DIAL-SELF-11Hatfield St-CPA Grant Invoice 01.pdfStrengthening community through positive youth development and civic engagement since 1977
DIAL/SELF is a registered 501(c)(3) Non-profit & Public Charity whose legal name is Franklin County DIAL SELF, Inc.
Donations are tax deductible within the limits of applicable law.
196 Federal Street
Greenfield, MA
01301
(413) 774-7054
Fax: 773-3335
www.dialself.org
Board of Directors
President
Sacha Green-Atchley
Vice-President
Matthew Leger-Small
Clerk
Bryan Smith
Treasurer
Holly Fitzpatrick
Michael Cucchiara
Starr Pinkos
Dorothy Storrow
Alyssa Valbona
Advisory Board
Barbara Abraham
Dr. Joel Abraham
Garth Shaneyfelt
Al Siano
Will Sillin
Kristina Smith
Executive Director
Phillip Ringwood
pringwood@dialself.org
(413) 774-7054 x115
Updated 01/10/2019
March 14, 2019
Sarah I. LaValley
Conservation, Preservation and Land Use Planner
Northampton Office of Planning and Sustainability
City Hall, 210 Main Street, 2nd Floor
Northampton MA, 01060
Dear Miss LaValley:
Please find attached our invoice #1583 totaling $75,000 for construction expenses
incurred and paid for by DIAL/SELF in 2018 to move the construction of supportive
affordable housing for youth experiencing homeless through to the framing phase.
Without the CPA’s commitment of $75,000 DIAL/SELF would not have been able to
contract for this work in 2018, and the project would still be waiting to break ground.
Thanks to the CPA the construction project already has framed walls going up, and we
have been able to save Thousands of dollars in material and labor costs.
In addition to invoice #1583 from DIAL/SELF I have attached the Application and
Certification for Payment from Keiter Builders which shows the values for the work
completed in 2018 at a total cost of $162,548.09 of which $75,000 of CPA funds are being
applied to. Also attached are 3 canceled checks showing the 3 payments made for the
work done.
If you have any questions please feel free to contact me.
Thank you so you so much for all of the support and efforts made to bring this needed
project into being.
Sincerely,
Phillip Ringwood
Executive Director
413-774-7054 ext 115
pringwood@dialself.org
Invoice
Date
3/14/2019
Invoice #
1583
Bill To
City of Northampton
City Hall 210 Main St.
Northampton, MA 01060-3198
Franklin County DIAL/SELF, Inc.
196 Federal Street
Greenfield, MA 01301
Total
Description Amount
(CPA grant $75,000) 11 Hatfield Street- 2018 Construction Costs to move project to Framing stage 75,000.00
$75,000.00
Document SUMMARY SHEET, APPLICATION A
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Keiter Builders, Inc.
35 Main StreetFlorence, Massachusetts 01062
Project: 18-032 - DIAL / SELF
11 Hatfield StreetNorthampton, Massachusetts 01060
Phone: (413) 586-8600
Fax: (413) 280-0124
Prime Contract Change Order #001:
TO:DIAL/SELF Youth & Community Services
196 Federal Street
Greenfield, Massachusetts 01301
FROM:Keiter Builders, Inc.
35 Main Street
Florence Massachusetts 01062
DATE CREATED:11/ 20 /2018 CREATED BY:Tammy Chancellor (Keiter Builders, Inc. )
CONTRACT STATUS:Approved REVISION:0
DESIGNATED REVIEWER: REVIEWED BY:
DUE DATE: REVIEW DATE:11/20 /2018
INVOICED DATE: PAID DATE:
SCHEDULE IMPACT:EXECUTED:No
CONTRACT FOR:1:DIAL / SELF Prime Contract TOTAL AMOUNT: $ 26,153.37
DESCRIPTION:
ATTACHMENTS:
POTENTIAL CHANGE ORDERS IN THIS CHANGE ORDER:
PCO #Title Schedule Impact Amount
001 CE #002 - Owner Project Sign 0 days 422.29
002 Front Sidewalk Removal and Replacement 0 days 3,967.04
003 Concrete slab-work & associated prep and underground plumbing
work
14 days 24,880.34
004 Weatherization of Slab & Foundation 0 days 1,683.70
005 Credit Phase 1 Site Work 0 days (4,800.00)
TOTAL:$26,153.37
CHANGE ORDER LINE ITEMS:
The original (Contract Sum)$ 139,370.00
Net change by previously authorized Change Orders $ 0.00
The contract sum prior to this Change Order was $ 139,370.00
The contract sum will be increased by this Change Order in the amount of $ 26,153.37
The new contract sum including this Change Order will be $ 165,523.37
The contract time will not be changed by this Change Order
DIAL/SELF Youth & Community Services Keiter Builders, Inc.
196 Federal Street 35 Main Street
Greenfield Massachusetts 01301 Florence Massachusetts 01062
ProcoreArchitectSignHere ProcoreArchitectSignedDate ProcoreOwnerSignHere ProcoreOwnerSignedDate ProcoreGeneralContractorSignHere ProcoreGeneralContractorSignedDate
SIGNATURE DATE SIGNATURE DATE SIGNATURE DATE
Keiter Builders, Inc.page 1 of 1 Printed On: 11/20/ 2018 09 :05 AM
PCCO #001
11/20/18
Keiter Builders, Inc.
35 Main Street
Florence, Massachusetts 01062
Phone: (413) 586-8600
Fax: (413) 280-0124
Project: 18-032 - DIAL / SELF
11 Hatfield Street
Northampton, Massachusetts 01060
Prime Contract Potential Change Order #001: CE #002 - Owner Project
Sign
TO:DIAL/SELF Youth & Community Services
196 Federal St
Greenfield Massachusetts, 01301
FROM:Keiter Builders, Inc.
35 Main Street
Florence Massachusetts, 01062
PCO NUMBER/REVISION:001 / 0 CONTRACT:1 - DIAL / SELF Prime Contract
REQUEST RECEIVED FROM:Phil Ringwood (DIAL/SELF Youth &
Community Services)
CREATED BY:Devon St. Martin (Keiter Builders, Inc. )
STATUS:Pending - In Review CREATED DATE:9/26 /2018
REFERENCE:CE02 PRIME CONTRACT
CHANGE ORDER:
None
FIELD CHANGE:No
LOCATION: ACCOUNTING
METHOD:
Amount Based
SCHEDULE IMPACT:0 days PAID IN FULL:No
TOTAL AMOUNT:$422.29
POTENTIAL CHANGE ORDER TITLE: CE #002 - Owner Project Sign
CHANGE REASON: Design Development
POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows)
CE #002 - Owner Project SignThis PCO includes the cost for Promark to create new project signage as indicated per rendering sent by P.R. on 9.26.18.
ProMark Signs $383.90
Subtotal:$383.90
Overhead / Profit:$38.39
POTENTIAL CHANGE ORDER
AMOUNT:$422.29
ATTACHMENTS:
PromarkEst1470_Keiter_TeenHousing48x96 (1).pdf TeenHousing Construction Sign.pdf
DIAL/SELF Youth & Community Services
196 Federal St
Greenfield, Massachusetts 01301
SIGNATURE DATE
Keiter Builders, Inc.page 1 of 1 Printed On: 9/26/ 2018 09 :10 AM
PCO #001
Keiter Builders, Inc.
35 Main Street
Florence, Massachusetts 01062
Phone: (413) 586-8600
Fax: (413) 280-0124
Project: 18-032 - DIAL / SELF
11 Hatfield Street
Northampton, Massachusetts 01060
Prime Contract Potential Change Order #003: Concrete slab-work &
associated prep and underground plumbing work
TO:DIAL/SELF Youth & Community Services
196 Federal St
Greenfield Massachusetts, 01301
FROM:Keiter Builders, Inc.
35 Main Street
Florence Massachusetts, 01062
PCO NUMBER/REVISION:003 / 0 CONTRACT:1 - DIAL / SELF Prime Contract
REQUEST RECEIVED FROM:Phil Ringwood (DIAL/SELF Youth &
Community Services)
CREATED BY:Devon St. Martin (Keiter Builders, Inc. )
STATUS:Pending - In Review CREATED DATE:10/27 /2018
REFERENCE:CE04 PRIME CONTRACT
CHANGE ORDER:
None
FIELD CHANGE:No
LOCATION: ACCOUNTING
METHOD:
Amount Based
SCHEDULE IMPACT:14 days PAID IN FULL:No
TOTAL AMOUNT:$24,880.34
POTENTIAL CHANGE ORDER TITLE: Concrete slab-work & associated prep and underground plumbing work
CHANGE REASON: Design Development
POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows)
CE #004 - Concrete slab-work & associated prep and underground plumbing workThis PCO includes the lump sum cost associated with installing underground slab drainage work as indicated per MJ Morans redlined plan attached,compacted base, installing the Stego wrap vapor barrier, (2) layers of 2" XPS foam and placing & finishing the 4" (4000psi) thick concrete slab. Summaryof costs itemized below, backup attached for reference.
MJ Moran Underground Drainage $8,800.00
KBI Prep, Base, Foam, Vapor Barrier, Concrete & Finish $13,218.00
Subtotal:$22,018.00
Overhead / Profit:$2,862.34
POTENTIAL CHANGE ORDER AMOUNT:$24,880.34
ATTACHMENTS:
MJ Moran.png Dial Self Revised pipng schematic 10-24-18.pdf
DIAL/SELF Youth & Community Services
196 Federal St
Greenfield, Massachusetts 01301
SIGNATURE DATE
Keiter Builders, Inc.page 1 of 1 Printed On: 10/27/ 2018 12 :49 PM
PCO #003
Keiter Builders, Inc.
35 Main Street
Florence, Massachusetts 01062
Phone: (413) 586-8600
Fax: (413) 280-0124
Project: 18-032 - DIAL / SELF
11 Hatfield Street
Northampton, Massachusetts 01060
Prime Contract Potential Change Order #00: :eatheri]ation oI SlaE &
Foundation
TO:DIAL/SELF Youth & Community Services
196 Federal St
Greenfield Massachusetts, 01301
FROM:Keiter Builders, Inc.
35 Main Street
Florence Massachusetts, 01062
PCO NUMBER/REVISION:004 / 0 CONTRACT:1 - DIAL / SELF Prime Contract
REQUEST RECEIVED FROM:Phil Ringwood (DIAL/SELF Youth &
Community Services)
CREATED BY:Devon St. Martin (Keiter Builders, Inc. )
STATUS:Pending - In Review CREATED DATE:10/27 /2018
REFERENCE:CE05 PRIME CONTRACT
CHANGE ORDER:
None
FIELD CHANGE:No
LOCATION: ACCOUNTING
METHOD:
Amount Based
SCHEDULE IMPACT:0 days PAID IN FULL:No
TOTAL AMOUNT:$1,683.70
POTENTIAL CHANGE ORDER TITLE: :eatheri]ation of Slab & Foundation
CHANGE REASON: Existing Condition
POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows)
CE #005 - :eatheri]ation of Slab & FoundationThis PCO includes the costs associated with the temporary weatheri]ation of new slab and foundation work. Includes 2-4 of hay spread over slab and alarge plastic tarp weighted with concrete pavers over the entire building footprint.
KBI - Hay, Pavers, Tarp $450.00
KBI Labor for setup and placement of
weatheri]ation $1,040.00
Subtotal:$1,490.00
Overhead / Profit:$193.70
POTENTIAL CHANGE ORDER AMOUNT:$1,683.70
ATTACHMENTS:
DIAL/SELF Youth & Community Services
196 Federal St
Greenfield, Massachusetts 01301
SIGNATURE DATE
Keiter Builders, Inc.page 1 of 1 Printed On: 10/27/ 2018 01 :45 PM
PCO #00
Keiter Builders, Inc.
35 Main Street
Florence, Massachusetts 01062
Phone: (413) 586-8600
Fax: (413) 280-0124
Project: 18-032 - DIAL / SELF
11 Hatfield Street
Northampton, Massachusetts 01060
Prime Contract Potential Change Order #00: Credit Phase 1 Site :orN
TO:DIAL/SELF Youth & Community Services
196 Federal St
Greenfield Massachusetts, 01301
FROM:Keiter Builders, Inc.
35 Main Street
Florence Massachusetts, 01062
PCO NUMBER/REVISION:005 / 0 CONTRACT:1 - DIAL / SELF Prime Contract
REQUEST RECEIVED FROM:Phil Ringwood (DIAL/SELF Youth &
Community Services)
CREATED BY:Devon St. Martin (Keiter Builders, Inc. )
STATUS:Pending - In Review CREATED DATE:11/6 /2018
REFERENCE:CE09 PRIME CONTRACT
CHANGE ORDER:
None
FIELD CHANGE:No
LOCATION: ACCOUNTING
METHOD:
Amount Based
SCHEDULE IMPACT:0 days PAID IN FULL:No
TOTAL AMOUNT:($4,800.00)
POTENTIAL CHANGE ORDER TITLE: Credit Phase 1 Site :ork
CHANGE REASON: Owner ReTuest
POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows)
CE #009 - Credit Phase 1 Site :orkThis PCO includes crediting back select lump sum for site work scope not completed this year to avoid potential damage during construction of structure.:ork will be phased back in for completion in final phase of project. Includes credit for 6 HDPE gutter drainage, downspouts, spreader, gravel and riprap swale, Pea stone diaphragm, Storm water swale, Level lip spreader, Trenching Conduit for bollard, Contouring site and New Asphalt curb.
ATTACHMENTS:
DIAL/SELF Youth & Community Services
196 Federal St
Greenfield, Massachusetts 01301
SIGNATURE DATE
Keiter Builders, Inc.page 1 of 1 Printed On: 11/6/ 2018 03 :59 PM
PCO #00
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3/14/2019 Imaging - View Transaction
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3/14/2019 Imaging - View Transaction
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