January 10, 2013 Architecture

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1 HEERY January 10, 2013 Architecture Engineering Mr. Mitchell Cohen, Chairman Douglas School Building Committee Municipal Building 29 Depot Street Douglas, MA Interior Design Program Management Construction Management RE: Douglas New Elementary School / Middle School Green Repair Project Architects Request for Payment Middle School A/E Contract Invoice #7564 Additional Service Request MS/XS-001 MSBA Project # G MSBA Code Dear Chairman Cohen and School Building Committee Members: Please find the attached Request for Payment from DiNisco Design Partnership, Ltd. for Additional Services for the Middle School associated with the roof leak water damage at the Middle School Gymnasium. We have reviewed this request and recommend approval by the School Building Committee in the amount of $1, Please contact me should you have any questions concerning our review and approval of this Request. Sincerely, HEERY INTERNATIONAL, INC. Thomas E. Ellis, Jr., AIA, LEED AP BD+C, MCPPO Project Director Copy: William Cundiff, (originals to be delivered for processing) Michael Guzinski, Town Administrator (enclosure) Leno Filippi, DiNisco Design Partnership (enclosure) File: HI A01-01 Enclosure: DOUGLAS!JAN COMMUNITY DEVELOPMEN Heery International, Inc. A group of professional service practices 8 New England Executive Park, Suite 150, Burlington, Massachusetts Telephone Fax Offices Nationwide

2 pm/ Limited architects and planners 04 January 2013 Mr. Thomas Ellis Director of Operations Heery International 8 New England Exec. Park, Suite 150 Burlington, MA Reference: Douglas Middle School Extra Service Request XS 001 Roof Leak Water Damage at Gymnasium Douglas, MA Subject: Adjust NTE Fee from $20, to $25, Dear Mr. Ellis: The NTE fee for the Douglas Middle School Extra Service Request XS Roof Leak Water Damage at Gymnasium has been adjusted by $5,000 from $20, to srasteee7eo as you have discussed with Leno Filippi and Mitch Cohen. 4P4VO /PAL dam!/z Please advise if you require a formal Extra Services Request for this purpose. Sincerely, u an Cabral DiNISCO DESIGN /sc C.APIAIL-Q cc: Leno Fillipi Donna DiNisco-Crawford CorOPM 38 Kenneth DiNisco Richard N. Rice Gary E. Ainslie Donna DiNisco-Crawford Leno E. Filippi 99 Chauncy Street Suite 901 Boston MA (t) (f)

3 ARCHITECT / ENGINEER REQUEST FOR PAYMENT From: A/E: To: Local Government Unit (LGU) DiNisco Design Partnership, Ltd. Michael Guzinski 99 Chauncy Street, Suite 901 Town Administrator Boston, MA Douglas Municipal Center 29 " Depot Street Telephone: (617) Douglas; MA Fax: (617) Telephone: (508) Fax: (508) MSBA ID: OG Period Ending: 12/31/12 Contract for: Douglas Middle School Project Phase Services MSBA Cost Code Basic Approved Budget Percent of Total Previously Approved Payments Request This Period Total Complete to Date % Complete Balance to Finish.... AAS)CS WI NTE Extra Service Requestie-eel $ -25-, % $ 19, , $ 21, % 3, Roof Leak Water Damage at Gymnasium 11131:4545. Totals $ 25, % $ 19, $ 1, $ 21, % $ 3, Architect: Firm: Partnership, Ltd Reviewed: Project Manager Firm: Heery International Date: 01/04/13 invoice No Date: /( VitAl AO(3 MSBA Form 3012

4 De4+ P a r c h i t e c t s and planners Limited INVOICE Work Ended 12/31/12 Invoice Date 1/4/13 Michael Guzinski Town Administrator Douglas Municipal Center 29 Depot Street Douglas, MA Douglas Middle School Douglas, MA DDP Project No EXTRA SERVICE REQUEST December 2012 Budget Category Description Amount Douglas Middle School Extra Service Request - XS 001 Roof Leak Water Damage at Gymnasium MSBA Project No G MSBA Cost Code Architectural... Certified Floor Covering Consultants - Invoice No , cc:heery International Invoice Number 7564 Total $1, Payments/Credits $0.00 BALANCE DUE $1, Kenneth DiNisco Richard N. Rice Gary E. Ainslie Donna DiNisco-Crawford Leno E. Filippi 99 Chauncy Street Suite 901 Boston MA (t) (f)

5 V Certified Floor Covering Consultants LLC PO Box 221 Amesbury, MA Date 11/20/2012 Invoice # 333 Bill To Dinisco Design Leno Filippi 87 Summer Street Boston, Ma Ship To P.O. # Douglas - Chai... Ship Date 11/20/2012 Terms Due Date 11/20/2012 Other consultation Description Chain Drag performed in Gym to identify loose cementitious (9/21/12) Qty Price Amount 1 1, Subtotal $1, Sales Tax (0.0%) $0.00 Certified Floor Covering Consultants LLC bill@certifiedfloortest.com Total $1, Payments/Credits $0.00 Balance Due $1,600.00

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