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Job #11-6902-19WAP Lanciault INDEPENDENT CONTRACTOR AGREEMENT Jg_qug_1inq Lanciault, 29131 Watson Blvd, Big Pine Key FL 33043 Jobti: 11-6902-19WAP This Independent Contractor Agreement is made this clayof October, 2020 by and between Monroe County , a political subdivision of the State of Ilorida, (hereafter County) and Queen Conch Construction, Inc. (hereinafter referred to as the "Contractor"), for services described in Scope of Work, attachment A. and Contractor's proposal, attached hereto and made a part hereof, "I'he parties agree as follows: 1. RELATIONSHIP Nothing contained in this Agreement shall be deerned or construed as creating any other business relationship, partnership or joint venture between Contractor and Monroe County Board of' County Corninissioners/Monroe County Social Services/ Monroe County Weatherization Assistance Program (hereinafter referred to as the "County"). 11. SERVICES TO BE PERFORMED Contractor agrees to provide the services listed in the Scope of'Work (Attachment A) Ind in the Contractor's proposal to the satisfaction of the County and in accordance with federal and state regulations for the Weatherization Assistance Program. 111. MANNER OF PERFORMANCE Contractor shall properly supervise and direct completion of weatherization measures on all units assigned under this agreement. Contractor shall be solely responsible for coordinating all work conducted Under the contract. Contractor shall provide and pay for all labor, materials, equipment, tools, equipirient/inachinery, transportation, and services necessary for the proper completion of work. Contractor shall comply with all laws, ordinances, rules, regulations and orders of any governrriental authority bearing on the performance of the work, including local building codes and permits. Contractor shall be responsible for the acts and omissions of employees and Subcontractors. Contractor at all times shall keep the premises free from accumulation of waste materials or rubbish caused by the operation. At completion, Contractor shall remove all waste and surplus materials and rubbish from and about the premises, and if applicable, shall clean all glass surfaces and shall leave the work "broom clean." IV, CONFIDENTIALITY Contractor agrees to keep confidential all client information provided to Contractor 1 and/or employees by County, excepting such information as is already known to the public, and not to release, use, disclose same, directly or indirectly, to any other person or business, except with prior written pet-mission of County, V. NON-EXCLUSIVE RELATIONSHIP Neither Contractor nor County has an exclusive relationship with the other. Contractor is free to perform the above described services for any other person or business, so long as this does not interfere with Contractor's satisfactory and timely performance of services for County Linder this Agreement. VI, SUBCONTRACTS Contractor shall not enter into any subcontract with any subcontractor who has been debarred from performing work by any Agency of the United States Government or by the State of Florida, Contractor shall be fully responsible for the acts or omissions of' Subcontractors, and of persons either directly or indirectly employed by them. At no time shall any contract or agreement between Contractor and a subcontractor be construed as a relationship, formal or informal, between the subcontractor and County. VII. CONTRACTOR'S GUARANTET Contractor guarantees all work perfbi-n-ied for a period of one (1) year from the (late of final acceptance of all work required by the bid proposal. Contractor warrants to the owner and Count\, that all materials and equipment used in the work will be new and free of defects, unless otherwise specified and approved in advance by an authorized representative of Count),. All manufacturers' and suppliers' written guarantees and warranties covering such materials and equipment shall be furnished to the owner or weatherization 11OUseliold. Contractor agrees to correct any defects due to faulty' workmanship, materials or equipment and shall pay for or repair any damage to other work resulting there from for a period of one year from the date of final acceptance of file contract work. Vill. COMMENCEMENT(:F WORK Contractor warrants good title to all materials,, Supplies and equipment incorporated in the work and warrants that it is free from any claims, liens, or charges, and that neither Contractor nor any other person, firm, or corporation, shall have any right to put a lien upon the premises or materials, supplies or equipment. Contractor must contact the homeowner within 7 days of receiving a Notice to Proceed and Must complete all work within 30 days of receiving said Notice. Contractor will contact the Weatherization Coordinator upon notice of the event giving rise to the need for additional days beyond 30, Additional (lays may be granted upon mutual agreement between Contractor and County, IX PROTEC"FION OF WORK AND PROPERTY Contractor shall be responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the work and complying with all applicable laws, ordinances, rules, regulations. Contractor shall take all reasonable precautions for the safety of, and shall provide all reasonable protection to prevent damage, inJury or loss to (I) 2 all employees on the work site and other affected persons, (2) all work and materials and equipment at the site, and (3) other property at the site. Any damage or loss to any property caused in whole or in part by Contractor, Subcontractor or employees, shall be remedied by Contractor and County shall be held harmless, X. CHANGE ORDERYWAIVERS Any change orders must be approved in writing by the Owner and occupant if applicable, Contractor, Weatherization Inspector, and Weatherization Coordinator with review and sign off by the Program Director, prior to the commencement of such work, Waivers for any Nvork., as specified by state and federal Weatherization Assistance Program guidelines, must be requested by County in advance and approved by the applicable state agency or DCA prior to commencernent of such work, Any change order or work waiver con-unenced prior to authorization shall be considered unauthorized work and will not be reimbursed by County. If final invoice from Contractor exceeds the Bid Proposal amount, and no change order was approved, the invoice will be approved for only the amount quoted in the Bid Proposal. X1. COM11ENSATION Upon completion of the work for each home, Contractor shall submit il)VOICC(S) to (...'OLinty. County's Weatherization Inspector, Contractor, and Owner/Occupant shall inspect, and approve in writing., the work, If satisfactory, the Weatherization Inspector, Weatherization Coordinator, and Program Director shall approve invoice(s) for payment. Payment may be withheld on account of def-ective work or failure of Contractor to make payments properly for labor, materials, or equipment. Contractor invoices will be processed for reimbursement upon verification that all conditions tinder the agreement have been met, Payments will be issued in accordance with the Florida Prompt Payment Act upon the satisl1actory completion, post inspection, and verification of all billing data by the County. XII, INDEMNIFICATION Contractor agrees to be solely responsible, and shall ]told harmless the County, its officers, directors, and employees for any and all claims brought against either Contractor or Count),, or for liabilities incurred by County as a result of actions or omissions by the Contractor, whether tinder Workers' Compensation laws, or under any other federal, state, or municipal laws, rules or regulations Nvhich may be applicable-, or any other set of circumstances not specifically addressed herein. XIII. INSURANCE By the date of the execution of this addendum, Contractor shall procure and maintain for the duration of this addendum, insurance against injuries to persons and damages to property which may arise out of, or in connection with, the performance of the addendurn. Contractor shall furnish evidence of Commercial General Liability and Automobile Liability. Contractor shall obtain Pollution Occurrence Insurance if required in the Scope of Work. Contractor shall add County to its policies as an additional insured and shall provide a certificate of insurance and policy endorsement as evidence of coverage, XIV. WORKER'S COMPENSATION 3 Contractor will rernain in compliance with the Workers' Compensation laws for the State of Florida through the duration of this Agreement. Contractor shall provide a certificate of insurance or letter of exemption by the date Of CXCCLItion of this addendum, XV. E( UAL EMPLOYMENTOPPORTUNITY Conti-actor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or nation origin. Contractor will take affirmative action to ensure, that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex or national origin. Contractor agrees to post in conspiCtIOLIS places, available to employees and applicants for employment, notices Setting forth the provisions of this nondiscrimination clause. All advert i sernen i will state that all qualified applicants will receive consideration without regard to their race, color, religion, sex or national origin.. XVI. DAVfS-BAC0N ACT Contractor shall comply with the provisions of the federal Davis-Bacon Act, Contractor shall pay wages to laborers and mechanics at a rate not less than the rnini'1111.1111 wages specified in the U.S. Department of Labor, Wage and HOUr Division website located at iLttp:,i'/clol.gov,/esawlici/coiitr,icts/dbr,i.htiii. Wage determinations can be found at httj)://kNYww,wdol.(2ov. Contractor shall be required to pay wages not less than once a week and shall report compliance with the Davis-Bacon Act weekly to County. XVII. COPELAND "ANTI-KICKBACK" ACT Contractor shall comply kvith the provisions of the federal Copeland "Anti-Kickback" Act and agrees to mandate ranch compliance by its subcontractors. Contractor or its subcontractors shall not in any way induce an employee to give LIJ) any part of the compensation to which he/she is entitled under his/her contract :for employment, XVIII. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT Contractor shall comply with the provisions of the 1ederal Contract Work Hours and Safety Standards Act, Contractor shall compute wages of every mechanic and laborer on the basis of a standard 40-hour work week. For work, in excess of the standard work week, Contractor shall compensate worker(s) at a rate of not less than 1 1/2 times the basic rate of pay for all hours worked in excess of 40 hours in the work week. Conti-actor shall not require any laborer or mechanic to work in surroundings or Linder working conditions that are unsanitary, hazardous, or dangerous. 4 XIX CLEAN AIRYWATER ACT AND FEDERAL WATER POLLUTION CONTROL ACT For contacts of $100,000 or more, Contractor and its subcontractors shall comply with all applicable standard orders or requirements issued under section 306 of the Clean Air Act., Section 508 of the Clean Water Act, and the Federal Water Pollution Control Act, XX. BYRD ANTI-LOBBYING AMENDMENT For contracts of$100,000 or more, Contractor certifies that he/she will not and has not used Federal appropriated ftuids to pay any person or organization for influencing or attempting to influence an officer or employee of any federal agency, a member of Congress, officer or employee of Congress, or an employee of a inernber of Congress in connection with obtaining any Federal contract, grant,or any other award covered by 31 U.S.C. 1351 XXI. DISAGREE"IvIENTS AND DISPIT-I"ES In the event that either Contractor or County commence an action I'm, damages, injunctive relief. or to enforce the provisions of this Agreement and either party prevails in any such action,, the prevailing party shall be entitled to an award of its reasonable attorneys' lees and all costs incurred in connection therewith as determined by the court in any such action, XXIL GOVERNING LAW `]'his Agreement shall be goN.,'erned in accordance with the laws of the State of Florida, and venue for ariv action enforcing, the terms of this Agreement shall be Monroe County, Florida. XXIII, ASSIGN M I--,'N'I' This AuVrcement may not be assigned xithoLit prior written consent of both parties. This Agreement will be binding upon, and will inure to the benefit of, each party's permitted successors and assigns. XXIV, SEVERABILITY The parties agree that the covenants of this Agreement are severable and that if. any single clause or clauses shall be found unenforceable, the entire Agreement shall not fail but shall be construed and enforced without any severed clauses in accordance with the terms of this Agreement. XXV. PURATION AND TERMINATION If Contractor defaults or neglects to carry out any work in accordance with this Agreement or fails to perform or comply with any provision of this Agreement, the County 11-lay, after written notice to Contractor, make good such deficiencies and may deduct the cost incurred from the payment due to Contractor and/or County may terminate the contractor's services and take possession of the site and of all materials, equipment, tools and construction equipment, and machinery owned by Contractor, which were purchased with weatherization fiends, and may finish the work. If the expense of finishing the work exceeds the unpaid balance to Contractor, Contractor shall be liable for payment of the difference to County. Contractor and 5 County can terminate the services contemplated this Agreement at any tit-fie for any reason upon 7 calendar days notice to either party. Contractor shall be required to satisfactorily finish all work in progress prior to termination of the services. Failure to do so by Contractor sliall result in forfeiture of payment for any work in progress. XXVIL EXAMINATION AND RETENTION OF CONTRACTOR'S RECORDS Contractor shall retain records relating to this contract for four years after final payment is made this Agreement. If an audit, litigation, or other action involving the records is started before the end of the four-year period, records must be retained until Lill issues arising out of the action are resolved, or until the end of the fOUr-year period-, whichever is later. County, or any of its authorized representatives, shall have access to Contractor records. XXVIII. PUBLIC ACCESS The County and Contractor shall allow and permit reasonable access to, and Inspection of, all documents, papers, letters or other materials in its possession Or Under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the County and Contractor in conjunction with [his Agreement; and the County shall have the right to unilaterally terminate Contractor's services upon violation of this provision by Contractor. XXIX. I-JEADINGS T'he headings contained in this addendum are for reference purposes only and shall not affect the meaning or interpretation of this addendUru. THE REMAINDER OF THIS PAGE HAS BEEN INTEN'r[ONALLV LEFT BLANK. 6 IN WITNESS Wf-IEROF, County and.Contractor have executed this Independent Contractor ,Agreement as of the date first written above, WITNESSES PVIt7RC}E 1�1Y r By. .J,.....,... Sheryl Graham Monroe County WAP Administrator MONROE COUNTY ATTORNEY _APPROVED AS TO fORM CONTRACTOR y #pt k By: { JAMES MOfLENAAR nature AS$"TAN C3 fwTY ATTORNEY D.Mcsenaar Date: James to Print Name & Title: STATE OF COUNTY OF: I HEREBY CERTIFY that on this day, October 20')0 before ire, an officer duty qualified to take acknowledgments, personally appeared, r4M*we � � �-to one known to be the person described herein and who executed thejbregoing instrument and acknowledged before ine that he/she executed the ,same. Driver License: shown as identification. A4rj MARC(A C,LCNC NOTARY PUBLIC /3,TURF Notary PuNic-State of fl�rida Printed Nance of Notary: ., . Com�jres sion#1557560 Commission No.: / �a � �r My Comm, November 5,2022 My Commission Expires: 7 r _, 7 ATTACHMENT A: SCOPE OF WORK Jaqueline Lanciault — Job 9:I 1-6902-19WAP All weatherization measures to be provided to homes governed by this addendum must be in accordance with the "Pre-Work Order Agreement", "Bid Proposal/Job 4 11-6902-19 WAP"and the Wcatherization Assistance Program rules and regulations as mandated by the State of Florida, Department of Community Affairs. The following are the procedures for completing the Scope of Work, per this Agrcernent: 1. Contractor shall provide such measures as determined by the Pre-Work Order Agreement and Bid Proposal/job 4: 11-6902-19WAPprovided to Contractor by County. 2. Upon receipt of the Pre-Work Order Agreement,, Contractor shall provide County a quote via a bid proposal per home for the cost of completion of weatherization measures as indicated in the Pre-Work Order(s). 1 Contractor shall comply with all laws, ordinances, rules, regulations and orders of any governmental authority bearing on the performance of the work, including local building codes and permits. County's Weatherization Inspector, Weatherization Coordinator, and Program Director shall approve the quotes and issue a Notice to proceed to Contractor. The notice to Proceed shalt contain the Owner/Occupant name, address and telephone numbers. 5. Contractor shall contact all Owner/Occupants listed in the Notice to Proceed within 7 days of receipt of the Notice and shall complete all work within 30 days of receipt of the notice. Contractor will contact the Weatherization Coordinator Upon notice of the event giving rise to the need for additional days beyond 30. Additional days may be granted upon mutual agreement between Contractor and County. 6. Contractor shall follow the Pre-Work Order as written by County and approved by Owner/Occupant. 7. If Owner/Occupant refuses a measure., Contractor shall contact Weatherization Inspector immediately and the Owner/Occupant and the County will document same in the client's file. If the refusal will cause the County to be in non-compliance, it must be referred to the Weatherization Coordinator and the Program Director who will advise the client that if the measure prevents elimination of air infiltrations, County cannot proceed with weatherizing the home unless the Owner/Occupant approves the measure. To the extent possible, all measures approved for the unit Should be reviewed by staff with Owner/Occupantin pre-work phase and approval obtained in writing before commencing work. The only exception would be in the rare case of change orders due to Unforeseen conditions as outlined in Bid Proposal Addendum, X, Change Orders/Waivers, Monroe County WAP or SHIP DATE: 9/19/2020 Community Support Service NAME: Jacqueline Lanciault Key West,FL 33040 Phone: 305-998-8435 305-292-4405/305-295-4376 fax Job# 11-6092-19 WAP REQUIRED MEASURES(PI) MATERIALS LABOR Foam fill all sub-floor penetrations, /$40.00- Wrap all hot water pipes leading to floor penetrations. ,-$120.00' $350.00,' Insulate all conditioned space sub flooring with R7 '-$800.00" ila_ $900.00 Install 5/8"fire resistant sheetrock over all exterior $600 -,$2,500.00 exposed insulation. Mud and Tape all seams smooth,finish with exterior primer $190,00 ---$1,100,00 Install vapor barrier and retaining mesh over insulation in downstairs storage room, OMIT THIS/OMIT THIS SUB TOTAL'--:$1,7=50oo INFILTRATION REDUCTION $5,030.00' MEASURES(Not to exceed$3000.00) WEATHERIZATION]MEASURES PRIORITY 2 PRIORITY 3 SUBTOTAL PRIORITY 4(Not to exceed 97.961 sq,SUB SUB TOTAL HEALTH AND SAFETY(Notto exceed$300.00) SUB TOTAL DISPOSAL FEE �*=$75.00 $75.00 PERMITS '250.04 SUB TOTAL _$ 325,00 TOTAL UNIT COST rc-jr--an GRAND TOTAL 7,305.00 J' Contractor Contractor Signature Date ZV 4 3 WAP Coordinator are • • C) Lf) Lj') CD CD 0 C 0 0 CD 0 O 0 0 C'- n 011 co Ln 0 C) 0 N') C- Cj 0 ul) C%j In 0 0:) ko — CD 011 cli N-N C) Cj C'm Lr� Ln CD 0 0 0 0 .� R./lonroe County Social Services Request for Bids To All Licensed Contractors: Monroe County Social Services is the local administrator for Florida Department of Economic Opportunity-VVeatheMzation Assistance Program(VVAP).The program is grant funded and projects are expected to be awarded in 2019 and continue until available funding is exhausted. Contractors are invited to examine the submitted Scope of Work and Bid Sheets for each proposed job and tender acompetitive bid. Contractors must possess all Ucensuresand insurances applicable to the proposed work,Site visits will be available as scheduled to allow first hand examination of the proposed work and worksite. Please find the enclosed Scope of Work and Bid Sheet attachment for: Name: ]acqu|ineLanciam|t Address: 29131 Watson Blvd Site Visit Date: Friday25m, Dctnber2U19 Additional Scope nf Work and Bid Sheets will be available om scheduled site visit dates. Contractors will have an opportunity to look over the proposed work site,determine the materials needed, and develop a Competitive Bid for the required work tobecompleted. All bids must be tendered by: October 31st2O19 Send Completed Bids tn� Monroe County Social Services Attn: 8ernhardNascb 1lOO Simonton St, Suite 1-296 Key West, FL33040 Interested contractors should contact Monroe County Social Services at (305)'292'4408o/, by email ut ��...i���' Thank You for Bidding, 8ernhardRasch Project Mana0e/SH|p/VVAP Monroe County Social Service 118O Simonton St,Suite 1'1Q6 Key West, FL3384O office (305)29I-4419 Fax (305) 282 '4479 Rasch-Bernhard From: Ra»ch-Bernhard Sent: Thursday, October 10. 2010 521 PK4 To; |eerisher@hotmaiLcom; Private Email; 'truesdeNcomstruc1inn@gmaiicomn^; 'kbkevuJimey@gmaiicom'; 'is|andbui|der@netzeroa�� 'Cove rho It@ove rho Itcccom'; 'panzdis@aoioonn'; 'kevscoms1nucdon0Dao|/om'; 'Kenb@pedrof ]con.com'; 'kevske ji@aoioom| 'seaooast@|ivecom'; 'infn@kevscon1ractingsemicesoomm'; Mike Trader-Key West Closets Inc.; `minQo@mingmmdcoDomm'; 'info@cons nuction .com'; 'rickdeve|oper@aLtnet'; 'oammy@stspado.com'; David Jankowski hdaveankomskibui|der@gmai|znnl� Gary Burchfield; 'sc|ar&0>cnn»1nuctiookevwest.com'; 'island bui|der@net erooet'; 'kbkevs|imey@omaiLcont Les|eegD Royal-Cres zom; Mike Trader-Key VVes Closets Inc.; 'a|itropicakomstruction@pyahoo,conm^; ^magnumconstructinnac@hotmai|zorn';Jeremy Mosher; 'Amdrew'; 'sites uper@habbut|owerkevcorg'; 'kevsconsLnmction@aoicom'; Michael Sa|em; )[overhult@ove rho Itcccom( 'pa rod is@aoicom'; 'info@keyscontractingsomios.com^; 'info@constmctiom m'; 'rickdeveloper@att.met'; 'sammy@stsparks.com' Cc: Dowling-Suzanne Holtzemnann-Fraoziska; Graham-Sheryl; Wilkes-Kim Subject: Request for Bids Attachments: Landau|t RF8.pdf; Landau|t Scope ofVVork.pdf; Lamdau|t Bid SheeL,pdf Dear Sirs, Please find the enclosed attachments requesting bids for upcoming projects. Thank You, Bernhard Rasoh BermhardRasch Project Manager—VVAP/GH|P Monroe County Social Services 110O Simonton Street, Suite 1-196 Key West, F| 33040 (985) 292'4402 office (305) 570-8535 cell msch-hemhard@mommecountv-fl.gm 1 Monroe County WAP or SHIP DATE: 1/23/2020 Community Support Service NAME: Jacqueline Lanciault Key West, FL 33040 Phone: 305-998-8435 305-292-4405/305-295-4376 fax Job# 11-6092-19 WAP REQUIRED MEASURES(Pl) MATERIALS LABOR 1- Foam fill all sub-floor penetrations 2-Wrap all hot water pipes leading to floor penetrations 3- Insulate all conditioned space sub-flooring T install vapor barrier over insulation installation 5- Install retaining mesh over insulation installation SUB TOTAL INFILTRATION REDUCTION MEASURES(Not to exceed$3000.00) WEATHERIZATION MEASURES PRIORITY 2 PRIORITY 3 SUB TOTAL $ PRIORITY 4 (Not to exceed $7.96/sq.ft.) SUB TOTAL $ HEALTH AND SAFETY (Not to exceed$300.00) 6-Install CO Detector near Kitchen Area SUB TOTAL DISPOSAL FEE PERMITS SUBTOTAL $ $ TOTAL UNIT COST $ $ GRAND TOTAL] Contractor Contractor Signature Date WAP Coordinator Date Bid accepted Please reply within 5 working days, by phone or email, if you are interested in bidding on this job Contractors are responsible for taking their own measurements. Any deviations from final bid will require a pre-approved Change Order Request spending limits$5000.00 � � [ ~ l . Monroe CmUnfV \A/APPArlGPAM 2I00 Simonton Street, Ste 1,190 Key West, Fl 33040 WORK WRITE-UP / SCOPE OF WORK NAME Jacque|ineLonchauyt PROJECT ADDRESS 2q131 Watson Blvd, Big Pine Key, FL33043 SITE BUILT PHONE (305) 998-8435 EMAIL: m/a GENERA[ REQUIREMENTS DISCLAIMER All work specified may not be conclusive. All measurements and Quantities in this VVorkVVr[te'Up are approximate. Prior to bid submittal, all contractors are required to verify exact measurements, sizes, and quantities and to know job conditions and to immediately notify the Monroe County's Administrator of any other necessary work tu achieve qua|b #nishedproducts that meet or exceed applicable specs and codes.ThespeciMeditemxinthisVVorkVV/ '0pD8 NOT preempt any current applicable codes enforced / by the appropriate code authority having jurisdiction. � PERMITS AND LICENSES Contractor shall obtain, pay for and post on site all permits and licenses necessary to complete this project. Contractor and subcontractors must have current licenses required by the State, County, and O\y. WHEN APPLYING FOR PERMITS, CONTRACTOR SHALL SUBMIT IN ADDITION TO A COPY OF THIS WORK WRITE-UP, A DETAILED DRAWING OF ALL REHABILITATION WORK AND ANY REQUIRED ENGINEERING FOR STRUCTURAL ASPECTS OF THIS JOB, INCLUDING BUT NOT LIMITED TO, NAILING SCHEDULES, FASTEKNERS, STRUCTURAL LOADS, ETC. CONTRACTOR SHALL OBTAIN A RESIDENTIAL ALTERATION/RENOVATION/REHABILITATION PERMIT UNLESS OTHERWISE APPROVED BY THE PROGRAM ADMiN|STR4JOR, CODE COMPLIANCE All materials and methods of construction related to work performed on this project must comply with locally adopted code requirements and must meet with the approval of local code enforcement officials. INSURANCE REQUIREMENTS The Contractor shall maintain such insurance as will protect him from claims for damages for personal injury, including death, which may arise from work performed on this project, whether such work be by himself or by any subcontractor or anyone directly or indirectly employed by either of them. Contractor shall present Program Administrator with certificate of insurance evidencing comprehensive public I � \ \ liability insurance coverage of not less than $100/000/5300/080 in the event ofbodily injury including death and $50,000/$100,000 in the event uf property damage arising out of the work performed by the Contractor. Contractor shall also carry Worker's Compensation insurance as required by State law. Contractor shall ensure that a current certificate of insurance is submitted to the Florida City Building Department at each renewal period, JOB SITE WORK WRITE-UP A Job Site Work Write-Up shall ba posted with the building permit ut all times while work|sinprogress. This Work Write-Up shall be used by all code enforcement officials and other interested parties to review scope of work and work being performed on the project, JOB SIGN /N FRONT YARD Contractor must securely position a project sign in the front yard and in view of the street, VERIFY MEASUREMENTS,SIZES AND QUANTITIES All measurements,sizes and quantities in this Work Write-Up refer to a cost allowance. The Contractor|s Responsible for verifying exact measurements, sizes and quantities prior to submitting a quote. Change Orders will NOT be approved for mistakes made in measurements, sizes and quantities for those items readily accessible to Contractor toverify. COST ALLOWANCES When specifications in this Work Write-Up refer to a cost allowance, the Contractor is to permit the Homeowner to select the product to be installed, providing the total cost of the product, including taxes, delivery fees,set up fees,and any necessary accessory items,does not exceed the allowance. The product selected must meet the quality standards specified in this Work Write-Up. Homeowners shall select all items and products from Contractor's samplesand/or recommended suppliers. WORKMANSHIP AND MATERIAL STA0V]ARDS ! Contractor to perform work specified in this Work Write-Up in a high-quality good-workmanlike manner using specified materials or approved eqoaXs. Materials must also (2) be high quality, (2) be installed in accordance with manufacturer's specs and (3) meet requirements of code enforcement inspectors. All materials must be new, Used and/or damaged materials will not be accepted and will be replaced by Contractor a1no additional cost tm City wrHomeowner. GENERAL WARRANTY Materials Unoto||ad, and work performed shall have a minimum one-year Contractor warranty from the date of the issuance of a Certificate of Completion/Occupancy issued by the City Building Department or as determined by the Program Administrator where there may be m question of dispute regarding the completion nf the agreed upon work, SCHEDULING OFWORK Contractor to schedule work between 8:00 am and 6:00 pm Monday through Friday. Requests to work before or after these hours and on weekends most be approved by the Homeowner. Work requiring a Compliance Inspection by the Program Administrator can ONLY beperformed between 8:OOam and S:00 Monday through Friday. The Contractor responsible for scheduling and coordinating subcontractor work, 2 � { l COMPLIANCE INSPECTIONS Contractor to call Program Administrator for inspection of all work that will be concealed from view following completion of work on that item. For example, these inspections frequently include, but are not limited to, (1) inspection of footings, (2) inspection of roof sheathing prior to installation of new felt and shingles and (3) inspection of repaired floors prior to installation of new sub-floor, underlayment and floor coverings, Check each spec to see if Compliance Inspection is required. Work that has been concealed without Compliance Inspection may result in payments delays ordenials! PROGRESS AND FINAL PAYMENT INSPECTIONS Contractor must submit to Program Administrator a payment request on forms approved and/or supplied by the City/County Building Department or the Program Administrator, This request must besubmitted to Program Administrator at least one day ahead of desired inspection date. Payment inspections will be scheduled una first-come first scheduled basis, PROTECT HOUSE CONTENTS FROM DAMAGE DURING WORK Contractor shall take steps to protect house and contents from damage during prnject. Contractor is advised to use drop cloths to protect furniture, appliances, entertainment systems and other house contents and components. Contractor shall move furniture and appliances out of and back into work areas once work is complete. Contractor not to leave furniture, appliances, and clothing or other house contents unprotected outside house during job. REPAIR DAMAGE CAUSED?(}PROPERTY DURING WORK Contractor responsible for professionally repairing or replacing building and site components damaged as a result o[construction activity with no additional cost tn Homeowner qrCity. This includes all ind emta| repairs, including paint tuuch'up,asa result of the contracted vvork. � / | LEAD BASED PAINT EVALUATION Houses built in1978mrbefore, Building surfaces may contain lead paint. The Contractor shall provide an evaluation of the components which may include risk assessment,lead hazard screening,lead-based paint inspection, paid testing, or a combination of these to determine the presence of lead-based paint hazards nr lead-based paint im accordance with federal standards(24CFR Part 35). The evaluation for LRPorLBP hazards shall be conducted by a person who is licensed or certified to perform such activities. Contractor to provide Program Administrator with evaluation report PRIOR to the commencement of any rehabilitation work. PRIME BARE WOOD The exposed faces of all newly installed wood and all wood scraped down to bare wood must be primed with appropriate primer. � CAULKING WOOD Caulking,if any, must occur only after primer has been applied to the area being caulked and prior to the installation of any paint, CONCEAL ANY NEW WIRING AND PLUMBING All new electrical wiring and plumbing lines are to be installed concealed from view inside stud walls, under walls,floors and inattics. Unless otherwise approved by Homeowner and Program Administrator, surface mounted sire mold and conduit are not permitted, INSULATE EXPOSED WALL CAVITIES All exposed exterior wall cavities that are to be enclosed by a new wall surface material are to have R-11 insulation installed in the cavity before the new wall surface material is installed. REDUCE AIRBORNE DUST DURING CONSTRUCTION Contractor to take steps necessary to reduce and contain airborne dust created during construction, demolition and removal of defective paint. Wet scrape if removing defective paint, QO NOT use electric sanders or torches ifremoving paint, Contractor and workers encouraged to wear protective clothing and respirators and to follow hygiene procedures approved byOSHA, GENERAL CLEAN-UP Contractor to provide clear and safe passage ways in and out around structure during project. Contractor to remove debris and building materials from in and around structure being repaired to legal dump site regularly and at the end of the project. !n progress and final clean-up to include but is not limited\odamp wiping, sweeping, mopping and vacuuming. The City/County reserves the right to add up to ten per cent (1096) contingency to the total cost of the work write-up, The contingency h l|beusedforitemsvvNuharedisuovepedbythecontmctorduring1he rehabilitation work and mwst / |m approved by the City and the Program Administrator PRIOR t� any work being performed by the Contractor regarding the add|dooahitems. SCOPE OF WORK INTERIOR AND EXTERIOR - WAP REQUIRED MEASURES: 1\ Foam f'|| all through floor penetrations with SO[8V-fnaDO / rfOCUOl2Dt with O^[ƒU[8S before CUVe['Dg Up with ^OsU|at'OD\. 2\ Wrap all hot water pipes leading from Water-heater leading to through floor openings . Approximately 60 linear feet. (Must document with pictures before covering up with iDSUi@t/OD\. Use appropriate adhesive and mechanical fastener to 8SsUF8 Se@O1S are C}QSSd. 4 3) Insulate conditioned floor space (approximately 960 sqft: with R—191 Kraft-paper covered, roll/batt fiberglass insulation. Install 5/8" fire resistant sheetrock (one hour burn through) over all exterior exposed insulation. (approx. 720 sqft) Mud and tape all seams smooth finish and waterproof with exterior grade primer. CQCCC- Contractor ". A-0 Co0actor Signature a WAP Coordinator Yate�� Monroe County WAP Notice to Proceed Award of Bid Date: 10/13/2020 Job Number: 11-6902-19 WAP Clien0aci k?(k-r&..LanciauIt Client/Job Address: 29131 Watson Blvd, Big Pine Key, FL 33043 Contractor/Vendor#: Queen Conch Construction, Inc. Vendor#, 96578 3980 Overseas Hwy, Marathon,FL 3301;�O (305) 743-5384 Date and Amount of Bid: 09/30/2020 -$7305.00 Comments: WAP Project(s) suspended due to Covid®- 19 and D.F.O. suspension of work activities WAP Notice—04/15/2020, WAP Notice-07/30/2020 issued resumption of WAP related activities. SHIP - Award of Bid was issued 07/07/2020 to above named contractor during WAP dark suspension. Contactor is on site, has permits issued, and currently performing SHIP Scope of Work. In an effort to promote work continuity it would be best to expand the current Scope of Work to include the WAP Scope of Work with the pre-existing contractor in order to avoid contractor conflict(s). r` { Sheryl Graham M es-Wean Director, Social Services Compliance Manager ;�f zc'�tz��W&// Bernhard Rasch Weatherization.Inspector Weatherization Assistance Programs (WAP) Name: 422Att=Lanciault Date: 09/14/2020 ID#: 11-6902-19 Pre-Work Order Agreement =� Below is a list of the work to be completed on your home. These services are free and funded by the State of Florida and should make your home safer and more energy efficient. However,these are not home repair or rehabilitation programs and are limited in the scope of work that may be performed. Please review the below list and sign to indicate your understanding of the work that will be performed on your home. SPECIFIC WORK TO BE COMPLETED: 1 Foam fill all through floor penetrations with Spray-foam (document with pictures before covering up with insulation). 2) Wrap all hot water pipes leading from Water-heater leading to through floor openings (document with pictures before covering up with insulation). 3) Insulate conditioned floor space (approximately 960 soft )withAr= Kraft-paper covered, roll/batt fiberglass insulation. Install Fire Resistant Sheetrock (5/8"/one hour burn-through), use appropriate fasteners, Mud and Tape all seams smooth,seal any small voids with Fire Resistant Foam,finish with one coat of sealer/primer. 4) Install vapo Her over�Znsu�i�lat- stalled inside 5—o m.�Us e s ess steel staples and S se .. tape ms as needed, 4 i9 jr-amctive seal. I'm�"Lroo -2W va, / I 5) hen a r H0AVbW)UM r w*IXAt7,10 I acknowledge that I have been informed that based upon the initial inspection process, my house appears to have less than two square feet of mold and/or mildew present and that these programs are limited in regard to addressing the source of water intrusion that may be causing the mold. I further acknowledge that although the services to be performed may not totally eliminate the problem, they will not promote new growth, and that there are health risks associated with mold and mildew if not removed. Therefore, by signing this form, I understand that Monroe County Social Services is providing these services in good faith and shall be held harmless if new mold appears. I also acknowledge that I have received two pamphlets, "Renovate Right:Important Lead Hazard Information for Families, Child Care Providers, and Schools"and "Mold, Moisture and Your Home", and a copy of the agency grievance procedures. I have also indicated to,the agency staff that an occupant of this dwefliT��, does not Vl �have an existing Breathing or health condition that would be impacted by performing the blower door testing or weatherization work Described in this document. .,-'Client Signature Date Agency Official Signature gDa BUILD -G WORK REPORT ( (BV I August 2010) AGENCY NAME REPORTING PERIOD Z z Z CLIENT NAME C JOB NO. JkL WEATHERIZATION WAP-LIHEAP CONTRACT DUMBER WX- LH- REQUIRED MATERIAL LABOR MATERIAL LABOR MEASURES CHARGE COST CHARGE COST AIR FILTERS-AC I HEAT LOW FLOW SHOWERHEAD FAUCET AERATORS WATER HEATER WRAP WATERLINE-INSULATE -3: _co .` SUB TOTAL / cW INFILTRATION I t }t +t REDUCTION MEASURES t ✓ ' s• ..:,,r .,fir; .., ,., ;� > >t �� i3 S r CAULKING 17V,00 l IM,00 CEILING REPAIRS- MINOR DOORS - EXTERIOR FLOOR REPAIR-MINOR �— THRESHOLD WALL REPAIR-MINOR WEATHERSTRIP WINDOW-REPAIR/REPLACE SUB TOTAL « r WEATHERIZATION MEASURES COOLING-CENTRAL COOLING-WINDOW — SMART THERMOSTAT "— DUCT SYSTEM - REPAI HEATING-CENTRAL -- HEATER-SPACE -- INSULATION -ATTIC INSULATION -WALL " INSULATION - FLOOR 5 ROOF-M.H. COATING -- ^' SCREENS-SOLAR VENTILATION-ATTIC �- LIGHTING — REPLACE REFRIGERATOR --- SUB TOTALIZa H&S-HAZARD ABATEMENT' "HEALTH&SAFETY ACTIVITY: THIS IS THE BREAKDOWN FOR INCIDENTAL REPAIR WHICH HAS BEEN INCLUDED IN THE COST OF THE FOLLOWING MEASURE: -_,_MATERIAL$ LABOR 75 MIT CUOMO SEMER WA—P­ANUWAP-LIHEAP"- LEMETSURE BUILDING WORK REPORT (BWR-10.1 August 2010) CLIENT NAME JOB NO. WEATHERIZATION WAP-LIHEAP wx- LH- MATERIAL LABOR MATERIAL LABOR CHARGE COST CHARGE COST WATER HEATER-REPAIR WATER HEATER- REPLACE DISPOSAL FEE V2:c;: 9m PERMITS W� a to 1175 SUB TOTAL 32�5 Q9- -77,3�- TOTAL UNIT COST ZO-ILS.60 57Uo.00 READINGS: DATE BLOWER MONOXOR COMMENTS PRE- I c2f 17 �M/17 AL� POST- I'vzo 3-f 7, FINAL- 31 Vil CERTIFY,TO THE BEST OF MY KNOWLEDGE,THX T E WORK S LIENT SIGN TURE : DLTE- EL OL tf THE WORK =S BEEN COMPLETED. SHOWN '1A ABC�AS OMPLIANCE AND COMP��l AGENCY INSPECTOR: DATE: (9 , YOU MUST PLACE A COPY OF BOTH PAGES OF THIS BWR IN THE CLIENT FILE— O - ' MonroeCounty Florida InformationPermit PLEASE NOTE:FEES LISTED ARE.ESTIMATES ONLY.BEFORE WRITING ANY CHECKS PLEASE CONTACT THE BUILDING DEPARTMENT TO CONFIRM. Parcel ID 002G91200000C10 Permit Number 20103128 Permit Type 77 INT-REMODEL/REPAIR RES INT Property Address 20131 WATSON BLVD Status CLOSED Permik Plan Review Inspections Fees Contractors ALL PERMIT INFORMATION Application Date 11-30-2020 Operator benderd Issue Date 12-21-2020 Operator petersod Certificate Date Operator Certificate Type Project Number Applied Value $5,900.00 Usage Class RES Contractor ID 1 L44 11 Sol Ft 0 OWNER ON PERMIT Name LANCIAULT JACQUELINE Address 29131 WATSON BLVD City/State/Zip BIG PINE KEY,FL 33043 PERMIT CONDITIONS • 29131 WATSON BLVD EDEN PINES BIG PINE KEY • REMODEL/REPAIR INTERIOR + NOTICE OF COMMENCEMENT REQUIRED • All documentations,including But not limited to • corrections,revisions,clarifications,or to 0 • engineering letters,must be submitted to an appropriate Building Department location. PERMIT APPROVAL TO INSULATE FLOORS AND INSTALL * EXTERIOR SHEET ROCK OVER EXPOSED INSULATION AS PER • APPROVED PLANS. • WORK TO INCLUDE:. • NO ELECTRIC/MECH OR PLUMB THIS PERMIT. • Floodplain:Located in SFHA zone AE 8 • Flood approval for insulation and sheetrock on WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT The undersigned lienor, in consideration of the final payment in the amount of$7305.00 hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished to Monroe County BOCC on the job of Jacqueline Lanciault to the following described property: 29131 Watson Blvd, Big Pine Key, FL 33043, Job#: 11-6902-19-WAP, Dated: M=032021 —1 Lienor's Name: Queen Conch Construction Company, Inc. Address: 3980 Overseas Highway Suite 101 Marathon, Fl, 33050 .4 By C" - Printed Name: OM04 A -�'4 ro The foregoing instrument was acknowledged before me this day of N[arch, 2021, by who is personally know to me or who has produced as identification and who did take an oath. JAYSON MY co EXPIRES:January NOTARYt-?BAMC' STATE OF SWed Rn NoWy Pubk Undew JAYSON MASURO My Commission Expires: 3 i gay C0MM166t0N#M07W$ '-ry EyptRES-.isawy 3,2025 Nowy PW&undwo- 2021 Version 1.1(June 30 2015) FLORIDA WEATHERIZATION ASSISTANCE PROGRAM QUALITY Ct NTROL INSPECTION FORM Agency: Monroe County80CC Inspection Date: 10/28/21 Iola 11-6902-19WAP Client Name: Jacquline,Lanclault Owner/Rent: owner Address: 29131 Watson Blvd City: Big Rine Key County: Monroe Year of Construction or Manufacturing; Site Built/Manufactured Home/Multi-Family: Site Blunt Primary Heating Fuel: Electric Acronyms: t3AT-Dwelling Assessment and`resting forms(for audits) PLAT/W.I.T.-Priority List Assessment and Testing Forms CO-Carbon Monoxide CAZ-Combu..icn Appliance Zone NEAT-National Energy Audit MHEA-Manufactured Horre Energy Audit IRM-Incidental Repair Measures HVAC-Heating,Ventilation and Air Conditioning PWOA-Pre Work Order Agreement B W R-Building Work Report SWS/FFG Standard Work Speclricat ons/Florida Field Guide WORK RELATED Client Fire Review 84 Response 1. Coirpleted DAT or PLAT signed and dated by the subgrantee inspector. Yes 2. CO printout tapes with testing location(pre and Post weatherization). N/A 1 No Gas Appliance 3. CA,testing results(Pre and Post w2atherization). N/A 4. Copy o-NEAT or MHEA output forrns(central heating and cooing unit). Yes S. Sizing calculations for HVAC replacements?(NEAT,MHEA,Manual J or tether). N/A 6 AS`iRA=62.2-2013 Ventilation elate Calculator work sheet. Yes 7. Client sigr:ed PYVOA.form. Yes S. work order for cont-actor bid/crew completed. Yes q. Copy of change orders imust be approved by subgrantee inspector). Yes 1D. Replaced refrigerator disposal dot.u+rentationrrconfirnration. �N/A I 11. Replaced water heater disposal documentation/confirmation. N/A 12. Client,and subgrantee ins ectorsgned and dated the BWR. Yes 13. Total Job Cast qjYes File documentation review meets FJoridalWAP Procedures and Guidefines. Yes 6F QCI Signature Date ON-SITE WORK ASSESSMENT HEATING VEilTIC4TION AlrNl7;ITIONING 1. Heating5ystem Rep lacement/Repair? No Notes: 2. Air Conditioning Replacement/Repair? N/A Notes: 3. Heating System Tune-Up? N/A Notes: 4. AirCondit;oningTune-Up? N/A Noles: 5. bistribut€on System Modifications? No Notes. 6. Duct Sealing(All Joints,Seams and Connections in Ductwork Shall Be Securely Fastened and N/A Sealed..ACCordin g I y)? Notes: 7. Set-Back Thermostat tnsta,led fold thermostat disposed of properly if with mercury)? Yes Notes 8 Mechanical Ventilation Installed(ERV,local mechanical exhaustl?(Whole Building NO ERV NEEDED Mechanical Ventilation Rate:if caicutated final mechanical ventilation rate is less than or equal Yes Notes: to 15 cfm,then whole building ventilation is not required.) 9. Ventilation Requirements Verified and Complies with ASHRAE 62.2-2013? Yes Notes: a.Air Flow Measured using,airflow measuring device? Yes Notes: 10. Filter Installed/1 extra left with client? Yes Notes: 11. Combustion Safety Testing Verified and DOCurrentatlon is Complete? N/A Notes: No Gas Appliance 12. Measures(s)followed Priority list? N/A Notes: 13.NEAT or MHEA used instead of Priority List(Spec§fir Measure Does Not Fit Into Parameters Yes Notes of the Priority List)? 14. Work Meets Florida SWS/FFG Installation Standards? Yes Notes: AyT€� 1 Attic insulationlnstaHed? �V NO Notes: a.If below R-19,insulated to R-38? N/A Notes. 2. Proper Coverage It-value? N/A Notes: 3 Insulation Certificate Completed&Posted? N/A Notes: 4. If Knob/Tube Pre'5ew,is Sign Posted: 'Caution Live Knob&Tube Wiring Present"?(Post in Engi:sh&Spanish.) N/A Notes: 4. Proper Heat Source Damming&Air Sealing(High Temperature Caulk,Non-Combustible Sheet Metal A r Sealing Combustion Flue Pipes/Chun€seysl? N/A Notes: I 6. Insulation/Vent Damming? No Notes: 7. Junction Box/Markers Present? N/A Notes: B. Attic Access Insulated/Dammed? N/A Notes: 9- Attic Air Sealing Performed? NO Notes: — 10. Ma ufactured/Mobile Home Attic? NO Notes: a.AtticAccessibte? N/A Notes: a If not accessible,Ceiling(Pressure Boundary)Air Sealed? N/A Notes: C.Insulation blown in through cei'ing? N/A Notes: d.lnsu'at'on installed through root, N/A Notes: 11.Measure{s)followed Priority List? N/A Notes: 12 'NEAT or MHEA used instead of Priority List(Atypical Unit orSpecific Measure Does Not Fat IntoParameters of the Priority Lisfl? Yes Notes: 13. Work Mee-s Florida SWS/FFG Installation Standards? ( Yes Notes: �ID241V'AL_tS&kCVEEWALLs 1, Wall Iris ation installed(Dense Packed)? N/A Notes: a.Knee wall Insulated to R-18? N/A N tes: 2. Plugs,Patching,&Painting Appropriate? N/A Notes: 3. Air Sealing Performed? N/A Notes: ��- 4. Man ufactured/rvMobHe Home? No Notes: a.Insulation Installer? N/A (Votes: 5. Measure(s)followed Priority List? N/A Notes: 6.NEAT or MHEA used instead of Priority List(Specific Measure Does Not Fit line Parameters of the Priority List)? Yes Note5: 7, )Mork Meet,Florida SWS/=cG Installation Standards? Yes Notes:' s tJ 65PACE 1. Band board/Rimjoist Insulation Installed? N/A Notes: 2. Floor Insulation Installed(R-19)? Yes Notes: House 10ft.Above Ground 3. Basement/Crawlspace Wall Insulation€nsralled? N/A Notes: 4. Vapor Barrier(Site Built)Installed? N/A Notes: a.1001 Coverage installed(Exposed Earth)? N/A Notes: b.Fastened To Ground(landscape staples,ballast to prevent movement)) N/A Notes: c.Minimum b"Up Foundation Wail? N/A Notes: d.Searns On Wall Taped? N/A Notes: e.Wall to Floor Connection,Wall V,B.Installed Under Ground V.B.? N/A Notes: f.Fastened Mechanically To Wall(furring strips and staples)? N/A Notes- g.Vented Crawlspace-(Ground V.R-On Sloped Ground Use Reverse or Upslope Lapping To — Allow Water To Drain into Ground)Overlap Seams 12"? N/A Notes: h.Sealed Crawlspace-Seams Overlapped 12"and Taped To Prevent Water Leakage? N/A Notes: 5,Crawlspace Signage:"Prohibited:Do Not Store Hazardous or Flammable Materials In This Space"installed?(Post in English&Spanish.) N/A Notes: a.Segnage:"Caution,Do Not Damage.If Damaged,The Following Must Be Repaired immPdiately:.If Repairs Needed,Contact: in stated?(Past in English&Spanish.) N/A Notes: o, Air Sealing Performed? No Notes: 7. Manufactured/Mobile Home? NO Notes: a.Air Sealing at floor,inside belly? N/A Notes: It.Ductwork sealed,inside belly? N/A Notes: c.insulation Installed Accordingly? _.. N/A. Notes: d.Belly repaired/replaced? N/A Notes: e.Vapor Gamier Installed?if existing conditions of the ground and skirting mandates,a moisture barrier that covers the crawlspace ground will be installed with allowances for structural supports(piers)and accessibility,"Aim for complete coverage,If access to the entire cra.vlspace is impossible,cover all accessible areas.'Overlap seams by 12"and seal with NIA Notes: waterproof tape and/or polyurethane caulk or adhesive.`Wrap and cover support piers at !east 6"high."Fasten to ground(landscape staples). 8. Measure(s)followed Priority List? N/A E o'es: 9 iN SAT or P.MHEA used instead of Priority List(Specific Measure Does Not Fit Into Parameters of the Priority List)? Yes No*es: 10. Work Meets Florida SWS/FFG Installation Standards? � Yes Notes: WINt_QW_DL QRS 1, Ninth Window Replaced/DECO approval? N/A Notes: a.DE©approval recorded electronically? N/A 'Notes: 2. Third Door Replaced/DE0 approval? NIA Notes: Door Weatherstripping/Thresholds/Svreeosa N/A Notes: 4. Measure(s)followed Priority List? N/A Notes: S.NEAT or MHEA used Instead of Prior ty List? Yes Notes: 6. Work Meets Florida S+VS/FFG instaration Standards? Yes Notes: SIR Water Heater Replaced/Repaired? NO Notes: a.Temp.&Pressure Relief Valve Installed? N/A Notes: h.Discharge Pipe Installed? N/A Notes: c.Expansion Tank Installed? N/A Notes: d.Water Temp.should not exceed 120 degrees'r? No Notes: 2. Water Heater Insulation Installed(Storage Tanks Must Be Insulated to R-24 or better;this includes insulation inside of tank)? Yes Notes: 3. Pipo insulation Installed(First 6feet h)t/cold)? Yes Notes: 4. Low Flow Showerhead's Installed(2.5 gprn of less}? No Notes: 5. Aerators Installed(2.2 gpm or less)? No Notes: a.If dammage could result from existing conditions,use sk lled professional or omit. No otes: 3. Lighting CF s installed(must be installed)? _ N/A Nodes EEXISTING 7, Refrigerator Replaced? NO Notes: a.Metering/database? Yes Notes: 7111, No Notes:. Yes Notes:. No Notes: V, Yes Notes: 10.Other H&S Measures: Yes Notes: 11 Other"Energy Related Repairs. NIA Notes: NO GAS APPLIANCES 12.Manometer/Combustion Analyzer within Calibration Date? N/A Notes: 1 Pressure Diagnostics Performed? N/A Notes: 14.Attached Garage Air Sealed? N/A Notes: a.All Penetrations Sealed? N/A Notes: b.Ductwork Sealed? NIA Notes: c.Construction Materials.Sealed? NIA Notes: d.Doors Weather-stripped,Sweeps? NIA Notes: 15.CAZSealed? N/A Notes: 16.Duct Insulation Installed on Duct Outside Conditioned Space? N/A Notes: a.Foiled Faced/Vapor Barrier R-8? N/A Notes: b.Insulation Installed Completely on Foiled Faced Duct Insulation,Hard Pipe Ductwork, N/A Notes: p:.enums and Duct Bcots and Fastened with Code Approved Materials? 17.Occupan:Provided With Copies of Applicable Docu,tzenta;ion? Yes Motes: 18.Clothes Dryer,Semi Rigid metal Duct installed? N/A Notes: 19.Screen Mesh Installed(1/4".1/1")for Past Exclusion Exhaust Terminations Accordingly? N/A Notes: 1q.Rekigzrant Lines Insulated To R s? N/A Notes: 21-Occupant Education(dryer lint fitter cleaning.HVAC filter replacement,use of local yes Notes, mechanical exhaust,etc.)? Other(Describe): NIA Notes: INCIDENTALREP4IR MEASURE$(IR9YI c1 1. Arc IRM sjustihed in the client file with an explanation for their need and relationship to N/A Notes, the specific energy conservation measure(ECM)or group of ECM's? G. Are.IPfu''s°within the atiotted do9lar lirriit? N/A Notes: 3. Does this unit need additional attention from the Agency? NJA Notes: 4. Add cornments on additional pages if needed, Note:All corrections must be completed and signed off lay the Crew Leader(CL).When corrections are completed the Quallty Central Inspector(QCI)must sign off affirming that required deficiencies were addressed to Florida WAP standards.If the job vjas inspected and alt corrections were road-on the final day of the job;the CI.and QCI must sign the nspection Form to verify completion.Final day inspections must reflect corrections cited by the QCI.Inspection Form must tie included in client file. Correction(s): Crew leader(CL). Quality Inspection(QC) CL C Note: CL Notes: -. CL Notes': C! Notes: ' C_ Not€=s. CL QCI Notes: CL QCI Notes: CL QC1 motes: CL atl Notes: CL QC _ 'Notes. CL QCI Notes: Crew leader Name(print): AM Signature: Date: quality Control inspector Name(print): Chris carraza Certification#€: 5052197 Signature or e-signature: U Date: I hereby confirm that thisjob is con ' d complete.All measures have been properly justified and this unit can be reported as completed. Y25 Nf3 A prif copy of this completed QU report truest be included with the dwelling when submitted for reunbursernent through F'-Grants. fi'bis completed original signers QCl Report will be placed in tine chcnt file. WAP Program Inspection Report Date: 01/26/2021 Address: 29131 Watson Blvd. Big Pine Key, FL 33043 Client: Jacqueline Lanciault Report: Sub-Floor Insulation Installation A site visit for a visual inspection and photographic record was conducted on Tuesday 26th, January 2021. 1 did a walk around of the work site and made a visual determination and photographic record to verify that R-19 insulation was installed in the sub-floor. A vapor barrier was installed over the insulation inside the downstairs storage room. Fire resistant sheet rock (1hour minimum burn time) of 5/8ths thickness was installed over the insulation exposed to the exterior environment. All seams were mud & taped, a smooth cover layer applied, and an oil based exterior primer applied to finish and seal. The work has been approved by a county building inspector and the permit has been closed. This inspection report concludes with a recommendation for payment to the contractor: Queen Conch Construction, Inc. Bernhard Ranch Date Monroe County WAP Representative to C f. lo w, a� tv4 u :t 4 3 4�a GAF 4 Ji (S{4`4a, k I � w �s, � r r a r rfi s a� r r � ,f { i tl�o .' j+ 5a � � l�l > 1Ji1. 1. t(tL t.'L"t1C1 c , a AJs 5 k xt � y t At ' 4 f f ' r p r+ t r 0 _ 5 a r I xk,4 �f A{ 4 F-C f J` �,-r