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MP24-159
c4.icy VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914) 939-0668 Christopher J. Bradbury www.tyebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M.Heiser Salvatore W.Morlino CERTIFICATE OF COMPLIANCE March 18,2025 Craig Katz&Kamala Katz 9 Red Roof Drive Rye Brook,New York 10573 Re: 9 Red Roof Drive, Rye Brook,New York 10573 Parcel ID#: 135.43-1-5.32 This document certifies that the work done under Mechanical Permit #24-159 issued on 12/2/2024 for the installation of a new condenser,coil and gas furnace has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to �E BRC��, 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 : / I?E �c�t !,E'I ✓e DATE: PERMIT# ISSUED: 12`l SECT: BLOCK: LOT:, �1 LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... El ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION 1 ❑ NATURAL GAS 6 7 6/ AVICi ❑ L.P. GAS u ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER y. L = i y L d' o vi oj a rCo Er L 04 w H B w - o272w /.�� °C W�ry en w w N � `� W v cC VL ✓ ` ~ ti C v ■ ' 4° E -1, v U C� N z U z C z z C\ 00 1�1 Cti r x7 G W ,,rram� z v ° zo U � ° _ H O w © H o ° � A V O v o en04- U gb � o ays > a•-- � A O ?� •� oa w x � � � � BUILD MENT VIL OF RYA OOKDLI 938 KING ET RYE B114' NY 10573 NOS 2 7 2024 JAI OV APPLICATION FOR PERMIT TO INSTALL AND/OR REMOVE HEATING, VENTILATION AND/OR AIR CONDITIONING EQUIPMENT FOR OFFICE USE ONLY: PERMIT#: t Approval Date: DECO 2 Permit Fee: $ �? Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING 1PIl![�TT x T .%- t1 TTi1'.. ♦Tl{11{i113T T11 TT{lT -XT rAT{{l Anil Tll/1/�T1T l�L^TT !{T !'�AIIITt 1 \ t{.1T1T1111T T\<,T II TTT i u\�71 L'♦.A"l\. lixL' t>•111•;T.iTT.J■ ■1t1 1. L+ LL.A'V;{ IT V;41;1{yU1WL'ulfxial Vl{t,V1T{■Ll�■ �ll T1■■llyll l :{ ■ ul{iTx;■ ■lT 120/, OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REOUIREMENTS FOR RELEASE OF PERMIT&CERTIFICATE OF COMPLIANCE: I. Properly completed& Signed Application. 2. Site/Staging Plan if Required by the Building Inspector. 3. Copy of Licensed Contractor's Liability Insurance. (Village of Rye Brook must be listed as certificate holder) &Workers Compensation Insurance on a NYS Board form (Form#Cl 05.2 or Form#U26.3/or NY State Workers Compensation Waiver) 4A T__...__ _C re..,./1 i._... T OP Nr'w1TT AT — W1 CA nn!____:� _ I"f'%A a;Trl"I TAT — 0ACA nn!__..:a . 1 Ll�'11icnt Vl 1 ccs,V111L. I�01 1,1411t1L—.p 1 J V.VVl LLLl LL DTJV.VVi UL Lt L. 5. Complete specifications for each unit being installed. 6. Inspection by the Building Department for removal and/or installation. (48 hour notice required 7. Electrical work requires a separate Electrical Permit&Electrical Inspection. 8. Plumbing/Gas work requires a separate Plumbing Permit&Plumbing Inspection. Application dated, —e) 0 is hereby made to the Building Inspector of the Village of Rye Brook for a permit for the installation and or removal of the HVAC equipment as listed below.The applicant and property owner,by signing this document _�___•/__.__.J __...._.___._a_-_ll L_..._�_11_� _...]!_..___._-__._�..- _._e-C_a___..._____-'.t_ _t1 _.___1___1_t_ T ___1 r+_____�_ n._._ o_ r_�_..-I I__�l GbJ L110.L J0.141rLt Yltllll V11% Wlll VV 1i1J40.11 V♦1 QAtWVI 1WIlVTl.+Ll 111 0. LrV111W11110.11HLr WiLll G1l GLtJF/llL.0.U1ir Lu VL•Ql,VVLLl1Ly,UL0.W W 144W 0.110.WJ, codes,rules and regulations. 1. Address: /'1Qd f�t�o� fJ �20�/� !vim /a S�� SBL: kone: - 5 2. Property Owner: <4 A ;J zm T 27 Address: Phone#: Cell#: 117 6'Q 6 Z 90 email: CL1MT2- /S Lo 3. Contractor: /1 �+ ^ �.q/U cc./ Address: y6 e IV eV,4I-V /-:�'c -$,I ie Phone#: 9z, tvf3a Cell#: �� email: ���•7 A.2�rl rc " I' �'" 4. Scope of Work:New Installation( )•Replacements•Removal( )•Other( ): 5. List Equipment: LA ct f L!9,vA cL G;L er-,JE-V S VL_ 6. Location of Equipment: 7. Method of Installation/Removal(list all equipment needed to perform job): 1 6/1/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: ,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 atl ctatPm nntc nnntain A hPYPIn a P tn,n 4n the hoot nfhic/h or 1--lo✓�na and 1'.N.r —1 that an.r, -An narFnrnn...t nr I rst 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 ID-1 day of �� ,20 day of 20 Signature of Pro Owner I kgna ofikpAlicant SHARI MELILLO t Name of Property 7J� cr Notary public,state of New York 7m� Applicant No,0JME6160O63 --\, 0 Qualified In westchester County No Public cornMJ*slnn Expires J.�IL -y 29,202D Notary Public This application must be properly completed in its entirety and must include the notarized signature(s) of the legal owner(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 6/1l2024 s f N M N N W = t � N N � • N N a Ln r0.4 a MLin C ; _ z a L w ►-4 ' 1u1 w � r z r, w W y F y r � O 00 = N -_ F z < N NLn a C"Oeq Q CO x Q U ^ WA., t 6 o W M� M h z � � �•.,,, o h w 00 Q m A N A F. o H p U EA w � = CA t ^ BuEDDEPAR MENT F (E C E ��n VIF RYE B KL� LS V938 KwRYE BR NY 10573 939-066 K NOV 2 7 2024 ebrookn . V VILLAGE OF RYE BROOK EtJI!D'fJG ELECTRICAL PERMIT APPLICATION_ .__. 'PAR i MEN r Westchester County Master Electricians License Required ? FOR OFFICE USE ONLY /�1✓"�`7 -'/ EP#: �4— C)J Approval Date: nil A 797 Permit Fee: $ Approval Signature: Other: 71 DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL /COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 Application dated' ZLIE 7—�7 is hereby made to the Building Inspector of the Village of Rye Brook NY,for the issuance of a Permit to install and/or remove electrical equipment,wiring,fixtures,or to perform other high or low voltage electrical work as per the detailed statement described below. By signing this document, the applicant & property owner agree that all electrical work performed will be in co form a with all applicable Federal,State,County and Local Codes. p 1.Address: Q�� SBL: 5 + '�-�r 3 Zone:/�-I S 2.Property Owner: Address: Phone#: Ctl 1 " Cell#: ,2 email: C G k�2 !� �A {� 3.Master /Electrician/Licensed Installer:�9-eAtt Qmo- � Address: o`,t� �' w.- °�'� Lic.#:`;"W6 (Phone#: ql y- Kgq-It 96 Cell#: a'q"I S(p`31 email: 9 4•-6 Co Company Name:we� w'u ' " Address: o ^p S� Ppfj-CkA6 4.Proposed Electrical ork/Fixture Count: 5.31 Party Electrical Inspection Agency: STATE OFbEWYOM COUNTY OF WESTCHESTER ) as: being duly sworn,deposes and states that he/she is the applicant above named,and does further (print name of individual sipping as the appli state that(s)he is ?V r*"00%'GZ for the legal owner and is duly authorized to make and file this application. (Master Electrician/Licensed Installer) The undersigned further states 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 d� day of 20 day of -2 Signature oTPropert3jbwner igna pplicant SHARI MELILLO (3/-4-1 cg n ame of Property a Notary Public,State of New York Mme of A plicant No.01ME6160063 Qualified In Westchester County Notary Public Commission Expires J:7u y 29,20 Notary Public 6/1/2024 STATE WIDE INSPECTION SERVICES, INC. Service Willi Integrity 0•0 • • L-Swis JOB APPLICATION0. • Office Use Elect. Permit# Date Bldg Permit# �-' _ , Sq Ft Plumbing Permit# Final Certificate# GG City/Village, P Jro4G Zip J � Building Dept. ' ('e P I��IOfl"', County Address �, Cross Street Section Block Lot Owner Name/Address(If different than above) Contact Number Y ❑Basement ❑ 1st FI. ❑2nd FI. ❑3rd FI. ❑More Than 3 Fl. ❑Garage ❑Attic ❑Outside ❑Residential ❑Commercial Receptacles Special Recept GFCI AFCI Switches Dimmers Smoke Alarms C/0 Detector Hood Trash Compact Amt Amps Range(s) Cooktop(s) Oven(s) Dishwashers Refrigerator Disposal Microwave Luminaires Generator Transfer Switch SERVICE Amperage #Panels 1P 3P # Meters # Disconnect ❑Underground ❑ New ❑ Reconnect ❑ Repair ❑Overhead ❑ Upgrade ❑ Disconnect Utility ID# ❑Con Ed ❑ NYSEG ❑Central Hudson ❑ Orange/Rockland PHOTOVOLTAIC SYSTEM PV Modules Inverters AC Disconnect Junction Box Combiner Box Load Center PV Monitor Energy Storage System DC Disconnect ❑Legalization ❑ Safety Inspection ❑Consultation O V 27 2024 1 1 �. . VILLA( ELJI This application is valid for one(1)year from the date received by SWIS.This application is intended to cover the above listed items to be inspected,if at anytime of inspection additional items have been installed,you are authorized to make the inspection and adjust the fee for the additional items inspected.The applicant declares that there is no open applications for the above address with any other inspection company.The applicant, owner or authorized agent agrees to all the above terms and conditions as set forth for the application. Email Address J v f G ` �d! V ti Name -1 5 License# ��� Date Signature Address o —F City/State Zip Code Company (' t " > '' r' — Phone # DIE C 7----- v State Wide Inspection Services CADII [E 3D 1080 Main Street TO FEB 14 2025 Fishkill, NY 12524 4 0 845 4-219 1 Phone VILLAGE OF RYE BROOK 914-2bswisn2 Fax STATE WIDE INSPECTION SERVICES BUILDING DEPARTMENT Email: officeCa�swisny.com Website: www.swisny.com Service With /ntegr/ty BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon Premises Owned by: Gene Branca Electrical Contractor Crag Katz Gene Braca 9 Red Roof Drive 78 South Regent Street Rye Brook, NY 10573 Port Chester, NY 10573 Located at:9 Red Roof Drive, Rye Brook, NY 10573 Section: Block: Lot: Electrical Permit Number: Ep 24-232 135.43 1 5.32 Certificate Number: 2025-0772 Building Permit Number: MP24-159 A visual inspection of the electrical system was conducted at the Residential occupancy described below.The electrical system consisting of electrical devices and wiring is located in/on the premises at: 9 Red Roof Drive, Rye Brook, NY 10573 The Exterior was inspected in accordance with the NYS and NFPA 70-2017 and the detail of the installation,as set forth below,was found to be in compliance on the 14th day of February 2025. Name Quantity Rating Circuit Type Furnace Coil 01 Condenser 01 Officer: Frank J. Farina This certificate may not be altered in any way and is validated only by the presence of a seal at the location indicated.This certificate is valid for work performed on the date of inspection only. r CN y No # 5r N _ 0 �9 IU N V N O N • C a ID _ aP U t�l T u N 0 c 0 o i U) LL Q h ai CL � t ,;atid t M yam. 1 4 Arctic Mechanic;i��11 MAR - 6 2025 460 N Main Street VILLAGE OF RYE BROOK Port Chester NY 1OS73 BUILDING DEPARTMENT (914) 934-8301 Town Of Rye Brook Request:A Notarized affidavit from our plumber stating that he checked the existing piping and found no leaks. Location Address: Craig Katz 9 Red Roof Drive Rye Brook NY 10573 Arctic Mechanical reused and reconnected the existing gas piping in the attic when we removed old and installed new furnace. 7e&4e C' I Signature: Date j (—L) k---1UNA WHALEN Notary Stamp: Notary Public,State of Now York No.01 WH6394580 f]ualified in Westchester County Commission Expires Jury 8,2027 Date: Laura Petersen From: Steven Fews Sent: Monday, December 9, 2024 9:12 AM To: Laura Petersen Subject: RE: 10 Carlton Lane - Furnace Replacement Expires: Tuesday, April 8, 2025 12:00 AM He has to give it after the permit is issued and they do the work.Then before we go do the inspection to close out the permit, we need L, Thank You. Steven E. Fews Building Inspector& Fire Inspector Office (914)939-0668 From: Laura Petersen <LPetersen@ryebrookny.gov> Sent: Friday, December 6, 2024 2:09 PM To:Steven Fews<sfews@ryebrookny.gov> Subject: RE: 10 Carlton Lane- Furnace Replacement When is the plumber going to give us the affidavits? Maybe call Jeffrey? Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 From:Steven Fews<sfews@ryebrookny.gov> Sent:Thursday, December 5, 2024 1:36 PM To: ieffrev@arctic-mechanical.com;Alfredo DiVitto<adivitto@ryebrookny.gov>; Laura Petersen <LPetersen@rvebrooknv.gov> Cc: 'Jeffrey Coombs'<ieffrey.i.coombs@gmail.com>;Tara Orlando<torlando@ryebrookny.gov>; mpauletti@arctic- mechanical.com; ipauletti@arctic-mechanical.com;cikatzl5@gmail.com Subject: RE: 10 Carlton Lane- Furnace Replacement Dear Mr. Fiest, I will allow these two permits to move forward with the condition that your plumber give us an affidavit that he/she test and checked the existing piping and there was no leaks found. Moving forward I hope you are now clear on the procedure. Thank you i Steven Fews Building Inspector From: jeffrev@arctic-mechanical.com<jeffrev@arctic-mechanical.com> Sent:Thursday, December 5, 202412:53 PM To:Alfredo DiVitto<adivitto@ryebrookny.gov>; Laura Petersen<LPetersen@rvebrooknv.gov> Cc: 'Jeffrey Coombs'<jeffrev.j.coombs@gmail.com>; Steven Fews<sfews@rvebrooknv.gov>;Tara Orlando <torlando@ryebrookny.gov>; mpauletti@arctic-mechanical.com: jpauletti@arctic-mechanical.com: clkatzl5@gmail.com Subject: RE: 10 Carlton Lane- Furnace Replacement Dear Building Dept, Prior to you now requiring a plumbing permit I had filed and explained to two jobs happening in Rye Brook that they would only need HVAC and Electrical to do their jobs.You changed the rules of what you needed on email below. I would kindly request that you approve the two permits I had submitted for 10 Calton and 9 Red Roof under the old understanding and going forward we can look to add the plumbing to the list of what is needed. I am getting push back from the two homeowner involved with these jobs as they don't feel it was fair based on the understanding of what permits were needed when they purchased the jobs. Ps: both Jeffrey and Craig at the two addresses are cc'd on this email. From:Alfredo DiVitto<adivitto@rvebrooknv.gov> Sent: Monday, December 2, 2024 3:52 PM To: jeffrev@arctic-mechanical.com; Laura Petersen<LPetersen@rvebrookny.gov> Cc: 'Jeffrey Coombs'<jeffrev.i.coombs@gmail.com>; Steven Fews<sfews@rvebrookny.gov>; Tara Orlando <torlando@rvebrooknv.gov>; mpauletti@arctic-mechanical.com: jpauletti@arctic-mechanical.com Subject: RE: 10 Carlton Lane- Furnace Replacement Good afternoon Mr. Feist and thank you for the email, Any time an a new install, alteration, and/or repair is needed for HVAC units when gas or water connections are needed, a licensed plumber is required to do the work. ALL gas work, including LP gas MUST be permitted and filed by a licensed plumber (furnace, stove, dryer, hot water heater etc.). An electrical permit is required if the unit is hardwired. Moving forward, these are the requirements of the Village of Rye Brook Building Department. From: jeffrev@arctic-mechanical.com <jeffrev@arctic-mechanical.com> Sent:Wednesday, November 27, 2024 11:23 AM To: Laura Petersen<LPetersen@rvebrookny.gov> Cc: 'Jeffrey Coombs'<jeffrey.j.coombs@gmail.com>; Steven Fews<sfews@rvebrooknv.gov>;Alfredo DiVitto <adivitto@ryebrookny.gov>;Tara Orlando<torlando@rvebrookny.gov>; mpauletti@arctic-mechanical.com; jpauletti@arctic-mechanical.com Subject: RE: 10 Carlton Lane- Furnace Replacement La u ra, I received the below email from you today requesting a plumbing permit for the furnace replacement. (10 Carlton) As we have done many permits this calendar year 2024 with the Town of Rye Brook and we have NEVER been required to pull a plumbing permit for this type of work. Since when has this been in place and how come this is the first job you're requesting it? As I have stated to you and others in the building dept. I look to follow the rules and explain the Town requirements to the Rye Brook homeowner. 2 So just to recap the 2024 year we started with only needing the HVAC for this type of work then in April 2024 it was changed that we now need an electrical permit for these jobs, Now in November your requiring a plumbing permit too. What changed? Jeffrey PS Electrician will be in today at 11:45 to pull permit. From: Laura Petersen <LPetersen@ryebrookny.gov> Sent:Wednesday, November 27, 2024 10:49 AM To:ieffrey@arctic-mechanical.com Cc:Jeffrey Coombs<ieffrey.i.coombs@gmail.com>; Steven Fews<sfews@rvebrooknv.gov>; Alfredo DiVitto <adivitto@ryebrookny.gov>;Tara Orlando<torlando@ryebrookny.gov> Subject: 10 Carlton Lane- Furnace Replacement Good morning, I am working on the HVAC permit for the gas fired furnace replacement at 10 Carlton Lane. Please be sure to have the plumber file a plumbing permit application for the gas connection and the electrician must file an electrical permit application for the electrical connection. The permit applications are attached. Thank you Laura Laura(Petersen Office Assistant Village of Rye Brook 938 King Street Rye Brook, NY 10573 (914)939-0668 3 Submittal Upflow / Downflow / Horizontal Left/Right Single Stage Non-condensing Gas Fired Furnace 120,000 BTUH S8X1 D120M5PSCA/B 0� 0 . e Note:Models may have a "T"in the 12th digit designating they meet California less than 40 ng/J(NOx)emissions requirements. Note:Graphics in this document are for representation only.Actual model may differ in appearance. April 2024 S8X1 D120M5-SUB-2F-EN Outline Drawing Table 1. 24.5"Width Cabinet •I C z - 0 ------------ E W _N OBBBBBDDBOD D �0�����4 ���� D V�OUD DDDBDDBBOBO „ 5 - A •: _ _ o i -T f tit 8< Z I - :if� O T 2 S8X1 D120M5-SUB-2F-EN Product Specifications MODEL S8X1D120M5PSCA/B MODEL SSXID120MSPSCA/B (a) (a) Upflow/Horizontal/ VENT PIPE DIAMETER-Min. Type Downflow (in.)(,) 4 Round RATINGS(b) HEAT EXCHANGER-Ty pe Aluminized Steel Input BTUH 120,000 Gauge(Fired) 20-19 Capacity BTUH(ICS)(c) 98,000 ORIFICES-Main Temp.Rise(Min.-Max.)OF 35-65 Nat.Gas Qty.-Drill Size 6-45 AFUE-Rating(c) 80 L.P.Gas Qty.-Drill Size 6-56 Return Air Temp.(Min.-Max.) IF 55°F-80OF GAS VALVE Redundant-Single Stage BLOWER DRIVE DIRECT PILOT SAFETY DEVICE-Type 120 V SiNi Igniter Diameter-Width(in,) 11 X 11 BURNERS-QTY 6 No.Used 1 POWER CONN.-V/Ph/HZ M 120/1/60 Speeds(No.)(d) CTM-9 Ampacity(Amps) 14.1/ 14.4 CFM vs.in.w.g. See Fan Performance Table Max.Overcurrent Protection 15 (Amps) Motor HP 1 PIPE CONN.SIZE(IN.) 1/2 R.P.M. 1050 DIMENSIONS H x W x D Volts/Ph/Hz 120/1/60 Uncrated(in.) 34 x 24.5 x 28.75 FLA 10.9 Crated(in.) 35.5 x 26.5 x 30.87 COMBUSTION FAN-Type PSC WEIGHT Drive-No.Speeds Direct-1 Shipping(Lbs.)/Net(Lbs.) 160/152 Motor RPM 3300/3025 (a) Central Furnace heating designs are certified to ANSI Z21.47-latest Volts/Ph/Hz 120/1/60 edition. lb) For U.S.applications,above input ratings(BTUH)are up to 2,000 FLA 0.33/0.57 feet,derate 4%per 1,000 feet for elevations above 2,000 feet above sea level. (c) Based on U.S.government standard tests. Inducer Orifice 2.15 (d) 9 Speed constant torque ECM Blower Motor. FILTER-Furnished? No (°) Refer to the Installer's Guide. (f) The above wiring specifications are in accordance with National Type Recommended High Velocity Electric Code,however,installations must comply with local codes. Hi Vel.(No.-Size-Thk.) 1-24 X 25-1 in. S8X1 D120M5-SUB-2F-EN 3 N3-3Z-8nS-sAmG LX8s v ZL6 6176 LZ6 b06 Z88 szleM 6 bTTZ OZZz SZEZ T£bZ 9ESZ Wd3S b86 bS8 bZ8 b6L s9L spell 8 090Z SSTZ OSZZ ShEZ ObbZ WADS 6ZL S69 Z99 6Z9 96S slleM L 099T 9S6T ZSOZ 8bTZ SbZZ WdJS TT9 Oss 6bS STS 88b spell 9 989T Z6LT 868T b00Z OTTZ WADS 17E5 SOS 9Lb Lbb 8Tb s?leM s 3SdSW0ZT(ITX8S 817SI Z99T 91LT 0681 b00Z WdJS Cbb STb 86£ T9£ b££ shell b TSET SLbT S09T TELT 8SBT WADS O8Z b9Z Bbz NZ STZ SUM E E06 6901 SEZT TObT 49ST Wdis 09T b9T 691 TLT SLT slleM Z TLE 9E9 006 S9TT 6ZbT WADS 89 9ZT b8T speM T SSE ZT6 6917T WADS 6"0 Co S'0 £'0 Vo aojelS del IaPoW (•yM•ul)ainssaad aije3S Ieuaa;x3•sn(W3J)mollaly a:)eu ink 771 olgel molpiV CFM Versus Temperature Rise SSX1 Furnaces have one stage heating Table 2. S8X1 CFM Versus Temperature Rise Model 400 j 500 600 700 800 900 1000 1100 1200 1 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 S8X1D120M5PSC 59 56 1 52 49 1 47 44 1 42 1 40 39 1 37 S8X1 D120M5-SUB-2F-EN 5 General Features NATURAL GAS MODELS valve,flame control and includes self diagnostics for Central Heating furnace designs are certified by Intertek ease of service. for both natural and L.P.gas. Limit setting and rating ENERGY EFFICIENT OPERATION data were established and approved under standard Air-TiteTI cabinet design is certified to<1%air leakage rating conditions using American National Standards per ASHRAE 193 "Method of Test for Determining the Institute standards. Airtightness of HVAC Equipment." SAFE OPERATION AIR DELIVERY The Integrated System Control is a solid state device The 9 speed constant torque blower motor has which continuously monitors for presence of flame sufficient airflow for most heating and cooling when the system is in the heating mode of operation. requirements and will switch from heating to cooling Dual solenoid combination gas valve and regulator speeds on demand from room thermostat. provide additional safety. STYLING QUICK HEATING Heavy gauge steel and "wrap-around"cabinet Durable,cycle tested,heavy gauge tubular aluminized construction is used in the cabinet with baked-on steel heat exchanger quickly transfers heat to provide enamel finish for strength and beauty. Every warm conditioned air to the structure. Low energy orientation has at least two venting options.There are power vent blower,to increase efficiency and provide no knockouts on cabinet. a discharge of gas fumes to the outside. FEATURES AND GENERAL OPERATION BURNERS The S-Series furnace utilizes a Silicon Nitride Hot Multiport,Inshot burners will give years of quiet and Surface Ignition system,which eliminates the waste of efficient service.All models can be converted to L.P. a constant burning pilot.The integrated system control gas with LP conversion kit. lights the main burners upon a demand for heat from INTEGRATED SYSTEM CONTROL the room thermostat. Complete front service access. Exclusively designed operational program provides a. Low energy power venter total control of furnace limit sensors,blowers,gas b.Vent proving pressure switches. 6 SW D120M5-SUB-2F-EN Features and Benefits 80%AFUE on S8X1 FURNACE MODELS Cabinet is compatible with industry standard coils,as Lowers utility bills well as,other accessories ELECTRICALLY EFFICIENT INTEGRATED FURNACE CONTROL Efficient airflow design reduces electrical energy use Setup/Status/Diagnostics/Digital Display 34 INCH TALL No dip switches Lighter,easier to move and fit into tight spaces like Last six errors stored short basements or tight closets Dry contact EAC and HUM connections Works great with larger, high-efficiency coils All Molex connections; no spade terminals No knockouts Low voltage labeled above and below 4—WAY MULTI-POISE Rain shield over IFC keeps condensate off the control 8 SKU's — Upflow/Downflow/Horizontal Left/ TUBULAR ALUMINIZED STEEL HEAT EXCHANGER Horizontal Right VORTICA 11 BLOWER,DESIGNED EXCLUSIVELY Added application flexibility and reduction in FOR THE S-SERIES FURNACE specification errors Improved airflow efficiency AIRFLOW Durable,easy to clean,housing At least 400 CFM/ton at 0.5 in. H2O external static Single piece belly band/motor arm assembly pressure Blower deck has full-length rails for easy removal and REGULATORY replacement, regardless of poise All models are air tight; 1%or less air leakage as per FOUR—WAY MULTI-POISE (UPFLOW,DOWNFLOW, ASHRAE 193 HORIZONTAL LEFT AND RIGHT) Open vestibule design provides a full 34" high open Easier to specify vestibule for ease of installation and service DIMENSIONS Shipped ready to install (no conversion kits required) Width is industry standard: 24.5" Every model has at least two venting options Depth remains approximately 28" S8X1 D120M5-SUB-2F-EN 7 S31'JOlONH031 NV N3-d1-9nS-N8VOGH11V zzozAlnr „ asuejeadde u' jq4!p stew lapow jenjo y-Aluo uoileluasajda.j joj aje juawnoop siyl ui so.lydeJD, :8JON -- � d000 LN8VOS�i11t, Bu!l000 welsAS I!IdS jejj! wqnS ®3AWA MANE' B C SERVICE PANEL l ELECTRICAL AND REFRIGERANT CONPONE NT CLEARANCES PER PREVAILING CODES. TOP DISCHARGE AREA SHOULD BE UNRESTRICTED FOR AT LEAST 1524 (5 FEET) ABOVE UNIT. UNIT SHOULD BE PLACED SO ROOF RUN-OFF WATER DOES NOT POUR DIRECTLY ON UNIT, AND SHOULD BE AT LEAST 305 (12') FROM WALL AND ALL SURROUNDING SHRU88ERY ON TWO SIDES. OTHER TWO SIDES UNRESTRICTED. ELECTRICAL SERVICE PANEL K 25 III A 22.2 (TlB) D1A. HOLE LOW VOLTAGE 28.6 fl-I/8) DIA. K.O. WITH 22.2 (T/81 DIA. HOLE IN CONTROL BOX BOTTOM FOR ELECTRICAL POWER SUPPLY H F K.O. FOR ALTERNATE O ELECTRICAL ROUTING LIOUID LINE SERVICE VALVE, E" I.D. FEN ALE BRAZE CONNECTION WITH 1/4' SAE GAS LINE Ill TURN BALL SERVICE VALVE, 'D' FLARE PRESSURE TAP FITTINGS. I.D. FEMALE BRAZED CONNECTION WITH I/A' SAE FLARE PRESSURE TAP FITTING. Model Base A B C D E F G H 7 K 4TTR5048N 4 1147 946 870 7/8 3/8 152 98 219 86 813 (45-1/8) (37-1/4) (34-1/4) (6) (3-7/8) (8-5/8) (3-3/8) (32) Sound Power Level A-Weighted Sound Full Octave Sound Power(CIB) Model Power Level[dB(A)] 63 Hz 125 Hz 250 Hz 500 Hz 1000 Hz 2000 Hz 4000 Hz 8000 Hz 4TTR5048N 72 81 75 1 71 70 68 63 58 53 Note:Rated in accordance with AHRI Standard 270-2008*For Reference Only 2 4TTR5048N-SU8-1 A-EN 0 TRANE` Product Specifications OUTDOOR UNIT(a)(b) 4TTR5048N 1000A (0) Certified in accordance with the Air-Source Unitary Air-conditioner POWER CONNS.-V/PH/HZ( i 208/230/1/60 Equipment certification program,which is based on AHRI standard 210/240. MIN.BRCH.CIR.AMPACITY 24 (b) Rated in accordance with AHRI standard 270. W Calculated in accordance with Natl.Elec.Codes.Use only HACR BR.CIR.PROT.RTG.-MAX.(AMPS) 40 circuit breakers or fuses. (d) This value shown for compressor RLA on the unit nameplate and on COMPRESSOR CLIMATUFFO-SCROLL this specification sheet is used to compute minimum branch circuit NO.USED-NO.STAGES 1-1 ampacity and max.fuse size.The value shown is the branch circuit selection current. VOLTS/PH/HZ 208/230/1/60 Use start components only when compressor is found to enter locked rotor condition and will not start or when lights dim at compressor R.L.AMPS(d) -L.R.AMPS 18.5-124 start."No means no start components.Yes means quick start kit FACTORY INSTALLED components.PTC means posltive temperature coefficient starter. Optional kit shown. START COMPONENTS NO M Standard Air-Dry Coil-Outdoor W This value approximate.For more precise value see unit nameplate. INSULATION/SOUND BLANKET NO (h) For standard,recommended linear length and lift applications,see COMPRESSOR HEAT NO the Subcool Charging Chart on page S.For greater lengths and other applications,consult refrigerant piping software Pub.No.32-3312-xx OUTDOOR FAN PROPELLER (xx denotes latest revision). (n The outdoor condensing units are factory charged with the system DIA.(IN.)-NO.USED 27.5-1 charge required forthe outdoor condensing unit,ten(10)feet of tested connecting line,and the smallest rated indoor evaporative coil TYPE DRIVE-NO.SPEEDS DIRECT-1 match.Always verify proper system charge via subcooling(TXV/EEV) CFM @ 0.0 IN.W.G. `i 4600 or superheat(fixed orifice)per the unit nameplate. NO.MOTORS-HP 1-1/5 MOTOR SPEED R.P.M. 850 VOLTS/PH/HZ 208/230/1/60 F.L.AMPS 0.93 OUTDOOR COIL-TYPE SPINE FINTM ROWS-F.P.I. 1-24 FACE AREA(SQ.FT.) 30.8 TUBE SIZE(IN.) 3/8 REFRIGERANT LBS.-R-410A(O.D.UNIT)(g) 7 LBS.,2 OZ FACTORY SUPPLIED YES VALVE CONNECTION SIZE-IN.O.D. 7/8 GAS VALVE CONNECTION SIZE-IN.O.D. 3/8 LIQ. LINE SIZE-IN.O.D.GAS(h)('% 7/8 LINE SIZE-IN.O.D.LIQ. 3/8 CHARGING SPECIFICATIONS SUBCOOLING 8°F DIMENSIONS H X W X D CRATED(IN.) 50.4 x 35.1 x 38.7 WEIGHT SHIPPING(LBS.) 306 NET(LBS.) 256 4TTR 5048 N-SUB-1 A-E N 3 0 rRAAFF Mechanical Specification Options General Compressor The outdoor condensing units are factory charged with The compressor features internal over temperature and the system charge required for the outdoor condensing pressure protection. Other features include: Centrifugal unit,ten 00)feet of tested connecting line,and the oil pump and low vibration and noise. smallest rated indoor evaporative coil match.This unit Condenser Coil is designed to operate at outdoor ambient temperatures as high as 115°F. Cooling capacities are The outdoor coil provides low airflow resistance and matched with a wide selection of air handlers and efficient heat transfer.The coil is protected on all four furnace coils that are AHRI certified.The unit is certified sides by louvered panels. to UL 1995.Exterior is designed for outdoor Low Ambient Cooling application. As manufactured,this system has a cooling capacity to Casing 55°F.The addition of an evaporator defrost control Unit casing is constructed of heavy gauge,galvanized permits operation to 40°F.The addition of an steel and painted with a weather-resistant powder evaporator defrost control with TXV permits low paint finish.The corner panels are prepainted.All ambient cooling to 30°F. panels are subjected to our 1,000 hour salt spray test. The addition of the BAYLOAM107A low ambient kit Refrigerant Controls permits ambient cooling to 20°F. Refrigeration system controls include condenser fan, Thermostats—Cooling only and heat/cooling (manual compressor contactor and low and high pressure and automatic change over).Sub-base to match switches.A factory supplied,field installed liquid line thermostat and locking thermostat cover. drier is standard. 4 4TTR5048N-SUB-1 A-EN TRANE" Trane - by Trane Technologies (NYSE: TT), a global innovator - creates comfortable, energy efficient indoor environments for commercial and residential applications. For more information, please visit trane. com or tranetechnologies.com. w.*1 CERTIFIED C UL US LISTED The AHRI Certified mark indicates Trane U.S.Inc.participation in the AHRI Certification program.For verification of individual certified products,go to ahridirectory. org. Trane has a policy of continuous data improvement and it reserves the right to change design and specifications without notice.We are committed to using environmentally conscious print practices. 4TTR5048N-SUB-IA-EN 29 Jul2o22 Supersedes(New) ©2022 Trane CAPMP Evaporator Coil la ml A Coil, Cased, Multipoise Product Data DESIGN FEATURES Performance Designed with performance in mind,this new A-coil offers low pressure drops to enhance system performance and airflow characteristics. Thermostatic Expansion Valves (TXV) All coils have refrigerant-specific,factory-installed TXVs. Durable Condensate Pans (2) �G The corrosion-resistant drain pans,one for vertical applications and one l for horizontal, are designed in a "fiberglass reinforced thermoset polyester" material (FRTP) that offers unsurpassed pan strength. It is engineered with proper slope in both pans to help ensure water drainage, improved moisture removal,and home comfort. cy Refrigerant Connections 0 Provided with industry proven sweat connections for leak-free operation to maintain system reliability.The side mounting tubing to the coil slabs 0 allows for easy cleaning/servicing of the coils,as well as easy access to ® the TXV. Burst Pressure Meets or exceeds burst pressure of 2100 psi,which is at least thre e to Fig.1—CAPMP A060°9 five times the pressure it would see in actual application. The CAPMP evaporator coil incorporates proven standards for reliable UV Knockouts system operation and performance throughout the life of this quality Air Conditioner or Heat Pump system. These quality evaporator coils, This cased coil comes with factory-installed UV knockouts for quick and manufactured and installed as part of a total comfort system, provide easy installation of UV lights. AHRI-rated performance ratings and are additionally listed with UL and Serviceability e-UL" Comes with a "split delta plate" for easy, quick access to the coil for This coil is available for use with R-410A Puron®Refrigerant only.It is service and cleaning. Also, after the door is removed, the coil is a cased A-coil that is housed in a durable, 24-gauge,pre-painted taupe removable from the front of the unit without use of any tools. metallic cabinet. The fully insulated cabinet (foil faced with R-2.1 insulation properties) provides for quiet efficient operation of the evaporator coil. This multipoise coil offers the most in installation application flexibility; one coil for a variety of applications with fewer SKUs to stock. CAPMP:Product Data MODEL NUMBER NOMENCLATURE 1 2 3 4 5 6 7 8 9 10 11 12 C A P M P 3 6 1 7 A L A Product Variations C=Coil A=Basic Type Tubing Design A=A Coil L=Aluminum Refrigerant Type P=Puron®Refrigerant(R-410A)TXV Revision Level A=1st Coil Configuration Cabinet Width M=Multipoise 14=14-in(356 nun) 17=17-in(432 mm) 21=21-in(536 nun) 24=24-in(610 man) Cabinet Finish P=Painted Unit Capacity 19=11/2Ton 24=2Ton 25=2 Ton 30=2-1/2 Ton 36=3 Ton 37=3Ton 42=3-1/2 Ton 43=3-1/2 Ton 48=4Ton 60=5 Ton 61=5Ton ISO 9001:2000 ® A � cQ Use of the AHRI Certified TM Mark indicates QMI {/ O UV a manufacturer's participation in the program. Ptiron.For verification of certification for IndividualREGISTERED LASTED products,go to www.anddirectory.org. m.e�.,o�m.�ralr sa��a :me.,.r A221610 Manufacturer reserves the right to change,at any time,specifications and designs without notice and without obligations. 2 CAPMP:Product Data R 0 s eoN o W m _oi 0 m��04 0 o • 6 t'a O O G r n < ` N VO N o O _ 0 t Z O G� z • e o � O O. d O p H h 3 V y J m O 4 • m m m m m m 17 _ OO^z \O O W N w. O v Z S31N3S a Q i ` Z s s i i i z i i z i CW C_ G Manufacturer reserves the right to change,at any time,specifications and designs without notice and without obligations. 3 CAPMP:Product Data s a 0 o � m !oLL 0 o � s ' N N 4 O p Q r ¢Y O <l� z N i _ 4 N N N N N o 2 O � oioo W LL CO a N p N v Z S31S3S N O 5W _ 6 V Manufacturer reserves the right to change,at any time,specifications and designs without notice and without obligations. 4 CAPMP:Product Data PERFORMANCE DATA Table 1-COOLING CAPACITIES(MBH)-R-410A PURONO REFRIGERANT Saturated Temperature Leaving Evaporator°F(°C) Indoor Coil Air Unit Size 30(4) 35(2) 40(4) 45(7) 50(10) CFM EWB TC SHC BF TC SHC BF TC SHC BF TC SHC BF TC SHC BF 72(22) 32.00 15.70 0.00 29.30 14.30 0.00 26.40 12.80 0.00 23.10 11.30 0.00 19.50 9.70 0.01 450 67(19) 26.80 16.10 0.01 24.10 14.60 0.01 21.10 13.10 0.01 17.80 11.50 0.02 14.20 9.90 0.02 62(17) 22.10 16.50 0.02 19.30 14.90 0.02 16.40 13.40 0.02 13.20 11.80 0.02 10.30 10.30 0.05 72(22) 39.20 19.10 0.00 36.00 17AO 0.00 32.30 15.70 0.00 28.30 13.90 0.02 23.80 12.00 0.02 1814 600 67(19) 32.90 19.90 0.03 29.60 18.20 0.03 25.90 16.30 0.03 21.90 14.40 0.03 17.40 12.50 0.03 62(17) 27.20 20.60 0.04 23.80 18.80 0.04 20.20 16.90 0.04 16.30 16.00 0.04 13.20 13.20 0.09 72(22) 45.10 21.90 0.00 41.40 20.10 0.00 37.20 18.20 0.02 32.60 16.10 0.04 27.40 14.00 0.04 750 67(19) 38.00 23.20 0.05 34.20 21.20 0.05 29.90 19.10 0.05 25.20 17.00 0.05 20.00 14.70 0.06 62(17) 31.50 24.20 0.06 27.60 22.10 0.06 23.40 20.00 0.06 19.10 17.90 0.06 15.70 15.70 0.13 72(22) 33.57 18.66 0.00 31.02 17.08 0.00 28.19 15.44 0.00 25.03 13.74 0.00 21.50 11.99 0.00 450 67(19) 28.12 18.76 0.00 25.51 17.13 0.00 22.63 15.44 0.00 19.41 13.70 0.00 15.70 11.85 0.00 62(17) 23.21 18.82 0.00 20.55 17.14 0.00 17.55 15.38 0.00 14.16 13.53 0.00 10.75 10.75 0.00 72(22) 42.86 23.54 0.00 39.66 21.61 0.00 36.05 19.58 0.00 32.00 17.44 0.00 27.44 15.21 0.00 1917 600 67(19) 35.94 23.88 0.00 32.64 21.86 0.00 28.94 19.74 0.00 24.78 17.52 0.00 20.12 15.22 0.00 62(17) 29.69 24.13 0.00 26.29 22.02 0.00 22.49 19.82 0.00 18.20 17.50 0.00 13.85 13.85 0.00 72(22) 61.17 27.85 0.00 47.40 25.65 0.00 43.14 23.30 0.00 38.30 20.81 0.00 32.83 18.18 0.00 750 67(19) 42.99 28.53 0.00 39.08 26.19 0.00 34.67 23.71 0.00 29.68 21.10 0.00 24.05 18.35 0.00 62(17) 35.55 29.06 0.00 31.51 26.60 0.00 26.96 24.00 0.00 21.89 21.28 0.00 16.92 16.92 0.00 72(22) 39.40 19.20 0.00 36.30 17.60 0.00 32.80 15.90 0.00 28.90 14.10 0.00 24.50 12.20 0.01 600 67(19) 33.10 20.00 0.01 29.90 18.20 0.01 26.30 16.40 0.01 22.40 14.50 0.02 17.90 12.60 0.02 62(17) 27.40 20.50 0.02 24.10 18.70 0.02 20.50 16.90 0.02 16.60 15.00 0.02 13.10 13.10 0.05 72(22) 47.70 23.20 0.00 44.00 21.40 0.M 39.80 19.40 0.00 35.10 17.30 0.02 19.80 15.10 0.02 2414 800 67(19) 40.30 24.50 0.03 36.40 22.50 0.03 32.10 20.40 0.03 27.30 18.10 0.03 21.80 15.80 0.03 2417 62(17) 33.40 25.50 0.04 29.50 23AO 0.04 25.10 21.20 0.04 20.50 19.00 0.04 16.70 16.70 0.09 72(22) 54.30 26AO 0.00 50.20 24.40 0.00 45.40 22.30 0.02 40.10 20.00 0.04 34.00 17.60 0.04 1000 67(19) 46.00 28.20 0.05 41.70 26.10 0.05 36.80 23.70 0.05 31.20 21.20 0.05 25.00 18.60 0.05 62(17) 38.30 29.80 0.05 33.80 27.50 0.06 28.90 25.10 0.06 23.80 22.60 0.06 19.90 19.90 0.14 72(22) 62.57 31.59 0.00 57.94 29.03 0.00 52.74 26.32 0.00 46.87 23.47 0.00 40.26 20.49 0.00 600 67(19) 52.49 32.04 0.00 47.71 29.35 0.00 42.35 26.53 0.00 36.33 23.57 0.00 29.57 20A9 0.00 62(17) 43.37 32.39 0.00 38.45 29.58 0.00 32.95 26.63 0.00 26.73 23.54 0.00 20.26 20.26 0.00 72(22) 78.69 39.22 0.00 72.92 36.20 0.00 66A7 32.95 0.00 59.11 29.48 0.00 50.76 25.80 0.00 2517 800 67(19) 66.08 40.30 0.00 60.18 37.08 0.00 53.48 33.63 0.00 45.88 29.97 0.00 37.27 26.11 0.00 62(17) 54.71 41.16 0.00 48.58 37.74 0.00 41.65 34.10 0.00 33.87 30.28 0.00 26.26 26.26 0.00 72(22) 92.27 45.67 0.00 85.78 42.35 0.00 78.32 38.73 0.00 69.75 34.80 0.00 59.94 30.58 0.00 1000 67(19) 77.81 47.56 0.00 70.99 43.94 0.00 63.20 40.04 0.00 54.28 35.83 0.00 44.08 31.34 0.00 62(17) 64.59 49.11 0.00 57.46 45.22 0.00 49.36 41.05 0.00 40.28 36.63 0.00 31.96 31.96 0.00 Manufacturer reserves the right to change,at any time,specifications and designs without notice and without obligations. 5 CAPMP:Product Data Table I-COOLING CAPACITIES(MBM-R410A PURONS REFRIGERANT(Continued) Saturated Temperature Leaving Evaporator OF(°C) Indoor Coil Air Unit Size 30(4) 35(2) 40(4) 45(7) 50(10) CFM EWB TC SHC BF TC SHC BF TC SHC BF TC SHC BF TC SHC BF 72(22) 49.10 24.00 0.00 45.00 21.90 0.00 40.50 19.70 0.00 35.50 17.40 0.00 30.00 15.00 0.01 750 67(19) 41.20 24.80 0.01 37.00 22.50 0.02 32.40 20.20 0.02 27.40 17.80 0.02 21.90 15.30 0.02 62(17) 34.00 25.40 0.02 29.70 23.00 0.02 25.10 20.60 0.02 20.30 18.30 0.02 16.00 16.00 0.06 72(22) 59.90 29.10 0.00 55.00 26.70 0.00 49.50 24.10 0.00 43.30 21.30 0.02 36.50 18.40 0.03 3014 1000 67(19) 50.40 30.50 0.03 45.30 27.90 0.04 39.70 25.10 0.04 33.50 22.20 0.04 26.70 19.20 0.04 3017 62(17) 41.70 31.60 0.04 36.50 28.80 0.04 30.90 26.00 0.04 25.00 23.10 0.05 20.30 20.30 0.10 72(22) 68.80 33.40 0.00 63.20 30.70 0.00 56.80 27.80 0.03 49.70 24.70 0.04 41.90 21.40 0.05 1250 67(19) 58.00 35.40 0.06 52.20 32.40 0.06 45.70 29.30 0.06 38.50 26.00 0.06 30.60 22.60 0.07 62(17) 48.00 37.00 0.07 42.10 33.90 0.07 35.70 30.70 0.07 29.20 27.50 0.07 24.20 24.20 0.01 72(22) 60.30 29.40 0.00 55.40 26.90 0.00 49.90 24.30 0.00 43.80 21.50 0.01 37.00 18.60 0.02 900 67(19) 50.70 30.60 0.02 45.70 27.90 0.03 40.10 25.10 0.03 33.90 22.20 0.03 27.00 19.20 0.03 62(17) 41.90 31.50 0.03 36.70 28.70 0.03 31.10 25.80 0.03 25.10 22.90 0.04 20.00 20.00 0.08 72(22) 72.40 35.10 0.00 66.50 32.30 0.00 59.90 29.30 0.02 52.50 26.00 0.04 44.30 22.60 0.05 3617 1200 67(19) 61.00 37.10 0.05 55.00 34.00 0.06 48.20 30.70 0.06 40.70 27.30 0.06 32.40 23.70 0.06 62(17) 50.50 38.80 0.06 44.30 35.50 0.06 37.60 32.10 0.06 30.60 28.70 0.07 25.20 25.20 0.13 72(22) 82.20 39.90 0.00 75.60 36.90 0.02 68.10 33.50 0.05 59.70 29.90 0.07 50.40 26.10 0.08 1500 67(19) 69.40 42.70 0.08 62.60 39.30 0.08 55.00 35.70 0.08 46.40 31.80 0.09 37.00 27.80 0.09 62(17) 57.70 45.10 0.09 50.70 41.40 0.09 43.10 37.70 0.09 35.50 34.00 0.10 29.80 29.80 0.18 72(22) 85.28 42.35 0.00 79.12 39.14 0.00 72.10 35.69 0.00 64.07 31.97 0.00 54.91 28.01 0.00 900 67(19) 71.79 43.83 0.00 65.36 40.38 0.00 58.06 36.68 0.00 49.72 32.73 0.00 40.25 28.53 0.00 62(17) 59.49 45.02 0.00 52.76 41.34 0.00 45.22 37.41 0.00 36.79 33.30 0.00 29.00 29.00 0.00 72(22) 103.16 50.79 0.00 96.02 47.29 0.00 87.71 43.41 0.00 78.05 39.13 0.00 66.94 34A7 0.00 3717 1200 67(19) 87.21 53.61 0.00 79.64 49.72 0.00 70.90 45A6 0.00 60.82 40.81 0.00 49.25 35.81 0.00 62(17) 72.54 55.95 0.00 64.59 51.72 0.00 55.57 47.16 0.00 45.56 42.32 0.00 37.10 37.10 0.00 72(22) 117.25 57.62 0.00 109.35 53.95 0.00 100.10 49.80 0.00 89.30 45.15 0.00 76.74 40.02 0.00 1500 67(19) 99.48 61.84 0.00 91.07 57.69 0.00 81.29 53.07 0.00 69.87 47.93 0.00 56.68 42.33 0.00 62(17) 83.06 66A9 0.00 74.20 60.91 0.00 64.12 55.91 0.00 53.03 50.53 0.00 44.30 44.30 0.00 72(22) 85.95 42.71 0.00 79.93 39.56 0.00 73.00 36.12 0.00 65.04 32.41 0.00 55.96 28.45 0.00 900 67(19) 72.40 44.18 0.00 66.07 40.77 0.00 58.86 37.09 0.00 50.60 33.15 0.00 41.19 28.96 0.00 62(17) 60.05 45.37 0.00 53A4 41.72 0.00 45.92 37.80 0.00 37A4 33.65 0.00 29.27 29.27 0.00 72(22) 104.44 51.43 0.00 97.39 47.95 0.00 89.16 44.08 0.00 79.65 39.82 0.00 68.66 35.19 0.00 3721 1200 67(19) 88.33 54.23 0.00 80.87 50.38 0.00 72.22 46.13 0.00 62.25 41.51 0.00 50.73 36.50 0.00 62(17) 73.55 56.59 0.00 65.68 52.38 0.00 56.68 47.81 0.00 46.52 42.91 0.00 37.58 37.58 0.00 72(22) 119.03 58.46 0.00 111.23 54.81 0.00 102.13 50.71 0.00 91.48 46.10 0.00 79.08 41.02 0.00 1500 67(19) 101.06 62.72 0.00 92.78 58.61 0.00 83.14 54.04 0.00 71.83 48.94 0.00 58.67 43.32 0.00 62(17) 84.48 66.42 0.00 75.74 61.89 0.00 65.66 56.86 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Manufacturer reserves the right to change,at any time,specifications and designs without notice and without obligations. 6 CAPMP:Product Data Table 1-COOLING CAPACITIES(MBI)-R410A PURON®REFRIGERANT(Continued) Saturated Temperature Leaving Evaporator OF(°C) Indoor Coil Air Fitize 30(-1) 35(2) 40(4) 45(7) 50(10) CFM EWB TC SHC BF TC SHC BF TC SHC BF TC SHC BF TC SHC BF 72(22) 75.00 36.40 0.00 69.30 33.70 0.00 62.60 30.60 0.01 55.10 27.40 0.02 46.90 24.00 0.03 1050 67(19) 63.30 38.80 0.03 57.20 35.70 0.03 50.50 32.50 0.03 42.90 29.00 0.04 33.50 25.00 0.04 62(17) 52.60 40.80 0.04 46.40 37.60 0.04 39.50 34.10 0.04 32.00 30.40 0.05 26.40 26.40 0.14 72(22) 87.10 42.50 0.00 80.60 39.50 0.03 73.00 36.20 0.04 64.20 32.50 0.01 54.40 28.60 0.06 4221 1400 67(19) 73.80 46.10 0.06 66.90 42.70 0.06 58.90 39.00 0.07 50.10 35.20 0.07 40.00 30.90 0.07 62(17) 61.40 49.30 0.07 54.40 45.70 0.07 46.90 42.10 0.07 39.00 38.10 0.09 33.00 33.00 0.19 72(22) 96.50 47.40 0.05 89.50 44.30 0.07 81.30 40.80 0.07 71.70 36.90 0.08 60.50 32.60 0.09 1750 67(19) 82.10 52.30 0.09 74.60 48.80 0.09 65.90 44.90 0.09 55.90 40.60 0.09 45.10 36.20 0.10 62(17) 68.60 56.80 0.10 61.00 53.10 0.10 52.90 49.10 0.10 44.90 44.90 0.12 38.70 38.70 0.24 72(22) 95.75 47.32 0.00 89.15 43.98 0.00 81.55 40.30 0.00 72.72 1 36.27 1 0.00 1 62.64 1 31.95 1 0.00 1050 67(19) 80.81 49.43 0.00 73.87 45.77 0.00 65.88 41.78 0.00 56.71 1 37.46 1 0.00 46.18 32.83 1 0.00 62(17) 67.16 1 51.17 0.00 59.87 47.21 0.00 1 51.54 42.93 0.00 42.14 1 38.37 0.00 1 33.49 1 33.49 0.00 72(22) 114.53 56.27 0.00 106.97 52.67 0.00 98.10 48.62 0.00 87.81 44.12 0.00 75.84 39.17 0.00 4321 1400 67(19) 97.13 60.04 0.00 89.08 55.99 0.00 79.75 51.52 0.00 68.84 46.55 0.00 56.19 41.13 0.00 62(17) 81.09 63.28 0.00 72.60 58.83 0.00 62.86 53.96 0.00 51.93 48.71 0.00 42.81 42.81 0.00 72(22) 128.85 63.40 0.00 120.65 59.68 0.00 111.06 55.46 0.00 99.69 50.67 0.00 86.32 45.29 0.00 1750 67(19) 109.76 68.90 0.00 101.01 64.69 0.00 90.69 59.91 0.00 78.53 54.53 0.00 64.28 48.54 0.00 62(17) 92.05 73.79 0.00 82.77 69.09 0.00 72.04 63.83 0.00 60.16 58.07 0.00 51.02 51.02 0.00 72(22) 83.40 40.60 0.00 76.70 37.20 0.00 69.30 33.60 0.00 60.90 29.80 0.01 51.70 25.80 0.02 1200 67(19) 70.10 42.30 0.02 63.20 38.60 0.03 66.60 34.80 0.03 47.20 30.80 0.04 37.80 26.60 0.04 62(17) 57.90 43.50 0.04 50.90 39.70 0.04 43.20 35.70 0.04 34.90 31.70 0.04 27.70 27.70 0.08 72(22) 100.80 48.90 0.00 92.80 45.10 0.00 83.80 40.90 0.01 73.80 36.40 0.04 62.50 31.70 0.05 4821 1600 67(19) 84.90 51.70 0.05 76.70 47.40 0.06 67.50 42.90 0.06 57.30 38.10 0.06 45.90 33.20 0.06 62(17) 70.40 53.90 0.06 62.00 49.30 0.06 52.60 44.60 0.07 42.80 39.90 0.07 35.00 35.00 0.01 72(22) 114.70 55.70 0.00 105.70 51.60 0.00 95.60 47.00 0.05 84.20 42.00 0.07 71.40 36.70 0.08 2000 67(19) 97.00 59.50 0.08 87.70 54.90 0.08 77.30 49.90 0.09 65.60 44.60 0.09 52.50 39.00 0.09 62(17) 80.60 62.80 0.09 71.00 57.70 0.09 60.50 52.50 0.09 49.60 47.20 0.10 41.30 41.30 0.18 72(22) 109.20 53.40 0.00 100.00 48.60 0.00 89.90 43.60 0.00 78.60 38.50 0.00 66AO 33.10 0.02 1600 67(19) 91.50 55.10 0.02 82.10 50.00 0.03 71.90 44.80 0.03 60.70 39.40 0.03 48.40 34.00 0.03 62(17) 75.40 56.30 0.03 65.90 51.00 0.03 65.60 45.70 0.04 44.80 40.40 0.04 35.30 35.30 0.07 72(22) 128.00 62.52 0.00 117.20 56.90 0.00 105.20 51.20 0.00 92.00 45.20 0.02 77.50 39.10 0.04 6021 2000 67(19) 107.40 64.90 0.04 96.40 59.10 0.04 84.30 53.00 0.05 71.10 46.80 0.05 56.60 40.50 0.05 6024 62(17) 88.60 66.90 0.05 77.50 60.80 0.05 65.30 54.60 0.05 52.70 48.50 0.06 42.40 42.40 0.11 72(22) 144.20 70.00 0.00 132.10 64.20 0.00 118.50 57.90 0.01 103.60 51.20 0.04 87.20 44.30 0.06 2400 67(19) 121.20 73.60 0.06 108.80 67.20 0.06 96.10 60.40 0.07 80.10 63.60 0.07 63.70 46.40 0.07 62(17) 100.10 76.40 0.07 87.50 69.60 0.07 73.80 62.70 0.07 59.80 56.00 0.08 48.90 48.90 0.14 Manufacturer reserves the right to change,at any time,specifications and designs without notice and without obligations. 7 CAPMP:Product Data Table 1-COOLING CAPACITIES(MBI)-R410A PURON®REFRIGERANT(Continued) Saturated Temperature Leaving Evaporator°F(°C) Indoor Coil Air Unit Size 30(4) 35(2) 40(4) 45(7) 50(1 O) CFM EWB TC SHC BF TC SHC BF TC SHC BF TC 1 SHC BF TC SHC BF 72(22) 133.10 65.29 0.00 124.38 61.09 0.00 114.12 56.35 0.00 102.04 51.04 0.00 87.92 45.18 0.00 1600 67(19) 112.92 69.65 0.00 103.56 64.81 0.00 92.62 59.52 0.00 79.80 53.65 0.00 64.92 47.24 0.00 62(17) 94.29 73.16 0.00 84.32 67.90 0.00 72.85 62.14 0.00 59.93 55.91 0.00 48.98 48.98 0.00 72(22) 150.19 73.70 0.00 140.73 69.39 0.00 129.45 64A3 0.00 116.13 %76 0.00 100.38 52.39 0.00 6121 6124 2000 67(19) 127.98 79.99 0.00 117.77 75.03 0.00 105.67 69.38 0.00 91.36 63.01 0.00 74.55 55.91 0.00 62(17) 107.36 85.50 0.00 96.47 79.93 0.00 83.81 73.69 0.00 69.74 66.88 0.00 58.70 58.70 0.00 72(22) 163.45 80.69 0.00 153.55 76.31 0.00 141.65 71.22 0.00 127.40 65.35 0.00 110.42 58.64 0.00 2400 67(19) 139.86 88.99 0.00 129.06 83.92 0.00 116.15 78.06 0.00 100.72 71.35 0.00 82.51 63.78 0.00 62(17) 117.85 96.47 0.00 106.33 90.72 0.00 92.96 84.20 0.00 78.33 76.91 0.00 67.38 67.38 0.00 Legend: CFM-Cubic Ft.per Minute EWB-Entering Wet Bulb('F) LWB-Leaving Wet Bulb('F) TC-Gross Cooling Capacity 1000 Btuh BF-Bypass Factor MBH-1000 Btuh SHC-Gross Sensible Capacity 1000 Btuh See notes on page 7. Manufacturer reserves the right to change,at any time,specifications and designs without nodes and without obligations. 8 CAPMP:Product Data Table 2-COIL STATIC PRESSURE DROP(in.w.c.)R-410A PURONO Unit Size STANDARD CFM 400 500 600 700 800 900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 Dry 1814 0. 0. 10.14610.18610.232 Wet 0.083 10.116 10.151 10.196 0.2-43 Dry 1917 0.077 10.099 10.124 10.162 10.182 Wet 0.088 10.113 10.137 10.170 10.2091 Dry 2414 0.065 0.091 0.120 10.154 10.194 10,23710.2841 `het 0.066 0.094 0.124 0.161 0.203 0.250 0.301 - Dry 2417 0.056 10.076 10.097 10.123 10.15110.182 10.2151 Wet 0.060 10.082 10.105 10.132 10.1631 0.195 0.231 Dry 2517 0.069 0.090 ..111 10.136 10.165 10.193 10.2271 Wet 0.071 0.090 10.113 10.136 10.164 10.196 10.229 ; ury 3014 0.064 0.077 10.102 10.133 10.167 10.206 10.248 10.296 10.347 Wet 0.059 0.084 1 0.111 10.142 10.18110.223 10.269 10.319 10.3751 Dry 3017 0.043 10.059 10.077 10.096 10.119 10.144 10.1711 0.201 0.232 Wet 0.046 10.063 10.08310.105 10.130 10.157 10.186 10.219 10.252 , Dry 'Aaa7 0.023 0.036 0.052 0.06910.08910.110 0,135 0.160 0.189 0.219 0.251 .. et 10.068 10.0765 10.117 10.142 10.16910.198 10.23110.266 10.2991 Dry 3717 0.077 10.099 0.124 0.152 10.182 10.216 10.253 0.294 10.338 Wet 0.088 10.1131 0.137 0.170 10.209 10.247 10.287 10.326 10.368 Dry 3721 0.059 10.073 10.090 10.111 10.135 10.162 10.19110.222 10.254 Wet 0.073 10.096 10.120 0.147 0.176 0.207 10.240 10.276 10.314 Dry 4221 0. 4 0.0 6 0. 6 0.082 0.0 9 0. 9 0. 38 0. 6 10.183 0.205 0.233 Wet 0.058 10.073 10.08910.106 10.125 j 0.143 10.165 10.1890. 0.239 10.268 Dry 4321 0.059 10.073 0.090 0.111 0.135 10.162 10.19110.222 10.254 10288 10.3231 Wet 0.073 10.096 10.120 10.147 10.176 10.207 10.240 10.276 10.314 10.354 10.396 Dry 4821 0.055 0.072 0.089 0.107 0.128 0.150 0.175 0.199 0.228 0.257 0.288 0.321 0.356 Wet 0.058 10.075 10.094 10.115 10.136 10.16110.188 10.217 10.247 0.279 0.313 0.347 0.386 Dry 6021 1^ 0.075 0.09 7 . 8 0. 0.2 0.2 26 0.360 0.3% 0.432 0.478 Wet 0.077 10.09510.115 10.1370.159 0.184 10.209 10.238 10.268 10.300 10.334 10.370 10.407 10.444 10.488 Dry 6024 110.083 10.095 10.107 10.1200.136 10.152 10.169 10.184 10.203 10.217 10.238 10.260 10.283 10.307 Wet 0.076 0.088 10.098 10.110 1 n 124 I n?4n n 1 g7 10.17510.193 10.215 1 0.238 0.281 0.286 10.314 10.342, Dry 6121 10.11110.133 1 0.153 0. 663 10.204 10.234 10.262 10.293 0.326 0,366 10.392 10.43TFO.480 10.520 Wet L i _ 0.130 10150 10183 10.210 10.24510.280 10.320 0.355 0.400 0.435 0.480 0.525 0.570 0.830 � r - _ Dry 6124 I Wet �- T 0.118 0.140 0.163 0.187 0.213 0239 0.266 0.295 10.325 10.355 0.387 0.420 10.454 10.489 --- - Manufacturer reserves the right to change,at any time,specifications and designs without notice and without obiigations. 9 CAPMP:Product Data COOLING CAPACITIES NOTES: NOTE: 1. Contact manufacturer for cooling capacities at conditions other than shown in table. 2. Formulas: Leaving db=entering db-sensible heat cap. 1.09 x CFM Leaving wb=wb corresponding to enthalpy of air leaving coil(ht,,,) ht.wa=hEw,- total capacity_(Btub) 4.5 x CFM Where h,ws=enthalpy of air entering coil 3. SHC is based on 80°F db temperature of air entering the evaporator coil. Below 80°F db,subtract(Correction Factor x CFM)from SHC. Above 80°F db,add(Correction Factor x CFM)to SHC. 4. Direct interpolation is permissible.Do not extrapolate. 5. Fan motor heat has not been deducted. 6. All data points are based on 10°F superheat leaving coil and use of thermostatic expansion valve(TXV)device. 7. All units have sweat suction-tube connection and a liquid-tube connection. For 1-1/8-in. system suction tube, 3/4 x 1-1/8-in. suction tube connection adapter is available as accessory. 8. The CAPMP coils can be used in any properly designed system using R-410APuron®Refrigerant. 9. Before using maximum cftn shown in table,check coil static pressure drop to ensure system blower can provide necessary static pressure needed for coil and duct systems. 10.Bypass Factor=0 indicates no psychometric solution.Use bypass factor of next lower EWB for approximation. Table 3—ENTERING AIR DRY BULB TEMPERATURE(°F) 79 78 77 76 75 Under75 BYPASS 81 82 83 84 84 Above85 FACTOR Correction Factor Use 0.10 0.98 0.87 1.961.74 2.94 2.62 3.92 3.49 4'91 formula 0 30 0.76 1.63 2.29 3.05 3.8 shown below Interpolation is permissible. Correction Factor a 1.09 x(1-BF)x(db-80) C 2023 Carrier.All rights reserved. Edition Date:1/23 Catalog No:PDSCAPMP-07 A Carrier Company Replaces:PDSCAPMP-04 Manufacturer reserves the right to change,at any time,specifications and designs without notice and without obligations. 10 DATE IMM/DD/YYYYI CERTIFICATE 4F LIABILITY INSURANCE 02/16/2024 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 I.EItT IFICATE 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 CT NAME CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 A/C,No,Ext):888-333-4949 (A/c,No):507 446 4664 OWATONNA, MN 55060 ADDRESS:CLIENTCONTACTCENTERIa FEDINS.COM INSURERS AFFORDING COVERAGE NAIC# _ INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 286468-4 INSURER B:FEDERATED RESERVE INSURANCE COMPANY 16024 ARCTIC MECHANICAL INCORPORATED INSURER C: 460 N MAIN ST — PORT CHESTER, NY 10573-3310 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:90 REVISION NUMBER: 1 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED PREMISES $100,000 MED EXP(Any one person) EXCLUDED A N N 1887386 01/18/2024 01/18/2025 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ��T ❑LOC PRODUCTS&COMP/OP AGG $2,000,000 Ol HLK: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea $1,000,000 a INE X ANY AUTO BODILY INJURY(Per Person) A OWNED AUTOS ONLY AU ODULED N N 1887386 01/18/2024 01118/2025 BODILY INJURY(Per Accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per Accidentl X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAB CLAIMS-MADE N N 1907994 01/18/2024 01/18/2025 AGGREGATE $5,000,000 DED I X I RETENTION$10,000 WORKERS COMPENSATION X PER STATE OTHER AND EMPLOYERS'LIABILITY UT ANY PROPRIETORIPARTNER1 EXECUTIVE E.L EACH ACCIDENT $1,000,000 B OFFICER/MEMBER EXCLUDED? N/A N 9298530 01/18/2024 01/18/2025 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $1,000,000 It s,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 286-468-4 901 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED l/II I a,(:F f1F lJVC Rpflfl l! 938 KING ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN RYE BROOK, NY 10573-1226 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compe Boardnsation NYS WORKERS' COMPENSATION INSURANCE COVERAGE 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured (914)934-8301 Arctic Mechanical Incorporated 286-468-4 460 N Main St Port Chester, NY 10573-3310 1c.NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d. Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e., a Wrap-Up Policy) Number 06-1596446 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Federated Reserve Insurance Company Village Of Rye Brook 3b.Policy Number of Entity Listed in Box"l a" 938 King St 9298530 Rye Brook, NY 10573-1226 3c.Policy effective period n/H RYJn9n to 01 H 8!2025 3d.The Proprietor,Partners or Executive Officers are FX included.(Only check box if all partners/officers included) all excluded or certain partnersloTflcers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1a"for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coveraqe as depicted on this form. Approved by: Emily Petzel (Print name of authorized re ntative or licensed agent of insurance carrier) Approved by: Zj��L P 12/05/2023 (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) www.wcb.ny.gov