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HomeMy WebLinkAboutMP23-107 QR 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 January 12,2024 Douglas Conrad&Judith Fried Conrad 42 Talcott Road Rye Brook,New York 10573 Re: 42 Taicott Road, Rye Brook,New York 10573 Parcel ID#: 135.50-1-10 This document certifies that the work done under Mechanical Permit #23-107 issued on 7/13/2023 for the installation of two new heat pump split systems and ductwork has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to QyE BRC�k. t7 BUILDING DEPARTMENT ❑$UILDING 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 - - - - - - -- - - - - - - - - - - - - U7 ADDRESS :- / Z /a L Co c` DATE: o Z o z- PERMIT# r{1P Z3 7 ISSUED: -13-13 SECT: I35•J-0 BLOCK: ! LOT: LOCATION: ASP "'1C�J`t r cC. li/cep OCCUPANCY: Z/L) ❑ Violation Noted THE WORK IS... PASSED ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ Natural Gas Q A-t L' 6,a�,�Lc �4 ❑ L.P. Gas ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION [FINAL ❑ OTHER �E BRC��, - 1982- 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 : / 2- A C 7T Kc: " DATE: 1 Z PERMIT# n? P 2-3 ' /O 7 ISSUED: -/J-2- SECT:433-• -Fa BLOCK: i� LOT: y LOCATION: S£mF�/7` L p r 4 �,Je l Z 7 1 I/w? _ OCCUPANCY: Z /�� ❑ Violation Noted THE WORK IS... ❑ PASSED B FAILED / REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / ❑ Natural Gas /V f=i= D f/U ❑ L.P. Gas O N S ,q IV .s d(/ D /2>c 1�4 ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION [�FINAL ❑ OTHER Y a a e = s s s M C C .r 6J : �P.4II �i rA y W G. p 27P « � 0-4 RRyy � Q i a ►�•� W � � d W � t3.� � � �, vs v rlPL4 o z s T-4 � «� � z ° � co O H o o -z a W a z � z .-It � v , H ;; 3 o ci E"y C+ V z b ON v O a A F., g « w y > O y`O; U zca° a.� V �r U "t 0 C w z � " d 1--I O p (, O o N �-I U O v � F+K y, I > o 0 � W F a o A z w 1 U a (15 a e a pMCEE WE BUILDING: ARTMENT VILILAGE OF RYE BROOK JUL 12 2023 938 KING§TREET RYE M64,NY 10573 (9I4)939-0668 VILLAGE OF RYE BROOK www ye bmk�aI! BUILDING DEPARTMENT APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING VENTILATION AND/OR Aip,CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: !'�/�d '—�C� 7 Approval Date: Permit Fee: $ /` Approval Signature: Other: Disapproved: (fees arc non-refundable) REQUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. 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#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. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. ***,t****r,rr�c**.�•r�r*,�*,�******�a�*�r****x**+*****,�**�r**�r*,�***�*�r*****�*******w,r*�r**,�*****�e**�***,r*�**x� Application dated, /— —tlD is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC 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. / © �_f 7 / I. Address: /�_, /�000Y SBL: 136 i 50 4-/O Zone: Je c 2. Property Owner: LL"z t A Address: Phone#: 9/5/ V/7 -7-?O I Cell#: email: 3. Contractor: ,d z k Address: yr'J�AZ, t,1�`if A" Phone Ar 31 12}oa Cell#: email:/Pi{I4�z 7_.4 -7 4 4. Scope of Work:New Installation( )•Replacement iy•Removal( )•Other 5. JistEquipments ,[�d�T"�4ur�r/Js ! vT o N 6. Location of Equipment: ('r.>/.% p� cJtiSt •�smart f /ova .0 c��� 7. Method of Installation/Removal(list all equipment needed to perform job): 1 3/3/2023 STATE OF NEW ORK_,,BOUNTY OF WESTCHESTER ) as: kt//(���`� ,being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Heating,Ventilation and/or Air Conditioning Contractor for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this day of tu 20-2-1— day of ( ,202J MhV CJ i cure o Pro rtY wner Signature of Applicant Print ,Nam �f Property Owner Print Name of Applicant Notary Public Notary Public VOLKERT E.BRAREN NOTARY PUBLIC,State of New York DAE GON KIM No.01BR-4759109 Notary Public, State of New York Qualified in Westchester County Commission Expires License Number: 01 K16396277 Expiration Date, 08/19/20?t� 9ualifleci In Westchester Coun y This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owncr(s)of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void and will be returned to the applicant. 2 3/3/2023 'NOU WSNOO MIN 801 a3Sn 38 Ol a3ON31Nl ION Sl A3MflS SIHI'8 'S3ldO3 3nN1 a1lVA 38 Ol 03N30ISNOO 38 IWM 7v3S 03SSOewl S,NOA-lVJnS 0,`An 3H1 30 IYM3180 NV MHLIM 03XNVN A3MnS SIM 30 1VN101N0 3H1 MM S3ldO3 AINO '1 SK NO NMOHS SY U330 A N2 dO&l 3kL NI S3SNn03 N31YM 7ORM NON SW43HIS 3191SR ON MY MINI Ml A311?!33 01 Sl Zu'9 AYM ANY NI N311 NV 8311Y '\.� ��9. Ol 8OA3Aan5 ONYI 03SN33n Y 30 N01103NIa 3H1 N30Nn 3N11OV SS3lNn 'NOSH3d ANY NO! MYl NOLLV3na3 31VIS 3H1 30 NOILY101A V Sl A 'S "A3MnS SIH1 30 1HYd SY 030V1d ION 383M SIMPMNOA ONNOO MOdONd 'i r N ! NMVHa AIIVNI31NO N3HM ,S1 - ,1 30 3WOS V V3aVA SVM d" SIHl T j Y5S '180d3N Ila 30 Ad03 3131MOO V H11M 03HS1NHn3 N338 SYH kiwmnS SS3lNn '),W3d08d 133MnS �, 1 10333Y nlnnM IVHI CHn:1;N in SINlYf35M ANY 40 33N31SIX3NON HO 33N31SIX3 3H1 Ol SV dvm 9E Aa a3ndY11 SI 33INYNYna ON 'l � ,J•,= x 'AI►IO S3508JfW MM 1W OM 38 01 CMN31M Sl OW 17AUSUY NOSKIVM NOd 300 SO A3ANflS SDdMION O Z w U -o a' }O} C O y010 Y.c c x y co v i y® p n� 4 �Q so -li A,r7W C14 Z O a'U' OI I V N3 r Cp a 00 v i r O w oz� v I? o �¢ O O O CQ, f` O W F- W 0 Q Fa- -cV OI U Sc— O l Q � N p Y � W O w U Z O u�y -. z / 0 N zo�U� 0, p O N —/ N 300 0 U V C� m W Z \ t�N w� x —J c1 r U U J � p I II I Q OZZZ 1� i > 30 ,t w x O 117 a0 <5 w 0 w ` ��, Z O �.,' Z O > m Z o W W- t CO u4i F- }Qcn c� Z Yen<C Nx LL Ld 0 I N O GC O O CV '� ¢ --- ;off in z m g35) cD tf g q O I �o 0 2 o O >HU J V) F— 1l 00 r '3DVdVO o - M <b (n Cb COD 3 Al, �. a 6t---- , 00' QQ�Z co co Z J GVO(\d Lioo�v1 _ ��� 3 ~ �z- .Yo Ls f l C, t cn • MULTI-ZONE Job Name: System Reference: Date: ,,,�IIIIIIIIIIIIIIIIIIIIIIIIIIIi � Illllnlllllllllllllll I II I IIIII II Illhi 91111111111111111 liillll IIIII II Illlllj '�lIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII" "'''��I�Illlllllllllluu"''� rlalulllllllllllllllUuilh. ,�IIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII, IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 'llllllllIlllllllllllllllllllllllIlllllllllll' '''Illlllllllllllllllllllllllllllllu'' �'�nn�IIIIIIIIIU�Iht�� FEATURES • Compatible with M-and P-Series and CITY MULTI®indoor units.Branch box required for connection with M-and P-Series • Variable speed INVERTER-driven compressor • Seacoast protection on heat exchanger and base panel(rated for 2,000 hrs in accordance with ASTM B117 testing) • Thermal Differential 1°F(with PAC-MKA32/52BC only) • Built-in base pan heater • Quiet outdoor unit operation,rated sound pressure as low as 49 dB(A) • High pressure protection • Compressor thermal protection • Compressor overcurrent detection • Fan motor overheating/voltage protection • Hyper-heating performance offers 100%heating capacity at 5'F and 75%heating capacity at-13°F ENERGY STAR®certified(non-ducted,mixed&ducted) ENERGY STAR products are third-party certified by an EPA-recognized Certification Body. Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SPECIFICATIONS: Maximum Capacity BTUM _ 36,000!/36,000 H 36,000 Rated Capacity _ _ BTUM 36,000 I/36,0&1136,000 Cooling'(Non-Ducted//Mix//Ducted) Minimum Capacity BTUM 15,500//15,500/l 15,500 Maximum Power Input W 2,400 F12,60112,855 Rated Power Input _ W 2,400//2,610//2,855 Power Factor(208V,230V) % 98.5,98.5//98.5.98.5//98.5,98.5 Maximum Capacity_ BTU/H 42,000//42,000//42,000 Rated Capacity BTUM 42,000//42,000//42,000_ Heating at 47°F2(Non-Ducted ll Mix 1/ Minimum Capacity BTU/H 22,500//22,500//22,500 Ducted) Maximum Power Input W 3.080 H 3,200//3,325 Rated Power Input W 3.080 U 3,200//3,325 Power Factor(208V,230V) l 98.5.98.5//98.5,98.5//98.5,98.5 Maximum Capacity BTUM 49,000//49,000 H 49,000 Healing at 17°F3(Non-Ducted//Mix// Rated Capacity ____ BTUM 33,000//33A00 1133,000 ----- - - - - .__ - Ducted) Maximum Power Input W 5,730//6,050//6,350 Rated Power Input W 3 4501/3,600 H 3,750 Heating at 5°F4(Non-)ucted//Mix// Maximum Capacity BTUM 42 000//42,000//42,000 Ducted) - - -- + --- - - - - -- - _ Maximum Power bnwt W 6,155//6,315 H 6,480 - - - - I ----- --- - SEER 23.0//20.65 I/18.3 EER' 15.0//13.8//12.6 HSPF(IV) 12.5 H 12.1 1111.7 -- Efliciarlq(Non-Ducted ll Mix lI Ducted) rCOP at 47°F' - - 4.0 ll 3.85 113.7 COP at 17°F at Maximum Capacity3 2.1//2.03//1.9 COP at 5'F at Maximum Capacity 2.0//1.95//1.9 ENERGY STAR*Certified Yes//No//Yes Electrical Power Requirements Voltage, , Frequency-Pha se 208/230,1,60 ,- -------- - - - Guaranteed Voltage Range VAC_ 187-253 Voltage:Indoor-Outdoor,S1S2 -- -- -- - ----VAC 208/230 Voltage:Indoor-Outdoor,S2-S3 V DC 24 Short-circuit Current Rating(SCCR) _kA 5 Recommended Fuse/Breaker Size if Branch Box Powered by A Electrical Outdoor Unit ( ) Recommended Fuse/Breaker Sae without Branch Box or A 40 Branch Box Powered Separate Recommended Wire Size AWG 6 MCA if Branch Box Powered by Outdoor Unit A 42.0_ MOCP if Branch Box Powered by Outdoor Unit A 50 MCA without Branch Box or Branch Box Powered Separate_ A 36 MOCP without Branch Box or Branch Box Powered Separate A 40 Fan Motor Full Load Amperage A 0.6+0.6 Airflow Rate(Cooling/Heating) CFM 3,885/3,886 Refrigerant Control LEV__ Defrost Method Reverse Cycle Heat Exchanger Type Plate fin coil Heat Exchanger Coating Blue Fin Coating Sound Pressure Level,Cooling' _ di(A) 49 Sound Pressure Level,Heating' dB(A) 53 Compressor Type Hermetic Compressor Model _ ANB33F_JSMT Compressor Motor Output k W -2.8- -- - ----_--JI Outdoor unft Compressor Rated Load Amps A 19 Compressor Locked Rotor Amps A 22.0 Compressor Oil Type/I Charge oz. FV50S//73 Base Pan Heater --- - Built-in - - --- -- ' -_-�_-- W:In.[mm]--- 41-11/32[1,050) --- Unit Dimensions D:In.[mmj ! 13[330j H:In.[mm] -� ---- 52-11/16[1,338]------- - W:In.[mm] 43[1,090] ----------- Package Dimensions D:In.[mm] __ 1801 _--------- -, � H:In.[mm] 57[1,430] Unit Weight Lbs.[kg] 278[126] L -- - Package Weight Lbs.[kgj 302[137] NOTES: - -- -- AHRi Rated Conditions 'Cooling(Indoor//Outdoor) °F 80 DB,67 WB/I 95 DB,75 WB (Rated data is determined at a fixed compressor speed) 21-leating at 47°F(Indoor ll Outdoor) °F 70 DB,60 WB//47 DB,43 WB 'Heating at 17'F(indoor ll Outdoor) °F 70 DB,60 WB/!17 DB,15 WB Conditions 41-leating at 5°F(Indoor//Outdoor) -F 70 DB,60 WB//5 DB,4 WB 'Applications should be restricted to comfort cooling only;equipment cooling applications are not recommended for low ambient temperature conditions. when 1 or more PLA-A•EA7 connected Branch box should be placed within the level between the outdoor unit and indoor units 5'F DB-115°F DS when optional wind baffles are installed For actual capacity performance based on indoor unit type and number of indoor units connected,please refer to MXZ Operational Performance. Although the maximum connectable capacity is 130%,the outdoor unit cannot provide more than 100%of the rated capacity.Please utilize this over capacity capability for load shedding or applications where it is known that all connected units will NOT be operating at the same time. Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. MXZ-SM36NAMHZ Cooling Intake Air Temp(Maximum/Minimum) °FOB 115/23'c Outdoor unit operating temperature Cooing Thermal Lock-out/Re-start Temperatures FDB - - NIA WA — - range Heating Intake Air Temp(Maximum/Minimum) °FDB I___ ___ 59 1-13 Heating Thermal Lock-out/Re-start Temperatures 'FOB- -24/-14 - -._ -- - _-- ------------_ .----------------- Refrigerant Maximum Charge Quantity Lbs,oz 10.0,9.0 Maximum Number of Connected IDU with Branch Box 4(3)- Maximum Number of Connected IDU without Branch Box 11 Indoor unit connection Minimum Number of Connected IDU with Branch Box ___ 12,000__ Minimum Number of Connected IDU without Branch Box 18,000 Maximum connected capacity 48,1100 Liquid Pipe Size O.D.(Flared) In.[mm] 3/8[9.52] Gas Pipe Size O.D.(Flared) In.[mm] 5/8[15.881 Total Piping Length when using Branch Box Ft.[m] 492[150] Total Piping Length without Branch Box ---- --" - Ft.[m] ,---- ------ 984[300] --� Maximum Height Difference'•,ODU above IDU Ft.[m] 1_64(50] Maximum Height Difference"',ODU below IDU Ft.[m] 131[40) _ Maximum Height Difference'•,between branch boxes Ft.[m] 49[15] _ Piping Maximum Height Difference between IDU and IDU without Ft.[m] 49(15j branch box Ft.[m] 49[15] Maximum Piping Length between ODU and Branch Box Ft.[m] 180[55] Farthest Piping Length from ODU to IDU with Branch Box Ft.[m] 262[80] Farthest Piping Length from ODU to IDU without Branch Box Ft.[m] 492[150) Farthest Piping Length after Branch Box Ft.[m] 82(25] Total Piping Length between Branch Bos and IDU xe Ft.[m] 311[95] Maximum Number of Bends for IDU 15 NOTES: AHRI Rated Conditions 'Cooling(Indoor//Outdoor) °F 80 DB.67 WB//95 DB,75 WB (Rated date is determined at a fixed compressor speed) 'Heating at 47°F(Indoor//Outdoor) °F 70 DB,60 WB//47 DB,43 WB 'Heating at 17°F(indoor//Outdoor) °F 70 DB.60 WB//17 DB,15 WB Conditions 'Heating at 5°F(Indoor//Outdoor) -F 70 DB,60 WB//5 DB,4 WB 'Applications should be restricted to comfort cooling only;equipment cooling applications are not recommended for low ambient temperature conditions. 'A when 1 or more PLA-A-EA7 connected •Branch box should be placed within the level between the outdoor unit and indoor units 5'F OB-115°F DB when optional wind baffles are installed For actual capacity performance based on indoor unit type and number of indoor units connected,please refer to MXZ Operational Performance. Although the maximum connectable capacity Is 130%,the outdoor unit cannot provide more than 100%of the rated capacity.Please utilize this over capacity capability for load shedding or applications where it is known that all connected units will NOT be operating at the same time. Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. 3.5-TON MULTI-ZONE INVERTER HEAT-PUMP SYSTEM Alli ELECTRIC Job Name: System Reference: Date: dllllllllllllllllll�lllllllii� Aff +�IIIIII01111111II11II1II11111I1111I11111111111111 i!IIlI��I�IIIIIII�NIIIIIIIIIillli�lliil��I+ "'''����IIIIIIIIIII III�u'�h, ,t��mIIIIIIIIIIIIIIIIm�It,. �dlllillllllllllllllllllliilIllil IIIIIiiI, Illlllllllllllllllllllllilllilllllllllllllli 'lllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIiII►' ''�III�II Ilniiiiiiiii�llllllllll►�'' FEATURES • Compatible with M-and P-Series and CITY MULTI"indoor units.Branch box required for connection with M-and P-Series • Variable speed INVERTER-driven compressor • Seacoast protection on heat exchanger and base panel(rated for 2,000 hrs in accordance with ASTM B117 testing) • Thermal Differential 1°F(with PAC-MKA32/52BC only) • Built-in base pan heater • Quiet outdoor unit operation,rated sound pressure as low as 50 dB(A) • High pressure protection • Compressor thermal protection • Compressor overcurrent detection • Fan motor overheating/voltage protection • Hyper-heating performance offers 100%heating capacity at 5'F and 75%heating capacity at-13`F ENERGY STAR products are third-party certified by an EPA-recognized Certification Body. Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SPECIFICATIONS: Maximum Capacity BTUM 42,000//42,000II42,000 - -- Rated Capacity STUM -_ 42_000/l 42,000//42,000 Minimum Capacity BTU/H 15.500 1/15,500/!15,500 Cooling'(Non-Ducted//Mix/!Ducted) -- -.--- -- --- Maximum Power Input W 3,135//3,4401/3,820 Rated Power Input W 3,135//3,440//3,a20 --- Power Factor(208V,230V) - _ /o -- 1 - 98.5,98.5//98.5,98.5/I 98.5.98.5 _-- Maximum Capacity BTU/H 48,000//48,000//48,000 Rated Capacity - BTU/H 48,000 1148.000I148,000 Healing at 47°1`1(Non-Ducted f/Mix// Minimum Capacity I BTU/H 24,000//24,000l124,000 Ducted) Maximum Power Input W i 3,430//3,750//4,140 Rated Power Input W 3,430//3,750//4,140 Power Factor(208V,230V) ( % 98.5,98.5/I 98.5,98.5 U 98.5,98.5 ----- Maximum Capacity - - -- - - - BTU/ -- - -- 49,200//49,200//49,200 ------ Heating at 17'P(Non-Ducted ll Mix Il Rated Capacity BTUM 32,000/I 32,000!!32,000 Ducted) Maximum Power Input W L6 110//6,900//7,250 Rated Power Input W 3.350//3,550/!3,750 Heating at 5'1`4(Non-Ducted/!Mix// Maximum Capacity BTUM 48,000//48,0001/48,000 Ducted) Maximum Power Input W 7,030!/7,Z115117.405 ----- - - - - - - - ---- SEER 22.0//20.0/118.0 EEFV 13.4/I 122 H 11.0 HSPF(IV) 12.0//11_.5_//11.0_ Efficient Non-Ducted//Mix/!Ducted - - Y( ) COP at 47°F -� ----_ 4.1//3.75//3.4 ---- COP at 17'F at Maximum Capacity3 2.3/!2.0!/1.9 ---- ------------ -- COP at 5'F at Maximum Capacity" 2.0//1.95//1.9 ENERGY STAR*Certified Yes H No//No Electrical Power Requirements Voltage,Frequency 208/230,1,60 - -- - ------- ----- Guaranteed Voltage Range VAC 187-253 Voltage:Indoor-Outdoor,S1-S2 VAC _ 208/230 Voltage:Indoor-Outdoor,S2S3 V DC 24 Short-circuit Current Rating(SCCR) kA 5 Recommended Fuse/Breaker Sim e if Branch Box Powered by A 40(45) Electrical Outdoor Unit -- -- -- - ----------------.-. .. _. ------- - ------------------------------------ Recommended Fuse/Breaker Size without Branch Box or Branch Box Powered Separate A 40 Recommended Wire Size AWG 6 MCA if Branch Box Powered by Outdoor Unit - A - - - - - ---42.0----- --- -- - MOCP if Branch Box Powered by Outdoor Unit A 50 MCA without Branch Bex or Branch Box Powered Separate A MOCP without Branch Box or Branch Box Powered_Separate A 40 Fan Motor Full Load Amperage A 0.6*0.6 Airflow Rate(Cooling/Heating) CFM 3.885!3,885 Refrigerant Control LEV Defrost Method Reverse Cycle Heat Exchanger Type Plate fin coil Heat Exchanger Coating Blue Fin Coating Sound Pressure Level,Cooling' _ dB(A) 50 Sound Pressure Level Heating2 dB(A) 54 Compressor Type _ Hermetic Compressor Model ANB33FJSMT Compressor Motor Output _kW _ 2.9 _ Outdoor unit Compressor Rated Load Amps A _1.9 Compressor Locked Rotor Amps A 22.0 - - - Compressor Oil Type/I Charge OZ. FV50S 1173--_- -__ Base Pan Heater Built-in W:In.[mm] 41-11/32[1,0501 - -- Unit Dimensions D:In.[mm) 1313301 H:In.[mm] 52-11/16[1,338] W:In.[mm] 43[1,090] Package Dimensions D:In.(mm] 18[450] H:In.[mm]. --f--- - - 57[1,430] _----------- I Unit Weight Lbs.[kg] 278[126] Package Weight Lbs.[kg]- 302[137] -- NOTES: AHRI Rated Conditions 'Cooling(Indoor/l Outdoor) °F 80 DB,67 WB 1!95 OB,75 WB (Rated data is determined at a fixed compressor speed) 'Heating at 47°F(Indoor/!Outdoor) 'F 70 DB,60 WI3//47 IDS,43 WB 'Heating at 17°F(Indoor ll Outdoor) 'F 70 DB,60 WB//17 DB,15 WB Conditions 'Heating at 5°F(Indoor//Outdoor) -F 70 DB,60 WB//5 IDS,4 WB 'Applications should be restricted to comfort cooling only;equipment cooling applications are not recommended for low ambient temperature conditions. 'A when 1 or more PLA-A-EA7 connected 'A Branch box should be placed within the level between the outdoor unit and indoor units 5°F DB-115'F DB when optional wind baffles are installed For actual capacity performance based on indoor unit type and number of indoor units connected,please refer to MXZ Operational Performance. Although the maximum connectable capacity is 130%,the outdoor unit cannot provide more than 100%of the rated capacity.Please utilize this over capacity capability for load shedding or applications where It Is known that all connected units will NOT be operating at the same time. Specifications are subject to change without notice. ©2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SPECIFICATIONS: MXZ-SM42NAMHZ Cooling Intake Air Temp(Maximum/Minimum) °FDB 116/23'0 Outdoor unit operating temperature Cooling Thermal Lockout/Re-start Temperatures FDB WA/WA _ range Heating Intake Air Temp(Maximum/Minimum) °FOB 59/-13 Heating Thermal Lock-out I Re-start Temperatures 'FDB -24/-14 Refrigerant Maximum Charge Quantity Lbs,oz - - 10.0,9.0 Maximum Number of Connected IDU with Branch Box 5(4)` Maximum Number of Connected IDU without Branch Box 12 Indoor unit connection Minimum Number of Connected IDU with Branch Box 12,000 Minimum Number of Connected IDU without Branch Box 21,000 Maximum connected capacity 54.000 Liquid Pipe Size O.D.(Flared) In.[mm] 3/8[9.52] Gas Pipe Size O.D.(Flared) In.[mm] 5/8[15.88] Total Piping Length when using Branch Box Ft.[ml 492[150] Total Piping Length without Branch Box_ Ft.[m] __ 984[300] Maximum Height Difference'',DO above IDU Ft.[m] 184[50] Maximum Height Difference",QDU below IDU FL[m] 131[40] Maximum Height Difference'',between branch boxes Ft.[m] 49[15] Piping Maximum Height Difference between IDU and IDU without Ft.[m] 49[15] branch box Ft.[ml 49[15] Maximum Piping Length between OOU and Branch Box Ft.[m] 180[55] Farthest Piping Length from ODU to IDU with Branch Box Ft.[m] 262[80] Farthest Piping Length from ODU to IDU without Branch Box Ft.[m] 492[150] Farthest Piping Length after Branch Box Ft.[m] 82[25] Total Piping Length between Branch Boxes and IOU Ft.[m] 311[95] Maximum Number of Bends for IDU 15 NOTES: AHRI Rated Conditions 'Cooling(Indoor//Outdoor) °F 80 DB.67 WB//95 DB,75 WB (Rated data is determined at a fixed compressor speed) 'Heating at 47°F(Indoor 11 Outdoor) °F 70 DB,60 WB It 47 DB,43 WB 3Heating at 17°F(Indoor//Outdoor) °F 70 DB,60 WB//17 DB,15 WS Conditions HHeating at 5'F(Indoor//Outdoor) °F 70 DB,60 WB//5 DB,4 WB 'Applications should be restricted to comfort cooling only;equipment cooling applications are not recommended for low ambient temperature conditions. when 1 or more PLA-A EA7 connected Branch box should be placed within the level between the outdoor unit and indoor units c 5°F DB-115°F IDS when optional wind baffles are installed For actual capacity performance based on indoor unit type and number of Indoor units connected,please refer to MXZ Operational Performance. Although the maximum connectable capacity is 130%,the outdoor unit cannot provide more than 100%of the rated capacity.Please utilize this over capacity capability for load shedding or applications where it is known that all connected units will NOT be operating at the same time. Specifications are subject to change without notice. O 2022 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. PI , 1 11 1 ISHI 24,000 i HORIZONTAL 1 STATIC DUCTED ArIL • Job Name: System Reference: Date: GENERAL FEATURES • Unobtrusive ceiling-concealed design for short-run ductwork .* - Wide ranging external static pressure(0.14-0.60 in.WG) • Built-in condensate lift mechanism(up to 27-9116") • Auto fan speed mode • Optional FB Series fiber boxes for easy access and service • Ideal for residential homes,retail shopping centers,larger classrooms,office complexes,conference rooms,ballrooms,fitness centers,and more • Multiple control options available: o kumo cloud®smart device app for remote access o Third-party interface options o Wired or wireless controllers Specifications System Unit Type PEAD-A24AA7 Cooling Capadtyl I BTU/H 24,000 Heating Capacity'3 Voltage.Phase,Frequency 2.08_/230,1,60 Guaranteed Range Volta a _---9 9 � VAC 198-253V Electrical Voltage Indoor Outdoor S1-S2 VAC 2081230 Voltage Indoor Outdoor S2-S3 V DC 24 Short-circuit Current Rating[SCCR] kA 5 MCA A 2.63 Fan Motor Full Load Amperage A 2.1 Fan Motor Output W 121 Airflow Rate at Cooling,Dry _ CFM 512-635-741 Airflow Rate at Cooling,Wet CFM 461-572-667 Airflow Rate at Healing,Dry CFM 512-635-741 Sound Pressure Level[Cooling] dB(A)_ 30-33-37 Sound Pressure Level[Heating] dB[A]_ 3_0-33-37 Indoor Unit External Static Pressure in.WG 0.14-0.2-0.284.4-0.6 Drain Pipe Size In.(mm] 1-114[321 Condensate Lift Mechanism,Maximum Distance In.[mm] 27-9116[7001 Coating on Heat Exchanger - External Finish Color - _ Galvanized Unit Dimensions W x D x H:In.(mm] 43-5/16 x 28-7/8 x 9-7/8[1100 x 732 x 2501 Package Dimensions _ W x D x H:In.(mm] 533/16 x 34-11/16 x 13-7/16[1350 x 880 x 3411 Unit Weight --- Lbs.[kgl - -- - -69[31] - ---- Package Weight —- Lbs.[kg] -- 82[37] -- Refrigerant Type R410A Piping Gas Pipe Size O.D.[Flared] In.[mm] -- 5/8[15.881 Liquid Pipe Size O.D.(Flared] In.[mm] 3/8[9.52] NOTES: Conditions 'Cooling(Indoor//Outdoor) -F 80 DB,67 WB//95 DB,75 WB 21-leating at 47°F(Indoor//Outdoor) -F 70 DB,60 WB//47 DB.43 WB 3Capacity varies based on the number of indoor units operating and the model of the Multi-zone Outdoor Unit.For reference to connected capacity charts,please refer Multi-zone Outdoor Unit Operational Performance.: Specifications are subject to change without notice. ©2021 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. III 1 • • 1 '1•• ' UNIT AV'&ELECTRIC 111 OUTDOOR UNIT W/BASE PAN HEATER Job Name: System Reference: Date: Indoor Unit......................................................................MSZ-FS15NA Outdoor Unit..................................................................MUZ-FS15NAH s jLL f r INDOOR UNIT FEATURES • Slim wall-mounted indoor units provide zone comfort control • Dual Barrier Coating applied to the heat exchanger,vanes and fan to prevent hydrophilic and hydrophobic dirt build-up • Multiple fan speed options:Quiet,Low,Medium,High,Super-high,Auto • 3D i-see Sensor®enables advance features: o Indirect or Direct Airflow for personalized comfort o Absence Detection for energy-saving mode • Double Vane features: o Separates airflow to deliver air across a large area o Simultaneously deliver to air separate sections of a room o Generates more comfortable natural airflow pattern • Multiple control options available: o Back-lit screen handheld remote controller(provided with unit) o kumo cloud*smart device app for remote access o Third-party interface options o Wired or wireless controllers • Triple-action Filtration:Nano Platinum Filter,Deodorizing Filter,&Electrostatic Anti-Allergy Enzyme Filter • Hot-Start Technology:no cold air rush at equipment startup or when restarting after Defrost Cycle • Quiet operation OUTDOOR UNIT FEATURES • INVERTER-driven compressor and LEV provide high efficiency and comfort while using only the energy needed to maintain maximum performance • H2i plusTM'performance offers 100%heating capacity at-5°and 70%to 81%heating capacity at-13°F • Blue Fin anti-corrosion treatment applied to the outdoor unit heat exchanger for increased coil protection and longer life • Built-in base pan heater Specifications are subject to change without notice. ©2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. SPECIFICATIONS: MSZ-FS1 A & Maximum Capacity BTU/H 19,000 Rated Capacity BTU/H 14,000 —Minimum Capacity BTUM_ 6,45050__ Maximum Power Input W 2,010 Cooling at 95'F' - _-_-- - Rated Power Input W 1,000 Moisture Removal Pints/h 4.0 Sensible Heat Factor _ _ 0.70 Power Factor[208V/23M % 96.0/96.0 Maximum Capacity BTU/H 24,000 Rated Capacity BTUM_ 16,000 Minimum Capacity BTU/H 5,150 Heating at 47°F7 - Maximum Power Input W 3,360 -_ Rated Power Input W 1.155 Power Factor[208V/230V] % 98.0/98 0 Maximum Capacity BTU/H 22.730 Heating at 17°F' Rated Capacity BTU/H 10,000 -- -- A Maximum Power Input W 3,210 Rated Power Input W 950 Heating at 56F4 Maximum Capacity BTU/H _ 19,360 _ Maximum Power Input W 2,730 Heating at-5'Fr Maximum Capacity BTUM 16,000 Heating at-13'F7 Maximum Capacity BTU/H 14,400 SEER I SEER2 22.2 121.0 EER'j EER2' 14.01 14.0 HSPF[IV]I HSPF2[IV]_ 12.019.9 Efficiency COP at 47 F' -- ---------- COP at 17 F at Maximum Capacity' 2.08 COP at 5°F at Maximum Capacity' 1.91 _ COP at-5 F at Maximum Capacity- 1.91 COP at-13 F at Maximum Capacity' - - - -- --- —j ---- -- 1.9_ Voltage,Phase,Frequency 208/23Q 1,60 Guaranteed Voltage Range VAC 187-253 Voltage:Indoor-Outdoor,S1-S2 VAC 208/230 Electrical Voltage:Indoor-Outdoor,S2-S3 V DC } 24 Short-circuit Current Rating[SCCRJ kA 5 Recommended Fuse/Breaker Size(Oudoor) A - 20 -- --- _ i Recommended Wire Size[Indoor Outdoor] AWG 14 Power Supply Indoor unit is powered by the outdoor unit J MCA - A 1.0 Fan Motor Full Load Amperage A 0.65 j Fan MolorType _ DC Motor Airflow Rate at Cooling Dry CFM _--- 225-262-304-355-437 Airflow Rate at Cooling,Wet CFM 194-225-261-305-376 Airflow Rate at Heating,Dry CFM 201-272-350-410-514 Sound Pressure Level[Coolli dB[AJ 27-31-35-39-44 Indoor Unit Sound Pressure Level[Heating] - dB[A] 25-31-37-40-46 _ Drain Pipe Size [mmJ - -- --_- 5/8[15.86) - — —- — Coating on Heat Exchanger - - —_ Dual Barrier Coating External Finish Color-_ -- — -- - ---- ---- —— - - -- -� Unit Dimensions W W x D x H:In.[mm - -- ] 36 7/1 7/18 x 9 3/16 x 12(+11/16)[925 x 234 x - (+17)] Package Dimensions W x D x H:In.[mm) 39 x 12-1/4 x 1 5-1/2 1990 x 310 x 400] Unit Weight - ----- -- Lbs_[kg] - 29[13.5]- Package Weight Lbs.Jkg] 34 115.4 Indoor Unit Operating Temperature Cooling Intake Air Temp[Maximum/Minimum]' _'F 90 DB,73 WB 167 DB,57 WB Range ------ ------ ----- 9 Heating Intake Air Temp[Maximum/Minimum] 'F 80 DB/70 DB _ NOTES: AHRI Rated Conditions 'Coding(Indoor//Outdoor) °F 80 DB,67 WB//95 DB,75 WB (Rated data is determined at a fixed compressor speed) 'Heating at 47'F(Indoor//Outdoor) °F 70 DB,60 WB//47 DB,43 WB 'Heating at 17'F(Indoor/I Outdoor) °F 70 DB,60 WB H 17 DB,15 WB Conditions 4Heating at 5°F(Indoor//Outdoor) °F 70 DB,60 WB//5 DB,4 WB "Heating at-5'F(Indoor//Outdoor) °F 70 DB,60 WB//-5 OB,-6 WB 71-leating at-13°F(Indoor//Outdoor) °F 70 DB,60 WB 11-13 DB,-14 WB Indoor/Outdoor Unit Operating Temperature Range(Cooling Air Temp[Maximum/Minimum]): °Applications should be restricted to comfort cooling only;equipment cooling applications are not recommended for low ambient temperature conditions. "Outdoor Unit Operating Temperature Range(Cooling Thermal Lock-out/Re-start Temperatures;Heating Thermal Lockout/Re-start Temperatures): •System cuts out in heating mode to avoid thermistor error and automatically restarts at these temperatures. Specifications are subject to change without notice. ©2023 Mitsubishi Electric Trane HVAC US LLC.All rights reserved. .+u� t14M °�ifi r t.t rritl E a�,�rti it1Q�°� W`...a i C V L"•. �3 o�.pi6, � Q � � Q �� �•`.' ✓ :I v O cC N CD � N v L Q W M O rAcC U L Q tea f, C L W ti � ' O f'3 W t j� Z Lo G w ' " .�.r .■.1 Z Z l.() U iC Sr > Y En o rl < W Z O ca rG Q E �! o r��/ W U L W y ?� z 1� �,, Z = N y,C." T;' ► i" oCD 4- wee 04 o cz y a� 4 C ! co Q R R CJ O \ L W C ci .0 _ i aly C O O R y Z N L y O N 6J s ti+ ACO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 07105/2023 THIS CERTIFICATE IS ISSUED ASA 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 endorsement(s). PRODUCER CONTACT Marian McDonnell-Farucci Hallahan,McGuinness and Lorys.Ltd PHONE (914)939-8895 A (914)939-3104 553 Westch ester Avenue A/C IL xt: ac,No ADDRESS: Malian@hmlinsurance.com INSURERS)AFFORDING COVERAGE NAIC M Rye Brook NY 10573 INSURERA: Merchants Mutual Insurance Co 23329 INSURED INSURER B. State Insurance Fund CVN Heating&Air Conditioning Inc INSURER 404 North Terrace Avenue INSURER D INSURER E Mt Vernon NY 10552-3162 INSURER F COVERAGES CERTIFICATE NUMBER: 23-24 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. NOTVOTH STANDING ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT VMTH 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN POLICY FF POLICYX LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMfDDIYYYY) (MMIDONYYY) LIMITS X COMMERCIALGENERALLIABIL11Y EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ©OCCUR PREMISES Ea occur rence g 500.000 M ED EXP(Any one person) $ 15,000 A Y CTRIO01109 06/23/2023 06/23/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000.000 POLICY 0 JECaT LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER Schedule Mod Factor 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ q OWNED SCHEDULED CAP1076002 06/23/2023 06/23/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ Uninsured motorist 1,000.000 UMBRELLA LIAR --••-•• "• • OCCUR EACH OCCURRENC---•• -•E c 5.000,000 A EXCESS LAB HcLaMSMADE CU P9151082 06/23/2023 06/23/2024 AGGREGATE $ 5,000,000 DED RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'U ABILITY YIN STATUTE ER ANY PRO PR IETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 B OFFICEPJMEMBEREXCLUDErn NIA 10583243 05/01/2023 05/01l2024 (Mandatory in N4 E.L.DISEASE-EA EMPLOYEE $ 100,000 If Yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 500,000 NYS Disability B 3205151 07101/2023 07/01/2024 Continuous Statutory DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Certificate Holder is listed as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 �I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 \\ NYSIF Now York Stato Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE o a A A A A A 133903365 KEEVILY,SPERO-WHITELAW INC. � Y :• � 500 MAMARONECK AVENUE 1 HARRISON NY 10528 �t 2 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER CVN HEATING&AIR CONDITIONING INC THE VILLAGE OF RYE BROOK 404 NO. TERRACE AVENUE 938 KING STREET MOUNT VERNON NY 10552 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G1058 324-3 474649 05/01/2023 TO 05/01/2024 7/5/2023 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1058 324-3, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 781601022 U-26.3