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0018 WASHINGTON SQUARE WEST - BPA-11-589
1 The Commonwealth of Massachusetts Department of Public Safety .,_,,,,f \lassachux•tts titatr Bmlding Uxtr 1%80 C\IR)Seventh Edison City of Salem Building Permit Application for any Building other than a I-or 2-Family Dwelling (This Section For Official UseOnly) Budding Permit Number. Date Applied: Budding Inspector: SECTION l:LOCATION(Please indicate Block M and Lot It for locations for which a street address is not available) ��i �4Sktn 5 vn feta C)19-)o \'o.and Street Cit}• /Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK If New Construction check here❑or check all that apply in the two rows below Existing Building Repair❑ Alteratiun)M I Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Changeof Use ❑ Change of Occupancy O Other ❑ Specify: Are building plans and/or construction documents being supplied as paFt of this permit application? Yes No 13Is an Independent Structural Engineerin Peer Review required? Y/1 Yes ❑ Nox Brief Description of Proposed Work: MP V1o1Y-r oti, Gl Y'DDYY s Pre= Mn"!GJ SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDrnON,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑ - Existing Use Group(s): e Proposed Use Group(s): f Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as a licable) A: Assembly A-I ❑ A-2r ❑ A-2nc❑ A-3 ❑ A-0❑ A-S❑ B: Business ❑ E: Educational ❑ F: Facto F-I ❑ F2 O H: HighHazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional 1-1 ❑ 1-2 ❑ 1.3❑ 14❑ 1 M: Mercantile❑ R: Residential R-t❑ R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as a licable) IA ❑ IB ❑ IIA ❑ 1111 IIIA ❑ 1116 ❑ IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 171.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public L C hawk ii ouUide Fl,x.d Lune❑ Indicate muniapa�x A trent will not he Licensed Dispv,sal Fitw, u HadN I'] vate❑ ..r indrnulc Zone:_ ur nn air>vstrm ❑ nyor trench urX"INp,ermit is endusral ❑ Railroad right-of-way: Hazards to Air Navigation: \t:\ n.l,•rn c-,,,n,n,..,..o Itr,,,., Pr.• \ut .\pfhC.dda I.struaurc r.ithm augur app•ru.rih an•a' k their ie%irw annplctrJ.' •,r l nmonl to Iknld rnclowd Cl }c•O ur to 1'rs❑ \u ❑ SECTION 8:CONTENT OF CERTIFICA f E OF OCCL•PANCY Iddnm.•t (',ado _..__Cmc GiIn,pi,r Rpa•ut l un.lfliCuun OCCup,.ull I iod per I Ir,ur I Lir.the Uuddu+l;Cunlam an<p,nnkler}t.Hvm': ?pk•aal;hpuLtlnmv SECTION 9: PROPERTY OWNER AUTHORIZATION Name.md Address of Property Owner Name(I'rint) No.and Street C ih/Town Zip Propcnv Ute ner Contact Information: Tide Telephone No. (business) Telephone No. (cell) a-mad address If applicable,the propene owner herebv authorizes Name Street Address City/Town $tate Zip to act on the pro vertowner's behalf, m all matters relative to work authorized by this building +ermit a p plication. SECTION 10:CONSTRUCTION CONTROL Wlease fill out Appendix 2) (ht tpuildin•is Icss than 35,(Mcu.ft.of endowd s ace and/or not under Construction Control then check here O and ski SL+tion I0.1) 10.1 Registered Professional Responsible for Construction Control J)ennls G- ! `111`8749 .L(Lfv Name(RegistrantTelephone Nu. e-mail address Registration Number 9i4 f2e by )S-t- Ltd. tr IVIA ol`i'1--Z, Street Address City/Town State Zip Discipline Expiration Date 100x.2 General Contractor Il 1 C• OCeV-4—T12 M b lczti es �nC Co ray Name• ce�f�l-eyhh�yti J� �v ane of Person Resp msible for Construction p t '^ense No. and Type if Applicable r Oy 4 -kv-e trees Ad ICity/Tow aZi �2cs.-TrfMblM State U-4 f4 Telephone No.(business) Telephone No.(cell) - e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(Q) A Workers Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes O No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor T and Materials) otal Construction Cost(from Item 6)_$ 1. 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 F.Total Cost IS (contact munici alit )and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I herebyattest ender the pains and penalties of perjury that all of the information contained in this application is troe and accurate to the best of m,v knowledge and understanding. ,.�1�V0)2Ah 1 �`L >°, (Ck tib ��U ?'�� 3 i Please print and�i •n n. n rn (itle Tele on .No. 1), t to noyn sr-ug 'ilrect .Lt.lress C rtvr Town }, tte Municipal'Inspector to fill out this section upon application approval: \arae r—Ttte— CITY OF S.1I.E.�I, I�LXSS.ICHL`SETTS BUILDING DEP iRNT • p 120 WAsinNGTON STREET, 3rD FLOOR TEL (978) 735-9595 FAx(078) 740-9836 KMBERLEY DRISCOLL MAYOR T Hoof\s ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING CO%L\IISSIONER CONSTRUCTION CONTROL DOCUMENT Project'fitle: �gW4r 10v e Date: II z9) 1 [ P5 00ici t-6y)5 Project Location: R)-P M Scope of Project: No\_l^� ar a �-e, �f 7� i. �f r� rc CPSSvyt Qp N GYd WQ,'-t I In accordance with SECTION 116.0-116.4.2 of the 6th edition of the Massachusetts State Building Code : I, DAi , T 6u !t Mass.Registration Number V$ir being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [W1 Entire Project [ ] Architectural [ ] Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Other(specify) for the above named project and that to the best of my knowledge,such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following as specified in section 116.2.2: 1. Review of shop drawings,samples and other submittals of the contractor as required by the construction contract documents as submitted for the building permit,and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official,a progress report together with pertinent comments. Upon completion of the EU Aa ubn»t to the building official a final report as to the satisfactory completion and readin occupancy. Signature and Se r 'stered o \1 8 %4185 v I z� BOSTON. ?� IMS& / C'i G �F9t rH OF MPSI . I a +�- Vlasstchuscrts - Ucpartment of Public �afcls� Bo;tril of Buildin Re ul;rtions and Standards Construction Supervisor License License: CS 53693 Restricted to: 00 ROGER A TREMBLAY JR - 29 HATHAWAY AVE BEVERLY, MA 01915 Expiration: 5/9/2011 ( ,umiininioI Trio: 14698 } �/zv. V�onrinxaruw�eaz �+�Qe License or registration valid for individul use only Office of Consumer Affairs&Business Regulafio❑ before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Type Office of Consumer Affairs and Business Regulation F. Registration: . 145375 10 Park Plaza-Suite 5170 Expiration: 111312013 Private Corporation -Boston,MA 02116 Z6 ERA.TREMBLEY'CONTRACTORS, INC. GER TREMBLEYtJR' { ( 10 COLON 20IAL RD SUITEr�' i i � -4 �-� Ut C,Zf.y iALEM, MA 01970 Undersecretary of valid without signature i CITY OF S.UX.,NI 'X'L'kSSACHusETTS BUILDING DEPART%1ENT • 120 WASHINGTON STREET,3xn FLOOR TEL (978)745-9595 FAX(978)7.40-9846 KI,.%IBERLEY DRISCOLL MAYOR THoum ST.PtERRE DIRECTOR OF PUBLIC PROPERTY/BL'IIDING COMMISSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ Please Print Le ibiv Name(BusincssoOrganizatioNlndividual): �v'A rf•~�bls`1 l.t t�v/ --�' Address: f t) Colcz,\,-k # City/State/Zip:d l9 m iVW Ol q7�D Phone #: c0 B— ?ga g--3o3L Are you an employer?Cheek the appropriate box: Type of project(required): 1(D1 am a employer with Z3 i 4. 111 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.t 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity, workers'comp.insurance. 9, ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees.(No workers' COMP.insurance required.) 13.❑Otho •Any applicant that chocks box bl must algin rollout the sectim below slowing their workm,compensation policy information r I fomeuwneas who submit this affidavit indicating they ate doing all work and then hire outside enntraera,must submit a rite a rdavit indicating such :Contracture that check this box must attached an a"tiond sheat showing the name of the sub�contnuao s and their wmkas'comp,policy infomution. I um an employer that its providing workers'compensation hrsurancejor my emplayem Below is the policy and fab site information. /�\ Insurance Company Name: l- -Y C.Jslt Policy 4 or Self--ins.Lie.#: w. sci-7'ay 3 1/ t Expiration Date: � Job Site Address: //�� /I ' ed> ��-t Y� � City/Slate/Zip:-<q6 1D Nt /K til 9-1-' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a btu of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereby certify under �the pains ®and pegmahles ojperfury that the iuformadon provided above is true and correct. Date I / z y I [ n # 3-o S--6 . OJfcful use osdy. Do not write in this area,to be completed by city or town o MOL City or Totvn: Permit/l.lcense# Issuing Authority(circle ane): 1.Board or Health 2.Building Department 3.Cilyifown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:— Phone#: i A-CQ� CERTIFICATE OF LIABILITY INSURANCE DATE 7/21ID2010) 07/21/2010 PRODUCER (508)651-7700 FAX (508)655-8853 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC - blain ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 233 West Central Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Natick, MA 01760 INSURERS AFFORDING COVERAGE NAIC N INSURED Roger-A.-Tremblay Contractors, Inc. INSURERA: Selective Insurance Co of SC 19259 10 Colonial Road INSURERS: National Union Fire Ins Co PA Suite 4 INSURER C: Salem, MA 01970 INSURER D: INSURER E: COVERAGES 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 PEH'I AIN,THL INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II T R DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS GENERAL LIABILITY S 1842342 04/15/2010 04/15/2011 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO-RENTED $ 100,000 In _.I CLAIMS MADE O OCCUR MED EXP(Any one person) $ 10,000 A _ _ _ PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,DOC GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 3,000 000 POLICY X PRO _ JECT LOG AUTOMOBILE LIABILITY A 9091419 04/15/2010 04/15/2011 COMBINED SINGLE LIMIT ANY AU FO (Ea amident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) A X FARED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Peraxidenp X $500. DEDUCTIBLE PROPERTY DAMAGE COMP,/COLL. (Per aaaldent) $ GARAGE LIABILITY AUTO ONLYEAACCIDENT $ NIAUTO OTHEEA ACC $ AUTO ONTHAN _ AUTO ONLY: AEG $ EXCESSIUMBRELLA LIABILITY S 1842342 04/15/2010 04/15/2011 EACH OCCURRENCE $ 2,000,000 XIOCCUR CLAIMS MADE AGGREGATE $ 2,000 OOO A $ OFOUCTIBLE X RFrrNTION $ C $ WORKERS COMPENSATION AND WC3977243 07/01/2010 07/01/2011 XWCSTATu- OTH- EMPLOYERSLIABILITY B ANY PROPRIETORIPARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFT CEWMEMBER EXCLUDED' E.L.DISEASEEA EMPLOYEE $ 500,000 Y - desvide under _ SPE CIAL PROVISIONS Below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPEgATIONS I LOCATIONS/VEHICLES!EXCLUSIONS AmFn Rv ENnnRSEMENT r 4PFCIAL PROVISIONS :;ERTIFICATE HOLDER ANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, -- BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Rosemary Fulham/PMA 'CORD 25(2001/08) ©ACORD CORPORATION 1988 AFFAD ver. As,a.result of the provisions of MB/c 40 S54,I acknowledge that as a condition of Build Nunit Number all debris rmahing from the Cons rociion activity govemed by this Building peffiit shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl l 1, S 150A- I cea tify that I will notify the Budding Official(two months maximum)of the location of the solid waste facitity where the debris resnYting from the,said cons'raction activity shall be disposed of and I shall smnm.R the agpmpr ate.form for attachment to the Building Penn3i.t The debris will be disposed of in which Cify or Town C. rb„ Street Address DjYw TYPE OF CONTAMR FOR TRANSPORTAMN Please print or type the following infonnation U — NamePetmit Applicant FinuName (LrAay) Address ryY� Signature of Permit Applicant Date ' T H E A M E R I C A N I N S T I T U T E O F A R C H I T E C T S AIA Document A701 Standard Form of Agreement Between Owner and Contractor where the basis of payment is a STIPULATED SUM 1987 EDITION THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. The 1987 Edition of AIA Document A201. General Conditions of the Contract for Construction, is cutopled in /his document/ by reference. Do not use with other general conditions unless this document is mod[Jled. This document has been approved and endorsed by The Associated General Contractors or Arnerica. '1 AGREEMENT made as of the Twentieth day of January in the year of WUe4 j1ki8ckgdvq,%d (January 20, 2011) BETWEEN the Owner: H & c service Corp (Name awl adtimss) 18 Washington Square West Salem, MA 01970 and the Contractor: Roger A. Tremblay Contractors, Inc. (Name and addrm) 10 Colonial Road # 4 Salem, MA 01970 The Project is: Hawthorne Hotel Toilet Room Renovations (Name awl location) 18 Washington Square Salem, MA 01970 The Architect is: Gray Architects (Name arra addrex) 9A Derby Square Salem, MA 01970 The Owner and Contractor agree as set forth below. cop) r > 17, 1951. 1959. 1961. 196). 1967, 1974. 1977,©e m by The rtin U Can In>Iltulc•or mion it-CU. q3 1 c1 I)rk 19_5. 19, u•cts. 1755 Ncw York Ar'cnuc.N.�Y'..Washingwn,U.C.20000.Hcproduction o(thc mmrrial herein or,ub.�yiu�l yunru ion of ns pro%,lsiops without written permission of the AIA ViON10 the cnpydght I N's of the United Sunt anJ will he suMr'ct m Iced proseculion. AIA DOCUMENT A101 • OWNER-CONTRACTOR AGREEJf 4T • TWELFrit EUl'1'ION•AIAO • 0;7982 A101-1987 1 111E AMERICAN INS'fIM EOF ARCHITECTS.1735 NEW YORK AVENUE,N.W..WASIIINGTON.U C.2(" WANNINO:Uni mend phoUmPt1n9vlo1eha LL©r18ht lewa"b auhlettto legal Pro"Ca n. ARTICLE 1 r THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement,Conditions of the Contract(General,Supplementary and other Conditions), Drawings,Specifications,addenda issued prior to execution of this Agreement,other documents listed in this Agreement and Modifications Issued after execution of this Agreement;these form the Contract,and areas fully a part ofthe Contract as ifatrached to this Agreement or repeated herein.The Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negodadons,represenradons or agreements,either written or oral.An enumeration of the Contract Documents, other than Modifications, appears in Article 9. ARTICLE 2 THE WORK OF THIS CONTRACT The Contractor shall execute the entire Work described In the Contract Documents,except to the extent specifically indicated in the Contract Documents to be the responsibility of others, or as follows: ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 3.1 The date of commencement is the date from which the Contract Time of Paragraph 3.2 is measured,and shall be the date of this Agreement,as first written above,unless a different date is stated below or provision is made for the date to be fixed in a notice to proceed issued by the Owner. amert the date of commeacemmq 1f it differs from The date of ibis Agreemerd or, if applicable,state tbai The dote will be fixed in a notice to prrocnd.) January 2011 Unless the date of commencement is established by a notice to proceed issued by the Owner, the Contractor shall notify the Owner in writing not less than five days before commencing the Work to permit the timely filing of mortgages,mechanic's Bens and other security interests. 3.2 The Contractor shall achieve Substantial Completion of the entire Work not later than (Insert the talendardam or number of calendar days after the dateofcommencememt.Also insert any requirements foreariter Substamtal Completion of cer- win portions of rbe Work. If not stated elsewbere in the Contrail Documents.) April 2011 subject to adjustments of this Contract Time as provided in the Contract Documents. (Insert protdsiuw, if any.for liquidated damages relating tufailure to complete no lime.) The amount of $1,500.00 for each calendar day will be assessed as liquidated damages rfor failure to complete the work by the substantial completion date of April 30, 2011. AIA DOCLnWXr A101 • OWNER-CONTRACTOR AGREEMENT•TWELFTH EDITION•ALA' • 01987 THE AMERICAN tN5T1TUTEOFARCHITECT5.1735NEW YORKAVENUE,N.W.,WASHINGTON,D.C.211006 AIOI.1987 2 WARNING:unucmued photocopying waist"Us.napsalgm hrm and is mbiect to legal prosac tion. ARTICLE 4 CONTRACT SUM 4.1 The Owner shag pay the Contractor in current funds for the Contractor's performance of the contract the Contract Sum of Seven Hundred Seventy One Thousand Six Hundred Dollars (i 771,600.00 ), subject to additions and deductions as provided in the Con- tract Documents. 4.2 The Contract Sum is based upon the following alternates,if any,which are described in the Contract Documents and are hereby accepted by the Owner: (State aenumbers or other ldtrayscatloa o/accaptutalt~et.lJdecisWns on other altemnresare tote made bythe Ow sabsegaeru to the esmrNon of sbls.tgrremonl,attach a scheauie ofsua oiber aRernota sbowine av amount for eaab and the date,,,;X u�bwb that amoant a ee/!d.) See Attachment A 4.3 Una prices, if any, are as follows: G: See Attachment A AIA ODCUIMBIT A101 •OWNER-CONTRACTOR AGREEMENT• TWELFTH EDITION•AIAo • 81987 TETE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.20006 A101-1967 3 WAFMM:UnNOW W W pholoaopoV ebhtm tt8.oopplam I w MW to W4Ma to Wo pmaerartim. ARTK LE S PROGRESS PAYMENTS 5.1 Based upon Applications for Payment submitted to the Architect by the Contractor and Certificates for Payment issued by the Architect, rhe Owner shall make progress payments on account of the Contract Sum to the Contractor as provided below and elsewhere in the Contract Documents. 5.2 The period covered by each Application for Payment shalt be one calendar month mcling on the last day of the month,or as follows: 5.3 Provided an Application for Payment is received b the Architect not later than the Tenth Day of the month, the Architect'sCertificate for Payment will be toISkIdt tlllb'Ath,the Owner shall rake payment to the Contractor not Later than owner within five business days, tilt Ten days after the receipt of the Architday'®f t$etificate for Papmeith.If an Application for Payment Is received by the Architect after the application date fixed above,payment shall be made by the Owner not later than 15 days after the Architect receives the Application for Payment. SA Cach Application for Payment shall be based upon the schedule of values submitted by the Contractor in accordance with the Contract Documents.The schedule of values shat!allocate the entire Contract Sum among the various portions of the Work and be prepared in such form and supported by such data to substantiate its accuracy as the Architect may require.This schedule, unless objected to by the Architect, shall be used as a basis for reviewing the Contractor's Applications for Payment. 5.5 Applications for Payment shall indicate the percentage of completion of each portion of the Work as of the end of the period covered by the Application for Payment. 5.6 Subject to the provisions of the Contract Documents, the amount of each progress payment shag be computed as follows: 5.6.1. Take that portion of the Contract Sum properly allocable to completed Work as determined by multiplying the percentage completion of each portion of the Work by the share of the total Contract Sum allocated to that portion of the Work in the schedule of values less retainage of Teri percent ( 16 %).Pendingfinal determia[iono(costtothe Ownerofchangesin the Work,amounts notin thedisputemay be included as provided in Subparagraph 7.3.7 Of the General Conditions even though the Contract Sum has not yet been adjusted by Change Order; 5.6.2 Add that portion of the Contract Stun properly allocable to materials and equipment delivered and suitably stored at the site for subsequent incorporation in the completed construction(or,if approved in advance by the Owner,suitably stored off the site at a location agreed upon in writing),less retainage of Prior written approval of the owner and Architect is required, Contractor percent( l� o/)� shall provide proof of insurance and certificate of title to cover off-site material. 5.6.3 Subtract the aggregate of previous payments made by the Owner; and 5.6A Subtract amounts, If any,for which the Architect has withheld or nullified a Certificate for Payment as provided in Para- graph 9.5 of the General Conditions. 5.7 The progress payment amount determined In accordance with Paragraph 5.6 shall be further modified under the following circumstances: - 5.7.1 Add, upon Substantial Completion of the Work,a sum sufficient to increase the total payments to ninety five* . percent( 95 %)of the Contract Sum, less such amounts as the Architect shall determine for incomplete Work and unsettled claims; and 5.7.2 Add, if final completion of the Work is thereafter materially delayed through no fault of the Contractor, any additional amounts payable In accordance with Subparagraph 9.10.3 of the General Conditions. 5.8 Reduction or limitation of retainage, if any,shall be as follows: (iJ d d intended,prior to Subsiantiat compienon aJ ds,entire Work,to reduce or Nmb a e ratainoge resulting Jrom ibe percentages inserted In subparn- graphs 5.A.1 and 5A2 arxn'G and tbis Is nor explained a/seubere in the Contract Dmsonona, insert berep vvL ons for such reduction or ilmirarion.) *After the project is fifty percent (504) complete, the Owner may reduce the retainage percentage to five percent (54) , provided that the Owner finds the Work and the progress acceptable. AIA DOCUL1011'AVH • OWNERGONTRACTOR AGREEMENT a TWELFTH EDITION•AIA! •®1987 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORKAVENUE,N.W.,WASHINOTON,V,C.2o006 A101.1987 4 WAANit10:Unhowt rad phaiocopying v OMIM LLS.CW111110tt Laws Arid IS agent to 109r Prweamu,. ARTICLE 8 FINAL PAYMENT Futal payment,cOnsdmting the entire unpaid balance of the Contract Sum,shall be mask:by the Owner to the Contractor when(1) the Contract has been fully performed by the Contractor except for the Contractor's responsibility to correct nonconforming Work as provided in Subparagraph 12.2.2 of the General Conditions and to satisfy other requirements,if any,which necessarily survive final payment;and(2)a final Certificate for Payment has been Wued by the Architect;such final payment shall be made by the Owner not more than 30 days after the issuance of the Architect's final Certl9c2te for Payment, or as follows: ARTICLE 7 MISCELLANEOUS PROVISIONS 7.1 Where reference is made 1n this Agreement to a Provision of the General Conditions or another Contract Document,the ref- erence refers to that provision as amended or supplemented by other provisions of the Contract Documents. 7.2 Payments due and unpaid under the Contract shall bear interest from the date Payn=t is due at the rare stated below,or In the absence thereof, at the legal tate prevailing from time to time at the place where the project is located. (ltnerl rale of fnfere"agreed upon, y an),.) 10% after 20 days from the date the Architect certifies the application for payment form AIA G702 and G703. (Usury latus araimquiramemis unaer the Federal 7-mtb in Lending Act,simitarslaty and1Q<W consumer credit Tau andober regulations at ibe Omner's and Cora—ctor's prtneipal place,of i ntinem,[be tocaifon of the Protect and elseabere may affect fie validity of ibisprovision.legal advice sbould be obtained udtb respect to de(erionu or modgicuaons,and also regarding requirements sur,as turinen afsNosans or unlvms.) 7.3 Other provisions: The Owner's Representative: The Contractor's Representative: Michael J. Harrington H & C Service Corp 18 Washington Square West Salem, MA 01970 - ARTICLE 8 TERMINATION OR SUSPENSION 8.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of the General Conditions. 8.2 The Work may be suspended by the Owner as provided in Article )4 of the Gcr=d Conditions. - AIA DOCUINNIT At01 a OWNER-CONTRACTOR AGREEMENT a TWELFTH EDITION a MAO • 8198'7 THE AMERICAN INSTITUTE OFARCHI7ECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.20006 A101.1987 5 WANII//8:u,tua,.sa tYAloCopyRq.law.uGaavt'rlpMlt.w.n,tla1111 to I^W)ptaooa.Nun. I �. ARTME 9 ENUMERATION OF CONTRACT DOCLHADFTS 9.1 The Contact Documents,except for Modifications Issued after execuUm of ddb Agreement, are cr umcrated as follows: 9.1.1 The Agrccmcnt is this executed Standard Form OfAgrecauent Between Ownerand Contractor,AIA Document A101,1987 F,didon. 9.1.2 The General Conditions are the General Conditions of the Contract for Construction,ALA Document A201, 1987 Edition. 9.1.3 The Supplemcnmry and other Conditions of the Contract are those contained in the Project Manual dated and arc as follows: Document Tide Pas" AIA A101 Standard Form of Agreement 1-8 Between Owner and Contractor AIA A201 General Conditions of the 1-24 Contract for Construction 00 73 00 Supplementary General Conditions 1-24 00 73 41 Additional Supplementary General Conditions 1-2 00 73 16 Insurance Requirements 1-2 9.1 A The Specifications are those contained in the Project Manual dated as in Subparagraph 9.1.3,and are as follows: (Ebbe.Nsl lbe Spedfimrio u bare o,ref,ao an exbibit anarbed to ebil Agrmlrel✓.) Section Title P28es See Attachment B AIA OOCMEW A101 •OWN"-CONTRACTOR AGREEMENT•TWFAETH EDMON •A10 •®1987 THE AMERICAN 1NSTITDTEOFARCHITECTS,1755 NEW YORK AVENUE,N.W,.WA5HfKGTON,D.C.20096 A1014997 9 1Y11i JoRt,•UrOwn"dOwwcapygr5 vlow"11.5,caw4vt bwe W4 Is nble t to mgd pw"C'Utim- 9.1.6 The Drawings are as follows,and an:dated unless a different date is shown below: I (Eitber list the Oravings bere or refer N an esbibit anaebea io Ibis Agreement.) Number Mile Date See Attachment C 9.1.6 The addenda, if any, are as follows: Number Date Pages 1. December 15, 2010 13 2. December 21, 2010 7 3 . - December 28, 2010 3 4. .December 28, 2010 1 Portions of addenda relating to bidding requirements are not part of the Contract Documents unless the bidding requirements are also enumerated in this Article 9. AIA DOCUMENr A101 •OWNER-CONTRACTOR AGREEMENT- TWELFTH EDITION•AL1m • ©1981 THE AMERICAN INSTITUTE OFARCHITECTS,1135 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.20006 A1O1-1987 7 WARNING:Unikaruad phaaxopNlnO vMiatm 115.cm ftht h—and Is s mod to legal ploswallon. 9.1.7 Other docwnents, if any, fanning put of the Contract Documents are as follows; aiabareany ad*rl"etatiOnto is Inblebase in *B&toJormparro/tbe ConirMeCl umenn.7be Cenerar C•orl[BtbntprpNde tbal blalM»_q re-0u/,emo.q ra,d as tha A temem or bey sb on toe lis d bene n( ri Binders, to wpan o and ib¢Gormoctor's Want aotprvl aJrbe Cotasapdaranamis unletsenumesaKd ' In stilt.�mrara. 77xy sbpu/d be I1tuN bore Dory rJlnlertde.110 be p+rt of The Co,aracs DOcumenn.) r� This Agreement is entered into as of the day and year first written above and is executed in at ieut three original copies of which one is to be delivered to the Contractor,one to the Architect for use in the administration of the Contract,and the remainder to the Owner. OWNER CONTRACTOR (Signature) (Slgnature) Michael J. Harrington Owner's Representative (Pn'nted name and title) (Prt'nted name and title) CAUTION: You should sign an original AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. AIA DOCUMENT A101 - OWNER-CONTRACTOR AGREEWNT-TWELFol EDITION•AIA* • ©1987 THE AMERICAN INSTITUTE OBARCHITECTS,1735 NEWYORK AVENUE,N.W.,WASHINGTON,D.C.20006 A101.1967 8 WLVMG:Unlicensed pintxoprhlq a NOW IA&capyrigis leas uW is 60*0 to legal ptosecutim Attachment A HAWTHORNE HOTEL TOILET RENOVATIONS SALEM, MASSACHUSETTS SECTION 00 41 10—FORM FOR GENERAL BID BIDDER NAME: To the Awarding Authority:, A. BASE BID: The undersigned proposes to furnish all labor and materials required for the construction of in accordance with Contract Documents, including Drawings and Specifications and CD disk with photos, all as prepared by Gray Architects, Inc. 9A Derby Square, Salem Massachusetts for the Contract Price specified below, subject to additions and deductions according to the terms of the Contract Documents. Required for: HAWTHORNE HOTEL TOILET RENOVATIONS SALEM, MASSACHUSETTS B. CONTRACT PRICE: The proposed Contract Price is DOLLARS ($_561,000 ). This Bid includes Addenda numbered:_1,2,3,4 This Bid includes the following allowances as noted in Section 01020 Allowances: 1. Allowance No. 1: Bathroom mirrors $30,000.00 (thirty thousand dollars) 2. Allowance No. 2: Door Hardware$2,500.00 (two thousand five hundred dollars) (supply and install) 3. Allowance No 3: Floor tile and wall tile "patching" except for new tile called for on drawing no.A-2.2 $15,000.00 (fifteen thousand dollars) (supply and install) 4. Allowance No.4: Fiberglass wall patching at the removal of fiberglass toilet paper holders and miscellaneous holes $4,000.00 (four thousand dollars) (supply and install) 5. Allowance No. 5: Replacing door at corridor to room 408—a new 36-inch door to match existing $5,000.00(five thousand dollars) (supply and install) 6. Allowance No. 6: Repairs to existing risers at new plumbing connections $5,000.00 (five thousand dollars) (supply and install) 7. Allowance No.7: Granite countertops. $80.00 Per SF. (supply) C. ALTERNATES: Alternate No.1 PROVIDE THE COST OF THE REPLACEMENT OF THE ENTIRE COLD AND HOT WATER RISER PIPING AS DESCRIBED. The proposed Price for Alternate No. 1 to be added to or deducted from the base bid is DOLLARS ($_1 1 0,600 ). FORM FOR GENERAL BID 0041 10- 1 Attachment A HAWTHORNE HOTEL TOILET RENOVATIONS SALEM, MASSACHUSETTS Alternate No.2 REPLACE THE REMAINING HOT AND COLD WATER PIPING MAINS FROM THE SERVICE ENTRANCES TO,AND THROUGHOUT, THE ATTIC. REFER TO THE TANS FOR APPROXIMATE ROUTING. THE EXISTING WATER HEATERS AND EXISTING RECIRCULATION LOOP IS TO REMAIN. THE MAINS ARE TYPICALLY 4' IN SIZE AND SHALL BE REPLACED WITH 4" PIPING. INSULATE PER MASS. CODE. The proposed Price for Alternate No. 2 to be added to or deducted from the base bid is DOLLARS ($_86,000 ). Alternate No.3 PROVIDE THE COST OF THE INSTALLATION OF THE ENTIRE BATHROOM VENTILATION AS DESCRIBED AND SHOWN IN THE DETAILS The proposed Price for Alternate No. 3 to be added to or deducted from the base bid is DOLLARS ($ 60,000 ). Alternate No.4 PROVIDE THE COST OF THE INSTALLATION OF THE NEW BEADBOARD AND ALL WOOD TRIM AND PAINTING OF SAME. BASE BID TO INCLUDE PAINTING OF THE EXISTING AND NEW GWB OR PLASTER. The proposed Price for Alternate No. 4 to be added to or deducted from the base bid is DOLLARS ($_40,000 ). D. SUB-DIVISION OF BID: The sub-division of the proposed Contract Price is as follows: Item 1: The work of the General Contractor, being all work other than that covered by Item 2: DOLLARS($ ). Item 2: Sub-bids as follows: Bonds Req'd Indicate by Sub-trade Name of Sub-Bidder Amount Yes or No Custom Woodworking $_45,000_ Painting $_30,000_ Toilet Accessories $ 30,000 Plumbing $210,000_ FORM FOR GENERAL BID 0041 10- 2 Attachment A HAWTHORNE HOTEL TOILET RENOVATIONS SALEM, MASSACHUSETTS HVAC $_15,000_ Electrical $_30,000_ TOTAL OF ITEM 2: 360,000 G. UNIT PRICES: Should certain additional work be required, or should the quantities of certain classes of work be increased or decreased from those on which the General Bid is to be based by other or approval of the Architect, the undersigned agrees that the following supplemental Unit Prices will be the basis of payment to him or credit to the Awarding Authority for such addition, increase or decrease in the Work. Unit Prices given shall represent the exact net amount per unit to be paid the Contractor(in the case of additions or increases)or to be refunded the Awarding Authority(in the case of decreases). No additional adjustment will be allowed for overhead, profit, insurance, compensation insurance or other direct or indirect expenses of Contractor or Subcontractors. Refer to Sections listed in parenthesis below for description and measurement of Unit Price items. The Awarding Authority shall have the right to reject any or all proposed Unit Prices at any time prior to signing the Agreement, in which case the cost of extras work shall be as determined by one of the other methods set forth in the GENERAL CONDITIONS. Unit prices given herein shall be for additional work only. Decreased work shall be at the Add"price less fifteen percent(15). LIST OF UNIT PRICES 1. PROVIDE ALSO THE UNIT COST OF THE REPLACEMENT OF THE HOT AND COLD WATER PIPING ON APER SHAFT' BASIS. DOLLARS ($ 4,777.00 ). 2. PROVIDE ALSO THE UNIT COST OF THE INSTALLATION REPLACEMENT OF A SINGLE EXHAUST SYSTEM ON APER SHAFT' BASIS. DOLLARS ($ 3,333.00 H. Bidder understands that the owner reserves the right to reject any or all bids and to waive any minor informalities in the bidding prices. I. Amounts are to be shown in both words and figures. In case of discrepancy,the amount shown in words will govern. J. The bidder agrees that this bid shall be good and may not be withdrawn for a period of 30 days (excluding weekends and holidays)after the scheduled closing time for receiving bids. BIDDER NAME: Roger A.Tremblay Contractors, Inc P. The undersigned agrees to commence work on the Contract within seven (10)calendar days from receipt of written notice to proceed issued by the Owner and to thereafter FORM FOR GENERAL BID 0041 10- 3 Attachment A HAWTHORNE HOTEL TOILET RENOVATIONS SALEM, MASSACHUSETTS diligently and continuously carry on the work. He agrees to substantially complete the work of this Contract on or before the date of substantial completion set forth in the Contract Agreement. Date Jan. 5, 2011 BY: (Signature) Roger A. Tremblay Contractors. Inc (Name of General Bidder) President (Title) 10 Colonial Road Suite 4 (Business Address) Salem MA (Town and State) END OF SECTION FORM FOR GENERAL BID 0041 10- 4 Attachment B HAWTHORNE HOTEL TOILET RENOVATIONS SALEM, MASSACHUSETTS TABLE OF CONTENTS PARTI: GENERAL DOCUMENTS DIVISION A: BIDDING INFORMATION Pages 0001 15 List of Drawings 1 0021 13 Instructions to Bidders 11 00 40 00 List of Contractors 2 0041 10 Form for General Bid 4 00 43 25 Substitution Request Form 2 DIVISION B: CONTRACT FORMS 00 50 00 Agreement Between Contractor and Owner 6 DIVISION 00: PROCUREMENT AND CONTRACTING REQUIREMENTS 00 72 00 General Conditions—AIA A201, 1987 Ed.) 25 00 73 00 Supplementary General Conditions 30 00 73 41 Additional Supp Conditions 2 00 73 16 Ins. Requirements 2 PART ll: SPECIFICATIONS DIVISION 1: GENERAL REQUIREMENTS 01 0000 General Requirements 7 011100 Summary of Work 2 01 21 00 Allowances 2 01 2200 Unit Prices 2 01 2300 Alternates 2 01 2600 Contract Modification Procedures 2 01 2900 Applications for Payment 3 01 31 00 Project Management and Coordination 3 013113 Coordination 5 01 3119 Project Meetings 4 01 3233 Photographic Documentation 3 01 3300 Submittals 9 01 4500 Quality Control 5 01 5000 Construction Facilities and Temporary Controls 17 01 6000 Materials and Equipment 4 01 6600 Product Handling Requirements 2 01 7329 Cutting and Patching 5 01 7419 Construction Waste Management and Disposal 01 7700 Contract Close-Out 7 01 7839 Project Record Documents 3 DIVISION 2: EXISTING CONDITIONS 0241 13 Selective Demolition, Removal and Disposal 5 DIVISION 3: CONCRETE DIVISION 4: MASONRY TABLE OF CONTENTS TC-1 Attachment B HAWTHORNE HOTEL TOILET RENOVATIONS SALEM, MASSACHUSETTS DIVISION 5: METALS DIVISION 6: WOOD, PLASTICS,AND COMPOSITES 06 10 00 Rough Carpentry 7 06 20 00 Finish Carpentry 2 DIVISION 7: THERMAL AND MOISTURE PROTECTION 07 84 00 Firestopping and smokestopping 6 07 90 00 Joint Protection 4 DIVISION 8: OPENINGS DIVISION 9: FINISHES 0991 00 Painting 13 DIVISION 10: SPECIALTIES DIVISION 12: FURNISHING 12 50 83 Certified Custom Wood Furniture 8 DIVISION 14: CONVEYING EQUIPMENT DIVISION 22: PLUMBING Refer to Drawings DIVISION 23: HEATING,VENTILATING,AIR CONDITIONING Refer to Drawings DIVISION 26: ELECTRICAL Refer to Drawings DIVISION 31: EARTHWORK TABLE OF CONTENTS TC-2 Attachment C Article 3, subsection 3.2, Substantial Completion. The liquidated damages will be assessed under the following conditions: If the contractor is negligent in the performance of the work. This negligence would include the following list: 1. Poor scheduling procedures 2. Poor supervision 3. Under manning the project with each trade 4. Not ordering the proper equipment in a timely fashion 5. Not supplying proper supervision or project management 6. Not supplying reasonable employment to satisfy the specific trades throughout the project The liquidated damages will be waived under the following conditions: 1. Unknown delays in material delivery 2. Discovery of conditions within the shafts that require work to be performed with extra labor 3. Unforeseen conditions. If any of these conditions occur during the course of the work, or if any other conditions and/or circumstances delay the work, at no fault of the Contractor, and in the opinion of the Architect an extension of time is warranted, the completion date will be extended through a change order. Additionally, it is agreed that the work, if requiring additional time,will stop on April 28, 2011 and commence, again, in November of 2011, at no additional cost to the Owner. Attachment C HAWTHORNE HOTEL TOILET RENOVATIONS SALEM, MASSACHUSETTS SECTION 00 01 15-LIST OF DRAWINGS ARCHITECTURAL T-1.0 COVER SHEET PH-1 PHASING PLAN A-1.0 SECOND FLOOR PLAN A-1.1 THIRD FLOOR PLAN A-1.2 FORTH FLOOR PLAN A-1.3 FIFTH FLOOR PLAN A-1.4 SIXTH FLOOR PLAN A-2.0 TYPICAL SHOWER ROOM AND HALF BATH-DEMOLITION PLANS, NEW FLOOR PLANS,AND ELEVATIONS A-2.1 TYPICAL FULL BATHS-DEMOLITION PLANS, NEW FLOOR PLANS, AND ELEVATIONS A-2.2 BATHROOM #520/620 - DEMOLITION PLAN, NEW FLOOR PLAN, AND ELEVATIONS A-2.3 BATHROOM #408 A&B-DEMOLITION PLANS, NEW HANDICAP ACCESSIBLE FLOOR PLANS,AND ELEVATIONS A-2.4 WASHSTAND PLANS A-2.5 TYPICAL ELEVATIONS A-2.6 TYPICAL ELEVATIONS A-2.7 LARGE DETAILS A-3.0 ACCESSORIES SCHEDULE A-3.1 ROOM FINISH SCHEDULE A-3.2 ROOM FINISH SCHEDULE P-1.0 BASEMENT FLOOR PLAN AND NOTES P-1.1 ATTIC FLOOR PLAN P-1.2 TYPICAL FLOOR PLAN M-1.0 ROOF PLAN AND TYPICAL VENT CHASE E-1.0 TYPICAL FLOOR PLAN END OF SECTION LIST OF DRAWINGS 001500- 1 i Attachment C Article 3, subsection 3.2, Substantial Completion. The liquidated damages will be assessed under the following conditions: If the contractor is negligent in the performance of the work. This negligence would include the following list: 1. Poor scheduling procedures 2. Poor supervision 3. Under manning the project with each trade 4. Not ordering the proper equipment in a timely fashion 5. Not supplying proper supervision or project management 6. Not supplying reasonable employment to satisfy the specific trades throughout the project The liquidated damages will be waived under the following conditions: 1. Unknown delays in material delivery 2. Discovery of conditions within the shafts that require work to be performed with extra labor 3. Unforeseen conditions. If any of these conditions occur during the course of the work, or if any other conditions and/or circumstances delay the work, at no fault of the Contractor, and in the opinion of the Architect an extension of time is warranted,the completion date will be extended through a change order. Additionally, it is agreed that the work,if requiring additional time, will stop on April 28, 2011 and commence, again, in November of 2011, at no additional cost to the Owner.