Matters ▸ Attachment
MX-4071_20200417_113751 — File 210270
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APPLICATION AND CERTIFICATION FOR PAYMENT
TO OWNER:
PROJECT: Somerville- Street Lighting
City Of Somerville
,....'\-__ L: M;;:a;,JI,n ~tent'l.i'fce
Somerville City Hall
f!JLJ ~yffi-.P~
93 Highland Ave, Somervll!e MA 02143
FROM GENERAL CONTRACTOR: .!JA/G rlf./,8/ 0 l/5'-1<f
Dagle Electrical Construction, Corp. 0[), l ;)T
/
/ ~
68 Industrial Way
iiHJI 'J(, JP;f
Jo,). • D
·
Wilmington MA, 01887
I
DEC JOB NO.: 180260
~ 9 A//' ;:;,stJ
CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for payment, as shown below, in connection with the Contract.
Continuation Sheet, AlA Document G703, is attached.
1. ORIGINAL CONTRACT SUM
2. Net change by Change Orders
2b. Contract Overruns/Undemms
3. CONTRACT SUM TO DATE (Line 1 ± 2)
4. TOTAL COMPLETED & STORED TO
DATE
(Column G on G703)
5. RETAINAGE:
a.~%
of Completed Work
(Column D +Eon G703)
6. TOTAL EARNED LESS RETAINAGE
(Line 4less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR
PAYMENT {Line 6 from prior Certificate)
8. CURRENTPAYMENTDUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
$0.00
CHANGE ORDER SUMMARY
I
ADDITIONS
Total changes approved
I
in previous months bv Owner
I
T ota! approved this MOnth
I
TOTALS
i
$0.00
'
NET CHA.'IGES by Change Order I
$0.00
AJA DOCUMENT G70:2 •A?~'il?N AND CERTIFICATION FOR PAYMe.'T • l55ZEOITION •AlA --:-(5"{992
$77,869.92
$0.00
$0.00
$77,869.92
$170,167.44
$170,167.44
$138,875.94
$31,291.50
-$92,297.52
DEDUCTIONS
$0.00
AlA DOCUMENT G702
APPLICATION NO: 19
APPLICATION DATE: 12111/2019
Distribution to:
c:::x-JoWNER
c==JARCHITECT
~GENERAL
CONTRACTOR
PERIOD TO: 8/1/2019
PROJECT NO.: 19-04
CONTRACT DATE:
PROJECT MANAGER: Michael Hall
The undersigned Contractor certifies that to the best of the Contractor's knowledge,
information and belief the Work covered by this Application for Payment has been
completed in accordance with the Contract Documents, that a!t amounts have been paid by
the Contractor fD> Work for 'Which previous Certificates for Payment were issued and
payments received from the Owner, and that current payment shOV;II'l herein is now due.
CONTRACTOR:
l3}c
Date: ---------
State ot
Massachusetts
County ot
Middlesex
Subscribed and sworn to before me this
day of ------- 20 __
Notary Public:
My Commission expires:
ARCHITECrS CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on 011-site observations and the data
comprising the application, the Architect certifies to the Owner that to the best of the
Architect's knowledge, information and befrefthe Work has progressed as indicated,
the quality of the Wori; is in accordance with the Contract Documents, and the Contractor
is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED .•••••.•••••.•• -•• S
(Attach explanation if amount cerlified differs trom the amount applied. fnftial all figures on this
Application and on the Continuation Sheet that are changed to confOrm Ydth the amount certified.)
ARCHITECT:~"
\
By;
Daleo -c-c:-::..,.------
This Cer"..Jflcate is n~tnegotiabla The AMOUNT--~160~ payable-On.ty to fue
Contractor named herein~ Issuance-. payroect .:ind acceptance Of payment are wMout
prejudice to any rights of the Owner or Contractor under this Contract.
THEAMERICANINSTlTUTEOI'ARCHf"TECTS. 1735 NEW YORK AVE., N.W., W~;-6C~
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Fe ITT?
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11 $ 4 "?t
s;a;:,.:.
-
CONTINUATION SHEET
AlA DOCUMENT DAGLE ELECTRICAL
AlA DoeumentG7oi,-Af>PDcATJONANO CERTifiCATION FOR PAYMENT, containing
SomerviHe- Street Ughlir.g Maintenance
APPUCAT!Ot-ll-.fo:
Contrac!ar's signed ~
is att:ae"led.
AP?UCATION DATE:
Jn tabEJ!ations below. amounts are stated to the rteerest doll<lr,
PERIOD TO:
Use Column I on Co<Jtrac1s where variable re!ainage for rme items may apply.
ARCHITECT'S PROJECT NO;
.,,..
A
'
I
Q
0
E
'
G
H
'
'
'
L
'
M
I
!"'" I
OESCRI;>TIQN OF WORK
I
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"'"
UNJT?RJCE
SCHEDULED I
COMPLETED THIS PERIOD
COMPlETED~l.lSI..Y
C0Mt>!..ETE'D'TODATE ' ""-"""
NO.
VALUE I
oo
AMOVNT
""
AMOUNT
oo
AA/~
TCFlNlSK
i
I
A1
Monthly MaiOO!nance. Year 1 9/1/2018-8/31/2019
12
M"
1.18:1...92
$15,383.04!
2.00
$2,563,84
12.00
$15,383.04
14.00
S17,946.88 !
($2,58'3.84)
Al
I Monthly Malntenpnce Year 2 9/1/2019-S/31/2020
i
1.2 I Mn
881.32 I
S10.575.84J
D.O'J
$0.00 1
"~00. ~ 3.00
$2.643.96 I
$7,931.88
A1
j Monthly Maintenance Year 3 S/l/202Q-8/31/2021
121
Mn
1,28L92
$15,383.041
0.00!
so.oo I
o.oo I
$0.00
0.00
so.oo
$15,383.04
Sl l Journeyman Electrician/Uneman
100 I
HR
:!28.00
$12,800.00.!
ss.oo 1 $11,008.00!
445.50
S57,024.oo I
531.50
$68,032.00
($55,232....00}
B2
I Apprentice Electrician/lineman
I
50!
HR I
50.00
$2,500.00
'\6.00 J
$800.00 !
1a.oo I
5800.00
$2..00
$1,600.00 l
ssoo.oo r
83
! laborer
I
so
HR I
so.oo I
$4,000.00j
IS.COJ
s1.zso.co 1
0.00
so.oo
16.00
$1,280.00
$2.720.00
B4
1 35-40 ft Bucket Truck
I
2J)
HR !
45.00
$900.001
66.00 l
S2,97o.oo 1 437.50
$19,687.50
sro.so i
$22.657.50 I {521.757.50)
BS
l DumpTruck
I
zo I HR I
90.00
$1,800.00j
l6,00
$1,440.00 !
0.00
$0.00
16.00
s<,44{J.oo I
S3SO.OO I
B6 i Ctar~e (5~10 Ton)
10 I HR
10.0~ I
$100_00
0.00!
$0.00
0.00
so.oo I
0.00!
$0.00
5100.00 I
B7
! ?ole Truck with Pole Auger
10'
HR
120.00 !
$1,200.00!
24.00
$2.880.00
16.00
$1,920.00
40.00
$4,800.00
($3,600.00)
B8 f Prices serow_are lns_ta:ll_ec! Pric~
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j 3 Foot Mast Ann W /Hardware W /0 Fixture
I
5
EA
25.00
$125.00
0.00
$0.00
0.00
$0.00
QO()
$0.00
$125.00 f
BlO
4 Foot Mast Arm W/Hardware W/0 Fixture
I
5
EA
30.oo I
$150.001
o.oo I
$0.00-
0.00
$0.001
0..00!
$0.00 j
S15o.oo 1
Bll
6 Foot Mart Arm W /Hardware W /0 Fixture
I
5
EA
300.00 I
$_1.51JO.OOj
0.00 1
$0.00
a.o_o
$1,800,00 I'
6.00
$1.600.00
(S300,GO)
Bll
I 8 Foot Mast Arm 1N /Hardware W /0 Fixture
I
sj
EA
50.001
$250.001
o.oc!
$0.00
0.00
sn.oc I
0.00
$0.00
$250_00
,13
10 E=ootM<!stArm W/HardwueW/0 Fbcture
5
EA
60.00 j
SSOO.OOi
0.00'
·~00
1.oo I
$80.00
1.00
S60.00
$240.00 l
B14
I U Foot Mast Arm W/HardwareW/0 Fixture
I
51
EA
6o.oo I
$300.00
0.00
so.oo
0.00
so.oo I
0.00
$0.00
$300.00
B15
llnstaii30ft base mountConcrete"palew/6ftarm and 150w tED
!
5
EA
400.oo I
$2,000.01)1
o.oo I
$0..00.
0.00 I
so;oo J
o.oo
$0.00
$2,000.00
B16 i Transfer Exi5ting Mast Arm W'rt:h Fixture From Old-Pole to New.
I
5
EA I
S?s.oo I
$2.875.00
1.00
$575.00
46.oo f
$26,450.00 1
47,00:
$27,025.00
($24.150,.00}
I
Remove Broken Non-utlility Wooden Pcle and instal! ne•; 35ft
I
sl
S1,ooo,ool
0.00 1
$0.00 1
._,o 1
I
B17
I
EA
200.00
0.00
so.oo
$0,00
$1,000.00
wooden pole with 6ft bracket and SOw tED equivalent fiXtUre
I
I
618
standard MarkUp on Materials (20 Percent)
i 15,000
AL
L20
$3,000.001
5,261.55
$6,337,% 9,ns.ss r $1,,07U,B4 1 1s.oo1.a8
$1$,008.50
($15,00&.50}1
i
819
Regular Rate +Overtime Rate
I
9
HR
m.ro 1
$1,728.00\
0.00
$0.00
QOO I
sa.oo _\.
o.oo I
$0.00
$1,72S.OO j
I Police Detail
'
AL I
1.001
:OO.OOf
1,436..80 l
$1,436.SO f1,43S.80
$1',436.80 1 2,873.60
$2,673.60 I
(S2,873.SO)!
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I
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I
$77,86B.921
I
$170,167.441
($92,297.52},
CONTRACT TOTALS
I
531,291,50
$136,875.94
"IH!;/'-I~S';IC>n IllS= OF~.
f?:lSNEW':'Oi<KAVENIJE./i.W.tJ~I:«l-TON.O.C.ZI)!l~
19
"11-Dec-19
1-Aug-19
N
~ETAINAGE
{IF VARIABLE
""~
$0.00
$0.00
$0.00
so.oo
$0.00
$0.00
$0.00
$0.00
$0.00
SO.OO
$0.00
$0.00
so.oo
$0.00
$0.00
SO.OO
$0.00
$0,00
$0.00
so.oo
so.oo
$0.00
:00.00
.c.=-<-.,.,,~.;,.,;; 1 ........ ~"'"""""" 77T777T aiii!;
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CONTINUATION SHEET
AlA DOCUMENT DAGLE ELECTRICAL
AlA Dot:!.lmentG702, APPLICA110N AND CERT!FICATtON FOR Fwft,ie.tr;-CO!itainlng
Contractor's signed certification is attached.
Somervm .... Street Ughting M<!iotefl<!flce _
APPUCATfbNNO:
APPUCATION DATE:
In tabulations below, amounts are stated to- the nearest do~ar.
PERIOD TO:
t.l$e Column l en Contracts where variable rehll.-.age for line items may apply.
ARCHITECT'S PROJECT NO:
'"""
A
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D
E
'
G
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K
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'""'
D6SCFUPTION OF WORK
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QTY
"""
"'"P~CE I
SCHS:l\JLEO
COM!"~ THIS PERIOD
I COMI"LETEOPREIIlOUSlY
crn.?..Eii::OTOc.=m;:
""-'NCE I
NO.
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VALUE I •
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AMOUNT
•
AMOL'NT
TO FINISH
CHANGE ORDERS
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1
$0.00!
St\.00 t
I
$0.00 I
0.00
so.oo
$0.00
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CHANGE ORDER TOTALS
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$0.00i
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so.oo,
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$0001
$0001
so.oo I
GRAND TOTALS
I
$77,869.921
I
$31,291.50
$170,167.44
{S92.297.52}
I 5138,875.94
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UNAPPROVED CHANGE ORDER TOTALS
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11-Dec-19
1-P..ug-19
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RETAINAGE
(IF VARIABLE
RA""
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$0.00
---- """~
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S56173C~:'; ,-
APf'UCATlON AND CERTIACATION FOR PAYMENT
TO OWNER:
Crty Of Somer.·me
Somerville City Hail
93 Highland Ave. Somerville MA 02143
FROM GENERAL CONTRACTOR:
Dagle Electrical Construction, Corp.
68 Industrial Way
Wilmington MA. 01887
A
8
ITEM
DESCRIPTION OF WORK
NO.
31
Journeyman Eeeflician/Uneman
B2
Apprentf~ Electridan/Uneman
83
1Laborer
B4
35-40 ft Bucket Truck
85
Dump Truck
..
Crane (5-10 Ton)
87
Pole Truck with Pole Auger
B8
Pr'i¢es B_elow_ar~ ~tailed P~
..
3 Foot Mast Arm W/Hardware W!O FIXture
810 f4 Foot Mast Arm WJHardware W/0 FIXtUre
811
6 Foot Mast Arm WJH.ardware W!O FIXtUre
812
8 Foot Mast .Arm WIHart!wareW!O Fvcture
Bt3
1G Foot Mast Arm W/Hardware WIG Fixture
614
12 Foot Mas! Arm w /Hardware W/0 FiXtUre
915
Instal! 30ft b-ase mount concrete pole w/6ft arm and 150w LED
816
Transfer Existing Mast Arm Wrth Fixture From Old Pole to New.
817
Remove Broken Non-u1li!ity Wooden Pole and install new 35ft
wooden pc!e with 6ft bracket and sew !..ED equivalent fixture
818
Standard MarKup on Materials {20 Percent}
816
Materia! Des~lip..'ion
819
Regular Rate+ Qvertlme Rate
PD
Police OetaH
Sheer#
Sheet#
375i0
31$418
IY.rt~
Da!e:
311/19
3/S/19
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Shea#
Sheet # I Sheet#
Sheet#
Sl=<#
36001
36oos I 36009
36010
36011
Date:
Date: i Date;
Date:
"'"'
3114/19
3114/19
3/14119
3/14119
3/14!19
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4.00
2..00
2.00
LOOj
300
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4.00 J
2.00
1.00 i
2.oo 1
t.oo I
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1
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1,00
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U9.19f
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1 _
Sbeet#
Shea;
Sheer: # I Sheer#
3<00
36045
36054 I 36055
Date;
Date:
Date:
Date:
3112/19
3/22/19
3/29/19
3/29/19
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l4.oo 1
LOO I
1,00
I
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200
14.oo 1
200f
1.00
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12,98
6.991
2,00
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APPLICATION AND CERTIFICATION FOR PAYMENT
TO OWNER:
City Of Somerville
Somervllle City Hall
93 Highland Ave, Somerville tM 02143
FROM GENER.A.L CONTRACTOR:
Dagle Electrical Construction, Corp.
68 lndustrial Way
Wilmington MA 01887
A
3
ITEM
DESCRIPTION OF WORK
NO.
81
Journeyman Electricial'l/Uneman
B2
Apprentice Electrician!Uneman
B3
Labo~
B4
36-40 ft Bucket Truck
85
Dump Truck
86
Crane{5-10Ton)
87
Pole Truck with Pole Auger
88
Prices Be1o_w ~reI~ !led Prices
89
3 Foot Mast Arm W JHardware W/0 Fbdure
810
4 Foot Mast .Ann W/Har<:lwars W/0 Fixture
811
6 Foot Mast Arm WIHardware W/0 Fixture
6~2 ls Foot Mast Arm W/Harrlware W/0 FIXtt.lre
813
10 Foot Mast Arm W/Hardware W/0 Fixture
814
12 Foot Mast Arm W/Hardware WiO FOO:Ure
815
lnstaU 30ft base mount concrete pole w!Sft arm and 150w LED
81£
ransfer Existing Mas! Arm Wllh FIXture From Old Pole to New.
Remove Broken Non-ut!ffity Wooden Pole and install new 35ft
817
wooden pole with 6ft bracket and 50w LED equivalent fi>;ture
6~8
Standard Markup on Materials {20 Percent}
818
Material Description
819
Regular Rate ... Overtime Ra.te
PO
Pol!ce Detail
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Si!eet# I
Sheet#
Sheer#
Pol.iceDet
36056
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3Q957
36<)58
Iuv-37564
Dau::
In~
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Date:
3/29/19
3/29/19
3129/19
3122/19
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0.50 l
!,00!
3.501
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1,00!
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3,00
15,98
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420,00 !
PoliceDct
Police De!
Shoo<#
Sheet#
Sheet#
Sheet#
Inv.37026
Inv.ll562
44416 ·-
44803
44812
_,
Date:
D•tc
D=o -
Date:
lll0/19
ll/29/18
5!10119
5/17/19
5/24/19
5130+5131
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8.00
8.00
8.oo I
1200
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&00
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8.00
l2_00
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71.94
10K73
84.15
269,15
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404.80 1
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APPLICATION AND CERTIFJCAT!ON FOR PAYMENT
TO OWNER:
City Of Somerville
Somer-1ille City Hall
93 Highland Ave, Somerville MA 02143
FROM GENERAL CONTRACTOR:
Dagle Electricaf Construction, Corp.
68 Industria! Way
Wilmington MA, 01887
A
8
ffEM
DESCRIPTION OF WORK
NO.
81
Jo.wneyf!1an Electrician/Lineman
82
Apprentice Electrician/Lineman
83
!Laborer
84
35-40 ft Bucket Truck
B5
Dump Truck
86
Crane (5-10 Ton)
B7
Pole Truck with Po!e Auger
.. fP_rlC:eS B.elow are· !~!led PricE!$
89
)3 Foot tv1astArm W!Hardwa_re W/0 FIXture
810 f4 Foot Mast Ann W/Hardware WJO Fixture
811
fa Foot Mast Arm W/Hardware W/0 FIXture
812 Je Foot Mast Arm W/Hardwar-e W/0 FIXtUre
613
10 Foot Mast Arm W/Hardware W/0 Fixture
814
i2 Foot Mast Arm W/Hardware W/0 FIXture
B15
instan 30ft base mount concrete pole w/6ft arrn and 150w LED
816
Transfer E,--isting Mast Ann With Fixture From Old Pole to New7
817
Remove Broken Non-utlilityWoo<len Pole and install new .35ft
wooden pole with 8ft bracket and SOw LED equivalent fixture
B18
Standard Markup on Materials (20 Percent}
818
Material Description
819 )Regular Rate+ OVertime Rate
PD
IPolice Deta~
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Pole Replacemellts
.32 Webster Ave
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12.00 II
li
16.00
16.00
800
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4,32l.l4
4H-.s Corn~ll':iso.@ 10.73 Hr-<12.92
C<mcr-.le?o!<> @~,048..-o<S
llll!.EDE"Il<ll!r<:@SS2,_gJ I
LED Phct~.-11 @ 35.. J ('.
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2 E'i.=s @ l-4A6 ""-~- .!8.91
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Ptriod
86.00
IMO
16.00
66.00
IMO
-
24.00
-
-
-
--
-
-
-
LOO
-
5,231..55
-
1,436$0