1000 LORING AVE - BUILDING INSPECTION (9) The Commonwealth of MassacW&R9F@0NAE SERVICES
Department of Public Safety
Massachusetts State Building Code(780 CMf j 14 SEP 19 A If: 59 ,
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(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)
/000 L02IAU6 gt)e 5t1,oM O 19 70 Lot/a 6 Ton).e2s
No.and Street City/Town Zip Code Name of Building(if applicable)
t, SECTION 2•PROPOSED WORK . -
Edition of MA State Code used_� If New Construction check here❑or check all that aPPY in1 the two rows below
Existing Building Repay . Alteration ❑ Addition❑ Demolition ❑ (Please 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 x
Brief Description of Proposed Work:
�us1�t/l s L e2s F S- b Fine P.e. rt<,j, 6eA,Otl vAstfea 4
�a� �,✓0 4Ri."T A /l L n Ry odd
' 'SECTION 3.,COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR_ --
CHANGE IN USE OR OCCUPANCY o
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): Proposed Use Group(s):
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 applicable)
A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ B: Business ❑ E: Educational ❑
F. Facto F-1❑ F2❑ 1 H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional 1-1❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ & 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 ❑ Ill HA ❑ UB ❑ IHA ❑ I1013 IV ❑ VA ❑ VB ❑
w '•`�' »^?"_.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❑
Private❑ or indentify Zone: or on site system❑ required❑or trench or specify:
permit is enclosed❑
Railroad right-of-Way: Hazards to Air Navigation MA Historic Commission Review Process:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑
'°'*�x �„ 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:
R Pn M L,(-_0 (10 (zS
(� I opfl JAI �-
TC) PIPE A -
t St-E�J I NSQC�-�
�S
' C��t�lZrzs)
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Lo/ZiuG TdVje7Z3 JdDO 4012f.Iy, AUe Sapetit t 70
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Otg�j M, Itmizzo &(7_- 02- O 2 Onr+.M,l,uaszn@Poaco•Gowt
Title DlRxtac of egtg+2acttnV Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
Name Street Address City/Town State Zip
to act on the Eroperty owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
f building is less than 35,OW cu.ft.of enclosed space and/or not under Construction Control then check here 0 and s kip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State .Zip Discipline Expiration Date
102 General Contractor
CI�57- C0,95 (Oz<aJE�91 � � f2�cf..�b
Company Name
�TbM 1<:NA94- CS - 0S2-7q7
Name of Person Responsible for Construction License No. and Type if Applicable
z8& a2oaow ,�i�t, htit Mg D1037-
Street Address City/Town State Zip
97P_�GO_ boS/ /• Kinna( 0 Co uc/asT. U67-
Telephone No. sines Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT .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 ❑
SECTION I2 CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total 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
6.Total Cost $ 60
1), 900 (contact municipality)and write check number here
41 �y. 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 true and accurate a bes f my knowledge and understanding.
�,t( uvyGA)PL ice' 360 _ 00s/
Please print and si name Title Telephone No. Date
0(0 name
u�t /f/�tJ eR h lGt � _..olg 2
Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval:
Name Date
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS-062747
THOIVIASHIQ10AL ----��
286 MA BRO MA 019
Haverhill O1B32l
Expiration
Commissioner 06/20/2016
CITY OF SL1� .r..�I, NLkSSACHUSETTS
BuMIM IG DEPARTMENT
130 WASHNGTON STREET,3" FLOOR
8 T EL (978)745-9595
FAX(978) 740-9846
KI\tBERLBY DRISCOLL
MAYOR T Hoi6 B ST.PmRRE
DIRECTOR OF PUBLIC PROPERTY/BuILDiNG Co%mussloNER
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit# is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c
l 11, S 150A.
The debris will be transported by: \
C'f15e1%9 cv�.s 7� �ovr s, �, yos mac.. )
(name of hauler) /
The debris will be disposed of in :
(name of facility)
(address of facility)
signature of permit applicant
date
�cbriufT.dce
CITY OF S.U.F-N, 4 NIASSACHLSETTS
' BUILDING DEnItTs[EINT
• 120 WASHINGTON STREET,Yo FLOOR
TEL (978) 745-9595
FAX(978) 740-9846
KI\IBERLEY DRISCOLL
MAYCIR THobw ST.PIERRS
DIRECCOR OF PUBLIC PROPERTY/BUMDLNG COJL%[WtONER
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibiv
Name(BusinasOrganization!Individual): >Fo5r 6)25T 6,Fug4#1- L6Ln �ILi -b-(/6
Address: 132ogf LJ. 4
City/State/Zip: 114J),6e1/i!/f y¢ 0183 Z Phone #: F7g 3(oD - 006-1
Are you an employer?Check the appropriate box: Type of project(required):
!�ill am a employer with_;?- 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 g. ❑Demolition
working for me in any capacity. workers'comp.insurance. 9, 0 Building addition
(No workers comp. insurance 5. ❑ We are a corporation and its
required.) officers have exercised their 10.❑Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions
myself.{No workers'comp. C. 152,§I(4),and we have no 12.❑ Roof repairs
insurance required.)t employees.(No workers'
comp.insurance required.) 13.0 Other.
-•Any appneam-that cheeks box ri mutt also Ili rut the section below showing their workers'compensation policy information.
t I Inmeowtten who submit this affidavit indicating they are doing all work and then hire outside contmcrois must nibmit a new affidavit indicating suds
Coinracton that check this box.Must attached an additional shxt showing the name of dosubarontnctms and their workers'comp,policy infomrotion.
I ma an employer that Is providing workers'compensation Insurance for my employees. Below is the pulley and Jab site
information. _
Insurance Company Name:. 1-/14 1d)5ce294Ge c0210 .
Policy 4 or Sel6ins.Lie.#: WC6-- 3/'S--3�EM�—O Z rf Expiration Date: y ) Z 3 1 ZO 1 S
Job Site Address: /600 La.e l,u 4, (}lit S4/e u, AA 01970
City/State/Zip:
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 S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 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 ins and naltl rJury that the information provided above is true and co et
Sienittim Q Date'
Phone : / 78- 366 OO.SI
Official use only. Do not write in this area,to be completed by city or town oJJlcial,
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.City/town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#'
- — —
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
Ai m co
µ
To: Tom Kinnal at East Coast General Contracting
From: JOHN BEZZANT, Chief Investment Officer and Executive Vice President,
Redevelopment and Construction Services
ORGAN, TONY, Vice President of Construction, Construction Services
STEICH, MATTHEW, Regional Director of Construction, Construction Services
Milinazzo, Dan, Project Manager, Construction Services
Date: August 4, 2014
Re: Executed Contract and Related Matters
Attached is your copy of the executed contract with LORING TOWERS SALEM
PRESERVATION LIMITED PARTNERSHIP, an affiliate of Apartment Investment and
Management Company ("Aimco"), for construction services at Loring Towers Apartments. We
want to take this opportunity to inform you that Aimco is committed to conducting its business in
accordance with applicable laws, rules and regulations and the highest standards of business
ethics. If during the period of your business relationship with Aimco, you believe the Aimco team
members with whom you are dealing are not living up to these standards, we ask that you report
such conduct to one of the following:
• JOHN BEZZANT, Chief Investment Officer and Executive Vice President
Redevelopment and Construction Services: (303)793-4774
• COHN,LISA, Executive Vice President and General Counsel: (303)691-4415
• KEVIN STADLER, Vice President, Internal Audit Dept: (303)691.4376
If you prefer to remain anonymous, you may make a report using Aimco's anonymous and
confidential reporting system, MySafeWorkplace, which is available 24 hours a day, seven days
a week via the Internet at www.MySafeWorkplace.com or by calling 1-888 481-7123. We
encourage you to use MySafeWorkplace only if you do not feel comfortable reporting issues
directly to an Aimco representative.
We would also like to remind you that Aimco has a Code of Business Conduct and Ethics, which
prohibits Aimco employees from accepting meals, entertainment, services or gifts from anyone
who does business with Aimco unless the amount of such item is less than $25. This provision is
to specifically include, but is not limited to, suppliers or other contracted labor utilized under this
project. It is the responsibility of this Contractor to advise any subcontracts or suppliers of the
AIMCO Code of Business Conduct and Ethics.
1 Page Form,GC,Lump Sum,Contract,2Jan-12
DocuSign Envelope ID:416495B3-7AO8-45C3-8058-AB2B789459CA
GENERAL CONSTRUCTION SERVICES ONE-PAGE CONTRACT
Contract Number: 16450-404879-CPe-00003
Contractor. East Coast General Contracting Property: Loring Towers Apartments
Address: 286 Broadway Street Location: 1000 Loring Avenue
Haverhill,MA 01823- Salem,MA 01970
Representative: Tom Kinnal Issuing Office: AIMCO Re final Office
_ Telephone: 978 360-0051 Address: 1819 John F.Kennedy Blvd,
Facsimile: 978 372-4215 Suite 330
E-mail: tkinnal(cDcomcast.net Philadelphia,PA 19103
Contract Sum: $11 950.00 Contract Type: Lump Sum
This General Construction Services One Page Contract("Contract")is CONTRACTOR shall purchase and maintain,at its sole expense,commercial
effective as of,by and between"CONTRACTOR"(as identified above)and general liability insurance with limits of no less than $500,000. The liability
LORING TOWERS SALEM PRESERVATION LIMITED PARTNERSHIP insurance shall cover all labor,materials,or services furnished hereunder and
("OWNER")for construction and services to be performed and/or material to shall include a contractual liability endorsement.CONTRACTOR shall fumish
be supplied for the property known as Loring Towers Apartments(the OWNER with a certificate of insurance, naming the Indemnified Parties as
"Property").In consideration of the acceptance of CONTRACTOR's bid additional insureds. CONTRACTOR shall also purchase and maintain
and/or proposal for furnishing supplies,goods and/or services to the Property, workers compensation insurance as required by Laws and shall fumish
CONTRACTOR agrees to perform the following services and/or supply the OWNER with evidence of such insurance.
following materials(the'Work"):
Nothing contained herein shall create any third party beneficiary rights in any
CONTRACTOR acknowledges that the Work shall be for the benefit of both person not a signatory to this Contract except OWNER will be third parry
OWNER as well as the beneficial owner of the Property. The Work shall be beneficiaries of CONTRACTOR's agreements with all of its subcontractors
performed in accordance with the following dates (the "Construction and CONTRACTOR shall include or cause to be included similar provisions in
Schedule"): each of the aforementioned agreements naming OWNER as third party
Date of Commencement 08/112014 beneficiaries. The undersigned shall be solely responsible for the
Date of Final Completion:0 8/2 912 0 1 4 employment, control and conduct of its employees and nothing set forth
herein shall have the effect of creating an employercmployee relationship
This Contract does not establish an exclusive right to fumish supplies,goods between OWNER and any of CONTRACTOR's employees.
and/or services to the Property and OWNER reserves the right to terminate All trade discounts, rebates and refunds and all returns from sales of surplus
this Contract at any time without cause. materials and equipment shall belong to and accrue for the benefit of
All services, materials and employees used by CONTRACTOR shall comply OWNER.
with all applicable federal,state and local laws and regulations,including, by CONTRACTOR is prohibited from providing gifts or other things worth more
way of illustration and not limitation, the Americans with Disabilities Act than $25 to OWNER or any of its employees. CONTRACTOR's violation of
("Lavers"). this precept shall constitute grounds for immediate termination.
To the fullest extent permitted by law, CONTRACTOR shall indemnify, CONTRACTOR's obligation to property and timely perform and complete the
protect,defend and hold OWNER,the beneficial owner of the Property, Work shall be absolute. CONTRACTOR shall carry on the Work Burin all
their affiliates, parent and subsidiary entities, including, without rY 9
limitation, Apartment Investment and Management Company (AIMCO), disputes or disagreements with OWNER.
and any of AIMCO's subsidiaries and affiliates that may directly or Conflict of Interest Although CONTRACTOR and its contractors,
indirectly own or manage the property at or for which CONTRACTOR subcontractors,consultants and vendors may employ relatives of employees
performs any Work,and their respective partners,managers,members, of the OWNER, its affiliates, parent and subsidiary employ
relatives
including,without
employees, officers, directors, trustees, shareholders, counsel, limitation, AIMCO and an of AIMCO's subsidiaries and affiliates that me
representatives, harmless
successors and assigns (the Indemnified directly or indirectly own or manage the property at or for which
Parties")free and harmless horn any and all liabilities,claims,demands,
actions, costs (including reasonable attorneys' fees), suits or CONTRACTOR performs any WORK (the "AIMCO Employees"),
matters CONTRACTOR shall immediately so inform OWNER as soon as known, or
arising from or related to(I) injuries to persons or damage to property discovered.OWNER reserves the right to require that CONTRACTOR and/or
(excluding the Work), (ti)any alleged violation of any Laws and (it!)a its contractors,subcontractors,consultants, and any vendors to modify work
notice or claim of lien.CONTRACTOR's obligations under this Contract, assignments of the AIMCO Employee's relative where a conflict of interest,or
including Its indemnity obligations, shall not De limited by a limitation the appearance thereof,is deemed b OWNER to exist.CONTRACTOR shall
on the amount or type of damages payable by or for CONTRACTOR y
under workers or workman's compensation acts. include this provision in any of its subcontracts and material agreements.
CONTRACTOR waives and releases all claims for or right to any CONTRACTOR acknowledges, understands and agrees that OWNER may
consequential, incidental, exemplary, punitive or special damages. execute this Contract by an authorized representative. Notwithstanding
CONTRACTOR shall not bring claims or lawsuits against any principals, anything contained herein to the contrary, such authorized representative
employees, agents, officers, directors, stockholders, partners or affiliates of and/or its affiliates shall not incur any liability, or other obligation, under this
OWNER, the beneficial owner of the Property, AIMCO, AIMCO Properties, Agreement to CONTRACTOR,for any reason,including,but not limited to,for
L.P., or AIMCO-GP, Inc. CONTRACTOR further agrees that the sole and any payments that may be due CONTRACTOR hereunder.
exclusive remedy of CONTRACTOR for payment and/or performance of this This Contract entered into as of the day and year first written above.
Contract shall be against the assets of OWNER.
OWNER: LORING TOWERS SALEM PRESERVATION LIMITED CONTRACTOR:East Coast General Contracting
PARTNERSHIP
By STEICH MAT as uthorized reptesentativ or OWNER
Signature: Signature:
Print Name: WASteichkL Print Name: Tom Kinnal
Print Title: Regional Director of Construction Print Title: President
1 Page Forth,GC,Lump Sum,Contract,2Jan-12
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
EXHIBIT"A"
SCOPE OF WORK
For Contract: 16450-404879-CPe-00003
CONTRACTOR shall perform the following Work in strict accordance with the terms of the Contract:
4.0 WORK SYNOPSIS
Restoration of Laundry Rooms
2.0 SCOPE OF WORK
Construction Requirements:
The work of the CONTRACTOR and their employees shall be performed in a good and workmanlike manner.Workmanlike quality is defined as workmanship that
meets or betters those criteria indicated in applicable building codes,using materials and installation methods identified in the construction plans and this Scope of
Work.
Code Requirements:
All jobs shall conform to those standards stipulated in the building code, mechanical code, plumbing code, and electrical code applicable in the local
jurisdiction.All construction on the OWNER'S properties shall meet or exceed NAHB Performance and Building Standards. CONTRACTOR is responsible
for acquiring any and all needed permits for the work and any associated costs.
Safety:
CONTRACTOR agrees to comply with OSHA and/or any other governmental agency's safety rules and regulations. Should any citations, fines, and/or
penalties,etc.,be incurred by the OWNER due to the negligence of the CONTRACTOR,the CONTRACTOR agrees to indemnify the OWNER for any and
all penalties,fines,etc.,incurred.
CONTRACTOR shall perform the following Work in strict accordance with the terms of the Contract:
Location:
Common Laundry Rooms,Loring Towers Apartments,1000 Loring Ave,Salem,MA
Turnkey Job:
The CONTRACTOR will furnish all equipment,supervision,material and labor necessary to deliver a finished projectiproduct which completes
the scope of work and successfully addresses the projects intentions.
Intent
Replacement of drywall components and finishes after abatement to restore laundry rooms to owners quality standards.
Scope of Work:
General Conditions:
1. Provide a detailed written schedule for the project. Building will be occupied during construction and so work must be scheduled with resident
access in mind to ensure no negative impact on construction timeline.
2. Attend a mandatory pre-construction meeting on site with OWNER and site personnel prepared to discuss scheduling, staging, and other site
specific requirements prior to commencing any work.
3. Contractor shall be responsible for any and all damages to property incurred during the associated work
4. Contractor shall remove and properly dispose of any and all related debris from the site(use of property dumpsters is strictly prohibited).
5. Contractor shall ensure proper safe egress is returned by the end of the work day and over the weekend/non-working days.
6. Contractor responsible for all labor,material,taxes,permits,and fees associated with this scope of work.
7. Obtain and pay for all necessary Permits,fees,and approvals from Local Jurisdiction Having Authority(LJHA).
8. All work shall be performed in compliance with all applicable Local,State and National Building,Life Safety,and Electrical codes
9. Provide a written schedule for the project for review and approval by the Owner's Rep prior to commencement of any work.
10. Provide MSDS documentation for all products to be used prior to commencement.
11. Provide a minimum 1 year workmanship warranty effective starting from the date of final acceptance by OWNER and all manufacturer warranties.
12. Regardless of whether or not an item is shown or specified,General Contractor shall provide said item if it is necessary for the proper installation
or function of an item shown or specified.Suppliers and Subcontractors shall inform the General Contractor of their requirements for the work of
other trades,which may not be indicated,prior to bidding
13. Stagger work schedule to ensure that occupants have access to some laundry facilities at all times during abatement procedures
Restoration Scope:
1. Restore wall upon completion of duct replacement(duct replacement by others).
2. Finish and paint all walls and ceilings in laundry rooms upon completion.
3. Provide and install new drywall.
4. New drywall to be skimmed and sanded as necessary to match existing walls with level 4 finish.
1 Page Form,GC,Lump Sum,Contract,2Jan-12 3 of 9
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
5. Prime and paint all walls and ceilings in laundry room work to match existing building.
6. Provide protection of existing flooring,doors,fixtures and base mold and ensure no damage or paint spills occur on these existing to remain
components
7. Provide and install new baseboard/cove mold to match existing.
8. Clean up and removal of all job related debris.
Proiect Requirements:
1. GENERAL PROVISIONS:
a. Contractor will comply with requirements of local,state,federal laws,and regulations governing construction,permits,and industry
standards including but not limited to the following:
i. Uniform Building Codes,including any and all local requirements for permits and inspections
ii. Health and safety regulations
iii. Environmental protection regulations
iv. Health Department regulations
v. Fire Marshall requirements
b. Contractor must submit Material Safety Data Sheets of all hazardous chemicals that they will be using,at or in possession of,while on
the property before material delivery or work.
c. All necessary precautions will be taken by contractor to protect property.
d. Contractor shall not use on site trash receptacles for disposing of any materials and will be responsible for providing trash containers at
the project site or hauling away their trash.
e. Contractor is responsible to field verify all quantities,dimensions,and layouts.
f. Contractor is responsible for temporary utilities,facilities,storage containers and signage as necessary unless otherwise specified.
Some site utilities MAY be offered temporarily at the Owners discretion,but may be withdrawn by Owner with minimal advanced notice.
g. Provide all materials,tools,equipment and labor,in appropriate quantities,to complete the required work in a workman-like manner to
the best of industry standards and Owners standards,following all Manufactures required material installation specifications
h. Additional work(if required due to unforeseen conditions)must be brought to the attention of Construction Services and be approved in
writing prior to the commencement of additional work outside of this scope.
i. Upon passing inspection by Owners Rep(Construction Services Rep),contractor may request payment for work completed by
submitting an invoice accompanied by a waiver of lien identifying the same dollar amount as invoiced and indicating the percent of the
contract amount that is due and payable.
2. SCHEDULE
a. Contractor will coordinate in advance of work with the Community Manager the schedule of work so that residents may receive advance
notice, move-ins/outs may be considered, vehicle parking adjustments may be made, etc. The Community Manager has the final
decision in scheduling the work.
b. Daily work may not commence prior to 8:00 a.m.nor go beyond 5:00 p.m without prior approval from an Owner authorized
representative.
c. Weekend and holiday work is not normally authorized
d. Contractor also agrees to coordinate their schedule with other vendors and contractors on the property.
e. All work must follow Contractor provided schedule,with daily updates through the site management team,with a minimum of 48 hours
notice of any changes to schedule.
3. SECURITY,TRAFFIC,PARKED VEHICLES. ETC.:
a. Safety'tailgate"meetings will be held at the job site on a routine basis,to include reminders of the proper manner to safely work with
ladders,electrical cords,etc.
b. Notices to residents, other contractors and employees and sprinkledwater control, parked cars and traffic diredionicontrol will be
coordinated with the resident manager.
c. Job site security and prevention of vandalism are among the included costs to this contract and are the responsibility of the contractor.
d. Barrier lighted sawhorses,cones,and tape is to be provided by the contractor. The work areas must be barricaded taped and identified
as work areas at all times.
e. Contractor is acknowledges that the property is home to our many residents,that there are children about, and that they are all to be
treated with safety in mind,care and courtesy.
4. PROTECTION AND CLEAN UP:
a. Wherever work is being performed, all walks,steps,floors,surfaces and items shall be carefully protected from damage. All supplies,
materials,containers and other hems shall be orderly and carefully arranged and protected.
b. All accidental spatter and spillage shall be deaned immediately and the damaged surfaces restored.
c. At the completion of the work for this contract,all materials,supplies,debris and rubbish shall be removed and the areas left in a clean,
orderly and acceptable condition.
d. Contractor to ensure work areas are to be broom swept at the end of each work day.
e. Contractor to provide trash containers to be used during the work of this project or haul debris away at the end of each workday.
Contractor is not to use property dumpsters for any material related to the work being done.
5. WORKMANSHIP
a. The contractor shall be responsible for the protection of all surfaces and objects including the exterior of buildings and grounds as well
as adjacent property.
b. The contractor shall insure that all materials are applied/replaced with proper compliance with the manufacturer's directions and
published specifications.
c. All work shall be done under favorable weather conditions and/or under conditions best suited for production of acceptable work.
d. Workmanship on this project shall be of the best quality and only skilled mechanics shaft be utilized. All work shall be subject to the
approval of owner and management entity. The contractor shall coned any work within 48 hours of being notified to do so by owner.
e. Contractor is responsible to insure that sprinkler water or any other potentially damaging substance to unfinished work is controlled
and/or eliminated to insure proper,quality results.
f. All new materials must be installed securely,and show good appearance including,but not limited to being installed straight and true.
1 Page Form,GC,Lump Sum,Contract,2Jan-12 4 of 9
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
6. MISCELLANEOUS
a. The work area must be swept clean and free of safety hazards at all times.
b. All contractor employees must be dressed in proper attire,no shorts(i.e.shirts must be wom)
c. No radios are permitted at the work site.
d. An English speaking representative of the contractor,familiar with the scope of work,must be on the job site at all times.
e. No smoking is permitted at the work site.
f. No profanity is permitted at the work she.
g. No alcohol is permitted at the work site.
h. Hard hats are required at the work site.
i. Orange vests are required at the work site.
j. Steel toe shoes are required at the work site.
k. Contractor certifies that the total cost agreed to including all labor,materials,taxes,insurance,supervision,inspections,permits,etc.,as
may be necessary to complete the tasks agreed to in this contract.
1. Contractor certifies that all applicable labor and material lien releases will be delivered along with the final invoice.All lien waivers must
be notarized.
7. TYPICAL WARRANTIES:(Unless otherwise indicated)
a. Labor: One Year(minimum)
b. Material: One Year(minimum)
C. Workmanship: Indefinite
1 Page Form,GC,Lump Sum,Contract,2Jan-12 5 of 9
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
EXHIBIT"B"
SPECIFICATIONS AND DRAWINGS
For Contract: 16450-404879-CPe-00003
The Work shall conform to,and be performed,in strict compliance with the Specifications and Drawings identified below.
1.0 SPECIFICATIONS AND DRAWINGS
'PART 1—GENERAL
1.1 SUMMARY
A. Section Includes:
1. InsulafiorvVapor Retarders
2. Finishes
a. Wallboard
b. Paint
1.2 DELIVERY,STORAGE,AND HANDLING
A. Store materials in dry spaces protected from the weather,with ambient temperatures maintained within range recommended by manufacturers,
but not less than 50 deg F or more than 90 deg F.
1.3 QUALITY ASSURANCE
A. All work is to be done by trained,experienced individuals.
1.4 PROJECT CONDITIONS
A. Paint
i. Paints and solvents should be maintained at a temperature between 50 degrees Fahrenheit(F)and 90 degrees F,and stored in a well-
ventilated area.Freezing temperatures may permanently damage water-based paints as may subjecting paint to frost.
2. Paints not stored within the recommended temperature range should be conditioned for at least 24 hours at a temperature of 65
degrees F to 85 degrees F. Paint materials should be mixed prior to delivery to the job and then hand-mixed just prior to use and
periodically during application.Caution should be taken not to over mix,causing the incorporation of excess air.
3. Paint should be maintained at 65 to 85 degrees F at all times during application. Paint should not be applied when temperature is
expected to freeze prior to drying. Paints should be applied at manufacturer's spreading rates.When successive coats are used,allow
sufficient time for each coat to dry thoroughly before the following coat is applied. Materials below or adjoining the work should be
covered or otherwise protected.
4. Surface and air temperatures should be between 50 and 90 degrees F for water-based coatings and 45 to 95 degrees F for other
coatings unless the manufacturer stipulates otherwise.
B. Paint
1. Painted or finished surfaces should present a smooth,unblemished,homogeneous appearance without drops,runs,lumps,streaking,or
visible color variations.Each coat should be allowed to dry prior to the application of the next coat.
2. The final interior paint job will be inspected in both sunlight and normal room lighting.Any defect visible from a distance of 6 feet under
these conditions will be considered unacceptable.
C. Wallboard
1. Drywall panels should be cut to fit easily into place,with no gaps greater than 1/2 inch. Drywall should be securely fastened using
fasteners of a type recommended for the intended application.Fasteners should be driven squarely and placed at least 318 inch from the
edges and ends.Heads should be seated no deeper than 1/32 inch below board surface and should not break the facepaper.
2. The finished drywall should present a smooth,unblemished,homogeneous appearance with inconspicuous joining between boards and
no visible fasteners.There should be no areas of raised fibers on the facepaper due to over-sanding. Clearly visible nail pops, seam
lines and cracks are considered unacceptable through the first-year Warranty period and are absolutely unacceptable at the completion
of the job.
3. Drywall finish should be Level 4 or better.
PART2-PRODUCTS
2.1 4-6 MIL POLYETHYLENE VAPOR RETARDER
2.2 FINISHES
A. 5/8"TYPE-X GYPSUM WALLBOARD
B. PAINT
1. Walls
a. Non-Kitchen,Non-Bath:Single Tone Scheme:
1) Sherwin Williams
2) Flat,
3) ICI1221,
4) Color to be site selected
2. Trim
a. Sherwin Williams
b. Semigloss,
C. ICI 1427
d. Color to be site selected
1 Page Form,GC,Lump Sum,Contract,2-Jan-12 6 of 9
DocuSign Envelope ID:416495B3-7A0845C3-8058-AB2B789459CA
PART 3-EXECUTION
3.1 EXAMINATION
A. Examine substrates, with Installer present, for compliance with requirements for maximum moisture content and other conditions affecting
performance of the Work
B. Verify that finishes of substrates comply with tolerances and other requirements specified in other Sections and that substrates are free of
cracks,ridges,depressions,scale,and foreign deposits that might interfere with adhesion of Boor plank.
C. Proceed with installation only after unsatisfactory conditions have been corrected.
3.2 PREPARATION
A. General
1. Prepare substrates according to manufacturer's written instructions to ensure adhesion of resilient products.
2. Fill cracks, holes, and depressions in substrates with trowelable leveling and patching compound and remove bumps and ridges to
produce a uniform and smooth substrate.
B. DoorsNVindows
1. Protect all frames,jambs,and doors against warping delamination,and splitting.
2. DoorsiWindows shall be shimmed,squared,and plumbed.
3.3 INSTALLATION
A. Paint
1. All nicks, gouges, scrapes, damage, etc., should be repaired, treated, or otherwise taken rare of before painting begins, both in the
drywall and trim.
2. All nail holes in trim are to be filled with wood filler,sanded,and smoothed.All nail holes in drywall shall be repaired with drywall mud,
not caulk.
3. Excess damage to drywall,trim,or doors is to be reported immediately to the OWNER.
4. All interior trim paint shall be applied with a brush and shall have two(2)coats.
5. Paint drippings and spills must be cleaned from tubs,showers,countertops,and all other areas.
6. All over-spray on window glass and aluminum window trim (inside and outside) must be wiped off with a damp rag before it dries.
Aluminum window trim,especially the white baked-on finish,is easily damaged by razor blades and other items when the cleaners try to
remove dried paint over-spray.
7. Paint drippings or spills on vinyl or wood flooring must be cleaned immediately without damage to the vinyl or wood flooring.
8. The final interior paint job will be inspected in both sunlight and normal room lighting.Any defect visible from a distance of 6 feet under
these conditions will be considered unacceptable.
9. The CONTRACTOR is to take care not to damage work done by other CONTRACTORs. If any sink is used for washing brushes,etc.,
the sink shall be cleaned of any paint residue prior to the job being considered complete.
10. Exterior paint shall be specified by OWNER.
11. Exterior paint shall be two(2)coats,both of which may be sprayed.
12. Exterior trim paint shall be specified by OWNER.
13. Exterior trim paint shall be two(2)coats,both of which must be brushed.
14. All exterior areas to be painted,including the foundation,shall be free of dirt,mud,excess caulking,and any other foreign matter.
15. No thin spots in either interior or exterior paint are allowed.
16. Finishes shall be uniform and smooth,with no lumps,drips,runs,streaking,or visible color variations.
17. Any over-painting on trim must be cleaned from surrounding area.
18. Paint must be deaned from all hinges and other hardware.
19. All door painting must be smooth,with no lumps,bumps,runs,color variations,and of a uniform appearance.Any defect visible from a
distance of 6 feet in sunlight and normal lighting is unacceptable.
20. Over-spray must be cleaned from any brick,stucco,or other finish.
21. Decks,porches,outside handmils,etc.,are a part of the outside paint package and shall be painted,stained,or left untreated per plan.
22. Any defect in outside paint(walls,trim,etc.)visible from a distance of 6 feet in normal sunlight will be considered unacceptable.
23. Interior handrail coatings shall be uniform with no drips,runs,light spots,etc.Any defect visible from a distance of 6 feet in sunlight and
normal lighting is unacceptable.
24. All interior base,casing,shoe molding,door,and windowjams,crown molding,chair rail and any other wood trim will be caulked.
25. All exterior siding joints,comer boards,fascia boards,overhangs,cantilevers,windows,doors,vents,and any other wood trim or siding
shall be caulked.On houses with brick fronts,all gaps between the brie kmold and brick will be caulked.
26. All thresholds must be caulked to prevent moisture and insects from entering the house.
27. All exposed metal lintels shall be wire-brushed to remove any rust and painted with a black,rust-proof paint
28. All doors that have been taken down to paint shall be rehung,straight,level,and undamaged.
B. Wallboard
1. Seam lines and cracking can be minimized by avoiding large gaps during installation and by installing panels in a manner that avoids
conspicuous butt-end joints.When butt-end joints must occur,they should be staggered and as far from the center of walls and ceilings
as possible.Whenever possible,panel ends and edges that are parallel to supporting members should fall on those members.
2. Measurements should be taken accurately at the point of installation to allow for irregularities in framing.Cut edges should be smoothed
to fit accurately.Ceiling panels should be placed first and cut so as to fit easily into place without forcing. Tapered panel edges should
butt tapered edges and square job-cut or mill-cut ends should butt other square-cut ends.
3. Fasteners should be applied starting in the middle of the panel and moving toward the outside. Nails or screws should be seated
squarely while the board is held in firm contact with the framing support.Where adhesive is used, bonding surfaces should be free of
dirt,grease,oil,or other foreign materials.
4. All beads must be installed per the manufacturer's instructions.All comers,ceiling lines,etc.,must be straight with-no hairline cracks.
5. Three coats of joint compound are required:an embedding coat to bond the tape and two finishing coats over the tape.Each coat must
be thoroughly dry before the next is applied to ensure that the surface incurs maximum shrinkage and can be readily sanded. For the
final coat,sufficient lighting must be utilized to ensure a quality finish.
6. Drywall is to be installed either vertically or horizontally depending on the most efficient use of the material.
7. CONTRACTOR will keep waste to a minimum.
8. Ceilings will be stippled unless notified otherwise.Stipple shall be uniform with no thin or missed spots. Stipple must be uniform from
room to room.
1 Page Form,GC,Lump Sum,Contract,2Jan-12 7 of 9
Docu Sign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
9. All comers,lines of tray,and vault ceilings shall have beads and be installed per the manufacturer's instructions.
10. Drywall should be cut accurately and should fit together with a maximum 1/2-inch gap between sheets.
11, No cut-on-site edges shall be used in vault ceilings.Factory-cut edges must be used at the peak of the vault.
12. Drywall should be firmly attached to all framing using nails, screws, and adhesive. There should be no give, bows, or warps in any
board.
13. Heads of fasteners should be seated no deeper than 1/32 inch below board surface and should not break the facepaper. Fasteners
shall be installed every 16 inches on center.
14. All drywall edges shall be smooth and dean.Drywall shall not be cut with anything that leaves a ragged edge.
15. Hairline cracks in comers are unacceptable.
16. There should be no areas of raised fibers due to over-sanding.
17. All electrical boxes are to be free and clean of any drywall debris or mud before the CONTRACTOR leaves the job.
18. Drywall installed around tubs and showers shall fit snugly with no gaps larger than 114 inch.
19. Drywall around the fireplace box, any door, window, or electrical box shall fit level and snug against jacks,fireplace box, or electrical
boxes.If drywall is broken around electrical boxes,it shall be cut and patched with drywall to fit snugly around the box.
20. The CONTRACTOR and its employees are not to stand on tubs,sinks,or countertops, or place any materials on them.Any fasteners
dropped on tubs and sinks shall be picked up so as not to damage the finish of tubs and sinks.
21. The CONTRACTOR shall not leave any holes in storage rooms,around heating units,etc.All areas that receive drywall shall be taped,
mudded,and sanded.
22. After primer coat of interior paint is applied to walls, CONTRACTOR is responsible for touch-up on walls and ceilings at no additional
Charge.
23. CONTRACTOR is responsible for a final touch-up,as required,after the OWNER's walk-through.
24. The CONTRACTOR shall furnish heaters as required. The CONTRACTOR is not required to leave his or her own heaters overnight
unless they are returning the next day.If the job requires heat overnight notify the OWNER.
3.4 CLEANING AND PROTECTION
A. Comply with manufacturer's written instructions for cleaning and protection of materials.
B. Perform the following operations immediately after completing material installation:
1. Remove adhesive and other blemishes from exposed surfaces.
2. Sweep and.vacuum surfaces thoroughly.
3. Damp-mop surfaces to remove marks and soil.
C. Protect products from mars, marks, indentations, and other damage from construction operations and placement of equipment and fixtures
during remainder of construction period.
D. Area is to be left dean and broom-swept.
END OF SECTION
1 Page Form,GC,Lump Sum,Contract,2Jan-12 8 of 9
Docu Sign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
EXHIBIT"C"
QUANTITIES,PRICING AND DATA
For Contract: 16450-404879-CPe-00003
1.0 SCHEDULE OF VALUES
Each Application for Payment pay item shall directly relate to the Schedule of Values defined below. Pay items set forth in the Schedule of Values may be
revised only by Change Order("CO")in accordance with the terms of the Contract.
Pay Item I Work Description Additional Description Cost Code Amount
001 General Conditions,Permits, 101320 $1,365.00
Fees
XEtREe7storafion
DII 8 Restoration 101320 $6,285.00
nd Finishes 101320 $3,300.00
clean-u 101320 $1,000.00
Contract Sum: $11,950.00
2.0 LIQUIDATED DAMAGES
Liquidated damages wilt be deducted from the total Contract Sum in accordance with the schedule of liquidated damages defined below.
Unit of
Description Measure Amount
Assessed for for the number of days between actual achieved date and any
Milestone Date setforth within the Construction Schedule perday $ 500.00
3.0 UNIT RATE PRICES
The pricing of a Change Order may be based on the following Unit Rate Prices. Unit Rate Prices shall include all fees and costs including,but not limited to,
labor,material,services,overhead and profit.
Pay Unit of
Item Unit Rate Description Measure Unit Rate Price
1 General Labor Hourly Rate hour $ 45.00
2 Project Manager Hourly Rate hour $ 65.00
3 Licensed Contractor/Carpenter Hourly Rate hour $ 65.00
4 Additional Drywall Repairs(include skim) SF $ 4.40
5 Profit Mark-up(in the event of Change Order work only) % 10%
6 Overhead Mark-up in the event-of Change Order work % 10%
1 Page Form,GC,Lump Sum,Contract,2Jan-12 9 of 9
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
EXHIBIT"D"
CONSTRUCTION SCHEDULE
For Contract: 16450-404879-CPe-00003
CONTRACTOR shall perform the Work of this Contract in strict accordance with the following Construction Schedule,subject to any modifications thereto by
Change Order in accordance with the Contract:
4.0 GENERAL CONSTRUCTION SCHEDULE
Milestone Dales Milestone Description
8/11/14 Abatement Commencement Date
8/20/14 Restoration and turnover of 5 laundry rooms
8/29/14. Restoration and turnover of remaining laundry rooms
2.0 CPM SCHEDULE OR BAR CHART CONSTRUCTION SCHEDULE
If required by this Contract,or if otherwise requested by OWNER,CONTRACTOR shall prepare a Construction Schedule,for OWNER's review and
approval,based on and consistent with the General Construction Schedule identified above and any other OWNER requirements,which schedule shall
utilize critical path methodology(CPM)with a computerized data base and production program. Upon OWNER's approval,such Construction Schedule
shall be attached to this Exhibit and made a part of the Contract.
EXHIBIT"E"
FORMS
For Contract: 16450-404879-CPe-00003
1.0 GENERAL
CONTRACTOR shall utilize the fortes listed here below and attached hereto as apart of this Exhibit in accordance with the Contract unless otherwise
directed by OWNER in writing:
Forth Title or Description Rev.No.
Application for Payment 1102112
Release Document—CONTRACTOR's Waiver of Lien 1102112
Release Document—CONTRACTOR's Final Waiver of Lien 1102112
Release Document—CONTRACTOR's Affidavit 1/02112
1 Page Forth,GC,Lump Sum,Contract,2Jan-12 10 of 9
DocuSign Envelope ID:416495B3-7AO845C3-8058-AB2B789459CA
APPLICATION FOR PAYMENT
TO: Owner: EN02285-NHPMN Management, LLC PROPERTY: Property Name: 43122, Lonng Towers Apartments
Address: JXilaclelphia
John F Kennedy Blvd., Suite 330 Address: 1000 Loring Ave
City,State ZIP: PA 19103 Address:
Attn: AIMCO Construction Services Tracey Warner City,State ZIP: Salem,MA 1970
Entity ID(OU): EN10364
FROM: Contractor: East Coast General Contracting Project Description: Restoration of Laundry Rooms
Address: 286 Broadway Street
Address: I Contract Number: ICAPRA 6450404879-03
City,State ZIP: Haverhill,MA 01823- Vendor ID: 1404879
Attn:
Phone Number: (978)360-0051 Application Number:
eMail Address: Application Date:
Period to:
Contract Date: 8/4/2014
The following identifies the application that is being requested for payment in The undersigned CONTRACTOR certifies that to the best of CONTRACTOR's knowledge,
connection with the contract.Please make sure that items 3,7,8,and 9 on this page information,and belief the Work covered by this Application for Payment has been completed in
match the totals of columns E,F,G,and J on page 2, accordance with the Contract Documents,that all amounts have been paid by CONTRACTOR for
1. Original Contract Sum $11,950.00 Work for which previous Certificates for Payment were issued and payments received from OWNER,
and that current payment shown herein is now due.
2. Net Change by Change Orders: Contractor's Name: East Coast General Contracting
Date:
3. Contract Sum to Date(add 1 and 2): $11,950.00
Signature:
4. Total of Completed Work to Date:
S. Retainage: Architect's Certificate for Payment(if needed)
S. Total Earned Less Retainage(subtract 5 from 4): In accordance with the Contract Documents,based on on-site observations and the data comprising
this application,Architect certifies to OWNER that to the best of Architect's knowledge,Information
and belief the Work has progressed as indicated,the quality of the Work is in accordance with the
7. Less Previous Applications for Payment: Contract Documents,and CONTRACTOR Is entitled to payment of the amount certified.
Architect's Name:
"Attach explanation if the amount certified differs from the amount applied for.Initial all figures on this
S. Current Payment Due(subtract 7 from 6): Application and on the Continuation Sheet that are changed to conform to the amount certified.
9. Balance to Finish,including Retainage(subtract 6 from 3): $11,950.00 Date:
Signature:
This Certificate is not negotiable.The Amount Certified is payable orgy to CONTRACTOR named herein.Issuance,payment
and acceptance of payment are without prejudice to any rights of OWNER or CONTRACTOR order the contract.
Contractor's Initi lels:
Application for PsymentAs
Page 1 of 2 Updated:7/102006 Owner's Inutals:
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB28789459CA
APPLICATION FOR PAYMENT
Contractor: East Coast General Contracting Contract Number: CAPR-16450404879-03
Location of Project: 43122,Loring Towers Apartments Application Number:
1000 Loring Ave
Salem,MA 1970 Application Date:
Project Description: Restoration of Laundry Rooms Notarized Lien Waiver: Yes
_A_. " .xB t,._.. _.__C .._ . . __., D-. _ E -_.._._ F _. . - .G - p ___.- I, _J _ _ K -
Original _ Total Work Total of
Total Contract _ Work Completed
Pay Contract or Work Description Additional Work or Change �. Completed& &Submitted this Completed % Complete Balance to Retainage
.Item Change Order �- _ Description Submitted in Work (H/E) Finish(E-H)
Number - - *. _ Order Prior Pay App(s). 4 Pay App.
N (FaG)
,_. . ;.
General - -
Conditions,
1.0 Or' final Contract PC Drywall-101320 Permits,Fees $1,365.00 $0.00 $0.00 0.00% $1,365.00
Drywall&
2.0 JOriginal Contract PC Drywall.101320 Restoration $6,285.00 $0.00 $0.001 0.00% $6,285.00
3.0 Original Contract PC O a0-101320 Paint and Finishes $3,300.00 $0.00 $0.00 0.00% $3.300.00
Restoration clean-
4.0 Ori inal Contract PC Drywall-101320 u $1,000.00 $0.00 $0.00 0.00% $1,000.00
5.0
6.0
7.0
8.0
9.0
10.0
11.0
12.0
13.0
14.0
15.0
16.0
17.0
1 B.0
19.0
20.0
- T,Am Row '.. _.- __ _.._._ Totals:1__. .$11,950.00 . .-. _..$0.00 ,.-.._ $0.001 0.00Mo_ .$11,950.00
Contractors Initltlals:
Application for Payment.xls
Page 2 of 2 Updated:7110I2008 Owners Iniitals:
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
Instructlons for Using the p plication for Payment
1 Application
1. To field:enter the business address Identified in the contract. -
2. From field:enter your company name and address.
3. Contract Date field:enter the date the contract was signed. t - -
• 4.. Property field:enter the name and address of the property where the work was performed.
5. Project Description field:enter a short description of the work completed.
6. Contract Number field:enter the Contract Number from the contract -
7. Application Number field:Select the application number from the dropdown.This number should correspond
to the number of applications for payment you have submitted for a specific contract.S. Application Date field:enter the date you intend to sign this application. •,' a a.'
9. Period to field:enter the end date of the period for which you are Invoicing.
10.Complete Items 1,2,4,5,and 7.Items 3,6,6,and 9 will calculate automatically if you am using
the electronic form.Ifyou are usinga anted copy,complete all items as described in the rows.
Page 2=Project M.
-I. All fields will automatically populate from page 1 if you am using the electronic form.
f if you are using a printed copy,please make sure the information on this page matches the information on page-1. "w
2. Select"Original Contract"or the change order number from the column B dropdown list'k7 4 , 1t%
' 3.'Select the Work Description Identified In the Schedule of Values of the contract
4.:Fill in the amounts for columns D,E,and F(and J if needed).Columns 0,H,1,and the Totals will calculate
automatically if you are using the electronic form.If you are using a printed copy,please fill in all amounts and totals as described in the columns.
If you need to add rows,click the.Add Row button and fill in a new line hem number(Column A). -
5. Sign and date the application and return N to the contact Identified in the contract -
Note:This form was designed for easy use when filling out electronically.If you are filling out a printed version,please ensure +,
that all calculations are correct Use the work descriptions below to ensure that they match the work descriptions In the
Schedule of Values:in the contract::.. A-' -V .:.,a f 4,'. W
Application for Payment.xls updated 7/1 012 0 0 6 page 3 of 3
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
CONTRACTOR'S WAIVER OF LIEN
KNOW ALL MEN BY THESE PRESENTS, That,WHEREAS, the undersigned of East Coast General Contracting
(hereinafter referred to as"CONTRACTOR")and LORING TOWERS SALEM PRESERVATION LIMITED
PARTNERSHIP (hereinafter referred to as"OWNER") have heretofore entered into a certain written contract dated
the covering work to be performed and/or materials to be furnished at the premises located at City of Salem, State
of MA; and
WHEREAS, CONTRACTOR has performed work and furnished materials provided for under said contract up to
and including the date hereof, and upon supplying lawful waivers of liens, rights of lien, and claims of
CONTRACTOR, subcontractor's and materialmen, is entitled to payment from the OWNER the sum of
Dollars and Cents($ ) under said contact;
NOW,THEREFORE, in order to induce the OWNER to make payment of said sum, CONTRACTOR hereby
represents that all work performed and materials furnished under said contract up to and including the date hereof,
including work and materials, if any, performed or furnished by subcontractor's and materialmen, have been paid
for in full; and CONTRACTOR hereby waives any and all liens, rights of lien and claims on or against the premises
at the address above given and on any and all structures and buildings located thereon arising under any law of the
State wherein said premises are situated and hereby releases and agrees to save harmless OWNER from and
against any and all claims for and on account of work performed or materials furnished by or for CONTRACTOR
under said CONTRACTOR or otherwise. CONTRACTOR represents that all sales and use taxes if any applicable
to any materials furnished by or for the CONTRACTOR have been paid in full. CONTRACTOR further represents
that CONTRACTOR has not provided, directly or indirectly, any gift or other items individually or in the aggregate
worth more than$25.00 to OWNER or any of its affiliates, parent or subsidiary entities(including without limitation,
AIMCO or any of AIMCO's subsidiaries or affiliates), or their employees or any employee's family members.
SIGNED this day of , 201_
ATTEST: By:
PRINT NAME:
TITLE:
STATE OF )
)SS
COUNTY OF )
On this day of 201_, before me, the undersigned, a Notary Public in and for said County
and State, personally appeared the individual who signed the foregoing waiver, being personally known to me, and
the execution of same was the free and voluntary act and deed of the CONTRACTOR named and further certified,
that if CONTRACTOR is a corporation, it appeared by the officer who signed on its behalf, and such officer to me
acknowledged that the execution was by authority duly granted.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed by official seal the date and the year last above
written.
Subscribed and sworn to(or affirmed) before me on this_day of , 201_, by
proved to me on the basis of satisfactory evidence to be the person(s)who
appeared before me.
My commission expires:
Notary Public in and for
1 of 6
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
CONTRACTOR'S AFFIDAVIT
STATE OF )
)SS
COUNTY OF )
TO WHOM IT MAY CONCERN:
The undersigned, being duly sworn, deposes and says that he is Tom Kinnal, [title] of East
Coast General Contracting who was employed by LORING TOWERS SALEM PRESERVATION LIMITED
PARTNERSHIP to furnish Restoration of Laundry Rooms for the premises known as Loring Towers Apartments,
and located at 1000 Loring Avenue, Salem, MA. That the total amount of the contract including extras is
Dollars and Cents
($ )on which East Coast General Contracting [the company] has received payment of
Dollars and Cents
($ 1 prior to this payment. That all waivers are true, correct and genuine and delivered
unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the
following are the names of all parties who have furnished material or labor, or both, for said work and all parties
having contracts or sub contracts for specific portions of said work or for material entering into the construction
thereof and the amount due or to become due to each, and that the items mentioned include all labor and materials
required to complete said work according to plans and specifications:
NAMES TYPE OF WORK CONTRACT AMOUNT THIS BALANCE
PRICE PAID PAYMENT DUE
INCUDING
EXTRAS
East Coast General $ $ $ $
Contracting
That there are no other contracts for said work outstanding, and that there is nothing due or to become due to any
person for materials, labor or other work of any kind done or to be done upon or in connection with said work other
than above stated. That CONTRACTOR has not provided, directly or indirectly, any gift or other items individually
or in the aggregate worth more than $25.00 to OWNER or any of its affiliates, parent or subsidiary entities
(including without limitation, AIMCO or any of AIMCO's subsidiaries or affiliates), or their employees or any
employee's family members. That CONTRACTOR has obtained all governmental permits and passed all
governmental inspections required in connection with the work performed by, through or on behalf of
CONTRACTOR at the aforementioned premises.
By:
STATE OF
COUNTY OF
On this day of 201_, before me, the undersigned, a Notary Public in and for said County
and State, personally appeared the individual who signed the foregoing waiver, being personally known to me, and
the execution of same was the free and voluntary act and deed of the CONTRACTOR named and further certified,
that if CONTRACTOR is a corporation, it appeared by the officer who signed on its behalf, and such officer to me
acknowledged that the execution was by authority duly granted.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed by official seal the date and the year last above
written.
Notary Public
2 of
DocuSign Envelope ID:416495B3-7A0845C3-8058-AB2B789459CA
CONTRACTOR'S FINAL WAIVER OF LIEN
STATE OF )
) SS
COUNTY OF )
TO WHOM IT MAY CONCERN:
The undersigned,for and in consideration of a final payment of Dollars and
Cents($ 1, and other good and valuable consideration, the receipt whereof is hereby acknowledged,
does hereby waive and release any and all lien or claim of, or right to, lien, under the statutes of the State of MA,
relating to mechanics liens or their statutory equivalent (regardless of the precise terminology used to describe
such rights)with respect to and on the premises known as Loring Towers Apartments, and located at 1000 Loring
Avenue , Salem, MA, and the improvements thereon, and on the material,fixtures, apparatus or machinery
furnished, and on the moneys, funds or other considerations due or to become due from the OWNER, on account
or labor services, material, fixtures, apparatus or machinery, furnished by the undersigned to the extent of
Dollars and_Cents ($ )for the above-described premises. Additionally,
CONTRACTOR represents that CONTRACTOR has not provided, directly or indirectly, any gift or other items
individually or in the aggregate worth more than $25.00 to OWNER or any of its affiliates, parent or subsidiary
entities(including without limitation,AIMCO or any of AIMCO's subsidiaries or affiliates), or their employees or any
employee's family members.
By:
STATE OF )
) SS
COUNTY OF )
On this day of 201 , before me, the undersigned, a Notary Public in and for said County
and State, personally appeared the individual who signed the foregoing waiver, being personally known to me, and
the execution of same was the free and voluntary act and deed of the CONTRACTOR named and further certified,
that if CONTRACTOR is a corporation, it appeared by the officer who signed on its behalf, and such officer to me
acknowledged that the execution was by authority duly granted.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed by official seal the date and the year last above
written.
Notary Public
3of6
DocuSign Envelope ID:416495B3-7A08-05C3-8058-AB2B789459CA
DIRECTIONS FOR CERTIFICATES OF INSURANCE REQUIREMENTS
The sections below provide explanations and directions that correspond to the sections on the Insurance Certificate
to be provided by CONTRACTOR to OWNER.
1 This is the date the Certificate of Insurance was typed.
2 This is the name and address of the agent or broker who placed the insurance coverage for
CONTRACTOR.
3 This is the name and address of CONTRACTOR.
The name of CONTRACTOR must be the same as CONTRACTOR named in the Contract.
4 This is the name(s) of the insurance companies providing the insurance. Insurance shall be placed with
insurers which have an A.M. Best's rating of A-or higher and financial size category of VII or higher.
5 Letter designation will indicate which insurance company is providing insurance coverage from the list of
insurance companies under Companies Affording Coverage.
6 Type of Insurance identifies the specific insurance being provided.
Commercial General Liability is the insurance generally available to CONTRACTOR and required under the
insurance provisions of the Contract including but not limited to:
• Premises and Operations
• Products and Completed Operations
• Contractual Liability
• Broad Form Property Damage
• Explosion, Collapse and Underground Hazards
• Personal Injury Liability
CONTRACTOR shall maintain limits of liability of at least:
Contract Value
<$15K 1 >$15K-<$200K
A Commercial General Liability policy form:
$1,000,000 each occurrence bodily injury and property damage, X
$1,000,000 general aggregate X
$500,000 general aggregate. X
B Automobile Liability:
$500,000 combined single limit per accident, bodily injury&property X X
dama e.
C Workers Compensation:
Coverage as required by law. X X
7 This is the policy number of the insurance policy provided by CONTRACTOR.
8 The policy effective date must be effective on or before the contract inception date.
9 The policy expiration date must expire on or after the Final Completion date. The Final Completion
date is defined in the Construction Schedule of the contract.
If the expiration date is before the Final Completion date, OWNER will monitor to insure receipt of
renewal certificates. If CONTRACTOR fails to provide a renewal certificate, access to any jobsite
may be withdrawn. No claims for delay or associated costs will be approved by OWNER in the
event of any denial of access to any jobsite.
10 OWNER's special request items:
4 of
DocuSign Envelope ID:416495B3-7A08-45C3-8058-AB2B789459CA
A) Reference the Property Name(Loring Towers Apartments)&Contract number(16450-
404879-CPe-00003) indicated on the contract.
B) Insert, verbatim, the following Additional Insureds statement:
"Coverage includes OWNER as Additional Insureds."
11 The certificate holder is OWNER, which requested the Certificate of Insurance from CONTRACTOR, not
any individual person of OWNER.
12 The Certificate of Insurance must be signed to be valid. It can be signed by the agent, the broker, or the
insurance company.
OWNER will verify that the types of insurance and the limits of coverage being provided are consistent with the
contract requirements. Approval of CONTRACTOR's Insurance Certificate will be subject to this verification.
Original Certificate(s)of Insurance must be mailed to:
Tracey Warner
1819 John F. Kennedy Blvd,
Suite 330
Philadelphia, PA 19103
PLEASE NOTE: The coverage limits above are guidelines intended to provide Contractors general
insurance coverage limits that AIMCO requires. Contractors must review each contract and provide
insurance coverage and certificates for the amounts required by each contract.
5 of
DocuSign Envelope ID:416495B3-7A0815C3-8058-AB2B789459CA
CERTIFICATE OF INSURANCE EXAMPLE ISSUE DATE(MM )D YY
_t
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON
THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND,OR ALTER THE
[Insert Name and Address of CONTRACTOR's Agent or COVERAGE AFFORDED BY THE POLICIES LISTED BELOW,
Broker]
COMPANIES AFFORDING COVERAGE
2 COMPANY A
LETTER
COMPANY B
LETTER
INSURED
East Coast General Contracting COMPANY C 4
Tom Kinnal LETTER
286 Broadway Street
Haverhill,MA 01823-
COMPANY D
LETTER
g COMPANY E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY AGREEMENT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED
OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COMPANY POUCYEFFECTNE PGUCYEXPIRATION
LETTER TYPEOFINSURANCE POLICY NUMBER DATE MWO DATE MMID LIMITS IN THOUSANDS
$ GENERAL IJABILRY 7 8 9 GENERAL AGGREGATE $
% 1 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPS AGG. $
CLAIMSMADE I X IOCCUR PERSONAL&ADV.INJURY $
OWNER'S&OWNER'S PROT. EACH OCCURRENCE $
X I XCIYCovere a FIRE DAMAGE om fire $
MEDICAL EXPENSE son $
AUTOMOBILE lIABILITY
COMBINED SINGLE 8
LIMIT
X ANY AUTO
ALLOWNEDAUTOS
BODILY INJURY $ 6
SCHEDULEOAUrOS (Per Parson)
MIREDAUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per amdeno
GARAGE LIABILITY
X AUTOMOBILE CONTRACTUAL LIABILITY PROPERTY DAMAGE $ .
EXCESSIWBILr EACH OCCURRENCE $
UMBRELLAFORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
AND
EMPLOYERS'LIABILITY
EACH ACCIDEM S
DI$EASE�OLICY LIMI $
OWNER DISEASE—EACH EMPLOYEE $.
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS
Property Name:Loring Towers Apartments
Contract No.: 16450-404879-CPe-00003
Insert`Coverage includes OWNER as Additional Insureds."as expressly nominated under the insurance provisions of the Contract]
10
CERTIFICATE HOLDER[Insert Name and Address of OWNER] 11 CANCELLATION
LORING TOWERS SALEM PRESERVATION LIMITED PARTNERSHIP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED,TERMINATED
1000 Loring Avenue OR MATERIALLY ALTERED BEFORE THE EXPIRATION DATE THEREOF,THE
ISSUING COMPANY WILL MAIL 30 CALENDAR DAYS WRITTEN NOTICE TO THE
Salem,MA 01970 CERTIFICATE HOLDER.
[OWNER does not Include the name of any individual]. AUTHORIZED REPRESENTATIVE 12
6 of
DOnao
',Certificate of Completion
Envelope Number:416495B37A0845C38058AB28789459CA � Status:Sent
Subject:Unexecuted Contract—East Coast General Contracting_$11,950.00.pdf
Source Envelope:
Document Pages:19 Signatures:1 Envelope Originator:
Certificate Pages:2 Initials:0 Tracey Warner
AutoNav:Enabled 4582 S Ulster Street Pkwy
Envelopeld Stamping:Enabled Denver,CO 80237
tracey.wamer@aimm.mm
IP Address:173.239.108.140
Record Tracking
Status:Original Holder.Tracey Warner Location:DocuSign
8/4/2014 1:19:49 PM MT tracey.wamer@aimoo.com
Signer Ev_ents Signature Timestampp
Tom Kinnal Sent:8/4/2014 1:24:30 PM MT
tkinnal@comcast.net
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered
ID:
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status - Timestamp
Dan Milinazm Sent:8/4/2014 1:24:30 PM MT
Dan.Milinaao@aimm.com Con E D
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered
ID:
Tracey Warner COPIED Sent:8/4120141:24:29 PM MT
tracey.wamer@aimco.com
Contract Administrator
AIMCO Properties,L.P. -
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered
ID:
Notary Events Timestamp
Envelope Summary Events Status i Timestamps
Envelo a Summary Events p ry _ Status Timestamps
Envelope Sent Hashed/Encrypted 8/4/2014 1:24:31 PM MT