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S0FF01�cr Town of Southold 8/5/2023 o� °a y� P.O.Box 1179 o _ F 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44387 Date: 8/5/2023 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 11920 Main Bayview Rd., Southold SCTM#: 473889 Sec/Block/Lot: 88.-5-28 Subdivision: - Filed Map No. Lot No. C ' conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/26/2022 pursuant to which Building Permit No. 48527 dated 11/22/2022 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: roof-mounted solar panels to existing single-family dwelling as applied for. The certificate is issued to Karras Upstate LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48527 2/8/2023 PLUMBERS CERTIFICATION DATED TA h riAdisignature SUEFo TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • ��' SOUTHOLD, NY 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 #: 48527 Date: 11/22/2022 Permission is hereby granted to: Karras Upstate LLC 140 E Shore Dr Massapequa, NY 11758 To: install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 11920 Main Bayview Rd., Southold SCTM #473889 Sec/Block/Lot# 88.-5-28 Pursuant to application dated 9/26/2022 and approved by the Building Inspector. To expire on 5/23/2024. Fees: SOLAR PANELS $50.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $50.00 Total: $200.00 Buing Inspector OF SOUTyoI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.deviin(a)-town.southold.ny.us Southold,NY 11971-0959 '� COUNV BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Karras Upstate LLC Address: 11920 Main Bayview Rd city:Southold st: NY zip: 11971 Building Permit* 48'5527 section: 88 Block: 55 Lot: 28 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Long Island Power Solutions License No: 36178ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar X Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph 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 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: TAW Roof Mounted PV Solar Energy System w/ (20) Qpeak DUO BlkMLG10 360 Modules, Combiner Panel, 40A Fused Disconnect Notes: Solar Inspector Signature: Date: February 8, 2023 S. Devlin-Cert Electrical Compliance Form OF50UTyolo L .maik - - - * * TOWN OF SOUTHOLD BUILDING DEPT `ycourm '' 631-765-1802 1 NSPECTION [ ] FOUNDATION 1ST [ ] 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 [ ] RENTAL REMARKS: a r _ o cl d d� ovc-1 12, DATE ori INSPECTOR �aOF SOUTyO -- _ # # TOWN OF SOUTHOLD BUILDING DEPT. couto, 631-765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] 'FRAMING /STRAPPING N FINAL�,,(wl-1 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: C DATE �' L 'LvY�l INSPECTOR ,Njti1zz' Pacifico Engineering PC _ Engineering Consulting 700 Lakeland Ave, Suite 213 \�— Ph: 631-988-0000 Bohemia, NY 11716 GIN T 1 LNG c solar@pacificoengineering.com February 7,2023 P - Town of Southold Building Department 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Subject: Solar Energy Installation for James Karras Section-Block-Lot: 88-5-28 11920 Main Bayview Rd Permit Number: 48527 Southold, NY 11971 1 have reviewed the solar energy system installation at the subject address on February 7,2023.The units have been installed in accordance with the manufacturer's installation instructions and the approved construction drawing. I have determined that the installation meets the requirements of the 2020 Residential Code of New York State and ASCE 7-16. To my best belief and knowledge,the work in this document is accurate,conforms with the governing codes applicable at the time of submission, conforms with reasonable standards of practice,with the view to the safeguarding of life, health, property and public welfare. Regards, Ralph Pacifico, PE Professional Engineer of-Nth'r f W 2 F3al oqf ngineer NY 066182/NJ 4 E04744306/FL 87297 s Ik I / TONY AM r• w Vt� �. .,Vie'�� �^►� �.+.,1,; E; x �a ow r } i ..r 4 w ` r s l � rr� _ 1 i 1� I i i s+_ i Pry PHOTOVOLTAICS: V ISOL TIONS NEMA 3R (20)Q.PEAK DUO BLK ML-G10+360 ( 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 JUNCTION BOX INVERTERS: (631)348-0001 BLACK-L1 ENGAGE CABLE (20)ENPHASE IQ7PLUS-72-2-US KARRAS UPSTATE LLC RED-L2 GREEN-GROUND CIRCUITS: RESIDENCE (2)CIRCUITS OF(10)MODULES 11920 MAIN BAYVIEW ROAD SOUTHOLD,NY 11971 516-209-8184 S:88 B:5 L:28 PROJECT DATA:#226905 INVERTER(20)ENPHASE 107PUL&72.21S MODULES(20)GPEAK WO SU(MLGIO+360 RACKING.IRON RIDGE XRIDD 110 AWG THNM FOR HOMI,RUNS UNDER WO'OME RUNS OVER 100' , ,. • WATTAGE'.7.200 (1)LINE 1 ROOF TYPE.COMPOSITION SHINGLES (1)LINE 2 AAC (1)GROUND D O METER VdND LOAD'.5A.6PSF®130MPH FASTENER 5116 Sli6"DIA 5"66 LAGSPER CIRCUIT � � �TE>)�WW24.2 A IN 1'OR 1}PVC CONDUIT NOMlALCPBRATIIC,ACY0.TAOE 240 y IXG RD '__TG IN � PHOTOVOLTAIC SDA METER 700 Lakeland Ave,Sulte 28 MAIN Bohemia,NY 11716 MAIN SOLAR SYSTEM Disco AC DISCONNECT M LINE SIDE TAP h:631-988-0000 —"' - - ----- -- solar@pacificoengineeting cum www pecificoengineenng.com 60A FUSED SERVICE MAIN SERVICE 125A LOAD CENTER RATED DISCONNECT 200A MAIN BREAKER (1)-20A BREAKER 40A FUSE PER CIRCUIT U1fARN�.NG -1 DISCONNECT NIVERTER OUTPUT CONNECTION DO NOT RELOCATE THIS #8 AWG THWN #6 AWG THWN OVERCURRENT DEVICE (1)LINE 1 (t)LINE t .. (1)LINE 2 (1)LINE 2 u TER3noN or nus ooa. :T excr��er 3 (1)NEUTRAL (1)NEUTRALTNs uF�s 10—IS lu.Ec:.u. (1)EGC (1)EGC AC DISTRIBUTION PANEL PAPER SIZE Ir,Ir(ANSI 8) IN t'PVC CONDUIT (1)GEC OR SUB PANEL IN t'PVC CONDUIT DATE: 7/28/2022 DESIGN BY: MW CHECKED BY: EE REVISIONS. AC COMBINER: NOTE: 2020 RESDENTUIL CODE OF NEWYORKSTATE 2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, �_ 1-PHASE,MAIN LUG LOAD CENTER,125A ALL WRING TO MEET THE 2017 NEC AND 2020 ENERGY CODE TOWN OFSOUTHOLDOWE,2017NAT04 LLELECTPo000DEASCE7-06. ELECTRICAL PLAN 60A FUSED SERVICE RATED DISCONNECT FIELD INSPECTION REPORT DATE COMMENTS •o FOUNDATION (IST) J � --------------------------------------- cq C FOUNDATION (2ND) O O v, y ROUG=H FRAMING& PLUMBING Vc' r INSULATION PER N.Y. Z>"3 STATE ENERGY CODE a FINAL ADDITIONAL COMMENTS II 3 z 43 e �e c+r G ce.f,� N ` C* - - z m r � IV IV k' z x x d b o�gUfFOLM�OG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y� y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�o ao� Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtovmny.gov Date Received APPLICATION FOR BUILDING PERMIT -D For Office Use Only -� SEP 2 R 2022 PERMIT NO. 46e;�I_ Building Inspector. J 'I EiUILDIN2 Ul Applications and forms must be filled out in their entirety. Incomplete Or }LV) applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name:Karras Upstate LLC/ James Karras SCTM#1000-88.-5-28 Physical Address:11920 Main Bayview Road, Southold NY 11971 Phone#:516-209-8184 Email:jimrivhunter@yghoo.com Mailing Address:11920 Main Bayview Road, Southold NY 11971 CONTACT PERSON: Name:Sue Estabrooke/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:sue@longislandp owersolutions.com' DESIGN PROFESSIONAL INFORMATION: Name:Pacifico Engineering PC Mailing Address:700 Lakeland Avenue, Suite 2B Bohemia, NY 11716 Phone#:631-988-0000 Email:jimrivhunter@yahoo.com CONTRACTOR INFORMATION: Name:Michael Catizone/Long Island Power Solutions Mailing Address:2060 Ocean Ave., Ronkonkoma, NY 11779 Phone#:631-348-0001 Email:mike@longislandpowersolutions.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition BAlteration ❑Repair ❑Demolition Estimated Cost of Project: R Other Proposed( 20 )panel roof mounted array.( 7,200 )kW System $13,648.00 Will the lot be re-graded? Dyes RNo Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property:Single Family Dwelling 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 BNo IF YES, PROVIDE A COPY. 8 Check Box 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/Long Island Power Solutions Application SubmittedBy name : BAaut orize Agent ❑Owner Signature of Applicant. Date: -1 2� . 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 12 ra' day of , 20 22. Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I,_ mm's residing at I j 20 ijj r 1 (ZxtVV if�L� (?.OnA Michael Catizone/Long Island Power Solutions .NU I I1g1 I do hereby authorize to apply on mrbehalf to the To n of Southold Building Department for approval as described herein. I �Z, i Owner's Signature Date L 1ClmE'S �r YLri'C�� Print Owner's Name 2 Firefox about:blank .LONG ISLAND 4 OWER 2060 Ocean Ave Ronkonkoma, NY 11779 SOLUTIONS www.longislandpowersolutions.com Chief Operating Authorization Date: r,7 a To Whom it may concern,. Please be advised that Sa M e_C Keer(-e�s has authority to sign official documents on behalf of 1<a r r-a C L4 2s4-w4-e_ L L-G, As (Title) Signature: 0_AA,-tA &AAs�_ ESCAYLIN CRISOL RIVERA RODRIGUEZ NOTARY PUBLIC-STATE OF NEW YORK Sworn to,before me this day of No. 01816434031 Qualified in Suffolk County My Commission Expires 05-31-2020 20 2.Z— Not 2Not Signature Go Green Save Green 1 of 1 10/21/2021,8:39 AM BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD V� o- -To n Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 4,, Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrosoutholdtownny.gov seand(&,southoldtownnv.qov APPLICATION FOR ELECTRICAL INSPECTIOU 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:-Karras Upstate LLCL James-Karras- Address: 1190 -Mai n.Rayview-Road, Southold NY 11971 Cross Street: Pine Neck Road Phone No.: 516-209-8184 Bldg.Permit#: - _ L-0 :52_7 email: jimrivh_unterC@yahoo.com Tax Map District: 1000 Section. 88 Block' 5-- Lot: 28 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Proposed 20 panel roof mounted array. 7,200 )kW System 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 lfiformation'.::,- Inverters: (20) Enphase IQ-7_PIus Modules: (20) Hanwha Q-Peak Duo 360W,'Support: Iron Ridge PAYMENT-DUE--WIT[4-.APPLICA-TION-- Request for Inspection FormAs t y 'O]" LONG ISLAND OWER2060 Ocean Ave Ronkonkoma, NY 11779 SOLUTIONS 631348-0001 www.longislandpowersolutions.com TOWN OF SOUTHOLD—Building Division Town Hall Annex Building SEP 2 R 2022 54375 Route 25 ; UILniN , ;`; P.O. Box 1179 Southold,NY 11971 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: Karras Upstate LLC/James karras—516-209-8184 Project/Property Address: 11920 Main Bayview Road Southold,NY 11971 Section/Block/Lot: 1000-88-5-28 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: Pacifico Engineering—700 Lakelalnd Ave, Ste 2B,Bohemia,NY 11716- 631-988-0000 Enclosed Please find: • Application Fee: $200.00 • Permit Application • (4) Copies of the Property Survey • (4) Copies of the Engineering Drawings & Specs • Liability, Disability&Workman's Comp Insurance Certs Please send the Receipt and Permit to Long Island Power Solutions. Should you require anything further, please contact me. Sincerely, Sue Estabrooke, Permit Manager Long Island Power Solutions 2060 Ocean Avenue Ronkonkoma,NY 11779 Ph- 631-348-0001 Fx- 631-348-0018 sue@Gopowersolutions.com Go Green Save Green SURVEY OFPROPERTY SITUATE SOUTHOLD TOWN OF SOUTHOLD. SUFFOLK COUNTY, N.Y. SURVEYED: JAN. 8, 2016 NOTES: 1. PROPERTY KNOWN AS TAX MAP# 1000-88-05-28 Rambler Road X50'1 2. LOT AREA-28,500 SO.FT. (0.654 ACRE(S)) 3.THIS SURVEY WAS PREPARED USING A TRIMBLE Ey —� S3 ROBOTIC TOTAL STATION. h 4. PROPERTY CORNER MONUMENTS WERE NOT SET AS N ��,00 PART OF THIS SURVEY. x N Jt31.42 3 4 i a MAP OF TERRY WATERS � NAP # 2901 t� LAND N/F OF GENOVESE LIVING TRUST LOT 23 m s m m MAP LlNF.' SQL 130'23.40'B 1ao.oa 3.2'E 1{929 LP,TANK o ♦SOAI 'r c n STANDARD NOTES: N N 1.CCPYADM 2015 YICIN0.K-n Ll'✓fl SUINEYMO UCENSSM LAND sUIF R*s SFAJ.�A VOLAMN OF SECOOM 72M.SLRVEX A b +41.41 SUB-OM 2.DF NEW YORK Bi<1E EDLAAFIOV IAN. t{9.93 =g - a—Bc..OARt SM—MAPS a1TIl THE suRSETm EMBOBSEO SOL 21.t 2p,0 A NDE MIME P E�OORI COWES OF NE SURYETtl9'S ORW 2 1 Std F�)yODO+ A.CWASERTUIGTY:M PN 1i13 FKIUNNAT'sUM4Y WP SIDNI%TINT M INP 7&6 01, jiJ920 �1B ess.0` 2 S7" S3 Eo PftRCRCEIFIEPFORR LAND SURVEYSADOPTEDBBY TN�n>•.w'—Su¢ 1 to .ss--o=Paf�aD—wm SARMOn uc THE cw"NO'nDN Is SSt AD•6 UWTEO TO PERSONS'0"WIUY 1HE BOUNnVtI SURVEY MAP IS PPCPAREO. 9.8 TO THE TIRE CONPINV."111E CO.FANuEKTAL AGENCY,M0 TO THE — lFTC1NG SNSnlu—DSTED W 1H6 BWNMR/SUMS. NIA. p�01 3-6 m 11792 5.THE cEJiUFiG1K 5 HENE:N AR[NOT iN4rsFER49L. T$IOIK B.THE IOGP.ON OF UNOERDRDUND INPRWCYCNTS OR ENCRMCNVENTS ME j 99 NOT ALWAYS KNONN MD OFIEI MUST BE EST0NIE0. IF ANY UN0ER0R0UN0 IYFRC.4 1—OR ENCROACNUBRS EXIST OR ME B—.THE N t{&U 'O wP.TOK4EN15 OR ENGtoFCY.Y[M5 ME NOf OOVERCD B!P.B$WNCY. 9 (f'�vJI 7.1NE dTSET&c.4TtEN5 SI SHTMI Imt—M.1NE STiAIC1URE5 10 1NF PROPEAM1 SS MC FDR A SPftOTC PURPOSE ANO USE MO"` f C ME NOt INIENOEO TO.UDE ME MECOON OF FENCES.RETABUND WADS, 2 75.6 ME GF LTbOW7PR OOON MEAS AOUPOIS TD euILmllcx MD ANY a1HER 3 "1 A �pEpiD COPSES OF TW5 SURVEY ACU" NOT BEARING THE IAND SURVEYOR'S INKED 0. �, N OR EMBOSSED SEAL SHALL-NOLQECONSIDERED TO BE A VALID COM. 9D2' H 11175 r.•E� 11 DOW-COO IS .{ng9 - t MICHAEL K WICKS, RLS. #50390 E H 10,10 SS0.23.4IrW MAP LINE 190.00 1 MICHAEL K. WICKS .� MAP OF ANGEL SHORES ` LAND SURVEYING g' MAP /J 9729 200 BELLE VIEW AVENUE •E OPEN SPACE CENTER MORICHES.,NEW YORK 11934 VOICE: 631.974.0156 - FAX: 691.909.3945 0 wuno.7u{ckSla7wlrurBQylYEg.com Q RECORDS OF R/CHARD 6 DRAXE SCALE: SURVEYED BY: I DRAWN BY: SHEET: 1"=30• 1 M.W./B.W. S.S. 1 OF 1 v ti Suffolk County Dept.of. 16 Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name MICHAEL J CATIZONE Business'Name - This certifies that the nearer is duty licensed LONG ISLAND POWER SOLUTIONS INC Dy the County of suffolk License Number:H-53562 Rosalie Drag6 Issued: 0516612614 Commissioner Expires: 06/01/2024 Suffolk C6uhty.,Dept.JQf c'ki6'mer'Affairs Laboe,,UcenslfigA 0 —O'A b-- -Name NIICRA EL.,CATIZONE: P 014V-.ER-SOLU1:[ONS INC; Ll ens4'Nu rober.-ME635601 CommisslonFr Expl.fes- b8101;2024'-- Suff'9114 County Dept;*I Lotmr,Liceniln' &Con'surtiec Affalri, MASTEP CI-Ecm N.LtL1E1 I CAI zZdNf, Catlzc�-- -tr-q "C Lledi4e NuvnWr. Radaur .40� 6sued; 12'J1 iL E*pk "121.0117022," Y workers'STATE Compensation CERTIFICATE OF INSURANCE COVERAGE 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 CATIZONE ELECTRICAL CONTRACTING, INC. 2060 OCEAN AVE 646-383-3599 RONKONKOMA, NY 11779 Work Location of Insured(Only required if coverage 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 45-5213112 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 Y P Y 53095 ROUTE 25 3b.Policy Number of Entity Listed in Box"1 a" SOUTHOLD, NY 11971 R97483-000 3c.Policy effective period 1/1/2015 to 12/15/2022 4. Policy provides the following benefits: A.Both disability and paid family leave benefits. n B.Disability benefits only. r7 C.Paid family leave benefits only. 5. Policy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. F] 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 de sc' d above. Date Signed 12/16/2021 By (Signature of insurance carrier's authoriz 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 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 513 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) 11111IP1°11m11111111m11°11a11°111°°°IIIIIII Additional Instructions for Form 1313-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box"1 a"for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law.The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed 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 cancelled 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 coverage indicated on this Certificate. (These notices my 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 Disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or paid family leave benefits 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 NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first,two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. D13-120.1 (10-17)Reverse Client#:83176 CATIELE DATE(MWDD/YYYY) ACORD.. CERTIFICATE OF LIABILITY INSURANCE 6/27/2022 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 CNAME: ommercial Support Edgewood Partners Ins.Center PHONE - 40 Marcus Drive e n La Ext): A/c,No ADDRESS: NECertificates@epicbrokers.com 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747-2647 INSURER A:Utica Mutual Insurance Company 25976 INSURED INSURER B: Catizone Electrical Inc INSURER C: 2060 Ocean Avenue Ronkonkoma,NY 11779 INSURER D: 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY X CPP4784747 7/01/2022 07/01/2023 EEAACMHOECCURRENCE $110001000 CLAIMS-MADE 51OCCUR PREMISES EaEoocurrence $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY F JECOT 7 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 HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 4766763 7/01/2022 07/01/2023 X FsTRTUTE OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? Fy] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 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 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 #S4115391/M4115046 KOS01 YO K Workers'' CERTIFICATE OF STATE Compensation Board NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Catizone Electrical Contracting Inc. 631348-0001 060 Ocean Avenue - Ronkonkoma, NY 11779 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 1d.Federal Employer Identification Number of Insured or Social Security Number 202241963 2.Name and Address of Entity Requesting Proof of Coverage(Entity 3a.Name of Insurance Carrier Being Listed as the Certificate Holder) Utica Mutual Insurance Company 3b.Policy Number of Entity Listed in Box 1 a" Town Southold 766763 53095 Route 25 3c.Policy effective period Southold,NY 11971 07/01/2022 to 07/01/2023 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) ❑ all 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: 6/24/22 (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 Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board,commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17)REVERSE <N5 workersCERTIFICATE OF INSURANCE COVERAGE W Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS 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 BA NEW YORK 2D 60 OCEANVE OWER SOLUTIONS 6313480001 RONKONKOMA,NY 11779 Work Location of Insured(Only required if coverage 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 Y P y 53095 ROUTE 25 3b.Policy Number of Entity Listed in Box la SOUTHOLD, NY 11971 R97411-000 3c.Policy Effective Period 1/1/2015 to 7/19/2023 4. Policy provides the following benefits: © A.Both disability and Paid Family Leave benefits. B.Disability benefits only. M C.Paid Family Leave benefits only. 5. Policy covers: © 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 7/20/2022 By (Signature of insurance carrier's authorifed representative or NYS licensed insurance agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT:lf 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 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 emailed to PAU@wcb.ny.gov or it can 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 sox 413,4C 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(Article 9 of the Workers'Compensation Law)with respect to all of their 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 benehts 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. D13-120.1 (12-21) DB-120.1 (12-21) Additional Instructions for Form D13-120.1 By signing this form,the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1 a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage(Certificate)to the entity listed 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 cancelled 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 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 NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits 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 Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first, two thousand and twenty-one,the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand eighteen,the payment of family leave benefits for all employees has been secured as provided by this article. 1313-120.1 (12-21)Reverse Client#:83393 LONGISL15 ACORD,,,, (MM/DD/YYYI� , CERTIFICATE OF LIABILITY INSURANCE 2/07MIDDN 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 NpAME: Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 631-390-9790 AIC No Ext: AIC,No 40 Marcus Drive E-MAIL ADDRESS: NECertificates ap icbrokers.com 3rd Floor Melville,NY 11747-2647 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Southwest Marine&General Ins Co 12294 INSURED INSURER B: Long Island Power Solutions,Inc. INSURER C DBA New York Power Solutions 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY PK202200020693 2/28/2022 02/28/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE F OCCUR PREPAEES Ea ocou nce $300,000 X PD Ded:5,000 MED EXP(Any one person) $10,000 X Contractual Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a J CT 7 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY PK202200020693 2/28/2022 02/28/202 Ee. dentsINGLELIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLYX AUTOS ONLY Per accident $ A X UMBRELLA LIAR X OCCUR EX202200001789 2/28/2022 02/28/2023 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE IER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 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 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 #S3438616/M3437780 LJACO N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA 271175107 0 �Q LOVELL SAFETY MGMT CO.,LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 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 I CERTIFICATE NUMBERPOLICY PERIOD DATE Z 2467 078-8 539135 04/01/2022 TO 04/01/2023 03/08/2022 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,I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 396794370 IMM11000000000000®02®0 564EN111 Fonn WC-CERT-NOPRINT Version 3(08/29/2019)[WC Policy-246707881 U-26.3 198 [00000000000102106564][0001-000024670788][SCZ][15840-36][CerLNoP-CERT_1][01-00001] b• �t, 1 CDOWER PHOTOVOLTAICS: SOLUTIONS NEMA 3R (20)Q.PEAK DUO BLK ML-G10+ 360 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 JUNCTION BOX INVERTERS: (631)348-0001 BLACK-L1 ENGAGE CABLE (20) ENPHASE IQ7PLUS-72-2-US RED-L2 KARRAS UPSTATE GREEN-GROUND CIRCUITS: LLC 'j (2) CIRCUITS OF (10) MODULES RESIDENCE 11920 MAIN BAYVIEW ROAD SOUTHOLD, NY 11971 516-209-8184 S: 88 B: 5 L: 28 PROJECT DATA:#225903 INVERTER:(20)ENPHASE IQ7PLUS-72-2-US MODULES:(20)Q.PEAK DUO BLK ML-G10+360 #12 AWG THWN FOR HOME RUNS UNDER 100' RACKING:IRON RIDGE XR100 #10 AWG THWN FOR HOME RUNS OVER 100' WATTAGE:7,200 (1)LINE 1 • a ROOF TYPE:COMPOSITION SHINGLES (1)LINE 2 ► (1)GROUND '�' , � METER WIND LOAD:-54.6PSF @ 130MPH PER CIRCUIT FASTENER:5116"DIA.5"SS LAGS I�T0 i =CUtW24.2 A IN 1"OR 14"PVC CONDUIT P 1 1 4T 0 V ZR ELECT-RIC SHOGK HA + , I'N GF- ' MR. s PHOTOVOLTAIC MAN00 Lakeland Ave, Suite 2B DISCO Bohemia, NY 11796 '`' ' ' MAIN SOLAR SYSTEM IN .EN POSITION AC DISCONNECT Ph.631-988-0000 LINE SIDE TAP ; lar@gacificoengineenng_com www-pacificoengineenng.Gom 60A FU D SERVICE MAIN SERV 125A LOAD CENTER 200 ®F NES RATE DISCONNECT � �q Y® (1)-20A BREAKER 40A FUSE ���®� PER CIRCUIT �,2 -� DISCONNECT ' - 1 j INVERTER OUTPUT CONNECTION j DO NOT RELOCATE Tti1SV #8 AWG THWN #6 AWG THWN ®F I (1)LINE 1 (1)LINE 1 �?VERC�JRF:EfdT DE;ViC:E I / -- `-. (1)LINE 2 (1)LINE 2 ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL (1)NEUTRAL (1)NEUTRAL AC DISTRIBUTION PANEL o (1)EGC (1)EGC OR SUB PANEL PAPER SIZE:11"x17°(ANSI B) m IN I"PVC CONDUIT (1)GEC DATE: 7/28/2022 N IN 1"PVC CONDUIT DESIGN BY: MW CHECKED BY: EE REVISIONS: coY AC COMBINER: NOTE: 2020 RESIDENTIAL CODE OF NEWYORK 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.ASCE7.16. ELECTRICAL PLAN E'1 60A FUSED SERVICE RATED DISCONNECT �a APWRI IVED AS NOTED DATE: B.P.# S&-'9- FEE: BY: ELECTRICAL NOTIFY BUILDING DEPARTMENT AT INSPECTION REQUIRED 765-1802 8 AM TO j ='M FOR THE FOLLOWING,INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTInN MUST BE COMPLETE FG;- ALL CONSTRUCTION �,rALL MEET THE f s 06 fl REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ` r 4 +re Y COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF n iiu i 1 0 A R D SO �Fd l , 5TEES OCCUPANCY OR USE IS'UNLAWFUL- WITHOUT CERTIFICAT' OF OCCUPANCY Pacifico Engineering PC Engineering Consulting ' 700 Lakeland Ave, Suite 2BC Ph:631-988-0000 Bohemia, NY 11716 I G c solar@pacificoengineering.com September 16, 2022 Town of Southold Building Department IC F� n nn F 54375 Route 25, P.O. Box 1179Southold, NY 11971 ` SEP 2 R 2022,: Subject: Solar Energy Installation for James Karras 1IILDh: D ! Section-Block-Lot: 88-5-28 11920 Main Bayview Rd Southold, NY 11971 1 have reviewed the roofing structure at the subject address.The structure can support the additional weight of the roof mounted system.The units are to be installed in accordance with the manufacturer's installation instructions. I have determined that the installation will meet the requirements of the 2020 Residential Code of New York State and ASCE 7-16 when installed in accordance with the manufacturer's instructions. . Roof Section A B Mean roof height 18.0 ft 18.0 ft Pitch 10 degrees 22 degrees Roof rafter 2x10 2x10 Rafter spacing 16 inch on center 24 inch on center Reflected roof rafter span 14.1 ft 5.7 ft Table R802.4.1(1) max allowable 22.5 ft 18.5 ft The climactic and load information is below: CLIMACTIC AND Ground Wind Live Load, Point GEOGRAPHIC DESIGN Exposure Snow Speed,3 Pnet per pullout Fastener Type CRITERIA Category Load,Pg, sec gust, ASCE 7, load,Ib psf mph psf Roof Section A B 20 130 33 374 (4)1/4"dia screws,3"length B 33 561 SS 5/16"dia lag bolt,5"length Weight Distribution Ur Ivit array dead load 3.5 psf ��QP�QVA RAQPiyo'Q load per attachment 39.7 Ib The subject roof has 1 layer of shingles. r- # Panels mounted flush to roof no higher than 6 inches above roof surface. ► I Ralph Pacifico, PE Professional Engineer Uig, 8't Rap sneer AERIAL OWER - SOLUTIONS 2060 OCEAN AVENUE, FROA'� OF RONKONKOMA, NY 11779 'v HOUSE Otu'JE (631)348-0001 KARRAS UPSTATE .. LLC - RESIDENCE • 11920 MAIN BAYVIEW ROAD ACCESS NY 11971 CCESS ROOF 516-209-8184 S. 88 B. 5 L: 28 PROJECT DATA:#225903 1$,.Fri INVERTER.(20)ENPHASE IQ7PLUS-72-2-US ACCESS MODULES:(20)Q.PEAK DUO BLK ML-G10+360 RACKING:IRON RIDGE XR100 WATTAGE:7,200 R-3 SHEET INDEX ROOF TYPE:COMPOSITION SHINGLES # MODULES (10) S-1 SITE PLAN WIND LOAD:-54.6PSF @ 130MPH °-ACCESS PATHyyAY FASTENER:5116"DIA.5'SS LAGS PITCH: 22° S-2 DETAILS _ AZIMUTH: 1880 E-1 ELECTRICAL PLAN 3'-5" L-1 MOUNTING PLAN E ��'N GC pi 5,-8., 700 Lakeland Ave, Suite 2B Bohemia. NY 11716 U Ph: 631-988-0000 Q Qsolar@pacificoeng ineering.com Uj ircr R-1 www.pacificoengineering com # MODULES (10) GENERAL NOTES CO CO PITCH: 10° -ENPHASE IQ7 PLUS MICRO INVERTER 0 NE AZIMUTH: 98° LOCATED ON ROOF BEHIND EACH MODULE. '<<GQN pgC/�y0 -FIRST RESPONDER ACCESS MAINTAINED AND FROM ADJACENT ROOF. * # -WIRE RUN FROM ARRAY TO CONNECTION IS I 36"ACCESS PATHWAY 40 FEET. w� � 2 -COGEN DISCONNECT IS LOCATED ADJACENT TO UTILITY METER. `90�ESSIONP� I� -LAYOUT SUBJECT TO CHANGE BASED ON ALTERATION OF-TH NT EXCEPT BYA LICENSED PROFESSIONAL IS ILLEGAL SITE CONDITIONS AT DATE OF INSTALL PAPER SIZE:11"x17'(ANSI B) LO SEP 2 6 202� LEGEND I DATE: 7/28/2022 DESIGN BY: MW E �I ® GROUND ACCESS POINT CHECKED BY: EE COGEN DISCONNECT REVISIONS: ® UTILITY METER Y REPRESENTS ALL FIRE CLEARANCE FIRST RESPONDER ACCESS 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, INCLUDING ALTERNATIVE METHODS MINIMUM OF 36" UNOBSTRUCTED AS PER TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7.16. SITE PLAN S.1 THE 2020 RESIDENTIAL CODE OF NYS - UFO IronRidge XR 100 Rail OWER ,. _ - .... SOLUTIONS (02060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 KARRAS UPSTATE _ LLC Cap- _ "` RESIDENCE hAbaC'Scw"p �-- Flashing 11920 MAIN BAYVIEW ROAD SOUTHOLD, NY 11971 9-8184 �Ck*Mp - 88 B- S88 B: 5 L: 28 1 IronRidge XR 100 Rail PROJECT DATA:#225903 .!'s �,'.�, � �� n IronRidge XR 100 Rail 5/16 X 5 Stainless INVERTER.(20)ENPHASE IQ7PLUS-72-2-US Steel (� T ag Bolt Ol+ MODULES:(20)Q.PEAK DUO BILK ML-G10+360 Solar Module J ll l. t RACKING:IRON RIDGE XR100 -. WATTAGE:7,200 3/8_16 x 3/4 HEX HEAD BOLT ROOF TYPE:COMPOSITION SHINGLES 3/8-18WIND LOAD:-54.6PSF @ 130MPH FLANGE NUT 3-5/8 © FASTENER:5116"DIA.5'SS LAGS C t - GIN I GP GENERAL NOTES- 700 Lakeland Ave, Suite 2B R3-L FEET ARE SECURED TO ROOF RAFTERS @ 72" Bohemia, NY 11716 O.C. USING 5/1611 x 5" STAINLESS STEEL LAG BOLTS. Ph:631-988-0000 -SUBJECT ROOF HAS ONE LAYER. solar@pacificoengineering.com pacificoengineering.com -ALL PENETRATIONS ARE SEALED AND FLASHED. R1-L-FEET ARE SECURED TO ROOF DECK @ 48" O.C. of: USING (4) 1/4" X 3" STAINLESS STEEL LAG BOLTS. yP`P w r` ROOF PITCH RIDGE RAFTERS LENGTH OVERHANG NOTES R1 100 2"x12" 2"x10"@16"0.C. 16' 10" NANOMOUNT �, o,�Fe oN ssrl R3220 2"x12 fl 211 x 1011@24110.C. 13f-211 0 K N E E WA L L ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL IS ILLEGAL PAPER SIZE:11'x 17'(ANSI B) M DATE: 7/28/2022 IncliN DESIGN BY: MW CHECKED BY: EE REVISIONS: 1' DESIGNED AS PER ASCE 7-10 2020 RESIDENTIAL CODE OF NEW YORK STATE,2020 ENERGY CONSERVATION CODE OF NEW YORK STATE, MODULES MOUNTED FLUSH TO ROOF TOWN OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. DETAILS S■2 NO HIGHER THAN 6"ABOVE ROOF SURFACE U. SOOWER PHOTOVOLTAICS: LUTIONS (20) Q.PEAK DUO BILK ML-G10+ 360 2060 OCEAN AVENUE, NEMA 3R RONKONKOMA, NY 11779 JUNCTION BOX INVERTERS: (631)348-0001 BLACK-L1 ENGAGE CABLE (20) ENPHASE IQ7PLUS-72-2-US RED-L2 � KARRAS UPSTATE GREEN-GROUND CIRCUITS: LLC (2) CIRCUITS OF (10) MODULES RESIDENCE 11920 MAIN BAYVIEW ROAD SOUTHOLD, NY 11971 516-209-8184 S: 88 B: 5 L: 28 PROJECT DATA:#225903 INVERTER:(20)ENPHASE IQ7PLUS-72-2-US MODULES:(20)Q.PEAK DUO BILK ML-G10+360 #12 AWG THWN FOR HOME RUNS UNDER 100' RACKING:IRON RIDGEXR100 #10 AWG THWN FOR HOME RUNS OVER 100' WATTAGE:7,200 a (1)LINE 1 a ROOF TYPE:COMPOSITION SHINGLES (1)LINE 2 . ' $ V WIND LOAD:-54.6PSF @ 130MPH (1)GROUND r METER FASTENER:5/16"DIA.5"SS LAGS PER CIRCUIT _ IN 1"OR 14"PVC CONDUIT © A © ��� 24 2 � �. HAZARD ,rr oaTAcv�.T € v P � t �.SHOCK - ELECTRIC GIN Gcpc ,• •TERMINATOUCH:• 1 PHOTOVOLTAIC METER MAIN 700 Lakeland Ave, Suite 26 •'' SIDES ' DISCO Bohemia, NY 11716 MAIN SOLAR SYSTEM �� POSITION AC DISCONNECT Pn:s31-ss$ 0000 LINE SIDE TAP r@pacificoengineering-com www.pacificoengineering-com 60A FUSED SERVICE MAIN SERVICE 125A LOAD CENTER RATED DISCONNECT 200A ,��ON AFyY yo QP�Q C/��n •9 (1)-20A BREAKER 40A FUSE * �� PER CIRCUIT A�WARNING DISCONNECT 06� INVERTER OUTPUT CONNECTION18'�� - DO NOT RELOCATE.THIS #8 AWG THWN #6 AWG THWN SIO� OVERCURRENT DEVICE (1)LINE 1 (1)LINE 1 r (1)LINE2 (1)LINE2 ALTERATIONOFTHIS DONTEXCEPT BY 3 LICENSED PROFESSIONAL IS ILLEGAL (1)NEUTRAL (1)NEUTRAL (1)EGC (1)EGC AC DISTRIBUTION PANEL PAPER SIZE:11"x17-(ANSI B) IN 1"PVC CONDUIT (1)GEC OR SUB PANEL DATE: 7/28/2022 N IN 1"PVC CONDUIT DESIGN BY: MW d CHECKED BY: EE E REVISIONS: N f6 N 1' 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 OF SOUTHOLD CODE,2017 NATIONAL ELECTRIC CODE.ASCE7-16. ELECTRICAL PLAN E.1 60A FUSED SERVICE RATED DISCONNECT 4DOWER SOLUTIONS 2060 OCEAN AVENUE, RONKONKOMA, NY 11779 (631)348-0001 KARRAS UPSTATE LLC RESIDENCE 11920 MAIN BAYVIEW ROAD 16' SOU5 16-209-81841971 S- 88B- 5L- 28 PROJECT DATA:#225903 INVERTER:(20)ENPHASE IQ7PLUS-72-2-US MODULES:(20)Q.PEAK DUO BLK ML-G10+360 RACKING:IRON RIDGE XR100 WATTAGE:7,200 ROOF TYPE:COMPOSITION SHINGLES WIND LOAD:-54.6PSF @ 13OMPH FASTENER:5/16"DIA.S'SS LAGS R-1 - \5 # MODULES (10) E GIN G-cp PITCH: 10° ` 700 Lakeland Ave; Suite 2B AZIMUTH : 98° Bohemia, NY 11716 Ph 631-988-0000 sofa r@pacificoengIneed Ing com www.pacificoengineering com of tNI PAC/� O 131-211 t W 17' 4 I w 2 c� 14' 0 066182 11 8 AROFEW�NP� 8.5 0 rn 0 ALTERATIONLCE ED PROFESSIONALISIS ILLEGALNT EXCEPT A 3 4 o R-3 PAPER SIZE:11'x 17'(ANSI B) CD ■ SPLICE BAR 8 # MODULES (10) DATE: 7/28/2022 DESIGN BY: MW © PENETRATIONS 39 CHECKED BY: EE UFO 48 PITCH : 22° REVISIONS: m 40MM SLEEVE 16 ° END CAPS 16 Y AZIMUTH: 188 CONSUMPTION o CRITTER GUARD 130' MOUNTING PLAN L.'� powered by DU0 Ii R Ca ' TOP BRAND PV asssMas°N n1e 2021 USA Warranty G CELLS N�&PM- Yield Security Q.ANTUM TECHNOLOGY:LOW LEVELIZED COST OF ELECTRICITY Higher yield per surface area,lower BOS costs,higher power classes,and an efficiency rate of up to 20.6%. „ INNOVATIVE ALL-WEATHER TECHNOLOGY Optimal yields,whatever the weather with excellent low-light and temperature behavior. ENDURING HIGH PERFORMANCE Long-term yield security with Anti LID Technology,Anti PID ` Technology',Hot-Spot Protect,Traceable Quality Tra.QTM'. EXTREME WEATHER RATING High-tech aluminum alloy frame,certified for high snow(5400 Pa)and wind loads(4000 Pa). A RELIABLE INVESTMENT Q � Inclusive 25-year product warranty and 25-year l linear performance warranty2. STATE OF THE ART MODULE TECHNOLOGY ( ' Q.ANTUM DUO Z Technology and the integrated high-powered Enphase IQ 7+Microinverter achieving maximum system efficiency. RELIABLE ENERGY MONITORING Seamless management with the intelligent Enphase ° Enlighten"m monitoring system. RAPID SHUTDOWN COMPLIANT Built-in rapid shutdown with no additional components required. THE IDEAL SOLUTION FOR: APT test conditions according to EC/TS 62904-1:2015,method A(-1500V,s6h) See data sheet on rear for further information Rooftop arrays residential buildings Engineered in Germany OCELLS ' 1 MECHANICAL SPECIFICATIONS Format --F7.6 in x 41.1 in x 1.57in(including frame) (1717mm x 1045mm x 40mm) arpn�mmi _-____. - x4 paa mml 11.4(la0.a mm) Weight 46.3lbs(21.0 kg) Front Cover 0.13 in(3.2mm)thermally pre-stressed glass # with anti-reflection technology _ 1.pgMp poYip 101))•(l6mml n..,. Back Cover Composite flim aa4>ao3s Frame Bleck anodized aluminum Cell 6 x 20 monocrystalllne Q.ANTUM solar half cells �p016"'0 ---- uar Junction Box 2.09-3.98 x 1.26-2.36 x 0.59-0J1in(53-101 x 32-60 x 15-18mm), Protection class IP67,with bypass diodes Cable 41 Solar cable;(+)z45.31n(1150mm),(-)>_33.5 in(850 mm) a.u.n.a.naw Connector Stdubli MC4;IP68 { -LA O.axl'(Bmml o.4T1-lfi]5mm)T 10-(as mml AC OUTPUT ELECTRICAL CHARACTERISTICS - --- _ -- -- ------- 107PLUS 72-ACM US OR IO7PLUS-72-E-ACM-US Pe8K Output Power [VA] 295 AC Short Circuit Fault Current over 3 Cycles 5.8 Arms Max.Continuous Output Power [VA] 290 Max.Units per 20A(L-L)Branch Circuit _ 13 Nominal(L-L)Voltage/Range [V] 240/211-264 Overvoltage Class AC Port III Max.Continuous Output Curren. [A] 1.21 AC Port Backfeed Cu•- 18m Nominal Frequency [Hz] 60 Power Factor Setting 1 Extended Frequency Range _ [Hz] 47-68 Power Factor(adjustable) 0.85 leading...0.85lagging DC ELECTRICAL CHARACTERISTICS POWER CLASS 360 386 360 365 MINIMUM PERFORMANCE AT STANDARD TEST CONDITIONS,STC'(POWER TOLERANCE+5 W/-0':, Min.Power at MPP' P.m [W] 360 365 Min.Current at MPP Mw [A] 10.49 10.56 Min.Short Circuit Current' IW [A] 11.04 11.07 Min.Voltage at MPP VMw [V] 34.31 34.58 Min.Open Circuit Voltage' Voo [V] 41.18 41.21 Min.Efficiency' rl [%] z20.1 z20.3 Measurement tolerances PM ±3%;Imo;Voc±5%at STC:1000 W/m',25±2•C,AM 1.5 according to IEC 60904-3 Q CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE 7 --r-----r-----i-----n---- u>✓ At least 98%of nominal power during - u; first year.Thereafter max.0.5% i i 1 ------------------------------- degradation per year.At least 93.5% wa __u-----u--- ' W Q of nominal power up to 10 years.At - '- least 86%of nominal power up to w i W -- --- ---------- 25 years. c •a --r-----r-----�-----y----- � aZ ( r a r z � All datithil e within measurement toerant- , w, es.Full warranties in accordance with •0 the warranty terms of the O CELLS see los aw IRRADIANCE rags o sales organisation of your respective IW/m'I s ar country. R Typical module rf comparison to STC conditions 000W meoortdi8onsin TEMPERATURE COEFFICIENTS Temperature Coefficient of lu a [%/K] +0.04 -amperature Coefficient of Vcc d [%/K] -0.27 a Temperature Coefficient of P- y [%/K] -0.34 Nominal Module Operating Tempera:. NMOT [°F] 109±5.4(43±3°C) O m PROPERTIES FOR DC SYSTEM DESIGN a _ ---- Y 4Iax,murn System o-tage✓;s [V] 1000 PV Module Classification Class II Maximum Series Fuse Rating [A DC] 20 Fire Rating based on ANSI/UL 61730 TYPE 2 Max.Design Load,Push/PUI13 [lbs/ft'] 75(3600 Pa)/55(2660 Pa) Permitted Module Temperature -40•Fupto+185°F Max.Test Load,Push/Pull' [lbs/ft'] 113(5400Pa)/84(4000Pa) on Continuous Duty (-40'Cupto+85°C) u 3See Installation Manual $ 5 QUALIFICATIONS AND CERTIFICATES U Solormodula:UL61730, ° U.S.Patent No.9,893,215(solar cells); Enpaass go 1nVWtar..UL1741-SA,UL62109-1, / / q UL1741/IEEE1547,FCC Part 15 Class B• /\\ (`- ICES-0003 Claes B,CAN/CSA-C22.2 NO.IMI-01, Rapid Shutdown ComPIM 4 par NEC-2014 8 20178 C22-t-2015 S2 Nob:Installation instructions must be followed.See the installation and operating manual or correct our technical service department for further information on approved installation and use of this product. Hanwha 0 CELLS America Inc. 400 Spectrum Center Drive,Suite 1400,Irvine,CA 92618,USA I TEL+1949 748 59 961 EMAIL Inquiry@us.q-cells.com I WEB www.q-oells.us Data Sheet Enphase Microinverters Region:AMERICAS The high-powered smart grid-ready Enphase Enphase IQ 7 Micro'" and Enphase IQ 7+ MicrOTM IQ 7 and IQ 7+ dramatically simplify the installation process while achieving the highest system efficiency. Microinverters Part of the Enphase IQ System,the IQ 7 and IQ 7+ Microinverters integrate with the Enphase IQ Envoy", Enphase IQ BatteryTM, and the Enphase Enlighten' monitoring and analysis software. IQ Series Microinverters extend the reliability standards set forth by previous generations and undergo over a million hours of power-on testing, enabling Enphase to provide an industry-leading warranty of up to 25 years. Easy to Install Lightweight and simple Faster installation with improved,lighter two-wire cabling Built-in rapid shutdown compliant(NEC 2014&2017) Productive and Reliable Optimized for high powered 60-cell and 72-cell*modules More than a million hours of testing Class II double-insulated enclosure • UL listed 107 Smart Grid Ready Complies with advanced grid support,voltage and frequency ride-through requirements Remotely updates to respond to changing grid requirements Configurable for varying grid profiles Meets CA Rule 21 (UL 1741-SA) U *The IQ 7+Micro is required to support 72-cell modules. n ENPHASE. To learn more about Enphase offerings,visit enphase.com V Enphase IQ 7 and IQ 7+ Microinverters INPUT DATA(DC) IQ7-60-2-US/IQ7-60-B-US IQ7PLUS-72-2-US/IQ7PLUS-72-B-US Commonly used module pairings' 235W-350W+ 235 W-440 W+ Module compatibility 60-cell PV modules only 60-cell and 72-cell PV modules Maximum input DC voltage 48V 60V Peak power tracking voltage 27 V-37 V 27 V-45 V Operating range 16 V-48 V 16 V-60 V Min/Max start voltage 22V/48V 22 V/60 V Max DC short circuit-current(module Isc) 15 A 15 A Overvoltage class DC port II II DC port backfeed current 0 A 0 A PV array configuration 1 x 1 ungrounded array;No additional DC side protection required; AC side protection requires max 20A per branch circuit OUTPUT DATA(AC) IQ 7 Microinverter IQ 7+Microinverter Peak output power 250 VA 295 VA Maximum continuous output power 240 VA 290 VA Nominal(L-L)voltage/range2 240 V/ 208V/ 240V/ 208 V/ 211-264 V 183-229 V 211-264 V 183-229 V Maximum continuous output current 1.0 A(240 V) 1.15 A(208 V) 1.21 A(240 V) 1.39 A(208 V) Nominal frequency 60 Hz 60 Hz Extended frequency range 47-68 Hz 47-68 Hz AC short circuit fault current over 3 cycles 5.8 Arms 5.8 Arms Maximum units per 20 A(L-L)branch circuit3 16(240 VAC) 13(208 VAC) 13(240 VAC) 11 (208 VAC) Overvoltage class AC port III III AC port backfeed current 0 A 0 A Power factor setting 1.0 1.0 Power factor(adjustable) 0.7 leading...0.7 lagging 0.7 leading...0.7 lagging EFFICIENCY @240 V @208 V @240 V @208 V Peak CEC efficiency 97.6% 97.6% 97.5% 97.3% CEC weighted efficiency 97.0% 97.0% 97.0% 97.0% MECHANICAL DATA Ambient temperature range -40°C to+65°C Relative humidity range 4°i to 100%(condensing) Connector type(IQ7-60-2-US&IQ7PLUS-72-2-US) MC4(or Amphenol H4 UTX with additional Q-DCC-5 adapter) Connector type(IQ7-60-B-US&IQ7PLUS-72-B-US) Friends PV2(MC4 intermateable). Adaptors for modules with MC4 or UTX connectors: PV2 to MC4:order ECA-S20-S22 PV2 to UTX:order ECA-S20-S25 Dimensions(WxHxD) 212 mm x 175 mm x 30.2 mm(without bracket) Weight 1.08 kg(2.38 lbs) Cooling Natural convection-No fans Approved for wet locations Yes Pollution degree PD3 Enclosure Class II double-insulated,corrosion resistant polymeric enclosure Environmental category/UV exposure rating NEMA Type 6/outdoor FEATURES Communication Power Line Communication(PLC) Monitoring Enlighten Manager and MyEnlighten monitoring options. Both options require installation of an Enphase IQ Envoy. Disconnecting means The AC and DC connectors have been evaluated and approved by UL for use as the load-break disconnect required by NEC 690. Compliance CA Rule 21 (UL 1741-SA) UL 62109-1,UL1741/IEEE1547,FCC Part 15 Class B, ICES-0003 Class B, CAN/CSA-C22.2 NO.107.1-01 This product is UL Listed as PV Rapid Shut Down Equipment and conforms with NEC-2014 and NEC-2017 section 690.12 and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems,for AC and DC conductors,when installed according manufacturer's instructions. 1.No enforced DC/AC ratio.See the compatibility calculator at https://enohase.corn/en-us/support/module-compat*bility. 2.Nominal voltage range can be extended beyond nominal if required by the utility. 3.Limits may vary.Refer to local requirements to define the number of microinverters per branch in your area. To learn more about Enphase offerings,visit enphase.com v EN PHAS E. @ 2018 Enphase Energy.All rights reserved.All trademarks or brands used are the property of Enphase Energy,Inc. 2018-05-24 L ,h -'. -IRONRIDGE Roof Mount System ------------ Built for solar's toughest roofs. IronRidge builds the strongest roof mounting system in solar. Every component has been tested to the limit and proven in extreme environments. Our rigorous approach has led to unique structural features, such as curved rails and reinforced flashings, and is also why our products are fully certified, code compliant and backed by a 20-year warranty. Strength Tested PE Certified All components evaluated for superior ® Pre-stamped engineering letters structural performance. available in most states. Class A Fire Rating Design Software Certified to maintain the fire resistance ® Online tool generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding 20 Year Warranty ® UL 2703 system eliminates separate Twice the protection offered by moJule grounding components. competitors. XR Rails XR10 Rail XR100 Rail XR1000 Rail Internal Splices A low-profile mounting rail The ultimate residential A heavyweight mounting All rails use internal splices for regions with light snow. solar mounting rail. rail for commercial projects. for seamless connections. • 6'spanning capability 8'spanning capability 12'spanning capability Self-tapping screws • Moderate load capability Heavy load capability Extreme load capability Varying versions for rails • Clear& black anod. finish Clear& black anod.finish Clear anodized finish Grounding Straps offered Attachments FlashFoot Slotted L-Feet Standoffs Tilt Legs Anchor, flash, and mount Drop-in design for rapid rail Raise flush or tilted Tilt assembly to desired with all-in-one attachments. attachment. systems to various heights. angle, up to 45 degrees. • Ships with all hardware High-friction serrated face Works with vent flashing Attaches directly to rail • IBC & IRC compliant Heavy-duty profile shape Ships pre-assembled Ships with all hardware • Certified with XR Rails Clear& black anod.finish 4"and 7" Lengths Fixed and adjustable Clamps & Grounding End Clamps Grounding Mid Clamps T Bolt Grounding Lugs Accessories -.a&- ILL169& .� - Slide in clamps and secure Attach and ground modules Ground system using the Provide a finished and modules at ends of rails. in the middle of the rail. rail's top slot. organized look for rails. • Mill finish & black anod. Parallel bonding T-bolt Easy top-slot mounting Snap-in Wire Clips • Sizes from 1.22"to 2.3" Reusable up to 10 times Eliminates pre-drilling Perfected End Caps • Optional Under Clamps Mill & black stainless Swivels in any direction UV-protected polymer Free Resources --_ Design Assistant ♦ NABCEP Certified Training o from rough layout to fully If V, Earn free continuing education credits, - :Iengineered system. For free. A•A, while learning more about our systems. o to IronRidge.com/rm Go to IronRidge.com/training 0 2014 IronRidge,Inc.All rights reserved.Visit www.ironridge.com or call :00OF