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Martins Pereira, LouisFOR INTERNAL, USE ONLY Received by.- Joseph, P. Paul oni E] Lynn ODell 0 1 Cooper Leatherwood i Date Received-, The undersigned does hereby apply to the Town of Wiappinger Town Clerk for a NEW RENEWAL TEMPORARY (1 weekend only) T T apping License for tiawking and Peddli'ng pursuant to I own of W er Local Law No. 10 of 1.992, regulating Hawkers and Peddlers, in the Town of Wappin,ger, an d in conne,-f;rx" -T! 1,41"o application, does state the following,-, 1) Applimnt: NAME,.- y GE: CURRENT ADDRESS: (St #) (Street) (Cityj PHONE # PE M AN I ENT ADDRESS (if different) - (St #) (Street) (City) If Applicant is an Agent or Employer, Applican,Vs Employer Address of Eniploye�r (State) (ZIP) 11 YLA 0 (JIt , 111)'' (State) (ZIP) (St. #) (Street}{City) (State) (ZIP) Proof of Employment (attach to, Up1j,cation), _ 2) Nature of Business-, Tape coloI photo (less than 60 days Oild) Motor Vehicle (eircle one): car truck van E On Foot &/or with viehicle drawn by hand or animal Vehi'cle Info: Vehicle Make Vehicle Model License Plate # State of Registration Operator's License Number 11 Weights & Measures Certificate Certificate # F.A Dutch ess County Health Dept Permit Permit # 2021-05-13 JPP 3) Veteran Status 11 Veteran Applicant - Exempt from license fee (attach certificate from I ut h ss County) Names of all other municipalities in which the applicant has been a vendor in the preceding months: 4) Compliance That the applicant, if the License requested hereby is granted, consents and agrees to conduct the aforesaid business or activity pursuant to all ofthe terms and regulations of the Local Law above specified, and all other axles, regulations and Laws governing ones activities in the Town of Wappinger as a Peddler or Hawker. fated -T� , 201o, Wappingers Palls, N.Y. Sworxi to before me this � day of 20.�� (AQ,2! b IA.r iJK: 6 &1 Aotary Public ('0 W";'5 PLO, 4*, -e I rc�-� Signature of Applicant Application must be accompanied by a fee of Two Hundred Dollars ($200.00) plus 50 for each addition to the original license per year, payable to the Torn of Wappinger. This is a .on.-rffindalle :dee. Applicants possessing a valid Dutchess County Veterans Vendors License are exempt from the $200.00 foo, provided that a copy ofsaid license is attached to the application. "s To Whom It May Concern: NY Putnam County Home Improvement Contractor # PC6987 NY Putnam County Electrical Lice�nse # R23713 NY Westchester County Home Improvement Contractor #WC,-27944-H15 NY Westchester County Electrical License # 599 NY Rockland County Home Improvement Contractor #H-12313-,40 NY Rockland County Electrical License # 402 NY Orange County ElectricalLicense # 198 NY Sul I ivan cunt Electrical' License # 442 NY Greene County Electrical License # 502 NY, Jurisdictions , license or registration information furnished upon request. For other jurisdictions, please, visit, httpl.,//w,ww.trinity-solar,,lcom/about-us/locapt' ions-and-,Iicenses November 17, 20,25 Louis Martins Pereira is a Trinity Sales employee seeking approval to solicit in the Town of 'Wa ppi'nger. We are a 1, oca I sol a r com pa ny spec 1 a 11 zl'ng 'i n r de l a I fi nand ing opti ons, a nd they are a part of the division that generates leads by going door-to-door. The most prominent product we off'er is a power purchase agreement for homeowners to supplement their current utility bills by using solar energy produced on their home. Please contact me if you should have any questions Sincerely, IL a M cwtoowi N 4 1 VOW Maria Nuzzi Licensing Administrator, 0: 732-780-3779 E:1 Licensing@trinity-solr.com ice Hudson, ValleyOff' 1-877-SUN-SAV'ES 62 Leone Line Ph: 845-572-0060 Chester, New York 10918 Fax -1 845-576-0068 www.t,rinity-isolar.com CSROFJrArEMr�1rrY�rvY CERTIFICATE LIABILITY 510/2025 THIS CERTIFICATE IS ISSUED AS A FATTER OF INFORMATION RMATION 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 ESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is ars ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the poll y, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such andorsement(s). PRODUCER Arthur J. Gallagher frisk Management Servi es, LLC 300 Fellowship Road Suite 200 CONTACT NAME: Alex G111kin PHONE t ; -482-9900 FAX f �q ; -4�� 888 E-MAIL ADDRESS: CherryH!11,BSD.CertM@AJG.com Mount Laurel NJ 08054 INSURER AFFORDING COVERAGE NAIO# IN URED : National Union Fire Insurance Company of Pittsburg19445 N11 LV7ENV I06507 INSURED TRINHEA-03 Trinity Solar L.L_ Leone Lane INSURER B : Evanston Insurance Company____35378 INSURER ; Navigators ators Specialtyrn Insurance Company 36056 INSURER D: Endurance Arnerfean Specialty Ins Co 41718 Chester, NY 10918 INSURER E: Libeq Insurance Underwriters Ino 19917 INSURER F: COVERAGES CERTIFICATE NUMBER: 1906495449 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. ATED. NOTWITH T NDIN ANY REQUIREMENT, TERM OR ONDITI N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH H 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. INR LTR TYPE OF INSURANCE ADDL INSD SUED WyD POLICY NUMBER POLICY EFF MMJDDNYYY POLICY EXP MM 0D)YYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XIOCCUR 1` N11 LV7ENV I06507 0l11202 6/112026 EACH OCCURRENCE 6,000,000 DAMAGH TO PREMISES Ea acou en a X00,000 MED EXP (Any one person) $26,000 PERSONAL & ADV INJURY $3,000,000 GENERAL AGGREGATE 6,000,000 OEN`L AGGREGATE LIMIT APPLIES PER: POLICY PRO- I� J T F Loo PRODUCTS - OOMPIOP A 3,000,000 $ OTHER: A AUTO MO81LI-LIABILITY 2960145 01112025 61 /2026 COMBINED SINGLE LIMIT $ .5,000,000 Ea accident BODILY INJURY (Per person) $ } ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per acoldent) PROPERTY DAMAGE Per accident)$ O I) E X UMBRELLA LIAR EXCESS L.IAB OCCURNY25EXCZO CLAIMS -MADE LOHKIC NY25E C OLOHKI ELD30006989103 1000231834-09 X1112025 611/2025 01112025 6/1/2025 611/2026 611/2026 61112026 6/1/2026 EACH OCCURRENCE 5,000,000 AGGREGATE $5,000,000 DED RETENTION $ LIMIT OF $5,000,000 $10,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEPJE E UT11fE OFF] CEWMEMBEREXCLUDED? � NIA 13188225 61112025 61112026 X SPER TATUTE ORH- E.L. EACH ACCIDENT $5,000,000 E.L. DISEASE - EA EMPLOYEE $ 5,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATJONS below AUTOMOBILE COMP, ! COLLISION DEDUCT. 2960145 61112025 01112026 ALL OTHER UNITS $2501$600 TRUCK -TRACTORS AND SEMI -TRAILERS $2501$600 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES ( CORD 101, Additional Remarks Schedule, maybe attached if more space is required) EXCESS LIABILITY - CONT. Carrier: Columbia Casualty Company Policy #: 7039650582 Policy Period; 6/1/2025 - 01112026 Limit, $5,000,000 x 21,000,00 The Certificate Holder is named as additional insured with respect to the above General Liability Policy, if required by written contract executed prier to services performed, CERTIFICATE HOLDER CANCELLATION Town of Wappinger 20 liddiebush Read Wappingers Falls NY 12590 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Y4 - 1988-2015 ACORD D CORPORATION, All rights reserved, ARD 25 (2016103) The ARD name and Ingo are registered marls of ARD f NEW o'l Workers" YORK 'ATI onllor Board CERTIFICATE OF NYS WORKERS" COMPENSATION INSURANCE COVERAGE Ia. regal Name & Address of Insured (use street address only) 1b, Business Telephone Number of Insured Trinity Solar LLC 631-319-7233 2 Leone Lane Chester, NY 10918 1 c. NYS Unemployment Insurance Employer Registration Number of Insured 49-230977 1d. Federal Employer Identification Nurnber of Insured or Social Security Number work Location of Insured (Only regi Ire if o eragr Is s eolfr" ally limited to certain locations in New York State, i.e., a Wrap -Up Policy) 22-3292324 . Nage and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Molder) Town of appinger National Union Fire Insurance Company 20 Middlebush load 3 b, Polley -Number of Entity Listed In Box "I a" Wappingers Falls, NY 12590 13188225 USA 3e, Policy effective period 81112025 to 6/1/2026 3d. The Proprietor, Partners or Executive Officers are Included. (Only check box If all partners/officers Included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "I a" for workers' compensation under the New York State workers' Cornpensation Law. {To use this form, New Yorl (NY) must be Iisted 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 rnust notify the above certificate holder and the Workers' Cornpen sation Board within 10 days IF a policy i s 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 1nformatlon 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' cornpensatiion policy Indicated on this form, if the business continues to b named on a permit, license or contract issued by a certificate holden 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 requ1rements of the New York State Woiri er-s' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Michael Price (Prirnt name of authorized representatIve or Iicensed agent of Insurance carrier) Approved b: 2&��6/1/202 (signature) (Data) Title: C.E.O. Noah America Telephone Number of authorized representative or licensed agent of insurance carrier: Please Note: Only insurance carriers and their licensed agents are authorized to issue Form -105,2. Insurance brokers are NOT authorized to issue it. -1 05.2 (9-17)www.wcb.ny.gov de#_Ji N EW Workersf, YORKJ . ...... \ STATE Co ml,pensation CERTIFICATE OF INSURANCE COVERAGE Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1. To be completled by'NYS disability and Paid Family Leave benefits, carr[er or licensed insurance agent of that carrier 1 a. Legal Name & Address of tnSlired (use street addresrl 1L. Business Telephone NUmber of Ins r d Trinity Solar LLC 62 Lelone Lane 8003733765 Chester, NY 10918 1c. Federal Employer Identification Number of Insured or Social Security NLArnber Work Location of Insured (Only required if coverage is specifically h0lited to certain lay ations ��n New York. State,, Wrap -Up Policy) 22-3292324 2. Name and Address of En!tity ReqUesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York Town of Wappinger 20 Middlebush Road 3b. Policy Number of Entity Listed in Box 1 a Wappingers, Falls, 2590 R71757-002 USA 3c. Policy Effective Period 2017 to 6/1 /2026 4. Policy provides the following benefits - A. Both disability and Paid Family Leave benefits. B. Disability benefits only., C. Paid Family Leave be fit only. 5. Policy covers - [k A, All of the employer's emloy,e:es eligible Under the NYS Disability and Paid Family Leave Benefits Law. El B. Only the following class or classes of employer's, employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS disability and/or Paid Family Leave benefits insurance coverage as, desr` d above. 0 Ar Date Signed 6/2/2025 By �Signaiturri tire of insrance cam autharr d epresentaRive or NYS hceti5ed insurance a8ent of that insurance carrier) represe TelephoneNumber (21 2) 355-4141 NarneandTitle SUPERVISOR-DBLIPOLICYSERVICES IMI ORTANT.Jf Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative o'r,NYS Licensed Insurance Agent of -that carrier, this certificate is COMPLETE. Mail, it directly to the certificate holder., If Box 4B, 4C or 513, is checked, this certificate i's NOTCOMPLETE for purposes of Section 220, Subd. 8 of the NYS, Disability and Paid Family Leave Benefits Law, I!t must be emailed to PAU@wcb.,n�y.gov or it can be mailed for completion to the Workers," Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 113902-5200. LP�RT 2. To be completed bythe' NYS Workers' Compensation Board (Only if Box, 4B, 4C or 5,B of Part I has been checlked) State of New'York Workers,'Compensation Board According to information maIntained by, the NYS Workers' Compensation Board, the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'; Compensation Law) with respect to all of' their employees. Date Signed By (Signature of Authorized NYS Worker' Compensation Board EmploVee) Telephone Number Name and Title Please Note: Only insurance carriers, licensed to write, NYS disabifity and Paid Family Leave benefits insurance policies and 'NYS' licensed iosurance agents of those insurance carriers are authorized to issue Form DB -120-1. lnsuran,ce brokers are NOT authorized to issue this forr . DIB -1 201 (12-21) I�°°°1°��,°glu��1��11°1111°p�lllll ,��*��*i DATES {Mh�II�bIYY) CERTIFICATE OF LIABILITY INSURANCE 5!2912025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ATE D E NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED DED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TIME ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE ENTATIVE OFA PRODUCER, AND THE CERTIFICATE HOLDEN. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, ED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).. PRODUCER EsI Arthur J.Gallagher Risk Management Services, LLC 300 Fellowship Road Suite 200 CONTNAME: Alen l 1 l l l i n PHONE oExt).856-482-9900 I�lo : -482-1 (A/C. ADDRESS: CherUHill.BSD.CertM@AJG.com INSURER(S) AFFORDING COVERAGE NAIL# Mount Laurel NJ 08054 INSURER A. National Union Fire Insurance Company of Pittsburg19445 INSURED TRINHEA-00 eInity 'St l r LLC 62- Leone Lane INSURER q: Evanston Insurance Company 35378 INSURE=R C; Navigators ators ecialt Insurance comparly 36056 INSURER D: Endurance ArnerIcan Specialty Ins co 41718 Chester, NY 10918 INSURER Er : Li be qy Insurance Underwriters Ino 19917 INSURER F: MVFRAr-.FR r -'.FIRTH - Ir. ATI= IdIIMRFIR- IRRA 11oo n RIZVVIRION MUMRERm- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE ANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, EI'1,r1EC T, TERN OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED DR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSI AND CONDITION S OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEF RE C ED BY PAID CLAI MS. 'I 4 II R R",R TYPE F INSURANCE I E ADDL S BR POLICY NUMBED POLICY EFF MM1DDIYYYY POLICY EXP MMIDDNYY LIMITS DOI II IBRDIAkL GENERAL LIABILITY I I} L �ENV10 07 !1l 0 6!112026 EACH OCCURRENCE 3,000,000 Iii k CLAIMS -MADE 17x OCCUR 1)AMAGE TO TED PREMISES Ea occurrence) 300,000 MED EXP Any one person) $25,000 PERSONAL & ADV INJURY $3,000,000 . OEN1 AG0REGATE LIMIT APPLIES PER aENEI AL AGGREGATE 3,000,000 I ; y .,. . ; 5r. PO-, I'OLIO1 JE LOC IRO U TS I I'!OP AGG $3,000,000 �t OTHER: A AUT .OM0SiLELIA81LIT`! 2960145 6/112025 611/2026 COMBINEIL SINGLE LIMIT 6,000,000 Ea acolden# BODILY INJURIA (icer person) X ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS PROP DAMAGE Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY y +; UMBRELLA OCCUR NY25EXC OLOHKI 6!112025 61112026 EACH OCCURRENCE $ 5,000,000 AGGREGATE 6,000,000 u �w . F; DESS LIAR CLAIMS-MADE NY25EX OLOHKI ELD3000 989103 61112025 61112026 611/2026 61112026 1000231834-09 6/112025 6/112026 DEIN RETENTION LIMIT X OF $5,000,000 16,000,000 WOR ERS OMPENSATION 13188225 61112025 6/112026 X- TATUTE �R AND EMPLOYERS'LIABILITY Y I N PkOPIETC)RiPAI TNER/EXECUTIVE E.L, EACH ACCIDENT 6,000,000 a� O.FFICERIME MBE RE CLUDED? N NIA . (Mandator in NH) E.L. DISEASE - EA EMPLOYEE $5,000,000 E.L. DISEASE - POLICY LIMIT 5,000,000 'ifD a ��RlPTI a Under I�S:RIPTION OF OEEI71I�iS be] ow A AUTOMOBILE 2960145 6!1!2025 61112026 ALL OTHER UNITS $260!$500 COMP. I COLLISION DEDUCT. TRUCK -TRACTORS ,REVD .w SEMI-TRAILERS $2501$500 ESC R1 PTION OF OPERATIONS I LOCATIONS I V E H IC LES (AC CRD 10 1, Additional Rem rks S c hed ule, may he attached if more space is required) EXCESS LIABILITY •- CONT, Carrier: Columbia casualty Company Polley #: 7039550582 , .A e.[l y.Period. 611!2025 - 6/112026 lirillt. $5,000,090 s $21 000,000 r�-� L . .F E vlden a of Insurance ..yt f .F CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE... THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ;f ACCORDANCE NINTH THE POLICY PROVISIONS. Evidence of InsuranceAUTHORIZED RE PRESENTA7IVEi I IVvo^t u I ,U r %JF%LP � W r%r r I %J1.4 r% , I+ i ILS I qWaUwI v W%. :ACORD D 2 (2016/03) The ACORD name and Ingo are registered marks of ACORD Form W=9 Request forTaxpayer Give Form to the (Rev. October X018) Identification Number and Certification requester. Do not Department Iof the Treasury send to the IRS., Internal Revenue Service 00- Go to www.irs.govIFormW9,for instructions and the, latest information. I Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Trinity Solar, LLC .....2""B'usiness name/disregarded entity name, if different from above 3 Check appropriate box for''federal tax clAssification of the person whose, name is, entered on line I ,, Check only one of the following seven boxes,, IndividuaVsole proprietor or C Corporation S Corporation, Partnership Trust/estate single -member LLC Limited liability company,, Enter the tax classification ('C_ C corporation, S. -'S corporation, P=Piartnershlp) 0, Note,: Check the appropriate box in the line above for t'ssi he tax clafication of �the sinle-meow g:mber nen Do not check LLC it the LLC is classified as a single -member LLC that is disregarded from the owner unfess the owner of the LLC is another LLC that, is noIt, disregarded from the, owner for U.S. federal to purposes. Otherwise, a single-mem,ber LLC the is disregarded from the owner should check the appropriate box for the tax, classification of its owner. [:] Other (see! instructions) 10, 5 Address (number, street, and apt. or suite no.) See instructions., 2211 Allenwood Road 6 City,, state, and[ ZIP code Wall, Nj 07719 List account number(s), here, (optional) � Part I Taxpayer ldlentifiilcationNumber (TIN) 4 Exemptions (codes apply, only to certain entities, not individuals; see Instructions on pa,ge 3): Exempt pa,yee code, (if Iany), ml Exemption from FATCA reporting code it an (AppNes to acciounts maintamed outsde, the USj Requester's name and address (option af) 7 Socialsecurity number ONE !M 0 Z 11 ''K;K11 i 1 i El SAF ign SM Lure of Here U.S. Person Op, I Date No- 08/01/2023 too a M, a M # 0 .......... dep Cat. No. 'I G231 X Form W-9 (RevI. 10-2018) * * RECEIPT Date: 01129/26 Receipt= 122439 -Quantity Transactions Reference Subtotal 1 Peddlers Permit 2026-2 $50.00 Notes: Payment Type Credit Card -Ref Name: Trinity Solar 2211 Allenwood Rd. Wall, NJ 07719 Amount Paid By $50M Trinity Solar Total Pala: $50.00 Clerk ID: LP Internal ID: 2026-