Montgomery County Public Schools Facilities Guide DIVISION 0 - CONDITIONS OF THE CONTRACT

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1 Montgomery County Public Schools Facilities Guide DIVISION 0 - CONDITIONS OF THE CONTRACT SECTION CONTRACTOR S REQUISITION FOR PAYMENT 1.1 The Standard Monthly Contractor s Requisition for Payment, IAC / PSCP Form included herein is the monthly requisition for payment form to be used by Contractors. This form is to be modified as necessary to reflect specification sections of Work. MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

2 STANDARD MONTHLY CONTRACTOR'S REQUISITION FOR PAYMENT LEA: PROJECT TITLE: LOCATION: DATE: PSC NO: REQ NO: IAC/PSCP FORM PAGE 1 of 16 C.S.I. DIV CATEGORY TOTAL COST COMPLETED TO DATE PRIOR REQUISITNS CURRENT PAYMENT DUE % $ 1 GENERAL CONDITIONS 2 SITE WORK 3 CONCRETE 4 MASONRY 5 METALS 6 WOOD & PLASTICS 7 THERMAL & MOIST. PROTECTION 8 DOORS & WINDOWS 9 FINISHES 10 SPECIALTIES 11 EQUIPMENT, BUILT-IN 12 FURNISHINGS, BUILT-IN 13 SPECIAL CONSTRUCTION 14 CONVEYING SYSTEMS 15 MECHANICAL 16 ELECTRICAL TOTAL CHANGE ORDERS MATERIAL STORED TOTAL ADJUSTED LESS: RETAINAGE % TOTAL I certify the above estimates and that timely payments have been (except initial submission), and will be, made to suppliers and subcontractors on this project, as requisitioned payments are received, and in accordance with our contracts. Name of Contractor Firm Authorized Signature MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

3 STANDARD MONTHLY CONTRACTOR'S REQUISITION FOR PAYMENT LEA: PROJECT TITLE: LOCATION: PSC NO: REQ NO: IAC/PSCP FORM PAGE 2 of 16 NOTARIZATION County, to wit: I hereby certify that on this day of in the year of, before me, a Notary Public for said County, personally appeared and made oath in due form of law that he/she is (name), (title) of (name of firm), and on behalf of said firm stated that the matters and facts set forth in the foregoing verification are true to the best of his/her knowledge, information and belief. He/she acknowledged that he/she executed the same purposes herein contained and that they had full authority to execute same. As witness my hand and official seal: NOTARY PUBLIC Reviewed and agreed justified to the best of my knowledge: Construction Manager/Date Architect Signature/Date Signature of LEA Representative/Date Remarks: MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

4 LEA: PROJECT LOCATION: Attachment G CERTIFIED MINORITY BUSINESS ENTERPRISE PARTICIPATION STANDARD MONTHLY CONTRACTOR S REQUISITION FOR PAYMENT DATE: PSC REQ IAC/PSCP Form PAGE 3 of 16 MDOT MBE AMOUNT PAID SUB- SUB- TO BE PAID NAME OF MBE CONTRACTOR TOTAL MBE JULY 1 TOTAL CONTRACTOR THIS CERTIFICATION CONTRACT to PAID SUB-CONTRACTOR CLASSIFICATION REQUISITION # AMOUNT $ JUNE 30 TO DATE # $ TOTAL MDOT Certification # can be located at MBE Classification #: African American =1 Hispanic American = 2 American Indian = 3 Asian American = 4 Women = 5 Disabled = 6 Non-profit = 7 I certify that the figures and information presented above represent accurate and true statements, that timely payments have been and will be made to suppliers and subcontractors on the project, as requisitioned payments are received, and in accordance with our contracts. Name of Contractor Firm Authorized Signature/Date Contractor EFIN/SSN Contractor MBE Classification # (if applicable) MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

5 STANDARD MONTHLY CONTRACTOR'S REQUISITION FOR PAYMENT LEA: PROJECT TITLE: LOCATION: IAC/PSCP FORM PAGE 4 of 16 DATE: PSC NO: REQ NO: C.S.I. CATEGORY TOTAL COST COMPLETED TO DATE PRIOR REQUISITIONS CURRENT PAYMENT DUE % $ DIV 1 GENERAL CONDITIONS DIV 2 SITE WORK Demolition Clearing Dewatering Site Grading Excavation & Backfilling Erosion Control Pilings Caissons Fences Roads & Walks Curbs Gutters Parking Play Fields & Equipment Playground Equipment Lawns Trees Shrubs Asphalt Paving Concrete Paving MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

6 02600 Site Utilities to 10' of bldg Water Sewer Storm Gas Site Improvements Landscape Total Site Work DIV 3 CONCRETE Formwork Reinforcement Accessories Cast-in-place Structural Concrete Piers Grade Beams Footings Slab on Grade Water Stops Concrete Stairs Pre-cast Structural Pre-cast Architectural Cementitious Decks Total Concrete DIV 4 MASONRY Mortar Brick Masonry Structural Glazed Tile Concrete Unit Masonry MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

7 04270 Glass Unit Masonry Stone Total Masonry DIV 5 METALS Structural Steel Steel Joists Steel Deck Cold-formed Metal Framing Metal Stairs Handrails & Railings Gratings Ornamental Metal Total Metals DIV 6 WOOD & PLASTICS Rough Carpentry Finish Carpentry Architectural Woodwork Plastic Fabrications Total Wood & Plastics DIV 7 THERMAL & MOISTURE PROTECTION Waterproofing Walls Slabs Dampproofing Building Insulation E.I.F.S Fireproofing Shingles & Roofing Tiles MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

8 07400 Pre-formed Roofing & Siding Metal Roofing Membrane Roofing Built-up Roofing Flashing & Sheet Metal Skylights Sealants Total Thermal & Moist. Prot. DIV 8 DOORS & WINDOWS Metal Doors & Frames Wood Doors Overhead Doors Folding Doors Entrances & Storefronts Metal Windows Hardware Glazing Glazed Curtain Walls Total Doors & Windows DIV 9 FINISHES Metal Support Systems Lath & Plaster Gypsum Board Ceramic Tile Quarry Tile Terrazzo Acoustical Ceilings Acoustical Panels Wood Flooring MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

9 09650 Resilient Flooring Carpet Special Coatings Painting Wall Coverings Total Finishes DIV 10 SPECIALTIES Chalkboards, Tackboards Toilet Partitions & Access Louvers & Vents Access Flooring Flagpoles Plaques Signs Lockers Fire Extinguishers Fire Extinguisher Cabinets Fire Blankets Demountable Partitions Folding Partitions Folding Gates Metal Shelving Wire Shelving Toilet & Bath Accessories Total Specialties DIV 11 EQUIPMENT Book Theft Protection Stage Rigging Stage Curtains MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

10 11065 Portable Stages, Risers Projection Screens Waste Compactors Food Service Equipment Residential Equipment Unit Kitchens Scoreboards Gymnasium Equipment Paint Spray Booths Total Equipment DIV 12 FURNISHINGS Metal Casework Wood Casework Blinds & Shades Auditorium Seating Telescoping Bleachers Total Furnishings DIV 13 SPECIAL CONSTRUCTION Greenhouses Grandstands & Bleachers Swimming Pool Liquid & Gas Storage Tanks Building Automation System Fire Supp./Supervisory Sys. Total Special Construction DIV 14 CONVEYING SYSTEMS Elevators Wheelchair Lifts MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

11 Total Conveying Systems DIV 15 MECHANICAL Mechanical Insulation Fire Protection Fire Protection Piping Fire Pumps Wet Piped Sprinkler System Standpipe and Hose System Fire Protection Plumbing Roof Drainage Systems Plumbing Piping Domestic Water Heaters Plumbing Equipment Water Distribution Pumps Pool & Fountain Equipment Special Systems Compressed Air Systems Gas Piping System Plumbing Heat Generation Boilers Breechings/Chimneys/Stacks Fuel Handling Systems Heat Generation Refrigeration Compressors Condensing Units Water Chillers Cooling Towers MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

12 15730 Liquid Coolers Condensers Cooling Heat Transfer Heat Exchangers Heat Pumps Pkgd Air Conditioning Units Air Coils Terminal Heat Transfer Units Energy Recovery Units Heat Transfer Air Handling Units and Coils Power Ventilators Air Handling Air Distribution Air Cleaning Devices Ductwork Air Terminal Units Air Outlets & Inlets Air Distribution Controls Building Systems Controls E. M. & C. Systems Control Systems Controls Testing/Adjusting/Balancing Total Mechanical DIV 16 ELECTRICAL Basic Materials & Methods Raceways MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

13 16120 Wires & Cables Boxes Wiring Devices Cabinets & Enclosures Basic Electrical Service & Distribution Service Entrance Switchboards Bus Duct Panelboards Service & Distribution Lighting Lamps Interior Luminaries Exterior Luminaries Emergency Lighting Theatrical Lighting Lighting Special Systems Pkgd Engine Gen. System Lightning Protection System Special Systems Communications Alarm & Detection Systems Clock & Program Systems Voice & Data Systems Telephone Dist. System Intercom System P.A. & Music System T.V. System Satellite Systems MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

14 Communications Controls Total Electrical TOTAL MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

15 STANDARD MONTHLY CONTRACTOR'S REQUISITION FOR PAYMENT LEA: PROJECT TITLE: LOCATION: IAC/PSCP FORM PAGE 14 of 16 DATE: PSC NO: REQ NO: CHANGE ORDERS C/O NO. BRIEF DESCRIPTION TOTAL COST COMPLETED TO DATE PRIOR REQUISITIONS CURRENT PAYMENT DUE % $ TOTAL (Enter on Page 1) MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

16 STANDARD MONTHLY CONTRACTOR'S REQUISITION FOR PAYMENT Page 15 of 16 LEA: PROJECT TITLE: MATERIAL Stored on Site ITEM DESCRIPTION COST PRIOR REQUISITIONS CURRENT PAYMENT DUE TOTAL (Enter on Page 1) Additional information to be filed with Initial and Final Submissions Only COST A. Foundations and Slab on Grade $ B. Structural System $ C. Exterior Walls $ D. Interior Partitions $ E. Ceilings $ F. Floor Finishes $ G. Lighting $ Site size in acres: Portion of site being developed in acres: Size of school in gross square feet: Construction start date: END OF SECTION MCPS 01/01/09 Bk2;Vol 1 CONTRACTOR S REQUISITION FOR PAYMENT

Table of Contents. Division 2 Site Work Site Preparation Site Demolition Tree Protection Excavation, Trenching, and Backfilling for Utilities

Table of Contents. Division 2 Site Work Site Preparation Site Demolition Tree Protection Excavation, Trenching, and Backfilling for Utilities Division 1 Requirements Design and Construction Quality Campus Master Plans Texas Tech University System Operating and Building Maintenance Project Administration Historically Underutilized Business (HUB)