01/2021 03/11/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2467 078-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT MICHAEL CATIZONE VICE PRESIDENT JOSEPH MILILLO TWO OF TWO OFFICERS LONG ISLAND POWER SOLUTIONS INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 500021722 iiiiIIIIIIIVi1000000 00000798691711I�IIIUmIll Form WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-24670788] U-26.3 129 [00000000000079869171][0001-000024670788][##2][15338-08][CerLNoP-CERT I][01-00001] Client#:83393 LONGISL15 DATE(MM/DD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 2/25/2021 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(les)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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 F ac No Et): A/c No): 631-390-9790 40 Marcus Drive E-MAIL ADDRESS: certificates@cookmaran.com 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A:Southwest Marine&General Ins Co 12294 INSURED INSURER B Long Island Power Solutions,Inc. • INSURER C: 2060 Ocean Avenue INSURER D• Ronkonkoma,NY 11779 INSURER E INSURER F• COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYY MM/DD A X COMMERCIAL GENERAL LIABILITY PK202100020693 2/28/2021 0212812022 pEACH �OCCURRENCE s2,000,000 CLAIMS-MADE � E OCCUR PREMISES aE.NT urrence $100,000 X PD Ded:5,000 MED EXP(Any one person) s6,000 X Contractual Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 POLICY[ X1 ECOT• 7 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER COMBINED $ A AUTOMOBILE LIABILITY PK202100020693 2/28/2021 02/28/202 (Ea acccdentSINGLELIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS $ X HIRED Ix NON-OWNED Pe�accldentDAMAGE AUTOS ONLYAUTOS ONLY A X UMBRELLA LIAB X OCCUR EX202100001789 2/28/2021 02128/2022 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5.000.000 DED I X I RETENTION$10000 $ TATUTEWORKERS COMPENSATION PER OTH- IER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) EL 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) Town of Southold is included as additional insured for general liability coverage as required by written contract. CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2962740/M2962525 CPRAV Client#:83176 CATIELE ACORU, CERTIFICATE OF LIABILITY INSURANCE FDATE 6/17/2/DD/YYYI() 6/17/2020 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 pollcy(les)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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Cook Maran Cook Maran&Associates ac°NN :6313909700 ac No 40 Marcus Drive E-MAIL certificates@cookmaran.com 3rd Floor ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B Catizone Electrical Contracting Inc. INSURER C: 2060 Ocean Avenue INSURER D: Ronkonkoma,NY 11779 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSR D POLICY NUMBER MM/DD/YYY MM/DD/YYY A X COMMERCIAL GENERAL LIABILITY CPP4784747 7/01/2020 07/01/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE 7 OCCUR PREMISES ERE ocourrenca $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE $2,000,000 X POLICYD ECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 4766763 7/01/2020 07/01/2021 X PER IER oTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L EACH ACCIDENT $500000 OFFICERIMEMBER EXCLUDED? ® N/A (Mandatory In NH) E L.DISEASE-EA EMPLOYEEI$500,000 If yes,dew ibe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT 1$500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2534247/M2522457 CPRAV YORK NEWWorkers' CERTIFICATE OF STATE ColTlpensatiora NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board Ia.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Catizone Electrical Inc 631348-0001 575 Lexington Avenue,4th Floor - New York, NY 10022 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 455213112 Flame and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Utica Mutual Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" 53095 Route 25 766763 3c.Policy effective period Southold,NY 11971 07/01/2020 to 07/01/2021 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers Included) Xall excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"1 a"for workers' compensation under the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate.(These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form, if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Leonard Scioscia (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 9/17/20 (Signature) (Date) Title: Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier: 631-390-9700 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov YORK workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured CATIZONE ELECTRICAL INC 575 LEXINGTON AVENUE,4TH FLOOR 646-383-3599 NEW YORK, NY 10022 Work Location of Insured(Only required ifcoverage is specaficallylimited to 1 c.Federal Employer Identification Number of Insured certain locations In New York State,i a,Wrap-Up Policy) or Social Security Number 45-5213112 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southhold Standard Security Life Insurance Company of New York 53095 Route 25 3b.Policy Number of Entity Listed in Box"1 a" Southold, NY 11971 R97483-002 3c.Policy effective period 1/1/2020 to 9/15/2021 4. Policy provides the following benefits: Fn A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only 5. Policy covers: Fol A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc" d above. Date Signed 9/16/2020 By &A !�-441ait (Signature of insurance carrier's authonz d representative or NYS Licensed Insurance Agent of that Insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 413,4C or 513 is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200,Binghamton, NY 13902-5200. PART 2.To be completed by the NYS Workers' Compensation Board(only if Box 4C or 56 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to Issue this form. DB-120.1 (10-17) 111 DB-120.1 (10-17)°I�II� DD AP - ___,VED AS NOT_ D DATE:, zQQZ' B:P.# FEE: RETAIN STORM WATER RUNOFF BY: PURSUANT TO CHAPTER 236 NOTIFY BUILDING DEPART E AT OF THE TOWN CODE, 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION, - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL COMPLY WITH ALL CODES OF INSPECTION REQUIRED NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF 9L N ZBA ,9vH8 4NNING BOARD �l " TRUSTEES Vi.-DEC- OCCUPANCY -D€COCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 1 (r Long Island ` POWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 K OEH LER f RESIDENCE 575 OLD HARBOR ROAD Owl F _ ' NEW SUFFOLK, NY 11956 516-779-2727 1 S: 117 B: 3 L: 6 ��� y.� % PROJECT DATA: #204161 INVERTER (2)Fronws Pnmo 12 5 +.°✓� MODULES (72)MSE385SR9S RACKING M r " IRON RIDGE G WATTAGE 27,720 41 P�� ' sy � '� � ��y"'• S '� •tom /� � t. � o• . r , + ice' ��<.waW'"'`� �,`'� ../� a'/�o + r ��j� E3 1 25-2" /� "� a` �. + i g t• 7 �` �5 _ � � •a=sic... � _ i, , ¢ / � (' )( ,T ====_==_ a " MICHAEL E. MIELE n _ f 4) ,.15-3" „r �„ „ 0 705 Orrs Mills Road New Windsor, NY 12553 $'�ptv ,�' ,� ————————— r.m+y9,! ,•.. .�, , '- �, ,gyp' 1r: - TELEPHONE. (845) 629 9693 �, ' ————————— �'°"' +i�c 9' NT d'°,id•r a •T 4O•�' a� �K-�i or' " �s ' EMAIL MieleEngineenngOgmail com , ,--------- .6 Qa Y ' S G. 2511-5" ' Ety s VIA b �K� Q-1 /96 76 -SSI 3'-4" ITERATION O OC EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL m PAPER SIZE 11"x 17'(ANSI B) ° s'-7" DATE: 01/05/2021 DESIGN BY: KO CHECKED BY:MW REVISIONS: L 0 O Y REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEWYORKSTATE,2020 ENERGY CONSERVATION CODE OF NEWYORKSTATE, 3 MINIMUM OF 36"UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE740. SITE PLAN S- 1 o INCLUDING ALTERNATIVE METHODS THE 2020 RESIDENTIAL CODE OF NYS Long Island POWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 CANTILEVER K O E H L E R 7" RESIDENCE 11' 7" EAN FIER SPACING 575 OLD HARBOR ROAD NEW SUFFOLK, NY 11956 NORTH 516-779-2727 1=CLEARf-',NCE CD S: 117 B: 3 L: 6 PROJECT DATA: #204161 17 25 INVERTER (2)Fromus Pnmo 12 5 MODULES (72)MSE385SR9S SOUTH Ti, L RACKING IRON RIDGE GM co CLEARANCE ED WATTAGE 27,720 CL HOLE Ln DEPTH 7' 6„ qi -S PIER SPACING 2' MICHAEL E. MIELE, PE CROSS PBPE LENGTH 1---�d H,0LE DIAPYIETER 705 Orrs Is'Road New Windsor, NY 12553 TELEPHONE (845) 6299693 EMAIL MteleEngineenng@gmad com Rail type D-Raganal bracing E/W spacing Rall cantilever Size Edge clearances Shear C99 Moment CIT Uplift (5) XR1000 no 11' 7" 2' 10" 59' 3" (E ) 13' 6" (NS) 1, 10 (S)." 5' 11 (N) 1,497 lbs 3,744 ft-Ifs -1,949 1 bs Rows Columns Repeats. Pliers/repeat Total South piers Total North piers Total cross pipes Pipecantilever Total pipe length % r 4 2 12 12 (6') 12 (8' 6") 4 (59' 3") 7" 410' 11 -676 r ALTERATION OF THIS UCQMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL o PAPER SIZE 11"x 17"(ANSI B) DATE: 01/05/2021 CD DESIGN BY: KO CHECKED BY:MW 0 REVISIONS: 0 DESIGNED AS PER ASCE 7-10 2020 RESIDENTIAL CODE OF NEWYORK STATE,2020 ENERGY CONSERVATION CODE OF NEWYORK STATE, MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE,2617 NATIONAL ELECTRIC CODE ASCE740. DETAILS S- 2 NO HIGHER THAN 6"ABOVE ROOF SURFACE I `f I PHOTOVOLTAICS: ALL WIRING LEFT OF INVERTERS: 36 MSE385SR9S #12 AWG THWN FOR HOME RUNS UNDER 100' , _ ( ) #10 AWG THWN FOR HOME RUNS OVER 100' I Long Island (1)LINE 1 ! _ POWER SOLUTIONS INVERTER: (1)LINE 2 • • • i ® % , RN' '� 2060 OCEAN AVENUE, 1 FRONIUS PRIMO 12.5-1 (1)NEUTRAL a I° t _ RONKO)348-0 NY 11779 (631)348-0001 O PIER CIRCUIT I Is I I Rills] I , . i t INVERTER OUTPUT CONNECTION IN 1"OR 14'PVC CONDUIT RATED MPP CURRENT 52.1 AMPS + ! DO NOT RELOCATE THIS I CIRCUITS: •• • OVERCURRENT DEVICE K 0 E H L E R (2) CIRCUITS OF (18) MODULES RATED MPP VOLTAGE 240 VOLTS MPP•MAx POWER POINT TERMINALS • BOTH � I MAX SYSTEM VOLTAGE 1000 VDC LOAD SIDES MAY BE ENERGIZEDRESIDENCE MAX CIRCUIT CURRENT 51 AMPS •' POSITION - -- - - ---- 575 OLD HARBOR ROAD NEW SUFFOLK, NY 11956 BLACK-L1 516-779-2727 NEMA 3R RED-L2 PHOTOVOLTAIC S: 117 B: 3 L: 6 JUNCTION BOX WHITE-NEUTRAL GREEN-GROUND MAIN SOLAR SYSTEM METER PROJECT DATA: #204161 AC DISCONNECT INVERTER (2)Fromus Pnmo 12 5 MODULES (72)MSE385SR9S FRONIUS RACKING IRON RIDGE GM PHOTOVOLTAICS: 12.5 KW 0 WATTAGE 27,720 (36) MSE385SR9S INVERTER 200A; INVERTER: COMBINER PANEL (1) FRONIUS PRIMO 12.5-1 70A - - 150A LINE SIDE TAP - CIRCUITS: 70A (2) CIRCUITS OF (18) MODULES MAIN SERVICE MICHAEL E. MIELE, PE �setl �-o losscncl Er Qir �. 200A Ce 705 Orrs Mills Road New Windsor, NY 12553 TELEPHONE (845) 629 9693 #2 AWG THWN EMAIL MleleEnglneeringOgmad com BLACK-L1 (1)LINE 1 (1)LINE 2 NEMA 3R RED- L2 #4 AWG THWN (1)NEUTRAL JUNCTION BOX WHITE-NEUTRAL (1)LINE 1 (1)EGC LINE 21) GREEN-GROUND ( (1)GEC o (1)NEUTRAL IN 14"PVC CONDUIT A �0 (1)EGC ® s� (1)GEC P FRONIUS IN 14'PVC CONDUIT 12.5 KW AC DISTRIBUTION PANEL INVERTER OR SUB PANEL 9s76 ALTERATIO $ it CEPT BY A I,IN Biel I • LICENSED PR IS ILLEGAL a RATED MPP CURRENT 52.1 AMPS PAPER SIZE 11"x 17"(ANSI B) DATE: 01/05/2021 o RATED MPP VOLTAGE 240 VOLTS DESIGN BY: KO (V KPP-&M POWER POINT o MAX SYSTEM VOLTAGE 1000 VDC CHECKED BY:MW REVISIONS: MAX CIRCUIT CURRENT 51 AMPS 0 Y AC COMBINER' NOTE 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, 1-PHASE,MAIN LUG LOAD CENTER,125A ALL WIRING TO MEET THE 2017 NEC AND 2020 ENERGY CODE TOWN OFSOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-10. ELECTRICAL PLAN E- 1 60A FUSED SERVICE RATED DISCONNECT U) l i MD - - - © ® I , li JL CERTIFIED RELIABILITY >Tested to UL1703&IEC standards > PID resistant s. ADVANCED TECHNOLOGY > PERC and 5 busbar drive>19.3%module efficiency > Ideal for all applications EXTREME WEATHER RESILIENCE >5631 Pa front and back load(117 psf)tested load to UL1703 MONI®�®; : ®�t■®®Ii BAA COMPLIANT FOR GOVERNMENT PROJECTS > Buy American Act �■®® >American Recovery&Reinvestment Act MoDuLEs TM X,SSWILED 25-YEAR` ®® ENGINERED FRAME-TO-FRAME ® WARRANTY*" � 0 0 100% CLASS LEADING POWER OUTPUT i ®Mission Solar Energy Warranty 80/ h MAXIMUM EFFICIENCY o i f� 70/ 1 5 10 15 20 25 =0 YEARS 3,%' POSITIVE POWER TOLERANCE' CERT0CATVONS IEC 61215-IEC 61730-IEC 61701 -UL 1703-Salt mist High-Power, American Quality c@us CEC Tw BW ,� Mission Solar Energy 1s headquartered in San Antonio,TX.,with LISTED module production facilities on-site—We produce American quality solar modules ensuring the highest power output and reliability to our Please contact Mission Solar Energy If you have questions or concerns about certification of our products In your area. customers.Our product line is well suited for residential,commercial and utility applications.Every Mission Solar Energy solar module is- 'standard 12-year product warranty extendable to 25 years with registration. certified and surpasses industry standard regulations,proving excellent https/Awm.missionsolar.com/warranty/ performance over the long-term. MISSION SOLAR � www.missionsolar.com I info@missionsolar.com ENERGY oO DOCUMENT#"C.$A2-MKTG-0019 "REVISION#"Rt REVISION DATE 11132020 SERC 72 CLASS LEADING 330-39OW , Electrical Parameters at Standard Test Conditions(STC) Module Type MSE380SR9S MSE385SR9S MSE390SR9S IEC Power Output Pmax Wp 380 385 390 61215-61730-61701 -Salt mist Module Efficiency % 18.86 19.11 19.35 UL Tolerance 0-+3% 0-+3% 0-+3% - UL 1703 listed Short-Circuit Current- Isc A 9.966 9.993 10.024 , Open Circuit Voltage Voc V 48.31 48.53 48.96 a@us CEC Rated Current Imp A 9.385 -9,426 9.499 usti:o Rated Voltage Vmp V 40.49 40.84 41.05 Fuse Rating 20 20 , 20 MSE385SR9S: 385WP,72 CELL SOLAR MODULE Normal Operating Cell Temperature(NOCT) 46.43°C(±2°C) CURRENT-VOLTAGE CURVE Temperature Coefficient of Pmax -0.375%/'C 12 Temperature Coefficient of Voc -0.280%/°C Cells Temp.=25'C - Incident Irrd.--1000 W/m Temperature Coefficient of Isc 0.045%/'C _. _ Incident Irrd.=800 W/m2 WWI_ - �� a - __ O ® _ ®_ __ � � Incident Irrd =600 W/m2 _- Maximum System Voltage 1,500Vdc or 1000Vdc Incident Irrd =400 W/m2 Operating Temperature Range -40°C(-40°F)to+85°C(185°F) 4 1 Maximum Series Fuse Rating 20A z li® Incident Irrd.=zoo w/m2 Fire Safety Classification Type 1,Class C 0. .---------_~.-.-"—_---- Front&Back Load(UL standard) 5631 Pa(117 pso 0 10 10 30 40 so Tested to UL1703 standard Hail Safety Impact Velocity 25mm at 23 m/s Voltage[V) Current-voltage characteristics with dependence on Irradiance D , and module temperature Solar Cells P-type mono-crystalline silicon (158.75mm) BASIC DESIGN (UNITS: mm) Cell Orientation 72 cells(6x12),5 busbar 1009 35 35 Module Dimension 1999mm x 1008mm x 40mm , (78.7 in.x 39.68 in.x 1.58 in.) Drain Hala 373 Weight 23 kg(52 Ib) 1200 77 Front Glass 3.2mm(0.126 in.)tempered, 999 5 low-iron,anti-reflective coating Mcunling Hole Frame Anodized aluminum alloy Encapsulant Ethylene vinyl acetate(EVA) ,999 Grounding J-Box Protection class IP67 with 3 bypass-diodes Holt Cables' PV were,1.2m(47.24 in.),4mm/12 AWG Connector MC4 Compatible 15 Container FT Pallets Panels 385 W 10 53' Double stack 30 780 300.30 kW 40' Double stack 24 624 240.24 kW Front View Back View Panels Weight Height Width Length - Pallet 26 1,4141bs 42.45" 45,50°' 79.50" _ �© TM MISSION S®LAFR ENERGY Mission Solar Energy reserves the right to make specification changes without notice Mission Solar Energy 18303 S.New Braunfels Ave.,San Antonio,Texas 78235 DOCUMENT#CSA2-MKTG-0019 REVISION#Rt REVISION DATE 1/13f2020 Info@missionsolar.com I www missionsolar.com /Perfect Welding/Solar Energy/Perfect Charging FRONIUS PRIMO /Solutions for a brighter tomorrow. � 'tel � �► ��►''�" „io.�,� ' ! `� PC board /Snapl Nverter ,``' J Wrfl&", J Design /Smart Grid /Am Fault Circuit ; •,',t interface Flexibility Ready Inention)+,;replacement ,rocess moantinbs stem tr /With power categories ranging from 3.8 kW to 15.0 kW,the transformerless Fronius Primo is the ideal compact single-phase inverter for residential applications.The sleek design is equipped with the SnaplNverter hinge mounting system which allows for lightweight,secure and convenient installation.The Fronius Primo has several integrated features that set it apart from competitors including dual powerpoint trackers,high system voltage,a wide input voltage range,Wi-Fi'i and SunSpec Modbus interface,and Fronius'online and mobile monitoring platform Fronius Solarweb The Fronius Primo also works seamlessly with the Fronius Rapid Shutdown Box as a reliable rapid shutdown solution outside the PV Array boundary TECHNICAL DATA FRONIUS PRIMO GENERAL DATA FRONIUS PRIMO 3.8-8,2 FRONIUS PRIMO 10.0-15.0 Dimensions(width x height x depth) 16 9 x.247 x 8 1 in 20.-1-.28-5 x 8 9m Weight _ ___47291b_ 82 S lbs Protection Class NEMA 4X Night time consumption _ _ <1 W , Inverter topology Transformerless Variablespeedfan _�___ Installation Indoor and outdoor installation _Ambient operating temperature range __ _ _ -40-131°F(-40;55°C) _ _ -40 140°F(-40:60"C)w___ t Permitted humidity 0-100% Elevation 4000m{13123 h) _ DC connection terminals 4x DC+and 4x DC-screw terminals for copper(solid/stranded/ 4x DC+1,2x DC+2 and 6x DC-screw terminals for copper(solid/ fine rtomded)nr abirmm.m(sohd/,tranded) stranded/fine stranded)nr.Ii inn,(+hd/,tranded) __- -___. ___ ___ _- --__ - ___- __ ____-_ ____ ______-_..____._ _. _ __- _.__� AC connection terminals Screw termu.inals 12-6 AWG Revenue Grade Metering Optional(ANSI C12 1 accuracy) UL 1741-2010 Second Edition(mel UL1741 Supplement SA UL 1741-2010 Second Edition(mel UL1741 Supplement SA 2016.09 for California Rule 21 and Hawaiian Electric Code Rule 2016-09 for California Rule 21 and Hawaiian Electric Code Rule Certificates and ronipliance with standards , 14H),UL1998(for functions AFCI,RCMU and isolation 14H),UL1998(for functions AFCI,RCMU and isolation monitoring),IEEE 1547.2003,IEEE 1547 1.2003,ANSI/IEEE , monitoring),IEEE 1547.2003,IEEE 1547 1.2003,ANSI/IEEE C62 41,FCC Part 15 A&B,NEC 2017 Article 690,C22 2 No C62 41,FCC Part 15 A&R,NEC 2017 Article 690,C22 2 No 107.1-16,UL1699B Issue 2-2013,CSA TIL M-07 Issue 1-2013 1071-16,UL16996 Issue 2-2013,CSA TIL M-07 Issue l-2013 PROTECTIVE DEVICES STANDARD WITH ALL PRIMO MODELS DC reverse polarity protection Yes Ana Islandm Internal,in accordance with UL I741-201609,IEEE 1547-2003 and NEC 2017 Over temperature protection Output power derating/Active cooling _Yes Rapid shutdowncompliant Per Sect 690 12 of 2014(of NEC 2017 prior to Jan 2019) - _--------.__--------- ---`- --------_.__-`____----_'-------- - ---------- ----- - -'-- --_-.___.,._ Ground Fault ProtYesection with Isolation Monitor Interru to DC disconnect Yes INTERFACES STANDARD WITH ALL PRIMO MODELS USB(A socket) Dataloggmg and inverter update possible via USB 2,RS422(8145 socket) Fromus Solar Net,interface protocol Wii-fi'/Etheniet LAN Wireless standard 802 1 1 b/g/n/Fronms Solarweb,SunSpec Modbus TCP,JSON Datalogger and Webserver Included Sepal RS485 SunSpec Modbus RTU or meter connection 6 inputs or 4 digital inputs/outputs Load management,signaling,multipurpose I/O 'The term Wi-ig)is a registered trademark of the Wi-Fi Alliance. TECHNICAL DATA FRONIUS PRIMO INPUT DATA _ PRIMO 3.8-1 PRIMO 5.0-1 PRIMO 6.0-1 PRIMO 7.6-1 PRIMO 8.2-1 Recommended PV power kWi 30-60kW -,—,4--0,-7-8--kW" 48-93kW G1-117 1W" 66.127 IW __. _________re_ Max usable Input curnt Max usable input current(MPPT 1+MPPT 2) 36 A Nomutal input voltage 410 V 420 V 420 V _._---"420V 420 V ;_Operaungvolmgetauge -____..__�.___. SOV-600V.e_._____.______.._____.-_,__.r--_____..._.:w__: DC startup voltage 80 V A4YPVoltage Range 200-180 V _ 200400V 240-180 V 250-480 V 270-480 V Mar input voltage _ 600 V(1000 V opuonalt) -- ---� - � _- -���--_��--___.��--_-;,AWG14-AWG6roppt•t(snhd/strandrrl/fine strnndrd)(AW(i lO ropprr nrAW(:Hahmnnnnn inr Quin nrrent prnlr•rhvn drvu r., Admissible conductor size DC up to 60A,from 61 to IOOA minimum AWG 8 for copper or AWG 6 alummmnt has to be used),AWG 6-AWG 2 copper(solid/ ; Number of MPPT 2 OUTP_UT_DAT_A_ PRIMO 3.8-1 — PRIMO 5.0-1 PRIMO 6-.0^1 PRIMO 7.6-1 PRIMO 8.2 Max output power-- _ 208 V/240 V 3800 VA/3800 VA 5000 VA/5000 VA 6000 VA/6000 VA 7600 VA/7600 VA 7900 VA/8200 VA ' Output rm,fi mrnhnn 208 40 V ' Frequency range(adjustable) 45 0-55 0 Hz/50-66 Hz Oper4atmg frequency range default foraCA4 setups -; •-_ __„,---w__^^-w _• ---- y ---/SS 5-GOS Hz Y L_,- Y_µw V_ .-Y- _- -^ _ ,r Operating frequency range default for HI setups -/57 0-63 0 Hz Nominal operating frequency GO Hz ..___.._.__.,__._- Admissable conductor size AC AWG 14-AWG 6 'Total harmonic dtstornon <5 0% _ ' Power factor Lange 085 1 ind/cap L Max_conunuo,u output currant— ,a_._-_ ___�—208 V_ 18 9_A - 24_0 A_;_ _2_8 8 A --__-36 5 A 3_8 0 A_ ` 240 V 15 8 A 20 8 A _-T-~~--^- 25 0 A_-�-.-_�- 317 A-_ 34 2 A OCYD AC banker szn - 208V 25A_ 30 A 40 A 50 A --50-A 240-V 20A 30 A 35A 40 A 45 A Max.I fEirtrncY _-_`--_' '--_'--'- 967';6 -m,9G9%" ;._ 969 W. 969% J 970% �( CEC Ef nenty 950% 955% 960% 960% 965% INPUT DATA_ ----PR1011010a0w1-_-,. _;_._ Recommended PV power(kWp) 80-120 kW 91.137 kW 100-190KW 120-180kW _Max usable inlime rcRt(MPY?'1/hfPY1 2) _ .__ ____.. __-_ _ __. _. 330/ Max usable input current(MPPT I+MPPT2) 51A Max array short circuit current(1 5'Imax) _ 49 5 A/27 0 Nominal input voltage 655 V 660 V 665 V 680V 8o V-_1,00_0 V,____ DC startup voltage 80V _ MPP Voltage Range_ ___ 220-800 V - _ _ 24MOO V 260-800 V 320.800 V _ Max input voltage _ _ 1000V AWG 14-AWG 6 copper direct,AWG 6 alumnum direct(AWG 10 copper or AWG 8 alummmm for oveicurrent protective devices` 'Admissible conductor sive DC up to 60A,from 61,to I00A minimum AWG 8 for copper or AWG 6 alummum has to be used),AWG 4•AWG 2 copper or alu- ; Number of MPPT 2 -_,.__-_u_v_V.—__.______.____._.-._.___.,..,-.__.__._._._,....r_. _.._._-.___._..,_ _ --_-_____-..._.._c____. Integraterl.DC stung fuse holders _ 4-and 4+for MPPT 1/no fusng regwred on MPPT2 OUTPUT DATA _ _P_RIM010.0-1 __ PRIM011.4-1 _-PRIM 012.5.1 _ PRIM O 15.0_7__ _ Max output power 208 V/240 V 9995 VA/9995 VA 11400 VA/11400 VA 12500 VA/12500 VA 13750 VA/1.5000 VA _OutHut configuration _ _ ____,1_NPE 40V Frequency range(adjustable) r`- _ 45-5.5 Hz/50-66 Hz y Operating Frequency range default for CAL setups _ r___--_ __ _ _ _-(58 5-GU 5 Hz operating frequency range default for HI setups. - ^,.•. .�,__p_� 57 0 63 0 Hz- _ __.___._. _ ,�.,._....�'- ...,..---------- ' _-__.,___ '- -- AWG 10.AWG 2 rapper(sobd/sirnndrd/fine strmvlyd)(AWG t 0 ropprr or AW(.8 abmm�um for ovrrrurmnt protrruvr drviers up� Admissible conductor size AC to 60 A,from 61 to I OOA minimum AWG 6 aluminum has to be used),AWG 6-AWG 2 copper(solid/stranded)Multi Contact Wiring able with AWG 12 Tata]hai mmuc dtstornon 2 5 Power factor range 0-1 and/tap __-. GG_1 A 240V 416A 475A 521A _ - ^-625A OCPD AC breaker size _,_ _. _ 208 V 70 A- A,,.---_--_.-70 A_ BOA 90 A 240 V 60 A 60A 70A BOA 967 CEC Efficiency 600 V/1000 V -- - -_- 240 V -_---^_- - 960%/965% _-» _ _^_ 965%/970% 'inverter rated for up to 1000 V open-cucmt Nominal,Operating,and MPP voluges based on 600 V system design Actual DC system voltage is dependent on PV strmg-sinng,not nwe,W,mput capacity /Perfect Welding/Solar Energy/Perfect Charging Fronius USA LLC THREE BUSINESS UNITS,ONE GOAL:TO SET THE STANDARD THROUGH TECHNOLOGICAL ADVANCEMENT. 6797 Fronius Drive SUf1SPEC What began In 1945 as a one-man operation now sets technological standards m the fields of welding technology,photovolta cs and batterycharging Today,the —ALLIANCE— company actraNOF— company has around 3,800 employees worldwide and 1,242 patents for product development show the innovative spirit within the company Sustainable Portage,IN 46368 USA development means for us to Implement environmentally relevant and social aspects equally with economic factors Our goal has remained constant throughout to be the Innovation leader pv-support-usa@fronius coin iN rrnronnaa�na6et nr.ara Vt, dsandrbro6,l,,,t<,pan rtsandn•pre,r•,..in08A„6:017EN www.fronius-usa.com C US 11060'2'3,E\ISS IiSA REV 01104'1111 ��L . IRON RIDGE Ground Mount System ILI] _7 Mount on 0 terrains, in n® dome® The IronRidge Ground Mount System combines our XR1 000 rails with locally-sourced steel pipes or mechanical tubing, to create a cost-effective structure capable of handling any site or terrain challenge. Installation is dimple with only a few structural components and no drilling, welding, or heavy machinery required. In addition, the system works with a variety of foundation options, including concrete piers and driven plies. Rugged Construction PE Certified Engineered steel and aluminum Pre-stamped engineering letters components ensure durability. available in most states. UL 2703 Listed System Design Software Meets newest effective UL 2703 Online tool generates engineering standard. values and bill of materials. Flexible Architecture 20-Year Warranty Multiple foundation and array Twice the protection offered by configuration options. competitors. R+ ° + \\+J;L`ej@5''.' tN`=-,`r'i`r=��:,, a �=i'`�,'�`'�wi �e�as��r 'v"tp�"�.'.�e+.��,sw��W.i.—.....�_,-�^�a'• •.; - � � �,�ti,�v �_ _ '' _--_ � ,✓ i ONO ��7I�Yr. d ,� � TIES �,.<i� ". ...-_....,,-. �_.•..,.s 3600 Product Tour Visit ironridge°com Substructure Top Caps Bonded Rail Connectors Diagonal Braces Cross Pipe&Piers 11 z2b. Connect vertical and cross Attach and bond Rail Optional Brace provides Steel pipes or mechanical pipes. Assembly to cross pipes. additional support. tubing for substructure. Balm Assembly XR1000 Rails UFOs O Stopper Sleeves Q Accessories Curved rails increase Universal Fastening Objects Snap onto the UFO to turn Wire Clips and End Caps spanning capabilities. bond modules to rails. into a bonded end clamp. provide a finished look. Resources Design Assistant ® A NABCEP Certified Training Go from rough layout to fully vav Earn free continuing education credits, engineered system. For free. ® while learning more about our systems. ® Go to ironridgeecorn/design V® Co to ironridgeocom/training