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22 PINGREE ST - BUILDING INSPECTION [q,5 • The Commonwealth of Massachusetts TUUDepartment of Public Safety Massac husetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling 1 (This Section For Official Use Only). Building Permit Number: Date Applied: Building Official: SECTION 1: LOCATION (Please indicate Block#and Lot#for locations for which a street address is not available) D"2�� S-- Sok , mvc p1470 No.and Street City/Town Zip Code Name of Building(if applicable) ILY.�1 SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here ❑ or check all that apply in the two rows below Existing Building❑ Repair❑ 1 Alteration ❑ Addition ❑ Demolition ❑ (lease fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No Is an Independent Structural Engineering Peer Review required? Yes ❑ No Brief Description of Proposed Work: 0pc .v �- fentleer �SyH�-� RUL, r Qrtd S d l/nh� \ tN 2K , rr- SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,AL�pITION OR CHANGE IN USE OR OCCUPANCY -p Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ 1 Existing Use Group(s): Proposed Use Group(s): _ SECTION 4:BUILDING HEIGHT AND AREA Existing �,'Frop ''d No.of Floors/Stories (include basement levels)& Area Per Floor(sq. ft.) rs'a Total Area(sq. ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5 ❑ B: Business ❑ E: Educational ❑ F: Factor F-1 ❑ F2❑ 1 H: High Hazard H-1 ❑ H-2❑ H-3 ❑ FI-4❑ H-5❑ L Institutional I-1 ❑ I-2❑ 1-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑ and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ HA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ VA ❑ VB ❑ SECTION 7: SITE INFORMATION (refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public ❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site ❑ required ❑ or trench or specify: Private❑ or indentify Zone: or onsite system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA 1_i_r.storic CbtmnlssRon_Review Prp_gs,: Not Applicable ❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes ❑ or No ❑ Yes ❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: 111clilluel-JR00-� AlUUj SECTION 9: PROPERTY OWNER AUTHORIZATION 1 Name and Address of Property Owner 1 V 1C k4/ C1Jf� P�W Wee-e-A S1- G Name(Print) No.an treet City/Town Zip Property Owner Contact Information: Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable, the property owner hereb�authorizes QOM lei (c VP-cs b Oox 6 L�6 �— O Name Street Address City/To n State Zip to act on the property owner's behalf, in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL (Please fill out Appendix 2) (If building is less Ulan 35,000 cu. ft.of enclosed space and/or not under Construction Control then check here O and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control �1 � ( G jry �ifvl 7_Y_1 37- 75 CS- 0 ? Name(Registrant) �J Telephone No. e-mail address Registration Numbef /G� 2G �tnr fc, ei — G 45 ec,sU cac Sv2er�5o Street Address City/TZAvn State Zip Discipline Expirition Date CSD 10.2 General Contractor Company N Name of Person Responsible for Construction License No. and Type if Applicable Street Address t City/To—wn State Zip /7j 1 Z33 _ 7511 Tele phone No. business Telephone No. cell e-mail address SECTION 11:WORKERS;COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§ 25C(6)) A Workers' Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes❑ No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor r/ Item and Materials) Total Construction Cost(from Item 6)_$ 16 t 09U "l. Building $ Building Permit Fee=Total Construction Cost x (Insert here 2. Electrical $ appropriate municipal factor) _$ 3. Plumbing $ 4. Mechanical (HVAC) $ Note: Minimum fee=$ (contact municipality) 5. Mechanical (Other) $ Enclose check payable to 6.Total Cost $ Or/U (contact municipality)and write check number here SECTION 13: SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is truest accurate t�best of my kna vledge and understanding. Please print and sign naM Title Telephone No. Date Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Iii- 'O 9 & Name Date _ The CommonwaO&ofMassprhuseM Departrneftt ofl rdastrialAcc dents I CongressS7ureet,Suite 100 Boston,M.4#2114-2017 www.mossgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/EleMclam/P)nmben. TO BE FILED WITH TBE PERNDTTING AUTHORITY. Anollemtlnformetlon Phase Print I.eEibly Nam(Business/O>gamrstion/lndivlduel): _ ts" Address:1 t1. �LD4 U� City/State/Zip: Phone#: 7 Y Are rat em b e a box; pkyerrC.. ppropotme. Type of project(required):- . 1.71 m a employer w employees(full Ma/W W-t me).' 7. []New construction 2.Qlmawk{aopralmapartnaahipapd have no empb WOM. g famero dty $; QR,�ode]mB WWcs a .[bio sn M."dMp rosmame regtmedj .- 3.A l m a bomeo doing as woh myseN.fNo wodm*"rap.imma "qui,all � 9. O Demohtibis' 4.0 I sm waer a bomeoand MH be hoing annnactma to count A l Volk on my poperyl wdl 10 0 Bul7dtng'edditidn. emme that all contmaw eider have weakens'compeasmon romance a m sole 11.0 Electrical res or additions »v"h°0eM*YV"' 11r]Phuxibi4'iepaus ornddili S.OlmageoerN eonerLvaod lbave tified the aub•eootraaae tiered oat tlro aimed sheet 13.QRoofrepays_ 7bese.atbwntigel have emp]oyasand bees we- '.cep.MUMOMs. . : 6.❑Wemammomtioa'aodiOoffi=hav cmcimddi*droofmcmpdmpwMQ.a 14.QOthec _ 15Z1](4),and MhaYem employces.[NO Wo*M'6XW*suisace regahed.] ' .,A�'applicahe tlat abeeluboaMmust also Blood to aeat onbekwahow3og ebebwakels pohryrofampbon t xomeowmswbo soTrm' it Pore et6derit iudialmg Poe)'are doing an woYlE®athmb'oe ailside t6�facHmmtsobmitamav affideva mdieetios aucL: 1Co mzmzs*a dwktius boimosl snicked kwadMional shoetsbowmg&a mme.af&eaub-crom6Cas end state*hc&ww no*me ensues have enoploym If/hesob odaahave,employa4f Xmuttrovi64-wart-',eomp.pohcynm w- .. . I41"anemployertb4afisprovM&g>tovAM'C0mP0Wanonina>rrWcejormyem44yee& BalowisthepollryapdJabsire - lnjorrriatlon. Insurance Company Name: ^^P/� rt��C�p Policy#or Self ms.Line.*'u, — Ur}�� J 150 �•'•� Eipuation Date: `•T J) /M�o I -76 Job Site Addresa. rl`� AbQ:Cf S� City iP: 72(12 1 - 016 Attach a copy of the workers'com"pildsatlon policy declaration page(showing the policy number and eV,fraden date). Fa>lure to am=coverage as'required under MGL c.152,f 25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year mvnso�t,as well as civil penalties in the from of STOP WORK ORDER and a.Rim df�to 5150.00 a 1 .day against the yjohltor.A copy ofthie statement may be forwarded to the Office ofluvestigstions of the DIA far insurance coverage verification. I do hereby epains dpq&pa ofperjWy that the information provided above is Brae and correct Phone#• - rC60011tt dai use only. Do not write in this area,to be eo`aplefed by 4 or Town offle" or Town: Permi(/ldcense# ng Authority(circle one): ard of Health 2.Building Department 3.City/1'own Clerk 4.Electrical Inspector S.Plumbing Inspector her act Person: Phone#: J- Information and Instructions Massachusetts General Laws chapter 152 requires all emPtoYto provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every eery person in the service of another under any contract ofhire, express or implied,oral or writtep" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of in individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the Issuance or renewal of a license or permit to operate a business or to construct buildings in the commonweaMh for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting autboity." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to yea situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with Their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insmedcompanies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pramitnicense number which will be used as a reference number. In addition,an applicant that mist submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to The applicant as proofthat a valid affidavit is on file for future permits or licenses. A nese affidavit must be filed out each year.where a home owner or citizen is obtaining a license or permit not related to any business or coaunercial venture (i.e.a dqg license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017. Tel. #617-7274900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia .Cc-�""""'6c••���. 'f nuus 'alf�s�^ tntlon� Un Office of Consume* 8'Bodnw Rego lesa,_.�., -=,-;HOME 1l8PROVENIENT CONTRACT w Raglstratlon: 108292 ra0on 8JM14/20M18 PrivalsCoRm .. Expiration PERRY BROTHERS CONSTRUCTION,INC. William Pam . 20 SEAVIEW LANE �----- Fa NEWBURY,MA01951 Undersecretary StIMUVIMi.MASS.GOYRIPS OPS Licensing infonoation visa: ,Massachusekt, Department of Public SafeTY Board of Building Regulations and Standards License: CS-022831 Construction Supervisor WILLIAM J PERRY 20 SEAYIEW LN r� NEWBURYPORT MA, "W Expiration:_; Commissioner 0810912017 e rpvtirst �e. CITY OF SAS ,I\i, L JASSACHliSE'ITS DEPART>VLEIVT OF PI.ANIv'WG AND '_ ✓nmen�" COQ.MU-CITY MrELOPAJENT I;P.dktiRl_E-a'L1Rr5C!)uG 22v P,r.+stn.1;sftaa81RM a SALU1,Msssacitt7sc^;S oi97o LrarC.:oa tD:rsar vu;-ATV.? •t7;[.E IaaerroR :97"19-5685 f Fix 978-:40-o4o+r HOUSIN=G REHABILITATION LOAN PROGRAM REVISED BID FORINT FOR EMERCrENTCY REPAIRS This bid form}vas revised on July 29,2016,after the contractor waikthroagb. By si,-wng this iormr the contractor ailtnulrledges receipt of Addendum Ni. all costs-associated with the scope of workspecitied it the workwrite-up dated July 2S,2016,and Addendum#1 dated July 29,2016,511211 be included on this bid form. c - Propeny: 22 PinxreeStreet Sulam Owner: Victor Dume SerHwn }13rorkItems 1Price i I.QJ Asphalt RoofRep(aeemtnt -- _I QcnetaltT)emohflon i 1.2 __ -aci pU^ nitaPoRu Rubber oa ------.� -- 13 - Chimney Po:ntlne and wnatcr Fleshm� 8 15 C , ' IA ; Skylight -.. 2.9 Re errlRe loci Rama id Cerltn —' 3.Q Electttcal Riparr$ —_ t 4.0 Plumbing Repairs 4J S;; ez Hpt.RCpwr $t, t-- Buildms PmTmz r TOTAL DID Z,the und�rsigaed contractor,have iaspectid the above listed property and umdcrstand the extent and chancier of the ._ 9EM77 completed as dtscrioed n18tt K.'ork 1Vri:e-Un dated 7uly 2i,?A16,and.Addendum 1?I dated Tuly 29;2014. ludes tyery item idegt fled in the W ork Rrnte-Up and Addendum if1 by ibert5ptct vt nuuXbirs: Thr bid in ed'ect for a minimum of thirty(30)business da}s af`tet tae bid opining.io fuznis0 all labor,ma#eaizs,.and egtipmtni aeiessary to accomplish alt work described in the Work avd Addendum#1 for ikes}�m of...e__ �r+'ysA v�. V'uw rgY:M:r� nollai�s(S�.f�4oX able to start the project oo ��_3 GJ(G 2016(estun ted date). I agree to begin the work within seven(7)calendar days o:tilt Notice to Procmd`and compleri the work within i6irty (60)ca{pndar days. I agree to fully a a .Tee all tabor and materials for one 7 /> O YeariMm thop:-oject completion date. -�_-13-vs L'tn..+T -25�- '2.33 -•?Sl/ Comp1, r .e — RhoNumber !%Lh ne amroof Autl e�ri2e epresentatilc Data 22 Pingree Street Page Revised Bid Form �(;0%QI Pgy9 CITY OF SALEM, MASSACHUSETTS DEPARTMENT OF PLANNING AND hrt " t.ec n :q2 'f :.�,�• „�. �,. �;,• COMMUNITY DEVELOPMENT ,cJrorrei';d° KIMBERLEY DRISCOLL 120 WASHINGTON STREET ♦ SALEM,MASSACHUSETTS 01970 MAYOR TELE:978-619-5685 ♦ FAX:978-740-0404 THOMAS M.DANIEL,AICP DIRECTOR SALEM HOUSING REHABILITATION LOAN PROGRAM NOTICE TO PROCEED Date: September 1, 2016 Case# : 16-01E, 22 Pingree Street, Salem, MA 01970 Contractor: Perry Brothers Construction, Inc. Dear Bill: You are hereby given authorization to proceed with renovations to 22 Pingree Street, in Salem, MA in accordance with the agreement dated July 25, 2016, Addendum to Work Write- Up #1 dated July 29 2016 and Addendum to Work Write-Up #2 dated August 25, 2016. As stated in the aforementioned agreement, work is to commence within ;wK% (/f) days and be completed on or before Ri„1S (#) days subsequent to the date of this proceed order. KV helma Naomi Fran Housing Coordinator This program does not discriminate on the basis ofrace, color, national origin, gender, age, religion,familial status, sexual orientation or disability. This program is funded through the United States Department of Housing and Urban Development(HUD), utilizing HOME and Community Block Grant Funds (CDBG). •r potIlTg4 CITY OF SALEM, MASSACIUSETTS q z '�' DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT �?�;GdMINF IIa�P� KEVIBERLEY DRISCOLL MAYOR 120 WASHINGTON STREET ♦ SALEM,MASSACHUSETTS 01970 THOMAS M.DANIEL,AICP TELE:978-619-5685 ♦ FAX:978-740-0404 DIRECTOR HOUSING REHABILITATION LOAN PROGRAM OWNER - CONTRACTOR AGREEMENT FOR REHABILITATION This AGREEMENT, made this 1st day September, 2016 by and between Perry Brothers Construction, Inc., (hereinafter referred to as the CONTRACTOR), having a business address of P. O. Box 646, NewbuDTort, MA 01950 and Victor A. Dume having an address of 22 Pingree Street, Salem, MA 01970 hereinafter referred to as the OWNER. WITNESS THAT: WHEREAS, the OWNER intends to rehabilitate his/her property located at 14 Beacon Street in Salem, Massachusetts, now therefore, the CONTRACTOR and OWNER, for the consideration herein stated, mutually agree as follows: 1. BID AND PROPOSAL 1.0 This AGREEMENT shall consist of the bid and proposal; the general conditions included herein, drawings (if any) and approved work write-up/specifications. 1.1 All work described and listed in the work write-up/specifications dated July 25, 2016, Addendum to Work Write-Up #1 dated July 29, 2016, and Addendum to Work Write-Up #2 dated August 25, 2016, (attached) shall be performed by the CONTRACTOR for a sum not to exceed Eighteen Thousand and 00/100 dollars ($18.000.00). 1.2 Exceeding of the above stated amount shall be grounds for the termination of this AGREEMENT by the OWNER if the CONTRACTOR did not receive prior written approval from both the OWNER and the City of Salem's Department of Planning and Community Development (heretofore called the CITY). Said written approval shall be in the form of an amendment. 1.3 If the AGREEMENT amount is exceeded without the approval stated heretofore (1.2), the CONTRACTOR would bear all additional costs of the materials purchased and work performed. Page 1 of 8 1.4 If the AGREEMENT amount is exceeded with the knowledge and prior approval of the OWNER, in collaboration with the CONTRACTOR and without the prior consent of the CITY, then the cost of said improvements would be born solely by the OWNER. 2. TERM OF AGREEMENT 2.0 The CONTRACTOR shall commence the work to be performed within 30 (thirty) consecutive days of the Notice to Proceed issued by the CITY. 2.1 Said work shall be completed within 60 (sixty) consecutive days. 2.2 The CONTRACTOR shall provide the OWNER with at least three days notice that work will commence. 2.3 The commencement date may be changed, if agreed upon by both the OWNER and CONTRACTOR. The OWNER must notify the CITY in writing of the change in commencement date. 2.4 Delays caused by, but not limited to, such events as poor weather conditions, illness or unforeseeable construction problems may, at the option of the OWNER and CITY, constitute legitimate reason for delays in the start or continuance of work. In such event, the CONTRACTOR shall notify the OWNER or the CITY of any delay and the reason. The OWNER and CITY reserve the right to reject said reason and demand continuance of work. 2.5 Failure to continue work if reason for delay is rejected, pursuant to 2.4, shall be grounds for termination of this AGREEMENT by the OWNER. 2.6 Delays that are deemed legitimate will not be charged to the term of this AGREEMENT and will be considered an automatic extension of the AGREEMENT. 3. USES AND DISBURSEMENT OF FUNDS 3.0 Project funds will be used only for those activities deemed eligible under Community Development Block Grant (CDBG) Regulations, pursuant to 24 CFR § 570.201 — Eligible activities and/or HOME Program,pursuant to 24 CFR § 92.205. 3.1 The CONTRACTOR may make application for payment only on those items in the approved work write-ups or amendments thereto and satisfactorily completed. Satisfactory completion is determined by the CITY. Payments will be made only upon work approval by the CITY. 3.2 The CONTRACTOR'S application for payment shall include an itemized list of the work completed and copies of receipts and/or paid invoices for materials. The CITY will reject payment requests that are not itemized and/or incomplete. 3.3 In order for payments to be disbursed, proper city building code inspections, heating and plumbing and/or electrical permits must be pulled before the start of work and proper signoffs received for work that is complete. Page 2 of 8 3.4 Work performed under this AGREEMENT shall be payable within thirty(30) days after the work is satisfactorily completed, approved by the OWNER and the CITY, whose inspection and approval of such work is required, and a complete, itemized invoice is submitted. 3.5 Payment by the CITY shall not exceed the percentage of work completed nor the amount of assistance committed by the CITY and/or the OWNER. 3.6 The OWNER and the CONTRACTOR acknowledge that, work not included in the Work Write-up, performed at the homeowner's request is not covered by this contract. This includes not only additional work items but also upgrades in materials and the quality of installation (i.e. ceramic tile instead of linoleum, hardwood floors instead of carpeting, etc.). The quality of product and installation is the sole responsibility of the OWNER and the CONTRACTOR. 4. FINAL, PAYMENT 4.0 The CONTRACTOR is allowed to make up to 5 (five) progress payment requests, unless there is a prior AGREEMENT to allow more payments. Final payment shall be requested only upon completion of all work in the approved Work Write-Up and amendments thereto. 4.1 Final payment shall be made only upon receipt of a Certificate of Final Inspection from the Housing Rehabilitation Specialist and the following documents from the CONTRACTOR: • Contractor's Final Invoice, • Release of Liens and Warranty, • Subcontractor List, and • Building Permit. 4.2 Once final work is approved by the Housing Programs Inspector, all proper permits have been pulled and required inspections have been completed and signed off by the City of Salem's Building Department, the OWNER and the CONTRACTOR acknowledge that if the owner refuses to sign Certificate of Final Inspection and/or co-sign check, the City may proceed to issue final payment to the contractor and the project will be considered complete. 5. RESPONSIBILITIES OF THE OWNER 5.0 The OWNER agrees to comply with the conditions of this section. The CITY reserves the right to withhold payments if the OWNER fails to comply with the section. 5.1 The OWNER shall be current in payments to the CITY of real estate taxes, user fees and other obligations. Failure to be current in payments or to have made agreement to pay delinquent accounts shall be grounds for termination of the project and withdrawal of funds by the CITY, or suspension of the project. 5.2 The OWNER shall permit the CONTRACTOR to use, at no cost, existing bathroom facilities and utilities such as electric power, lights, water and telephone only for the purposes of this j AGREEMENT. Failure of the OWNER to cooperate in this way shall be grounds to suspend or terminate the project. IG Paee 3 of 8 5.3 The OWNER will facilitate work by removal of rugs, coverings and furniture as necessary and when possible. 5.4 The OWNER will, when possible, cooperate with the CONTRACTOR in keeping the project interior and or/exterior clean and free of debris, in compliance with the State Sanitary Code, Article H. 5.5 Any unreasonable action by the OWNER, as defined by the CITY, to hinder the CONTRACTOR from proceeding with work, or any action by the OWNER to deny the CONTRACTOR access to the project site, shall be grounds for suspension or termination of the project by the CITY and subsequent withdrawal of public funds committed to the project. 5.6 In the event that the OWNER takes legal action against the CONTRACTOR and, thereby, delays the project for more than sixty(60) days, then the CITY reserves the right to suspend the project temporarily and apply project funds elsewhere. Said funds may be restored upon completion of legal action. 6. RESPONSIBILITIES OF CONTRACTOR/PERFORMANCE OF CONTRACT WORK 6.0 The CONTRACTOR agrees to comply with the conditions of this section. The CITY reserves the right to withhold project payments, suspend or terminate the project if the CONTRACTOR fails to comply with the section. Failure by the CONTRACTOR to comply with this section may also be grounds for the CITY to deny the CONTRACTOR or any SUBCONTRACTOR participation in the CITY's housing programs for up to three (3) years. 6.1 The CONTRACTOR shall maintain records of this project for at least three (3) years after its completion and shall provide access to the CITY, upon request, to inspect all records related to the project, including,but not limited to bids, drawings, vouchers, payrolls and purchase orders. 6.2 The CONTRACTOR shall comply with all applicable building, health and fire codes in the conduct of this project and must obtain all necessary required permits for work. Cost of permits may be included in the CONTRACTOR's bid. Conies of permits must be submitted to the CITY before commencement of work. Copies of signed-off permits must be submitted to the CITY before final payment will be released. 6.3 The CONTRACTOR acknowledges that all lead based paint abatement/deleading will be conducted in accordance with the both the federal and state lead based paint regulations_All contractors conducting lead based paint abatement/deleading must be licensed by the Commonwealth of Massachusetts, Department of Labor and Workforce Development, Division of Occupational Safety. 6.4 The CONTRACTOR shall indemnify and save harmless the OWNER from liability for any personal injury or damage to the property in the performance of work unless there is a reason to believe there is OWNER negligence. 6.5 Unless otherwise approved, the CONTRACTOR shall carry full and complete Workmen's Compensation hisurance for all employees who require coverage under the law. Paee 4 of 8 6.6 Prior to the start of the project, the CONTRACTOR shall provide the CITY with evidence of liability insurance for not less than $300,000 for bodily injury and $100,000 for property damage, unless otherwise approved. 6.7 The CONTRACTOR shall keep the project premises clean and free of work debris and remove all such debris upon completion of work. Materials and equipment that have legally been removed and replaced as part of the work shall belong to the CONTRACTOR. 6.8 The CONTRACTOR shall not assign this AGREEMENT or any portion of it without written consent of the OWNER and the CITY. 6.9 Abandonment of project work by the CONTRACTOR for more than ten (10) consecutive days without the Written or verbal consent of the OWNER and the CITY, shall be deemed a breach of contract and is grounds for termination of this AGREEMENT by the OWNER and the CITY. In the event of such termination, the CONTRACTOR shall be liable to the OWNER or to the CITY any costs beyond the amount of this AGREEMENT, which are incurred for completion of this project. 6.10 If the CONTRACTOR'S right to proceed is terminated, the OWNER and/or the CITY may take possession of or utilize any materials, tools, equipment, or plants on the site as may be necessary to complete the project. 6.11 The work specified herein must be completed by the CONTRACTOR within the terms of the AGREEMENT, including extensions. The OWNER and/or the CITY reserves the right to take legal action to recover any payments previously made to the CONTRACTOR. 6.12 During the performance of this contract and during the term of this AGREEMENT, the CONTRACTOR agrees to the following conditions. The CONTRACTOR shall 6.12.1 Not discriminate against any person seeking his/her employment or any employee because of race, color, national origin, gender, age, religion, familial status, sexual orientation or disability. Such action includes, but is not limited to, employment, upgrading, demotion, transfer, recruitment, advertising, layoff, termination, rates of pay or other compensation, and selection for training, including apprenticeship. 6.12.2 post hereinafter, in a conspicuous place, available to employees and applicants for jobs, notices provided by the CITY setting forth this non-discrimination clause. 6.12.3 include all provisions in this section to be placed in any agreement s/he has with subcontractors working on the project. 6.13 The CONTRACTOR and any subcontractor is prohibited from inducing by any means, any persons employed in the construction, completion or repair of public work, to give up any part of the compensation to which s/he is otherwise entitled. The CONTRACTOR shall fully comply with this section, pursuant to 18 USC 874, the Copeland "Anti-Kickback" Act, as supplemented in 29 CFR § 3. The CONTRACTOR shall cause to be inserted in any contracts and subcontracts related to this project such"Anti-Kickback"regulations, 6.14 The CONTRACTOR agrees to abide by Lead Based Paint Poisoning Prevention Act, which prohibits the use of lead-based paint in residential structures constructed or rehabilitated with federal assistance in any form. i Page 5 of 8 7. MISCELLANEOUS 7.0 No member of or delegate to the Congress of the United States and no resident commissioner shall be admitted to any share or part of this AGREEMENT or derive any benefit from the same, provided that the foregoing sanction is not construed to this contract and is made with cooperation for its general benefit. 7.1 No Officer, employee or member of the governing body of the CITY or the Department of Planning and Community Development, who exercises or functions or has responsibilities in connection with this project, shall have any private interest, direct or indirect, in the AGREEMENT or in proceeds of this loan or grant. S. AMENDMENTS AND CHANGE ORDERS 8.0 This AGREEMENT, executed under the regulations of the U.S. Department of Housing and Urban Development and the general laws of the Commonwealth of Massachusetts, may be modified or amended only by a written instrument executed by the OWNER and CONTRACTOR, with the consent of the CITY. 8.0.1 Change Orders shall only be executed for unforeseen conditions that require modifications in the work. The written Change Order shall itemize the change(s) in the scope of work and any change(s) in the amount of the AGREEMENT. 8.2 The OWNER and the CITY reserve the right to withhold payment for any work performed, which is not authorized by either this AGREEMENT or amendments thereto. 9. WORK GUARANTEES AND PROTECTIONS 9.0 The CONTRACTOR, in consideration of the final payment s/he received under this AGREEMENT, hereby releases the OWNER and the CITY from any and all claims arising from or by virtue of this AGREEMENT. 9.1 The CONTRACTOR, by execution of this AGREEMENT, hereby provides the OWNER with a Release of Lien and Warranty, which guarantees all work under this contract for a period of one (1) calendar year from the date when said work is completed or terminated. This includes work terminated before all work specified under this AGREEMENT is completed. 10. RIGHT OF RESCISSION 10.0 The OWNER and the CONTRACTOR, hereby understands that, under the general laws of the Commonwealth of Massachusetts, the OWNER may cancel this AGREEMENT if it has been consummated by a party thereto at a place other than the address of the seller (CONTRACTOR), which may be his/her main office or branch thereof, provided the seller (CONTRACTOR) is Paee 6 of 8 notified in writing at his/her main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following this AGREEMENT. 11. INDEMNIFICATION 11.0 The OWNER and the CONTRACTOR shall save harmless the CITY against claims for injuries to persons on the premises of the project or damage to project-related property. 11.1 The OWNER and the CONTRACTOR are required to reimburse the CITY in the event such claim is successfully prosecuted by an injured third party and damages recovered against the CITY. 11.2 The OWNER and the CONTRACTOR shall be required to carry all necessary and required insurances for the work to be provided under this AGREEMENT and for coverage of loss or damage on any premises affected by this AGREEMENT. This shall include, but not be limited to, insurances and certifications for contractors, subcontractors and vendors. 12. LEFT BLANK INTENTIONALLY 13. NOTICE TO PROCEED 13.0 The execution of this AGREEMENT constitutes notice to the CONTRACTOR to proceed with work specified herein, or attached hereto, no sooner than three (3) business days following the date of signing of this AGREEMENT. IN WITNESS THEREOF, the CONTRACTOR and the OWNER (s) have entered into this AGREEMENT as of the date first written above. FOR THE CONTRACTOR: FOR THE OWNER: By: VL�2l" By: Ilict6){ D U/tfe William J. Perry, Co ntr or Vi for A. Dume, Owner Auth� ignatory (Print Name) Victor A. Dume, Signature 9 / //o William J. vy, Agnature Date Date WITNESS: By: Thelma Naomi Francisco Authorized Representative of the ��,//b Cit of Salem, Massac setts ti Date Signature Paee 7 of 8 i ATTACHMENTS: 1. Work Write-Up 2. Contractor's Bid Form I I kI Page 8 of 8 I ,�CONU(T9 . ` 4 CITY OF SALEM, MASSACHUSETTS DEPARTMENT OF PLANNING AND � COMMUNITY DEVELOPMENT KIMBERLEY DRISCOLL 120 WASHINGTON STREET ♦ SALEM,MASSACHUSETTS 01970 MAYOR TELE:978-619-5685 • FAX:978-740-0404 LYNN GOONIN DUNCAN,AICP DIRECTOR HOUSING REHABILITATION LOAN PROGRAM ADDENDUM #2 TO WORK WRITE-UP FOR EMERGENCY REPAIRS PROPERTY INFORMATION: Homeowner: Victor Dume Date: August 25, 2016 tj.I ly Meky Dume Property: 22 Pingree Street Phone #: 781-346-2215 Prepared by: Kevin Nestor, Housing Rehab Specialist Case #: The Work Write-Up for 22 Pingree Street dated July 25, 2016, is changed as follows: 1. Section 2.1 (Apartment #3 Repair Ceiling), Section 2.2 (Apartment#2 Replace Ceiling), and Section 3.1 (Electrical Repairs) shall be deleted from the work write-up and are not included in this contract. These items shall also be deleted from the contractor's bid form dated 8/11/16. The total cost of the contract shall be $18,000. This is the sum of Sections 1.1, 1.2, 1.3, 1.4, 4.1 and the building permit. Addendum #2 Pagel August 25, 2016 ���CO N4ITq > CITY OF SALEM, MASSACHUSETTS DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT KIMBERLEY DRISCOLL 120 WASHINGTON STREET ♦ SALEM,MASSACHUSETTS 01970 MAYOR TELE:978-619-5685 ♦ FAX:978-740-0404 LYNN GOONIN DUNCAN,AICP DIRECTOR HOUSING REHABILITATION LOAN PROGRAM ADDENDUM #1 TO WORK WRITE-UP FOR EMERGENCY REPAIRS PROPERTY INFORMATION: Homeowner: Victor Dume Date: July 29, 2016 Vicky Dume Property: 22 Pingree Street Phone #: 781-346-2215 Prepared by: Kevin Nestor, Housing Rehab Specialist Case #: Section 1.2 in the Work Write-Up for 22 Pingree Street dated July 25, 2016, is changed as follows: 1. Please acknowledge receipt of this addendum by using the revised bid form. A copy is attached. 2. Section 1.2 of the work write-up required all roofs at 22 Pingree Street to be replaced with asphalt shingle roofs. The roofs over the enclosed porch (front left side of the building) and the rear porch shall be replaced with rubber roofs. The roofs over the main building and the small front porch shall be replaced with asphalt shingles. See the attached sketch for clarification of each roof and the specified replacement materials. All roofs shall be replaced with asphalt shingles or rubber membranes upon completion of the contract. All new rubber roofs shall comply with the following minimum requirements: supply and install Y4 inch composite insulation, new sheet flashing where the roofs abut the siding, and new rubber membrane roofs (Firestone or approved equal). The work shall include all required adhesives, fasteners, flashing and drip edges. The drip edges shall overhang the existing gutters. The rubber roofs shall include a one year warranty for labor and materials. The contractor shall assign the manufacturer's 10 year warranty to the owner. All work shall be performed according to the manufacturer's specifications. Comply with all remaining requirements of Section 1.2 regarding removal, disposal, underlayments, flashing, asphalt shingles, etc. Addendum #1 Pagel July 29, 2016 .v,v ���✓�r��- �,�''"' :rte �ac�. OFP .KflG . �/ OFFS- 14 a w 12 (66) f 14. _ wf1w �., Sfr'�N�/e S HST _ S BFL FFL Bb,AT SFL I�-XCIyt FFL.,2 X12 BMT /zoo j , 7 27 /�5p.�irz-i'ff 1 �h'rivv� 1'ewj /�ivSrc3f �c�sC. {�'dyC/fico .�!�f CITY OF SALEM MASSACHUSETTS pa DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT KIMBERLEY DRISCOLL 120 WASHINGTON STREET ♦ SALEM,MASSACHUSETTS 01970 MAYOR TELE:978-619-5685 ♦ FAX:978-740-0404 LYNN GOONIN DUNCAN,AICP DIRECTOR HOUSING REHABILITATION LOAN PROGRAM WORK WRITE-UP FOR EMERGENCY REPAIRS PROPERTY INFORMATION: Homeowner: Victor Dume Date: July 25, 2016 Vicky Dume Property: 22 Pingree Street Phone #: 781-346-2215 Prepared by: Kevin Nestor, Housing Rehab Specialist Case #: 1. LICENSE: The contractor must meet all local and State licensing requirements and be duly licensed. 2. INSURANCE: Contractor must show proof of adequate liability insurance and workmen's compensation insurance. 3. PERMITS: The contractor must obtain and pay for all required building permits prior to starting work. Copies of the required permits must be submitted to the Housing Program. 4. CODE REQUIREMENTS: All workmanship must conform to the Program's guidelines, all applicable Massachusetts Building Codes and local codes and must be of acceptable quality, as determined by the Housing Program's Inspector. 5. WORK AREAS: The owner must completely remove all furniture, stored items and other obstructions in the work areas identified herein. Items must be moved to a non-work area and covered by the owner or relocated to temporary storage as needed. Neither the Program nor the Contractor is responsible for owners' items improperly relocated during construction. Work can not proceed unless work areas can be freely accessed by the contractor(s) on a regular basis during the term of the contract. Failure to provide regular and unfettered access to work areas may be cause for contract termination. Contractors are responsible for verification of field conditions, measurements and quantities. Submission of a bid is presumptive evidence that contractor has evaluated all site conditions which pertain to the work herein. Permits and Permit Fees to be included in all bids. 22 Pingree Street Page 1 July 25, 2016 WORK SPECIFICATIONS FOR`REPAIRS _. Section 1.0 Asphalt Roof Replacements . 1.1 General / Demolition The scope of work includes replacement of the asphalt roofs on the main building, dormers, and the front and rear porches. The scope of work also includes replacement of the skylight on the right side of the building. It does not include replacement of the gutters and downspouts. Any damage to the gutters and downspouts during the roof replacement process shall be repaired to the satisfaction of the owner. Clean the gutters upon completion of the work (remove and properly dispose of all new and existing materials from the gutters). Remove all asphalt shingles, drip edges, flashing, underlayments, and the skylight. All roofing materials shall be removed down to the sheathing. A dumpster must be on-site prior to demolition. Properly dispose of all debris. All work shall be performed in compliance with applicable codes and shall be subject to the approval of the City of Salem Inspectional Services Department (ISD). The contractor must submit a building permit signed by the Salem ISD before the final payment will be approved. 1.2 Asphalt Roofs Remove and properly dispose of all defective sheathing. Replace all defective sheathing with new rough spruce boards or exterior grade plywood the same dimensions and the existing. All new and existing sheathing shall be properly secured to the framing. Allow for 200 square feet of new sheathing in the base bid. Supply and install new ridge vents according to the manufacturer's specifications. Supply and install 8 inch aluminum drip edges along all exterior walls and at the edges of all gables, rakes, etc. The-drip edges shall properly overhang the existing gutters. Cover the perimeter of all roof areas with a double row of 36 inch ice & water shield (Grace or approved equal). The minimum width of the ice &water shield shall be 72 inches. The ice & water shield shall also be installed in all valleys, around the skylight, and at all other penetrations. Cover all remaining areas with 30 lbs. felt paper. Install new step flashing at the chimney. Install metal or rubber fitted flashing at all other penetrations. Install new flashing in all areas where the roof abuts the vertical building sidewalls (the siding). The flashing at the sidewalls may be reused if it is sound and in good condition. The junction between the rear porch roof and the window casings shall be properly flashed and caulked so it is weathertight. This area will be identified by the Salem Rehab Specialist at the contractor walkthrough. Cover the entire roof with 240 lbs. 30-year, three tab asphalt shingles (CertainTeed, GAF, or Owens-Corning). Hurricane nail the shingles (double nail the shingles above the two middle cut-outs). Substitute roof shingles shall not be accepted. The color shall be black or charcoal grey. Verify the color with the owner. 22 Pingree Street Page 2 July 25, 2016 Section 1.Oh• Asphalt Roof Replacertient (continued)`A 1.3 Chimney Pointing and Counter Flashing Repoint the chimney above the roofline. Remove and replace all loose mortar. Remove the loose bricks at the top of the chimney and reinstall them in new mortar so they are secure. Replacement of the step flashing was specified in Section 1.2. Remove and replace the counter flashing. Supply and install new counter flashing embedded at least one inch into the chimney. The new counter flashing shall overlap the step flashing a minimum of three inches. 1.4 Skylight Remove and properly dispose of the skylight on the right side of the building. Supply and install a new operable skylight manufactured by Velux. The skylight shall be Energy Star rated for northern climates, and have Low-E thermopane glass and an interior screen. The skylight must have a U-Factor of 0.50 or less. Install the skylight in full compliance with the manufacturer's specifications. Install Velux EDL step flashing and all other flashing required by the manufacturer. Patch all interior areas after the new skylight is installed. The interior walls abutting the skylight include wood trim and ceramic tiles. Supply and install new interior stops and trim. Install new materials to fill all holes, voids and missing sections. All areas with gaps greater than '/z inch between the new and old work shall be repaired. Prime and paint all new interior casings/trim upon completion. End of Section 1.0 —Asphalt Roof Replacement 22 Pingree Street Page 3 July 25, 2016 Secticm 2.0 Repair/Replace Damaged Ceilings. ext 2.1 Apartment #3 (Repair Ceiling) Repair the water damaged ceiling in the left bedroom in Apartment#3. Remove all damaged plaster. Patch the ceiling with blueboard similar in dimension to the existing plaster. Tape the seams between the new and old work. Apply plaster for a smooth finish. Prepare the entire ceiling for repainting by removing all loose paint, patching all holes and cracks with joint compound, and sanding all materials. Apply a primer/sealer to all water stains (Kilz or approved equal). Prime (one coat) and paint (one coat) the entire ceiling using Benjamin Moore interior primer and paint. The color shall be white. 2.2 Apartment #2 (Replace Ceiling) Remove and properly dispose of the suspended ceiling, crown moldings, and the drywall ceiling above the suspended ceiling in the enclosed porch in Apartment#2. Remove the light fixture and store for reinstallation. Comply with the following minimum requirements. A. Supply and install new strapping for the new ceiling. If necessary, patch all defective framing with new materials. All holes (voids) shall be repaired to assure a smooth transition from old surfaces to new. Shim all surfaces as necessary to assure smooth, flat and sound finish materials. B. Supply and install Owens-Corning R-38 fiberglass insulation to the opening framing cavities above the ceiling. Supply and install "fireblock" insulation if required by the Massachusetts Building Code. C. Supply and install a new ceiling using 5/8 inch gypsum wallboard. Tape, seal, and sand all seams and screw heads so the entire ceiling is ready for paint. Supply and install new crown moldings at all four walls. Crown moldings may be 1 x 3 flat pine stock with butt joints. D. Prime all new materials (one coat) and paint (one coat) in their entirety using Benjamin Moore interior primer and paint. The color shall be white. Reinstall the existing light fixture so it is working properly. End of Section 2.0—Repair/Replace Damaged Ceilings 22 Pingree Street Page 4 July 25, 2016 Section 3.0Electri6al Repap€s 3.1 Electrical Repairs Complete the following electrical repairs: A. Two circuit breakers were removed from the electric panel for Apartment#1 (in the basement). Supply and install blanks or cover plates to conceal the open wiring. B. There are two uncovered junction boxes in Apartment#3. The junction boxes are located in the eave that is accessible in the right front corner of the kitchen. Supply and install junction box covers to conceal the open wiring. C. The light fixture in the rear bedroom in Apartment#3 does not work. Supply, install, and replace the light with a new ceiling mounted fixture with an energy efficient bulb. Allow $40 for the material cost of the new light. The light fixture shall be operated by the existing wall switch. End of Section 3.0— Electrical Repairs 22 Pingree Street Page 5 July 25, 2016 'bil -Section 4.0 �. Plum ing 4.1 Sewer Pipe Repairs The building has cast iron and PVC drain/waste/vent pipes that are connected to the municipal sewer system. Two old sewer pipes in the right front corner of the basement are open (they are not capped or sealed). Raw sewerage from the municipal sewer system back-ups into the basement. Supply and install plugs to cap the sewer pipes. Threaded plugs are preferred. Compression plugs will be accepted. Rubber caps shall not be accepted. End of Section 4.0 — Plumbing Repairs 22 Pingree Street Page 6 July 25, 2016 eowrre�n yb� CITY OF S-UETTNI, ASSACH SMTS s� as 's DEEPART VIEN T OF PI ANNING ANTS Aeq¢YrNeW ... COZuIltisU?QITY DM�£S.OPMENT ILO NV*AP NGTON STREET } SALUd Mas&l(T-HUSL'!TS 07.970 I.i. CrJo�af,DUNCJcx,.ATC? TEE:gy8 6x9-5665 + TAX:978-740-0404 DITMCfpR HouSINGR 3HABILITATION LOAN PROGRAM REVISED BID TORMT FOR EMERGENCY REPAIR$ This bid form was revised on duly 29;2616,after the contractor vs alkthi ough. 183,signing this form;the eoutractor acko usvled.gas receipt of Addeuitutu#1. :ail ceststassociatedtvith the scone of stork specified is the ii ork write-up. dated Me 25,2016;and Addendum#1 dated July 1-9,2016,shall be included on this bid form. - Property; 22 Pingree Street,Sulam 0w.ner, Victor Dunce sl y Section. Workitems Price; € --�AsphaltRoofReptacement General/Dctwliton. 1.2 Ashalt andRubberlteofs -- p C 1.3 Chin.'aey Pointing a rid Counter Flesfiwg $ . '6-0-0 i 2.0 Re az/B 1—Damaged Ceiling 'i ro tea t 3.0 - Electrical Repairs 4 0IPIunrbing'Repaua 4.1., I Sarver Pipe Repair $ Building Eennit TOTAL 13M IY 000.... '11^ 1,the undersismed cuntractor;have inspected the above listed property and understand the extent and character of tlac• work to be completed as de$crlbed in.he Worx`Vrite-Up dated July 25,2016;and Addendum#1 dated July 29,2016. j Thr bid idcludcs every item identified irithe Work Waste-Vp acd 2.ddendum 41,by Lo respective numbers.. 'alt bid Aid'[remain in effect fora minimum of thirty(30)business days after tae bid opening. 1 `Lproposc to fiuuisb all labor,material's,and equipment necessary to accomplish all work described in the 1Vork Wine Cp-and hdvenduut'#1 geuo Twok r9ve £ Dollars($�'r flo-'r 1 1 1:wwitd.be able to start the project,on s-o_!G. 2016(estunnac 3.date). Is t�ee ro bagta_the svorkwithin seven(7),calmdw days o tL Nonce to Proacedand complete the work with .hart,, -- (60)cal ndar days. I agree Sa fully g id antes.all labor and materials for one(1)year from f Sr c prosect conipiet.oa date. 7c� 13-W .Comb S' em Phone Number. - F :Sib aturc ofAutliZzcepresen�tadce Data 22 Pngrce5areut Page'7 Revised Bid Form L 8yj t p ti C hyOF SALEK MASSAQ3[EETP BL1l]]MDMPAJMMW LZO W.samw7ravS'nt�T,3�Fioar� 7131.(478)7*5.9595. HIAM FAx 7d49W ERiEYDERiS�LL MAYCTR 71"Wsri"M DlxacrCitca+rtsuc /aummcca Construction Debris Disposa/Affidavit (required forall demolition and.renovation work) In accordance with the sbA edition of the State Building Code, 780 CMR,Sem 111.5 Debris, and the pmviskms of MGL coo,S 54; Building Permit 8 is Issued with the condition that the debris resulting from this work shag be disposed of In a properly licensed 4 waste deposit facility as defined by MGL c 111,S 151. The debris will be transported by: ✓Ze /)C) b, Sc 1 (name of hauler) The debris will be disposed of in: geld c� SPAS (name of facility) S cnr Sb Git. � (address o facility) �— Signature of apolicant Date r. �r: