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MP22-079
(-�yE BR(�4'A V1, YG C l�C4JV JJ� 7, 190 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J. Bradbury www.ryebrook.org TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE May 13,2024 Michael Heller&Alyssa Heller 52 Country Ridge Drive Rye Brook,New York 10573 Re: 52 Country Ridge Drive, Rye Brook,New York 10573 Parcel ID#: 129.59-1-17 This document certifies that the work done under Mechanical Permit #22-079 issued on 5/16/2022 for the installation of a new gas furnace and a new gas water heater has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC�k. cu � • 19b2 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street. Rye Brook,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : O �V " 1 I ✓e DATE: - Z - O 2- y PERMIT# ISSUED: S= /6 -ZZ SECT: /,)9• Y y BLOCK: / LOT: �7 LOCATION: o� OCCUPANCY: ❑ Violation Noted THE WORK IS... �ASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas ^ �,. V A , C 2 �•gS �c � ce ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER _ 0' FINAL PLUMBING ❑ CROSS CONNECTION FINAL J;K OTHER O v41CL� /1► 4 a w ■ ■ � N N �• v � 4 L ■ ^. u o- C CL4 Ln\ Ln .. w u ■ rj) c a o -� oay. w O z b b& y� ^ two a a y Oo h:"l p 3 o g M�1 W `� 04 Or 4 C O C 00 " � O W 0.0 s � rrTT4 av :� O W 00 �j�r AUb � U o rT� z Uz 0 va M v o . a, u O G, w m C � t]D•.+ W . MM� 00v�aoa N z c z � ,w � u v � � � a c/n W w V? � Cmb o ° M�1 zaa80 ,4 H Z p o o F. u F o o l 7 ��j z 5 O © f�'i 8 `� ?�I a v U o O v � � I x 104. i Q Z O W o � A H w z a, a BUILDING DEPARTMENT VILLAGE OF RYE BROOK R MAY 16 2022 938 KING STUET RYE BRom,NY 10573 (914)939_0668 VILLAGE OF RYE BROOK www.Ueb1o9k.orgBUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING,VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: -/-0 Approval Date: MAY 102 Permit Fee:$ Uf � Approval Signature: Other: Disapproved: (fees are non-refundable) rt,t***,t,t*****•,t**,k*,t********,t,t**,t***w*,�**,r**,t,t�e*,t,t****,t,r*,t**,t�**w***:,e*******ir**,ram*******x******tr*�trrt*,t,e REQUIREMENTS FOR RELEASE OF PERNUT&CERTIFICATE OF COMPLIANCE: 1. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder)&Workers Compensation Insurance on a NYS Board form(Form 0 C105.2 or Form#U26.3/or NY State workers Compensation Waiver) 4. Payment of Fees/Unit: RESIDENTIAL=$100.00/unit •COMMERCIAL=$350.00/unit. 5. Inspection by the Building Department for removal and/or installation.(48 hour notice required) 6. Electrical work requires a separate Electrical Permit&Electrical Inspection. 7. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated,,-5�'//0—QQ is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the IIVAC equipment as listed below.The applicant and property owner,by signing this document agrees that said equipment will be installed and/or removed in conformance with all applicable Local,County,State&Federal laws, codes,rules and regulations. 1. Address: t SBL: A s` 9~ 1- 1-] Zone: 2. Property Owner: l jAddress: 1 Phone#: 011 L4- _Sl > Cell#: q l I`1 "� y" email: 3. Contractor: ' Address: Phone#: ` Cell#: email: rodia 0 � 4. Applicant: o y i 1 ord() GuAp ,,u.) Address: Me Phone#:�I-�-�+�Cp b jU Cell#: email: II&A r" tt^(�,� 5. Scope of Work:New Installatio ( )•Replacement •Removal( )•Other( ): 6. List Equipment: oil7. Location of Equipment: el�,y1 Q 8. Method of Installation/Removal(list all equipment needed to perform job): 1 8/l2l2021 STATE Of NEM YORK,COUNTY Of WEST011-STLlt ) as, Q'via [c`fo...L.' .being!duly sworn,depow,.and states Ihat he she tC the apphcanI ahtitt:naiiwtI. 1 lit nit nante of mdit idual signing as the applicant) and further states th t Whe ia�c legal owner of the piollerly Lo hic11 This aphlicalion perlainS.Or th.ti l.)h;i.the �! ' for the legal owner and is drily authmived to mak e and file this apph m catit . nntltctic at.111W.mouac101.agent.anamcV.Vies That all staicnicnts contained herein are true to the best of leis her knots Iodic and belief.and dial any murk performcti,or u.c conducted at the above captioned property w°ill be in coil tiwilli mcc%%ith the dct:uls as set forth and contained in this npph.auun mid in any aecontpanying approved plans and specifications,as tt•cll as in accordance with the New York State Unilorm Fire Pre►enutm.\ Building Code,the Code of the Village of Rye Brook and all other npplicable laws,ordinances and regulations. Sworn to before me this �� Sworn to before me this day of .20 Z�' day of... 2ti__ '2A 5i;nantre of Property Owmer Signature of Applicant _+�� :v4 3► .,-rc� C.i.LEr7 j,t:a�ts�o P�rintZLe of Property -Olvitm Print Nant• App it �Ol1IY Public ANSON P.STATIA ego . Notary Public-State of New York otary PaF71 voolSStR s ate f Nc" 4 Na 015T63143i3 "public'-�h404ttht µt).0'S r.ountY Qualified is New York County i,,,,plird u}M^0x µ,r 7 jo7A Atv com.mismon Expires Nov 3, 2022 Ici1Cr rrVu.' J. BRADFORD WHITE W A T E R H E A T E R S Residential Atmospheric Vent High Input Gas Water Heater The Atmospheric Vent High Input Models Feature: ■ Bradford White ICON System®*—Intelligent gas control with proven millivolt powered technology and built-in piezo igniter.A standard,off-the-shelf thermopile converts heat energy from the pilot flame into electrical energy to operate the gas valve and microprocessor. No need for external electricity. —Enhanced Performance—Proprietary algorithms provide enhanced First Hour Rating and tighter temperature differential. —Advanced Temperature Control System—Microprocessor controls burner operation for consistent and accurate water temperature levels up to 160°F(71°C). —Intelligent Diagnostics—Exclusive multicolor LED light indicates operation status/service required. ■ Factory-Installed Hydrojet®Total Performance System—Sediment reducing device that also increases first hour rating of hot water while minimizing temperature build-up in tank. ■ Vitraglas® Lining—An exclusively engineered enamel formula that provides superior tank protection from the highly corrosive effects of hot water.This formula(Vitraglas®)is fused to the steel surface by firing at a temperature of over 1600°F(871°C). ■ Side Connections-3/4" (19mm) NPT tappings that allow easy connections for space heating applications(potable water only). ■ Insulation System—Non-CFC foam covers the sides and top of the tank, reducing heat loss.This results in less energy consumption, improved efficiencies, and jacket rigidity. ■ Pedestal Base(except RG2100H6N). ■ Water Connections—Factory-installed true dielectric fittings extend water heater life and simplify water line connections. ■ Hand Hole Cleanout—Allows inspection of tank interior and facilitates the removal of sediment deposits(RG2100H6N models only). ■ Protective Magnesium Anode Rod—Provides added protection against ,r corrosion for long-term,trouble-free service. ■ 4" (107mm) "Snap Lock" Draft Diverter. ■ T&P Relief Valve—Installed. ■ Low Restrictive Brass Drain Valve—Durable tamper proof design. ■ Thermostatic Mixing Valve (ASSE Approved)—Included with RG255H6N only. ■ NOx Emissions—Less than 40 ng/J. Photo is of RG2100H6N FEATURING: Iconr � wSystern `May vary by region 6 or 10-Year Limited Tank Warranties/6-Year Limited Warranty on Component Parts. SPe ® For more information on warranty,please visit www.bradfordwhite.com For products installed in USA,Canada,and Puerto Rico.Some states do not allow limitations on warranties.See complete copy of the warranty included with the heater. MANUFACTURED UNDER ONE OR MORE OF THE FOLLOWING U.S. PATENTS:5,682,666:7.634,976;5,660,165;5,954,492.6.056,542,6,935,280;5,372,185:5,485,879,5,574,822.7,971,560;7,992,526, 66a4,821;7,334.419.7,866,168,7,270,087;7,007,748;5,596,952;6,142,216;7,699,026;5,341,770;7,337,517;7.665,211;7,665,210;7,063,132;7,063,133;7,559,293:7,9DO,589;5,943,984:8,082,888; 5:988,117;7,621,238;7,650,859;5,761,379;7,409,925;5,277,171;8,146,772;7,458,341;2,262,174.OTHER U.S.AND FOREIGN PATENT APPLICATIONS PENDING.CURRENT CANADIAN PATENTS:2,314,845; 2,504,824;2,108,186;2,143,031;2,409,271;2,548,958;2.112,515;2,476,685;2,239,007;2,092,105;2,107,012.Vitraglas"and Hydreler are registered trademarks of Bradford White"Corporation. 11nq_R_1�1R Residential Atmospheric Vent High Input Gas Water Heater High Input Models Meet or exceed ASHRAE 90.1b(current standard)C.E.C.Listed NATURAL GAS AND LIQUID PROPANE GAS Recovery efficiency ranging up to 80% Model Nominal Recovery at Model Nominal Recovery at Number Gal. DOE 90"F Rise' Number Liter DOE 501 Rise' Capacity Rated First Capacity Rated First Storage LP Hour Uniform LP LP Storage LP Hour Uniform LP U.S. Imp. Volume BTU/Hr. BTU/Hr. Rating Energy U.S. Imp. U.S. Imp. Volume kW kW Rating Energy liters/ Liters/ Gal. Gal. (Gal.) Input Input (Gal.) Factor GPH GPH GPH GPH (Liters) Input Input (Liters) Factor Hour Hour RG250H6N 48 40 46 65,000 65,000 106 0.63 70 35 70 35 RG250H6N 182 174 19.0 17.9 401 0.63 265 265 RG255H6N 1 55 46 1 55 1 78,000 78,000 1 117 0.61 1 84 70 84 70 RG255116N 1 208 1 208 1 22.9 22.3 1 443 0.61 1 318 318 RG275H6N 1 75 63 1 72 1 76,000 76,000 1 135 0.59 1 82 68 82 68 RG275H6N 1 284 1 273 1 22.3 22.3 1 477 0.59 1 310 310 RG21001161Y 1 100 83 95 80,000 80,000 1 157 0.51 1 85 71 85 71 RG2100H6N 1 379 1 360 1 23.4 23.4 1 519 0.57 1 322 322 Model A 8 C D E F G H J K L M R S Approx. Number Floor to Jacket Vent Floor to Floor to Floor to Floor to Depth CIL Floor to Floor to Water Space Gas Shipping Flue Dia. Size T&P Gas Top of Water of Water Space Heating Space Heating Conn. Heating Conn. Weight Conn. Conn. Conn. Heater Conn. Conn. Inlet Outlet NPT Conn.Size Size in. in. in. in. in. in. in. in. in. in. in. in. in. in. lbs. RG250H6N 601/a 22 4 49'1A6 13 565/8 573/a 251/2 11 131h6 4915/16 314 3h 112 189 RG255H6N 581/2 24 4 4878 131/8 543/4 56V2 271h 8 131/2 481/a 3/4 3/4 1/2 210 RG275H6N 625/a 26 4 513/a 15 595/a 1 601he 291h 11 165/a 512/a 1 3h 1/2 240 AG2100H6N 71'12 28'h 4 595/16 152/16 655ha 66V2 313/e 16 175A 505A 1V4 3/4 '12 413 Model A B C D E F G H J K L M R S Approx. Number Floor to Jacket Vent Floor to Floor to Floor to Floor to Depth C/L Floor to Floor to Water Space Gas Shipping Flue Dia. Size T&P Gas Top o1 Water of Water Space Heating Space Heating Conn. Heating Conn. Weight Conn. Conn. Conn. Heater Conn. Conn. Inlet Outlet NPT Conn.Size Size MIT. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. mm. kg. RG250H6N 1527 559 102 1268 330 1438 1457 648 279 341 1268 19 1 19 13 86 RG255H6N 1486 607 102 1222 333 1391 1435 657 203 343 1222 19 19 13 95 RG275H6N 1591 660 102 1 1318 381 1514 1526 1 743 279 422 1318 25 19 13 109 RG2100H6N 1816 1 718 1 102 1 1507 389 1659 1689 1 806 406 448 1286 32 19 13 187 Propane models feature a Titanium Stainless Steel propane burner. For Propane(LP)models change suffix"N"to"X". For 10 year models,change suffix from"6"to"10"(Not available O on RG255H6N). O. ' Based on manufacturer's rated recovery efficiency. QR O" " M RG210OH6N model features hand hole cleanout. Uniform Energy Factor and First Hour Rating is based on the " latest AHRI directory listings. -I I-C —�c R0-111 G DSL A G F F 8 D6L s I l ®R—A _ R—�} )( O o K E K E o0 RG25OH6N/RG255H6NIRG275H6N RG2100HON General: Meets NAECA or EPACT Requirements,as applicable. All gas water heaters are certified at 300 PSI test pressure (2068 kPa)and 150 PSI working pressure(1034 kPa). All gas connections are 1/2" (13mm). All models design-certified by CSA International(formerly AGA/CGA),ANSI Z21.10.3 and peak performance rated(except RG25OH6N=ANSI Z21.10.1). Dimensions and specifications subject to change without notice in accordance with our policy of continuous product improvement. Suitable for Water(Potable)Heating and Space Heating. Toxic chemicals,such as those used for boiler treatment,shall NEVER be introduced into this system.This unit may NEVER be connected to any existing heating system or component(s)previously used with a non-potable water heating appliance. —BRADFORD WHITE IS— For field service,contact your professional installer or local Bradford White sales representative. in Sales 800-523-2931■Fax 215-641-1612 AME=-RICAN BRADFORD WNITE' Technical Support 800-334-3393■Email techserv@bradfordwhde.com STRONG- ,mDerFPA... Warranty 800-531-2111■Email warrantyr@bradfordwhite.com International:Telephone 1-215-641-9400■Email intemabonal@bradfordwhite.com/www.bradfordMite.com Built to be the Best" 1108-B-1218 ©2018,Bradford White Corporation.All rights reserved. Printed in U.S.A. GAS FURNACES ML180UHE LENNOX MERIT SERIES Upflow / Horizontal - Constant Torque Blower Motor - 60 Hz RESIDENTIAL Bulletin No.210825 November 2021 PRODUCT SPECIFICATIONS Supersedes July2020 .. , [fhV /I t] �p O❑p�pV M Zo R I T� SERIES j-)0 P ' I O ,J I I / AFUE - 80% Input - 44,000 to 132,000 Btuh Nominal Add-on Cooling - 1 .5 to 5 Tons MODEL NUMBER IDENTIFICATION ML1 80 UH 070 X E 36 B Unit Type ----------------------- i •----------------- 'Cabinet Width iML=Merit Series ' ' ' ' ' ' ; A=14-1/2 in. B=17-1/2 in. ' ' ' Stages ----------------- C=21 in. • � � � � � � 1 =Single Sta e ; ; ; ; ; D=24-1/2 in. AFUE --------------- ------------- Nominal Add-On Cooling Capacity 80=80 io ' 36=1.5-3 tons 48=2.5-4 tons Configuration --------- 60=3-5 tons 1UH=U flow/Horizontal -- Blower Nominal Gas Heat Input ---------• E=High Efficiency Constant Torque Blower Motor 045=44,000 Btuh 070=66,000 Btuh ' 090=88,000 Btuh -- Low NOx 110=110,000 Btuh X=Units meet California Nitrogen Oxides Standard 40 n /J 135=132,000 Btuh Indoor coils with the same letter designation physically match the furnace. FEATURE HIGHLIGHTS 0 r�2 Dodo 0000000' MI` o 1. Lennox Duralok`" Heat Exchanger Assembly A i 2. Inshot Burners 3. SureLight® Hot Surface Ignitor © X 4. Gas Control Valve 5. Combustion Air Inducer 6. Flame Rollout Switches 7. Power Saver' Constant Torque Blower 8. SureLight® Integrated Furnace Control r _ — f� 9. Insulated Cabinet �1 •i 10. Safety Interlock Switchr 11. Gas Piping And Electrical Inlets • 80E FURNACES ARE NOT .D, CONTENTS Approvals And Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 BlowerData . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Dimensions-Furnace/Coil Combined Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Dimensions-Optional Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Dimensions-Unit-Horizontal Position. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Dimensions-Unit-Upflow Position. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Gas Heat Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 High Altitude Derate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Installation Clearances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Optional Accessories-Order Separately . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 RAO 1 4m Iuc/o---,9 APPROVALS AND WARRANTY APPROVALS • AHRI Certified • Tested and rated according to US DOE test procedures and FTC labeling regulations • "X"models approved by the California Energy Commission and meets California Nitrogen Oxides Standard (NOx) limits of 40 ng/J • ISO 9001 Registered Manufacturing Quality System • Blower data from unit tests conducted in Lennox Laboratory air test chamber California Only • These furnaces do not meet the South Coast Air Quality Management District(SCAQMD) Rule 1111 and San Joaquin Valley Air Pollution Control District(SJVAPCD) Rule 4905 NOx emission limit(14 ng/J) and cannot be installed within the SCAQMD and SJVAPCD areas • All"X"model furnaces are approved by the California Energy Commission and meets California Nitrogen Oxides Standard (NOx) limits of 40 ng/J WARRANTY • Heat Exchanger: • Limited twenty years in residential applications • Limited ten years in non-residential applications • All other covered components: • Limited five years in residential installations • Limited one year in non-residential installations NOTE- Refer to Lennox Equipment Limited Warranty certificate included with unit for specific details. FEATURES APPLICATIONS HEATING SYSTEM • Input capacities of 44,000,66,000,88,000, 110,000 and O Lennox Duralok' Heat Exchanger Assembly 132,000 Btuh • Heavy gauge aluminized steel heat exchanger • Energy efficiency(AFUE)-80% • Crimped seam clamshell type design • Compact cabinet • Designed for normal expansion and contraction • Upflow, horizontal-left or horizontal-right applications • Minimum resistance to air flow • Lennox add-on indoor coils, high-efficiency air cleaners • Laboratory life cycle tested in excess of industry and humidifiers can easily be added to furnace standards • Shipped factory assembled with all controls installed • Compact size permits low overall design of furnace and wired cabinet • Ready for installation in upflow or horizontal right-hand position without any modifications 8 Inshot Burners NOTE- Horizontal left-hand position requires repositioning ' Aluminized steel inshot burners provide efficient,trouble free operation of pressure switch. • Burner venturi mixes air and gas in correct proportion for • Removable bottom seal panel shipped in place for side proper combustion return air is easily removed for bottom/end return air applications • Burner assembly is removable from the unit as a single • component for ease of service Each unit factory test operated to ensure proper operation © SureLight® Hot Surface Ignitor • Tough, reliable, long-life,trouble-free performance • Silicon nitride ignitor • Cemented to steatite block for protection against current leakage • Ignition leads are constructed of nickel plated copper and are enclosed in high temperature Teflon®insulation for dependable operation ..I,Qnl FEATURES HEATING SYSTEM (continued) BLOWER D Gas Control Valve ® Power Saver'" Constant Torque Blower Motor • 24 volt redundant combination gas control valve • Programmable high efficiency multi-speed blower motor. combines manual shut off switch (On-Off),automatic By maintaining constant torque output,blower motor electric valve(dual) and gas pressure regulation into a can deliver more uniform (but not constant)airflow over compact combination control the static pressure range ® Combustion Air Inducer • Programmable multi-speed operation is achieved by • Shaded pole heavy duty blower prepurges heat the use of an ECM (Electronically Commutated Motor) exchanger and safely vents flue products motor • Pressure switch proves blower operation before allowing ' Leadless blower motor features simple plug-in gas valve to open connections • Operates only during heating cycle • Controlled by the Integrated Furnace Control • Direct access allows inducer assembly to be rotated 90° • Blower speeds are easily changed on the integrated clockwise or counterclockwise to facilitate easy vent furnace control. See Blower Data tables attachment from either side of the cabinet in upflow Blower Assembly applications and from the top in horizontal applications • Lennox designed and built,direct drive blower ® Flame Rollout Switches (2) • Each blower is statically and dynamically balanced as an • Factory installed on the front of the burner box assembly before installation in the unit • Switches provides protection from abnormal operating • Blower motor is resiliently mounted to blower assembly conditions • Blower is easily removed for servicing • Manual reset Limit Control • Primary limit is accurately located on vestibule panel • Automatic reset Optional Accessories High Altitude Pressure Switch Kit • Required on most units for proper unit operation at altitudes from 4,501 to 7500 ft. Natural Gas to LPG/Propane Conversion Kit • Required for field changeover from natural gas to LPG/ Propane LPG/Propane to Natural Gas Conversion Kit • Required for field changeover from LPG/Propane to natural gas Vent Adaptor(Upflow Applications Only) • Allows venting through a in. masonry chimney without the O52mm) need of a flue liner • Manual reset temperature sensor protects against m abnormal operating conditions �18mm) • Sensor wiring may be routed from either side of adaptor • Minimum winter design temperatures: • -10°F when used with interior masonry chimneys • +5°F when used with exterior masonry chimneys NOTE-Refer to Winter Design Temperatures Map on page 8 for application information.Also refer to the installation instructions for detailed information. \II 14n11uc 1 one A FEATURES CONTROLS Optional Accessories 0 SureLight® Integrated Furnace Control iComfor1:6 M30 Smart Wi-Fi Thermostat • Contains all necessary controls and relays to operate • Wi-Fi-enabled,electronic 7-day, universal, multi-stage, furnace programmable,touchscreen thermostat • Combustion air inducer is operated by the integrated • 4 Heat/2 Cool furnace control • Auto-changeover • Prior to ignition,a pre-purge cycle for 15 seconds is • Dual-fuel control with initiated optional outdoor sensor • After the main burners are turned off, a post-purge cycle • Controls dehumidification for 5 seconds is run during cooling mode and • Flame sensor assures safe and reliable operation humidification during • Should loss of flame occur the integrated furnace heating mode control will initiate 4 re-attempts at ignition before • Offers enhanced capabilities including humidification/ locking out unit operation for 60 minutes dehumidification/dewpoint measurement and control, • Watchguard type circuit automatically resets ignition Humiditrol®control,and equipment maintenance controls after one hour of continuous thermostat demand reminders after unit lockout,eliminating nuisance calls for service • Easy to read 4.3 in. color touchscreen (measured • Fan control consists of adjustable blower timed-off diagonally) delay(60,90, 120, 180 seconds-factory setting 90 • LCD display with backlight shows the current and set seconds) and fixed blower timed-on delay(30 seconds- temperature,time, inside relative humidity, system heating,2 seconds-cooling) status (operating mode and schedules) and outside • For air-conditioning applications, blower is automatically temperature(optional outdoor sensor required) energized on thermostat demand for cooling • Smooth Setback Recovery starts system early to • Control has low speed continuous blower speed setting achieve setpoint at start of program period for humidifier or air cleaner operation • Compressor short-cycle protection (5 minutes) • Two accessory terminals furnished for additional power • Up to four separate schedules are available plus supply requirements for 120 volt(less than 1 amp) Schedule IQ' power humidifiers and powered air cleaners • One-Touch Away Mode-A quick and easy way to set the • One additional terminal is furnished for power supply cooling and heating setpoints while away requirements for 24V(less than 0.5 amp) low voltage • Smart Away"-Uses geo-fencing technology accessories to determine when the homeowner is within a • Ignition control has single red LED to indicate status and predetermined distance from the home to operate the as an aid in troubleshooting system when leaving,away and arriving • Last five codes are stored in non-volatile memory • Wi-Fi remote monitoring and adjustment through a (accessible by recall button on control)for servicing home wireless network for desktop PCs, laptops and 24 Volt Transformer apps for smartphones or tablets • Factory installed on outside of control box • Smart home automation compatible with Amazon • 40VA transformer has fuse wired in series Alexa°, Google Assistant and IFTTT • Service Dashboard features online real-time monitoring Field Wiring Make-up Box of installed iComfort°thermostats • Furnished for line voltage wiring NOTE-See the iComfort® M30 Smart Wi-Fi Thermostat • Factory installed internally on left side of furnace Product Specifications bulletin in the Controls • Box may be installed on right side of furnace section for more information. Remote Outdoor Temperature Sensor • Used with the iComforV1 M30 Smart Wi-Fi Thermostat • Outdoor sensor allows thermostat to display outdoor temperature F NOTE-Sensor is required for the Enhanced Dehumidification Accessory(EDA). Thermostat • Thermostat is not furnished with unit • Lennox Price Book for selection \AI I Onl IUC 1 Donn C FEATURES CONTROLS (continued) FILTER (Not Furnished) Optional Accessories (continued) • Filter and provisions for external mounting must be field provided Blower Relay Kit (For Use With Two-Stage Outdoor Units) Optional Accessories • Allows furnace blower speed changes when matched Air Filter and Rack Kit for Horizontal Return Air(End) with two-stage air conditioners or heat pumps Applications Furnace Twinning Panel • Washable or vacuum cleanable polyurethane frame type • Required to operate two identical furnaces filter and external end return air rack simultaneously from a single thermostat • Rack has filter door for servicing • For single stage conventional (1 heat/1 cool),multi- • Flanges on rack for duct connection stage conventional (2 heat/2 cool)and heat pump • Field installed (3 heat/2 cool)equipment • Can be used with common or separate ducted systems ' See dimension drawing • Contains PC Control Board with terminal strip Air Filter and Rack Kit for Upflow Side Return Air connections for thermostat and HVAC equipment NOTE- Not for use with Return Air Base • LEDs indicate system operating status • Washable or vacuum cleanable polyurethane frame type filter and external side return air rack available for field • Uses standard 18-gauge thermostat wire installation • Power Supply: 24 VAC,40VA(transformer not furnished) • Available in single and ten pack kits • Mounting base with hardware furnished • Rack has filter door for servicing • Dimensions (H x W x D): 10 x 5 x 2 in. • Flanges on rack for duct connection NOTE-Only identical furnaces should be twinned in order • Field installs on either side of unit cabinet to ensure that both furnace blowers start at the same time. If furnaces are not identical, back draft ' See dimension drawing dampers can be installed in either the supply or CABINET return duct. • Low-profile, narrow width allows easy installation Up to four identical furnaces can be twinned. • Heavy-gauge,cold rolled steel construction Requires two panels that are wired together. • Pre-painted cabinet finish Furnace Twinning Kit • Flue outlet on top of cabinet for upflow applications, • Required to operate two furnaces simultaneously can be relocated to either side of cabinet for horizontal • Kit consists of twinning relays,quick connect terminals applications and mounting hardware • Flanges provided on supply air opening for ease of • Used for single-stage heating/single-stage cooling with plenum connection or alignment with indoor coil a single-stage thermostat 0• Insulated with foil faced insulation on sides and back of Night Service Kit heating compartment • Contains most commonly used service parts: • Sealed blower compartment • Furnace Control • Inner blower compartment access panel seals blower • Ignitor compartment from air leakage • Flame Sensor • Complete service access • Gas Valve ®• Safety interlock switch automatically shuts off power to unit when blower compartment access panel is removed • Transformer 0• Gas piping and electrical inlets are provided in both sides of cabinet Low Leakage Cabinet • All models have less than 2%air leakage • Meets ANSI/ASHRAE Standard 193-2010"Method of Test for Determining the Air Tightness of HVAC Equipment" hAI i one tuc/o---A FEATURES CABINET(continued) Optional Accessories Bottom/Side Return Air Entry: Horizontal Suspension Kit • Upflow/horizontal with bottom return air entry: • Provides suspension of unit and indoor coil in horizontal • Remove furnished bottom seal panel from cabinet applications • Upflow only with side return-air entry: • Allows complete service access • Corners are marked on either side of cabinet for return ' Consists of corner mounted hanging brackets with air cut-out vibration isolators, return air end support rail and • See dimension drawings hardware for assembly •NOTE-60C and 60D size units that require air volumes Metal hanging straps must be field provided over 1800 cfm must have one of the following: Return Air Base • Single side return air and Optional Return Air Base with NOTE-On furnaces with side return air and condensate transition that must accommodate required 20 x 25 x trap on the same side of the cabinet,a field 1 inch air filter to maintain proper velocity fabricated transition or Return Air Base is required • Bottom return air when using an IAQ product higher than 14-3/16 inches installed next to the unit and serviced from • Return air from both sides the front. IAQ products higher than 20 inches • Bottom and one side return air require a field fabricated transition. • See Blower Performance Tables for additional NOTE-Must be used for 60C and 60D size models with information air volumes over 1800 cfm in upflow applications Coil Match-Up when only one side return is required. • All furnaces exactly match Lennox cased upflow indoor • Cabinet is shipped flat for easy field assembly coils and horizontal indoor coils with same letter • Pre-painted steel to match the furnace designation (A, B,C, D) in model number • See Dimension Drawing • No adaptor required • Engaging holes furnished on cabinet for alignment High Performance Economizer (Commercial Applications Only) • Lennox uncased coils match furnaces without any • Designed for applications requiring outdoor air to be overhang but require an optional adaptor base or field utilized in a commercial HVAC system fabricated transition to match furnace opening • Allows the entry of fresh outdoor air for free cooling, • See coil bulletin for additional information reducing the requirement for mechanical cooling • Heavy gauge galvanized steel cabinet lined with thick fiberglass insulation • Mixed air sensor,outdoor air sensor and 24VAC transformer furnished • Approved for California Title 24 building standards • ASHRAE 90.1-2010 compliant • See separate Product Specifications bulletin for additional information and available control and sensor options KAI 1 OAI IUC 1 Dena 7 99% WINTER DESIGN TEMPERATURES FOR THE CONTIGUOUS UNITED STATES 5 F -10F 17°F s -10F 27 F 5'F -10F 37 F 17F 27'F 37"F This map is a necessarily generalized guide to temperatures in the contiguous Unites States.Temperatures shown for areas such as mountainous regions and large urban centers may not be accurate.The data used to develop this map was taken from the 1993 ASHRAE Fundamentals Handbook(Chapter 24,Table 1: Climate Conditions for the United States). Reprinted with permission from NFPA 54: National Fuel Gas Code 1999, National Fire Protection Association, Quincy, MA 02269.This reprinted material is not the complete and official position of the National Fire Protection Association on the referenced subject,which is represented only by the standard in its entirety. RAI 14n1 Iuc/D---Q SPECIFICATIONS Gas Model No. ML180UH045E36A ML180UH070E36A ML180UH070E36B ML180UH090E48B Heating Model No. -Low Nox ML180UH045XE36A ML180UH070XE36A ML180UH070XE36B ML180UH090XE48B Performance 'AFUE 80% 80% 80% 80% Input-Btuh 44,000 66,000 66,000 88,000 Output-Btuh 36,000 53,000 53,000 72,000 Temperature rise range-°F 15-45 40-70 40-70 35-65 Gas Manifold Pressure(in.w.g.) 3.5/ 10.0 3.5/10.0 3.5/10.0 3.5/10.0 Nat. Gas/LPG/Propane High Static-in.w.g. 0.50 0.50 0.50 0.50 Connections Flue connection-in. round 4 4 4 4 in. Gas pipe size IPS 1/2 1/2 1/2 1/2 Indoor Wheel nom.dia.x width-in. 10 x 8 10 x 10 10 x 10 10 x 10 Blower Motor Type DC Brushless DC Brushless DC Brushless DC Brushless Motor output-hp 1/2 1/2 1/2 3/4 Tons of add-on cooling 1.5-3 15-3 1.5-3 2.5-4 Air Volume Range-cfm 350- 1380 625- 1435 395- 1415 750- 1785 Electrical Voltage 120 volts-60 hertz- 1 phase Data Blower motor full load amps 6.8 6.8 6.8 8.4 Maximum overcurrent protection 1 15 15 15 15 Shipping Data lbs.- 1 package 111 111 127 142 SPECIFICATIONS Gas Model No. ML180UH09OE60C ML180UH11OE60C ML180UH135E60D Heating Model No.-Low Nox --- ML180UH11OXE60C --- Performance 'AFUE 80% 80% 80% Input-Btuh 88,000 110,000 132,000 Output-Btuh 72,000 90,000 107,000 Temperature rise range-°F 30-60 35-65 30-60 Gas Manifold Pressure(in.w.g.) 3.5/ 10.0 3.5/ 10.0 3.5/10.0 Nat. Gas/LPG/Propane High Static-in.w.g. 0.50 0.50 0.50 Connections Flue connection-in. round 4 4 4 in. Gas pipe size IPS 1/2 1/2 1/2 Indoor Wheel nom.dia. x width-in. 11-112 x 10 11-1/2 x 10 11 x 11 Blower Motor Type DC Brushless DC Brushless DC Brushless Motor output-hp 1 1 1 Tons of add-on cooling 3-5 3-5 3.5-5 Air Volume Range-cfm 990-2290 920-2315 1140-2495 Electrical Voltage 120 volts-60 hertz- 1 phase Data Blower motor full load amps 10.9 10.9 10.9 Maximum overcurrent protection 15 15 15 Shipping Data lbs. - 1 package 152 160 178 NOTE-Filters and provisions for mounting are not furnished and must be field provided. 'Annual Fuel Utilization Efficiency based on DOE test procedures and according to FTC labeling regulations.Isolated combustion system rating for non-weatherized furnaces. INSTALLATION CLEARANCES UPFLOW POSITION HORIZONTAL POSITION Vent Type Type B1 Type C Vent Type Type B1 Type C Sides 0(0) ' 0(0) End ' 2 (51) ' 2(51) Rear 0 0 0 0 Rear 0 0 0 0 Top 1 25 1 25 Top 10(0) ' 0 0 Front 2-1/4 57 2-1/4 57 Front 2-1/4 57 2-1/4 57 Front service/alcove 24 610 24 610 Front service 24 610 24 610 Floorl Combustible Combustible Floor Combustible Combustible Flue 1 25 6 152 Flue 1 25 6 152 NOTE-Air for combustion must conform to the methods outlined in the National NOTE-Air for combustion must conform to the methods outlined in the National Fuel Gas Code(NFPA 54/ANSI-Z223.1). Fuel Gas Code(NFPA 54/ANSI-Z223.1). NOTE-In the U.S.flue sizing must conform to the methods outlined in the NOTE-In the U.S.flue sizing must conform to the methods outlined in the current National Fuel Gas Code(NFPA 541ANSI-Z223.1)or applicable current National Fuel Gas Code(NFPA 54/ANSI-Z223.1)or applicable provisions of local building codes. provisions of local building codes. Left side requires 4 in.if single wall vent is used on 14-1/2 in.cabinets,2 in.on Line contact installation permissible between jacket top or sides and building 17-1/2 in.cabinets. joists. \AI 1 OAI IUC/Dorm 0 OPTIONAL ACCESSORIES - ORDER SEPARATELY "A" Width "B" Width "C" Width "D"Width Models Models Models Models CABINET ACCESSORIES Horizontal Suspension Kit- Horizontal only 51W10 51W10 51W10 51W10 Return Air Base -Upflow only 65W75 50W98 50W99 51 W00 High Performance Economizer(Commercial Only) 1OU53 1OU53 10U53 1OU53 CONTROLS iComfort` M30 Smart Wi-Fi Thermostat 15Z69 15Z69 15Z69 15Z69 Remote Outdoor Air Temperature Sensor X2658 X2658 X2658 X2658 Blower Relay Kit(for two-stage outdoor units) 85W66 85W66 85W66 85W66 Furnace Twinning Panel Y3653 Y3653 Y3653 Y3653 Furnace Twinning Kit 16W72 16W72 16W72 16W72 FILTERS Air Filter and Rack Kit Horizontal (end) 871_95 871_96 871_97 871_98 Size of filter- in. 14x25x1 18x25x1 20x25x1 25x25x1 Side Return Single 44,122 44,122 44,122 44,122 Ten Pack 66K63 66K63 66K63 66K63 Size of filter- in. 16x25x 1 16x25x 1 16x25x 1 16x25x 1 NIGHT SERVICE KIT Night Service Kit I 84W47 84W47 84W47 84W47 VENTING Vent Adaptor- 6 in. conn. size upflow applications only I 18M79 I 18M79 18M79 I 18M79 Cleanable polyurethane.frame-type filter. GAS HEAT ACCESSORIES High Altitude Natural Gas to LPG/Propane Natural Gas Pressure Switch Kit LPG/Propane Kit to Natural Gas Kit High Altitude Input Orifice Kit 0 -4500 ft. 4501 -7500 ft. 7501 - 10,000 ft. 0 -7500 ft. 7501 -10,000 ft. 0 -7500 ft. 7501 -10,000 ft. 045 No Change 80W52 8OW51 11K49 11K44 73W81 73W37 070 No Change 80W52 8OW51 11K49 11K44 73W81 73W37 090 No Change 8OW52 80W51 11K49 11K44 73W81 73W37 110 No Change 8OW52 8OW52 11K49 11K44 73W81 73W37 135 No Change 80W52 80W51 11K49 11K44 73W81 73W37 HIGH ALTITUDE DERATE NOTE- Units may be installed at altitudes up to 2000 ft. above sea level without any modifications. At altitudes above 2000 ft. units must be derated to match information in the shaded areas shown below. NOTE-This is the only permissible derate for these units. Gas Manifold Pressure (Outlet) in.w.g. Line Pressure-in.w.g. Input 0 -2000 Feet 2001 -4500 Feet 4501 -7500 Feet 7501 -10,000 ft. Minimum Natural LPG/ Natural LPG/ Natural LPG/ Natural LPG/ Natural LPG/ Maximum Gas Propane Gas Propane Gas Propane Gas Propane Gas Propane 045 3.5 10 3.2 10 3 10 3.5 10 4.5 11 13 070 3.5 10 3.2 10 2.8 10 3.5 10 4.5 11 13 090 3.5 10 3.2 10 2.7 9.6 3.5 10 4.5 11 13 110 3.5 10 3.5 10 3 9.6 3.5 10 4.5 11 13 135 3.5 10 3.5 10 2.9 9.6 3.5 10 4.5 11 13 Natural Gas High Altitude Orifice Kit required. r,ei i oni we i D---i n DIMENSIONS - UNIT - UPFLOW POSITION 3-1/8(79) 1 NOTE-60C and 60D size units that require air volumes over 1800 cfm must have one of the following: a 6 a 6 1.Single side return air and Optional Return Air Base 6 a a 6 with transition that must accommodate required D 20 x 25 x 1 inch(508 x 635 x 25 mm)air filter to maintain proper velocity. + 2. Bottom return air. SUPPLY AIR 3. Return air from both sides. OPENING 4. Bottom and one side return air. FLUE OUTLET a 6 0 0 0 See Blower Performance Tables for additional information. (Top) 00006 110,06000 2 Flue outlet may be horizontal but furnace must be 6 6 6 6 6 vented vertically 6 6 6 6 6 3 Optional External Side Return Air Filter Kit is not for use with the optional Return Air Base. 3 OPTIONAL �23-3/4 oil EXTERNAL (603) SIDE RETURN 25 AIR FILTER KIT (635) (Either Side) TOP VIEW 3/4(19) 27-3/4 Front Panel (705) A 3-1/4(83) B 9/16(14) 3 4(1 Right 1(494) (14) 9/16 6-3/4(171)Left (494) (14) r1 2 FLUE OUTLET fl (Either Side) 9-1/8(232)Right 3OPTIONAL 8-5/8(219)Left 1° ELECTRICAL INLET o o o IM I' o o o o / (Either Side) oeeeoe000.... EXTERNAL 00000eaeeg00000c SIDE RETURN oocoa0000d AIR FILTER KIT 0 0 0 0 0 0 0 o e e e e e (Either Side) 33 5-3/8( ) g 137 Right \GAS PIPING INLET G O O O O O O O O O O G O p e e c e o c o 0 0 0 0 0 (838) 2-3/16(56)Left (Esther Side) p o 0 0 0 0 o v e e e v e 1 —————————— ELECTRICAL/O I 23 I 1 1/2 I ® I i 14-3/4 INLET(Either Side) (584) (38) (375) 1I 'Side Return 14 I 16 I Air Opening (356) (406) I (Either Side) I I -J 1-15/16(49) C 5/8 3/4 3/4 (1 6) 3-1/4 23-1/2 (19) (19) (83)4 (597) 'Bottom Return 'Bottom Return Air Opening Air Opening FRONT VIEW SIDE VIEW A B C D Model No. in. mm in. mm in. mm in. mm ML180UH045E36A 14-1/2 368 13-3/8 340 13 330 4-3/4 121 ML180UH07OE36A ML180UH07OE36B 17-1/2 446 16-3/8 416 16 406 6-1/4 159 ML180UH09OE48B ML180UH09OE60C 21 533 19-7/8 504 19-1/2 495 8 203 ML180UH11OE60C ML180UH135E60D 24-1/2 622 23-3/8 594 23 584 9-3/4 248 •n I orn iuc 1 0—11 DIMENSIONS - UNIT - HORIZONTAL POSITION LEFT-HAND AIR DISCHARGE 'Flue outlet may be from end but furnace must be vented vertically GAS PIPING INLET (Top or Bottom) 9-1/8(232)Top AIR 8-5/8(219)Bottom FLOW ELECTRICAL INLET FLUE OUTLET (Top or Bottom) (Top) \� -E/ 3/4(19) 3(76) + e J�� Front Panel 6-314 5-3/8(137)Top T II (171) 2-3/16(56)Bottom TOP VIEW 27-3/4 ' FLUE 33 27-3/4 (705) 9/16 OUTLET �(838)� 3/4 (705)� (14) (End) (19) Diego o.oge eoee Daoo 9/16 19-7/16 Deals e000 aaaD 4-1/4 23-1/2 Deals nos Dsss (14) (494) Dee.o ease DSDs 0 (108) (597) Be loss loss .ssg snno AIR SUPPLY B A i000 000u FLOW A C RETURN AIR DeoD aeas AIR i000 0000 OPENING D I eseD eaaa OPENING oe ■ g000 asap END VIEW 3 1/'$ FRONT VIEW END VIEW (79) RIGHT-HAND AIR DISCHARGE ' Flue outlet may be horizontal but GAS PIPING INLET furnace must be vented vertically (Top or Bottom) AIR ELECTRICAL INLET FLOW 6-3/4 ' FLUE OUTLET (Top or Bottom) (171) (Top) (19 Fro t/Panel- ° 3(76) 25/16(56)Top 5-3/8(137)Bottom 8-5/8(219)Top TOP VIEW 9-1/8(232)Bottom 27-3/4 011 33 'FLUE OUTLET 27-3/4 �(705)� (838) (End) (79) (705)� g. .s gs.. goes D 23-1/2 4-1/4 goes I— 19-7/161*1 (597) (108) ae.■ soon + (494) 9/16 AIR Doge sego Doge sooD RETURN C A FLOW♦ NN: 000o A SUPPLY B (14) O Doge DDss Dgess AIR :De■ nnos ee000 AIR OPENING Dos.sees DDDa egeen OPENING ssoD ogaae Dg.. ones DeesD u000 3/4 9/16 END VIEW (19) FRONT VIEW END VIEW (14) A B C D Model No. in. mm in. mm in. mm in. mm ML180UH045E36A 14-1/2 368 13-3/8 340 13 330 4-3/4 121 ML180UH070E36A ML180UH07OE36B 17-1/2 446 16-3/8 416 16 406 6-1/4 159 ML180UH09OE48B ML180UH09OE60C 21 533 19-7/8 504 19-1/2 495 8 203 ML180UH11OE60C ML180UH135E60D 24-1/2 622 23-3/8 594 23 584 1 9-3/4 248 RAI I oni euc i 0---Io DIMENSIONS - OPTIONAL ACCESSORIES HORIZONTAL (END) FILTER KIT 1-1/4 24-3/4 (32) 56) (629) 5/8 n Furnace Catalog A B (16) Cabinet Number Width in. mm in. mm B RETURN A 871-95 14 356 12-3/4 324 A AIR I=> B 871-96 18 457 16-3/4 425 OPENING AIR FLOW 5/8 C 871-97 21 533 18-3/4 1 476 (16) 23-1/2 D 87L98 25 635 23-3/4 603 (597) I AIR FILTER/U 5/8 (Furnished) (16) SIDE VIEW FRONT VIEW Optional Return Air Base (Upflow Applications Only -For use with A, B, C and D cabinets) GGGGOO GGGGGG FURNACE p GGGGGGGGGGOG/ FRONT G G G O G G G G O O O O O Qr_____-__ IF BASE 23(584) IS USED ) 3-1/4 Imo_ Overall CmD WITHOUT (83) (Maximum) ' Minimum INDOOR AIR IAQ CABINET, I 11 (27g) A SINGLE 2 Maximum QUALITY RETURN AIR I 1 Unit side return air 22 7/16 CABINET PLENUM I Opening 14(356) I Overall AIR FLOW (PCO,Filter MUST E_ _______ _J Cabinet,etc.) COVER BOTH (Maximum) UNIT AND \ RETURN SIDE RETURN AIR BASE \ 7-1/4 5-5/8 AIR OPENINGS OPENINGS ) (184y ) (143) Either Side) L r OPTIONAL\ 23 14-1/2(368)A Width(65W75) RETURN (584) 3/4 17-1/2(446)B Width(50W98) AIR BASE 26-7/8 (19) 21 (533)C Width(50W99) (683) 24-1/2(622)D Width(51W00) SIDE VIEW NOTE-Optional Side Return Air Filter Kits are not for use with Optional Return Air Base. Both the unit return air opening and the base return air opening must be covered by a single plenum or IAQ cabinet. Minimum unit side return air opening dimensions for units requiring 1800 cfm or more of air(W x H): 23 x 11 in.(584 x 279 mm). The opening can be cut as needed to accommodate plenum or IAQ cabinet while maintaining dimensions shown. Side return air openings must be cut in the field.There are cutting guides stenciled on the cabinet for the side return air opening.The size of the opening must not extend beyond the markings on the furnace cabinet. 2 To minimize pressure drop,the largest opening height possible, up to 14 in.(356 mm), is preferred. •11 14fl11YC/0-1'2 DIMENSIONS - FURNACE/COIL COMBINED DIMENSIONS UPFLOW POSITION C35/CX35 C35 Model No Cased Uncased A B A B C35/CX35 in. mm in. mm in. mm in. mm C35/CX35-18/24A 16-1/2 419 49-1/2 1257 14-1/8 359 47-1/8 1197 C35/CX35-18/24B C35/CX35-24A C35/CX35-246 18-1/2 470 51-1/2 1308 16-3/8 416 49-3/8 1254 � --- 20-1/2 521 53-1/2 1359 --- --- --- --- C35/CX35-30A C35/CX35-30B 22-1/2 572 55-1/2 1410 20-3/4 527 53-3/4 1365 C35/CX35-30/36A C35/CX35-30/36B 24-1/2 622 57-1/2 1461 22-1/4 565 55-1/4 1403 ar B C35/CX35-30/36C I I C35/CX35-36A 24-1/2 622 57-1/2 1461 22-3/8 568 55-3/8 1407 33 C35/CX35-3613 A (83$) --- 24-1/2 622 57-1/2 1461 --- --- --- --- C35/CX35-48B 27-1/2 699 60-1/2 1537 26-1/4 667 59-1/4 1505 C35/CX35-48C ' 24-1/2 622 57-1/2 1461 ''a;e< C35/CX35-49C 29-1/2 749 62-1/2 1588 28-1/2 724 61-1/2 1562 C35/CX35-50/60C 27-1/2 699 60-1/2 1537 25-7/8 657 58-7/8 1495 --- 25-1/2 648 58-1/2 1486 --- --- --- --- CX35-60C 31-1/2 800 64-1/2 1638 30-5/8 778 63-5/8 1616 CX35-60D 29-1/2 749 62-1/2 1588 28 711 61 1549 HORIZONTAL POSITION A B Model No. in. mm in. mm CH35 CH35-18A, CH35-36A, 26-1/2 673 59-1/2 1511 B 33 CH35-24A, CH35-366, (838) CH35-2413, CH35-36C, CH35-3013, CH35-42C, A � CH35-48C CH35-30A, CH35-51C 31-1/2 880 64-1/2 1638 CH35-42B, CH35-4813, CHX35 CHX35-18A, CHX35-36A, 26-1/2 673 59-1/2 1511 CHX35-24A, CHX35-36B, CHX35-2413, CHX35-36C, ° CHX35-3013, CHX35-42C, CHX35-48C CHX35-30A, CHX35-51/61C, 31-1/2 880 64-1/2 1638 CHX35-426, CHX35-60D CHX35-486, \AI 14n1 IUC 1 o---1 A SL v 0 1 71"11 IVOl IY7 OlZ OZ8 98Z Ob0L OL£ Obll OL£ OLZL d/N `d/N 08,0 ON 098 SLZ 9601 SOE SL I T 09E ONE SLb SbS L OL'O S8L SL6 99Z OSLL 06Z OLZL OSE OSEL OLb 0691 OTT 08I 996 SSZ 08LL 98Z 99ZL SEE 96EL SSb 9L9L O9"0 99L OLOL ObZ ObZL OLZ OLEL OZ£ SEbL Obb Sb9L Ob'0 SSL 990L OEZ SLZL 09Z SbEL SOE 09vL SEb 069E 0£'0 SbL GILL SLZ OLEL SbZ 08EL 06Z SOS Slb OELL OZ'0 OEL OVLI SOZ OSEL OEZ OZbL SLZ SESL 96E SSLI OL'0 OZL 06LL 06L 96EI OZZ Obtbl OLZ OLSL 08E S8LL 00,0 s;;eM w;o s;;eM w;o sueM wlo slleM w;o slleM w;o -6-M -ul (pad) (mollaA) (aol8) (uMoig) (loel8) ainssaJd mod mo-l-wnipoW wnipoW y61H-wnlpaW 461H o1;e;s spaads jamo18 snoPen;e s;;eM/awnlon jib' leuJalx3 (Ja;11d ssal) 33NVWH0-AN3d 88V3060Hnosvlw Sbl Sbb ON S£L SOZ 06L SbZ 9Z6 99E 09L1 08,0 ObL ObS 06L 06L SOZ SS8 S£Z 000E OS£ 06L1 OL'O S£L 9Z9 08L 998 06l OZ6 OEZ SbOI SEE SZZL 09,0 SZl 969 OLL 0£6 08I 086 SLZ SELL SZE SbZL OS'O OZL OLL 09L OL6 SLL SLOL SOZ SSLI OLE 06ZL Ob'O OLL SZ8 SSL S£OL 09L 090L ON 06L1 00£ 0££L 0£'O ON S88 ObL 080L OSL OLLL S8I SZZL 06Z SS£L OZ'0 S6 SS6 0£L 0£LI Sbl SbLL OLL 96ZI 08Z SLbL OL'0 --- --- --- --- --- --- --- - - --- --- 00,0 s;;eM w;o s;;eM w;o sueM w;o sueM w;o SUM w;o -6-m -ul (pad) (mollaA) (ael8) (umoi8) (�:)el8) ainssaJd mod mo-l-wnlpaW wnlpaW y6iH-wnipoW y61H oilels spaads aamol8 snoiaen;e s;leM/awnloA jib' I leuJalx3 0810d ssa-1) 30N`dWNOJN3d 89E30LOHnogviW 9El SZ9 l61 OE8 bOZ 098 bbZ SL6 bSE SIZE 08'0 6ZL 999 £8I S98 96L 906 S£Z OWL bbE OSZL OL 0 SZL SOL SLL 906 L8L O96 bZZ ObOI IbE S8ZL 09'0 Lll 09L 69L Sb6 LLL 086 9lz SLOT SZ£ OIEL OS 0 OLL 96Z 09L 996 ZLL SIN 90Z SOLE LLE SEE Ob'0 ZOL Sb8 ESL SZOI b9L SSOL 96L SbLI EN 99EL 0£ 0 86 SL8 LbL 090L bSL 060L L8L OLLL 06Z OObL OZ'O 88 OE6 EEL 960E Lbl OZLL 8Ll SLZL Z8Z S£bL OLO --- --- - --- --- --- --- --- --- --- 00'0 s;;eM w;o s;;eM w;o sueM w;o slleM wIo SUM w;o -6-m -ul (pail) (mollaA) (an18) (umoi8) (1oe18) aanssaJd mod mo-l-wnlpaW wnlpaW y6iH-wnlpaW 461H oilels spaads aamo18 snolJen;e s;;eM awnlon jibs leuJa;x3 Oa;113 ssa-) 33NVWN0J83d VK30LOHnoinW OZL 08E OSL SES 08L OL9 SbZ 088 OS£ OELL 08'0 Sll SEb ObL US OLL SOL S£Z 9L6 ObE 99LL OL O 011 009 SEL OE9 99l OSL OEZ 9b6 0££ 06LL 09'0 OOL S£S SZL 099 SSL 06Z SIZ 066 SlE OEZL OS'O 96 969 OZI OLL SbL SZ8 SOZ OIOI ME S9ZL Ob'0 06 Ob9 OLL OSL SEL SL8 ON SSOI 96Z 06ZL OE 0 98 OOL SOL 909 SZL 006 06L 090L S8Z OZEI OZ'O ON 998 SOl 099 OZL O96 SLl OZLL OLZ Svc OL'0 SOL 9b6 SLL 9L6 OZl 966 99L SSLL 99Z 08EL 00,0 slleM wlo slleM w;o sueM w;o slleM w;o slleM w;o -6-m -ul (pad) (Mollah) (ael8) (umoig) (rel8) amssaJd mod mo-l-wnlpaW wnlpaW y6iH-wnlpaW 461H oilels spaads aamol8 snoiaeA le s;leM/awnlon aid leuwa;x3 00411d ssa-1) 30NVWN0=lN3d`d9E39V0Hno9vlW VIVO d3MO18 BLOWER DATA ML180UH09OE60C PERFORMANCE (Less Filter) Air Volume/Watts at Different Blower Speeds Bottom Return Air, Side Return Air from Both Sides or Single Side Return Air-Air volumes in bold (over 1800 Return Air from Bottom and One Side. cfm) require Optional Return Air Base and field fabricated External transition to accommodate 20 x 25 x 1 in. air filter in order to Static maintain proper air velocity. Pressure in. w. Medium- Medium- Medium- Medium- 9• High Medium Medium High Low (Red) High High Low Low (Black) (Brown) (Blue) (Yellow) (Red) (Black) (Brown) (Blue) (Yellow) (Red) cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts 0.00 2255 640 1940 420 1750 310 1580 230 1485 185 2290 655 1980 425 1775 310 1605 235 1495 195 0.10 2200 655 1910 440 1705 315 1535 240 1385 190 2250 675 1945 445 1730 320 1555 245 1400 190 0.20 2150 675 1865 450 1655 340 1490 260 1340 205 2210 695 1885 465 1680 340 1510 265 1350 205 0.30 2125 695 1835 475 1635 355 1450 275 1285 215 2165 7151850 475 1645 355 1470 275 11285 215 0.40 20901 715 1800 495 1585 370 1405 285 1235 230 2135 720 1810 490 1595 370 11410 290 1225 230 0.50 2060 735 1760 510 1545 385 1370 305 1200 245 2070 735 1765 515 1545 390 1370 305 1180 245 0.60 2020 750 1725 525 1515 405 1320 320 1145 255 2030 760 1715 530 1495 405 1325 320 1140 255 0.70 1980 765 1680 540 1465 420 1265 330 1105 270 1990 775 jj685 540 1450 425 12651 330 1095 270 0.80 1935 785 1635 560 1420 435 1225 350 1055 285 1950 795 1645 560 1415 435 1225 345 1040 285 ML180UH11OE60C PERFORMANCE (Less Filter) Air Volume/Watts at Different Blower Speeds Bottom Return Air, Side Return Air with Return Air from Single Side Return Air-Air volumes in bold (over 1800 Both Sides or Return Air from Bottom and One Side. cfm) require Optional Return Air Base and field fabricated External transition to accommodate 20 x 25 x 1 in. air filter in order to Static maintain proper air velocity. Pressure in.w. Medium- Medium- Medium- Medium-g• High High Medium Low Low High High Medium Low Low (Black) (Blue) (Red) (Black) (Blue) (Red) (Brown) (Yellow) (Brown) (Yellow) cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts 0.00 2230 635 1945 430 1715 295 1555 230 1470 185 2315 645 1990 415 1780 300 1610 230 1510 200 0.10 2180 655 1905 445 1690 305 1510 240 1340 175 2260 655 1945 425 1740 315 1550 240 1400 185 0.20 2135 680 1865 465 1630 330 1470 260 1280 190 2210 680 1895 450 1680 335 1510 255 1350 200 0.30 2090 695 1830 480 1595 345 1440 275 1235 200 21651 700 1850 465 1650 355 1455 275 1285 210 0.40 2050 715 1785 495 1550 360 1385 285 1175 210 2130 715 1830 485 1585 365 1395 285 1230 225 0.50 2025 730 1740 520 1500 375 1340 300 1130 225 2095 730 1770 500 1535 385 1365 300 1175 235 0.60 2010 750 1710 535 1470 390 1305 320 1080 240 2055 755 1725 515 1495 400 1305 315 1135 250 0.70 1965 755 1670 555 11420 410 12551 330 1015 255 2000 765 1675 535 1465 410 1255 325 1080 265 0.80 1905 785 1635 560 1380 425 1215 350 975 270 1965 785 1640 555 1400 425 1210 345 1025 275 RBI 1 Q nI RUC /D---I A BLOWER DATA ML180UH135E60D PERFORMANCE (Less Filter) Air Volume I Watts at Different Blower Speeds Bottom Return Air, Side Return Air with Return Air from Single Side Return Air-Air volumes in bold (over 1800 Both Sides or Return Air from Bottom and One Side. cfm) require Optional Return Air Base and field fabricated External transition to accommodate 20 x 25 x 1 in. air filter in order to Static maintain proper air velocity. Pressure in. w. Medium- Medium- Medium- Medium-9• High Medium Low High Medium Low (Black) High (Blue) ( ) ( )Low Red Black High Low (Red) (Brown) (Yellow) (Brown) (Blue) (Yellow) cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts cfm Watts 0.00 2495 755 2295 590 2045 435 1845 315 1650 230 2365 725 2295 575 2005 410 1820 300 1635 235 0.10 2440 780 2220 620 2015 445 1820 330 1615 245 2350 745 2210 595 2000 435 1745 320 1530 230 0.20 2390 790 2175 640 1935 470 1735 350 1550 255 2330 775 2175 625 1945 455 1730 330 1490 250 0.30 2360 805 2140 655 1895 490 1720 370 1485 275 2245 785 2135 645 1895 475 1655 355 1425 265 0.40 2285 835 2125 675 1850 510 1660 380 1455 290 2215 810 2085 660 1840 495 1600 375 1385 285 0.50 2240 860 2060 690 1815 535 1610 400 1415 310 2175 825 2045 680 1815 505 1590 390 1340 290 0.60 2225 865 2015 715 1785 550 1535 420 1330 320 2125 845 1995 700 1765 530 1525 405 1300 310 0.70 2160 895 1955 735 1755 570 1500 440 1265 340 2095 865 1950 710 1700 545 1485 420 1260 325 0.80 2105 905 1925 750 1715 580 1435 450 1215 345 2065 880 1890 725 1680 565 14151 445 112051 345 \AI 1 onl Iuc/In--17 REVISIONS Sections Description of Change Optional Accessories Added Furnace Twinning Panel DESIGIy 0%1 Road CERTIFIED- , SP �ERiIF1E� L ENNIXX Visit at www.lennox.com For the latest technical information, www.LennoxPros.com ® Contact us at 1-800-4-LENNOX NOTE-Due to Lennox'ongoing commitment to quality,Specifications,Ratings and Dimensions subject to change without notice and without incurring liability. Improper installation,adjustment,alteration,service or maintenance can cause property damage or personal injury. Installation and service must be performed by a qualified installer and servicing agency. ©2021 Lennox Industries,Inc. qII % ¢qn _ 1 G t..• R i(... � . �j ����� � r t M��t3+' �� �I� ,�rf'�•�r-`��a �� cp �'AB:L�_.. �� ;5cr rdP4 Ci �c�"''q ZI C.) L o .-!::I O I poly �. C4 L4-4 r- O c f hr: °q� cOi W F c 0 Val D�� r. p cGCcco �k 'CD DD s�1��.- d�•r-� rod • ((''''�� i ,,, .=���s' �: a °' =f, `Y U)ckn Imo= ® w >?5cro i Oz 0 MIA cu ,�o� � r� •b � I -�f gam•.'',-r,,� _ bA y 4 m dui d 'U N r,`_ •` `'. � �^ .$ �jdaPa PPPI'' c°•�. �;.tl�{4o-�ltkq�t,._t°"``�' -`_.tbi4°CQo4d�°:n:, _ �s r��4�lgdrl�:`_ :;c�.,t1dddGQ6ttlr��"• `:�t,llbddd�_':�;' '�'�:_ d(id d�a ,G•=_ D O •-�rid �� r �� �}�Q'�o-i�%`Q'`•`�th-�°�pl �i���ffsai�` ��aab,�_fU=r�A� i EO�Ybd- �°•� l�S � �:apPt+o-r p ..q �,i`fd6P��P� t�d4o�g�r`- 2� '� /'g"�dr,:I• !!xyP c '•ramJj �t 8 �;,,� U°!.r'r.�.,�t thJ t���•,�,.,•^R.� r n-• ,�-.'� �,:�.'r;� ail � rt. �r Ual7 �.v`' '�'_.ry � • ,. .-:!, b �;•' ,r..:r" �rl .m �� ' 'Str. �. •� za;-•::• :�•• •.>5:�:. .��,a,' •1� s• 3:;�.._4t;�.:,� "vrsY'�w,`.y..�..n ..A. - '� �. r ✓ ?'IG S '` v. 1. '3, Jl( .rr+ ty:4— .. Au CERTIFICATE OF LIABILITY INSURANCE �'�Im 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. It SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer ri Ms to the Certificate holder in lieu of such en rsement s. PRODUCER CONTANAME:CT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE:P.O.BOX 328 A/CNNo EXI:W8-333-4949 A/C Np:$07446.4664 OJYATONNA,MN 56060 ADDRESS:CLIENTCONTACTCENTER FEDINS.COM IN3URER(S)AFFORDING COVERAGE NAIL# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 194-905-6 INSURER e:FEDERATED SERVICE INSURANCE COMPANY 28304 SILA SERVICES,LLC INSURERC: 55 LAFAYETTE AVE WHITE PLAINS,NY 10603-1613 INSURER 0- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:550 REVISION NUMBER:4 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 LTR TYPE OF INSURANCE L SUBR POLICY NUMBER NPoLICV EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000.000 —MS-MADEX OCCUR DAMAGE TO RENTED $100 000 MED EXP(Any errs.penmd EXCLUDED B F N 6126464 08/26/2021 08/26/2022 PERSONAL S ADV INJURY $1,000,000 FILAOGR EL RIMIT APPLIES PER: GENERALAGGREGATE $2,ODO,000 OLICY JEC LOC PRODUCTS-COM—P AGO $2,000,000THER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 000 000 X ANY AUTO BODILY INJURY(Per person( OWNED AUTOS ONLY SCHEDULED B AUTOS N N 612648$ 08/26/2021 08/26/2022 BODILY INJURY(Par a«idan0 HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $20,000,000 B EXCESS LIAR CLAIMS•MAgi N N 6126487 08/26/2021 08/26/2022 AGGREGATE $20,000,000 DED I RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY X PER STATUTE ER ANY PROPRIETORIPARTNERIEXECLMVE E.L. ACH ACCIDENT S500 000 YIN E.L.A OFFICERIMEMBER EXCLUDED' NIA N 1807146 08/26/2021 08/26/2022 E.L pSEASE-EA EMPLOYEE 5500�000 (Mandelory In WIN) It yes.d8SRIIS Isldar E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS balow $ �� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addidoml Relnarss Sd,ed,de,fray be aeaUrod it more space is n➢gWred) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - STATE OR POLITICAL SUBDIVISIONS - PERMITS ENDORSEMENT FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION 194-905-6 5504 VILLAGE OF RYE BROOK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 938 KING ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RYE BROOK,NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _ G O 19BB-2015 ACORD CORPORATION.AN rights reserved. ACORD 26(2MGM) The ACORD name and logo are registered marks of ACORD Nlw Workers' CERTIFICATE OF A 'OofTspenatacsft NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board Ia.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of insured #194-905-6 (610)491-9400 SILA SERVICES,LLC 55 LAFAYETTE AVE tc.NYS Unemployment Insurance Employer Registra5on Number of WHITE PLAINS,NY 10603-1613 Insured Work Location of Insured(Only required if coverage is specnccai.'y limited to Id.Federal Errployer Identification Number of Insured or Social Security certain locations in New York State.i.e..a Wrap-Up Policy; Number 85-t 645731 2.Name and Address of Entity Requesting Proof of Coverage 3a.Nana of Insurance Came, Entity Being Listed as;he Certificate Holder) Federated Mutual Insurance Company #550 Village Of Rye Brook 3b.Policy Number of Entity-sted in Box"Ia" 933 King St 1W7146 Rye Brock,NY 10573-1226 3c.Policy effective per-lod 08i26i2021 to 08126,'2022 3d.The Proprietor,Partners or Executive Officers are ^1 included.jaity:;heck box R all partners/officers irduded) all exclWed or certain partners/officers excluded. This certifies that the Insurance carrier Indicated above.In box`3"insures the hus�iness referenred above In box-1 a"for workers' compensation under the New York Stata ii"jorkers'Compersation 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 wit!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 or.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 ii rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed,Ix,)r does it confer any rights or responsibilities beyond those containod 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 t-.y. lessica Mundt (Print name of aulhorved mpresereati'-ve or licensed agm:of irxmrence carrier'; Approved by: �1 ,�� .--7 05/03/2022 (Signature) (Date} Title:Authorized Representative Telephone Number of authorized representative or licensed agent of insurance carrier:(888)333-4949 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) veanv.wCb.r.y gov