92 Gardner St.

Worcester, MA 01610

(508)459-5410

AbsoluteGreenEnergy.com

Solar Solutions

Absolute Green Energy & Solar PV

About Us

Solar Energy

Solar PV in your home

Commercial Residential

Coal

Gas

Nuclear

Oil

Why Solar Powered Electricity?

Financial Incentives

Government Subsidies: Rebates

Return on Investment

through SREC programs

Smaller Electric Bill

Reduce Carbon footprint by

moving towards sustainable

development

Before Choosing to go Solar.

Sustainable Development

Social

Economics

Environment

Site Assessment

Paperwork

M215

M215

M215

M215

M215

M215

M215

M215

M215

M215

M215

M215

M215

M215

M215

M215

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M215

M215

M215

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M215

M215

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M215

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M215

M215

M215

M215

M215

M215

M215

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Complies with M.D.P.U. No. 1176 for MA || R.I.P.U.C No. 2007 For RI || N.H.P.U.C. No.17 For NH

Exhibit A - Simplified Process Interconnection Application and Service Agreement

Contact Information (PRINT):

Company Name:

Alternative Contact Information (e.g., system installation contractor or coordinating company, if appropriate):

Contact Name: : Charles Cady Company Name: Absolute Green Energy Corporation

Mailing Address: 92 Gardner Street

City: Worcester State: MA Zip Code: 01610

Telephone (Daytime): 508-459-5410 Telephone (Evening): 5087337208

Fax: 508-459-4277 Email: ccady@absolutegreenenergy.com

Electrical Contractor Contact Information (if appropriate):

Name (Print): L.J.Grace Electric LLC

Mailing Address: 694 Main St. Telephone: 5082100223

Ownership Information (include % ownership by any electric utility): 100

Confidentiality Statement (MA only): “I agree to allow information regarding the processing of my application (without my name and address)

to be reviewed by the Massachusetts DG collaborative that is exploring ways to further expedite future interconnections.” Yes No

Facility Information:

Work Request Number (For Upgrades or New Service):

MTC ID:

Nameplate Rating: 215 (kW) .90 (kVA) 240 (AC Volts) Single or Three Phase

Prime Mover: Photovoltaic Reciprocating Engine Fuel Cell Turbine Other:

Energy Source: Solar Wind Hydro Diesel Natural Gas Fuel Oil Other:

IEEE 1547.1 (UL 1741) Listed? Yes No Generating system already exists on current account? Yes No

Customer Signature: I hereby certify that, to the best of my knowledge, all of the information provided in this application is true and I agree to the Terms

and Conditions on the following page:

Please attach any documentation provided by the inverter manufacturer describing the inverter’s UL 1741 listing ----------------------------------------------------------------------------- -------------------------------------------------------------------- --------------------------------

Approval to Install Facility (For Company use only) Installation of the Facility is approved contingent upon the terms and conditions of this Agreement, and agreement to any system

modifications, if required (Are system modifications required? Yes No To be Determined ):

Company Signature:

Title:

Date:

Application ID number:

Company waives inspection/Witness Test? Yes No

Customer or Contact Name : Diane Pizzo

Mailing Address: Rear 15 Juniper St.

Telephone (Primary): (978)317-4216 Telephone (Secondary):

City: Wenham State: MA Zip Code: 01984

Fax: Email: glauben@yahoo.com

Address of Facility: Rear 15 Juniper St.

City: Wenham State: MA Zip Code: 01984

City: Holden State: MA Zip Code: 01520

Electric Service Company: National Grid Account Number: 50130-67005 Meter Number: 43694087

Inverter Manufacturer: Enphase Model Name and Number: M215 Quantity: 38

System Design Capacity: 9.88 (kW) 9.88 (kVA) For Solar PV provide the DC-STC rating: 9.88 (kW)

Estimated Install Date: 06/25/2012 Estimated In-Service Date: 06/25/2012

Interconnecting Customer Signature: Title: Owner Date: 06/1/2012

Installation/Maintenance

The Commonwealth of Massachusetts

Department of Industrial Accidents

Office of Investigations

600 Washington Street

Boston, MA 02111

www.mass.gov/dia

Workers’ Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers

Applicant Information Please Print Legibly

Address:__________________________________________________________________________

City/State/Zip:_____________________________ Phone #:________________________________

*Any applicant that checks box #1 must also fill out the section below showing their workers’ compensation policy information.† Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.‡Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have

employees. If the sub-contractors have employees, they must provide their workers’ comp. policy number.

I am an employer that is providing workers’ compensation insurance for my employees. Below is the policy and job site

information.

Insurance Company Name:____________________________________________________________________________

Policy # or Self-ins. Lic. #:__________________________________________ Expiration Date:____________________

Job Site Address: City/State/Zip:______________________

Attach a copy of the workers’ compensation policy declaration page (showing the policy number and expiration date).

Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a

fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine

of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of

Investigations of the DIA for insurance coverage verification.

I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.

Signature: Date:

Phone #:

Official use only. Do not write in this area, to be completed by city or town official.

City or Town: ___________________________________ Permit/License #_________________________________

Issuing Authority (circle one):

1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector

6. Other ______________________________

Contact Person:_________________________________________ Phone #:_________________________________

Type of project (required):

6. New construction

7. Remodeling

8. Demolition

9. Building addition

10. Electrical repairs or additions

11. Plumbing repairs or additions

12. Roof repairs

13. Other____________________

1. I am a employer with _________

employees (full and/or part-time).*

2. I am a sole proprietor or partner-

ship and have no employees

working for me in any capacity.

[No workers’ comp. insurance

required.]

3. I am a homeowner doing all work

myself. [No workers’ comp.

insurance required.] †

Are you an employer? Check the appropriate box:

4. I am a general contractor and I

have hired the sub-contractors

listed on the attached sheet.

These sub-contractors have

employees and have workers’

comp. insurance.‡

5. We are a corporation and its

officers have exercised their

right of exemption per MGL

c. 152, §1(4), and we have no

employees. [No workers’

comp. insurance required.]

x Solar PV

Name (Business/Organization/Individual):_________________________________________________ _ Absolute Green Energy

92 Gardner St.

Worcester, MA 01609 (508)459-5410

x 6

The Hartford

08WECLI6161 12/03/12

90 Page Brooke Rd. Carlisle, MA 01741

06/18/2012

(508)459-5410

92 Gardner St.

Worcester, MA 01610

(508)459-5410

www.absolutegreenenergy.com

Questions? Contact me!

info@absolutegreenenergy.com