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Building Permit #1077-15 - 315 TURNPIKE STREET 6/9/2015
NORTH BUILDING PERMIT oFst�Eo TOWN OF NORTH ANDOVER �� h ..'`- ,:.•.•a APPLICATION FOR PLAN EXAMINATION 7° N 1 Permit No#: Date Received /� gSSNCNU`��� Date Issued: l/O' IMPOR AN :Applicant must complete all items on this page LOCATION 3l S -ruQA,Ptccc_ St Q�t4 NoQ K AAjoo,,a- r k Oi ooy-5 tint PROPERTY OWNER (nC-_f Qtrnacx Co cc-6a vJpe, P 10 Year Structure 1yesno MAP �5 PARCEL: W-' ZONING DISTRICT: Historic District Machine Shop Villag TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building_ _ ❑ One family ❑Addition ❑Two or more family ❑ Industrial 4WAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: „?Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed.District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Q,1 -rzoti or t; wAccs IN 98-Ac.-rd taAzz- Ca-Asa-Z, Identification- Please Type or Print Clearly OWNER: Name: Mg-9- .em4cu Cpcc.rbe Phone:978 5S ?p�3 Address: 3(G T'UQuPtua s-X Q t,4- 1 09T4 Atioo,eQ nn.A Ot 8 U< Contractor Name: (?Qo Con, !Nc. Phone: C o3-6g3-88 tL Email: Address: )S,59 1�ooasar ec.)} f-tootSa7t-L AJA Supervisor's Construction License: CS- 067S673 Exp. Date: a016 Home Improvement License: NA Exp. Date: ua �amGS A. ARCHITECT/ENGINEER Oslo co/u iNc. Alzc�6,T5crs Phone: 603 -6a3 < Address: 13S9 �too14-5Ea- Qo, tkoouse-c A)Ec O'�oy Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 3,000, oo FEE: $ 3S,00 Check No.: "�� Receipt No.: �� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ._ §ignature of cont i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennauent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes n Planning Boa,.--' Decision: Comments Conservation Decision: Comments Water & Server Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE�DEPARdTMENtT, TO enrsite° Npes^_ Locatedjat x124 MamxStreet Fire0epartrrient signature/dafea_� COMMENTS-, Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits (�4 4, Building Permit Application 40 14 Workers Comp Affidavit Photo oto Co Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work rn� Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4 Building Permit Application 4, Certified Proposed Plot Plan • Photo of H.I.C. And C.S.L. Licenses • Workers Comp Affidavit • Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) • Copy of Contract • 2012 IECC Energy code �. Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location��v� � � +� No. Date . - TOWN OF NORTH ANDOVER .�e • 5 J6as • Certificate of Occupancy $ Building/Frame Permit Fea �� Foundation Permit Fee $ Other Permit Fee 1 $ TOTAL $ Check# J /� `� V Building Inspector NORTH Town of . � EAndover . No. JbIl - 15 * _ - h ver, Mass, AKI coc Nl Cnl WICK �Ot' ��ASR^TEO pP���S S u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .M.e##Jl4A0V.*%4.....%to.te� BUILDING INSPECTOR ...................................................... .... . has permission to erect .......................... buildings on .......131T...oTyn.10. ............... Foundation .. Rough to be occupied as ............ ......� ......... .� .. .� .....� Chimney provided that the person accepting this permit shall in every respect conform to a terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 NTH ELECTRICAL INSPECTOR UNLESS CONSTRUCT S Rough woo AA OF Service ............... ... .... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Initial Construction Control Document H To be submitted with the building permit application by a d Registered Design Professional p for work per the 8t" edition of the � SYe Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Volpe Center Health Science Renovation Date: June 16,2015 Property Address: 315 Turnpike Street,North Andover MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: This project consists of altering existing spaces in the Volpe Sports Medicine Department,to create new Staff Offices with a Reception area,a larger Class Room/lab and a Graduate Studies lounge/study area. All new work will meet Type 2b Construction(non-combustible), and will consist of Light gauge metal wall framing, Gypsum wall board,paint and finishes;with minor Electrical, and Plumbing work. See plans dated 06/16/2015: For Construction for project information. I James A. Loft MA Registration Number: 10833 Expiration date: , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 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 if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)t r with pertinent comments, in a form acceptable to the building official. REID ARCy�� A.to� Fc� Upon completion of the work, I shall submit to the building official a `Final Con c Controlr c ent'. 1083 Enter in the space to the right a"wet"or HOPKI o �� electronic signature and seal: o Nit. y�q TH OF MPSc,P Phone number: (603)623-8811 Email:jloft@proconinc.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a R_ d Registered Design Professional t for work per the 8t"edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title:Volpe Center Health Science Renovation Date: June 16,2015 Property Address: 315 Turnpike Street,North Andover MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: This project consists of altering existing spaces in the Volpe Sports Medicine Department,to create new Staff Offices with a Reception area,a larger Class Room/lab and a Graduate Studies lounge/study area. All new work will meet Type 2b Construction(non-combustible), and will consist of Light gauge metal wall framing, Gypsum wall board,paint and finishes;with minor Electrical, and Plumbing work. See plans dated 06/16/2015: For Construction for project information. I James A.Loft MA Registration Number: 1.0833 Expiration date: ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 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 if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. AR��/T Upon completion of the work, I shall submit to the bui v $ ci t �1 onstruction Control Document'. .1 833 Enter in the space to the right a"wet"or p p electronic signature and seal: I pit. rh OF it,Ps Phone number: (603)623-8811 oft com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 h w i June 17,2015 Page 1 of 8 Letter of Intent/Limited Notice-to-Proceed Agreement— Construction Management Services, MAC Locker Room Project Property: Campus of Merrimack College Andover/North Andover, MA 01810 Project: Renovations to the existing Sports Medicine facility Owner: Merrimack College 315 Turnpike Street North Andover, MA 01845 Owner's Project Manager: Trident Project Advantage Group 155 N Broadway, 2nd Floor Salem, New Hampshire 03079 Architect of Record: Pro Con, Inc Box 4430 Manchester, NH 03108 Construction Manager: Pro Con, Inc Box 4430 Manchester, NH 03108 Primary Contacts: Owner: Mr. Jeff Doggett, Chief Operating Officer or in his absence, Mr. Felipe Schwarz, Assistant Vice President, External Affairs Owner's Project Manager: Mr. Gino J. Baroni or in his absence, Mr. Marc Lehoullier Construction Manager: Lance Bennett, Executive Vice President Pro Con, Inc. Architect of Record: Jim Loft Pro Con, Inc ®2014 Trident Building,LLC Salem,New Hampshire—All Rights Reserved c:\users\arnorrill\desktop\final-owner-cm loi-Intp sports medicine reeno 06.17.15.doc � x July 11,2014 Page 2 of 8 Intent: It is the intent of the Owner & Construction Manager above to enter into a Construction Management Contract in an amount to be agreed upon. The overall construction budget is approximately $230,000. The negotiated amount shall be Cost plus a fee of 6% with a Guaranteed Maximum Price, delivered in an open book manner. An Initial Guaranteed Maximum Price ("IGMP") has been delivered to the Owner in the amount of $226,585.00 based upon Schematic Design documents by Pro Con, Inc, dated 5/14/2015, The Final Guaranteed Maximum Price ("FGMP") shall be delivered to the Owner upon completion (on or about June 25, 2015) of Construction Documents. All savings, if any shall revert to the Owner. A CM contingency shall be maintained by the Construction Manager in an amount not to exceed a 3.50/o of the Cost of the Work within t n the Guaranteed Maximum Price. The CM Fee for this work shall not exceed 6% of the Cost of the Work. The contract shall be based upon AIA A107, v. 2004. The language of the contract may be modified by the Owner and is subject to agreement between the parties. The material language shall be in substantial conformance to the Draft A 107, v. 2004 previously sent to Pro Con for its review. This Contract will be delivered at Cost plus a Fee with a Guaranteed Maximum Price. Owner's counsel is currently reviewing the final form and Exhibit A, Cost of the Work. Until such time as the agreed upon Contract is executed by both parties, this Agreement shall include, by reference, those Terms and Conditions within the A107. It is the Intent of the Parties to expeditiously execute a Construction Management Contract within thirty (10) days of this Letter of Intent and Limited Notice to Proceed Agreement, subject to proper due diligence by the Parties, and agreement on a Guaranteed Maximum Price. 012015 Trident Building,LLC Salem,New Hampshire—All Rights Reserved July 11,2014 Page 3 of 8 Scope of Services: The Construction Manager shall provide Construction Management services (the "Services") as detailed in Exhibit A (Construction Manager's estimate proposal, dated May 22, 2015, attached herewith and made a part hereof, Clarifications, Labor Rates and Plans, listed and dated June 6, 2015. In the event of any conflict between the provisions of the Exhibit A and the Terms and Conditions herein or other Exhibits attached hereto, the provisions of the A107 Agreement's Terms & Conditions and/or other Exhibits shall control. Design Build Mechanical, Electrical & Plumbing (MEP): It is acknowledged by the Parties, that the design of MEP systems shall be as a Design-Build subcontract. The individual subcontractors will include the design and certification costs within their proposals to the Construction Manager. As the procurer of MEP/FP design services, the Responsibility for Code Compliance, basis of design narrative, and coordination of the MEP/FP designs shall remain with the Construction Manager. [Continued on Next Page] 02015 Trident Building,LLC Salem,New Hampshire—All Rights Reserved i July 11,2014 Page 4 of 8 Terms and Conditions Form Of Compensation — Cost plus a Fee: Services are to be provided on a Cost plus a fee of 6% of the Cost of the Work basis. The total amount of compensation due to the Construction Manager in consideration of the full performance of Services by the Construction Manager is the amount(s) set forth set forth above, released by each fully executed Individual Work Package Authorization(s), until the final Agreement is fully executed. The Owner shall pay the Construction Manager as Services are performed by the Construction Manager based upon the portion of Services properly completed, delivered, and accepted by the Owner. Retainer: None Expenses: Design Services Reimbursable Ex 9 p None Billing Terms & Schedule: All billing by the Construction Manager shall be in a form acceptable to the Owner. No more than one billing shall be made in any calendar month and in accordance with the billing schedule established by the Owner. Each billing shall set forth all items for which the Construction Manager is to be paid and include all detail and back-up as requested by the Owner substantiating the Construction Manager's billing. Payment shall be due within thirty (30) days after the Owner receives a proper monthly bill. Other than for the actual non-payment of any amounts properly due and owing, in no event shall the Owner be liable for interest, penalties, expenses or attorneys fees. All billing shall be sent to the Owner at the address stated in this Agreement to the attention of Mr. Jeff Doggett, Chief Operating Officer, with a simultaneous copy emailed to Mr. Marc Lehoullier, Sr. Project Manager at Trident Building, LLC, Marc,LehoullierObTridentgro.com. 02015 Trident Building,LLC Salcm,New Hampshire—All Rights Reserved July 11,2014 Page 5 of 8 Budget & Schedule Understanding: Owner and Construction Manager herein acknowledge and agree to work diligently toward meeting the Owner's budget and schedule requirements for the Project. Insurance— Minimum Limits: General Liability: $ 2,000,000. Professional Liability: $ N/A Worker's Compensation and Employee Liability: $ (As required by law) Excess Umbrella $4,000,000. The Construction Manager agrees that Merrimack College and Trident Building, LLC will be named as an additional insured. The certificate holder of said policies shall be Merrimack College. Authorization To Proceed: The Construction Manager will commence and/or continue to proceed to provide Services in a continuous manner and may be authorized to proceed on additional work pursuant to execution by the Owner and the Construction Manager of Individual Work Package Authorization(s). Work Product: When the Construction Manager has been paid for the Services and/or work product performed by it hereunder, all reports, drawings, and other material either furnished or required to be provided under this Agreement to the Owner shall become the Owner's property and may be used by the Owner thereafter in such manner and for such purposes as the Owner may deem advisable for the intent of this project, without further employment of or additional compensation to the Construction Manager. Other than in the normal course of business requirements with its Construction Managers to perform its Services on the Project, the Construction Manager shall not release or disclose to any third party any reports, drawings, or other materials produced for the Owner on this Project without obtaining the Owner's prior written consent. 0 2015 Trident Building,LLC Salem,New Hampshire—All Rights Rescn ed July 11, 2014 Page 6 of 8 Limited Liability: No General or Limited Partner, Member, Manager, stockholder, officer, director, joint venture, beneficiary, trustee, employee, or other principals, agents, contractors or representatives (whether disclosed or undisclosed) of the Owner, Architect or the Owner's Project Manager shall be personally liable to the Construction Manager hereunder, for the Owner's payment obligations or otherwise. The Construction Manager hereby agrees to look solely to the assets of the Owner for the satisfaction of any liability of the Owner hereunder. Indemnification by Construction Manager: To the maximum extent permitted by law, the Construction Manager agrees to defend, pay, indemnify and save harmless the Owner, Architect and the Owner's Project Manager, their trustees, employees, or other principals, agents, Construction Managers or representatives (whether disclosed or undisclosed) from all suits, actions, claims, demands, damages or losses, expenses and/or costs of every kind and description on this Project to which the Owner or the Owner's project Manager may be subjected or put by reason of injury (including death) to persons or property resulting from, in connection with, or growing out of any act or commission or omission of the Construction Manager, its agents, servants, employees, visitors, guests or any person or corporation dealing with the Construction Manager. No Relationship: The Construction Manager acknowledges and agrees that the Owners ct Proje Manager i s not a party to this Agreement and there exists no relationship, contractual or otherwise between the Construction Manager and the Owner's Project Manager. Construction Manager Representations: The Construction Manager represents and warrants to the Owner that it is experienced and able to perform the Scope defined hereunder and future work contemplated in this Agreement and that it has the financial and bonding (if required) capacity and commitment to perform 02015 Trident Building,TIC Salem,New Hampshire—All Rights Reserved July H,2014 Page 7 of 8 the Scope of Work, subject to proper reimbursement from the Owner. Termination: If the Owner terminates the Construction Manager for any reason, including but not limited to the failure to execute the final Owner-Construction Manager agreement or to meet the Owner's budget and schedule requirements for the Project, under this Agreement, the Owner shall pay to the Construction Manager a sum equal to (i) all proper Cost if the Work expenses incurred to the effective date of termination, plus (ii) all proper costs to the effective date of termination of Services performed as directed under Individual Work Package Authorization(s). Publicity and Releases: The Construction Manager shall not use or release any information about this Project without first providing a written draft of any such materials for the Owner's review and then receipt of written approval to so release. Such approval shall be at the sole discretion of the Owner. Final Agreement: It is specifically understood that the Owner and Construction Manager agree to work diligently, reasonably and in a timely manner to prepare and execute the final Owner-Construction Management Agreement for the proposed Project. It is the Intent of the Parties to expeditiously execute said Owner modified A107 Construction Management Contract within 10 days of this Letter of Intent and Limited Notice to Proceed, subject to proper due diligence by the Parties. Jurisdiction: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Waiver: The partial or complete invalidity of any one or more provisions of this Agreement shall not affect the validity or continuing and effect of any other provision. ©2015 Trident Building,LLC Salem,New Hampshire—All Rights Reserved July 11, 2014 Page 8 of 8 AGREED AND ACCEPTED: OWNER: CONSTRUCTION MANAGER: Merrimack College Pro Con, Inc By: By: (A✓lC S- t .vtVt�T- Printed Printed Title: Title: C5Z.,. v1P 2t v-& novv> Hereunto Duly Authorized Hereunto Duly Authorized Date: Date: Cha 2015 Trident Building,LLC Salem,New Hampshire—All Rights Reserved INDIVIDUAL WORK PACKAGE AUTHORIZATION Number One (1) Pursuant to the terms and conditions of the Letter of Intent Agreement dated June 17, 2015, the Owner hereby directs the Construction Manager to perform the following work package for the Project. 1) See Exhibit A, Pro Con, Inc Estimate for Merrimack College- MC Innovation Center Reno (13 pages), dated 5-22-15, Clarifications, Labor Rates, and Plan log all dated 6-8-15. 2) The Owner hereby releases the following Services: • General Conditions: • Demolition: • Miscellaneous Carpentry • Doors & Hardware • Flooring • Fire Protection • Mechanical • Electrical Subtotal: $226,585 Total Authorization: 22 $ 6,585 (Page 1 of 2) (c)2015 Trident Building,LLC Salem,New Hampshire—All Rights Reserved INDIVIDUAL WORK PACKAGE AUTHORIZATION Number One (1) The budget value of this Individual Work Package No.1 is stated to be Two Hundred Thirty Three Thousand Three Hundred ($226,585) Dollars Acknowledged and Agreed Acknowledged and Agreed OWNER: CONSTRUCTION MANAGER: Merrimack College Pro Con, Inc By: By: �.v.-..—.. CA Printed Printed Title: Title: CTRa) Vi 0A4LAT 1.0"A") Hereunto Duly Authorized Hereunto Duly Authorized Date: Date: 8 3"ca�l l (Page 2 of 2) ©2015 Trident Building,LLC Salem,New Hampshire—All Rights Reserved PROCON Standard Estimate Report p89e t MC Innovation Cantor Rano 8/1/2015 12MC Project name MC Innovation Center Reno Merrimack College North Andover MA Bid date 5/22/2015 Notes CLARIFICATIONS: All areas to be constructed simultaneously Design and engineering fees excluded Telldata cabling excluded Post construction cleanup BY OWNER VCT flooring in Health Science wing to be left in place and new carpet the installed over Carpet file allowance of$38/sgyd installed Cabinet and countertop material allowance of$4,550 in Anatomy Lab. All wall hangings and funiture to be removed by Owner prior to PCI arrival.Replaced by Owner. Stripping and waxing of vinyl tile floors BY OWNER Premium time Is not included Actual location of underslab utilities may effect price Existing water,eletricity and toilet facilies to be provided to the construction team at no cost PROCON Standard Estimate Report Paget MC Innovation Center Reno 6/2/2015 12:08 PM Labor Material Subcontract LiE ui ment Other Tvtal Item Description Takeoff Oty Amount Amount Amount Name Amount Amount Amount Area 1 01950 DEMOLITION&ABATEMENT 01955 Selective Demolition 2150 Sawcut Slab&Remove Allowance 44.00 sqft - - 2,860 - - 2,860 3010 Rmv VCT Flooring 864.00 sqft - - 864 - - 864 3610 Rmv Ceiling Tile&Grid 746.00 sqft - - 895 - - 895 --- Hand Excavate and Backfill Plumbing Trench 8.00 hrs 384 80 - - - 464 Selective Demolition 384 80 4,619 5,083 DEMOLITION&ABATEMENT 384 80 4,619 0 0� 5,083 03000 CONCRETE 03010 Slab Concrete 1400 Plumb Trench Conc-3000 psi 2.00 cuyd 768 315 - 150 - 1,233 Slab Concrete 768 315 150 1,233 CONCRETE _ _. -- ----- � � -768 — - 315--- -- U^ � ---�- - - --_-150 T 0 1,233 06000 WOOD&PLASTICS 06005 General Toots&Equipment 300 Tools&Equipment 4.00 week - - - 720 - 720 400 PCI Trucking 3.00 hrs - - - 270 - 270 General Tools&Equipment 990 990 160.00 Equipment hours WOOD&PLASTICS — — - — — — 0 0 T- - 0 990 0 - 990 160.00 Equipment hours 08000 DOORS&WINDOWS 08050 Doors And Hardware 10 Door,Frame&Hardware 3.00 loc 3.570 - 3,570 -- Expedited Charge 1.00 Isum - - 960 - - 960 PRO C 0 N Standard Estimate Report paD a3 MC Innovation Cantor Reno 6/2/2015 12:48 PM Labor Material Subcontract E uF nt thher Total Item Description Takeoff Qty Amount Amount Amount Name Amount Amount Amount Doors And Hardware 4,530 4,530 08800 Glazing 2330 Door Glazing 3.00 loc - - �JQ - - 920 Glazing 920 920 DOORS&WINDOWS T T 0 0 5,450T 0 0 5,450 09000 FINISHES 09250 Walls and Ceilings 1130 Walls and Ceilings 1.00 Isum - - 14,000 - - 14,000 9300 3"Acoustical Insulation In Above 742.00 sqft - - - Walls and Ceilings 14,000 14,000 09540 Ceiling Suspension System 20 Acoustic Ceiling In 09250 746.00 sqft - - 09650 Resilient Flooring 1100 VCT Armstrong Standard 6tcelon 864.00 sqft - - 2,592 - - 2,592 2110 Vinyl Cove Base 340.00 Inft - - 765 - - 765 Resilient Flooring 3,357 3,357 09680 Carpeting 20 Carpet Tile Allowance 750.00 sqft - - 3,165 - 3,165 Carpeting 3,165 3,165 09900 Painting 1150 GWB wall-prime&2 finish 3,024.00 sqft - - 2,750 - 2,750 3440 WD Door&Frame ptd 3 ct 3.00 loc - - 853 - - 853 Painting 3,603 3,603 FINISHES - f — —^— 0 —— ^ 0 24,125 —0 -- — 0 24,125 12000 FURNISHINGS 12301 Kitchen&Bath Cabinets ---- Remove and Re-install Cabinets 16.00 hrs 768 160 - - - 928 Kitchen&Bath Cabinets 766 160 928 FURNISHINGS j� 768 160 0 T 0 0 928 15000 MECHANICAL P ROCO N Standard Estimate Report 4qo M MC Innovation Cantor Rano ti/2/2015 12::08 PM CONNECT- CREATE •CONSTRUCT Labor Material Subcontract E ui ment t>dttar Total Item Description Takeoff qty Amount Amount Amount Name Amoco Amount Amount 15301 Fire Protection 1000 Wet Pipe System 745.00 sgft - - 4,994 - - 4,994 Fire Protection 4,994 4,994 15400 Plumbing 10 Plumbing Subcontractor 1.00 Isum - - 7.440 _ _ 7,440 Plumbing 7,440 7,440 15501 Heat,Ventilation,&Air Conditioning 10 HVAC Allowance 1.00 Isum - - 3,500 - - 3,500 Heat Ventilation,&Air CondiG'oning 3,500 3,500 MECHANICAL 0 0 15,934 , T i 0 0 15,934 16000 ELECTRICAL 16010 Electrical Systems 10 Electrical 1.00 Isum - - 9,500 - - 9,500 Electrical Systems 9,500 9,500 ELECTRICAL T O 0 9,500 0 0 9,500 Area 1 1,920 555 59,628 1,140 0 63,243 160.00 Equipment hours ► PROCON Standard Estimate Report Pages MC Innovation Ceptor Reno 6/212015 12:48 PM Labor Material Subcontract E ui matt OtherF Total Item Description Takeoff Qty Amount Amount Amount Name Amount Amount Amount Area 2 01950 DEMOLITION &ABATEMENT 01955 Selective Demolition 1120 Rmv Drywall/Stl Stud Partition 448.00 sqft - - 896 - - 896 2150 Sawcut Slab&Remove Allowance 30.00 sqft - - 1,950 - - 1,950 3430 Rmv Door&Frame 1.00 each - - 90 - - 90 3610 Rmv Ceiling Tile&Grid 150.00 sqft - - 180 - - 180 Hand Excavate and Backfill Plumbing Trench 8.00 hrs 384 80 - - - 464 Selective Demolition 384 80 3,116 3,580 DEMOLITION, ABATEMENT 384 80 3,116 0 0 3,580 06000 WOOD&PLASTICS 06005 General Tools&Equipment 300 Tools&Equipment 3.00 week - - - 540 - 540 400 PCI Trucking 3.00 hrs - - - 270 - 270 General Tools&Equipment 810 810 120.00 Equipment hours WOOD&PLASTICS � - —�-—-- 0 _0 0- _ -—T _ — 810 0 !810 120.00 Equipment hours 09000 FINISHES 09250 Walls and Ceilings 1130 Walls and Ceilings 1.00 Isum - - 6,780 - 6,780 9300 3"Acoustical Insulation In Above 448.00 sqft - Walls and Ceilings 6,780 6,780 09540 Ceiling Suspension System 20 Misc Remove and Re-install Ceiling 350.00 sqft - - 700 - - 700 Ceiling Suspension System 700 700 09650 Resilient Flooring 1100 VCT Armstrong Standard Excelon 50.00 sqft - - 590 - - 590 2110 Vinyl Cove Base 8.00 Inft - - 18 - - 18 PROCON - Standard Estimate Repot Paye 5 MC Innovation Center Reno 5/212015 72:48 PM COfvNGC? • CRE.4'E �JNST.RI!I_.? Labor F Materia, Subcontract £ ul mertt Outer Total Item Desalption Takeoff Qty Amount Amount Amount Name Amount Amount Amount Resilient Flooring 608 608 09900 Painting 1150 GWB wall-prime&2 finish 1,350.00 sgft - 1,228 - - 1,228 Painting 1,228 1,228 FINISHES 0 0 9,316 0 0 i 9,316 12000 FURNISHINGS 12301 Kitchen&Bath Cabinets 70 Cabinetry&Countertop Allow. 13.00 Inft 1,300 4,550 - - 5,850 Kitchen&Bath Cabinets 1,300 4,550 5,850 FURNISHINGS _ 1,300 4,550 0 0 0 5,850 15000 MECHANICAL 15400 Plumbing 10 Plumbing Subcontractor 1.00 Isum - - 12,430 - - 12,430 Plumbing 12,430 12,430 MECHANICAL — - —_ - - - ` —� -0-- 0 12,430 — - 0 0 12,430 16000 ELECTRICAL 16010 Electrical Systems 10 Electrical 1.00 Isum - - 6,100 - - 6,100 Electrical Systems 6,100 6,100 ELECTRICAL -- - — - -�_0 - 0 61100 T �_— —0— - 0 6,100 Area 2 1,684 4,630 30,962 810 0 38,086 120.00 Equipment hours PROCON Standard Estimate Report Page r MC Innovation Cantor Reno 6/2/2015 12:48 PM Labor Material Subcontract E ul ment Other Total Item Description Takeoff Qty Amount Amount Amount Name Amount Amount Amount Area 3 01950 DEMOLITION &ABATEMENT 01955 Selective Demolition 1120 Rmv Drywall/Stl Stud Partition 130.00 sqft - - 546 - - 546 3040 Rmv Carpet 662.00 sqft - - 662 - - 662 3430 Rmv Door&Frame 1.00 each - - 90 - - 90 3610 Rmv Ceiling Tile&Grid 344.00 sqft - - 413 - - 413 Selective Demolition 1,711 1,711 DEMOLITION&ABATEMENT- _ 0 - T - 0 _- 1,711 - Y 0 0 1,711 06000 WOOD&PLASTICS 06005 General Tools&Equipment 300 Tools&Equipment 4.00 week - - - 720 _ 720 400 PCI Trucking 3.00 hrs - - - 270 - 270 General Tools&Equipment 990 990 160.00 Equipment hours WOOD&PLASTICS -- 0 0 4 - 0 - 990 0 990 160.00 Equipment hours 08000 DOORS&WINDOWS 08050 Doors And Hardware 10 Door,Frame&Hardware 2.00 loc 3.465 - - 3,465 ---- Expedited Charge 1.00 Isum - - 790 - _ 790 Doors And Hardware 4,255 4,255 08800 Glazing 2330 Door Glazing 2.00 loc - - 1,370 - - 1,370 Glazing 1,370 1,370 DOORS&WINDOWS 0 0 5,625 �0 0 T 5,625 09000 FINISHES Standardd Estimate Report Page aPROCOv WC Innovation Center Reno 6/TJ2015 12:48 PM Labor Malarial Subcontract E ul merit Other Total Item Description Takeoff qty Amount Amount Amount Name Amount Amount Amount 09250 Walls and Ceilings 1130 Walls and Ceilings 1.00 Isum - - 14,715 - - 14,715 9300 3"Acoustical Insulation In Above 500.00 sqft - - _ _ Walls and Ceilings 14,715 14,715 09540 Ceiling Suspension System 20 Acoustic Ceiling In 09250 350.00 sqft - - _ _ 09650 Resilient Flooring 2110 Vinyl Cove Base 216.00 Inft - - 486 - - 486 Resilient Flooring 486 486 09660 Rubber Flooring 20 Rubber Floor Allowance 1.00 Isum - - 1.992 - - 1,992 Rubber Flooring 1,992 1,992 09680 Carpeting 20 Carpet Tile Allowance 664.00 sqft - - 2,802 - - 2,802 Carpeting 2,802 2,802 09900 Painting 1150 GWB wall-prime&2 finish 1,250.00 sqft - - 1,137 - - 1,137 3440 WD Door&Frame ptd 3 ct 2.00 loc - - 947 - - 947 Painting Z084 2,084 FINISHES _- - -~ - 0 — 0 22,079 - — - 0 -- -- 0 — 22,079 15000 MECHANICAL 15301 Fire Protection 1000 Wet Pipe System 344.00 sqft - - 2,306 - - 2,306 Fire Protection 2,306 2,306 15501 Heat, Ventilation,8 Air Conditioning 10 HVAC Allowance 1.00 Isum - - 2,023 - - 2,023 Heat, Ventilation,B Air Conditioning 2,023 2,023 MECHANICAL — - — - - — 0 — 0 4,329 — - - -- 0 - 0 4,329 16000 ELECTRICAL 16010 Electrical Systems 10 Electrical 1.00 Isum - - 4,300 - - 4,300 PROCON Standard Estimate Report Page 9 MC tmrovaaon Cantor Reno 6/T/Z015 12:I8 PM CONNECT•CREATE• CONSTRUCT Labor Material Subcontract E ui M Other Totai Rem Deawkwoon Takeoff Qtr Amount Amount Amour Name Amount Amount Amount Electrical Systems 4,300 4,300 ELECTRICAL_ - -- - J_ _ � --- -� 0 0 4,300 � -- � 0 � 0 4.300 Area 3 0 0 38,044 990 0 39,034 160.00 Equipment hours 1W PROCON Standard Estimate Report 2: a fo MC Innovation Center Reno !i fi/I/201512:48 PM labor D F—m—ate-681--iSubcotttract E ul eltt Other Total Item Description - Takeoff Qty Amount Amount Amount Name Amount Amount Amount Gen Conditions 00000 PROFESSIONAL SERVICES 00105 Reprographics 5 Printing&Document Costs 500.00 Is - - - - 500 S00 Reprographics 500 500 PROFESSIONAL SERVICES 0 0 0 T 0 500 500 01000 GENERAL CONDITIONS 01010 Assistant Superintendent lnr Assistant Superintendent 400.00 hour 30,000 - - - 1,040 31,040 Assistant Superintendent 30,000 1,040 31,040 400.00 Labor hours 01020 Project Manager hour Project Manager-Hourly 160.00 hrs 14,400 - - - 450 14,850 Project Manager 14,400 450 14,850 01025 Travel Expenses 10 Mileage-Project Manager 1,170.00 mile - - - - 410 410 12 Mileage-Asst.Superintendent 4,880.00 mile - - - 1,610 1,610 Travel Expenses 2,020 2,020 01040 Project Telephone Charges 10 Temporary Telephone Charges 2.50 mnth - - - - 1,000 1,000 Project Telephone Charges 1,000 1,000 01065 Temporary Facilities 100 Owner Toilet Clean-up 1.00 Isum - - 225 - 225 Temporary Facilities 225 225 01070 Office Supplies 10 Postage&Handling Costs 10.00 week - - - - 150 150 Office Supplies 150 150 GENERAL CONDITIONS 44,400 0 225 0 4,660 49,285 400.00 Labor hours LAPROCON Standard Estimate Report page I MC Innovation Center Reno 6/2/2015 12:18 PM UCNNE .T • CRE—I E • C'.h!STRU;-' Labor MaterialSubcontract E ui M Other Totat. Item Description Takeoff Oty Amount Amount Amour Name Amount Amount Amount 01600 PROJECT MAINTENANCE 01605 Daily Cleanup 5 Daily Cleanup-PCI Personnel 200.00 hrs 7,000 - - - 7,000 2000 Temporary Protection 24.00 hour 1,152 360 - 120 - 1,632 Daily Cleanup 8,152 360 120 8,632 24.00 Labor hours 24.00 Equipment hours 01610 Waste Removal-Non Demo. 10 Tipping Fees-30 Cuyd. 3.00 dump - - - - 1,950 1,950 Waste Removal-Non Demo. 1,950 1,950 01615 Post Construction Cleanup 5 Past Construction Cleanup BY OWNER 4,700,00 sgft - - - - PROJECT MAINTENANCE 8,152 360 0 120 1,950 10,582 24.00 Labor hours 24.00 Equipment hours Gen Conditions 52,552 360 225 120 7,110 60,367 424.00 Labor hours 24.00 Equipment hours PROCON Standard Estimate Report 12 MC Innovation Canter Reno 6/L2015 12:492:48 PM CONNEC- CRF,,Vj c(NS71�11JC" Estimate Totals Descriotion Amount Totals Rate Cost oar Unit Legal 1,500 Weather Conditions NIC Building Permit BY OWNER Mass Sales Tax Bond 118 Insurance/General/Umbrella 1,518 0.75 % OSHA&Safety 714 0.35 % Contingency(%) 7,160 3.50 % Const. Management Fee 12,704 6.00 % Perf&Payment Bond 2,141 Engineer&Design NIC Total 226,585 PROCON Standard Estimate Report vane 13 AIC fnnov4tion Center Reno S/212011 12:Ie PM CONNECT • CREa`F • CONSTRUCT Subcategory Totals W PROCON 7603.623.8811 F 603.623.7250 �., C. ;E,i,,;;; ^d• ,<,; P.O.Box 4430 Manchester,NH 03108 Volpe Center Health Science Renovation CLARIFICATIONS June 8, 2015 Should a conflict arise between these clarifications and any other contract documents,these clarifications shall govern. 1. Pricing is based on plans developed by Pro Con, Inc. dated 5/21/15,pages CS1,A0.1,A1.1-A1.3,A2.1,A2.1a, A2.2,A2.3,A6.1,as well as these clarifications. 2. All areas to be constructed simultaneously. 3. All Design and Engineering fees are excluded. 4. Existing AC-1 ceiling cassette in area 3 shall remain. Lights to be relocated. 5. Work stations in room 179(Study)assumed to be furniture systems and shall be furnished and install by others. 6. New flooring outside of room 170(Lounge)has been carried as rubber flooring to match existing as close as possible (existing color may have been discontinued). 7. Tel/data cabling is not included. 8. No work in rooms 125, 126, 127, and 170a are included. 9. Post construction cleanup BY OWNER. I 10. VCT flooring in Health Science wing to be left in place and new carpet tile installed over. 11. Carpet the allowance of$38/sqyd installed. 12. Cabinet and countertop material allowance of$4,550 in Anatomy Lab. 13. All wall hangings and furniture to be removed by Owner prior to PCI arrival and replaced BY OWNER at completion of the work. 14. Stripping and waxing of vinyl the floors BY OWNER. 15. Premium time is not included. 16. Actual location of underslab utilities may affect price. 17. Existing water,electricity and toilet faculties to be provided to the construction team at no cost. 18. Building permit(If required)to be provided by THE OWNER. 19. Sales taxes are not included. II Pae g 2� PROCON 7 603.623.8811 F 603.623.7250 C0 tvl� I • ;Al- N" t P.O.Box 4430 Manchester,NH 03108 Volpe Center Health Science Renovation HOURLY LABOR RATES June 8, 2015 1. Field Superintendent-$92.60 2. Assistant Field Superintendent-$77.60 3. Project Manager-$92.81 4. Project Executive-$112.62 5. Carpenter-$48 6. Laborer-$42.50 w 1 PROCON T 603.623.8811 F 603.623.7250 i WNNI i.i • :ate All +'ON.; Rkj('1 P.O.Box 4430 Manchester,NH 03108 Volpe Center Health Science Renovation PLANS June 8, 2015 i 1. Pians are as developed by Pro Con, Inc.dated 5/21/15 CS1,A0.1,A1.1-A1.3,A2.1,A2.1a,A2.2,A2.3,A5.1 i I, '\ The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 < ' www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual):Pro Con, Inc. Address:P.O. Box 4430 City/State/Zip:Manchester, NH 03108 Phone#:603-623-8811 Are you an employer?Check the appropriate box: Type of project(required): 1.E]I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑✓ Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.[]l am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.a I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance., 6.F1 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[:]Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Charter Oak Fire Insurance Company Policy#or Self-ins.Lic.#:VTO-UB-8207AO62-15 Expiration Date:4/1/2016 Job Site Address:315 Turnpike Street City/State/Zip:N.Andover, MA 01845 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 fine of up to$250.00 a day against the violator.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 penalties of perjury that the information provided above is true and correct Signature: / ll�� Date: 4W Phone#:603-623-8811 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACORD CERTIFICATE OF LIABILITY INSURANCE 6/18/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Danielle Rice NAME: THE ROWLEY AGENCY INC. =NN EX (603)224-2562 IX No: (603)224-8012 139 Loudon Road E-MAIL drice@rowle a enc .com ADDRESS: P.O. BOX 511 INSURERS AFFORDING COVERAGE NAIC# Concord NH 03302-0511 INSURERA:Travelers Indemnity Co 25658 INSURED INSURERB:Travelers Prop Cas Co of Amer INSURERC:National Liability & Fire Ins Pro Con, Inc. INSURERD:Charter Oak Fire Ins Co 25615 P.O. BOX 4430 INSURER E: Manchester NH 03108 INSURERF: COVERAGES CERTIFICATE NUMBER:15-16 GENERAL MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMBS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDNYYY GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE Fx-] OCCUR C2K0-CO8207A049-IND-15 4/1/2015 /1/2016 MED EXP(Any one person) $ 5,000 Der Project Aggregate PERSONAL BADV INJURY $ 2,000,000 pplies only if required GENERAL AGGREGATE $ 4,000,000 GEN 'L AGGREGATE LIMIT APPLIES PER: y written contract. PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY Ea accident)SINGLE LIMIT 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED J-CAP8207AOSO-15 4/1/2015 /1/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 `. EXCESS LIAB I CLAIMS-MADE AGGREGATE $ 10,000,000 DED I X I RETENTION$ 10,000 43-UMO-301180-01 4/1/2015 4/1/2016 $ D WORKERS COMPENSATION O-UB-8207AO62-15X STATU- OTH- AND EMPLOYERS'LIABILITY X TORY LIMITSER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 3A States: NH, CT, MA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? [FN] N/A 4/1/2015 /1/2016 (Mandatory in NH) I, NY, ME, VT, NJ E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Merrimack ll Health c College - eath Science Renovation, No. Andover, MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Commonwealth of Massachusetts ACCORDANCE WITH THE POLICY PROVISIONS. Department of Industrial Accidents 600 Washington Street AUTHORIZED REPRESENTATIVE Boston, MA 02111 � - j .Danielle Rice/DJR ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. IKIQA,)r' n, '- TI.— A.-AMr%---.—--J I—------...a..-...a..,...-1--s Annon Massachusetts -Department of Public Safety and Standards Board of Building Regulations Construction Supen'isor License: CS-065.673 DAVID B RAICW �^ i 56 BIRIDALE RD BEDFORD NH 03110. „ Expiration I 01121/2016 I Commissioner 0