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50130-Z
�o�S�FFOy Town of Southold 2/16/2024 P.O.Box 1179 o - W �. 53095 Main Rd G4, �a Southold,New York 11971 ' CERTIFICATE OF OCCUPANCY No: 44988 Date: 2/16/2024 THIS CERTIFIES that the building GENERATOR Location of Property: 1245 Gillette Dr, East Marion SCTM#: 473889 Sec/Block/Lot: 38.-3-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated r 11/21/2023 pursuant to which Building Permit No. 50130 dated 12/15/2023 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 generator as applied for(maintain clearances from shrubs as required). The certificate is issued to Joyce,Timothy&Joan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50130 2/6/2024 PLUMBERS CERTIFICATION DATED Authorized SWature J o�g�FF04 TOWN OF SOUTHOLD BUILDING DEPARTMENT x TOWN CLERK'S OFFICE H o . SOUTHOLD, NY y�ol �ao� 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#: 50130 Date: 12/15/2023 Permission is hereby granted to: Joyce, Timothy 83 Capital Ave Williston Park, NY 11596 To: install generator as applied for. At premises located at: 1245 Gillette Dr, East Marion SCTM # 473889 Sec/Block/Lot# 38.-3-5 Pursuant to application dated 11/21/2023 and approved by the Building Inspector. To expire on 611512025. Fees: ACCESSORY $125.00 ELECTRIC $100.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $325.00 Building Inspector pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 � Sao sean.devlinCaD-town.southold.ny.us COUNTN, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Timothy Joyce Address: 1245 Gillette Dr city,East Marion st: NY zip: 11939 Building Permit#: 50130 Section: 38 Block: 3 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Difazio Electric License No: 48064ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Generator X 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 200A UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 25kW Generac Generator w/200A Whole House Transfer Switch Notes: Generator Inspector Signature: Date: February 6, 2024 S. Devlin-Cert Electrical Compliance Form ho�apF 50Ulyo� # # TOWN OF SOUTHOLD BUILDING DEPT. �o • �o `ycourm��' 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) LECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 0 04 /,n�kba�� DATE - INSPECTOR OE SOUTH,°� f # TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING ] FRAMING /STRAPPING [ ✓,`FINAL 4?00�11 '2, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL REMARKS: boll yl4A l kl Gl-Cdr9�ince5 p4j9dsh 2u�sU. 5 y2-Ael OIL, c.a DATE �'�5 �� INSPECTOR GELD INSPECTION REPORT DATE COMMENTS a � FOUNDATION (1ST) -- -- �4 -------------------------------- 5 c. FOUNDATION (2ND) z O H ROUGH FRAMING& PLUMBING •- O(J i �r INSULATION PER N.Y. y STATE ENERGY CODE o/z A2 Co. FINAL ADDITIONAL COMMENTS 0.177ley E t CA e �- O _1Z m X ►c _ � O z x H x d b I *6. TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 hMs://www.southoldtownnygov Date Received APPLICATION FOR BUILDING PERMIT i I For Office Use Only �` i '7 i 56136 PERMIT NO. Building Inspector: NOV 7 1 2023 rimBID y ..e. 7,Tl' r'8'-:'A';i� Date: f)0v, Name: SCTM#1000- 6. �.� _ - Project Address: Phone#: '/6 _,5-6 -7 16?d !f Email: Q 01,m l on Mailing Address: _ 23 C4 . �r� i /ave t//// - N_ .^��+�'f.�t.1.kQF'.�(.�++�li� Y1ff�. w '•R'14Y' -',S`'}. ::�Y' x.. �+�.'� r.Y _ .. - i yA^�r�'�'L4�tS '.. �..�w� �y�... - .- •.Pr. i+ft;PS'+ .�NNra� 2` :., 'r'.:Y. .. `. � ie0. —w•� 7r.�� '«SarNW"le+'�` i�l. r Name: G7-11 Mailing Address: �ff✓?- IJAIZ Phone#: .S�(o..'"s6 ��9V - Emai.l: - fl'fa 65.E /�i� Camel �?':!��b.'�t.;;a ',. :�"'$..£,'.�=' .!%�i�z �:"3v.,,k• ya."ye��+F�9'y�c•�a � `,�*.' ��y'��.�,`j;��-�r*y.. ^ Name: Mailing Address: Phone#: Email: ter, -3t te' r^ U �..:. =kC".°if n:R,M .wF +i Ir s:N .�,r Name: (YlCLc3cx3.rOCe_ Mailing Address: \© .SPA G \�.' C�" _ �'► (1`( �5��-. - .-.. ... ._. .__ Phone#: 51c Email: .ttt—"�.:4�'4[n.'.A'�!:°��&"• fii1�k.� i<'4t'.'fi�yya�L�:'9..aJci..: �A`°�ri�-G, 'i�r2� �-a��-Mr. - .��•,wN.,. ..=�,. *I' �i 'r"- " t z iy an a2 ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: [Other •�� �ic1S��lQt"1ot'� $ Will the lot be re-graded? ❑Yes XNo Will excess fill be removed from premises? ❑Yes >(No 1 Existin use of roe - Intended use of ro e JJ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to ��/ this property? ❑Yes o IF YES, PROVIDE A COPY. N15' ;'to ildm¢DeP��nR �sstanneaofa' .Bii'�la e'. cle.IQen"an c,.+�rs.+�»,a,.a.:c-w i'6 mc..ns,.:-r..xo--_�mac..e,-w..w5..a$.��-e•.,w��...brr,-- 6 s+ .� Application Submitted By(prin ame): PlAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW SS: COUNTY OF ) �y% Cy'1cjctcsb%- p<Q_ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is they-►- �-� (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 r day of 20 Notary Public PROPERTY OWNER AUTHORIZATION EILEEN M BALTRUS NOTARY PUBLIC,STATE OF NEW YORK (Where the applicant is not the owner) Registration No.01BA6134650 Qualified in Nassau County Commission Expires October 3,2025 residing at ( +'()T� ✓1 ,. &Uy do hereby authorizeSc rw-,. zc to apply on my behalf to the Town of Southold Building Department for approval as described herein. 3/a3 Owner's (gnat re Date Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector ��O Gym TOWN OF SOUTHOLD 0 1 Town Hall Annex- 54375 Main Road -'PO Box 1179 ^x+ Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrCaD-southoldtownny.gov - seandCaD-southoldtownny..g APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: b License No.: M E-qgp Elec. email: Elec. Phone No:t,31- I request an email copy of Certificate of Compliance Elec. Address.: 'q-1 JOB SITE INFORMATION (All Information Required) i Name: --11-0 671 Address: S IIOXIZ16,4) Cross Street: /1aQ Phone No.: �0? - U y BIdg.Permit#: �a/ 10 email: 7 °660S 'o' i` c Tax Map District: 1000 Section: 3 8 Block: Lot: S BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: ElYES ❑ NO -]Rough In ❑ Final Do you need a Temp Certificate?: 0 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 Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame M Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Cerfdkdbrls indicated hteeon 7ignify.thm A111 plal of rhe'propay dbpided hereon was mode in ooccrdalm rwiA,dead"Coded Ftiocfiae for Imld Smveyom Ddopkd by Ale New York Stale Avodottdn.af Pla6aaiolld land Surveyors Th4 oeAdreotfon 4 on1V to de 6nrb deplged.htaeon.ard b txll oerllFkdlon d tide,mning a beedan of enomhranca. Said oerlAlrations.afldl run only to the persons ardor en11ties listed hereon ad are nd Nmureroble to additional perum,acmes,or w6equent aV"m EAST GILLETTE DRIVE eWE O's S 26'36'30w E 100.03'O.e w o oe1w —— rrPt Ft A MN� D.YN FOUND CXZC>C= HEDGE O.e'W b LAMP LAMP PST P057 IN�D - •`•. 6 W d', r WM- °o W 2 0; W 8 r rwoD _ r �a Der U o°']�0 2I.e' b 2Ls N DWE U 3 vE Nb. 1245 A� � C ae•N a �A 21.T b e'N /f'( � OA7E FE +�N PORb1 °.9 O < �I Z 1 MANHOLE a W IA �f o a o m 375:0' rrPa rotlrn $ TREE.ROW FOUND N 25'08'50' W 0 100.00 GILLETTE DRIVE iiarvtr llm dbrs'ar dlmrwm down 6xn aYucium to*m pmMy lines oo Is,a rpedfk pep°m.and un.slid dwelme,at ed wwwW bguide In de welbon d 6 m.,n*ft Vw&, per:•Pdw,p wft, f odd%ww b bulldiro and any.c6ir conAuaim. Subs dam old erwhcomm"additions wne rot eeomiried or a°nideled as o poA d Ada awNy. Bo-114,46-WOy ofmmld,6 any,ere ra doown.Props y ednr mmulwo wwo nd p6ud as pml ofhs Im". Q 2016 8W PC vBarrett Tax Map: DISTRICT 1000• SECTION 38 BLOCK 3 LOT 5 BB Bonacci & MoP o MARION MANOR Ny4 d d.S.c6on b Ra o vbloron Van Weele, PC Map Lot 53 Map Block. — 7209dNawVokSl 1Ac,.amlow Civil Ealgineers 175A Commeme Drive Surveyors Fbuppo35.1111111788 Filed: 3/18/1953 No.: 2038 Count': SUFFOLK Plannecs. r 631.435.1'022 wwiN.bbvpc.cm Siluale:EAST MARION,TOWN OF SOUMM ra TWo N6::002D815W Rewidon by I Date. Ga0micr IMr--y map Ier beer TIMOTHY P.JOYCE dr JOAN M.JOYCE ieg.tbi iced unwicra embdeed FIRST AMERICAN TOLE INSURANCE COMPANY Ted ad swMm dd nd be oar adwd b be o Inn and Vold copy its vice 00D and/orSAVW BANK sa . R.B. Dm6d _ J.F. Cried . C.W. Projed No.: A160676 successors and/a assplK smlm 1'0 30' Dote: NOVEMBER 1 2016 x:1W16WWV61Dre1A160675Mn.A1606M IU11t2016 11Y6:39 AK ealretL eancd a Van weak.P.G IF OFTW °— - - - - — - .... 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'�' -"��y u,',.a'�' ��nctb"ArxC.>s,.}•� X� r '."' :k;°- '§. ��� �t �E - as 'W."S'•••'.::' "" p7' �il;i:^ _ F^^,; `.•7i.. 3,�{-'�" q..; `�4n'+ •.r'r „ �''a;? l]E ' ,P.- '� � _• ,,�`�a-.�� } ;-"'' -a ,'yam,.'-. r' {$ a� ) e'NE PORK workers'STATE Compensation CERTIFICATE OF INSURANCE COVERAGE 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 carrie 1a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured MACCARONE PLUMBING INC. 516-671-3232 10 SEA CLIFF AVENUE GLEN COVE,NY 11542 1 c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to or Social Security Number certain locations in New York State,i.e.,Wrap-Up Policy) 113243687 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) ShelterPoint Life Insurance Company Town of Southold Building Department-Town Hall Annex 3b.Policy Number of Entity Listed in Box"1 a" 54375 Main Road DBL322134 PO Box 1179 3c.Policy effective period Southold, NY 11971 07/01/2023 to 06/30/2024 4. Policy provides the following benefits: © A.Both disability and paid family leave benefits. B.Disability benefits only. ❑ 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 described above. Signed Date Si 11/13/2023 gY wil4f 9 (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Name and Title Richard White, Chief Executive Officer 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 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 4B,4C or 5B have 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 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 (12-21) IIIIIIIP1°°°1°1°1°°1°1°111°11°°u111°III IIII 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. DB-120.1 (12-21)Reverse NYSIF New York state Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 0 AAAAAA 113243687 KEEVILY,SPERO-WHITELAW INC. } , 500 MAMARONECK AVENUE HARRISON NY 10528 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER MACCARONE PLUMBING INC TOWN OF SOUTHOLD BUILDING 10 SEA CLIFF AVE DEPARTMENT TOWN HALL ANNEX GLEN COVE NY 11542 54375 MAIN RD; PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G2592 686-6 877311 07/12/2023 TO 05/01/2024 11/13/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2592 686-6, 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:/IWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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 AWE 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 STAT SUR NCE FUND t/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:227349638 U-26.3 MACCPLU-01 DHARMS ACORO" CERTIFICATE OF LIABILITY INSURANCE FD 11 1312023Y) 11/13/2023 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Donna Connor Insight Companies Inc. PHONE 225 Old Country Road (A/C,No,E:t):(631)393-0500 (AA/C,No):(631)393-0505 North Wing Ab AIL ,dharms@insightins.com Melville,NY 11747 INSURERS AFFORDING COVERAGE NAIC# INSURERA:The Travelers Indemnity Co 25658 INSURED INSURER B:Charter Oak Fire Ins.Co. 26615 Maccarone Plumbing,Inc. INSURERC: 10 Sea Cliff Avenue INSURER D: Glen Cove,NY 11542 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X DT1N-CO-6N921557-IND-23 7/12/2023 7/12/2024 DAMAGE TO RENTED $ 300,000 X Contractual Liab 15,000 MED EXP An one person) $ PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY�JECT LOC PRODUCTS-COMP/OPAGG 4,000,000 OTHER: � $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO 810-5N333172-23-26-G 7/12/2023 7/12/2024 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS W��Ep BODILY INJURY Per accident $ AUT OS ONLY AUOTO�ONLY PPeo PER dent AMAGE $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 X EXCESS LIAB CLAIMS-MADE CUP-SN964601-23-26 7/12/2023 7/12/2024 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY OFFICER/MEMBERR EXCLUDED?ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ (Mandatory In NH) El.DISEASE-EA EMPLOYE 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 SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department-Town Hall Annex 64376 Main Road PO Box 1179 AUTHORIZED REPRESENTATIVE Southold,NY 11971 o�jLC,/ ACORD 25(2016/03) /©`11988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:MACCPLU-01 DHARMS LOC#: 1 ACC)R OO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Insight Companies Inc. 10 Sea Cliff Plumbing, venue g'Inc. POLICY NUMBER Glen Cove,NY 11542 SEE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: &CORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: 1 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Suffolk County Dept of Labor,Licensing&Consumer AfFairs MASTER PLUMBING Name JOHN MACCARONE Business Name MACCARONE PLUMBING INC This certifies that the bearer Is duly licensed License Number MP-3065 by the County of Suffolk Issued: 08/01/1993 Rojol ,pro Expires: D8/D112025 Commissioner i wT`Y: � ,�,g,i.,.,,�. � Suffolk County Dept.of Labor,Licensing&Consumer Affairs i of VASTER ELECTRICAL LICENSE i. 44 Name ANTHONY DI FAZIO wm; Business Name Th�s certifies that tie bearer is duly licensed 0I-AZIO POWER&ELECTR,C PLC by the County of suffolk License Number:ME-48034 Rosalie Drago Issued: 10/1B/2010 Commissioner Expires: 10/01/2024 i i I { i { t1t S j i I I I i I i E i 1 I i { 1 i i i t vaaK workers'E. Compensation CERTIFICATE OF INSURANCE COVERAGE raT 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 DiFazio Power&Electric LLC (631)667-2200 711 Grand Blvd. DEER PARK NY 11729 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 26-1164866 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) TOWN OF SOUTHOLD Standard Security Life Insurance Company of New York 3b.Policy Number of Entity Listed in Box"1 a" 54375 Main Road L94468-000 P.O.Box 1179 SOUTHOLD, NY 11971 3c.Policy effective period 6/23/2023 to 11/12/2024 4. Policy provides the following benefits: X� A.Both disability and paid family leave benefits. B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: FXJ 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 insuran coverage as described above. Date Signed 11/14/2023 By (Signature o insurance carrier's autfioiized r eta Ive NYS L cen Insurance Agent of that insurance carrier) i Telephone Number (212)355-4141 Name and Title Bebi Ishmail,Supervisior-DBUPolicy 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 i 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 5B of Part i 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) II Ili�iiiiii1ii2ii0iuu1iiii(ii1o0iiii17ii)'1161 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"'I 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 1�0 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 vORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured DiFazio Power&Electric,LLC 631-667-2200 711 Grand Blvd. PO Box 768 Deer Park,NY 11729 1 c.NYS Unemployment Insurance Employer Registration Number of Deer Park,NY 11729 Insured Work Location of Insured(Only required if coverage is specifically limited to 1d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 261164866 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Southern Insurance Company Town of Southold Attn:BUILDING DEPARTMENT Town Hall Annex 54375 Main Road 3b.Policy Number of Entity Listed in Box"1 a" P.O.Box 1179 OWC1009877 Southhold,NY 11971 3c.Policy effective period 11/01/2023 to 11/01/2024 3d.The Proprietor,Partners or Executive Officers are Southhold,NY 11971 0 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 3 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: Arthur J.Gallagher Risk Management Services,LLC (Print name of authorized representative or licensed agent of insurance carrier) Approved by: Robert Crandall 11/15/2023 (Signature) (Date) Title: Area President Telephone Number of authorized representative or licensed agent of insurance carrier: 518-556-3130 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 AGENCY CUSTOMER ID: �1 ® NEW YORK CONSTRUCTION DATE(MM/DDNYYY) ACORN CERTIFICATE OF LIABILITY INSURANCE ADDENDUM ♦`f 11/15/2023 THIS ADDENDUM SUMMARIZES SOME OF THE POLICY PROVISIONS IN THE REFERENCED INSURANCE POLICIES AND IS ISSUED AS A MATTER OF INFORMATION ONLY;IT CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. ALL TERMS, EXCLUSIONS AND CONDITIONS IN THE ACTUAL POLICY SHOULD BE CONSULTED FOR A MORE DETAILED•ANALYSIS OF COVERAGE, AS THIS ADDENDUM DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES. AGENCY NAMED INSURED(S) Arthur J.Gallagher Risk Management Services,LLC DiFazio Power&Electric,LLC POLICY NUMBER EFFECTIVE DATE CARRIER NAIC CODE ADDENDUM INFORMATION CERTIFICATE NUMBER:1834013745 REVISION NUMBER: A. Insurer ❑X Admitted/authorized Excess line or free trade zone B. General Liability(GL)policy form �X ISO/ISO modified Other C. Specific operations excluded or restricted(GL policy) ❑Location: Type of construction: Building height: Classifications [see attached declarations/endorsement] ❑X Designated work [see attached endorsement] D. Additional Insured endorsement(GL policy) �X CG 20 10 ❑CG 20 26 ❑CG 20 32 ❑CG 20 33 �X CG 20 37 ❑X CG 20 38 Other: #: Title: E. According to the terms of this GL policy,the additional insured has primary and noncontributory coverage �X Yes ❑ No and ❑ no other option is available with this insurer F. Additional Insured will receive advance notice If insurer cancels(GL policy) ❑Yes F-K No and Ono other option is available with this insurer G. Blanket contractual liability located in the"Insured contract"definition(Section V,Number 9,Item f.in the ISO CGL policy)is removed or restricted Yes and no other option is available with this insurer ❑X No changes made H. "Insured contract"exception to the employers liability exclusion is removed or modified(GL policy) ❑Yes and ❑no other option is available with this insurer �X No changes made I. GL policy(Including endorsements)does not cover the additional insured for claims involving injury to employees of the named Insured or subcontractors(not workers'compensation) Yes and ❑no other option is available with this insurer �X No changes made ACORD 855 NY(2014/05) Attach to ACORD 25 ©2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM INFORMATION continued AGENCY CUSTOMER ID: J. Earth movement,excavation or explosion/collapse/underground property damage is excluded or restricted(GL policy) Yes and - ❑no other option is available with this insurer FKNo changes made K. Insured vs.insured suits(cross liability in the ISO CGL policy)are excluded or restricted(other than named Insured vs.named insured) ❑Yes and no other option is available with this insurer x] No changes made L. Property damage to work performed by subcontractors(exception to the"damage to your work"exclusion In the ISO CGL policy)Is excluded or restricted ❑Yes and ❑no other option is available with this insurer ❑X No changes made M. Excess/umbrella policy Is primary and non-contributory for additional insureds ❑Yes,by specific policy provision X�Yes,by endorsement No and ❑ no other option is available with this insurer /w -` 11/15/2023 AUTHORIZED REPRESENTATIVE SIGNATURE DATE(MWDDNYYY) ACORD 855 NY(2014105) Page 2 of 2 DATE(MM/DD/YYYY) AC40REP® CERTIFICATE OF LIABILITY INSURANCE 11/15/2023 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Susan Marlette Arthur J.Gallagher Risk Management Services, LLC PHONE 518-556-3130 aC No:518-783-8754 30 Century Hill Drive,Suite 200 E-MAIL Latham NY 12110 ADDRESS: Susan—Mariefte@ajg.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Property Casualty Co of America 25674 INSURED INSURER B:Wesco Insurance Company 25011 DiFazio Power&Electric, LLC 711 Grand Blvd. INSURERC:Philadelphia Indemnity Insurance Company 18058 PO Box 768 INSURER D:Southern Insurance Company 19216 Deer Park NY 11729 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:1834013745 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN IS SUBJECT TO ALL THE TERMS, . EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDPOLICY EFF MMIDDY EXP LIMITS POLIC LTR B X COMMERCIAL GENERAL LIABILITY WPP201958500 ? 11/1/2023 11/1/2024 EACH OCCURRENCE $1,000,000 RFNTFD CLAIMS-MADE OCCUR PREM SES Ea occu ante $500,000 X Contractual Liab MED EXP(Any one person) $10.000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY Fi] ECT F_5�]LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY WPP201347200 11/1/2023 11/1/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ X OWNED Ix SCHEDULED BODILY INJURY(Per accident), $ AUTOS ONLY AUTOS XHIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLALIAB X OCCUR WUM202612600 11/1/2023 11/1/2024 EACH OCCURRENCE $5,000,000 C BR794631 11/1/2023 11/1/2024 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION$10,000 Each Occ/Agg $5,000,000 D WORKERS COMPENSATION OWC1009877 11/1/2023 11/1/2024 XER JOTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE -] N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEM B ER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000,000 A Installation Mir QT6608S192692TIL23 11/1/2023 11/1/2024 $1,000,000 A Leased/Rented Eqp QT6608S 1 92692TIL23 11/1/2023 11/1/2024 $250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of Southold is shown as additional insureds solely with respect to General Liability,Auto Liability and Umbrella Liability coverage as evidenced herein on a primary/non-contributory basis,as required by written contract.Waiver of Subrogation applies to(certificate holder/additional insureds)are included under the General Liability,Auto Liability and Umbrella Liability coverages as evidenced herein as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. Attn: BUILDING DEPARTMENT Town Hall Annex 54375 Main Road AUTHORIZED REPRESENTATIVE P.O.Box 1179 Southhold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD { I - V I 1 APPROVED AS NOTT�D ! 3 B. 56/3� a P#oA FEE,3 �0 BY: NOTIFY BUILDING DEPARTMENT AT 631 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. 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 ELECTRICAL REQUIREMENTS OF THE CODES OF NEW INSPECTION REQUIRED YORK STATE.(NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES AS REQUIRED AND CONDI IONS OF SOUTHOLD TOW BA SOUTHOLD T N PLANNING BOARD _SOUTHO OWN TRUSTEES VS.D SO OLD HPC D OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICAT .- OF OCCUPANCY GENERAC® 0 i Protector® PROTECTOR° SERIES _ Series Standby Generators Liquid-Cooled Gaseous Engine OEM INCLUDES: Standby Power Rating Wodef*RGQ2,5R(TA1umimara-z-1Bisque)_-'2-akWa60jWz • Two-Line LCD Multilingual Digital EvolutionT"" Model RG030 (Aluminum- Bisque) -30 kW 60 Hz Controller(English/Spanish/French/Portuguese) Model RG036 (Aluminum- Bisque) -36 kW 60 Hz with external viewing window for easy indication of Model RG045 (Aluminum- Bisque) -45 kW 60 Hz generator status and breaker position. Model RG060 (Aluminum - Bisque) -i60 kW 60 Hz • Capability to be installed within 18 in(457mm)of a building* ` • True Power7m Electrical Technology R OENEpgp • Isochronous Electronic Governor • Sound Attenuated Enclosure • Closed Coolant Recovery System • Smart Battery Charger z • UV/Ozone Resistant Hoses • ±1%Voltage Regulation • Natural Gas or LP Operation • 5 Year Limited Warranty 0�i� us• UL 2200 Listed c QUIR Note:25-45 kW units are field convertible *Only if located away from doors, between natural gas or liquid propane.60 kW windows,fresh air intakes,and unless Meets EPA Emission Regulations units are built per fuel requirement and are not otherwise directed by local codes. 25,30,&45 kW meet CA/MA emissions compliant convertible. Applicable for 25 kW and 30 kW units only. 36&60 kW not for sale in CA/MA FEATURES O INNOVATIVE DESIGN & PROTOTYPE TESTING are key components O SOLID-STATE, FREQUENCY COMPENSATED . VOLTAGE of GENERAC'S success in "IMPROVING POWER BY DESIGN." But it REGULATION: This state-of-the-art power maximizing regulation I doesn't stop there. Total commitment to component testing, reliability system is standard on all Generac models. It provides optimized FAST testing,environmental testing,destruction and life testing,plus testing to RESPONSE to changing load conditions and MAXIMUM MOTOR applicable CSA, NEMA, EGSA, and other standards, allows you to STARTING CAPABILITY by electronically torque-matching the surge choose GENERAC POWER SYSTEMS with the confidence that these loads to the engine.Digital voltage regulation at±1% systems will provide superior performance. O TEST CRITERIA: O SINGLE SOURCE SERVICE RESPONSE from Generac's extensive ✓PROTOTYPE TESTED ✓NEMA MG1-22 EVALUATION dealer network provides parts and service know-how for the entire unit, ✓SYSTEM TORSIONAL TESTED ✓MOTOR STARTING ABILITY from the engine to the smallest electronic component. O MOBILE LINK®CONNECTIVITY:FREE with all FIG generators, Mobile O GENERAC TRANSFER SWITCHES. Long life and reliability are Link Wi-Fi allows users to monitor generator status from anywhere in the synonymous with GENERAC POWER SYSTEMS. One reason for this world using a smartphone,tablet,or PC.Easily access information such confidence is the GENERAC product line is offered with its own transfer as the current operating status and maintenance alerts. Users can systems and controls for total system compatibility. connect an account to an authorized service dealer for fast,friendly,and proactive service.With Mobile Link, users are taken care of before the next power outage. GENERAC® GENERAC® 25 • 30 • 36 • 45 • 60 kW application & engineering data GENERATOR SPECIFICATIONS ENGINE SPECIFICATIONS:25&30 kW Type Synchronous Make Generac Rotor Insulation Class H Model In-line Stator Insulation Class H Cylinders 4 Telephone Interference Factor(TIF) <50 Displacement(Liters) 1.5 Alternator Output Leads 1-Phase 4 wire Bore(in/mm) 3.05/77.4 Alternator Output Leads 3-Phase 6 wire Stroke(in/mm) 3.13/79.5 Bearings Sealed Ball Compression Ratio 11:1 Coupling Flexible Disc Intake Air System Naturally Aspirated Excitation System Direct Litter Type Hydraulic VOLTAGE REGULATION ENGINE SPECIFICATIONS:36,45,&60 kW Type Electronic Make Generac Sensing Single Phase Model In-line Regulation ±1% Cylinders 4 GOVERNOR SPECIFICATIONS Displacement(Liters) 2.4 Type Electronic Bore(in/mm) 3.41/86.5 Frequency Regulation Isochronous Stroke(in/mm) 3.94/100 Steady State Regulation ±0.25% Compression Ratio 9.5:1 Intake Air System Naturally Aspirated(36&45 kW)or ELECTRICAL SYSTEM ` Turbocharged/Aftercooled(60 kW) Battery Charge Alternator 12 Volt 15 Amp—25&30 kW Litter Type Hydraulic 12 Volt 30 Amp-36,45,&60 kW Static Battery Charger 2 Amp ENGINE LUBRICATION SYSTEM Recommended Battery(battery not included) Group 26,525 CCA Oil Pump Type Gear System Voltage 12 Volts Oil Filter Type Full flow spin-on cartridge Crankcase Capacity(qVI) 4/3.8-25,30,36,&45 kW GENERATOR FEATURES 5.25/4.96—60 kW Revolving field heavy duty generator ENGINE COOLING SYSTEM Directly connected to the engine Operating temperature rise 120°C above a 40°C ambient Type Closed Class H insulation is NEMA rated Water Pump Belt driven All models fully prototyped tested 2,484-25&30 kW ENCLOSURE FEATURES Fan Speed(rpm) 1,865-36&45 kW 20 00-60 kW Ensures protection against mother nature. Aluminum weather protective enclosure Electrostatically applied textured epoxy paint Fan Diameter(in/mm) 17.7/449.6(25&30 kW) for added durability. 22/558.8(36,45,&60 kW) Enclosed critical grade muffler Quiet,critical grade muffler is mounted in- Fan Mode Pusher(25&30 kW) side the unit to prevent injuries. Puller(36,45,&60 kW) Small,compact,attractive ]EIMakes for an easy,eye appealing installa- FUEL SYSTEM FuelType Natural gas,propane vapor SAE d attenuated enclosure ensures quiettion. Carburetor Down Draft Secondary Fuel Regulator Standard Fuel Shut Off Solenoid Standard LP Fuel Pressure 5—14 in Water Column/9—26 mm HG NG Fuel Pressure 5—14 in Water Column/9—26 mm HG (All ratings in accordance with BS5514,ISO3046,ISO8528,SAE J1349,and DIN6271) GENERACO 25 • 30 • 36 • 45 • 60 kW operating data o GENERATOR OUTPUT VOLTAGEAW-60 Hz kW LPG Amp LPG kW Nat.Gas Amp Nat.Gas CB Size(Both) 120/240 V,10,1.0 pf 25 104 25 104 125 RG025 120/208 V,30,0.8 pf 25 87, 25 87 100 120/240 V,30,0.8 pf 25 75 25 75 90 120/240 V,10,1.0 pf 30 , 125 30 125 150 ' RG030 120/208 V,30,0.8 pf 30 104 30 104 125 120/240 V.30,0.8 pf 30 90 30 90 100 120/240 V,10,1.0 pf 36 150 36 150 175 ; RG036 120/208 V,30,0.8 pf 36 125 36 125 150 120/240 V,30,0.8 pf 36 108 36 108 125 277/480 V,30,0.8 pf 36 54 36 54 60 120/240 V,10,1.0 pf 45 188 45 188 200 RG045 120/208 V,30,0.8 pf 45 156 45 156 175 120/240 V,30,0.8 pf 45 135 45 135 150 277/480 V,30,0.8 pf 45 68 45 68 80 120/240 V,10,1.0 pf 60 250 60 250 300 120/208 V,30,0.8 pf 60 208 60 208 250 RGO60' 120/240 V,30,0.8 pf 1 60 180 60 180 200 277/480 V,30,0.8 pf 60 90 60 90 100 SURGE CAPACITY IN AMPS ENGINE FUEL CONSUMPTION Voltage Dip @<.4 pf Natural Gas Propane 15% 30% (ft3/hr) (m3/hr) (gal/hr) (1/hr) (0/hr) 120/240 V,10 65 170 Exercise cycle 60 1.7, 0.7 2.5 24 RG025 120/208 V,30 80 130 25%of rated load 220 6.3 2.9 9.1 88 120/240 V,30 69 112 RG026 50%of rated load 297 8.4 3.3 12.3 119 120/240 V,10 75 180 75%of rated load 362 10.3 4 15 145 RGO30 120/208 V,30 96 155 100%of rated load 430 12.2 4.7 17.8 172 120/240 V,30 83 134 Exercise cycle 60• 1.7 0.7 2.5 24 120/240 V,10 105 240 25%of rated load 240 6.8 2.6 10 96 RG036 �120/208 V,30 44 130 RG030 50%of rated load 320 9.1 3.5 13.3 128 120/240 V,30 38 115 75%of rated load 400 11.4 4.4 16.6 160 277/480 V,30 20 60 100%of rated load 492 14 5.4 20.4 197 120/240 V,10 105 240 Exercise cycle 65 1.8 0.7 2.6 25 RG045 120/208 V,30 44 130 25%of rated load 210 6 2.3 8.6 83 120/240 V,30 38 115 RG036 50%of rated load 380 10.8 4.2 15.7 151 277/480 V,30 20 60 75%of rated load 545 15.5 5.9 22.4 216 120/240 V,10 140 320 100%of rated,load 730 20.7 8 30.1 290 RGO60 120/208 V,30 70 210 Exercise cycle 65 1.8 0.7 2.6 25 120/240 V,30 61 182 25%of rated load 210 6 2.3 8.6 83 277/480 V,30 30 91 RG045 50%of rated load 380 10.8 4.2 15.7 151 75%of rated load 545 15.5 5.9 22.4 216 100%of rated load 730 20.7 8 30.1 290 Note:Fuel pipe must be sized for full load. Exercise cycle 123 3.5 1.34 5.1 49.3 For Btu content,multiply ft3/hr x 2,520(IP)or ft3/hr x 1,000(NG) 25%of rated load 267 7.6 1 2.7 10.5 101 For megajoule content,multiply m3/hr x 93.15(LP)or m3/hr x 37.26(NG) RG060 50%of rated load 483 13.7 5 19 183 Refer to "Emissions Data Sheets" for maximum fuel flow for EPA and 75%of rated load 672 19.1 7 26.5 255 SCAQMD permitting purposes. 100%of rated load 862 24.5 9 33.9 327 STANDBY RATING:Standby ratings apply to installations served by a reliable utility source.The standby rating is applicable to varying loads for the duration of-a power outage.There is no overload capability for this rating.Ratings are in accordance with ISO-3046-1.Design and specifications are subject to change without notice. GENERAC" 25 • 30 • 36 • 45 • 60 kW operating data _ ENGINE COOLING 25 kW 30 kW 36 kW 45 kW 60 kW Air flow(inlet air including alternator and combustion air in cfrlVcmm) 2,490/70.5 2,490/70.5 2,725/77.2 2,725/77.2 3,280/92.9 System coolant capacity(gal/liters) 2/7.6 2/7.6 2.5/9.5 2.5/9.5 2.5/9.5 Heat rejection to coolant(BTU per hr/MJ per hr) 112,000/118.2 135,000/142.4 193,000/203.6 193,000/203.6 270,000/284.9 Maximum operation air temperature on radiator(OF/°C) 140/60 Maximum ambient temperature(OF/°C) 122/50 COMBUSTION REQUIREMENTS Flow at rated power(cfm/cmm) 1 62/1.8 1 72/2 1 144/A.1 144/4.1 1 180/5.1 SOUND EMISSIONS Sound output in dB(A)at 23 ft(7 m)with generator in exercise mode* 59 59 61 61 65 Sound output in dB(A)at 23 ft(7 m)with generator operating at normal load* 72 73 73 73 72 *Sound levels are taken from the front of the generator.Sound levels taken from other sides of the generator may be higher depending on installation parameters. EXHAUST Exhaust flow at rated output(cfm/cmm) 203/5.7 237/6.7 300/8.5 420/11.9 494/14 Exhaust temperature at muffler outlet(OF/°C) 1,100/593 1,130/610 1,075/579 1,100/593 1,b50/566 ENGINE PARAMETERS Rated Synchronous rpm 3,600 POWER ADJUSTMENT FOR AMBIENT CONDITIONS Temperature Deration....................................................................................................................................................3%for every 10°C above 25°C or 1.65%for every 10 OF above 77 OF Altitude Deration(25,30,36,&45 kW).......................................................................................................................1%for every 100 m above 183 m or 3%for every 1,000 ft above 600 ft Altitude Deration(60 kW)..........................................................................................................................................1%for every 100 m above 915 m or 3%for every 1,000 ft'above 3,000 ft CONTROLLER FEATURES Two-Line Plain Text LCD Display............................................................................................................................................................................Simple user interface for ease of operation. Made Switch: AUTO...............................................................................................................................................................................Automatic Start on Utility failure.7 day exerciser. OFF...........................................................................................................................................................Stops unit.Power is removed.Control and charger sill I operate. MANUAL...........................................................................................................................Start with starter control,unit stays on.If utility fails,transfer to load takes place. Programmable start delay between 10—30 seconds.......................................................................................................................................................................................Standard 10 sec Engine Start Sequence..............................................................................................................................................................Cyclic cranking:16 sec on,7 rest(90 sec maximum duration) EngineWarm-up................................................................................................................................................................................................................:............................................5 sec EngineCool-Down..........................................................................................................................................................................................................................................................1 min Starter Lock-out.........................................................................................................................................................................Starter cannot re-engage until 5 sec after engine has stopped. SmartBattery Charger................................................................................................................................................................................................................................................Standard Automatic Voltage Regulation with Over and Under Voltage Protection........................................................................................................................................................................Standard AutomaticLow Oil Pressure Shutdown........................................................................................................................................................................................................................Standard OverspeedShutdown.......................................................................................................................................................................................................................................Standard,72 Hz HighTemperature Shutdown.....................................................................................................................................................................................................................................Standard OvercrankProtection..................................................................................................................................................................................................................................................Standard SafetyFused..............................................................................................................................................................................................................................................................Standard Failureto Transfer Protection......................................................................................................................................................................................................................................Standard LowBattery Protection................................................................................................................................................................:...............................................................................Standard 50 Event Run Log.......................................................................................................................................................................................................................................................Standard FutureSet Capable Exerciser.....................................................................................................................................................................................................................................Standard IncorrectWiring Protection........................................................................................................................................................................................................................................ Standard InternalFault Protection..............................................................................................................................................................................................................................................Standard CommonExternal Fault Capability..............................................................................................................................................................................................................................Standard GovernorFailure Protection.......................................................................................................................................................................................................................................Standard REMOTE MONITORING • Ability to view generator status Monitor generator with a smartphone,tablet,or computer at any time via the Mobile Link application for complete peace of mind. • Ability to view generator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours and total hours. • Ability to view generator maintenance information Provides maintenance information for the specific model generator when scheduled maintenance is due. • Monthly report with previous month's activity Detailed monthly reports provide historical generator information. • Ability to view generator battery information Built in battery diagnostics displaying current state of the battery. • Weather information Provides detailed local ambient weather conditions for generator location. GENERAC® 25 • 30 • 36 •45 • 60 kW available accessories o Model # Product Description . - Generac's Mobile Link allows you to check the status of your generator from anywhere G0071690 Mobile Link®4G LTE Cel- that you have access to an Internet connection from a PC or with any smart device.You lular Accessory will even be notified when a change in the generator's status occurs via e-mail or text message.Note:Harness Adapter Kit required.Available in the U.S.only: If the temperature regularly falls below 32°F(0°C),install a cold weather kit to maintain 1 G00 -25&30 kW Cold Weather Kit optimal battery temperature.Kit consists of battery warmer with thermostat built into the G005630-0 630-1 -36,45,&60 kW wrap. G006174-0-25&30 kW Recommended where the temperature regularly falls below 32°F(0°C)for extended pe- G005616-0-36,45,&60 kW Extreme Cold Weather Kit nods of time.For liquid cooled units only. G005651-0 Base Plug Kit Add base plugs to the base of the generator to keep out debris. If the generator enclosure is scratched or damaged,it is important to touch-up the paint G005703-0-Bisque Paint Kit to protect from future corrosion.The paint kit includes the necessary paint to properly maintain or touch-up a generator enclosure. G006176-0-25&30 kW Scheduled The Liquid-Cooled Scheduled Maintenance Kits offer all the hardware necessary to per- G006172-0-36&45 kW Maintenance Kit form complete maintenance on Generac liquid-cooled generators. G006171-0-60 kW G007000-0(50 Amps) Smart Management Smart Management Modules(SMM)optimize the performance of a standby generator. G007006-0(100 Amps) Module They manage large electrical loads upon startup and load shed to aid in recovery when overloaded.In many cases,SMMs can reduce the overall size and cost of the system. E-Stop resettable switch E-stop allows for immediate fuel shutoff and generator shutdown in the event of an emer- G006510-0 for commercial installs to NEC2020 gency. The Wi-Fi enabled LP fuel level monitor provides constant monitoring of the connected G007005-0 Wi-Fi LP Fuel Level LP fuel tank.Monitoring the LP tank's fuel level is an important step in making sure your Monitor generator is ready to run during an unexpected power failure.Status alerts are available through a free application to notify when your LP tank is in need of a refill. An ultra-concentrated anti-corrosive cleaning solution engineered to reach the smallest A0000018981 Ultrasonic Cleaner Solution cavities to clean the toughest contaminants. This water based formula is non-toxic, biodegradable,and safe for both metal and plastic surfaces and is superior in rinsability. A0000019001 All Surface Protectant All Surface Protectant for vinyl, rubber,and plastics creates a barrier that seals&protects surfaces from water and UV rays while renewing the look of the surface. cn • [ O Series 0 N CA 7 CD C O SERVICE ITEM 1.11. 4 NOTES: N OIL CAP EITHER DOOR O AIR INTAKE BATTERV I OIL DIPIP STICK RIGHT DOOR 1.MINIMUM RECOMMENDED CONCRETE PAD SIZE:1092(43')WIDE%1887(74.3')LONG. RADIATOR/EXHAUST (BOTH SIDES) OIL FILTER RIGHT DOOR REFERENCE INSTALLATION GUIDE SUPPLIED WITH UNIT FOR CONCRETE PAD GUIDELINES. 2 2.ALLOIN SUFFICIENT ROOM ON ALL SIDES OF THE GENERATOR FOR MAINTENANCE W DISCHARGE AIR _ GROUP 28 OIL DRAINDRAIN RIGHT DOOR AND SERVICING.THIS NDNFP MUST BE INSTALLED RDS IN ACCORDANCE VTHER FEDERAL, NEGATIVE GROUND (BOTH SIDES) fifi5.52fi2 APPLI CABLE NFPA 37 AND NFPA 70 STANDARDS AS WELL AS ANY OTHER FEDERAL, 'y PM:077483 [ AIR CLEANER DRAIN HOSE RIGHT DOOR CENTER OF GRAVITY AIR CLEANER ELEMENT RIGHT DOOR STATE,AND LOCAL CODES. p (SEE NOTE S) SPARK PLUGS RIGHT DOOR P. 3-SEEr SPECIFICATION SHEO PANEL/ ET OR OOWNEIRSOMANUAL N MUFFLER SEE NOTE 12 ^k..1 c. -ACCESSIBLE THROUGH CUSTOMER ACCESS ASSEMBLY DOOR ON REAR OF GENERATOR ni FAN BELT ERHEROOO 4.REMOVE THE REAR ENCLOSURE COVER PANEL TO ACCESS THE STUB-UP AREAS AS FOLLOWS: g e Ii1` BATTERY RIGHT DOOR -HIGH VOLTAGE CONNECTION INCLUDING AC LOAD LEAD CONDUIT CONNECTION REFERENCE OWNERS MANUAL NEUTRAL CONNECTION,BATTERY CHARGER 120 VOLTAC(0S AMP MAX)CONNECTION. _ FOR PERIODIC -LOW VOLTAGE CONNECTION INCLUDING TRANSFER SWITCH CONTROL WIRES. REPLACEMENT PART LISTINGS. S.CENTER OF GRAVITY AND WEIGHT MAY CHANGE DUE TO UNIT OPTIONS. +•�� I B.BOTTOM OFGENERATOR SET MUST BE ENCLOSED TO PREVENT PEST INTRUSION AND RECIRCULATION OF DISCHARGE AIR AND/OR IMPROPER COOLING AIR FLOW. 7.EXHAUST SYSTEM MAXIMUM BACK PRESSURE:24 INCHES H2O. 8.REFERENCE OWNERS MANUAL FOR LIFTING WARNINGS. 9.MOUNTING BOLTS OR STUDS TO MOUNTING SURFACE SHALL BE 518-11 GRADE 5 (USE STANDARD SAE TORQUE SPECS) 10.MUST ALLOW FREE FLOW OF INTAKE AIR,DISCHARGE AIR AND EXHAUST.SEE SPEC SHEET FOR MINIMUM AIR FLOW AND MAXIMUM RESTRICTION REQUIREMENTS. 11.GENERATOR MUST BE INSTALLED SUCH THAT FRESH COOLING AIR IS AVAILABLE NIP AND THAT DISCHARGE AIR FROM RADIATOR IS NOT RECIRCULATED. 12.E%MAUST MUFFLER ENCLOSED WITHIN GENERATOR ENCLOSURE, REMOVE COVE TOP VIEW REMOVE ENCLOSURE TO ACCESS EXHAUST MUFFLER FOR ACCESS TO _ RADIATOR FILL GAP IRCUR BREAKER NEUTRALANDCUSTOMER CONNECTION OPENING 531[74.8] DOOR TYP VISE ACTION LATCH, ONE PER DOOR,ONE LIFT-OFF DOOR PER SIDE OF GENERATOR - EAR ENCLOSURE , COVER PANEL —_ 980 SEE NOTE4 - [38.6] RADIATOR/EXHAU L OVERALL HEIGHT IWLOCATEDWITHIN IRCURBREAKERDISCHARGEAIR • EE NOTE 3USTOMERACCESSSSEMBLY,CONTROL 48AN EL ACCESS. 481.ATTERY CHARGER TYP SEENOTE4 �■ 1580[622] 776 780 [30.71 44 [7.7I OVERALL LENGTH [30.6] IFTING PROVISION(4 PLACES) OVERALL WIDTH 45 7490[58.7f TYP SEE NOTES 5.8 AND [ ] .UST MUFFLER CENTER OF GRAVfYTYP ENCLOSED WITHIN LEFTSIDEVIEW DIMENSIONS. REARVIEW FUELLIFCONNECTION GENERATOR ENCLOSURE RIGHT SIDE VIEW 3'4'NPT FEMALE COUPLING WEIGHT DATA ENCLOSURE WEIGHT WEIGHT SHIPPING WEIGHT ENGINEAON MATERIAL GEKGET S'LY SHIKGI GS7KID KG[LBS] 1.51-125KW ST 392[865] 30(66] 422[931] 1.5LWKW ST 406[8951 301661 436[961] 1.5LQ6KW AL 352[777] 30[66] W2[843] '��• 1.5L/30KW AL 366[8D7] 30[66] 396[873] co) wA F z m n o 0 N 01 W O _ G 45 11.81 TYP 1380 154.31 TYP 13.5 X 29.5 MOUNTING SLOT CENTERS MOUNTING SLOTS 'NOTE- P AREA FOR HIGH AND LOW VOLTAGE CONNECTIONS. qX CIRCUCIRCUITBREAK BREAKER,NEUTRAL AND CUSTOMER CONNECTION OPENING. 674 [26.51 104.5 [4.114171 STUB-UP AREA 50 TOP VIEW [20] 100 9 1.41 51 'STUB-UP AREA 1345 153.01 226 - 18.91 735 [28.91 W REMOVABLE STUB-UP COVER 96 [3.BJ 27 O 723 [28.51 TYP ►1 TYP MOUNTING SLOT CENTERS � 1580[62.2] 776 [30.6] LEFT SIDE VIEW REAR VIEW ca 1oCD m - 0 = z .cs, O m N O O 0 ProtectorO ProtectorO O CD X, cm 00 SERVICEITEM 2.41. OIL FILL CAP ERHERSIDE NOTES: OIL DIP STICK RIGHTSIDE 1.MINIMUM RECOMMENDED CONCRETE PAD SIZE:1194MM(47')WIDE X 2256MM(98.8')LONG. W RADIATOR/EXHAUST OIL FILTER RIGHTSIDE REFERENCE INSTALLATION GUIDE SUPPLIED WITH UNIT FOR CONCRETE PAD GUIDELINES. DISCHARGE AIR AIR INTAKE OILDRAIN HOSE RIGHTSIDE 2.ALLOW SUFFICIENT ROOM ON ALL SIDES OF THE GENERATOR FOR MAINTENANCE (BOTH SIDES) (BOTH SIDES) RADIATOR DRAIN HOSE LEFT SIDE AND SERVICING.THIS UNIT MUST BE INSTALLED IN ACCORDANCE WITH CURRENT O Q COOLANT RECOVERY BOTTLE LEFT SIDE APPLICABLE NFPA 37 AND NFPA 70 STANDARDS AS WELL AS ANY OTHER FEDERAL, REMOVE COVER RADIATOR FILL CAP ROOFTOP STATE,AND LOCAL CODES. v FOR ACCESS TO AIR CLEANER ELEMENT LEFT SIDE 3.CONTROL PANEL/CIRCUIT BREAKER INFORMATION: RADIATOR FILL CAP SPARK PLUGS I LEFT SIDE -SEE SPECIFICATION SHEET OR OWNERS MANUAL MUFFLER SEE NOTE 11 -ACCESSIBLE THROUGH CUSTOMER ACCESS ASSEMBLY DOOR ON REAR OF GENERATOR. DRIVE BELT ERHERSIDE 4.REMOVE THE REAR ENCLOSURE COVER PANEL TO ACCESS FAN BELT SEE NOTE 11 THE STUB-UP AREAS AS FOLLOWS: — i BATTERY LEFrsIOE HIGH VOLTAGE CONNECTION INCLUDING AC LOAD LEAD CONDUIT CONNECTION SSAt LURE OIL MAINTAINER NEUTRAL CONNECTION,BATTERY CHARGER 120 VOLT AC(0.5 AMP MAX)CONNECTION. SUBEOILPPLY NKTAINER FILL CAP ROOFTOP -LOW VOLTAGE CONNECTION INCLUDING TRANSFER SWITCH CONTROL WIRES. 5.CENTER OF GRAVITY AND WEIGHT MAY CHANGE DUE TO UNIT OPTIONS. REFERENCE OWNERS MANUAL 6.BOTTOM OF GENERATOR SET MUST BE ENCLOSED TO PREVENT PEST INTRUSION AND FOR PERIODIC REPLACEMENT RECIRCULATION OF DISCHARGE AIR AND/OR IMPROPER COOLING AIR FLOW. 443 PART LISTINGS. 7.REFERENCE OWNERS MANUAL FOR LIFTING WARNINGS. (17.51 8.MOUNTING BOLTS OR STUDS TO MOUNTING SURFACE SHALL BE 5/8-11 GRADE 5 • (USE STANDARD SAE TORQUE SPECS) L I MOVE COVER FOR 9.MUST ALLOW FREE FLOW OF INTAKE AIR,DISCHARGE AIR AND EXHAUST.SEE SPEC BATTERY 12 749 3[29 5]�{ ACCESS TO LUBE OIL SHEET FOR MINIMUM AIR FLOW AND MAXIMUM RESTRICTION REQUIREMENTS. 187 GROUP 26 MAINTAINER SUPPLY TANK 10.GENERATOR MUST BE INSTALLED SUCH THAT FRESH COOLING AIR IS AVAILABLE 4] CENTER OF GRAVITY REFERENCE OWNERS MANUAL AND THAT DISCHARGE AIR FROM RADIATOR IS NOT RECIRCULATED. NEGATIVE GROUND (SEE NOTE 5) 11.EXHAUST MUFFLER AND FAN BELT ENCLOSED WITHIN GENERATOR ENCLOSURE, PM:077483 TOP VIEW REMOVE FRONT PANEL TO ACCESS. VICE ACTION LATCH, ONE PER DOOR, EXHAUST MUFFLE ONE LIFT OFF ENCLOSED WITHIN CIRCUIT BREAKE DOOR PER SIDE CLOSURE GENE 81 GENERATOR EN SEE NOTE DO DOOR TYP TYP OF RATOR �I t EAR ENCLOSURE - \rT 1170 COVER PANEL ` 1170146. SEE NOTE 4 _ RADIATOR/EXHAUST :_ - .`� OVERALL 1( I 1 DISCHARGEAIR - `d.jF HEIGHT 58 DD [2.3] TYP USTOMER ACCESS _ SSEMBL.IANELACCESS, 888 [35.0]—►I BATTERY CHARGER 46.5 1857[73.11 TYP _ 50 1000[39.4]—►I LOCATED WITHIN OVERALL WIDTH [1.83] [2.0] UEL LINE CONNECTION REAR VIEW SEE NOTE 4 1950[76.8] LEFT SIDE VIEW 314'NPT FEMALE COUPLING OVERALL LENGTH WEIGHT DATA ENCLOSURE WEIGHT WEIGHT SHIPPINGWEIGHT ENGINEIKW GENSET ONLY SHIPPING SKID MATERIAL KG[LBS] KG ILBS] KG[LBS] 2AL36KW ST 669112551 44[981 61311353] 2AL 36KW AL 645[12021 44[98] 6B0113001 2AL45KW ST 596113131 as 198] "o It4111 DIMENSIONS:MM[INCH] 2AL45NW AL 572[12601 441981 61611358] ff m - Z n w cm Ro .p, cn p 'NOTE-STUB-UP AREA FOR HIGH AND LOW VOLTAGE CONNECTIONS. 13.5 X 29.5 CIRCUIT BREAKER,NEUTRAL AND CUSTOMER CONNECTION OPENINGS. MOUNTING SLOTS 4X O 786 [30.9] 0` 162 [6.4] " 'STUB-UP AREA 9 ` ['4] 51 162 [2.0] [6.4] 1733[68.2] 217 18.51 'STUB-UP , AREA TOP VIEW REMOVABLE STUB-UP COVER 850 [33.5] Jp 116[4.61 50 12.01 1750 [68.91 TYP _ 25 11.0 I'f 838 [33.0]TYP �— TYP MOUNTING SLOT CENTERS TYP MOUNTING SLOT CENTERS 1950 [76.81 888 [35.0] �• REAR VIEW V� LEFT SIDE VIEW DIMENSIONS:MM[INCH] tC W N _ O O N ProtectorO ProtectoO' Series 0 c � O 7 1n C C G WNW- CD O r- N O SERVICE ITEM 2AL NOTES: CO RADIATOR/EXHAUST OIL FILL CAP EITHER SIDE 0 DISCHARGE AIR AIR INTAKE OIL DIP STICK RIGHT SIOE 1.MINIMUM RECOMMENDED CONCRETE PAD SIZE:1194MM(47°)WIDE X 2256MM(88.8")LONG. W (BOTH SIDES) (BOTH SIDES) OIL FILTER LEFTSIDE REFERENCE INSTALLATION GUIDE SUPPLIED WITH UNIT FOR CONCRETE PAD GUIDELINES. OIL DRAIN HOSE RIGHT SIDE 2,ALLOW SUFFICIENT ROOM ON ALL SIDES OF THE GENERATOR FOR MAINTENANCE REMOVE COVER RADIATOR DRAIN HOSE LEFTSIDE AND SERVICING.THIS UNIT MUST BE INSTALLED IN ACCORDANCE WITH CURRENT O Q FOR ACCESS TO COOLANT RECOVERY BOTTLE LEFT SIDE APPLICABLE NFPA 37 AND NFPA 70 STANDARDS AS WELL AS ANY OTHER FEDERAL, RADIATOR FILL CAP RADIATOR FILL CAP ROOFTOP STATE,AND LOCAL CODES. N AIR CLEANER ELEMENT LEFTSIDE 3.CONTROL PANEL CIRCUIT BREAKER INFORMATION: SPARK PLUGS LEFTSIDE -SEE SPECIFICATION SHEET OR OWNERS MANUAL _ MUFFLER SEE NOTE 11 -ACCESSIBLE THROUGH CUSTOMER ACCESS ASSEMBLY DOOR ON REAR OF GENERATOR. _ DRIVE BELT EITHER SIDE 4.REMOVE THE REAR ENCLOSURE COVER PANEL TO ACCESS FAN BELT SEE NOTE 11 THE STUB-UP AREAS AS FOLLOWS: -HIGH VOLTAGE CONNECTION INCLUDING AC LOAD LEAD CONDUIT CONNECTION f BATTERY LEFT SIDE NEUTRAL CONNECTION,BATTERY CHARGER 120 VOLT AC(0.5 AMP MAX)CONNECTION. LUBE OIL MAINTAINER ROOFTOP -LOW VOLTAGE CONNECTION INCLUDING TRANSFER SWITCH CONTROL WIRES. SUPPLY TANK FILL CAP 5.CENTER OF GRAVITY AND WEIGHT MAY CHANGE DUE TO UNIT OPTIONS. REFERENCE OWNERS MANUAL 6.BOTTOM OF GENERATOR SET MUST BE ENCLOSED TO PREVENT PEST INTRUSION AND 357 FOR PERIODIC REPLACEMENT RECIRCULATION OF DISCHARGE AIR AND/OR IMPROPER COOLING AIR FLOW. [74.0] PART LISTINGS. 7.REFERENCE OWNERS MANUAL FOR LIFTING WARNINGS. y+ -� �� ! 8.MOUNTING BOLTS OR STUDS TO MOUNTING SURFACE SHALL BE 518-11 GRADE 5 .7- (USE STANDARD SAE TORQUE SPECS) REMOVE COVER MUST ALLOW FREE FLOW OF INTAKE AIR,-►{167 683.3[26.9] ACCESS TO LU EFOIIL 9SHEET FOR MINIMUM AIR FLOW AND MAXIMUMC ESTR TION REQUGE AIR AND I{EM NTSE SPEC [6.6] CENTER OF GRAVITY MAINTAINER SUPPLY TANK 10.GENERATOR MUST BE INSTALLED SUCH THAT FRESH COOLING AIR IS AVAILABLE BATTERY 12 TOP VIEW REFERENCE OWNERS MANUAL AND THAT DISCHARGE AIR FROM RADIATOR IS NOT RECIRCULATED. GROUP 26 11.EXHAUST MUFFLER AND FAN BELT ENCLOSED WITHIN GENERATOR ENCLOSURE, NEGATIVE GROUND REMOVE FRONT PANEL TO ACCESS. P/N:077483 - VICE ACTION LATCH, - CIRCUIT BREAKE ONE PER DOOR, EXHAUST MUFFLE SEE NOTE 3 758 [29.8] ONE LIFT OFF ENCLOSED WITHIN DOOR TYP DOOR PER SIDE GENERATOR ENCLOSUR OF GENERATOR ---REA R ENCLOSURE - 1170 COVER PANEL q' [46.1] SEE NOTE 4 RADIATORIEXHAUST OVERALL DISCHARGEAIR t '�' HEIGHT I' - USTOMER ACCESS -2 ASSEMBLY,CONTROL 58 PANEL ACCESS, [NF BATTERY CHARGER LOCATED WITHIN SEE NOTE 4 50 [2.0] 1000[39.4]�'1 888 [35.0] 1857 [73.1 OVERALL WIDTH 1950 [76.9 UEL LINE CONNECTION OVERALL LENGTH LEFT SIDE VIEW 3/4"NPT FEMALE COUPLING REAR VIEW RIGHT SIDE VIEW �• WEIGHT DATA YI WEIGHT WEIGHT m ENO-SURESHIPPING WEIGHT ENGINE/KW GENLBSI Y SHIPPING SKID MATERV L KGG[T O KG N S KG[LBSI w; 2.4L 60KW S7 1 682112831 44[981 626[13811 DIMENSIONS:MM[INCH] W 2AL60KW AL 1 658112301 44[981 602113281 P P �• m P. n o n C I I GENE RAC® 60 kW installation layout_ 0 Drawing#01-2090-B (2 of 2) — z W O wV Z O m OF Wf HO U Ow \ K 00 F oN aw 2Q i; oOA �i>1 JQ O K m m Z m aw 7Y ' m W F e N m W F O= .Z U � 4a N = a U I � Z I m Z O_ * w Z W g O I via b N N N N I N K 2 Gl rU >C w z �F 'O O I O Ul of_ x Z N� 0 m�� I I o} Cl F $ I GENERAC Generac Power Systems,Inc. • S45 W29290 HWY.59,Waukesha,WI 53189i• generac.com ©2022 Generac Power Systems,Inc. All rights reserved. All specifications are subject to change without notice.Bulletin 01-0037SBY-N 03/9/2022