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CC-15-1092 w' •.;ham,.. �...� .�,.� �� .w u°'` 1 Certificate of Completion Miami Shores Village 10050 NE 2 Ave, Miami Shores FL, 33138 t Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: k Permit Type COMMERCIAL CONSTRUCTION Bldg. Permit No. CC-5-15-1092 Owner WAL MIAMI LLC Contractor PRODIGY CONTRACTING GROUP INC Subdivision/Project _ NONE Date Issued 1/27/2016 Occupancy Construction Type II - B Load N/A Occupancy Square Footage _N/A Type M c Description of INTERIOR RENOVATIONS Applicable 2010 FLORIDA BUILDING Work — Code Location 9020 BISCAYNE BLVD Miami Shores FL 33138 4 I y�toREsINC.1932 i.., ��.�^ Building Officials Approval Ismael Naranjo, CBO ..w i�` ooze Not Transferable K AvOR1Dp' POST IN A CONSPICUOUS PLACE p►^i`yrruo r;T, s' f.,'g y=" — Pern,lt NO. C C-5-15-1092 yy�rJRES o,; G Miami Shores Village � ��.�,.. Permit Type:Commercial rystructio ._ 10050 N.E_2nd Avenuef� ,, VIII �€_ 11111 Miami Shores,FL 33138-0000 Ork Classification:Alteratio 0,& Phone: (305)795-2204 Fax: (305)756-8972 Px es lap, Issue Date: 10/15/2015 Expires' ,,.1212016 INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. - Requests must be received by 3 pm for following day inspections. Commercial Construction Parcel #:1132060110120 Owner's Name:BRUCE HERMELEE Owner's Phone: Job Address: 9020 BISCAYNE Boulevard Total Square Feet: 0 Miami Shores FL Total Job Valuation: $ 32,000.00 Bond Number: € y WORK IS ALLOWED MONDAY THROUGH SATURDAY, Contractor(s) Phone Primary Contractor 7:30AM-6:OOPM.NO WORK IS ALLOWED ONSUNDAY OR HOLIDAYS. PRODIGY CONTRACTING GROUP 1 (813)962-8333 Yes BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. r� NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. ITIS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. P , . IN l N RECORD L Aft INSPECTION , DATE INSP INSPECTial�ZONING DATE I INSP INSPECTION DATE INSP Foundation Zoning Final Stemwall ZONING COMMENTS Rough Slab Water Service Columns(1st Lift) nGas Columns(2nd Lift) ELECTRICAL Tie Beam klers Truss/Rafters k Roof Sheathing ok-up Bucks s Windows/Doors Interior Framing D 17 INSPECTION DATEINSP Insulation 77 rd Temporary Pole Well Ceiling Grid 30 Day Temporary Lawn Sprinklers Drywall Pool Bonding Main Drain Firewall ' Pool Deck Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Preventor Pool Steel Underground Interceptor Pool Deck Footer Ground Catch Basins Final Pool Slab Condensate Drains Final Fence Wall Rough HRS Final Screen Enclosure Ceiling Rou Driveway Rough-'' f PLUMBING COMMENTS Driveway Base Telephone Rough Tin Cap Telephone Final Roof in Progress TV Rough Mop in Progress TV Final Final Roof Cable Rough Shutters Attachment Cable Final Final Shutters Intercom Rough Rails and Guardrails Intercom Final MECHANICAL ADA compliance Alarm Rough INSPECTION DATE INSP Alarm Final U er roun P e DOCUMENTS F Fire Alarm Rough f Soil Bearing Cert �- Fire Alarm Final " Rough <, Soil Treatment Cert Service Work With ) ` Floor Elevation Survey / Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Ventilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS _ Final Vacuum FIRE MECHANICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm r � Oct.08/RV 8/31/09 moi,SA Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL 3313840000 � r Phone: (305)795-2204 f, A: to � µ 3, Expiration:04112/2016 Project Address Parcel Number Applicant 9020 BISCAYNE Boulevard 1132060110120 WAL MIAMI LLC Miami Shores, FL Block: Lot: Owner Information Address Phone Cell WAL MIAMI LLC 275 MADISON Avenue NEW YORK NY 10016- 275 MADISON Avenue NEW YORK NY 10016- Contractor(s) Phone Cell Phone $32,000.00 PRODIGY CONTRACTING GROUP INC(813)962-8333 Valuation: Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:INTERIOR RENOVATION TO AN EX Occupancy Load: Tie Beam Stories: Exterior. Stab Front Setback: Rear Setback: Termite Letter Left Setback: Right Setback: Framing Pians Submitted:Yes Certification Status: Store Front Attachment Certification Date: Additional Info: Insulation Bond Return: Classification:Commercial Drywall Screw Scannin :13 Window and Door Buck Gelling Grid Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Fill Cells Columns CCF $19,20 Review Electrical CO/CC Fee $5000 Invoice# CC-5-15-55469 Review Electrical DBPR Fee $1440 05/07/2015 Credit Card $200.00 $1,249.00 Review Building DCA Fee $14,40 10/152015 Credit Card $1,249.00 $0.00 Review Building Education Surcharge $8.40 Review Structural Permit Fee $980.00 Review Planning Plan Review Fee $200.00 Review Mechanical Plan Review Fee(Engineer) $120.00 Review Mechanical Scanning Fee $39.00 Review Plumbing Technology Fee $25.80 Review Mechanical Total: $1,449.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. i understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated. October 15,2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 15,2015 1 Aug. 14. 2015 10: 18AM Prodigy Contracting Group No- 4977 P. 2 is Miami Shores Villa a7AU TNTED Building Department 015 10050 N.E.2nd Avenue,Miami Shores,Florida 33133 ; Tel:(305)795-2204 Fax:(30S)756.8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 IL/ 5±b— BUILDING Master Permit No -- PERMIT APPLICATION Sub Permit No. ®BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION []RENEWAL ❑PLUMBING ❑MECHANICAL [(PUBLIC WORKS © CHANGE OF CANCELLATION [] SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9020 Biscayne Blvd City. Mimi Shores Qunty Miami Dade zl FoB0/parceip.11.3208-011-0120 ,. Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood zone: BFE: FFE: r OWNER:Name(Fee Simple Titleholder):Wal Miami LLC Phone#:�� Address. .275 Madison Ave 30th Floor New York . NY Ci state. . 10016 City: Zip. Tenant/Lessee Name: Walgreens Co. Phone#• Email: CONTRACTOR:Company Name: Prodigy Contracting Group, Inc. Phones: 813-962-8333 Address: 15901 N Florida Ave City; Lutz state: FL 71p;33549 Qualifier Name: Denise Griffin Phone#: State Certification or Registration#: CBC 1260533 Certiflcete of Competency#: DESIGNER;Architect/Engineer: Gensler Phone#:312-456-0123 Address:11 E Madison St STE 300 City:Chicago State: IL Zip; 60602 Value of Work for this Permit:$32K Square/Unear Footage of Work: Type of Work: ❑ Addition ® Alteration [] New ❑ Repair/Replace ❑ Demolition Description of Work: Interior remodel Specify color of color thru We.- Submittal ile.Submittal Fee S Permit Fee$ CCF$ CO/Cc$ Scanning Fee S Radon Fee$ DBPR S NoWy$ Technokrgy Fees Trainins/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 10 TOTAL PEE NOW DUc a taqq , lReviseM2/24/24241 hu- 14. 2015 10: 19AM Prodigy Contracting Group No- 4977 P. 3 , Bonding Company's Name(if applicable) nfa Bonding Company's Address City State Zip Mortgage lender's Name(if applicable)n!a Mortgage Lender's Address city State Zip Application is hereby made to obtain a permit to do the work and Installations as indicated. I certify that no work or Installation has commenced prior to the Issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing Information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$25W,the applicant must promise in good faith that a copy of the notice of commencement and construction lien low brochure will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the fob site for the first inspection which occurs seven (7) days quer the building permit is issued. in the absence of such posted notice, the Inspection will not be approved and a reinspection fee wAl be charged. W fit- it LGA Signature S sturcH� yb!n OWNER or kGEfT CONTRACTOR The foregoing instrument was a owledged before me this The for going Instru1- a was ac kn ledged before me this of .20_�, ,by day of 20 by 4ACAK f l who is person who is personally known to me or who has produced as me or who has produced as Identification and who did take an oath. Identification and who did take an oath. NOTARY PUBLIC: N PUBLIC: �. Sign: Sign: Win : Print: uq� $08IOUAL!FIED IN NASSAU C UNTY seal: i Diana Axe COMMISSION EXPIRES APRIL 30, 2019 �MISSIONdEE85671i7 EXPIRES:DEC.06,2016 WWW AARONNoTpRiLean APPROVED BY r v Plans Examiner Zoning IJA?1�711r— Structural Review Clerk (Rewsedo2/24/2014) 2 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 GRIFFIN, DENISE PRODIGY CONTRACTING GROUP, INC 15901 N FLORIDAAVENUE LUTZ FL 33549 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMI OF BUSINESS AND and they keep Florida's economy strong. PROFES,$ _ _ # GULATION Every day we work to improve the way we do business in order to CBC1260533,,.w ' /13/2015 serve you better. For information about our services,please log onto dF www.myfloridalicense.com. There you can find more information CERTIFIED B about our divisions and the regulations that impact you,subscribe GRIFFIN,DEN r' to department newsletters and learn more about the Department's PRODIGY COI 1..��iC initiatives. z� Our mission at the Department is:License Efficiently, Regulate Fairly. =b? We constantly strive to serve you better so that you can serve your - .►� � •M Customers. Thank you For doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! ExpkWmdaft-.AUG 31,2010 1.150713 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CBC1260533 a The BUILDING CONTRACTOR Named below IS CERTIFIED '= Under the provisions of Chapter 489 FS. - - Expiraton'date:AUG 31,2016 r�-rw fa GRIFFIN, DENISE _ = • PRODIGY CONTEWC P INC 15901 N FL® e ISSUED: 07/13/2015 DISPLAY AS REQUIRED BY LAW SEQ# L150713OW0229 ♦ ACCOUNT 040 2015 - 2016 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30,2016 15805 OCC.CODE 19 Employees NEW BUSINESS 090.000004 Contractor Receipt Fee 36.00 Hazardous Waste Surcharge 40.00 Law Library Fee 0.00 CBC 1260533 BUSINESS PRODIGY CONTRACTING GROUP INC 15901 N FLORIDA AVE e , LUTZ,FL 335490 5 2 1 NAME PRODIGY CONTRACTING GROUP INC MAILING 15901 N FLORIDA AVE ADDRESS LUTZ.FL 33549 Paid 14-410-006297 07121/2015 76.00 BUSINESS TAX RECEIPT DOUG BELDEN,TAX COLLECTOR HAS HERM PAID A PRIVUCA TA TO ENGAGE 811.635-SM IN StAWNM.PROBESEWN OR OCCUPATION SPECIf*O WEREO.V THIS BECOMES A TAX RECEIPT WHEN VALIDATED. PROD14 OP ID:CL '4 Ra'� CERTIFICATE OF LIABILITY INSURANCE �081716 THIS CERTIFICATE 19 ISSUED AS A NATTER 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: K the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,subject to the tarda and conditions of the Policy,certain polWes may require an endorsemerd. A statmnent on this certificate does not coder rights to the certificate hokler In 1Mu Of such PRODUCER MORROW INSURANCE GROUP MORROW INSURANCE GROUPIRtoNE 813-> 3-1668 813.964-3743 LENORA C.OLNEYIA188064 18996 NORTH DALE MABRY HIGHWAY CYNT RROWINSURANCE.NET CONTACT LUTZ,FL 48 335 AFFORDING COVERAGE NAIL A gURINER A:FCCI INSURANCE COMPANY 3.3472 INSURED PRODIGY CONTRACTING GROUP,INC INSURERS:ROCIOILLINSIRANCECOMPANY 28053 15801 N.FLORIDA AVENUE DISURSR c: rrrewe�e cormwy 16632 LUTZ,FL 33548 INSURER D:TORUS SPECIALTY INSURANCE CO 144776 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS UM ER: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. TYPE OF INSURANCE NUMBER Lam A X coummwiiu.sENERAI-LIABILITY EACH OCCURRENCE $ 1,000, CLAIMS-MADE 11-1 OCCUR L0017428-01 12h2/2014 12N2/2018 PREMISES Eao MM nce, $ 300, X CONTRACTUAL LIAB MED EXP WW one pww) $ 101 PERSONAL&ADH INJURY $ 11000100( GEN-L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000, POLICY X JECT F�LOC PRODUCTS-COMPIOPAGG $ 2,000, OTHER: $ AUTOMOBILE LIAOIL1TYCOMBINED SINGLE LIMIT M-0 ecdo" $ 1,000, A XANY AUTO 0028633.01 1210512014 12/0512015 BODILY INJURY(Per Pavo„) $ AUTO D SSCHEEDDULED BODILY INJURY(Per $ X NON-OWNED MOO" HIREDAUTOS X n` pg $ X FL PIP X STAT lJl ORY BASIC PIP $ 10, J( UMBRI UALIASX OCCUR EACH OCCURRENCE $ 510001 B EXC.E88 LIAR CLAIMS-MADE FF01186M 12!12/2014 12/1212016 ACGREGATE $ 510001 OED I X I RETENTION 0 $ INOMEERSCOMPENSATION X I STAUT ANDEMPLOMMLIABILITY C ANY PROPRIETOR/P� Y/N 4102015-04 0612'112015 05/27/2016 E.L.EACH ACCIDENT $ 11000, OFFICERIMEMBEREXCLUDED? a NIA TR M me E.L.DISEASE-EA EMPLOYE $ 110001 =MOWN f d9 ur der OF OPERATIONS below, E.L.DISEASE-POLICY LIMIT $ 1 r0�r D UMBRELLA18B120AL1 12112/ 14 12/1212015 EAOCCUR 5,000,00( 17�-7$0 AGGREGATE SIONIOIX DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLI Ad RAM WO Schedil%maybe aitadretl I mae epme M reqs LICENSE#CBC1260533? CERTIFICATE HOLDER CANCELLATION MIASHOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ASE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT 10050 NE 2ND AVENUES rrAT1IrE MIAMI SHORES,FL 33138 01!88-2014 ACORD CORPORATION. A8 rights reserved. ACORD 26(2014101) The ACORD,tame and logo are reglaterixf marks of ACORD Detail by Entity Name Page 1 of 2 Detail Entity Name Florida Limited Liabillty Comganv WAL MIAMI, LLC Filina Information Document Number L11000107159 FEUEIN Number 453529500 Date Filed 09/19/2011 Effective Date 09/19/2011 State FL Status ACTIVE Princiaal Address 275 MADISON AVENUE 30TH FLOOR NEW YORK, NY 10016 Mailing Address 275 MADISON AVENUE 30TH FLOOR NEW YORK, NY 10016 Registered Agent Name iii Address HERMELEE, BRUCE G 2100 Coral Way STE 303 Miami, FL 33145 Address Changed: 11/03/2014 Authorized Person(s) Detail Name&Address Title MGRM FORGSON WALCENTERS, LLC 275 MADISON AVENUE NEW YORK, NY 10016 Title MGRM SAKOGE SOUTH 1, LLP 1761 Nocatee Drive Coconut Grove, FL 33133 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 5/7/2015 Detail by Entity Name Page 1 of 2 Y En... ,. .. .. ... ... _ ,. v.. 1. N Detail by Entity Name Florida Limited Liability Company FORGSON WALCENTERS LLC Filing Information Document Number L10000104218 FEI/EIN Number 273651785 Date Filed 10/05/2010 Effective Date 10/05/2010 State FL Status ACTIVE Princlpal Address 275 MADISON AVENUE 30TH FLOOR NEW YORK, NY 10016 Mailing Address 275 MADISON AVENUE 30TH FLOOR NEW YORK, NY 10016 Registered Agent Name&Address HERMELEE, BRUCE G 2100 Coral Way SUITE 303 Miami, FL 33145 Address Changed: 01/12/2015 Authorized Persons) Detail Name&Address Title MGRM FORGASH, JACK 275 MADISON AVENUE 30TH FLOOR NEW YORK, NY 10016 Title MGRM FORGASH, ELLIOTT 275 MADISON AVENUE 30TH FLOOR NEW YORK, NY 10016 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 5/7/2015 Apr, 20. 2016 9: 12AM Prodigy Contracting Group No, 5778 P. 1/1 PROD(-1 QP ros OL MIMMM CERTIFICATE OF LIABILITY INSURANCE 12ro1S THIS CERTIFICATE IS ISSUED AS A MATTER Olt INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMD, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BE1.0W. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETINEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLWA IMPORTANT. It the oertirioate holder Is an ADDITIONAL.INSURED,the policy(les)must be endorsed. It SUBROGATION 18 WAIVED,subject to the terms and conditions of the policy,carfatin policies may require an endorsement. A statement on this oftifrcate does not confer rights to the oertlHoate holder In lieu of such andorsame s Pmm+CIIIIII CYNTHIA LEVINSON MORROW INSURANCE©ROUP $13-983-t869 L.ENORA C.OLNEYIA186084 6 13't3.961'37'�3 L�NFO DALE MABRY HIGHWAY CYNTH ORROWINSURANCE.NET ARRORDINti CDVBRAQB 4 33548 INWIVIR At FOG INSUMMOR COMPANY 33472 IN 1JR11A PRODIGY CONTRACTING GROUP,INC t8T PAUL FIRE s MAMNE INS CO 24767 LM RL FLORIDA4AVENUE R Q t NATIONAL BUR DBRS W3URANQE 18632 S W Bt WStrle!R f S COVERAGES CERTIFICATE NUMBER: I UMBER., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITIWANDING 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 13 SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAUL BEEN REDUCED BY PAID CLAIMS, wim TYPE OF AIB mmax =2 wwoPOLICY N Laura X CObl M04L SUMA.NAraYYY EACH OOCURRSNCE E 1000,0 MWSswoe ®OCCUR GL 001762M 1211212015 12/1212018 WMWAIE 8 300,00 X CONTRACTUAL L IAB MED EXP(MY on I Wwft) a 10,00 MOONAL&ADVINJURY & 1.000,004 OSN'LAQORLtQATELIMRAPPLINPER: OflNBRAI.AGGREGATE 0 2,000,00 POLICY Q ❑LOC PRODUCTS-COMP10PAGO a 2,000100 :a Auio11110 u.e U011.1TY Lmg n ILIMIT a 1.00010 A ANYpawuroo CA 0028533.02 11210512015 12112+2018 BODILY INJURY(Pu Ixraw) a q�rpg ABODILY NVJURY(Petra 8 x KREDAUTOS X NON.ovwueo 8 X FL PIP x : aoRY BASIC PIP s 10,0 X UMENUAI occL*i I BACt1 OCC mwca $ 14,000,00 B mmmu" CLMMS.MADE UEAB121R2015 12!1212018 1?J121201S AGORMATE , 14,000,00 Oso WRIETs 0 � aoRlt�e oOMPEt16A410N AND HMPLOVOW UMILI IY X S AT CPAMMER001ITIVE N 1 A •OtOS018-04 0512712015 8512712018 E-L EACH ACOIDENT g 1,000 NH)waxwEww? Y to E EA80 L DISMU BA EMPLOYE 6 a d 1,000 N P TI L DISEASE-POLICY LIMIT 1000, DBeCRIPTION�OPERATIONS!LOCATIONS/VENiQk.Ba(At:ORD 10t,Adt@Ne�et Renmtlts 8t111Qdttle,umY N au6tlxee B mots k+opupvA► LICENSE#C1301a8OM CERTIFICATE OLD CANC&LATION MWSHOR MNOULD ANY OF TM ABOVB DESCRIBED POLICIES BB CANCBLum BEFORE MIAMI SHORES VILLAGE TME BXPIRAMON DATE TNSREOF, NOTICE WILL BE DALIVIM0 IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10060 NE 2ND AVENUE Aunr�R$PREseNTATIve MIAMI SHORES,FL 33138 Off. �✓. W ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marls of ACORD Civ AUG 2.7 2015 Abbreviated Standard Form of wao AT THE CORNER of -H A f PI & Construction Agreement For Construction Projects of Limited Scope Where the basis of payment is a Stipulated Sum THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES,CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION This document includes abbreviated General Conditions and should not be used with other General Conditions. Agreement made as of the 10th day of June in the year 2015 Between the Owner: Walgreen Eastern Co.,Inc. 106 Wilmot Rd.,MS#1630 Deerfield,IL 60015 and the Contractor: Prodigy Contracting Group,Inc. 15901 N.Florida Ave. Lutz,FL,33544 a The Project(271115)is: PHR Remodels:Muld-Ske State of Florida The Architect is: GenslerArchitects,Inc. 1 l East Madison Street Suite 300 Chicago,Illinois 60602 1 ARTICLE 1: THE WORK OF THIS CONTRACT The Contractor shall fully execute the following Work,as described in the Contract Documents and summarized below: Contractor is responsible for all labor,materials,equipment,proper construction practices and compliance with Owner's criteria requirements in order for Owner to operate out of the newly-constructed spaces. This includes,but is not limited to the following:electrical,plumbing,masonry,concrete, mechanical systems,fire suppression system,as well as all preparations for Owner-furnished lbrniture, fixtures and equipment. ARTICLE 2: DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 2.1 The date of commencement of the Work(as the term is defined in Article 6.3),shall be the date of this Agreement unless a different date is stated below: Date of Commencement of Work:See Dates aatlhted on Addendum A 2.2 The"Contract Time"shall be the period of time from the date of commencement of Work until Final Completion,as that term is defined in Article 14.5.1. See Exhibit"13"hereto. 23 The Contractor shall achieve SubsWflal Completion(as that term is defined in Article 14.3.1)of the Work,not later than,9/V2015 subject to adjustments of this Contract Time approved by the Owner. ARTICLE 3: CONTRACT SUM 3.1 The Owner shall pay the Contractor the Contract Sum in current funds for the Contractor's performance of the Contract. The Contract Sum shall be One Million.SIM Six Thousand.Eight Hundred Ninety Nine Thousand.and Zero Dollars(51.066,899.00),subject to additions and deductions provided in the Contract Documents. 3.2 The Contract Sum is based upon the following alternates,if any,which are described in the Contract Documents and are hereby accepted by the Owner: 3.3 The Contract Sum shall include the Contractor's Markup Percentage of 5%(as defined in Section 12.6.7 below). The Contractor's Markup Percentage shall be the sole compensation paid to the Contractor by the Owner for overhead and profit. 3.4 The maximum mark-up for all costs of changes to the Work(including elf-performed and sub- contracted)to be passed through from Contractor to Owner under Article 12 shall be jO%. See Articles 12.6.5, 12.6.6 and 12.8 for the maximum mark-up for costs of work to be passed through by sub-contractors and other lower tier contractors. 2 ARTICLE 4: PAYMENTS 4.1 PROGRESS PAYMENTS 4.1.1 Based upon Application for Payment submitted to the Owner by the Contractor,the Owner shall make progress payments on account of the Contract Sum to the Contractor as provided below and elsewhere in the Contract Documents. The period covered by each Application for Payment shall be one calendar month ending on the last day of the month. 4.1.2 Each Application for Payment shall include the following items: (A) Contractor's Application for Payment fully executed and notarized by Contractor. (B) Sworn statement of Contractor,Contractor's material suppliers,and Subcontractors,fully executed and notarized as appropriate. (C) Contractor's partial Waiver of Lien for the then current Application for Payment. (D) Subcontractor's Waiver of Lien for all material suppliers and subcontractors declared on the previous Application for Payment. 4.1.3 Progress payments shalt be made within thirty days after receipt of each application as submitted above,subject to the terms of Article 14.1 below. 4.1.4 Owner shall not be obligated to make any progress payments hereunder unless and until Contractor has provided Owner with evidence of Contractor's insurance as required pursuant to Addendum 1 hereto(Insurance Rider). 4.2 RETAINAGE Owner shall withhold from the sums otherwise payable to Contractor under each Application for Payment a retainage equal to ten percent(100/6)of the amount payable on each such Application for Payment(the"Retainage"). Owner will also reasonably consider reducing Retainage for subcontractors completing their Work early in the Project. Retainage shall only be released to Contractors with Final Payment in accordance with Sections 4.3 and 14.5 below. 4.3 FINAL PAYMENT Final Payment,constitutes the entire unpaid balance of the contract,including Retainage,shall be paid by the Owner to the Contractor upon Completion of the work(as the term"Completion"is defined in section 14.5 below). ARTICLE 5: ENUMERATION OF CONTRACT DOCUMENTS 5.1 The Comm Documents are listed in Section 6.1 and,except for Modifications(defined in Section 6.1 below)issued after execution of this Agreement,are enumerated as follows; Exhibit"A"-Scope of Work Exhibit-W'-Project Schedule Exhibit"C"-Drawing Index Exhibit"D"-General Conditions&Overhead Exhibit..F,.-Cost Breakdown Exhibit"F"-Labor Rates Exhibit"G"-Request for Change Form Exhibit"H"-Request for Change Log Form Exhibit"1"-Change Order Form Addendum A-Store Location/Format(Price 3 3 ARTICLE 6: GENERAL PROVISIONS 6.1 THE CONTRACT DOCUMENTS The"Contract Documents"consist of this Agreement with Conditions of the Contract,drawings, specifications,any addenda issued prior to the execution of this Agreement,and other documents listed in this Agreement and Modifications issued ager execution of this Agreement. A "Modification"is(1)a written amendment to this Contract signed by both parties,(2)a Change Order(defined in Section 12.1 below),or(3)a written order for a minor change in the Work issued by the Owner. The intent of the Contract Documents is to include all items necessary for the proper execution and completion of the Work by the Contractor. The Contract Documents are complementary,and what is required by one shall be as binding as if required by all; performance by the Contractor shall be required to the extent consistent with the Contract Documents and reasonably inferable from them as being necessary to produce the indicated results. 6.2 THE CONTRACT The Contract Documents represent the entire and integrated agreement between the parties hereto and supersedes prior negotiations,representations or agreements,either written or oral. For purposes hereof the Contract Documents sometimes are collectively referred to herein as the "Contract." The Contract may be amended or modified only by a Modification. The Contract Documents shall not be construed to create a contractual relationship of any kind(1)between the Architect and Contractor,(2)between the Owner and a Subcontractor or sub-subcontractor,(3) between the Owner and Architect or(4)between any persons or entities other than the Owner and Contractor. 6.3 THE WORK The term"Work"means the construction and services required by the Contract Documents,and includes all labor,materials,equipment and services(not otherwise expressly set forth in the Contract Documents)provided or to be provided by the Contractor to fulfill the Contractor's obligations. The Work may constitute the whole or a part of the Project. 6.4 EXECUTION OF THE CONTRACT Execution of this Agreement by the Contractor shall constitute execution of the Contract. Execution of the Contract by the Contractor is a representation that the Contractor has visited the site,become generally familiar with local conditions under which the Work is to be performed and correlated personal observations with requirements of the Contract Documents. ARTICLE 7: OWNER 7.1 INFORMATION AND SERVICES REQUIRED OF THE OWNER 7.1.1 The Owner steal I furnish and pay for surveys and a legal description of the site. 7.1.2 The Contractor shall be entitled to rely on the accuracy of information furnished by the Owner but shall exercise proper precautions relating to the safe performance of the Work. 7.1.3 Except for permits and fees which are the responsibility of the Contractor under the Contract Documents,the Contractor shall not be responsible to secure and pay for other necessary approvals,easements,assessments and charges required for the construction,use or occupancy of permanent structures or permanent changes in existing facilities. Owner shall reimburse 4 L contractor for all fees associated with the acquisition of the building permit. Contractor shall not be reimbursed for any license fees for contractor,subcontractor or sub-subcontractors. 7.2 OWNER'S RIGHT TO STOP THE WORK If the Contractor fails to correct Work which is not in accordance with the requirements of the Contract Documents,or persistently fails to carry out the Work in accordance with the Contract Documents,the Owner may issue a written order to the Contractor to stop the Work,or any portion thereof,until the cause for such order is eliminated;however,the right of the Owner to stop the Work shall not give rise to a duty on the part of the Owner to exercise this right for the benefit of the Contractor or any other person or entity. 73 OWNER'S RIGHT TO CARRY OUT THE WORK If the Contractor defaults or persistently fails or neglects to carry out the Work in accordance with the Contract Documents,or fails to perform a provision of the Contract,the Owner,alb three(3) business days'written notice to the Contractor and without prejudice to any other right or remedy the Owner may have,may make good such deficiencies('mcluding,without limitation,completing the Work)and may deduct the reasonable cost thereof from the payment then or thereafter due the Contractor. ARTICLE 8: CONTRACTOR &I REVIEW OF CONTRACT DOCUMENTS AND FIELD CONDITIONS BY CONTRACTOR &1.1 Since the Contract Documents are complementary,before starting each portion of the Work,the Contractor shall carefully study and compare the various.Drawings and other Contract Documents relative to that portion of the Work,as well as the information finished by the Owner pursuant to Subparagraph 7.1.1,shall take field measurements of any existing conditions related to that portion of the Work and shalt observe any conditions at the site affecting it. These obligations are for the purpose of facilitating construction by the Contractor and are not for the purpose of discovering errors,omissions or inconsistencies in the Contract Documents;however,any errors, omissions or inconsistencies discovered by the Contractor shall be reported promptly to the Owner and Architect as a request for information in such form as die Owner and/or Architect may require. &1.2 Any design errors or omissions noted by the Contractor during this review shall be reported promptly to the Owner and Architect,but it is recognized that the Contractor's review is made in the Contractor's capacity as a contractor and not as a licensed design professional unless otherwise specifically provided in the Contract Doctanents. &2 SUPERVISION AND CONSTRUCTION PROCEDURES 8.2.1 The Contractor shall supervise and direct the Work with a qualified,full time,on site supervisor approved by the Owner,using the Contractor's and said supervisor's best skill and attention. The Contractor shall be solely responsible for and have control over construction means,methods, techniques,sequences and procedures,and for coordinating all portions of the Work under the Contract,unless the Contract Documents give other specific instructions concerning these matters. Notwithstanding whether or not the Contract Documents give specific instructions concerning construction means,methods.techniques,sequences or procedures,the Contractor shall remain fully and solely responsible for the jobsite safety in accordance with Article 15 below. 5 4 8.2.2 The Contractor shall be responsible to the Owner for acts and omissions of the Contractor's ,employees,Subcontractors and their agents and employees,and other persons or entities performing portions of the Work for or on behalf of the Contractor or any of its Subcontractors. 83 LABOR AND MATERIALS 83.1 Unless otherwise provided in the Contract Documents,the Contractor shall provide and pay for labor,materials,equipment,tools,construction equipment and machinery,transportation,and other facilities and services necessary for proper execution and completion of the Work whether temporary or permanent and whether or not incorporated or to be incorporated in the Work. 83.2 The Contractor shall enforce strict discipline and good order among the Contractor's employees and other persons carrying out the Contract. The Contractor shall not permit employment of unfit persons,illegal immigrants or persons not skilled in tasks assigned to them. Upon the request of Owner and subject to applicable local Union rules,if any,Contractor shall cause all workers at the Project to be subject to a random drug testing program to be administered by Contractor at Owner's expense. 833 The Contractor shall transport,deliver,handle,store and install materials in accordance with manufacturers' instructions. 83.4 The Contractor may make substitutions only with the consent of the Owner,after evaluation by the Architect and in accordance with a Change Order. 8.4 WARRANTY The Contractor hereby warrants to the Owner and Architect that materials and equipment famished under the Contract will be of good quality and new unless otherwise required or permitted by the Contract Documents,that the Work will be fee from latent and patent defects, and that the Work will conform with the requirements of the Contract Documents. Work not conforming to these requirements,including substitutions not properly approved and authorized, may be considered defective and in violation of the Contract. The Contractor's warranty excludes remedy for damage or defect caused by abuse,modifications not executed by the Contractor, improper or insufficient maintenance.improper operation or normal wear and tear and normal usage. Except as otherwise expressly set forth in the Contract Documents,the Contractor's warranty under this section 8.4 shall survive for a period of one(1)year after Final Completion (but three(3)years for latent defects),provided that if a defect is purportedly corrected,said warranty shall continue for one(1)year after the date of the purported correction of such defect. At Owner's request,Owner and Contractor shall conduct one or more walk-through inspections of the Project prior to the date that any warranties expire pursuant to Section 14.4,and any defects in the Work discovered during such inspections shall be subject to the terms of this Contract. Warranties shall commence in accordance with Section 14.4 below. 8.5 TAXES The Contractor shall pay all sales,consumer,use and other similar taxes which are legally enacted when bids are received or negotiations concluded. 8.6. PERMITS,FEES AND NOTICES 8.6.2 Contractor shall secure and pay for the building permit and other permits and governmental fees,licenses and inspections necessary for proper execution and completion of the Work. However,fees associated with securing the Building Permit are not included in the contract sum contained in Section 3.1. Owner shall reimburse Contractor for the cost of the Building Permit;mark-up is not permitted. 6 &6.2 The Contractor shall comply with and give notices required by laws,ordinances,rules,regulations and lawful orders of public authorities applicable to performance of the Work. The Contractor shall promptly notify the Architect and Owner if the drawings and specifications are observed by the Contractor to be at variance therewith. If the Contractor performs Work knowing it to be contrary to laws,statutes,ordinances,building codes,and rules and regulations without such notice to the Architect and Owner,the Contractor shall(i)assume appropriate responsibility for such Work,and(ii)bear the costs attributable to correction. Contractor hereby indemnifies and holds Owner harmless from and against any loss,cost or damage suffered by Owner as a result of such knowing performance of said work. 8.7 SUBMITTALS &7.1 The Contractor shall review for compliance with the Contract Documents,shall indicate in writing that it has completed such review,and shall submit to the Architect for approval the following items:Shop Drawings,Product Data,Samples and similar submittals required by the Contract Documents with reasonable promptness. The Work shall be in accordance with approved submittals. &7.2 Shop Drawings,Product Data,Samples and similar submittals are not Contract Documents. 8.8 USE OF SITE The Contractor shall confine operations at the site to areas permitted by law,ordinances,permits and the Contract Documents and shall not unreasonably encumber the site with materials or equipment. Staging of equipment and materials are subject to Owner's approval. 8.9 CUTTING AND PATCHING The Contractor shall be responsible for cutting,fitting or patching required to complete the Work or to make its parts fit together properly. &10 CLEANING UP The Contractor shall,on a daily basis,keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by operations under the Contract. At completion of the Work,the Contractor shall remove from and about the Project,waste materials, rubbish,the Contractor's tools,construction equipment,machinery and surplus material. For purposes hereof,all daily and final cleanup required under this Section 8.10 shall be deemed part of the Work. &11 ROYALTIES,PATENTS AND COPYRIGHTS The Contractor shall pay all royalties and license fees,shall defend suits or claims for infringement of copyrights and patent rights and shall hold Owner and Architect harmless from loss on account thereof,but not be responsible for such defense or loss when a particular design, process or product of a particular manufacturer or manufacturers is required by the Contract Documents,or where the copyright violations are contained in Drawings,Specifications or other documents prepared by the Owner or Architect.unless the Contractor has reason to believe that there is an infringement of patent or copyright and fails to promptly famish such information to the Owner and Architem 8.13 INDEMNIFICATION &13.1 To the fullest extent permitted by law,the Contractor shall indemnify and hold harmless the Owner,Architect, Owner's and Architect's consultants and agents and employees of any of them from and against claims,damages,losses and expenses,including but not limited to attorneys' 7 fees,arising out of or resulting from performance of the Work including,without limitation,a violation of this Agreement by Contractor,provided that such claim,damage,loss or expense is attributable to bodily injury,sickness,disease or death,or to injury to or destruction of tangible properly(other than the Work itself),but only to the extent caused by intentional or negligent acts or omissions of the Contractor, a Subcontractor,anyone directly or indirectly employed by them or anyone for whose acts they may be liable,regardless of whether or not such claim,damage, loss or expense is caused in part by a party indemnified hereunder. Such obligation shall not be construed to negate,abridge.or reduce other rights or obligations of indemnity,which would otherwise exist as to a party or person described in this Paragraph 8.13.1. 8.13.2 In claims against any person or entity indemnified under this Section 8.13 by an employee of the Contractor,a Subcontractor,anyone directly or indirectly employed by them or anyone for whose acts they may be liable,the indemnification obligation under Paragraph 8.13.1 shall not be limited by a limitation on amount or type of damages,compensation or benefits payable by or for the Contractor or Subcontractor under workers'compensation acts,disability benefit acts or other employee benefit acts. ARTICLE 9: OWNER'S ADMINISTRATION OF THE CONTRACT 9.1 The Owner will provide administration of the Contract through its Director of Construction, Bidding&Contracting Project Manager,Field Project Manager and Foreman(collectively,the "Owner's Representative")(1)during construction,(2)until final payment is due and(3)with the Owner's concurrence,from time to time during the one-year period for correction of Work described in Section 17.2. 9.2 The Owner's Representative will visit the site at intervals appropriate to the stage of the Contractor's operations(1)to become generally familiar with and to keep the Owner informed about the progress and quality of the portion of the Work completed,(2)to endeavor to guard the Owner against defects and deficiencies in the Work,and(3)to determine in general if the Work is being performed in a manner indicating that the Work,when fully completed,will be in conformance with the Contract Documents. However,the Owner's Representative will not be required to make exhaustive or continuous on-site inspections to check the quality or quantity of the Work. The Owner's Representative will neither have control over or charge of,nor be responsible for,the construction means,methods,techniques,sequences or procedures,or for safety precautions and programs in connection with the Work,since these are solely the Contractor's rights and responsibilities under the Contract Documents. 93 The Owner will not be responsible for the Contractor's failure to perform the Work in accordance with the requirements of the Contract Documents. The Owner and the Owner's Representative will not have control over or charge of and will not be responsible for acts or omissions of the Contractor,Subcontractors,or their respective agents or employees,or any other persons or entities performing portions of the Work. 9.4 Based on the Owner's Representative's(specifically the Director of Construction)evaluations of the Work and the Contractor's Applications for Payment and Change Orders,the Director of Construction will review and approve the amounts due the Contractor. 9.5 The Owner's Representative will have authority to reject Work that does not conform to the Contract Documents. 9.6 The Architect will review and approve or take other appropriate action upon the Contractor's submittals such as Shop Drawings,Product Data and Samples,but only for the limited purpose of checking for conformance with information given and the design concept expressed in the Contract Documents. 8 9.7 The Owner's Representative,specifically the Field Project Manager,will interpret and decide matters concerning performance under and requirements of the Contract Documents on written request of the Contractor. The Owner's Representative will make initial decisions on all claims, disputes and other matters in question between the Owner and Contractor,but will not be liable for results of any interpretations or decisions so rendered in good faith. 9.9 The Owner's decisions on matters relating to aesthetic effect will be final if consistent with the intent expressed in the Contract Documents. 9.9 Claims,disputes and other matters in question arising out of or relating to this Contract,including without limitation,those alleging an error or omission by the Architect and those which are the subject of a mechanics lien,shall be resolved by the parties using good faith efforts. Pending final resolution of a claim,dispute or other matter in question arising out of or relating to this Contract, unless otherwise agreed in writing the contractor shall proceed diligently with performance of the Contract and Owner shall continue to make payments in accordance with the Contract Documents. ARTICLE 10: SUBCONTRACTORS 10.1 A"Subcontractor"is a person or entity who has a direct contract with the Contractor to perform a portion of the Work at the site. 10.2 Unless otherwise stated in the Contract Documents or the bidding requirements,the Contractor,as soon as practicable after award ofthe Contract shall furnish in writing to the Owner the names of the Subcontractors for all portions of the Work. The Contractor shall not contract with any Subcontractor to whom the Owner has made reasonable and timely objection. In no event shall Contractor deviate from said Subcontractor list without written approval from Owner's Representative,specifically the Field Project Manager. 103 Contracts between the Contractor and Subcontractors shall(1)require each Subcontractor,to the extent of the Work to be performed by the Subcontractor,to be bound to the Contractor by the terms of the Contract Documents,and to assume toward the Contractor all the obligations and responsibilities,including the responsibility for safety of the Subcontractor's Wank,which the Contractor,by the Contract Documents,assumes toward the Owner,(2)allow the Subcontractor the benefit of all rights,remedies and redress afforded to the Contractor by these Contract Documents,and t 3)require such Subcontractor to be a Responsible Employer as defined in Section 18.2. ARTICLE 11: OWNER'S RIGHT TO PERFORM CONSTRUCTION AND TO AWARD SEPARATE CONTRACTS 11.1 The Owner reserves the right to perform construction or operations related to the Project with the Owner's own forces,and to award separate contracts in connection with other portions of the Project or other construction or operations on the site under conditions of the contract identical or substantially similar to these,including those portions related to fiLwance and waiver of subrogation If the Contractor claims that delay or additional cost is involved because of such action by the Owner,the Contractor shall make such claim as provided in Section 9.9. 11.2 The Contractor shall afford the Owner and separate contractors reasonable opportunity for introduction and storage of their materials and equipment and performance of their activities,and shall connect and coordinate the Contractor's activities with theirs as required by the Contract Documents. 11.3 The Owner shall be reimbursed by the Contractor for costs incurred by the Owner which are payable to a separate contractor because of delays,improperly timed activities or defective construction of the Contractor. The Owner shall be responsible to the Contractor for costs incurred by the Contractor because of delays,improperly tuned activities,damage to the Work,or defective construction of a separate contractor. 9 ARTICLE 12: CHANGES IN THE WORK 12.1 The Owner or Contractor,without invalidating the Contract,may request changes in the Work within the general scope of the Contract,consisting of additions,deletions or other revisions(a "Request for Change",Exhibit G). All Requests for Change submissions must be accompanied by a"Request for Change Log"attached hereto as Exhibit H and must be submitted to the appropriate Walgreens Field Project Manager. Any Requests for Change which are not accompanied by a Request for Change Log will promptly be rejected and returned to the Contractor for resubmission. If the parties mutually agree to the terms of the Request for Change,Owner and Contractor shall execute a Change Order(a"Change Order")setting forth the following terms and conditions with respect to the Request for Change:(I)Changes in the Work,(2)the amount of the adjustment to the Contract Sum,if any.and(3)adjustment to the Contract Time,if any. The Change Order form is attached hereto as Exhibit I. Under no circumstances shall a Change Order include Requests for Change that have not been approved by the Owner. 12.2 Contractor shall provide a breakdown to the Owner of all costs associated with Contractor's Change Orders. 12.3 The contract language contained in this Article I2 will supplement and take precedence over all other change order pricing provisions in the contract documents. It is understood that these contract provisions will govern the pricing and administration of all change order proposals to be submitted by the Trade Contractors and/or subcontractors(Contractor)and all other lower tier Sub-Subcontractors(all referred to as"Contractor"in this Article 12). In the event of a conflict between the other contract documents used for this project,the change order pricing contract provisions in this Article12 will govern. 12.4 Contractor agrees that it will incorporate the provisions of this Article 12 into all agreements with lower tier Contractors. It is understood that these change order pricing provisions apply to all types of contracts and/or subcontractors specifically including lump sum(or fixed price contracts unit price contracts,and/or cost plus contracts with or without a guaranteed maximum. It is further understood that these change order provisions will apply to all methods of change order pricing,specifically including lump sum change order proposals,unit price change order proposals,time and material change order proposals,and cost plus change order proposals as defined in the following provisions. Whenever change order proposals to adjust the contract price become necessary,the Owner wil I have the right to select the method of pricing to be used by the Contractor in accordance with the pricing provisions found in this Article 12. 12.5 REQUEST FOR CHANGE PROPOSAL TIME-The Contractor's Requests for Changes in the contract amount or time shall be submitted within(3)calendar days of the Owner's request, unless the Owner extends such period of time due to circumstances involved If such proposals are not received in a timely manner,if the proposals are not acceptable to the Owner,or if the changed work should be started immediately to avoid damage to the project or costly delay,the Owner may direct the Contractor to proceed with the changes without waiting for the Contractor's proposal or for the formal Request for Change to be issued. In the case of an unacceptable Contractor proposal,the Owner may direct the Contractor to proceed with the changed work on a Time and Material basis with an agreed upon"not-to-exceed"price for the work to be performed. If the Time and Material method of pricing is chosen,the cost or credit,and/or time extensions will be determined by negotiations as soon as practical thereafter and incorporated in a change order to the contract. 12.6 LUMP SUM REQUEST FOR CHANGE PROPOSALS-The Contractor will submit a properly itemized Lump Sum Request for Change Proposal covering the additional work and/or the work to be deleted. This proposal will be itemized for the various components of work and segregated by labor,material,and equipment in a detailed format satisfactory to Owner. The Owner will require itemized proposals from the Contractor,subcontractors,and sub- subcontractors regardless of tier. Details to be submitted will include line item estimates showing 10 detailed material and labor quantity take-offs,material prices by item and related labor hour pricing information and extensions(by line item or by drawing as applicable). All submissions shall utilize mutually agreed upon billable labor rates identified in Exhibit F. Any submissions which do not detail labor calculations using rates identified in Exhibit F shall immediately be rejected by the Owner and shall be revised and resubmitted by the Contractor. 12.6.1 L R_Estimated labor costs to be Included for self-performed work shall be based on the mutually agreed upon rates identified in Exhibit F. Estimated labor hours shall include hours only for those workmen and working foreman directly involved in performing the change order work. Supervision above the level of working foremen(such as general foremen,superintendent,project manager,etc.)is considered to be included in the Markup Percentages as outlined in sections 12.6.6 and 12.6.7. Note:No separate allowances for warranty expense will be allowed as a direct cost of a change order. Costs attributed to warranty expenses will be considered to be covered by the Markup Percentages as outlined In sections 12.6.6 and 12.6.7 of this Article 12. Labor Rates for all Time&Material change others shall reflect Labor Rates identified in Exhibit"F",attached hereto. 12.6.2 LABOR BURDEN-Labor burden shall be defhne d as employer's net actual cost of payroll taxes (FICA,Medicare,SUTA,FUTA),net actual costs for employer's cost of union benefits(or other usual and customary fringe benefits if the employees are not union employees),and net actual cost to the employer for worker's compensation insurance taking into consideration adjustments for experience modifiers,premium discounts,policy dividends,rebates,expense constants,assigned risk pool costs,net cost reductions due to policies with deductibles for self-insured losses, assigned risk pool rebates,scheduled credits,state contracting classification premium adjustment credit,etc. it in dal�iaed that thim Adm-Al 30hap h go should have beeR men or ImOan dw 12.6.3 MATERIAL-Estimated material change order costs shall reflect the Contractor's reasonably anticipated net actuil cost for the purchase of the material needed for the Request for Change work. Estimated material costs shall reflect cost reductions available to the Contractor dire to trade discounts,free material credits,and/or volume rebates. "Cash"discounts(i.e.prompt payment discounts of 2%or less)available on material purchased for change order work shall be credited to Owner if the Contractor is provided Owner fiords in time for contractor to take advantage of any such cash discounts. Price quotations from material suppliers must be itemized with unit prices for each specific item to be purchase& "Lot pricing"quotations will not be considered sufficient substantiating detail. 12.6.4 EOUMMENT-Allowable Request for Change estimated costs may include appropriate amounts for Mental of major equipment specifically needed to perform the change order work(defined as tools and equipment with an individual purchase cost of more than$500). For Contractor owned equipment,the"baro"equipment rental rates allowed to be used for pricing change order proposals shall be 75%ofthe monthly rate listed in the most current publication of the AED Green Book divided by 176 to arrive at a maximum hourly rate to be applied to the hours the equipment is used performing the change order work. Further for Contractor owned equipment, when the total rental cost reaches the items purchase price,the rental charge shall cease. Fuel necessary to operate the equipment will be considered as a separate direct cost associated with the change order work. 12.6.5 MAXIMUM MARKUP PERCENTAGE ALLOWABLE ON SELF-PERFORMED WORK With Respect to pricing Requests for Change,the maximum markup percentage fee to be paid to any Contractor(regardless of tier)on self-performed would shall be a single markup percentage Trot-to-exceed 10%of the net direct cost of(] direct labor and allowable labor burden costs I1 applicable to the Request for Change or extra work,(2)the net cost of material and installed equipment incorporated into the Request for Change or extra work,and.(3)net rental cost of major equipment and related fuel costs necessary to complete the changes in the Work. The markup computed using the above fonnula covers applicable overhead costs directly attributable to the field overhead costs relaxed to processing and supervising the changes in the work,and also covers home office overhead costs and profit. 12.6.6 X" MUM MARKUP PERCENTAGE ALLOWABLE ON WORK PERFORMED BY SUBCONTRACTORS AND LOWER TIER CONTRACTORS.-With respect to pricing the portion of Request for Change proposals involving work performed by lower tier contractors,the maximum Markup Percentage Fee allowable to the Contractor supervising the lower tier Contractor's work shall not exceed five percent(5%)'of the net of all changes in the Work performed by all subcontractors combined for any particular Request for Change proposal. The markup computed using the above formula covers applicable overhead costs directly attributable to the field overhead costs related to processing and supervising the change order work,and also covers home office overhead costs and profit. 12.6.7 QTS COVERED BY MARKUP PERCENTAGE -As a further clarification,the agreed upon Markup Percentage Fee is intended to cover the Contractors profit and all overhead costs. Items intended to be covered by the Markup Percentage Fee include,but are not limited to:home and branch office expenses of any kind;project management(unless specifically pre-approved by Owner):general superintendent,general foreman;estimating,engineering;coordination; expediting;purchasing;detailing;legal,accounting.data processing including outside computer processing services;auto and umbrella insurance,pick-up truck costs,warranty expense and other administrative expenses. The cost for the use of small tools is also to be considered covered by the Markup Percentage Fee. Small tools shall be defined as tools and equipment(power or non- power)with an individual purchase cast of less than$500. 12.6.8 DEDUCT REQUESTS FOR CHANGE AND NET DEDUCT CHANGES-The application of the markup percentage referenced in the preceding sections12.6-5 ami 12.6.6 will apply to both additive and deductive Requests for Change. In the case of a deductive change order,the credit will be computed by applying the percentages as outlined in section 12.6.5 and 12.6.6 so that a deductive Request for Change would be computed in the same manner as an additive Request for Change. In those instances where a change involves both additive and deductive work,the additions and deductions will be netted and the markup percentage adjustments will be applied to the net amount. 12.6.9 CONTINGENCY-In no event will any lump sum or percentage amount for"contingency"be allowed to be added as a separate line item in change order estimates. Unknowns attributable to labor hours will be accounted for when estimating labor lours anticipated to perform the work. Unknowns attributable to material scrap and waste will be estimated as part of material costs. 12.7 UNIT PRICE REQUEST FOR CHANGE PROPOSALS.,As an alb to Lump Sum Change Order Proposals,the Owner or the Contractor acting with the approval of the Owner may choose the option to use Contract Unit Prices. Agreed upon Contract Unit Prices shall be the same for added quantities and deductive quantities. Unit prices are not required to be used for pricing change orders where other methods of pricing Request for Change work are more equitable. 12.7.1 The Contractor will submit,within three(3)calendar days after receipt of the Owner's request fur a Unit Price Proposal,a written Unit Price proposal itemizing the quantities of each item of work for which there is an applicable Contract Unit Price. The quantities must be itemized in relation to each specific contract drawing. 12.7.2 Contract Unit Prices will be applied to net differenovs of quantities of the same item. Such Contract Unit Prices will be considered to cover all direct and indirect costs of furnishing and installing the item including the subcontractor's Markup Percentage Fee. 12 12,8 TIME AND MATERIAL.REQUEST FOR CHANGE PROPOSALS-If time and material method of pricing is chosen for a Request for Change,material will be charged at cost plus a fixed percentage fee of 10%of the cost of material and the mutually agreed upon labor rates identified In Exhibit F shall be utilized. All overtime must be approved by the Owner in advance of performance or it will be disallowed and labor will be paid at the regular rate. 12.4 COST PLUS REQUEST FOR CHANGE PROPOSALS-As an alternative to either Lump Sum Request for Change Proposals,Unit Price Request for Change Proposals or Time and Material Request for Change Proposals,the Owner may elect to have any extra work performed on a cost plus markup percentage fee basis. Upon written notice to proceed,the Contractor shall perform such authorized extra work at astual cost of t-labor identified in Exhibit F(working foremen,journeymen,apprentices,helpers,etc.),assual eest of hdw actual cost of material used to perform the extra work,and actual cost of rental of major equipment(without any charge for administration,clerical expense,general supervision or superintendence of any nature whatsoever,including general foreseen,or the cost of rental of small tools or minor equipment) plus the approved markup percentage fee. The intent of this clause is to define allowable cost plus chargeable costs to be the same as those allowable when pricing Lump Sum Request for Change Proposals as outlined in Section 12.6 above. Owner and Contractor may agree in advance in writing on a maximum price for this work and Owner shall not be liable for any charge in excess of the maximum. Daily time sheets with the names of all Contractor's employees working on the project will be required to be submitted to the Owner for both labor and equipment by the Contractor for time periods during which extra work is pertormed on a cast plus fee basis. Daily time sheets will break down the paid hours worked by the Contractor's employees showing both base contract work as well as extra work performed by each employee. 12.10 RIGHT TO AUDIT- Owner shall be entitled to audit any Change Orders,and if any such audit discloses overpricing or overcharges(of any nature).Contractor shall reimburse Owner for any such overpricing and/or overcharges within a reasonable amount of time after presentation of Owner's findings to Contractor. Such audits shall be performed by an Owner's representative or an outside representative engaged by the Owner. The Owner or its designee may conduct such audits or inspections throughout the tern of this Contract and for a period of one(1)year after Final Payment. 12.11 Contractor agrees that it will incorporate the provisions of this Article into all agreements with lower tier contractors. It is understood that the Request for Change pricing provisions apply to all types of contracts and/or subcontracts,specifical ly including lump sum(or fixed price contracts), unit price contracts,and/or cost plus contracts with or without a guaranteed maximum. It is further understood that these Change Order provisions will apply to all methods of change order pricing specifically including lump sum Change Order proposals,unit price Change Order proposals,time and material Change Order proposals and cost plus Change Order proposals. ARTICLE 13: TIME 13.1 Time limits stated in the Contract Documents are of the essence of the Contract. By executing the Agreement the Contractor confirms that the Contract Time is a reasonable period for performing the Work. 13.2 The date of Substantial Completion is the date certified by the Owner in accordance with Subparagraph 14.3.2. 13.3 If the Contractor is delayed at any time in the commencement or progress ofthe Work by changes ordered in the Work,by labor disputes,fire,unusual belay in deliveries,abnormal adverse weather conditions not reasonably anticipatable,unavoidable casualties or any causes beyond the Contractor's control,or by other causes which the Owner determines may justify delay,then the Contract Time may be extended by Change Order for such reasonable time as the Owner may determine. Owner shall bear no costs associated with such delays. 13 ARTICLE 14: PAYMENTS AND COMPLETION 14.1 APPLICATIONS FOR PAYMENT 14.1.1 Payments shall be made as provided in Article 4 ofthis Agreement. Applications for Payment shall be made pursuant to AIA form 14.1.2 The Contractor warrants that title to all Work covered by an Application for Payment will pass to the Owner no later than the time of payment. The Contractor further warrants that upon submittal of an Application for Payment all Work which Certificates for Payment have been previously issued and payments received from the Owner shall,to the best of the Contractor's knowledge, information and belief,be free and clear of liens,claims,security interests or other encumbrances adverse to the Owner's interests. 14.1.3 The Owner will,within 14 days after receipt of the Contractor's Application for Payment,notify the Contractor if Owner intends to withhold payment together with the Owners reasons for withholding payment in whole or in part as provided in Subparagraph 14.1.4. 14.1.4 The Owner may withhold payment under an Application for Payment,in whole or in part, necessary to protect the Owner,to such extent as may be necessary in the Owner's reasonable opinion to protect the Owner from loss for which the Contractor is responsible,including loss resulting from acts and omissions described in Paragraph 8.2.2,because of: (1) defective Work not remedied: (2) third party claims filed or reasonable evidence indicating probable filing of such claims unless security acceptable to the Owner is provided by the Contractor, (3) failure of the Contractor to make payments properly to Subcontractors or for labor,materials or equipment, (4) reasonable evidence that the Work cannot be completed for the unpaid balance of the Contract Sum, (5) damage to the Owner or another contractor, (6) reasonable evidence that the Work will not be completed within the Contract Time and that the unpaid balance would not be adequate to cover actual or liquidated damages for the anticipated delay,or (7) persistent violations ofthe Contract Documents,including without limitation,persistent failure to carry out the Wont in accordance with the Contract Documents. 14.1.5 When the strove reasons for withholding payment are removed,payment will be made for amounts previously withheld. 14.2 PAYMENTS TO THE CONTRACTOR 14.2.1 The Contractor shall promptly pay each Subcontractor,upon receipt of payment from the Owner, out of the amount paid to the Contractor on account of such Subcontractor's portion of the Work, the amount to which said Subcontractor is entitled,reflecting percentages actually retained from payments to the Contractor on account of such Subcontractor's portion of the Work The Contractor stall,by appropriate agreement with each Subcontractor,require each Subcontractor to make payments to sub-subcontractors in a similar manner. 14 14.2.2 The Owner shall not have an obligation to pay or see to the payment of money to any Subcontractor,Sub-Subcontractor,or Suppliers. 143 SUBTANTIAL COMPLETION 143.1 "Substantial Completion"is the stage in the progress of the Work when the Work is sufficiently complete,as reasonably determined by Owner,so that the Owner can occupy or utilize the Work for its intended use. Notwithstanding anything to the contrary contained in this Contract,in no event shall the Work be deemed Substantially Complete unless and until Contractor obtains for Owner a final Certificate of Occupancy or equivalent authorization allowing Owner to open for business,provided however.the Work may be deemed Substantially Complete without a final Certificate of Occupancy(or equivalent)if Contractor's inability to obtain same is due solely to the action or inaction of Owner. 14.3.2 When the Owner determines that the Work is substantially complete in accordance herewith,the Owner shall establish the date of Substantial Completion. 14.3.3 The Work may be deemed Substantially Complete by Owner despite the fact that Owner has not yet compiled the Punchlist(as defined below). For purposes hereof,the"Punchlist"or"Punchlist items"shall be a list of items compiled by Owner after Substantial Completion,which list Identifies those deficiencies in the Work that do not materially interfere with Owner's ability to fixture and merchandise the Project or open and occupy the Project for business. 14.4 WARRANTIES Warranties required by the Contract Documents shall commence on(i)the date that the Owner opens for business,for Work completed as of the date Owner opens for business,or(ii)the date of completion of the particular Work covered by the warranty,for Work not completed as of the date Owner opens for business. 14.5 FINAL COMPLETION AND FINAL PAYMENT 14.5.1 When Owner in good faith determines that Work is ready for final inspection,Owner and Contractor will promptly make such inspection and,ifafter such inspection Owner finds the Work acceptable under the Contract Documents and further finds the Contract has been fully performed, Including without limitation completion of all Punchlist Items,then Owner shall advise Contractor that"Final Completion"has occurred,and Contractor may submit to owner the Application for Final Payment. 14.5.2 Final payment shall not become due until the Contractor has delivered to the Owner a complete release of all liens arising out of this Contract or a bond satisfactory to the Owner to indemnify,the Owner against such lien. If such lien remains unsatisfied after payments are made,the Contractor shall refund to the Owner all money that the Owner may be compelled to pay in discharging such lien,including mgcosts and reasonable attorneys' es. Notwithstanding anything to the contrary contained in the Contract Documents,final payment shall not become due until the Punchlist has been completed to Owner's satisfaction. 14.53 The making of final payment shall constitute a waiver of claims by the Owner except those arising from: (1) liens,claims,security interests or encumbrances arising out of the Contract and unsettled; (2) failure of the Work to comply with the requirements of the Contract Documents; (3) terms of special warranties required by the Contract Documents. (4) latent defects in connection with the Work. IS 14.5.4 Acceptance of final payment by the Contractor,a Subcontractor or material surlier shall constitute a waiver of claims by that payee except those previously made in writing and identified by that payee as unsettled at the time of final Application for Payment. 14.55 All audit exceptions,if any,will be deducted from final payment if not already accounted for. ARTICLE 15: PROTECTION OF PERSONS AND PROPERTY 15.1 The Contractor shall be responsible for initiating,maintaining and supervising all safety precautions and programs in connection with the performance of the Contract. The Contractor shall take reasonable precautions for safety of,and shall provide reasonable protection to prevent damage,injury or loss to: (1) employees on the Work and other persons who may be affected thereby; (2) the Work and materials and equipment to be incorporated therein;and (3) other property at the site or adjacent thereto. The Contractor shall give notices and comply with applicable laws,ordinances,rules,regulations and lawful orders of public authorities bearing on safety of persons and property and their protection from damage,injury or loss. The Contractor shall at Contractors own expense, promptly remedy damage and loss to property caused in whole or in part by the Contractor,a Subcontractor,a sub-subcontractor,or anyone directly or indirectly employed or contracted with or by any of them,or by anyone for whose acts they may be liable and for which the Contractor is responsible under this Section 15.1,except for damage or loss wholly attributable to acts or omissions of the Owner or Architect or by anyone for whose acts either of them may be liable,and not attributable in any way to the fault or negligence of the Contractor. The forgoing obligations of the Contractor are in addition to the Contractor's obligations under Paragraph 8.13. Owner shall not be responsible for implementing or administering any safety procedures contemplated by this Section 15.1. 15.2 EAZAR.DOUS MATERIALS 15.2.1 If reasonable precautions will be inadequate to prevent foreseeable bodily injury or death to persons resulting from a material or substance,including but not limited to asbestos,mercury,lead or polychlorinated biphenyl(PCB),encountered on the site by the Contractor,the Contractor shall, upon recognizing the condition,immediately stop Work in the affected area and report the condition to the Owner in writing. Any demolition shall be conducted in a manner to be directed by Owner. Owner shall have the right in any instance to have its own environmental consultant monitor such remedial Work on site. When the material or substance has been rendered harmless, as reasonably determined by Owner,Work in the affected area shall resume upon Owner's direction to Contractor to resurne Work In the affected area. If appropriate,the Contract Time shall be extended and the Contract Stun shall be increased in the amount of the Contractor's reasonable additional costs of shutdown,delay,and start-up,as agreed to by Owner,which adjustments shall be accomplished as provided in Article 12 of this Agreement. ARTICLE 16: INSURANCE 16.1 The Contractor shall purchase and maintain in a company or companies lawfully authorized to do business in the jurisdiction in which the Project is located such insurance coverages as are set forth on Addendum 1 hereto,including without limitation, insurance for protection from claims under workers'compensation acts and other employee benefit acts which are applicable,claims for damages because of bodily injury,including death,and claims for damages,other than to the Work itself,to property which may arise out of or result from the Contractor's operations under the Contract,whether such operations be by the Contractor or by a Subcontractor or anyone 16 directly or indirectly employed by any of them. All insurance shall be written for not less than the limits of liability specified in Addendum 1 hereto or required by law,whichever coverage is greater,and shall include contractual liability insurance applicable to the Contractor's obligations. All coverages required of the Contractor shall be primary to and non-contributory with respect to any other insurance or self-insurance program carried by Owner. Certificates of Insurance acceptable to the Owner shall be filed with the Owner prior to commencement of the Work. Each policy shall contain a provision that the policy will not be cancelled,will not have a material change made to the insurance currently in force,or be allowed to expire until at least 30 days' prior written notice has been given to the Owner. Owner shall be named as certificate holder and additional insured on the above policies,except for the workers'compensation policy. 16.2 INSURER QUALIFICATION—All insurance required to be carried by Contractor hereunder shall be provided through companies either(i)having a rating of A-/1X or better firma A.M.Best Co.,or(Ii)otherwise specifically approved by the Owner. 16.3 PROPERTY INSURANCE-Unless otherwise provided,the Owner shall purchase and maintain, in a company or companies lawfully authorized to do business in the jurisdiction in which the Project is located,property insurance for Builder's Risk on an"ail-rdslr policy form including flood.earthquake and wind storm,in the amount of the initial Contract Sum,plus the value of subsequent modifications and cost of materials supplied and installed by others,comprising total value for the entire Project at the site on a replacement cost basis without optional deductibles. Such property insurance shall be maintained,unless Owner,at its option,decides to self insure, until final payment has been made as provided in Section 14.5 above or until no person or entity other than the Owner has an insurable interest in the property required by this Section 16.3 to be covered,whichever is later. This insurance shall include interests of the Owner,the Contractor, Subcontractors and sub-subcontractors in the Project. 16.4 WAIVERS OF SUBROGATION—Contractor waives all rights against(1)each other and any of their subcontractors,sub-subcontractors,agents and employees,each of the other,and(2)the Architect,Architect's consultants,separate contractors described in Article 11,if any,and any of their subcontractors,sub-subcontractors,agents and employees for damages caused by fire or other causes of loss to the extent covered by property insurance obtained pursuant to Section 16.3 or other property insurance applicable to the Work,except such rights as they have to proceeds of such insurance held by the Owner as fiduciary. The Owner or Contractor,as appropriate,shall require ofthe Architect,Architect's consultants,separate contractors descried in Article 11,if any,and the subcontractors,sub subcontractors,agents and employees of any of them,by appropriate agreements,written where legally required for validity,similar waivers each in favor of other parties enumerated herein. The policies shall provide such waivers of subrogation by endorsement or otherwise. A waiver of subrogation shall be effective as to a person or entity even though that person or entity would otherwise have a duty of indemnification,contractual or otherwise,did not pay the insurable premium directly or indirectly,and whether or not the person or entity had an insurable interest in the property damaged If any of the loss is caused by gross negligence by any of die above parties,the party causing the loss shall be liable to reimburse the Owner and any other party suffering a loss for the loss they caused. 16.3 Notwithstanding anything to the contrary contained in this Article 16,Owner may,at its option, self-insure any or all of its obligations required under this Article 16. 16.6 NO REDUCTION OR LIMIT OF OBLIGATONS—By requiring insurance,the Owner does not represent that coverage and limits will necessarily be adequate to protect the Contractor. Insurance effected or procured by the Contractor will not reduce or limit the Contractor's contractual obligation to indemnify and defend the Owner for claims or suits that result from or are connected with the performance of this Contract. 16.7 DURATION OF COVERAGE—All required coverages will be maintained without interruption during the entire tern of this Contract,plus an additional two(2)years from final acceptance of the project by the Owner or the architect for products and completed operations coverage. 17 ARTICLE 17: CORRECTION OF WORK 17.1 The Contractor shall promptly correct Work rejected by the Owner or failing to conform to the requirements of the Contract Documents,whether discovered before or after Substantial Completion and whether or not fabricated,installed or completed. Costs of correcting such rejected Work,including additional testing and inspections and compensation for the Architect's and Owner's services and expenses made necessary thereby,shall be at the Contractor's expense. 17.2 in addition to the Contractor's obligations under Paragraph 8.4,if,within one year after the date of Final Completion of the Work or designated portion thereof or after the date for commencement of warranties established under Section 14A or by terms of an applicable special warranty required by the Contract Documents,any of the Work is found to be not in accordance with the requirements of the Contract Documents,the Contractor shall correct it promptly after receipt of written notice from the Owner to do so unless the Owner has previously given the Contractor a written acceptance of such condition. The Owner shall give such notice promptly after discovery of the condition. 17.3 if the Contractor fails to correct nonconforming Work within a reasonable time,the Owner may correct it in accordance with Paragraph 7.3 17A The one-year period for correction of Work shall be extended with respect to portions of Work first performed after Final Completion by the period of time between Final Completion and the actual performance of the Work. ARTICLE I8: MISCELLANEOUS PROVISIONS 1&I ASSIGNMENT OF CONTRACT Neither party to the Contract shall assign the Contract without written consent of the other. 18.2 GOVERNING LAW The Contractor shall be governed by the law of the place where the Project is located. Contractor certifies to Walgreen Co.("Walgreens")that Contractor is in fidl compliance with the immigration laws of the United States relating to the Contractor's employees assigned by Contractor to perform services for Walgreens. Contractor further certifies that all of Contractor's employees are authorized by law to work in the United States,and that Contractor's employees have presented documentation to Contractor that establishes both identity and work authorization in accordance with applicable immigration regulations. To the best of Contractor's knowledge, information and belief,Contractor certifies that the documentation presented to Contractor is genuine and accurate. Contractor fluther certifies drat Contractor complies with all federal,state, and local labor and employment laws,and wage and hour laws,as these laws may relate to Contractor's employees performing services for Walgreens. Contractor certifies to Walgreen Co.("Walgreens")that Contractor is a"Responsible Employer". A"Responsible Employer"is an employer who,for the purposes of the Employer's project, provides a legitimate health insurance plan for its employees and their families,provides workers' compensation insurance coverage for its employees(unless provided by the government),and does not misclassify its employees as"independent contractors." The Employer shall pay at least 75%of the premitmr costs of the health insurance plan it offers,and shall offer the insurance commencing on an employee's first day of employment on the project and continuing through the employee's last day of employment on the project. Contractor further certifies that all services provided by Contractor will be performed in a diligent and professional manner,in accordance with the highest applicable industry shuxiards by qualified workers experienced in performing the type of work specified; all services shall be performed 18 strictly in accordance with all applicable laws, statues, rules, regulations, and ordinances; and Contractor has and shall maintain all necessary permits and certification required by any governmental authority to perform such services. 18.3 TESTS AND INSPECTIONS Tests,inspections and approvals of portions of the Work required by the Contract Documents or by laws,ordinances,toles,regulations or orders of public authorities having jurisdiction shall be made at an appropriate time.Unless otherwise provided,the Contractor shall make arrangements for such tests,inspections and approvals with an independent testing laboratory or entity acceptable to the Owner,or with the appropriate public authority,and shall bear all related costs of tests,inspections and approvals. The Contractor shall give the Owner's Representative and Architect timely notice of when and when tests and inspections are to be made so that the Owner's Representative and Architect may be present for such procedures. The Owner shall bear costs of tests,inspections or approvals,which do not become requirements until after bids are received or negotiations concluded M COMMENCEMENT OF STATUTORY LIMITATION PERIOD As between Owner and Contractor,any applicable statute of limitations shall commence to tun and any alleged cause of action shall be deemed to have accrued not later than the date of Final Completion for acts or failures to act occurring prior to the relevant date of Final Completion. ARTICLE 19: TERMINATION OF CONTRACT 19.1 The Owner may terminate the contract if one or more of the following occur: (1) the Contractor refuses or fails to supply enough properly skilled workers or proper materials: (2) the Contractor fails to make payment to Subcontractors for materiab or labor in accordance with the respective agreements between the Contractor and the Subcontractors: (3) the Contractor disregards laws,ordinances,or rules,regulations or orders of a public authority having jurisdiction:or (4) the Contractor otherwise is guilty of breach of a provision of the Contract Documents. 19.2 When any of die above reasons exist,the Owner may,without prejudice to any other remedy the Owner may have and after giving the Contractor seven days'written notice,terminate the Contract and take possession of the site and of all materlals,equipment,tools,and construction equipment and machinery thereon owned by the Contractor and may finish the Work by whatever reasonable method the Owner may deem expedient. Upon request of the Contractor,the Owner shall furnish to the Contractor an accounting of the costs incurred by the Owner in finishing the Work. 19.3 When the Owner terminates the Contract for one of the reasons stated in Subparagraph 19.1,the Contractor shall not be entitled to receive further payment until the Work is finished. 19.4 If the unpaid balance of the Contract Stan exceeds costs of finishing to Work,including compensation for the Architect's services and expenses made necessary thereby,and other damages incurred by the Owner and not expressly waived,such excess shall be paid to the Contractor. if such costs and damages exceed the unpaid balance,the Contractor shall promptly pay the difference to the Owner. The forgoing payment obligations shall survive termination of the Contract. 19 This Agreement is entered into as of the day and year fhv written above. WALGREEN CO. Prodigy Contracting Group,Inc. Owner Contractorr USe C'x'��i•F►�, Signature• ,/� Signature&Title• By:Todd Collins.Senior Restional Constr.Mgt. Signature: By: Signature: t� V 20 Addendum I Insurance Rider—Required Coverages 1. Workers'Compensation:The contractor will maintain workers'compensation and employer's liability insurance. Required Terms and . NCCI Workers Compensation and Employer's Conditions: Liability Insurance Policy form Minhnum Required . Workers'Compensation—Statutory Limits Limits • Employers Liability - $1,000,000 Each Accident for Bodily Injury by Accident - $1,000,000 Each Employee for Bodily Injury by Disease - $1,000,000 Aggregate Policy Limit for Bodily Injury by Disease 2. Commercial General Liability: The contractor will maintain Commercial General Liability insurance covering all operations by or on behalf of the contractor on an occurrence basis against claims for bodily injury, property damage(including the loss of use thereof), personal injury,and advertising injury. Such insurance will have these minimum limits,terms and conditions. Required Terns and a ISO Commercial Liability Policy(Occurrence Conditions: Form) Products and Completed Operations coverage maintained for at least two(2)years after contract completion. • Blanket Contractual Liability(included in ISO form) • Separation of Insureds(Included in ISO form) • Underground Explosion and Collapse coverage (included in 1993 ISO form) Incidental Medical Malpractice(included in ISO form) 0 Walgreen Co. Included as Additional Insured • Waiver of Subrogation in favor of Walgreen Co. Minimum Required . $2,000,000 General Aggregate Per Project Limits . $2,000,000 Products and Completed Operations Aggregate • $1,000,000 Each Occurrence for Bodily Injury/Property Damage a $1,000,000 Each Person/Organization for Personal Injury and Advertising injury (Limits may be a combination of Primary and Umbrella policies. 21 3. Automobile Liability: The contractor will maintain Business Auto Liability covering liability arising out of any auto(including owned,non-owned and hired autos). Required Terns and . ISO Business Auto Policy on Equivalent Waiver Conditions: of Subrogation in favor of Walgreen Co. Minknum Required . $1,000,000 Combined Single Limit Each Limits Accident (Limit may be a combination of Primary and Umbrella policies) 4. UmbrelialExcess Liability: The contractor will maintain Umbrella/Excess Liability insurance on an occurrence bash In excess of the underlying insurance described above. it shall be at least as broad as each of the underlying policies. The amounts of insurance required above may be satisfied by contractor purchasing coverage for the limits specified,or by any combination of underlying and umbrella limits, so long as the total amount of insurance is not less than the limits specified in each section above when added to the limit specified In this section. Required Terms and . Occurrence Basis Conditions: • Concurrency of effective dates with primary °Pay on Behalf wording • Broad as Primary Additional Insured • Broad as Primary Contractual Liability • Broad as Primary Broad Form Property Damage Punitive Damages Coverage(where not prohibited by law) Minimum Required . $1,000,000(Contracts less than$5,000,000) Limits • $5,000,000(Contracts between$5,000,000 and $20,000,000) • $10,000,000(Contracts between$20,000,000 and $50,000,000) • $20,000,000(Contracts over$50,000,000) 22 Exhibit"A" Scope of Work t The Contractor agrees to complete the following work("Work")described in the Contract Documents. Provide all labor,materials and equipment to renovate an operating Walgreens Store to incorporate a new Private Heakh Room. Scope of work includes, but is not limited to, drywall, framing, electrical, HVAC, acoustical ceiling tile, vinyl floor tile (installation), vinyl wall base, paint, fixture installation, vinyl wall covering(installation), etc. Contractor is responsible for supplying full-time onsite supervision, Project Management,office expenses,travel expenses,overhead and profit. See Exhibit A for a Responsibility Matrix. GENERAL_RBOUIREMENTS • All specifications included in the Construction Documents shall be included as part of your price. • Permit fee shall not be included. If the contractor becomes responsible for acquiring the permit,then the Owner will reimburse contractor for cost without mark-up. • Trade permits will be the responsibility of the subcontractors. • Material testing by Owner. • Contractor shall include monthly utility fees(water,gas and electric)as part of their proposal. 23 Exhibit KB" Project Schedule e u ; wof a eek a L . A tom A Norma Tues X -5 GC Pod Delive Thies X -3 Implementation Expense Delivery E Thurs X 1 -31 GC Dumpster Delivery Vo Thurs X -31 GC Unlock Pod to accept deliveries unloads others Fri X -2 Implementation Remendiandise d Mon X 1 Implementation Remerchandise If needed Mon X 1 GC Remove sheMng units inside PharmKV Mon X 1 GC Cut down Phammy work counter and fast racks as tiredad ustinserts. Mon X i GC Reduce Pharm tonus where Impacted Non X 1 GC Eliminate and reset Pharmacy bottle bay shelving as required by layout. Non X 1 GC Eliminate section of Pharmacy wall shelving Non X 1 GC Eliminate section of wall shelving in sales area Non X 1 GC Hana vi ween barrier to sales floor side and pharmKV side Tues X 2 GC Bldg inspections as Needed Tues X 2 GC Install new wall framing Tues X 2 GC install new door/frame without sidelight P Side Tues X 2 GC Install Drywall panels Pharmacy Side Tues X 2 GC Patch&repairpharmfty flooring to match existing Tues X 2 GC Patch and paintwallswithin Pharmacy Tues X 2 GC Demo dooropeningforsalesside Wed X 3 GC Bldg Inspections as Needed Wed X 3 GC Paint walls in Pharmaq Wed X 3 GC Complete Partition Wali to roof deck on PhappW Side Wed X 3 GC Frame door opening and c1rywWI 3 Vikd X 3 GC Install new door Wed X 3 GC Perform Electrical rot ns Wed X 3 GC Rework lightill and nr lace cellft file Thurs X 4 GC Bldg Inspections as Needed Thurs X 4 GC Patch and Paint Thurs X 4 GC Replaceexistsrig wall conting outside of PHR Thurs X 4 GC Add new wall covering where wall sheivigg is removed Thurs X 4 GC Install new wall covering on PHR walls Thurs X 4 GC Provide new electrical and data ports Thurs X 4 GC Provide new TdlqW locks on both doors Thurs X 4 GC Install new millwork Fri X 5 GC Terminate Data Port(s) Fri X 5 GC Install Chairs and table Fri X 5 GC PHR Final Inspections Fri X 5 GC Install PHR&RX Brandin Fri X 5 GC Perform Final Cleanup 24 Exhibit"C" Drawling Index GENERAL 1 G-010 Title Sheet 1 G-020 Abbreviations,Graphic Symbols&Life Safety Plan 1 G-030 General Notes FIXTURE PLAN 1 D111 Fixture Floor Plan(Existing)—By Others—For Reference Only 1 D-111 Fixture Floor Plan(Proposed)—By Others—For Reference Only ARCHITECIURAL 1 4-101 Overall Floor Plan 1 A-111 Enlarged Existing&Demolition Plans 1 A-112 Enlarged Construction Plan 1 A-121 Enlarged RCP&Finish Plan 1 A-420 Standard Details 1 1.211 Interior Elevations MECHANICAL 1 M-111 Mechanical Floor Plan&Notes ELECTRICAL ➢ E-111 Electrical Floor Plan&Notes 25 Exhibit"C" Drawing Index i G-010 Title Sheet 1 G-020 Abbreviations,Graphic Symbols&Egress Diagram 1 G-030 General Notes FIXTURE PLAN 1 D-111 Fixture Floor Plan(Existing)-By Others—For Reference Only i D-111 Fixture Floor Plan(Proposed)-By Others—For Reference Only ARCHIT QaM&_L 1 A-101 Overall Floor Plan 1 t%-1 I 1 Enlarged Demo&Construction Plans I A-121 Enlarged RCP&Finish Plans 1 A420 Standard Mails I 1211 Interior Elevations MECHANICAL I m-111 Mechanical Floor Plan&Notes ELECTRICAL I 1�-111 Electrical Floor Plan &Notes 26 Exhibit"C" Drawing Lidex GENERAL ! G-010 Title Sheet ! G-020 Abbreviations,Graphic Symbols&Egress Diagram 1 G-030 General Notes FIXTURE PLAN ! D111 Fixture Floor Plan(Existing)—By Others—For Reference Only 1 D-111 Fixture Floor Plan(Proposed)—By Others—For Reference Only ARCHITECTURAL k-101 Overall Floor Plan 1 A-111 Enlarged Demo&Construction Plans 1 A-121 Enlarged RCP&Finish Plans ! A-420 Standard Details ! 1.211 Interior Elevations MECHANICAL ! NI-111 Mechanical Floor Plan&Notes ELECTRICAL 1 E -111 Electrical Floor Plan&Notes 27 Exhibit KD" General Conditions&Overhead Details General Conditions-Job specMc cost Unit $/Unit Total Coo,$ Qual!pf Control 15 $ 25.00 375.00 Safety ram Lot 1 $ 100.w $ 100.00 Travel Fjwnses(Monft vehicle as mile e ! i per 1 $ 650.00 $ 650.00 Clean-up labor Adan Hours 5 200.00 1000.00 Pt�r►es $ - Plans&Pri $ - Tele Internet Melon $ - Computer/printer $ - Other Overhead $ - Patente 1 $ - Home Office Utilities 1 1 $ 300.00 300.00 Total $1 7SM $ 2,425.00 Reid Sw Islon Klan Hrs. $/Hr. Total Cost,$ Superintendent salary 50 $ 25.E $ 1,250.00 Asst.Superintendent $ - Total $ 1 m Contractor's supervisog and Administrative Personnel Man Hrs. $ Hr. Total Cod $ Project Manager 10 $ 50.00 $ 500.00 Prop ect Engineer $ - Estimati 10 $ 20.001 $ 200.00 Adrrinistration 1 10 is 15.001s 150.00 Total $ mm General Co ntrador No(Overhead&PLcM 10.55% General Liability Inwrance of contract value I I 2.00%i 28 Exhibit KE" Cost Breakdown 29 Exhibit"F" Labor Rates for Change Orders Straight Time Premium lime Double Time Trade Journeyman Foreman AnneyMan Foreman Journeyman Foreman Laborer $ 25.00 $ 30.00 $ A00 $ 45.00 Der w $ 30.00 $ 35.E 45.E $ 5252 Ca 50.00 $ 35.00 $ 75.00 $ 52.50 Concrete $ 50.00 $ 55.00 $ 75.00 $ 82.50 Glazier 40.00 $ 50.00 $ 60.00 S 75.00 Painter S 40.00 45.00 $ 60.00 $ 6250 R $ 30.00 $ 40.00 45.00 $ 60.00 TIle Setter CT $ 30.00 $ 35.00 $ 45.00 $ n Electrician $ 50.00 $ 55.00 S 75.00 $ Sheetn etal $ 45.00 S 55.00 $ 6750 $ Pi $ 45.00 55.E 6750 $Ply mber $ 50.00 75.00 $ 75.00 $ 30 Exhibit"Gr— Request for Change Form Form RFC 138-AO REQUEST FOR CHANGE ORDER{RFC) This form only applicable for projects with contracts direcfy between Owner and Contractor. Date: RPC Number. From: Store Number: Address: To: WAFCM Field Fmµx-t %imo et City,State this Pquest fur Chdnge order tRP(')utrtttahm d ototalioa for u change in the contract nun.or the contract time in rcvomse to proposed rnndificatka%to ton:cantr.+a do ur:tcnti. Description of Change: Attach supporting information and breakdowns from---Sub eontmetor fl Supplier C Reason fur Change: Proposed change order method 11 Lamp Suet L 1 Time and Material C Plot to Exceed Does proposed change involve a ehaoue in eotstraet time(t Yes :!vo (iaerease)(decrease) amt. Does proposed change involve a change in controet sum?a Yes . No (increase)(decrease)amt. Contractors should email all Requests for-Mange Order to Walgreen s Field Project Manager. Not valid until signed by(mier. Work completed without prior written authorization by Owner is at Contractor's own risk. OWNLR APPROVALS J Approved t' Approval .J Approved s I t Denied C Denied = Denied I Approved sa Noted J Approved as Noted I Approved as Notal Field Project Manager(fret Senior Regkv tn:Construction Manager Sidding and Contracting Project wlanager Vatnc) (print Nacre) rPrint Name) Signatu-e 'w 5i�riaturc Signature i Date —! Date!^ _ Date Contractor%halt bubmit AIA Change Ordiz I orm Al A 0701 with their pay application and inchtde applicable, approved Requests for Change Orden w-*th the Change Older Form. 31 } REQUEST FOR OIANU OROER(RFC)LOS / Cft Rk er,v..ffRarat"d om"tra a aaua�w�f revf�t�-s OtIRtMetofewct motofraflsf►CswloarstaooR 34 :} Cdt.ft..ors 00 offtnwOmu eal.%- otmn NtwtOMdttAmaMft: ftK%km i.rvw Sb ; wt PIAM',@fwfe,'ntat•o dourtas tciut rf - ._ ._ _ .._.. Ka9►+eat�an Ht Su .•rp@.•,.b.«A!u •r:JWw tatWtC@r iKttwtl .A.!•0•.a.,a::.f '•.r 'f. s.. ii w w"P frovfuwa @epa�u r tr anto• ,awae. C N „1ir rte► i E i ' A � r h FOR USE BY OWNER ! tIH'iTNKltf.'$1FS1• t)Ri..+Rt-CC7a1'RtlCeR�i mR.�R..CriMtRLCYR�V !��rerr".r►el Exhibit"r-- Change Order Form OWNER Change CONTMCTOR Order FIEW AIA DovamenO G'701 OTHER _ ChwiW—order no. ------•—- -- _ II l (ttame,address) i tate _ TO COWACTOR: r Conttac:Date (name,address) Contract For• _ The ronmi is changed ab.fvllvv%v Not valid until signed by the Owner,and Contnictor. 1'hc ongmal iContract SumMOnarantred Max imurr Pricr.)as .. - ...... . . . .. ...._. .... ...... S Net change by prcviousl)authorized C-hunge Or&r. ........ ...... .... S The(Contract Sum)(Guaranteed%taxiumtn Price:prior to this ChwW Ordct was...................... $ The(Contract Sum)(Guaranteed Maxinuan Pri-x,l win be(increased)fdwrcawd)(unchanged)by thisChange Order in the amount of................... . . ............................................I..........I S The new(Contract SumXGuatantecd Maximum Price)including this Change Order wil.be......... $ '1'hc new Contract Timc will be(increased)(dmmased)by ()days 'rho date of Substawirl Cwupletion as of the date o2 this Change Order m..................................... Note:: 11d,%summary does not rellect changos in i!te Contraci Sunt,Contract f late or(guaranteed Maximum Price which have leen authorizW by Construction Change Directive. CON'MACTOR VP R ADDRESS µ ADDRlM _ BY DAIE 33 i 1 i n4m[Sdi,[ }?em Ode StoreG Wa4l Start(El! End(E)p Consult Room Format(A) v Stj%j City Address GC Company; F.1 cowuact Pnm, MMA WE IC777M 1=77 IT-M W7M MM 1=77 . t':,L' m�C? D _ ! w7m�ffr=m IMF WIMMI=, DDS '�i'� m 7 %n 1�I5 Miami Shores Village -D 6'1 Building Department MAY OIB 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 110 BUILDING Master Permit No. LC IS— IC)ct PERMIT APPLICATION Sub Permit No. OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9020 Biscayne Blvd City Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-3206-011-0120 Is the Building Historically Designated:Yes NO X_ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Wal Miami LLC Phone#:212-490-0050 Address:275 Madison Ave 30th FI City. New York State: NY Zip: 10016 Tenant/Lessee Name. Walgreens Phone#:305-759-4670 Email: i forcrash@aol com; eforgash@yahon rnm CONTRACTOR:Company Name: Phone#: Address: City: State Zip: Qualifier Name: r State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Gensler Architecture, Design & Planning, P.C. Phone#: 312-456-0123 Address:11 E Madison St Ste 300 City: Chicago State: IL Zip: 60602 Value of Work for this Permit:$15,000 Square/Linear Footage of Work: Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: Interior renovation to an existing Walgreens Specify color of color thru tile: Submittal Fee$ ®• Permit Fee$ CCF$ CO/CC$ Scanning Fee$ ( Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. WAL M MI LLC /F0JtqS0N WALCENTER LLC Signature 'Q Signature FV OWNEK or AGENT" CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1 5th day of March ,20 1 5 ,by day of .20 ,by JACH FORGASH ,who is personally known to who is personally known to me or who has produced as me or who has produced as Identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign:— BERG Sign: OF NEW YORK Print: Print: Seal: QUALIFIED IN NASSAU COUNTY Seal: COMMISSION EXPIRES APRIL 30, 20f APPROVED BY Plans Examiner ' Zoning Structural Review Clerk (Rev1sed02/24/2014)