HomeMy WebLinkAbout14-3658 MECHANIC'S LIEN CLAIM BY A CONTRACTOR
49 P.S. § 1503
Reference ID: 34198
IN THE COURT OF COMMON PLEAS OF Cumberland County COUNT
LIEN CLAIMANT: NO. H , S (os � T v j
BELFOR USA Group
608 JEFFERS CIRCLE
EXTON , PA 19341
1
versus
PROPERTY OWNER:
Kathleen Wisner , rte-
2903 SOCIETY HILL DR#310
Camp Hill, Pennsylvania 17011 v
Date of Completion of the Claimant's Work: a -?}
March 27, 2014 CD "`-
y7f`
Amount of Claim:
The amount claimed to be due is as follows, plus interest:
$30,337.34 i
IMPORTANT INFORMATION ON NEXT PAGE
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Labor/Materials Furnished:
The claim is made for the following labor and/or materials furnished to the property being liened by
the Lien Claimant:
Fire Damage
Property Liened:
Description of the property being liened and the improvements constructed thereupon:
35 Scaresdale Dr
Camp Hill, Pennsylvania 17011
County of Cumberland County
State of Pennsylvania
Legally Described As:
COUNTRY & TOWN HOMES LOT 1. APN: 13-25-0022-108. Subdivision: COUNTRY & TOWN
HOMES. Map Reference: 25-0022 /25-0022. Census Tract/ Block: 111.01 /2. Legal Lot: 1
These services were provided under a contract or contractors for an agreed sum: No
If yes, a copy of the contract is attached.
If no, a copy of a statement detailing the kind and character of the labor or materials furnished, or
both, and the prices charged for each is attached.
Signature of Claimant and Verification
State of �Vy 1
County of Q VAR_ .AS
I, Cassandra Damascus, being of lawful age and being first duly sworn upon oath, do say that as an
employee and agent of Express Lien, Inc. dba Zlien, I am the disclosed agent of Claimant herein
named, BELFOR USA Group, appointed for the express purpose of signing this statement of lien;
that I have read the Statement of Lien and know the contents thereof; that to the best of my
knowledge, information and belief, the same is true and correct, adn made on behalf of the
Claimant.
BELFOR USA Group
Signed by: Cassandra Damascus
Agent for BELFOR USA Group
June 11, 2014
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Sworn a s bs a be re me, undersigned Notary Public, on this date: June 11, 2014
Notary Public NAi HAN L. BUDDE
NOTARY PUBLIC
STATE OF LOUISIANA
LOUISIANA BAR NO. 32103
My Commission is for Life.
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RELFOR (0) STATEMENT
PROPERTYRESTORATION
2780 COMMERCE DRIVE
SUITE 200
PHONE:(717)939-9090 STATEMENT DATE 4/18/2014
FAX: (717939-9097 CUSTOMER NO. 564349
EMAIL CONTACT: Shad.Wharton@us.belfor.com
TAX ID NO:84-1309171
PA LICENSE NO:HIC#PA005263
BILL TO: KATHLEEN WISNER JOB SITE: WISNER, KATHLEEN
35 SCARSDALE DRIVE 35 SCARSDALE DRIVE
CAMP HILL, PA 17011 CAMP HILL, PA 17011
CC:
JOB NUMBER ESTIMATOR CLAIM NO. INSURANCE CO. PAYMENT TERMS PURCHASEIWORK
105610738 MUMMERT HRP3101001C TRAVELERS Due Upon Receipt ORDER
DESCRIPTION AMOUNT,
FIRE DAMAGE LOSS DATE 7/11/2013
BOARD-UP SERVICES: 13-56-WISN K-BUS $1,529.74
FIRE DAMGE REPAIRS: 13-56-WISN-REP-041114 $86,321.77
CODE UPGRADES: 13-56-WISN-CODE-REV $5,396.95
PA TAX 6% $399.74
RECEIVED 9/17/13 $1,529.74
RECEIVED 10/28/13 ($180.77)
RECEIVED 10/30/13 $47,233.61
RECEIVED 11/26/13 $6,144.29
RECEIVED 4/18/14 $5,396.96)
RECEIVED 4/18/14 $2,825.49
TOTAL DUE $30,337.34
Please include the invoice number on your check,
make all checks payable to BELFOR USA Group, Inc,and remit to:
2780 Commerce Drive,
Middletown,PA 17057
THANK YOU FOR CHOOSING BELFORI
www.BELFORUSA.com
Date: 7-12-13 Belfor NA Call Sheet ( Page: 1
Time: 7:37:29 am
Job Number: 105610738 Site: 35 Scarsdale brive
Name: Wisner,Kathy Camp Mill PA 17011 USA
Status: Sold
Emergency: Yes Division: Construction
Customer Profile
Caller's Name: Call Date: 7-11-13
Email: Time: 11:30 pm
Loss Date: 7-11-13 Referral Source: Fire Department Industry Group: Residential
Stopped: No Primary Damage: Structure Subgroup: Private Households
Service Line: Fire
Primary Contacts
Jeremy Wisner Property Manager
Cell (7`171599-4467
Internal Assignments Li 1)'tD c')Ll
Lead Generator: Mike Rosito Project Manager.
Salesperson: Mike Rosito Superintendent:
Estimator: Dave Mummert Supervisorr. Dave Mummert
Insurance Information
Travelers Insurance(Insurance)
Policy Number: Claim Number. Deductible: 0.00 Deposit 0.00
Notes:
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Damage Description
Fire,Board-up
{
Insurance Adjuster
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Referred By
Company: Contact:
Lower Allen Fire Dept.
Attachments: 0 Job Log Entrees: 0
I
56- -10738
BELFOR
Payments Received:
Invoices Issued:
Amount Date Partial Billing# Amount Date Approved
?• = �,r,(� t - -_ — max.
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" i8 �iF L3A�'� 3o,33`J.3�i
FINAL SALE TOTAL
Sale Adjustments_
Addition
Addition
Reduction
- - - -Reduction
Adjusted Sale Amt:
Comments:
BELFOR Property Restoration
2780 Commerce`Drive:-Suite 20.0,Middletown,PA 17057
(717)939-9090`Tel - (717)939-9097 Fax
BELFOR PA License#005253 - Ped ID#84-1309171
Client: Kathy Wisner
Property: 35 Scaresdale Dr
Camphill,TA 17011
Operator Info:
Operator: DM
Estimator: Dave'.MurnMert Cellular: (7117)1,86-5344
Company; BELFOR.Propert`Restoration E-mail: Daveavlummert&s.befor.
conn
Type of.Estimate: Fire
Date Entered: 7/12/2013; Date.Assigned: 7/1272013
Date Est.Completed: 8/2/2013 Date J.ob.Completed:
Price List: PAHA7X.JUL13
Labor-Efficiency: Restoration/Service/Remodel
Estimate: 1.3-56-WISH K-BUS
We would like to thank.you for the."recent work. The following;pages contain a detailed breakdown of the services that were
performed for you.
Total cost'for the work detailed in the following pages is$1,529.74.
It.is,possible that your insurance company may send the payment directly to.you: If you.receive such payment please forward it
immediately to BELFOR as directed on the attached invoice.
If you have any questions;about the work p'erforined or the"invoiceplease contact Dave Mummert.
Thank you in advance for your cooperation,
B.ELFORPropertyRestoration
We are here 24 hours a day,seven'days a week;
wherever and whenever you need us.
If you.would like to participate in'.our Customer Satifaction Survey,please visit our website www.BELFOR com to do so.
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BELFOR Property Restoration
2780 Commerce Drive Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (7`17)939=9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
13-56-WISN K-BUS
Board up Services
DESCRIPTION QNTY UNIT COST TOTAL
1. Board-up windows and doors-after hours 96.00 SF @ 1.88= 180.48
2. (Material Only)2"x 4"lumber(.667 BF per LF) 24.00 LF @ 0.55= 13.20
3. Emergency service call-:after business hours 1.00 EA @ 271.76= 271.76
4. Generator-.6;000 watt-portable:(per day) 1.00 DA @ 82.54 82.54
Subcontractor Services
DESCRIPTION QNTY UNIT COST. TOTAL
5. Electrical(Bid Item) 1.00 EA @ 798.00= 798.00
13-56-WISN K4BUS 8/28/2013 Page:2
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090:Tel - (717)939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
Summary
Line:Item Total 1345:98
Overhead @ 10.0% 79,80
Profit @: 10.0% 79.80
Material Sales Tax @10000/0 24.16
Replacement Cost Value $1,529.74
Net.Claim $1,529.74.
Dave Mummert
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13-56-WiSN K-BUS 8728/2013 Page:3
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BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17.057
(0)
(717)939e.9090 Tel - (717)939-9097 Fax
BELFOR PA License 0 005253 -.Fed ID#84-1309171
Client;_ Kathy Wisner
Property: 35 Scaresdale Dr
Camphill,PA 17011
Operator Info:
Operator: DTVI
Estimator: Dave-Mummert Cellular: (717):286-5344
Company: BELFOR Propert Restoration E-mail: Dave.Mummert@us.befor.
com
Type of:Estimate: Fire
Date Entered: 7/12/2013 Date Assigned: 7/12/2013
Date Est,Completed: 4/14/2014 Date Job Completed:
Price List: PAHA7X_JUL13
Labor Efficiency: Restoration/Service/Remodel
Estimate: 13-56-WISN-CODE-REV
This'estimate covers code compliance:items
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BELFOR Property Restoration
2780 Commerce Drive Suite 200,Middletown,PA .17057
(717)939-9090 Tel - (71.7)939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
13-56-WISN-CODE-REV
2nd floor
Back Bedrm Height:8'
Subroom: Closetl(2) Height:8'
Subroom: Closet2(1) Height: 8'
DESCRIPTION QNTY UNIT COST TOTAL
1. Smoke detector-High grade 1.00 EA @ 66.31= 66.31
2. 110 volt copper wiring run and.box-rough in only 1.00 EA @ 36AI= 36AI
3. Batt:insulation-4 1111-paper faced 210.93 SF @ -0:52.= -109:68
4. Blown-in insulation-8"depth-R19 210:93 SF @ -0.62= -130.78
5. Batt insulation- 12"-R38-paper faced 210.93 SF @ 1.45= 305.85
6. Blown-in insulation-6"depth-1113 325.33 SF @ -0.50= -162:67
7. Batt insulation-4"-R15-paper faced 325.33 SF @ 0.92,= 299:30
Front Bedrm Height: 8'
Subroom: Closet6(1) Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
8. Smoke detector-High grade 1.00 EA @ 66.31= 66.31
9. 110 volt copper wiring run and box-rough in only 1.00 EA @ 36.41= 36.41
10. Batt insulation-4"-R11 -.paper.faced 160.58 SF..@ -0.52= =83.50
11. Blown-in insulation-8"depth-R19 160.58 SF @ -0.62= -99.56
12. Batt insulation- 12'-R38-paper faced 160:58 SF @ 11.45= 232.84
13. Blown-in insulation-6"depth-R13 260.78 SF @ -0.50= -130.39
14. Batt insulation-4"-R15-paper faced 260.78 SF @ 0.92= 239.92
Bathroom Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
15. Batt insulation-4"-R11-paper faced. 46.29 SF @ -0.52= -24.07
16. Blown-in insulation-8"depth-A10 46.29 SF @ -0.62= -28.70
17. Batt insulation- 12"-R38-paper faced 46.29 SF @ 1.45= 67.12
18. Blown-in insulation 6"depth-:,R13 96.00 SF @ -0.50= -48.00
19. Batt insulation-4"-R15-,paper faced 96.00 SF @ 0.92= 88.32
20. R&R 110 volt copper wiring run,box and outlet 1.00 EA @ 51.29= 51.29
13-56-WISN-CODE-REV 4/14/2014 Page:2
BELFOR Property Restoration
2780 Commerce Drive-Suite 200„Middletown,PA 17057_
(717)939-9090 Tel - (7,17)959-9097 Fax
BELFOR PA License#005253 - Fed ID 9 84-1309.171
Hallway Height:8'
Missing Wall 3'3"X8, Opens into Exterior
Subroom: Closet(2) Height: 8'
Subroom: Closet5(1) Height: 8'
DESCRIPTION QNTY UNIT COST TOTAL
21. Smoke detector-High grade 1.00 EA @. 66.31= 66.31
22. Carbon monoxide detector-Standard grade 1.00 EA.@ 44.22= 44.22
23. 1.10 volt copper wiring run and box-rough in.only 2.00 EA @ 36.41 = 72:82
24. Light fixture 1.00 EA @ 50.17= 50.17
1 Light was not sufficient for the hallway due to the stairs
25. Batt insulation-411-Rl 1-paper faced. 63.29 SF @ -0.52= -32.91
26. Blown-in insulation 8"depth R1.9 63.29 SF @ -0.62 -39.24
27. Batt insulation-12"-R38-paper faced 63.29 SF @ 1.45= 91.77
28. Batt insulation-4"-RIS-paper faced 24.00 SF @ 0.W= 22.08
Insulation at the upper back part of the closet.
Front middle bdrm Height: 8'
Subroom: Closet3(1) Height: 8'
Subroom: Closet4.(2) Height: 81
DESCRIPTION QNTY UNIT COST TOTAL
29. Smoke detector-High grade 1.00EA @ 66:31 = 66.31
30. 110 volt copper wiring run and box-rough in only. 1.00 EA @ 36.41= 36.41
31. Batt insulation-4"-R11 -paper faced 129.33 SF @ -0..52= -67.25
32. Blown-in insulation-8"depth-R19 .129.33 SF @ 461= -80A8
33. Batt insulation- 12"-R38-paper faced 129.33 SF @ 1.45= 187.53
34. Blown-in insulation-6"depth-2RI 3 120.00 SF @ -0.50= 60.00
35. Batt insulation-4"-R15-paper faced 148.67 SF @ 092= 136.78
Insulated area includes exteriorfront and upper side wall common to the.liviing room
Main Level
Stairs Height:Sloped
Missing Wall 3'3"X 8' Opens into LIVING-ROOM
Missing Wall 3'311 X 8' Opens into Exterior
DESCRIPTION QNTY UNIT COST TOTAL
36. Batt insulation- 12"-R38-paper faced 17.86 SF @ 1.45= 25.90
13=56-WISH-CODE-REV 4/14/2014 Page:3
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,.Middletown,PA 17057
(717)939-9090 Tel - (717)039=9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171.
CONTINUED-Stairs
DESCRIPTION. QNTY UNIT COST TOTAL
DIning Room Height:8'
Missing Wall.-Goes to Floor 0"X 0" Opens into KITCHEN
Missing Wall-Goes to Floor 218"-X 61:8" Opens into KITCHEN
Missing Wall 91901X81 Opens into LIVING ROOM
DESCRIPTION QNTY UNIT COST TOTAL
37. Smoke detector-High grade 1.00 EA @ 66.31 = 66.31
38. 110 volt.copper wiring run and box-rough in only 1.00 EA @ 36.41 = 36.41
39. Smoke detector 1.00 EA @ -42.62= -42.62
40. Batt insulation-4" Rl l-paper faced 109.69 SF @ -0.52= -57:04
41. Blown-in insulation-8"depth-R19 109.69 SF @ =0:62= -68.01
42. Batt insulation- 12"-R38-paper faced 109.69 SF @ 1.45= 159.05
43. Blown-in insulation-6"depth-R13 120.78 SF @ -0.50= -60.39
44. Batt insulation-4"-R1.5-paper faced 120.78 SF @ 0.92= 111.12
Kitchen Height:8'
Missing Wall-Goes to Floor o"X 0" Opens into DINING_ROOM
Missing Wall-Goes to Floor 2'8"X 6'8" Opens into DINING ROOM
DESCRIPTION QNTY UNIT COST TOTAL
45. Batt insulation-4"-R11-paper faced 105.29 SF @ -0.52= -54.75
46. Blown-in insulation-8"depth-R19 105.29 SF @ -0.62= -65.28
47. Batt:insulation- 12"-R38-paper faced 1.05.29 SF @ 1.45= 152.67
48. Blown-in insulation-6"depth=R13 95.96 SF @ -0.50= -47.98
49. Batt insulation-4"-R15 paper faced 95.96 SF @ 0.02= 88.28
Living Room Height:8'
13.w%-WISN-CODE-REV 4/14/2014 Page:4
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717):939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
Missing Wall 91911 X 8' Opens into DINING-ROOM
Missing Wall V 3"X 8' Opens into STAIRS
Subroom: Closet(1) Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
50. Batt insulation-4"-RI l -paper faced 272.21 SF @ -0.52= -141.55
51. Blown-in insulation-8"depth-R19 272.21 SF @ -0.62= -168.77
52. Batt-insulation-12" R38-paper faced 272.21 SF @ 1.45= 394.70
53. Blown-in insulation-6"depth-R13 271.19 SF @ -0.50= -135.60
54. Batt insulation-4"-RIS-paper faced 271.19 SF @ 0.92= 249.49
Basement
Garage Height:716"
DESCRIPTION QNTY UNIT COST TOTAL
55. Batt insulation-6"-R19-paper faced 211.56 SF @ -0.87= -184.06
56. Batt insulation-6"-R21 -unfaced batt 211.56 SF @ 1.11= 234.83
Laundry Height:71311
Missing Wall-Goes to Floor 31-511 X 69811 Opens into ROOM1
DESCRIPTION QNTY UNIT COST TOTAL
57. Rewire-average residence-copper wiring 103.22 SF @ 2.37= 244.63
New wiring needed due to spliced wires.
l A0 FA @ 10.22= 10.22
58. Switch
3 way switch added per code
59. R&R Breaker panel- 100 amp w/arc fault breakers 1.00 EA @ 1,126.97= 1,126.97
New,panel was needed to except AF breakers and new curcuits.
60. Clean electrical breaker panel 1.00 EA @ -6.66= -6.66
Family Room Height:TV
Missing Wall-Goes to Floor 21X3' Opens into FAMILY-ROOM
.Missing Wall-Goes to Floor 31511 X 61 8" Opens into LAUNDRY
Missing Wall V X T 3" Opens into STAIRS
DESCRIPTION QNTY UNIT COST TOTAL
13-56-WISN-CODE-REV 4/14/2014 Page: 5
BELFOR Property Restoration.
(0) 2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (7 17)939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
CONTINUED-Family Room
DESCRIPTION QNTY UNIT COST TOTAL
61. Smoke detector-High grade 1.00 EA @ 66.31= 66.31
62. Carbon monoxide detector-Standard grade 1.00 EA @ 44.22= 44.22
63. 110 volt copper wiring run and box-rough in only 1.00 EA @: 36A I= 36.41
Stairs Height:17'
Missing Wall 3'X 17' Opens into ROOM1
DESCRIPTION QNTY UNIT COST TOTAL
64. Recessed light fixture 1.00 EA @ 94.95= 94.95
65. Switch 1.00 EA.@ 10.22= 10.22
66. 110 volt copper wiring:run and box-rough in only 3.00 .EA @ 36.41 = 109.23
Light added on stairs per code.3 way switch:added per code..
GEN Cond
DESCRIPTION QNTY UNIT COST TOTAL
67. Taxes,insurance,permits&fees(Bid item) 1:00 EA @ 976.73= 976.73
Grand Total Areas:
5.682.08 SF Walls 2,187.73 SF Ceiling 7,869.81 SF Walls and Ceiling
2,212.26 SF Floor 245.81 SY Flooring 773.15 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 789.83 LF Ceil.Perimeter
2,212.26 Floor Area 2,385.67 Total Area 5,436.79 Interior Wall Area.
2,781.53 Exterior Wail Area. 3.46.84 Exterior hrimeter of
Wails
0.00 Surface Area 0.00 Number of Squares 0.0.0 Total Perimieter Length
0.00 Total Ridge.Length 0:0.0 Total Hip Length
13-56-WISH-CODE-REV 4/14/201.4 Page:6
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,.Middletown,PA 17057
(717)'939-9090 Tel - (717)939-9097 Fax
BELFOR PA License#0:05253 - Fed ID#84-1309171
Summary
Line Item Total 4,373.49
Materiat Sales Tax @ 6.000% 124.00
Subtotal 4;497:49
Overhead @ 1'0:0% 449.73
Profit @; 10,0% 449.73
Cleaning Sales Tax @: G.000% -0.48
Replacement Cost Value $5,396A7
.Net Claim $5,396.47
Dave Mummert
This estimate does not include the',.following.
Lead testing;protocol,renovation or abatement
Asbestos testing,protocol or abatement:
Mold testing,protocol.,or remediation
13-56=WTSN-COD&REV 4/14/20.14 Page:7
t
(0) BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
Client: Kathy Wisner
Property: 35 Scaresdale Dr
Camphill,PA 17011
Operator Info:
Operator: DM
Estimator: Dave Murnmert Cellular: (717)286-5344
Company: BELFORPropert Restoration E-mail: Dave;Mummert@u%befor.
com
Type of Estimate: Fire
Date Entered: 7/12/2013 Date Assigned: 7/12/2013
Date.Est.Completed: 2/20/2014 Date Job Completed:
Price List: PAHA7X_JUL1.3
Labor Efficiency: Restoration/Service/Remodel
Estimate: 13-56-WISN-REP041.114
We would like to thank you for the opportunity to provide you.with this estimate. The total cost:for the repairs detailed in the
following estimate is$86,721.51.
The attached estimate details the specific work:to.be completed. Additional work outside of that specified in this estimate will
be through separate proposal(s)and/or change order(s)detailing the additional/changed scope"of work as well as the terms and
pricing of those changes. Repairs will be scheduled aftei a.signed copy of this estimate is received.
Progress payments may billed at 251/o,50%,75%,and 900/a of completion with the balance due upon substantial completion
of this scope of work. Change orders will be billed as completed and credits will be applied to the final contract billing.
Unless noted otherwise,the customer_is required to provide heat,water and electricity on=site for the duration of this project.The
customer is responsible for providing continuous access to the project area during normal business hours,Monday-Friday,8:00
am 5:00 pm. Where an item is being replaced,we will be matching the existing item's quality,color,finish,texture or material
as close as possible where applicable unless noted otherwise,there is no guaranty either specified or implied on exact matches.
This estimate does not.include hazardous material testing or abatement unless specifically detailed in the fallowing estimate.
This estimate is valid for 30 days from 4/14/20-14. If you h'ave.any questions about this estimate,please contact Dave Mummert
to discuss those questions.
I/we agree to the.terms and conditions of this.proposal.
Date Date
Owner/Authorized signature BELFOR Representative
r
® BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309.171
13-56-WISN-REP0411.14
2nd floor
Back Bedrm Height:8'
Subroom: Closetl(2) Height:8'
Subroom: Closet2(1) Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
I. Clean floor or roof joist system. 210.93 SF @ 0.62= 130.78
2. Clean stud wall 650.67 SF @ 0.49-- 318.83
3. Clean floor underlayment 210.93 SF @ 0.28= 59.06
4. Batt insulation-4"-R13-paper faced 325:33 SF @ 0:63= 204.96
5. Batt insulation-4"-R13-paper faced 210.93 SF @ 0.63= 132.89
6. Blown-in insulation-8"depth-R19 210.93 SF @ 0.62= 130.78
7. 1/2"drywall-hung,taped,floated,ready for paint 861.60 SF @ 1.47= 1,266.55
8. Interior door unit-Standard.grade 1.00 EA @ 129.79= 129.79
9. Door knob-interior 1.00 EA @ 40:22= 40.22
1.0. Door opening(jamb&casing)-36"toff"wide-paint grade 2.00 EA @ 109.55= 219.10
11. Bypass(sliding)door set-birch 2.00 EA @ 155.05= 310.10
12. Baseboard-3 1/4" 81.33 LF @ 2.49= 202.51
13. Window trim set(casing&stop) 35.00 LF @ 3.12= 109.20
14. Seal/prime then paint the walls and ceiling.(2 coats) 861.60 SF @ 0.68= 585.89
15. Paint door slab only-2 coats(per side) 5.00 EA @ 21.63= 108.15
16. Seal&paint wood window(per side) Large 1.00 EA @ 50.24= 50.24
17. Seal&paint wood window(per side) 2.00 EA @ 37.76= 75.52
18. Paint door or window,opening-Large- 1 coat(per side) 4.00 EA @ 16.95= 67,80
19. Paint door or window-opening- 1 coat(per side) 3.00 EA @ 14.40= 43.20
20. Heat/AC register-Mechanically attached 2.00 EA @ 18.96= 37.92
21. Rewire-average residence-copper wiring 210.93 SF @ 2.37= 499.90
22. R&R Phone,TV,or speaker outlet 1.00 EA @ 18.34= 18.34
23. R&R Outlet 7.00 EA @ 14.05= 98.35
24. Switch 1.00 EA @ 10.22= 10.22
25. Seal stud wall for odor control 630.67 SF @ 0.61 = 384.71
26. Seal floor or ceiling joist system 210.93 SF @ 0.87= 183.51
27. Seal the floor w/latex based stain blocker-one coat 210.93 SF @ 0.44= 92.81
28. Remove Door opening(jamb&casing)-36"toff"wide-paint grade 2.00 EA @ 4.90= 9.80
The jambs.and sills will need to be removed.
29. Paint baseboard-two coats 15.67 LF @ 0.96= 15.04
All new wood trim will need to scaled and painted 2 coats
30. Closet shelf and rod package 8,50 LF @ 15.36= 130.56
31. Remove Oak flooring #i common-no finish 210.93 SF @ 1.82= 383.89
32. Underlayment- 1/2"OSB 210.93 SF @ 1.10= 232.02
33. Carpet pad 210.93 SF @ 0.85= 179.29
34: Carpet 242.57 SF @ 4.26= 1,033.35
13-56-WISN-REP041114 4/14/2014 Page-2
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BELFOR Property Restoration
2780 Commerce Drive Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (7117)939-9097 Fax
BELFOR PA License#005253 - FelD#84-1309171
CONTINUED-Back Bedrm
DESCRIPTION QNTY UNIT COST TOTAL
15%waste added for Carpet.
35. Vinyl window-double hung;9-12 st 1,00 EA @ 284.16= 284.16
36. Vinyl window-awning,3-6 sf 2.00 EA @ 328.83= 657.66
37. Remove Wood window-double hung,9-12 sf 1.00 EA @ 26:38= 26.38
38. Remove Wood window awning,3-6 sf 2.00 EA @ 26.38= 52.76
39. Remove Storm window-aluminum, 12--24 sf 1,00 EA @ 8.81= 8.81
40. Final cleaning-construction-Residential 210.93 SF @ 0.18= 37,97
Front Bedrm Height:81
Subroom: Closet6(1) Height:81
DESCRIPTION QNTY UNIT COST TOTAL
41. Framing-Labor Minimum 1.00 EA @ 136.78= 136.78
Scrape charred framing
42. Clean stud wall 521,56 SF @ 0.49= 255.56
43. Clean floor or roof joist system 160.58 SF @ 0.62= 99.56
44. R&R Underlaym°ent-3/4"BC.plywood 160.58 SF @ 2.32= 372.55
45. Batt insulation-4" R13-paper<faced 260.78 SF @ 0.63= 164.29
46. Batt insulation-4"-R11-paper faced 160.58 SF @ 0:52= 83.50
47. Blown-in insulation-8"depth-R19 160.58 SF @ 0.62= 99:56
48. 1/2"drywall-hung,taped,floated,ready for paint 682.13 SF @ 1.47= 1,002.73
49. Baseboard.-3 1/4" 65.19 LF @ 2:49= 162.32
50. Interior door unit Standard.grade 1.00 EA @ 129.79= 129.79
51. Door knob-interior 1.00 EA @ 40.22= 40.22
52, Door opening(jamb&casing)-36"to60"wide-pa`int,grade 1,00 EA @ 109.55= 109.55
53. Bypass(sliding)door set-birch 1.00 EA @ 155.05= 155.05
54. Window trim set(casing&stop) 32,00 LF @ 3.12= 99.84
55. Seal/prime then paint the walls and ceiling(2 coats) 682.13 SF @ 0.68= 463.85
56. Paint door slab only-2 coats(per side) 5.00 EA @ 21.63= 108.15
57. Seal&paint wood window(per side) 2.00 EA @ 37.76= 75.52
58. Paint door or window opening- I coat(per side) 3.00 EA @ 14,40= 43.20
59. Heat/AC register-Mechanically attached 2,00 EA @ 18.96= 37.92
60. Rewire-average residence-copper wiring 160..58 SF @ 2.3.7= 380.57
61. R&R Phone,TV,or speaker outlet 1.00 EA @ 18.34= 18.34
13-56-WISN-REP041114 4/14/2014 Page:3
BELFOR Property Restoration
2780 Commerce Drive Suite 200,Middletown,PA 17057
(717)939-9099 Tel - (717)939-9097 Fax
BELFOR P.A License#005253 - Fed ID#;84-13.09171
CONTINUED-Front Bedrm
DESCRIPTION QNTY UNIT COST TOTAL
62. R&R-Outlet 7400 EA @ 14.05= 98.35
63. Switch 1.00 EA @ 10.22= 10.22
64. Seal stud wall for odor control 521.56 SF @ 0.61= 318:15
65. Seal floor or ceiling joist system 1:60.58 SF @ 0.87= 139.70
Should be shellac base.sealer
66. Remove Door opening(jamb'&casing)-36"to60"wide'-paint grade 1.06 EA @ 4:90= 4:90
Jambs need to be removed.
67. Access-face frame&doors 4:00 :SF @ 3:6.56= 146.24
68. Paint door slab only-2 coats.(per,side) 0;50 EA @ 21.63= 10.82
This room had an access.to.the attic
69. Paint door or window opening-Large l coat(per side) 2.00 EA.@ 16.95= 33.90
2 of the opening are considered large per.Xact description.
70. Paint baseboard-two coats 15.67 LF @ 0.96= 15.04
All raw wood trim will need to sealed and painted 2 coats:
71. Closet shelf and rod package' 8.50 LF @ 15.36= 130.56
72. Remove Oak flooring-#1 common-,no finish 160.58 SF @ 1.82= 292.26
73. Underlayment- 1/2"OSB 160.58 SF @ 1.10= 176.64
74. Carpet pad 160.58 SF @ 0.85= 136.49
75. Carpet 184.67 SF @ 4.26= 786.69
15%waste added for Carpet.
76. Remove Wood window-double hung,9-:120 2.00 EA @ 26:38= 52.76
77. Remove Storm window-aluminum,12-24 sf 2.00 EA @ 8.81 = 17.62
78: Vinyl window-double hung,9-12 sf 2:00 EA @ 242.08= 484.16
Bathroom Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
79. Cleanstud wall 225.33 SF @ 0.49= 1.10.41
80. Clean:floor or roof joist system 46.29 SF @ 0.62= 28.70
81. R&R Batt insulation-4"-,.R13 paper faced 96.00 SF @ 0.81 = 77.76
82. R&R Batt insulation-4"-R11 -paper faced 46.29 SF @ 0.70= 32.40
83. R&R Blown-in insulation-8"depth-R19 46.29 :SF @ 1.21 = 56.01
84. 1/2'"drywall-hung,taped,,floated,readyfor paint 271.63 SF @ 1.47= 399.30
85. Interior door unit-Standard.grade 1.00 EA @ 129.79= 129.79
86. Doorknob-.interior 1.0.0 EA n 40.22= 40.22
13-56-WISH-REP0411.14 4/14/2014 Pagc 4
r
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939-9097 Fax
BELFQR PA License#005253 - Fed II)#84-1309171
CONTINUED.-Bathroom
DESCRIPTION QNTY UNIT COST TOTAL
87. Seal/prime then paint part of the walls and ceiling(2 coats) 2.64.13 SF @ 0.68= 179.61
88. Baseboard-3 1/4" 18.17 LF @ 2;49= 45;24
89. Paint baseboard-two coats 15.67 LF @ 0.96= 15.04
90. Paint door slab only-2 coats(per side.) 1.00 EA @ 21.63= 21.63
91. Seal&paint wood window(per side) 2.00 EA @ 37:76= 75.52
92. Paint door or window opening 1 coat(per side.) 2.00 EA @ 14.40= 28.80
93. R&R Toilet 1.00 EA @ 302.04= 302.04
94. Toilet seat 1.00 EA @ 42.71= 42.71
95. R&R Sink-single 1.00 EA @ 208.95= 208.95
96. Sink faucet-Bathroom 1,00 EA @ 125.06= 125.06
97. R&R Tub/shower,faucet(Trim only j 1.00 EA @ 76.47= 76.47
98. Vanity 2.00 LF @ 126.02= 252.04
99. Countertop-flat laid plastic laminate 2.00 LF @ 40.38= 80.76
100. Medicine cabinet-High grade 1:00 EA @ 218:24= 218.24
101. Rewire-average residence-copper wiring 4.6.29 SF @ 2.37= 109.71
102. R&R Ground fault interrupter(GFI).outlet 1.00 EA @ 26.78= 26.78
103. R&R Switch 3.00 EA @ 14.14= 42:42
104. R&R Bathroom ventilation fan w/light 1.00 EA @ 148.73= 148.73
105. Light bar-3 lights 1.00 EA @ 62.66= 62.66
106. Heat/AC register-Mechanically attached 1,00 EA @ 18;96= 18.96
107. Final cleaning-construction-Residential 46.29 SF:@ 0.18= 8.33
108. Seal stud wall for odor control 225.33 SF @ 0.61= 137.45
109. Seal floor or ceiling joist system 46.29 SF @ 0.87= 40.27
110. R&R Window trim set(casing&stop) 12.00 LF @ 3.51 42.12
111. (Install)Threshold-cultured marble 3.00 LF @ 16.36= 49.08
112. Remove:Sill-cultured marble on 2"x 4"wall 3.00 LF"@ 0.49= 1.47
113. Carpenter-General Framer-per hour 2.00 HR @ 54.71 = 109.42
Labor to fur the floor level in,existing:vanity area.
.114. Tile/Cultured:Marble Installer-per hour 3.00 HR @ 69.97= 209.91
Patch:in:missing floor tile.
115. Clean ceramic the-Heavy 46.29 SF @ 0.47= 21.76
116. Cleaning Technician_per hour 2.00 HR @ 29.83= 59.66
Extra time is needed to steam and chemically bleach the floor tile grout..
117. Refinish bathtub 1.00 EA @ 550.00= 550.00
13-56-WISN-REP041114 4/14/2014 Page: 5
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' 1
BELFOR Property Restoration
2780.Commerce Drive Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)`939-9097 Fax
BELFQR PA License#005253 - Fed ID#S4-1309171
Hallway Height:8'
Missing Wall 31301 X 8' Opens into Exterior
Subroom: Closet(2) Height:8'
Subroom: Closets(1) Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
118. Clean stud wall 431:33 .SF @, 0.49= 211.35.
119. Clean floor or roof joist system 63.29 SF @ 0.62= 39.24
120. 1/2"drywall-hung,taped,floated,ready.for paint 494.63 SF @ 1.47= 727.11
121. Seal/prime then paint the walls and ceiling(2 coats) 494.63 SF @ 0.68= 336.35
122. Baseboard-3 1/4" 53.92 LF.@: 2.49= 134.26
123. Paint baseboard-two coats15.67 LF @ 0.96= 15.04
124. Interior door unit 2.00 EA @ 134.85= 269.70
Closet doors
125. Paint door slab only-2.coats(per side) 8.00 EA @ 21.63= 173.04
126. Door knob-interior .2.00 EA @ 40.22= 80.44
127. Paint door or window opening- i coat(per side) 8.00 EA @ 14.40= 115:20
128. Shelving-24"-in place 14.00 LF @ 9.07= 126.98
129. Rewire-.average residence+copper wiring 63.29 'SF @ 2.37= 150.00
130. R&R Outlet 2.00 EA @ 14.05= 28.10
131. RSR Switch 2.00 EA @ 14.14= 28.28
.13.2. R&R Batt insulation-4"-k1:1-paper faced 63.29 SF @ 0.70= 44.30
133. R&R Blown-in insulation-$"depth-R19 63.29 SF @ 1.21:= 76.58
134. Seal stud wall for odor control 431.33 SF @ 0.61 = 263.11
135. Seal floor or ceiling joist system 63.29 SF @ 0.87= 55.06
All sealer shoould be shellac based.
136. Light fixture 1:00 EA @ 50.17= 50.17
137, Remove Oak flooring-#1 common-no finish 63.29 SF @ 1.82= 115.19
138. Underlayment- 1/2"OSB 63:29 SF @ 1.10= 69.62
139: Carpet pad 63.29 SF:@ 0.85= 53.80
140: Carpet 72.79 SF @ 4.26= 310.09
15% .waste added for Carpet..
141. Final cleaning-construction. Residential 63.29 SF @ 0.18= 11.39
Front middle bdrm Height:8'
Subroom: .Closet3(1) Height: 8'
Subroom: Closet4(2) Height:8'
DESCRIPTION, QNTY UNIT COST TOTAL
142. Clean:stud wall 565.3.3 SF @ 0.49^ 277.01
13=56-WISN,11E1?0411.14 4/14/2014 Page:6
. t
BELFOR Property.Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel. - (717)939-9097 Fax
BELFQR
PA License#005253 - Ped ID#84-1309171
CONTINUED-Front middle bdrm
DESCRIPTION QNTY UNIT COST TOTAL
143. Clean floor or roof joist system 129:33 SF @ 0:62= 80.18
144. Clean floor underlayment 129.33 SF @ 0:28= 36.21
145. Seal underlayment for odor control 1.29.33 SF @ 0.41 = 53.03
146. R&R Batt insulation,-4"-R13 paper faced 120.00 SF @ 0.81 = 97.20
147. R&R Batt insulation-4"-RI l-paper faced 129.33 SF @ 0.70= 90.53
148, R&R Blown-in insulation-8"depth-RIO 129.33 SF @ 1.21 = 156.48
149. 1/2"drywall-hung,taped,floated,ready for paint 694.67 SF @ 1,47= 1,021.16
150. Interior door unit-Standard.grade 1.00 EA @ 129.79= 129:79
151. Door knob-interior 1.00 EA @ 40.22= 40.22
152. Door opening(jamb&casing)-36"to60"wide.-paint grade 1.00 EA @ 109.55= 109.55
153: Paint door slab only 2 coats(per side) 5.00 EA @ 21.63= 108.15
154. Bypass(sliding)door set-birch 1.00 EA @ 155.05= 155.05
155. Baseboard-3 1/4" 70.67 LF @ 2.49= 1.75.97
156. Window trim set(casing&stop) 16.00 LF @ 3.12= 49.92
157. R&R Window sill 4.00 LF @ 2.98= 11.92
158. Seal/prime then paint the walls and ceiling(2 coats) 694.67 SF @ 0.68= 472.38
159. Paint door or window opening-Large-1 coat(per side) 2.00 EA @ 16.95= 33.90
160. Paint door or window opening- 1 coat(per side) 3.00 EA @ 14.40= 43.20
161. Seal&paint woodwindow.(per side) 2.00 EA..@ 37.76= 75.52
162;.R&R Vinyl window-double hung,9-12 sf 1.00 EA @ 259.67= 259.67
163. Remove Storm window-aluminum, 12-24 sf 1.00 EA @ 8:81= 8.81
164. Rewire-average residence copper wiring 129.33 SF @ 2.37= 306.51
165. R&R Phone,TV,or speaker outlet 1.00 EA @ 18.34= 18.34
166. R&R Outlet 3.00 EA @ 14.05= 42.15
167. R&R Switch 1:00 EA @. 14.14= 14.14
168. Heat/AC register-.Mechanically attached 2.00 EA @ 18.96= 37.92
169. Final cleaning-construction-Residential 129.33 SF @ 0.18= 23.28
170. Seal.stud wall for odor control 267.77 SF @ 0.61 = 163.34
171. Seal floor or ceiling joist system 129.33 SF @ 0.87= 112.52
Should be a shellac base sealer
172. Remove Door opening(jamb&casing)-36"to60"wide-paint 1.00 EA @ 4.90= 4.90
grade
Must be removed.
173. Paint baseboard-two coats 15.67 LF @ 0.96= 15.04
Raw wood trim should sealed and painted 2 coats.
174. R&R Phone,TV,or speaker outlet 1.00 EA @ 18.34= 18.34
This room had a phone and cable jack.
13-56-WISN-REP041114 4/14/2014 Page:7
r
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090..Tel (717)939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
CONTINUED-Front middle bdrm
i
DESCRIPTION QNTY UNIT COST TOTAL
175: Closet shelf and rod package 4.33 LF`@ 1536= 66.51
176. Shelving- IT'-in p6ce 12.17 LF @ 731'=
177. Remove Oak flooring #I common-no finish 129;33 SF @ 1.82= 235:38
178. Carpet pad 129.33 SF @ 0.85= 109.93
179. Carpet 148.73 SF-@ 4.26= 633.59
15'%o waste added for Carpet.
180. Underlayment 1/2"OSB 129:33 SF @ 1.,10= 142.26.
Main Level
Main Level
DESCRIPTION QNTY UNIT COST TOTAL
Clean and seal attic floor
Stairs Height: Sloped
Missing Wall 31111 X 8' Opens into LIVING-ROOM
Missing.Wall 3'31'X 8' Opens into Exterior
DESCRIPTION QNTY UNIT COST TOTAL
181. Clean floor or roof joist system 17.86 SF:@ 0.62= 11.07
182. Clean stud wall 52.64 SF,@ 0.49= 25:79
183. Seal floor or ceiling joist system 17.86 SF @ 0.87= 15.54
184, Seal stud wail for odor control 52.64 SF @ 0..61 = '32.11
1.85. 1/2"drywall-hung,taped,floated,ready,for'paint 70.51 SF @ 1.47= 103.65
186. Trim board- 1"x 6":installed(pine.) 6.00 LF @ 3.53= 21.18
.187. Paint casing-oversized-two coats. 6.00 LF @ L04= 6.24
Outside corner wood.at.balustrade
188. Carpet pad 25';8'1 SF @ 0.85= 21.94
189. Carpet 29:68 SF @ 4.26= 126.44
15%waste added for Carpet
190. Step charge for"tucked"carpet installation=High grade 6.00 EA @ 7.51= 45:06
191. Add on charge for""edge wrap"carpet:installation 6.0.0 ,EA @ 3.21= I9.26
13-56-WISN-R1P041-114 4%14/2014 Page;8
BELFOR Property Restoration
2780.Commerce Drive-Suite 200,Middletown_,PA 17057
(717)939-9090 Tel - (7 17)939-9097 Fax
BELFOR PA License#005253 -.Fed lD#84-.1309171
CONTINUED-Stairs
DESCRIPTION QNTY UNIT COST TOTAL
192. R&R Handrail-round/oval-softwood-wall mounted 342 LF @ 8.55= 29.24
193. Detach&Reset Balustrade 3.00 LF @ 87.98= 263.94
194. Seal/prime then paint the walls and ceiling(2 coats) 70:51 SF @ 0.68= 47.95
195. Final cleaning-construction-Residential 25:81. SF @ 0.18= 4.65
Dining Room Height:8'
Missing'Wall-Goes to Floor o"X o" Opens into KITCHEN
Missing Wall-Goes to Floor 2'8"X 6'$" Opens into KITCHEN
Missing Wall 9'9"X 8' Opens-into LIVING-ROOM
DESCRIPTION QNTY UNIT COST TOTAL
196. Clean floor or roof joist system 109.69 SF @ 0.62= 68.01
197. Clean stud wall 241.56 SF @ 0.49= 118.36
'198. Clean window unit(per side)3-9 SF 1.00 EA @ 639= 6:59
199. Clean window unit(per side) 10-20 SF 1.00 EA @ 9.52= 9.52
200. Cleandoor/window opening(per side). 1.00 EA @ 8.13= 8.13
201. Heat/AC`register-Mechanieally.attached 2.00 EA;@ 18.96= 37.92
202. Batt insulation-4"-R1 I-paper faced. 109.69 SF @ 0.52= 57.04
203. Blown-in insulation '8"depth-R19 109.69 SF @ 0;62= 68.01
204. 1/2"drywall-hung,taped,floated,ready for paint 351.24 SF @ IA7= 516.32
205. Baseboard-3 I/T' 29.75 LF @ 2,49= 74.08
206. Window sill 4.00 LF;@ 2.44= 9.76
207. Window trim set(casing&stop) 29:00 LF @ 3.12= 90.48
208. Seal/prime then paint the walls and ceiling(2 coats) 35.1.24 SF @ 0.68= 238.84
209. Seal&paint wood window(per side) 2.00 EA @ 37.76= 25.52
210. Paint door or window opening- l coat(per side) 3.00 EA @ 14.40= 43.20
211. Rewire-average residence-copper wiring 109.69 SF @ 2.37= 259.97
212. R&R Outlet 3.00 EA @ 14.05= 42.15
213. R&R Dimmer switch 1.00 EA @ 33.26= 33.26
214. R&R Phone,TV,or speaker outlet 1.00 EA @ 18.34= 18.34
215. R&R Light fixture 1.00 EA @ 56.65= 56.65
216. Thermostat 1.00 EA @ 91.34= 91.34
217. Final cleaning-construction.-Residential 109:69 .SF @ 0.18= 19:74
218. Batt insulation-4"-R13=paper faced 120.78 SF @ 0.63= 16.09
13-56-WISN-REP041114 4/14/2014 Page: 9
BELFOR Property Restoration
2780 Commerce Drive Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939-9097 Fax
BELFOR PA License,#005253 - Fed ID#84-1309171
CONTINUED-Dining Room
DESCRIPTION QNTY UNIT COST TOTAL
Xactimate pricelist does not have a line item forblown in 4 Blowmin.insulation will not work in this apllication before drywall is
installed.
219.. Seal stud wall for odor control 241.;56 SF @ 0.61= 147.35
220. Seal floor or ceiling joist system 109.69 SF @ 0.87= 95.43
221. Remove Window sill 4.00 LF @ 0.54= 2.16
222. Paint baseboard-two coats 15.67 LF @ 0.96= 15.04
223. Seal&paint window sill 4:00 LF @ 1.73= 6.92
224: Smoke detector L00 EA @ 42.62= 42.62
225. Remove Oak flooring-#1 common-no.finish 109:69 SF @ 1.82= 199.64
226. Underlayment- 1/2"OSB 109:69 SF @ 1.10= 120.66
227. Carpet pad 109.69 SF @ 0.85= 93.24
228. Carpet 126.14 SIF @ 4.26= 537.36
15%waste added for Carpet
Kitchen Height:8'
Missing Wall-Goes to.Floor 0"X 0" Opens into DINING ROOM
Missing Wall-Goes to Floor 2'8"X 6'8" Opens into DINING-ROOM
DESCRIPTION QNTY UNIT COST TOTAL
229. Clean floor or roof joist system 105:29 SF @ 0.62= 65.28
230. Clean stud wall 3,11.56 SF @ 0.49= 152.66
231. Clean floor underlayment 105.29 SF @ 0.28= 29.48
232. Clean window unit(per side)3 9 SF 1.00 EA @ 6.59= 6.59
233. Paint door or window opening-1 coat-(per side) 4:00 EA @ :14.40= 57.60
:234. Heat/AC register-Mechanically attached Detach&reset 1.00 EA @ 9.75= 9.75
235. R&R Underlayment-1/4"lauan/mahogany plywood 1.05:29 SF @ 2.15= 226.38
236. Vinyl floor covering(sheet goods) 110.40 SF @ 3.08= 340.03
15%waste added for Vinyl floor covering(sheet goods).
237. R&R Vinyl-metal transition strip 9.00 LF @ 3.99= 35.91
238. Batt insulation-4"-R i3-paper faced 80.00 SF @ 0.63= 50.40
239. Batt insulation-4"-RI l -paper faced 105.29 SF @ 0.52= 54.75
240. Blown-in insulation-8"depth-R1.9 1.05.29 SF.@ 0.62= 65.28
241. 1/2"drywall-hung,taped,floated,ready for paint 416:85 SF @ 1.47= 612.77
242. Baseboard-3 1/4" 15.67 LF @ 2.49= 39.02
13-56-WiSN-REP041114 4/14/2014 Page: 10
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939-9097 Fax
BELFOR
FA License#005253 - Fed ID#84-1309171
CONTINUED-Kitchen
DESCRIPTION QNTY UNIT COST TOTAL
243. Remove Quarter round-3/4" 1.5.67 LF @ 0.13= 2.04
244. Window sill 3.50 LF @ 2.44= 8.54
245. Window trim set(casing&stop) 13.00 LF @ 3.12= 40.56
246. Interior door unit 1.00 EA @ 134.85= 134.85
247. R&R Door opening(jamb&casing)-32"to36"wide-paint grade 2.00 EA.@ 96.62= 193.24
248. Paint.door slab only 2 coats(per side) 1.00 EA @ 21.63= 21.63
249: Door knob-interior 1.00 EA @ 40.22= 40.22
250, Seal.&paint wood window(per side) 1.00 EA,@ 37.76= 37.76
251. Paint bifold door set.-slab only-2 coats(per side) 1.00 EA @ 35.43= 35.43
252. Cabinetry-upper(wall)units High grade 9.75 LF @ 151.14= 1,473.62
253. Cabinetry-lower(base)units-High grade 5.83 LF @ 218.87= 1,276.01
254. Cabinetry-full height unit-High grade 2.00 LF @ 307.82= 615.64
255. Countertop-flat laid plastic laminate High grade 8.00 LF @ 42.84= 342:72
256. Remove Dishwasher 1.00 EA @ 20.86= 20.86
257, -Range hood 1.00 EA @ 158.33= 158.33
258. Remove Range-.freestanding-gas 1,.00 EA @ .15.67= 15.67
259. Remove Refrigerator-top freezer-22 to 24 cf 1.00 EA @ 29.20= 29.20
260. Dishwasher connection 1.00 EA @ 87.83= 87.83
261. Sink-double 1.00 EA @ 271.75= 271.75
262. Sink faucet-Kitchen 1.00 EA @ 157.08= 157.08
263. P=trap assembly-ABS(plastic) 1.00 EA @ 37.96= 37.96
264. R&R Angle stop 2.00 EA @ 26.77= 53.54
265. Rewire-average residence-copper wiring 105.29 SF @ 2.37= 249.54
266. R&R Outlet 2.00 EA @ 14.05= 28.10
267, R&R Switch 2.00 EA @ 14.14= 28.28
268. R&R Ground fault interrupter(GFI)outlet 2.00 EA @ 26.78= 53.56
269. R&R Phone,TV,or speaker outlet I AU EA @ 18.34= 18.34
270: R&R Recessed light fixture 1.00 EA @ .103.63= 103.63
271. Seal stud wall for odor control 175.56 SF @ 0.61= 107.09
272. Seal floor or ceiling.joist system 105.29 SF @ 0.87= 91.60
273. Paint baseboard-two coats 15,67 LF @ 0.96= 15.04
274. Heat/AC register-Mechanically attached 1.00 EA a? 18.96= 18.96
275. R&R Outlet 1.00 EA @ 14.05= 14.05
276, R&R Switch 1.00 EA @ 14.14= 14.14
277. Seal/prime then paint the walls and ceiling(2 coats) 416.85 SF @ 0.68= 283.46
278. Remove Ceiling fan&light 1.00 EA @ 14.70= 14.70
279. Light fixture 1.00 EA @ 50.17= 50.17
1.3-56-WISN-REP041114 4/14/2014 Page: 11
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(0) BELFOR Property Restoration
2780 Commerce Drive-Suite 20'0,Middletown,PA 17057
(717)939-9.090 Tel - (717)939-9097 Fax
BELFOR PA License#005253 Fed ID#84-11309171
CONTINUED-Kitchen
DESCRIPTION QNTY UNIT COST TOTAL
280. R&R Bifold door set-full louvered-Double 1.00 EA @ 215.56= 215.56
Door between the kitchen.and living room.These doors are composite and will.not need painted.
:28.1. (Install)Dishwasher 1.00 EA @ 7562= 75.62
Living Room Height:8'
Missing Wall 91911 X 8" Opens into DINING_ROOM
Missing Wall 313":X8' Opens into STAIRS
Subroom: Closet(1) Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
282. Clean floorbr roof joist system 272.21 SF @ 0:62= 168.77
283. Clean stud wall 542.37 SF @ 0.49= 265.76
284. Cleanwindow unit.(per side).3.9 SF 3.00 EA @ 6.59= 19.77
285. Clean window unit(per side)21 -40 SF 1.00 EA @ 12.55= 12.55
286. Clean exterior door:(per side) 2.00 EA @ 8.94= 17.88.
287. Clean door-full louvered unit(per side) 4.00 EA @ 13:20= 52.80
288. Clean door/window opening.(per side) 5`:00 EA @ 8.13= 40.65
289. Bifold door set-(4 slabs only)-Double Detach&reset 2.00 EA @ 3332= 66.64
290. Battinsulation-4"-R13-unfaced batt 271.19 SF @ 0.60= 162.71
291. Batt insulation-4"-R11-unfaced batt 272.21 SF @ 0.51 = 138.83
292. R&R Blown-in insulation-.8"depth-R19 272.21 SF @ 1.21 = 329.37
293: 1/2"drywall-hung,taped,floated,ready for paint 814.59 SF @ 1.47= 1,197.45
294. Baseboard-3 1/4" 69.33 LF @ 2.49= 172.63
295. Paint baseboard-two coats 15.67 LF @ 0.96= 15.04
296, Remove Quarter round-3/4" 69.33 'LF @ 0.13= 9.01
297. Window trim set(casing&:stop) 42.67 LF @ 3.12= 133.13
298. R&R Window sill 15.50 LF @ 2.98= 46.19
299. Seal&paint windowsill. 15.50 LF @ 1:73= 26.82
300. Paint casing-one coat 1.50 LF @ 0.65= 0.98
Undersill for recessed wall shelf..
301. Seal/prime then paint the walls and ceiling(2 coats) 814.59 SF @ 0.68= 553.92
302. Seal.&paint wood window(per side) 3.00 EA @ .37.76= 113.28
.303. Seal&paint wood window(per side) Large 1.00 :EA @ 50.24= 50.24
1304. Paint door slab only-2 coats(per:side); 6.00 EA @ 21.63= 129.78
13-56-WISN-REP04.1114 4/14/2014 Page: 12
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939-9097 Fax
BELFQR PA License#003253` - Fed ID#84-1309171
CONTINUED-Living Room
DESCRIPTION QNTY UNIT COST TOTAL
305. Paint bifold door set-slab only-2 coats(per side) 2.00 EA @ 35.43= 70.86
306. Paint door.or window opening-1 coat(per side) 4.00 EA @ 14.40= 57.60
3.07, Paint.door or window opening-'Large-'1 coat(per side) 1.00 EA @ 16.95= 1.6.95
308. Heat/AC register-Mechanically attached 3.60 EA @ 18.96= 56.88
309..Rewire-average residence'copper wiring 272.21 SF @ 2:37= 645.14
310, R&R Phone,TV,or speaker outlet 1:00 EA @ 18.34= 18.34
311. R&R Outlet 4.00 EA @ 14.05= 56.20
312. R&R Switch 3.00 EA @ 14.14= 42.42
313. R&R Light fixture 1:00 EA @. 56.65= 56.65
314. Final cleaning-construction-:Residential 272.21 SF @ 0.18= 49:00
315. Seal stud wall for odor.control 542.37 SF @ 0.61 = 330.85
316. Seal floor or ceiling joist system 272.21 SF @ 0.87= 236.8.2.
317. Thermostat 1,00 EA @ 91.34= 91.34
3.18: Door chime 1.00 EA @ 1.05.46= 105.46
319. R&R Outlet 4:00 EA @ 14.05= 56.20
320. R&R Switch 1.00 EA @ 14.14= 14.14
4 recepticles and.I switch was missed and 1 doorbell chime
321. Closet shelf and rod package 6.00 LF @ 15.36= 92.16
For entry closet
322. Remove Oak flooring-#1 common-no finish 272.21 SF @ '1.82= 495.42
323. Underlayment- 1/2"OSB 272.21 SF @ 1.10= 299.43
324, Carpet pad 272.21 SF @ 0.85= 231.38
3.25. Carpet 313.04 SF @ 4.26= 1,333.55
15%waste added for Carpet.
326. R&R Bifold door set-Colonist-Double 1.00 EA @ 184.00= 184.00
Basement
Garage Height:76"
DESCRIPTION QNTY UNIT COST TOTAL
327. Clean ductwork-:Exterior(per LF) 19.92 LF @ 2.65= 52.79
328.. Clean overhead door&hardware 1.00:EA @ 26:44 26.44
329. Clean the walls 457,.50 SF @ 0.23= 165.23
330. Clean floor 211.56 SF @ 0.30= 63.47
13-56-WISN-REP041114 4/14/2014 Page: 13
BELFOR Property Restoration
2780 Commerce Drive Suite 200,Middletown,PA 17057
(0)
(717)939-9090 Tel - (717)939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
CONTINUED-Garage
DESCRIPTION QNTY UNIT COST TOTAL
331. Clean floor or roof joist system 211.56 SF @ 0.62= 131.17
332. Seal floor or ceiling joist system 211.56 SF @ 0.87= 184.06
333. Batt insulation-6"-R19-paper faced 21,1.56 SF @ 0.87= 184.06
334. 5/8"drywall-hung&fire taped only 211.56 SF @ 1.25= 264.45
335. Rewire-average residence.-copper wiring 211.56 SF @ 2.37= 501.40
336: R&R Outlet 4.00 EA @ 14.05= 56.20
337. R&R Switch 1.00 EA @ 14.14= 14.14
338. R&R Light fixture 1.00 EA @ 56.65= 56:65
339. -Final cleaning.-construction-Residential 211.56 SF @ 0,18- 38.0.8
340. Seal the walls w/latex basedstain blocker-one coat 457.50 SF @ 0:44= 201.30
Shellac paint should be used on both the ceiling;and walls.
341. Overhead(garage)door opener-Standard grade 1.00 EA @. 325.81 = 325.81
342. Remove Overhead(garage).door opener-Standard grade 1,00 EA @ 17.30= 17.30
demolition needed for the:2.above items
343. Remove Paneling-High grade 3.12.00 SF @ 0.24= 74.88
i
Shelf area Leight:8'
DESCRIPTION QNTY UNIT COST TOTAL
344. Clean part of the walls 44.00 SF @: 0.23= 10.12
345. Clean.floor or roof joist.system 3.:75 SF @ 0.62= 2.3.3
346. Clean shelving-wood 10.00 LF @ '0.57= 5.70
347. Clean floor 3.75 SF @ 0.30= 1.13
348. Final cleaning-construction Residential 3.75 SF @ 0.18= 0.68
349. Seal.1-loor or ceiling,joist system 3,75 SF'@ 0.87= 3.26
350. Seal stud wall for odor control 44.00 SF @ 0.61= 26.84
Laundry Height:113"
Missing Wall-Goes to Floor 3'S"X 6!.8" Opens into ROOMI
DESCRIPTION QNTY UNIT COST TOTAL
351. Clean floor or roof joist system 103.22 SF @ 0.62 64.00
13-56-WISN-REP041114 4/14/2014 Page: 14
I
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)'939-9090 Tel - (717),939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
CONTINUED:-Laundry
DESCRIPTION QNTY UNIT COST TOTAL
352. Clean the walls 337.93 SF @ 0.23= 77.72
353. Clean sink faucet 1.00 EA @ 6.04= 6.04
354. Clean floor,strip 8c wax 103.22 SF @ 0.65= 67.09
355. Clean electrical breaker panel 1.00.EA @ 6.66= 6.66
356. Clean door(per side) 1.00 EA @ 4.53 4.53
357. Clean window unit(per side) lb 20 SF 1.00 EA @ 9:52= 9.52
358. Clean light.ftxture 1:00. EA @ 6.63= 6.63
359. Clean ductwork=Exterior,(per,LF) 25.00' .LF @ 2:65= 66.25
360. Clean furnace-forced air 1.00 EA @ 33.05= 33.05
361. Clean water heater 1.00 EA @ 14.76= 14.76
362. Paint the walls two coats 337.93 SF @ 0.68= 229.79
3.63. Prime&paint door slab only-exterior(per side) 1:00 EA @ 31.97'= 31.97
364. Paint door;or window.opening-1 coat(per side) 2:00 EA @ 14.40= 28.80
3651. Final cleaning-construction Residential 103.22 SF @ 0.18= 18.58
366. Cleaning Technician.-per hour 1.50 HR @ 29.83= 44.75
Clean wires and pipes.
367. Clean sink 1.00 EA @ 8.13= 8.13
368. Remove Acoustic ceiling tile 8.00 SF @. 0.47= 3.76
369.. Seal floor or ceiling joist system 103.22 SF @ 0.87= 89.80
370. Clean register-heat/AC 1.00 EA @ 3.56= 3.56
371. Heat,Vent,&Air Conditioning.-Labor Minimum .1.00 EA:@ 192.53.= 192.53
Minimum charge for diagnostics.of gas furnace.and hot water heater.
372. Dryer-Remove&reset-gas =1..00 EA @ 60.49= 60.49
373, Washing machine-Remove&.reset I00 EA @ 22.47= 22.47
374. Plumbing(Bid Item) 1.00 EA @ %85.00= 85.00
Service existing hot water heater.
i
Bathroom Height:6'8"
DESCRIPTION QNTY UNIT COST TOTAL
375, R&R 1/2"drywall-hung,taped,floated,.ready for paint 44.44 SF @ 1.80= 80.00
376. Clean floor or roof joist system, 44.45 SF @ 0.62= 27.56
377. Clean the walls 197.25 SF.@ 0.23= 45.37
378. Clean light fixture 1.00 EA @ 6.63= 6.63
379. Clean door(per side) 1.00 EA @ 4.53= 4.53
13-56-WISN-REP04.11'14 4/14/2014 Page: 15
F K.
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
CONTINUED-Bathroom
DESCRIPTION QNTY UNIT COST TOTAL
380. Clean window unit(per side)3-9 SF 1.00 EA @ 6.59= 6.59
381. Clean door/window opening(per side) 2.00 EA @ 8.13= 16.26
382. Clean register-heat/AC 1.00 EA @ 3.56= 3.56
383. Clean toilet 1.00 EA @ 13:65= 13.65
384. Clean toilet seat 1.00 EA @ 2.95= 2.95
385. 'Toilet-Detach&reset 1.00 EA @ 142.87= 142.87
386. Paint baseboard-two coats 15.67 LF @ 0.96= 15.04
387. Heat/AC register-Mechanically attached-Detach&reset 1.00 EA @ 9.75= 9.75
388. Final cleaning-construction-Residential 44.45 SF @ 0.18= 8.00
389. Seal floor or ceiling joist system 44.45 SF @ 0.87= 38.67
390. R&R Light fixture 2.00 EA @ 56.65= 113.30
391. R&R Outlet 1.00 EA @ 14.05= 14.05
392. R&R Switch 1.00 EA @ 14.14= 14.14
393. Clean shower 1.00 EA @ 27.05= 27.05
394. Clean shower door 1.00 EA @ 11.13= 11.13
395. R&R Vanity 2.00 LF'@ 131.86= 263.72
396. R&R Sink-single 1.00 EA @ 208.95= 20895
397. Sink faucet-Bathroom 1.00 EA @ 125.06= 125.06
Family Room Height:713"
Missing Wall-Goes to Floor 2'X 3' Opens into FAMILY-ROOM
Missing Wall-Goes to Floor 31511 X 6'8" Opens into LAUNDRY
Missing Wall 3'X 713" Opens into STAIRS
DESCRIPTION QNTY UNIT COST TOTAL
398. Clean floor or roof joist system 218.33 SF @ 0.62= 135.36
399. Clean the walls 404.36 SF @ 0.23= 93.00
400. Clean window unit(per side)10-.20 SF 1.00 EA @ 9.52= 9.52
401. Shelving Detach&reset 10.00 LF @ .5.78 57.80
402. Clean door(per side) 1:00 EA @ 4.53 4.53
403. Clean door/window opening(per side) 3.00 EA @ 8.13= 24.39
404. Seal&paint wood window(per,side) 1.00 EA.@ 37.76= 37.76
405. Paint door or window opening 1 coat(per side) 4.00 EA @ 14.40= 57.60
406. Remove Vinyl floor covering(sheet goods) 218.33 SF @ 0.72= 157.20
13-56-WISN-REP041114 4/14/2014 Page: 16
BELFOR Property Restoration
a 2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939=9097 Fax
BELFOR
PA License,#005253 - Fed ID#84-1309171
CONTINUED-Family'Room
DESCRIPTION QNTY UNIT COST TOTAL
407. R&R,Outlet 6.00 EA.@ 14,05= 84,30
468. R&R Switch 2.00 EA @ 14.14= 28:28.
409. R&R Recessed light fixture 2:00 EA @ 103.63= 207.26
410. Final cleaning construction-Residential 218.33 SF @ 0.18= 39.30
411. Clean shelving-'wood 10.00 LF @ 0.57= 5.70
The shelves that are being detached and reset will have to be cleaned.
412. Seal the walls w/latex based stain blocker-one coat 404.36 SF @ 0.44= 177.92
413. Seal floor or ceiling joist system 218.33 SF @ 0.87= 189.95
Shellac base,paint should be used,
414. Remove Acoustic ceiling the 218.33. SF @ 0.47= 102.62
Tile was removed by Belfor
415. Remove Corner trim 80;00 LF @ 0.1.3= 10.40
416,: Remove Crown molding 11/4" 63.83 LF @ 0:52:= 33.19
4:17, Remove Baseboard-2174" 55.42 LF @ 0.33= 18.29
418. Remove Casing.-2 1/4" 52.00 LF @ 0.39 20.28
419. Remove Paneling-High grade 404.36 SF @ 0.24= 97.05.
The existing.paneling wasa,all wood product.Plywood paneling can cost in excess of$30 per sheet.
Closet Height: TV
Missing`Wall-Goes to Floor 2'X 3' Opens into ROOM1
DESCRIPTION QNTY UNIT COST TOTAL
420. Clean stud wall 111.21 SF @ 0.49= 54.49
421. Cleanfloor or roof joist system 11:82 SF @ 0.62= 7.33
422. Clean floor 11.82 SF @ 0:30= 3.55
423. R&R Access-face frame&door's 5.85 SF @ 38.23= 223.65
Stairs Height:17'
Missing Wall 3'X 17' Opens into ROOMI
DESCRIPTION QNTY UNIT COST TOTAL
13-56-WISN-REP041.114 4/14/2014 Page: 17
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717)939-9097 Fax.
BELFQR PA License#005253 - Fed ID#84-1309171
CONTINUED-Stairs
DESCRIPTION QNTY UNIT COST TOTAL
424. Clean stud wall 130.96 SF @ 0.49= 64.17
425. Clean door(per side) 1.00 EA @ 4.53= 4.53
426. Clean door/window opening(per side) 1.00 EA @ 8.13= 8.13
427. Clean stair tread-per side-per LF 17.00 LF @ 0.40= 6.80
428. Clean stair riser-per side-per LF 19.83 LF @ 0.34= 6.74
429. Clean stair stringer-per side 12.67 LF @ 0.56= 7.10
430. Clean handrail-wall mounted 4.50 LF @ 0.33= 1.49
431. Seal&paint stair tread-per side-per LF 17.00 LF @ 3.71 = 63.07
432. Seal&paint stair riser-per side-per LF 19.83 LF @ 2.48= 49.18
433. Paint stair stringer-one side 12.67 LF @ 2.49= 31.55
434. Handrail-wallmounted-Detach&reset 4.50 LF @ 4.32= 19.44
435. Final clearing-construction-Residential 28.71 SF @ 0.18,= 5.17
436. Remove Paneling High grade 143.09 SF @ 0:24= 34.34
There is paneling on the walls and ceiling of this area.
437. Smoke detector 1.00 EA @. 42.62= 42.62
There was a smoke and switch in this area.
438. R&R Switch 1.00 EA @ 14.14= 14.14
439. Clean stud wall 12.12 SF @ 0.49= 5.94
The ceiling framing will need cleaned in.this area.
Craw Space Height: 4'
DESCRIPTION QNTY UNIT COST TOTAL
440. Clean floor or roof joist system 463.33 SF @ 0.62= 287.26
441. Clean floor 463.33 SF @ 0.30= 139.00
GEN Cond
DESCRIPTION QNTY UNIT COST TOTAL
442. Temporary toilet(per month) 6.00 MO @ 132.63= 795.78
443, Dumpster load-Approx.30 yards,5-7 tons ofdebris 3.00 EA @ 820.00= 2,460.00
444. Taxes,insurance,permits&fees(Bid item) 1.00 EA @ TBA
13-56-WISH-REP0411.14 4/14/2014 Page: 18
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717):939-9090 Tel - (717).939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
CONTINUED-GEN Cond
DESCRIPTION QNTY UNIT COST TOTAL
Permit Fees were add to the code upgrade estimate.
445. Duct cleaning 1.00 EA @ 705.00= 705.00
Exterior
DESCRIPTION QNTY UNIT COST TOTAL
446. Siding Installer-per hour 2.00 HR @ 72.83= 145.66
Remove burnt siding and substait as needed and fill in.
Root
Roofl
DESCRIPTION QNTY UNIT COST TOTAL
447. R&R Underlayment- 1/2"OSB 64.00 SF @ 1.61 = 103.04
448. Ice&water shield 24.00 SF @ 1.24= 29.76
449. R&R Drip edge 30.00 LF @ 1.83= 54.90
450. Roofing-Labor Minimum 1.00 EA @ 380.00= 380.00
The shigles appear to be new Owens Corning.Shasta.White.
45.1. Clean floor or roof joist system 852.00 SF.@ 0.62= 528.24
452. Seal floor or ceiling joist.system 852.00 SF,@ 0.87= 741.24
The roof rafters will have to cleaned and sealed.
453. Carpenter-General Framer-per hour 4.00 HR @ 54.71= 218.84
454. 2"x 0 x 8'#2&better Fir/Larch(material only) 1.00 EA @ 3.78= 3.78
The rafter tails above the burn room are charred and need to be scraped and sintered.
Garage roof
DESCRIPTION QNTY UNIT COST TOTAL
Damage to the garage door roof is covered:under the main roof
13-56-WISN-REP041114 4/14/2014 Page: 19
BELFOR Property Restoration
2780 Commerce Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (717).939-9097 Fax
BELFOR PA License#005253 - Fed ID#84-1309171
Roof2
DESCRIPTION QNTY UNIT COST TOTAL
455. Clean floor or roof joist system 642.00 SF @ 0.62= 398.04
456. Seal floor or ceiling joist system 642.00 SF @ 0.87= 558.54
Exterior
Front Elevation. Height:8'
Subroom: Gable(1) Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
457. R&R Shutters-aluminum 2.00 EA @ 219.94= 439.88
458. R&R Fascia-metal-6" 29.33 LF @ 3.77= 110.58
459. R&R Soffit-metal 29.33 SF @ 3.89= 114.09
FRONT PORCH
460. R&R Soffit-metal 30.00 SF @ 3.89= 116.70
461: R&R.Fascia-metal-6" 16.00 LF @ 3,77- 60.32
462. Clean floor or roof joist system 30.00 SF,g 0.62= 18.60
The porch roof joist and rafters should be cleaned and may need sealed:
463. Clean gutter/downspout 16.00 LF @ 0.36= 5.76
464. Detach&Reset Gutter/downspout-aluminum-up to 5" 16.00 LF @ 2.97= 47.52
The gutter and fascia may need remove in order to replace the soffit on the.porch ceiling:
465. R&R Fascia- 1"x 6"-#1 pine 14.00 LF @ 5.47= 76.58
466. R&R Soffit-wood 14.00 SF @ 4.30= 60.20
14 lineal of wood soffit and facia will have to be replaced.
467. Remove Siding-aluminum(.024 thickness) 220.22 SF @ 0.37= 81.48
468. Siding-vinyl 220.22 SF @ 3.06= 673.87
469. Remove Siding-beveled-cedar(clapboard) 220.22 SF @ 0.34= 74.87
470. Sheathing-plywood- 1/2"CDX 220.22 SF @ 1.28= 281.88
East Elevation Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
471. R&R Shutters-aluminum 2.00 EA @ 219.94 439.88
472. R&R Fascia-metal-6' 29.33 LF @ 3.77= 110.58
473. R&R Soffit-metal 29.33 SF @ 3.89= 114.09
474. R&R Fascia- 1"x 6"-#1 pine 14.00 LF @ 5.47= 76.58
475. R&R Gutter/downspout-..aluminum-up to 5" 29.33 LF @ 4.96= 145.48
13-56-W1SN-REP041114 4/14/2014 Page:20
e
BELFOR Property Restoration
2780 Commerce.Drive-Suite 200,Middletown,PA 17057
(717)939-9090 Tel - (71.7)939-9097 Fax
13EL.FOR PA License#.005253 - Fed 1D#84=1309171
CONTINUED-East.Elevation
DESCRIPTION QNTY UNIT COST TOTAL
476. Gutter/downspout-Detach&reset 12.00 LF @ 2.97= 35.64
477. Remove Siding-aluminum(.024 thickness) 250.56 SF @ 0.37= 92.71
478. Remove Siding-beveled-cedar(clapboard) 250.56 SF @ 0.34= 85.19
479. Sheathing-plywood-1/2"CDX 250.56 SF @ 1.28= 320.72
480. Siding-vinyl 250.56 SF @ 3.06= 766.71
Back Eleva Height:8'
Subroom; Gablel(1) Height:8'
DESCRIPTION QNTY UNIT.COST TOTAL
481. Remove_Siding.-aluminum(.024 thickness) 309.06 SF @ 0.37= 114.35
482. Remove Siding-beveled-.cedar(clapboard) 309.06 SF @, 0:34= 105.08
483. Siding:vinyl 309.06 SF @ 3.06= 945.72
Gable west Elevation Height:8'
Subroom: Gable4(2) Height:8'
Subroom: Gable3(1) Height:8'
DESCRIPTION QNTY UNIT COST TOTAL
484. Remove Siding-aluminum(.024 thickness) 1.13.57 SF @ 0.37= 42.02
485. Siding-vinyl 113.57 SF @ 3.06= 347.52
486. Remove Siding-beveled-cedar(clapboard) 113.57 SF @ 0.34= .38.61
Adjustments for Base.Service Charges Adjustment
Carpenter-Finish,.Trim/Cabinet 127.64
Carpenter-General Framer 109.42
Floor Cleaning Technician 75.40
Drywall Installer/Finisher 219.40
Electrician 149.30
13-56-WISN-REP0411.14 4/14/2014 Page:21
BELFOR Property Restoration
2780:Commerce Drive-Suite 200,Middletown,PA.17057
(717)939-9090761 (717)939-9097Fax
BELFOR PA License#005253 - Fed ID#84-13.09171
Adjustments.for Base Service Charges Adjustment
Heating/A.C.Mechanic 1.54.02
Insulation Installer 118.28
General Laborer 28.12
Overhead Door Installer 190.00
Plumber 154.02
Painter 105.92.
Roofer 285:00
Siding Installer 145.66
Tile/Cultured Marble Installer 139.94
Total Adjustments for BaseService Charges: 2;002:12
Line Item Totals: 13-56-WISN-R"EPO41114 71,605.48
Grand`Total Areas:
9,051.17 SF Walls 3,08.1.14 SF Ceiling 12,132.31 SF Walls and Ceiling
3,105.67 SF Floor 345.07 SY Flooring 1,194.29 LF Floor.Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 1,210.97 LF Ceil.Perimeter
3,105.67 Floor Area 3,279.07 Total Area 8,805.89 Interior Wall Area
6,184.73 Exterior Wall Area 666.31 Exterior Perimeter of
Walls
1,534.69 Surface Area 15.35 Number of Squares 213.88 Total Perimeter Length
53.21 Total Ridge.Length 0:06 Total Hip Length
i
13-56-WISN=REP041.114 4/14/2014 Page:22
BELFOR Property Restoration
® 2780 Commerce Drive-.Suite 200,Middletown,PA.17057
(717)939-9090 Tel - (.717)939-9097 Fax
BELFOR PA License#.005253 Fed IDI 84-.1309171,
Summary
Line Item Total 69,603.36
Total Adjustments for Base Service Charges 2,002.12
Subtotal 71,605.48
Overhead 10.0% 6,574,49
Profit @ 10.0%/% 6,574.49
Material Sales Tax @ 6:000% 1,554.31
Cleaning Mtl Tax @ 6.000%. 13.00
Cleaning Sales Tax @ 6.000% 399.74
Replacement Cost Value $86,721.51
Net Claim: $86;721.51
Dave Mummert
This estimate does not include the following
Lead testing,protocol,renovation or'abatement
Asbestos testing;-protocol or abatement
Mold testing,protocol,or remediation
Code upgrades
I
I
13`-56=W,ISN=REP04i 114 j 4/14/2014 Page:23
R550006007 l rrisburg 5116"2014 16:04:43
BE.0001 Job Cost Detail Page- 1 of 12
JPD900 Includes Details From 1211/2010 Through 12012014
Job: 105610738 Wisner,Kathy Estimator. 207,430 Mummers David Scott
Div 10 Year 13 Project Manager
r•-i_ 2 Mumme id Scott
States: Active
Contract 88,300.00 Budget: 60,144.00 Total Commitments: .00 Actual Start Date: 71122013
Billed 93.248.46 Actual Cost: 58x856.60 Commitments Invoked: .00 Est.Completion: 7/122013
Payments: 63,225.13 %Complete 97.86'/• Open Commitments: .00 Final Bil1ligDaW..
Profd Margin 25.156.00 Prom Margin% 31.89°/. Factor 1.55 Actual Completion:
Trans.Date G/LDate Doc Type Doc# Ba eb# Tran Orig Description Invoice/Item It Description Org.DOC#or Qty Amount
50059 Payroll Labor Burden 956.12
Cost Code Total 956.12
APPB Appliances
50011 1272014 11272014 PD 2380255 654112 DOCUSPHERE LOWES CK000621 DSAPPSUPPLY (1,132.42)
50011 12/192013 1/27/2014 PV 23802.54 654112 DOCUSPHERE LOWES 976428 DS APP SUPPLY 1.090.80
50011 17/192013 2/6/2014 PV 2391321 684912 MHINCHEY LOWES 976428A 105601.55014 1.090.80
50011 12/192013 222/2014 PV 2380254 654112 DOCUSPHERE LOWRS 976428 DS APP SUPPLY (1.090.80)
Cost Code Total (41.62)
CABB Cabinetry
50011 12/182013 1272014 PV 2380252 654112 DOCUSPHERE LOWES 976379 DS CAB SUPPLY 1.744.40
50011 12/182013 2/62014 PV 2391288 684912 MHINCHEY LOWES 9763790 205601.55014 1.744.40
50011 12/182013 2/2'L2014 PV 2380252 654112 DOCUSPHERE LOWES 976379 DS CAB SUPPLY (1.744.40)
50021 1272014 2/3/2014 T2 2332 677981 CBREITINGE Martin Jr.Ted John Regular-CR 8.00 HR
50023 1272014 2/3/2014 T2 2332 677981 CBREITINGE Martin Jr.Ted John Overtime-CR '50 HR
Cost Code Total 8.50 HR 1,919.40
COLD Clean on Location
50021 7/192013 71252013 T2 1304 303214 AVERBRUGGE Sensenig,Patrick Haskell Regular-RT 200 HR
50021 7/192013 7252013 T2 1304 303214 AVERBRUGGE Wade,Christopher Robed Regular•RT 200 HR
50M I 10/72013 10/102013 T2 1697 429173 CBREIT NG3 Sensenig,Patrick Haskell Regula.RI 8.00 HR
50021 10/8/2013 10/10/2013 T2 1697 429173 CBREITING3 Sensaug,Petrick Haskell Regula-RT 8.00 HR
-_50021._-1.019!2013—_10/102013. T2 --- 1697—. ._429173 CBREITING3- Sensenig;PetrickHaskell— - _--____.-- -- ---Regular-RT---- --6.50 HR-- -
-- Cost Code Total 26.50 HR 461.00
COLN Clean on Location
50062 10242013 11/42013 PV 1919154 469912 DOCUSPHERE Aerotek Inc. OE00977562 DS COL LABOR 693.00
50062 1292014 2/1212014 PV 2402228 695844 DOCUSPHERE VISION TECH ELECTRONICS 6892 DS COL LABOR 35200
Cost Code Total 1.045.00
CPSB ContentPackhiand/St
SW21 =2013 8182013 T2 1344 328210 AVERBRUGGE Wade,Christopher Robert Regular-RT AW HR
50021 1282014 2/32914 T2 2332 677981 CBREITINGE Senscnig,Pea ick Haskell Regula-RT 8.00 HR
Cost Code Total 1200 HR 188.00
CPSN ContentPaeklHand/St
J
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BEL0001 Job# 105610738 Job Cost Detail Page- 2 of 12
JPD9W ladudes Details From 12/12010 Through 121l1Q014
Trans.Date GIL Date Doc Type Doc# Batch# Tran Orig Description Invoice/ltem# Description Org.DOC#or Qty Amount
50062 13112014 2/24/2014 PV 2426223 726928 DOCUSPHERE LABOR READY 18004777 DSCPSLABOR 196.94
Cost Code Total 198.94
DCTB Dud Cleaning
50071 1/152014 1/27/2014 PV 2380317 654279 DOCUSPHERE DUCTZ of Grater La—500&Y 20012304935 DS DUCT CLEAN 705.60
Cost Code Total 705.60
DMOB Demolition
50011 7242013 7/2612013 PV 1371334 300119 DOCUSPHERE LOWES 902068 DS 10738 DMO SUPPLY `5.00
50153 013 9/9/2013 PV 1645665 373764 DOCUSPIMM ALLSTATE WASTE SOLUTIONS 3404 DS DUMPSTER 3 •00
8182
50153 10/32013 1/27/2014 PV 2380289 654203 DOCIJSPHERE ALLSTATE WASTE SOLUTIONS 3433 DS DUMPSTER 450.00
50153 I0142013 10/212013 PV 1902155 439821 DOCUSPHERE ALLSTATE WASTE SOLUTIONS 3436 DS DUMPSTER 450.00
50153 1282014 224/2014 PV 7426291 727072 DOCUSPHERE ALLSTATE WASTE SOLUTIONS 3482 DS DUMPSTER 525.00
50153 1/302014 2242014 PV 2426288 727072 DOCUSPHERE ALLSTATE WASTE SOLUTIONS 3481 DS DUMPSTER II8SO
50153 2282014 3242014 PV 2477004 811008 DOCUSPHERE ALLSTATE WASTE SOLUTIONS 3497 DS DUMPSTER 39.73
50021 7242013 7/252013 T2 1304 303214 AVERBRUGGE Sartscri patrickHaskell Regular-RT 300 HR
50021 7242013 7/25/2013 T2 1304 303214 AVERBRUGGE Wade,ChrislopherRobert Regular-RT 3.00 HR
50021 10/32013 10/3/2013 T2 1653 418630 AVERBRUGGE Sansenig.Patrick Haskell Regi-RT 5.00 HR
50021 10/42013 10/102013 T2 1697 429173 CBREITING3 Senseni&PalrickHaskell Regular-RT 8.00 HR
Cast Code Total 19.00 HR 2,336.49
DMON Demolition
50062 1)10
10/413 102111013 PV 1902161 439821 DOCUSPHERE LABOR READY 17608919 DS DMO LABOR 176.70
$0062 10/112013 11/42013 PV 1919153 469912 DOCUSPHERE LABORREADY 17632139 DSDMOLABOR 88.95
50062 10/172013 1021/2013 PV 190.2242 439943 DOCUSPHERE Aerotek.Inc. OB00975420 DSDMOLABOR 246.40
Cast Code Taal 512.05
DRYB Drywall
50071 11220013 12/10/2013 PV 2312119 535007 DOCUSPHERE AD&C ENTERPRISES LLC 17806 DS DRY SUB 4,489.00
1401 11252013 12172013 T2 1960 522347 CBREIfING£ Martin Jr.Ted John Regular-CR 2 50 HR
50021 1?/'C013 12/52013 T2 1995 534184 CBRErTINGE Martin Jr.Ted John Regular-CR 2.00 HR
50021 12/42013 17/5/2013 T2 1995 534184 CBRELTINGE Martin J4 Ted John Regular-CR 1.00 HR
CostCodeToul 5.50--HR--4.599.00--- --
ELEB Electrical
50071 10272013 11/42013 PV 1919332 470017 DOCUSPHERE YEAGERELECTRIC 0001232586 DSELESUB 3.208.00
50071 11/62013 11/192013 PV 1938391 493414 DOCUSPHERE YEAGER ELECTRIC 0001232600 DS ELE SUB 2.128.00
50071 12/162013 12242013 PV 2334569 566772 DOCUSPHERE YEAGER ELECTRIC 0001232653 DS ELE SUB 1.128.00
50071 1212014 1272014 PV 2380319 654279 DOCUSPHERE YEAGER ELECTRIC 0001232704 DS ELE SUB 2,328.00
Cost Code Total 8.792.00
EQPB Equipment
50021 8/122013 8/1517013 T2 1371 339611 AVERBRUGGE Burkeu.Raymond A Regular-GL 1.50 HR
Cost Code Total 1.50 HR 27.00
EQPN Equipment
P550006007 Harrisburg 5/162014 16:04:43
BEL000I Job# 105610738 Job Cost Detail Page- 3 of 12
JPD900 InchxlesDetails From 12IM010 Through 12/3115014
Trans.Date G/L Date Dae Type Doc# Batch# Tran Oris Description Invoice I Ittm# Desc iption Or&DOC#or Qty Amount
50096 1112014 4/1/2014 EC J Equipment SchedukrCost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 122014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 I/32014 4/12014 EC Equipm"SchedukrCost PFP Personal FaEProtection(PFP) 1.00 EA 4.00
50096 1/42014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/52074 4/1/2014 EC Equipment Schedukr Cost PEP Personal Fall Protection(PM 1.00 EA 4.00
50096 1/62014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/72014 4112014 EC Equipment Sdwdukr Cod PFP` Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/814 4/12014 EC Equipment Scheduler Cast PFP Personal Fall Protection(PFP) 1.00 EA 4.00
92014 41112014 EC EgwpmentScheduler Cost PFP Personal Fall Protection(PM 1.00 EA 4.00
50096 11
50096 1/9/201 d 4112014 EC Equipment Schcdukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/112014 4/1/2014 EC Equipment Schcdukr Cost PEP Personal Fall Protection(PM 1.00 EA 4.00
50096 1/1712014 4/1/2014 EC Equipment Scheduler Coat PFP PerwnalFall Protection CPFP) 1.00 EA 4.00
50096 1/132014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/142014 4/1/2014 EC Equipment Schedukr Coat PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/]52014 4/12024 EC Equipment Schedukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/162014 4/12014 EC Equipment Schedukr Cost PFP Personal Fall Protection(PM 1.00 EA 4.00
50096 1/17/1014 4112014 EC Equipment Schcdukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/181' A 4/12024 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/192014 4/1/2014 EC Equipment Scheduler Cost FFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 120)2014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1212014 4/I2014 EC Equipment Scheduler Cost PFP Personal Fall protection(PFP) 1.00 EA 4.00
50096 12212014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PM 1.00 EA 4.00
50096 123)2014 4112014 EC Equipment Scheduler Cast PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1242014 4/12014 EC Equipment Scheduler Cost PFP Personal Fal!Protoction(PFP) 1.00 EA 4.00
50096 1252014 4/12014 EC Equipment S&c&der Cost PFP Personal FaE Protection(PFP) 1.00 EA 4.00
50096 12611014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
500% 1272014 4/1/7A14 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 12817A14 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 129)2014 4/1/2014 EC Equipment Schedukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/3012014 4112014 EC Equipment Schedukr Coat PFP Personal Fall Protection(PFP) 1.00 EA 4.00
- - ---50096- -11312014- 4/1/:1014_ EC EquipmcriSchedukr Cost PFP Perscnal Fall Protection(PFP) 1.00 EA 4.00
50096 2112014 4/12014 - EC-- ---- - ---- --- -- - --Equipment Scheduler Cost -- - PFP Personal Fall Protection(PFP) 1.00 EA 4.00
-
50096 2 -14 4112014 EC EquipmentSchedukrCost PFP - ---- -personal Fall-Protection(PFP)------- --1.00 EA_- _4.00 - -
50096 2132014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2142014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 :152014 4/1/2014 EC Equipment Schcdukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2162014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2172014 4112014 EC Equipment SchcdulerCast PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2/82014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2192014 4/I2014 EC Equipment Schedukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/102014 4/i 2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2/112014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4-00
i
R550006007
Fbrrlsburg 5/IU2014 16:04:43
BEL0001 Job# 105610738 Job Cost Detail Page- 4 of 12
IPD900 IndudesDetails From 12/111010 Through 121312014
Trans.Date G/LDate Doe Type Doc# Batch# Tran Orig Description Irrvoice!Item# Description Org.DOC#or Qty Amount
50096 2112/1014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2/13/2014 4/I2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 ?114/2014 4112014 EC Equipment Scheduler Cost PFP PerswWFall Protection(PFP) 1.00 EA 4.00
,,006 ?!15!2014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 ?116!2014 4/1/2014 EC Equipment Sdxduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 ?1172014 4/1/2014 EC Equipment SdnedukrCost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 ?1182014 4/1/1014 EC Equipment Scheduler Cost PFP PetsonalFall Protection(PFP) 1.00 EA 4.00
50096 2/192014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 7/202014 4/1/2014 EC Equipment Sdneduler Cast PFP Personal Fall Protection(PM 1.00 EA 4.00
5M6 2121/1014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 22712014 4/112014 EC Equipment Sdnedular Cost PFP Personal Fall Protection(PEP) 1.00 EA 4.00
50096 7/232014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fat Protection(PFP) 1.00 EA 4.00
50096 224/2014 4/1/2014 EC EquipmatSchedulerCost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2252014 4/12014 Sc Equipment Scheduler Cast PFP Personal Fall Protection(" 1.00 EA 4.00
50096 2262014 4/1/2014 EC Equipment Scheduler Cost PEP Personal Fall Protection(PFP) I.00 EA 4.00
50096 1!27/2014 4/1/2014 EC EquipmentSehedulerCost PFP Personal Fall Protection(PEP) 1.00 EA 4.00
50096 2282014 4/l/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/1/2014 411/2014 EC Equipment Sdtedulcr Cost PFP Personal Fall Protection(PEP) 1.00 EA 4.00
50096 3122014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PEP) 1.00 EA 4.00
50096 3/32014 4112014 EC Equipment Scheduler Cost PFP Personal FallRotation(PF) 1.00 EA 4.00
50096 3/42014 41117014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/52014 4/14,.014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 RA 4.00
50096 3/62014 4/1/2014 EC Equipment SdtedukrCost PFP Personal Fall protection(PFP) 1.00 EA 4.00
50096 3/12014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 382014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3192014 411/2014 EC Equipment Scheduler Cast PFP Personal Fall Protection(PEP) 1.00 EA 4.00
500963/1012014 411)2014 EC Equipment Sdneduler Cat PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/112014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/122014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PEP) 1.00 EA 4.00
500% 3/132014 411/2014 EC Equipment Scheduler Cast PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/14/2014 4/14„014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/15/2014--4/1x2014 - - -EC --- - ------ - _-..-- -- qurpmeM Scheduler Coat - --. -- PFP Personal Fall Protection(PFP) 1.00 EA 4.
00
50096 3/162014 4IU=014 EC Equipment Scheduler Cast PFP --------Personal Fan Protection(PFP) -- -- --I.00_fi4 --- 4.00 - -
50096 31174.014 4/1/2014 EC Equipment Schc&dcr Coat PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/182014 411/2014 EC Equipment Sdneduler Cast PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/19/2014 4/1!2014 EC Equipment Scheduler Cost PFP Personal Fail Protection(PM 1.00 EA 4.00
50096 320/2014 4/1/2014 EC Equipment Scheduler Cost PEP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3212014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PEP) 1.00 EA 4.00
50096 3222014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/232014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3242014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PEP) 1.00 EA 4.00
50096 3252014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
R550006007 Harrbburg 5IM014 16:04:43
BEL0001 Job p 105610738 Job Cost Detail Page- 5 of 12
JPD900 Includes Details From 12/12010 Through 12/31!2014
Trans Date GILDate Doc Type Doc# Bateh# Tran Orig Description Invoke/Item# Description Org.DOC#or Qty Amount
50096 3/262014 4/1/2014 EC Equipment Scheduler Coat PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3272014 4/12014 EC Equipment Scheduler Coft PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3282014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PM 1.00 EA 4.00
50096 3292014 4/12014 EC Equipment Scheduler Cent PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/30/3014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 3/312014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 4112014 4/12014 EC Equipment Schedulcr Cost PFP Personal Fall Protection(PM 1.00 EA 4.00
50096 4232014 4252014 ER Equipment Cost Reversal FFP Personal Fall Protection(PFP) (91.00) EA (364.00)
Cost Code Total .00
FCCB Floor Covering-Carpet
50071 1/142014 4/820I4 PV 2497364 858004 DOCUSPHERE TOUCH OF COLOR FLOORING C0400282 DS FCC SUB Z625.00
Cost Code Total 2.625.00
FCVB Floor Covering-Vinyl
50071 12/202013 12/27/1013 PV 2337988 571387 DOCUSPHERE TOUCH OF COLOR FLOORING CG316836 DS FCV SUB 480.00
Cost Code iota! 480.0
FEES Permits&Fees
5015I 7/182013 7/18/2013 PM 1363743 286046 SWHARTON LOWERALLEN TOWNSHP CK2085 10738:E[E Permit 164.00
50151 11/152013 11/152013 PM 1933593 488282 SWIIARTON LOWERALLENTOWNSHP CK2092 CazwuctionPermit incl.Elec 976.73
50251 12/92023 12/162013 PV 2320035 546493 DOCUSPHERE Wharton,Sharon Lynn ER120913 DS PERSONALE DENSE 25.00
Cost Code Total 1.165.73
FNCB Finish Carpentry/Trim
50021 12/6/2013 1272014 PV 23802.56 654112 DOCUSPHERE LOWE'S 975846 DS FNC SUPPLY 1,002.13
50071 1/282014 1272014 PV 2380288 654203 DOCUSPIME WMS REMODELING&RESTORATION 20140012 DS FNC SUB 150.00
50021 12272013 222014 T2 2230 599866 CBREITINGE Martin Jr,Ted John Regular-CR ZOO HR
50021 1/172014 123/2014 T2 2302 654403 CBREITINGE Matin Jr,Ted John Regular-CR 8.00 HR
50021 1/112014 1232014 T2 2302 654403 CBREITINGE Martin Jr,Ted John Regular-CR 8.00 HR
50021 121/2014 1232014 T2 2302 654403 CBREITINGE Burkett RaymondA Regular-CR 5.00 HR
50021 1222014 1/1.32014 T2 2302 654403 C BRE=GE Burkett,Raymond A Regular-CR. 7.00 HR
50021 1232014 123Y1-014 T2 2302 654403 CBREITINGE Martin Jr,Tod John Regular-CR 8.00 HR
- - -- -- 50021 1242014 2/3/Z014-----T2-- - 2332---677981 _.CBREITINGE Martin_Jr.-Te d John Rear-CR 4.00 HP,
50021 12412014 7/32014 T2 7332 677981 CBREITINGE Burkett,Raymand A -- - - -- - - ------ Regular-CR-_ 4.00 HR _-
50021 1272014 2/32014 T2 2332 677981 CBREITINGE Burkett,Raymond A Regular-CR 8.00 Il --
50021 !282014 2/312014 T2 2332 677981 CBREITINGE Burkett,Raymond Regular-CR 3.00 HR
50021 1282014 2/3/2014 T2 2332 677981 CBREITINGE Martin Jr,Ted Join Regular-CR 4.00 HR
50021 I29/Wl4 2/32024 T2 2332 677981 CBREITINGE Martin Jr,Ted John Regular-CR 8.00 HR
50021 1292014 2132014 T2 2332 677981 CBREITINGE Burkett,Raymond Regular-CR 8.00 HR
50021 1/302014 :132014 T2 2332 677981 CBREITINGE Martin Jr,Ted John Regular-CR 7.00 HR
50021 2/122014 2/132014 T2 2429 708837 CBREITINGE Martin Jr,Tcd John Regular-CR 3.50 HR
50021 21122014 2/13/2014 T2 2429 708837 CBREITINGE Burkett.Raymond Regular-CR 3.50 HR
50023 11172014 1/232014 T2 2302 654403 CBREITINGE Martin Jr,Ted John Overtime-CR •50 HR
50023 1212014 1232014 T2 2302 654403 CBREITINGE Martin X Ted John Overtime-CR •50 HR
J
R550006007 Harrisburg 5/162014 16.04:43
BEL0001 Job# 105610738 Job Cost D" Page- 6 of 12
JPD900 IndudesDetzft From 12/1!2010 Through 12312014
Trans Date C&Dstt Doc Type Doc# Batch# Tran Orig Description Invoke/Item# Description Org.DOC#or Qty Amount
50023 121/1.014 1/23/2014 T2 2302 654403 CBREITINGE Budcett,Raymond A Overtime-CR .50 HR
50023 1272014 2/32014 T2 2332 677981 CBREMNGE Burkett,RsymondA Overtime-CR .50 HR
50023 1282014 2/32014 T2 2332 677981 CBRET124GE Martin Jr.Ted John Overtime-CR '50 HR
50023 1292014 7/32014 T2 2332 677981 CBREITINGE Martin Jr.Ted John Overtime-CR .50 HR
50023 1292014 25/2014 T2 2332 677981 CBREITME Burkett,Raymond A Overtime-CR '50 HR
Coat Code Total 94.50 HR 2,995.63
FNHB Finish Hardware
50011 1272014 1272014 PD 2380257 654112 DOCUSPHERE LOWES 901874 DS FNH SUPPLY (41.20)
Cosi Code Total (41.20)
FRMB Framing&Rough Carpentry
50011 1]20/1,013 12/102013 PV 2312194 535112 DOCUSPHERE LOWES 956378 DSFRMSUPPLY 36.46
5002I 11212013 11212013 T2 1904 505112 CBREITINGE Martin Jr.Ted John Regular-CR 200 HR
Cost Cade Total 2.00 HR 76.46
GIM General
50021 1/312014 2/62014 T2 2368 692440 CBREITINGE Martin Jr,Ted John Regular-CR 5.50 HR
50023 12/192013 12/192013 T2 2124 563910 CBREITINGE Martin Jr,Ted John Overtime-CR 1.00 HR
50023 12/198.013 12/19/2013 T2 2124 563910 CBRMTINGE Burkett.Raymond A Overtime-CR 1.00 HR
Cast Code Total 7.50 HR 167.00
HVCB Heat,Vent&Air Conditioning
50011 11212013 12/102013 PV 2312149 535068 DOCUSPHERE LOWES 906137 DSHVCSLWLY 779
50021 11262013 12/720I3 T2 19M 522347 CBP=GE Martin Jr;Ted John Regular-CR 2,00 HR
50021 1202014 1/'02014 T2 2302 654403 CBREITINGE Martin Jr,Ted John Regular-CR 200 HR
Cost Code Total 4,00 HR 87.79
INSB Insulation
50011 12/10/413 12/102013 PD 2312127 535007 DOCUSPHERE HOME DEPOT 8274483 DS INS SUPPLY (38.79)
50011 11/192013 12/102013 PV 2312241 535145 DOCUSPHERE HOMEDEPOT 1970803 DS INS SUPPLY 1,658.78
5001111222013 12/102013 PV 2312122 535007 DOCUSPHERE HOME DEPOT 8023731 DS INS SUPPLY 81.95
50021 11252013 12/72013 T2 1960 522347 CBRErMCrE Martin Jr.Ted John Regular-CR 3.00 HR
Cost Code Total 3.00 HR 1,761.94
JSSB Job Support Supervisor - — - — -
50021 7/16/2013 7/182013 T2 1280 292053 LCROSS Martis Jr,Ted John -- Regular-CR - --� — —-- —3.50—HR-- - —` —
50021 9/162013 9/192013 T2 1600 395274 AVERBRUGGE Martin Jr,Ted John Regular-PM 2.50 HR
50(21 10/162013 10/172013 T2 1746 441617 AVERBRUGGE Martin Jr,Ted John Regular-PM 2.00 HR
50021 1114/2013 11/72013 T2 1819 480900 CBREITINGE Martin Jr,Ted John Regular-PM 240 HR
50021 11/152013 11212013 T2 1904 505112 CBREITINGE Martin Jr,Ted John Regular-CR 220 HR
50021 11/18/7413 11212013 T2 1904 505112 CBREITINGE Martin Jr,Ted John Regular-PM 4.00 HR
50021 11/19/2013 11212013 T2 1904 505112 CBRErnKGE Martin Jr.Ted John Regular-PM 4.00 HR
50021 11202013 11212013 T2 1904 505112 CBREITINGE Martin Jr,Ted John Regular-CR 8.00 HR
50021 11222013 12)72013 T2 1960 522347 CBREITINGE Martin Jr,Ted John Regular-FM 4.50 HR
50021 12/122013 12/122013 T2 2033 549292 C13REITINGE Martin It,Ted John Regular-PM 1.50 HR
R550006007 Marham"g 5/162014 16:04:43
SEL0001 Job k 105610738 Job Cost Detail Page- 7 of 12
7PD900 IocludesDetails From 12/2/1010 Through 1231/2014
Tann Date G/LDate Doe Type Doc# Batch# Tran Orig Description Invoice/Item# Description Org.DOC#or Qty Amount
50021 USM- 14 1/9/2014 T2 2251 612516 LCROSS Martin Jr,Ted John Regular-PM .50 HR
50021 11142014 1/162014 T2 2275 629368 CBRFITINGE Martin Jr.Ted John Regular-PM 250 HR
50021 1/1520I4 1/162014 T2 2275 629368 CBRE=GE Martin Jr,Tod Regular-PM 4.50 HR
50021 2/3/1014 2/6/2014 T2 2368 692440 CBRErT1NGE Martin Jr.Ted John Regular-PM L50 HR
50021 2/52014 1162014 T2 2368 692440 CBREITINGE Martin Jr,TedJotut Regular-PM 4.00 HR
50021 3/252014 4/112014 72 2736 837179 CBRE=GE Martin Jr,Ted John Regular-CR 2'00 HR
50023 9/162013 911920I3 T2 1600 395274 AVERBRUGGE Martin Jr.Ted John Overtime-PM •50 HR
50023 11/192013 1121/'.013 T2 1904 505112 CBREITINGE Martin Jr.Ted John Overtime-PM .50 HR
50023 11202013 1121/2013 T2 1904 505112 CBRElTING£ Martin Jr.Ted John Overtime-CR .50 HR
50023 1/152014 IIIMO14 T2 2275 629368 CBREIIINGE Martin Jr.Ted John Overtime"I'M 1'00 HR.
Cost Code Total 51.50 HR 1,057.00
JSXB Job Site Expenses
50071 7/182013 7!26/2013 PV 1371350 300114 DOCUSPHERE EMSL ANALYTICAL INC 18028908 DS 10738:ASB TEST 7500
50091 7232013 8/122013 PV 1618262 325995 DOCUSPHERE Walters Services Inc. A95911 DS 10738:PORTALET RENT 89.04
50091 10242013 11/42013 PV 1919331 470017 DOCUSPHERE WaltersServices Inc. A90132 DS PORTALET 7208
50091 1120/2013 12/102013 PV 2312121 535007 DOCUSPHERE WaltuaServices Inc. A91354 DS PORTALET 7208
50091 12/182013 1227/2013 PV 2337987 571387 DOCUSPHERE Wafters Services Inc. A92286 DS PORTALET 7208
50091 1115/2014 127/'.014 PV 2380290 654203 DOCUSPHERE Walters Services bu. A93108 DS PORTALET r-08
50091 2/52014 2/12/3014 PV M2230 695844 DOCUSPHERE Walters Services Inc. A93771 DS PORTALET 43.25
50157 8/-91^•013 10222013 PV 1904669 442566 SWHARTON Walters Services Inc. A87920 Palet 72.08
50157 9252013 10/7/2013 PV 1887120 418236 DOCUSPHERE Walters Services Int. A89082 DS PORTALET T208
Cost Code Total 639.77
PLMB Plumbing
5001l 111202013 12/102013 PV 2312123 535007 DOCUSPHERE HOME DEPOT 00135560 DS PLM SUPPLY ►02.37
50071 8232013 9192013 PV 1645671 373764 DOCUSPHERE County Meehan-I Inc. 32281 DSPLM SUB 250.00
50071 10/162013 11/42013 PV 1919193 469925 DOCUSPHERE County MechanicalIne. 32406 DS PLM SUB 125'00
50071 2/122014 212411014 PV 2426293 727072 DOCUSPPIERE County Mechanical Inc. 32636 DS PLM SUB 85.00
50021 1112V2013 11/21/2013 T2 1904 505112 CBRECTWGE Martin Jr.Ted Jobn Regular-CR 3.00 HR
50021 I24J7014 2132014 T2 2332 677981 CBREITINGE Martin Jr.Ted John Regular-CR 4.00 HR
- --- --50021--124/2014 _1!32014T2 2332 677981 CBRE=GE Burkett.Raymond A Regular-CR 4.00 HR
500'_'1 1282014 2/3/2014 - - T2 --- --- 2332 -677981-_CBRETCING£---Burkc%RsymomdA_.--- -^- Regular-CR 5.00 HR
50021 1282014 2/3/2014 T2 2332 677981 CBRE]TINGE Martini Jr.Ted John -—---- - -— --Regular-CR---- --------------_4.00 HR ----- -- -
50023 1242014 2132014 T2 2332 677981 CBREITINGE Martin Jr,Ted Jobn Overtime-CR 50 HR
50023 1242014 2/3/2014 T2 2332 677981 CBRE lWGE Burkett,Raymond Overtime-CR .50 HR
50023 1282014 2/3/2014 T2 2332 677981 CBREIIINGE Burkett,Raymond A Overtime-CR .50 HR
Cast Code Total 21.50 HR 986.37
PNTB Painting
50011 10/102013 10212013 PV 1902163 439821 DOCUSPHERE HOME DEPOT 1130995 DS PNT SUPPLY 451.49
50011 10/102013 10 V-7013 PV 1902164 439821 DOCUSPHERE HOME DEPOT 1130958 DS PNT SUPPLY 447.99
50011 12!1/2013 17/102013 PV 2312200 535112 DOCUSPHERE LOWES 956057A DS PNT SUPPLY 40.26
50011 12/6/2013 1272014 PV 2380258 654112 DOCUSPHERE LOWE'S 901729 DS PNT SUPPLY 838.80
R550006007 ] burg 5/162014 16:04:43
BHL0001 Job# 105610738 Job Cost Delon Page- 8 of 12
JPD9W includes Details From 12!1!1010 Through 1213111014
Trans.Date G/LDate Doc Type Doc# Batch# Tran Orig Description Invoice/Item# Description Org.DOC#or Qty Amount
501 12/78013 1/27/2014 PV 2380283 654203 DOCUMIERE LOWES906585 DS PNT SUPPLY 74.73
01
50071 10/178013 10218013 PV 1902157 439821 DOCUSPHERB Harry Nichohon and 001127 DS PNT SUB 660.00
50071
116/2014 1/142014 PV 2356762 614948 DOCUSPHERE Harry Nicholson&Yvcnm Becht 001130 DS PNT SUB 7.00000
41162014 4888014 PV 2528512 905212 DOCUSPHERE Harry Nicholson&Yvonne Becht 001137 DS PNT SUB 4• '27
50071 Cost Code Total 14,013.27
RFGB Pooling
50011 11852013 12/108013 PV 2312124 535007 DOCUSPHERE HOME DEPOT 5014296 DS RFG SUPPLY 51,81
50011 1125/2013 12/102013 PV 2312198 535112 DOCUSPHERE LOWES 902994 DS RFG SUPPLY 63.43
50021 2/612014 2168014 T2 2368 692440 CBREITIIJGE Martin Jr,Ted John Regular-CR 3.50 HR
50021 2/78014 2/13/2014 T2 2429 708837 CBREITINGE Martin Jr.Ted John Regular-CR 8.54 EiR
50021 1172014 2tI32014 T2 2429 708837 CBREMNGE Burkett•Raymond A Regular-CR 8.50 HR
Cast Cade Total 20.50 HR 508.24
SDGB Siding.Patios&Awning
12.45
50011 12/122013 1272014 PV 2380251 654112 DOCUSPHERE LOWE'S 976124 DS SDG SUPPLY 156.56
50011 121122013 1/27/2014 PV 2380253 654112 DOCUSPHERE LOWES 976125 DS SDG SUPPLY 1.156.56
50011 17!128013 2/6/2014 PV 2391280 684912 MHINCHEY LOWE'S 976125A 105601.55014 1.156.56
50011 12/12/2013 2/6/2014 PV 2391285 684912 NOMCHEY LOWE'S 976123 105601.55014 212.45
50011 12/122013 2222014 PV 2380251 654112 DOCUSPHERE LOWES 976124 DS SDG SUPPLY (21245)
50011 12/122013 282/2014 PV 2380253 654112 DOCUSPHERE LOWES 976125 DS SDG SUPPLY (1,156.56)
50011 12/182013 12712014 PV 2380286 654203 DOCUSPHERE LOWES 901129 DS SDG SUPPLY 21.20
Cost Code total 1,390.21
SFGB Soffit.Fascia&Gutters
50011 3/118014 384/2014 PV 2476804 810633 DOCUSPHERE KOHL BUILDING PRODUCTS N 800341002001 DS SFG SUPPLY 125.69
50021 21412014 216/1014 T2 2368 692440 CBREITINGE Martin Jr,Ted John Regular-CR 8'00 HR
50021 2148014 2168014 T2 2368 692440 CBREITINGE Burkett,Raymond Regular-CR 8.00 HR
$0021 311112014 3/132014 T2 2629 789196 CBREI7'INGE Martin Jr.Ted John Regular'CR 4.50 HR
50021 3/112014 3/138014 T2 2629 789196 CBREITINGE Burkett Raymond Regular-CR 4.00 HR
50023 214/2014 2/6/2014 T2 2368 692440 CBREITINGE Martin Jr.Ted John Overtime-CR •50 HR
50023 2/4/2014 1/6/2014 T2 2368 692440 CBREITINGE BurkM Raymond A Overtime-CR .50 HR
- - - ---- 50021--3/1120]4-- 3/13/2014 T4 2631 789196 CBREITINGE Weaber,Jesse149 Temp Labor-GL 4.50 HR
- --- -- --- --�-- ----- -- --— --------- —---- -- - - -- -,-- Cost Code Total 30.00 HR 620.19
SFGN Soffit,Fascia&Gutters - -- --
50062 3872014 4/8/2014 PV 2497335 857909 DOCUSPHERE Aerotek.I= OE01021227 DS SFG LABOR 103.95
Cost Code Total 103.95
SUSB Supplies
50011 2/62014 2/60-014 PD 2391396 684912 MHINCEIEY LOWES 914919 105601.55014 (7231)
50011 2162014 2162014 PD 2391518 684912 MHINCHEY LOWES 977616 I05WI.55014 (177.39)
50011 3158014 3158014 PD 2436693 759499 DGRUTW LOWES 97799402I4 105601.55014 (14•08)
50011 3/58014 3/52014 PD 2436701 759499 DGRIFFIN LOWES 906787 0214 105601.55014 (21.20)
50011 3/512014 3158014 PD 2436764 759499 DGRUT N LOWES 9011315 0214 (624.69)
R550006007 Harrisburg 5/262014 16:04:43
855
R550001 lob# 1056I0738 Job Cost Detag Page- 9 of 12
BELIncludes Detals From 12/12010 Through 12131/2014
JPD90D
Trans.Date G/LDate Doe Type Doc 0Batch# Tran Orig Description Invoice/Item# Description Org.DOC#or Qty Amount
50011 422014 4!2/2014 PD 2487064 844291 DGRIFFIN LOWE'S 4324130314 10738 (52.79)
92704610414 RETURN (8.00)
50011 4/102014 4!102014 PD 2502010 864580 RMAZZA HOME DEPOT 2S49.80
50011 12/18/1013 2162014 PV 2391293 684912 MHINCHEY LOWVS 974133 105601.55014
901354 10560155014 329.34
50011 12272013 22/62 .
014 PV 2391347 684912 MHINCHEY LOWES 180.06
50011 12282013 1!612014 PV 2391375 684912 MHINCHEY LOWES 914918 105601.55014
914920 105601.55014 51.20
SOOIi I?282013 2162014 PV 2391379 664912 M11TN1CIIEY LOWES 754.40
50011 1/62014 12/62014 PV 2391437 684912 MHINCHEY LOWES 901576 105601.55014
50011 1/62014 21612014 PV 2391450 664912 MHINCHEY LOW901645 105601.
ES 55014 152.9661.65
50011 1/15/2014 3/5/2014 PV 2436662 759499 DGRUTIN LOWE$ 9774090214 105601.55014
50011 1!1611014 216+2014 PV 2391506 684912 MHiNC1iEY LOWES
806880 105601.55014 41.06
977457 105601.55014 15.11
50011 1/162014 '✓62014 PV 2391510 684912 MHINCHEY
LOWES 405.12
50011 1/172014 2/6/2014 PV 2391514 684912 MHINCHEY LOWES 201081 1056]0738
$0011 1/172014 2/132014 PV 2406502 700521 DGRIFFIN HOME DEPOT 20108160214 10738 136.89
136.89
50011 1/172014 2/132014 PV 2406801 700707 DGRIFFIN HOM6 DEPOT 2010816 10738 (136.89)
SODS 1 1/172014 4/222014 PV 2406801 700707 DGRIFFIN HOME DEPOT 2010816 10738
50011 1222014 12/62014 PV 2391535 684912 MHINCHEY LOWE'S
956551 105610738 123.33
50011 1222014 2/62014 PV 2391539 684912 MHINCFIEY LOWES 956661 105610738 39.15
50011 122/2014 2/13/2014 PV 2406807 700707 DGRIFFIN HOME DEPOT 7011709 0214 10738 17.23
50011 1222014 21132014 PV 2406513 700521 DGPJFEN HOME DEPOT 70117090214 10738 27'23
50011 1222014 2/1312014 PV 2406513 700521 DGRIFFIN HOMBDEPOT 70117090214 10738 (17.23)
50011 1232014 7162014 PV 2391542 684912 MHINCHEY LOWES 902769 105610738 34.87
50011 1242014 2/6/2014 PV 2391550 684912 MHINCHEY LOWES 902969 105610738 16.60
50011 1252014 3152014 PV 2436665 759499 DGRIFFIN LOWES 9065540214 105601.55014 159.10
50011 1252014 3/511014 PV 2436668 759499 DGRIFFIN LOWES 9065550214 105601.55014 9.31
50011 1272014 2/13/2014 PV 2406539 700521 DGRIFIYN HOMEDEPOT 20225840214 10738 20.08
50011 1272014 2/132014 PV 2406539 700521 DGRIFFIN HOMBDEPOT 202256402t4 10738 ('.0.08)
50011 1272014 2/1312014 PV 2406819 700707 DGRIFFIN HONE DEPOT 2022584 0214 10738 20.08
50011 127/2014 3/512014 PV 2436679 759499 MHINCHEY LOWES 9565410214 105610738 29.07
50011 1282014 3/52014 PV 2436680 759499 MHINCHEY LOWES 9029310214 105610738 47.25
50011 128/-014 3152014 PV 2436688 759499 MHINCHEY LOWES 9067830214 105610738 171.58
- - 50011 - -12912.014- 3152014---_PV__ _ 243670_5_ 759499 MHINCHEY LOWES 956101 0214 105610738 211.56
50011 1292014 3/52014 PV 2436716 --759499 MHINCHEY---LOWES -- ---- ------- _9g21720214 105610738 22.01
50011 1/312014 3152014 PV 2436733 759499 MHINCHEY LOWES 9026640214 705610738 -- -` --.__ 105.45-
50011 1131/2014 3/52014 PV 2436762 759499 MHINCHEY LOWE'S 9566240214 105610738 11.06
50011 1/31/2014 3/52014 PV 2436767 759499 MHINCHEY LOWES 9324680214 105610738 (90.91)
50011 2/112014 3/5/2014 PV 2436768 759499 MHINCHEY LOWES 9568290214 105610738 119.96
50011 22/72014 3152014 PV 2436786 759499 MHINCHEY LOWVS 9064990214 105610738 4656
SWI! 2172014 3/132014 PV 2453650 779434 MHINCHEY HONMDEPOT 10135210214 105610738 4.20
50011 2/12C)0 3/52014 PV 2436801 759499 MHINCHEY LOWES 9067760214 105610738 1299
50011 2/122014 3/52014 PV 2436805 759499 MHINCHEY LOWES 9568110214 105610738 178.97
50011 2/122014 3/1312014 PV 2453653 779434 MHINCHEY HOME DEPOT 60148W 0214 105610738 15.13
50011 3/112014 4/10/2014 PV 2501906 864590 DGFffM HOME DEPOT 90243340414 10738 8.00
R550006007 Harrisburg 5/16/2014 16:04:43
BEL0001 Job# 105610738 Job Cost Debs Page- 10 of 12
JPD900 Includ"Details Fromm 12//2010 Through 12alAO14
Trans.Date G/LDate Doc Type Doe# Batch# Tran Orig Description Invoice J Item# Description Org.DOC#or Qty Amount
50011 3/112014 4/102014 PV 2501908 864580 DGRIFFIN HONE DEPOT 9564546 0414 10738 13.05
Coat Code Total 5,03273
SUSN Supplies
50011 7/192013 7/26/2013 II 92681 300267 SWHARTON Warehouse Consumables 00252 Box Book 1.5 cu h 40.00 EA 42 97
50011 7/192013 7262013 II 92682 300267 SWIIARTON Warehouse Consunables CO252 Box Book 1.5 cu h (40.00) FA (4297)
50011 7/192013 7262013 Q 92681 300167 SWHARTON Warehouse Consumables 00253 Box.Dish Pack 5.2 cu h 4.00 EA 13.52
50011 7/192013 7/26a013 Q 92682 300267 SWHARTON Warehouse Consumables CO253 Box Dish Pack 5.2 cu h (4.00) EA (13.52)
50011 7/192013 7/262013 Q 92681 300267 SWHARTON Warehouse Consumables C0368 Tape,Poly Box 3.00 RL 19.00
50011 7/192013 7262013 Q 92682 300267 SWHARTON Warehouse Consumables C0368 Tape.Poly Box (3.00) RL (18.00)
50011 7/192013 7262013 R 92682 300267 SWHARTON Warehouse Consumables C0706 Box 3.1 Cu h (14.00) EA (23.17)
50011 7/19/2013 7262013 !I 92681 300267 SWHARTON Warehouse Consumables C0706 Box,3.1 cu h 14.00 EA 23.17
50011 7242013 7262013 II 92710 300267 SWHARTON Warehouse Consumables CO208 Bags,Trashy 3 mm,Black 100.00 EA 49.93
50011 7242013 7262013 Q 92710 300267 SWHARTON Warehouse Consumables CO208 Bags,Trash,3 mm.Blade (75.00) EA (37.45)
50011 7242013 7262013 Q 92710 300267 SWHARTON Warehouse Consumables 00287 Dust Mask (10.00) EA (3.00)
50011 7242013 7/26/2013 Q 92710 300267 SWHARTON Warehouse Consumables CO287 Dust Mask 15.00 EA 4.50
50011 7242013 726/2073 Q 92710 300267 SWHARTON WarehouseCcasumables C0345 Protective Suit-,Tyvek.MM (3.00) FA (1175)
50011 72412013 7262013 Q 92710 300267 SWHARTON WarehouseConsumablrs C0345 Protective Suits,Tyvck.)M 4.00 EA 17.00
50011 7242013 726/'.013 R 92710 300267 SWHARTON Warehouse Consumables S0607 Hammer 2.00 EA 8.00
50011 7242013 7262013 lI 92710 300267 SWHARTON Warehouse Consumables 50607 Hammer (100) FA (8.00)
50011 7242013 7/162013 II 92710 300267 SWHARTON Warehouse Consumables S0611 Bar.Pry/Fiat (2.00) EA (5.98)
50011 7242013 7262013 II 92710 300267 SWHARTON Warehouse Consumables S0611 Bar.Prymat 2.00 EA 5.98
50011 7242013 7262013 II 927I0 300267 SWHARTON Warehouse Consumables 50615 Screwdriver 1.00 EA 196
50011 7242013 7262013 II 92710 300267 SWHARTON Warehouse Consumables 50615 Screwdriver (1.00) EA (2.96)
50011 7242013 726/2013 II 92710 300267 SWHARTON Warehouse Consumables C0532 Protective Suits,Tyvek XL (4.00) EA (17.41)
50011 7242013 7262013 Q 92710 300167 SWHARTON Warehouse Consumables C0532 Protective Suits,Tyvek)M 6.00 EA 26.11
50011 7242.013 7!1612013 Q 92710 300267 SWHARTON Warehouse Consumables C0957 Gloves,Latex Coated 6.00 PR 11.70
50011 7242013 1262013 Q 92710 300267 SWHARTON Warehouse Consumables C0957 Gloves,Latex Coated (3.00) PR (5.85)
50011 7242013 726/1013 Q 92710 300267 SWHARTON Warehouse Consumables 50951 Glasses,Safety,Clear (100) EA (.28)
50011 7242013 7262013 R 92710 300267 SWHARTON Warehouse Consumables S0951 Glasses,Safety,Cleo 200 EA .28
50011 882 8/'1
013 32013 II 107849 348101 SWHARTON Warehouse Consumables 00208 Bags,Trash,3 mm,Black 100.00 EA 49.93
5001t --8/132013 -S/132013 -- It--- --107852 .__348101 -SWHARTON_ Warehouse Consumables 00108 Bags,Trask 3 mm.Black (100.00) F.A (49.93)
50011 10/32013 10/32013 II 129746 417534 SWHARTON - WarehouseCosumablcs t _'--CO287- - - ----Dust Mask_-- -.___ _-_ -__17_00 EA 5.91
50011 10/32013 10/32013 II 129746 417534 SWHARTON Warehouse Consumables C0347 Respirator.HEPA PI00 4.00 EA 21.46-
50011 10/32013 10/3/2013 I1 129746 417534 SWHARTON Warehouse Consumables S0600 Broom 100 EA 10.00
50011 10/32013 10/32013 II 129746 417534 SWHARTON Warehouse Consumables S0602 Drill,Cordless,38' 1.00 EA 40.00
50011 10/32013 10/32013 II 129746 417534 SWHARTON Warehouse Consumables 50603 Dust Pan 1.00 EA 4.99
50011 10/32013 10/32013 Q 129746 417534 SWHARTON Wamhouso Consumables 50605 Scraper,Floor 2.00 EA 40.00
50011 10/32013 10/32013 II 129746 417534 SWHARTON Warehouse Consumables 50607 Hammer 3.00 EA 12.00
50011 10132013 10/312013 11 129746 417534 SWHARTON Warehouse Consumables 50611 Bar.Pry/Flat 3.00 EA 8.97
SOON 10/32013 10/32013 II 129746 417534 SWHARTON Warehouse Consumables 50612 Broom,Push 200 EA 40.00
50011 IOWM13 10!32013 tI 129746 417534 SWHARTON Warehouse Consumables 50614 Shovel,Scoop 100 FA 15.00
50011 10/32013 10/32013 11 129746 417534 SWHARTON Warehouse Consumables. C0651 Filter.Shop Vac 1.00 EA 24.99
R550006007 Harrisburg 5/16'2014 16:04:43.
BEL0WI Job# 105610738 Job Cost Detail Page- 11 of 12
3PD900 Inches Details From 12A1/2010 Through 12/31'2014
Trars.Date G/LDate Dae Type Doe# Batch# Tran Ori% Description Invoke/Item# Description Org.DOC#or Qty Amount
50011 10/3/_'013 10/3/2013 II 129746 417534 SWHARTON Warehouse Consumables S0795 Bar,Crow/Wreckma 3.00 EA 63.00
50011 10132013 10/312013 11 129746 417534 SWHARTON Warehouse Consumables C0957 Gloves.Latex Coated 3.00 PR 5.82
50011 10/32013 10/3/2013 U 129746 417534 SWHARTON Warehouse Consumables 50951 Glasses,Safety Clear 3.00 EA .43
50011 10/3/2013 10/3/2013 II 129746 417534 SWHARTON Warehouse Consumables S1043 Pole,Clamp 3.00 EA 77.88
50011 10/7/2013 10/8'2013 II 130197 418886 SWHARTON Warehouse Cassumables CO297 Dust Mask (3.00) EA (1.04)
50011 10/7/2013 10'88013 II 130197 418886 SWHARTON Warehouse Consumables 50605 Scraper,Floor (1'00) EA (20.00)
50011 10'7/2013 10/8/2013 Il 130197 418886 SWHARTON Warehouse Corawnables 50607 Hammer (3.00) EA (12.00)
50011 1OM2013 10/88013 a 130197 418886 SWHARTON WarehouseConm=ables 50611 Bar,Pry/Flat (3.00) EA (8.97)
50011 10/78013 I0192013 11 130197 418886 SWHARTON Warehouse Consumables 50612 Broom.Push (1.00) EA (20.00)
50011 10/72013 10/8/2013 II 130197 418886 SWHARTON Warehouse Consumables 50614 Shovel,Scoop (1.00) EA (7.50)
50011 10/7/1013 10/8/2013 a 130197 418886 SWHARTON Warehouse Consumables S0795 Bar,Crow/Wrecking (3.00) EA (63.00)
50011 10/2013 10/98013 a 131568 421827 SWHARION Warehouse Consumables CO223 Cleanc.Degreaser,Extra Duty ZOO GA 31.24
50011 10/82013 10/98013 R 131568 421827 SWHARTON WarehoimCcraurnables CM87 Dust Mask (10.00) EA (3.48)
50011 10188013 10/98013 a 131568 421827 SWHARTON WarehouseCo:uumables CO3I7 HEPPAweCollection Bag'Fiher 1.00 EA 15.00
50011 10/88013 10/92013 a 131568 421827 SWEARTON Warehouse Consumables 00360 Sponge,Chan(l•5x3x6) 48'00 EA 73.40
50011 10/88013 10198013 a 131568 421827 SWHARTON Warehouse Consumables S0602 Drill,Cordless,3/8' (1.00) EA (40.00)
500]1 10/88013 10/9/2013 a 131568 421827 SWHARTON Warehouse Consumables S0614 ShaveL Swop (1.00) EA (7.50)
50011 10/82013 10/98013 13 131568 421827 SWHARTON Warehouse Consumables C0590 Bucket,3.5 GA (1.00) EA (5.50)
50011 10/82013 10/9/2013 a 131568 421827 SWHARTON Warehouse Consumables C0590 Bucket,3.5 GA 2.00 EA 11.00
50011 10188013 10/92013 a 131568 421827 SWHARTON Warehouse Consumables S1045 Pole,Clamp (2.00) EA (51.92)
50011 10.+82013 10/92013 11 131568 421827 SWHARTON Warehouse Consumables C1099 Cleaner.Deodorizer (.25) GA (5.81)
SODII 10/&2013 10/92013 11 131568 421827 SWHARTON Warehouse Consumables C1099 Cleaner.Deodorizer .50 GA 11.62
50DI1 10192013 10/9/1013 U 132028 423557 SWHARTON Warehouse Consumables CO223 Cleaner,Degreaser,Extra Duty (.75) GA (11.71)
50011 10/912013 10'98013 a 132028 423557 SWHARTON Warehouse Consumables 50602 Drill.Cordless.3/8' 1.00 EA 40.00
50011 ]0/98013 10/98013 a 132028 423557 SWHARTON Warehouse Consumables S0602 Drill.Cordless,3/8' (1.00) EA (40.00)
50011 10/92013 10191,013 a 132028 423557 SWHARTON Warehouse Consumables 50607 Hammer 200 EA 8.00
50011 10192013 10/92013 a 132028 423557 SWHARTON Warehouse Consumables C059D Bucket 3.5 GA (3.00) EA (16.50)
SOON 10/9/1013 10/98013 U 132028 423557 SWHARTON WarehouseComumtables C0771 Water,Bottled 1.00 CS 4.50
50011 10/9/2013 10/92013 U 132028 423557 SWHARTON Warehouse Consumables C0963 Gloves,Nitrile,L (40.00) PR (5.44)
50011 10/92013 10/98013 lI 132028 423557 SWHARTON Warehouse Consumables C0963 Gloves,Nitrile,L 50.00 PR 6.80
- -- -_c001-I- -101912013 -10/9/1013 _ II 132028 423557 SWHARTON Warehouse Consumables SO451 Extension Cord 1.00 EA 35.00
50011 10/912013 10/92013 II l --132028 423557- -SWHARTON---WarehouseComwaables - _.--__ SO451Extension Cord (200) EA (70.00)
S0011 11222013 1125/3013 a 157590 505810 SWHARTON Warehouse Consumables C0771 �Water, -k00--CS .-4.50
50011 2/32014 7/3/2014 U 202994 676026 SWHARTON Warehouse Consumables 00214 Cleaner,All Purpose-BELFOR 1.00 GA 14.00
50011 2/3/1014 2/3/2014 11 202994 676026 SWHARTON Warehouse Consumables C0374 Wipes,Presaunated IPA/DI 1.00 PK 5.99
Cost Code Total 274.85
TBAB Toilet&Bath Accessories
50071 122/2014 1272014 PV 2380318 654279 DOCUsIxOM Bathcrcst Associates 1713 DS TBA SUB 550.00
Cost Code Total 550.00
TMPB Temporaryltepairs
50011 7232013 8/128013 PV 1618247 325959 DOCUSPHERE LOWES 910529 DS 10738:TMP SUPPLY 59.36
50071 7/168013 7/2612013 PV 1370235 298904 DOCUSPHERE YEAGERELECTRIC 0001232411 DS 10738:ELS SUB 798.00
R550006007 Harrisbai g 5/162014 1604:43
BEL0001 Job p 105610738 Job Cost Detail Page- 12 of 12
Imdudes Details Flom 12/14010 Through 12/3112014
JPDW
Trans.Date G/LDate Doc Type Doc# Batch# Than Orig Description Invoice/hem# Description Org.DOC#or Qty Amount
50021 7!122013 7/182013 T2 1280 292053 LCROSS Martin Jr,Ted John Regular-CR
50023 7/12/2013 7/182013 T2 1280 292053 LCROSS Martin Jr,Ted John Overtime-CR 3.00 HR
Cost Code Total 3.00 HR I,022.36
WDVS WisuloWs-Vinyl
50011 1272014 1272 1.369369014 PD 2380282 654203 DOCUSPHERE LOWES 975142 Ds WDV SUPPLY . .
50011 10/162013 ]0212013 PV 1902201 4399W DOCUSPHERE LOWPS 973001 DS WDV SUPPLY .2299
50011 11252013 1272014 PV 2380281 654203 DOCUSPHERE LOWE'S 975145 WDV SUPPLY 851.16
50011 12/102013 2242014 PV 2426295 717146 DOCUSPHERE LOWE'S 901989 DS WDV SUPPLY 21.20
50011. 12/132013 1224/2013 PV 2334568 566772 DOCUSPHm HOME DEPOT 7010572 DS WDV SUPPLY 17.25
50021 121132013 12/192013 T2 2124 563910 CBRENINGE Martin Jr,Ted John RqpAW-CR 5'0D HR
50021 12/132013 12/1920I3 T2 2124 563910 CBRHTTINGE BurketkRaymondA Regular-CR 5.00 HR
Cost Code Total 10.00 HR 1.640.28
Job Total 58.8
Cost Sum mare
Labor 7,149.17 12.15%, %orCost Subcontractors 31,283.60 53.15% %of Cost
Material 14,854.16 2s u% %of Cost Sub Temp Labor 1,859.94 3.16% %of Cost
Equipment 2,398.84 4.08% %of Cost Travel .00 0.00 %of Cost
Other 11309.89 2.23% %of Cost
i
I
h_
BELFOR ' ,+� WORK AUTHORIZATION
License # PA005253
PROPERTY . *- : .. .
The undersigned(Insured)j,__S�r f'o.eQ L1404
Address Ci � —z f State Zip
represents that he/she/they are owners of/or agents for the hereinafter specified property(and/or its contents)
and hereby authorize and direct BELFOR USA Group, Inc. ("Contractor") to provide all labor, equipment and
materials required to property repair the specified real property or structure commonly known as:
t i
Address ; City State Zip
Description of services to be performed, materials used, and specifications
(Additional Work shall be performed by written change order signed by both parties)
It is understood and agreed that Contractor will perform all repair work in a good and workmanlike manner
in accordance with our General Conditions, will have a policy of insurance in full force at the time of signing,
with general liability coverage of$1,000,000 each occurrence, personal injury coverage of $1,000,000 each
occurrence,and insurance covering property damage up to$1,000,000 each occurrence, and will comply with
local safety standards and will perform all work according to local building codes. A one-year workmanship
warranty will be presented upon full payment for the work performed. The undersigned hereby transfers,
assigns and conveys to Contractor his/her/their right,title and interest in and to the insurance policy proceeds
and all drafts for work performed or to be performed by Contractor. Accordingly, undersigned authorizes and
directs their insurer(named below)to make BELFOR USA a payee on all insurance drafts for all insurance work
performed by Contractor on the above damaged property, The undersigned also agrees to immediately
endorse and tender all drafts as produced to the Contractor.
All insurance work performed by the Contractor is subject to the terms of the Insured's policy of insurance
which sets the scope and price of the work based upon industry standards. All uninsured work perfonred,
including uninsured code-upgrade work, depreciation and insurance deductibles are the responsibility of the
undersigned or Owner. The undersigned also agrees to and understands the General Conditions stated
below. Contractor agrees to perform the insured work as approved by the Insurance Company and accept
insurance proceeds as payment for the insured work. Any uninsured work,which includes but is not limited to
code-upgrade work, asbestos removal or any other form of work not covered under Owner's insurance policy
shall be paid by Owner.! In the event insurance proceeds are not issued, Contractor has the right to stop work
until such time the insurance proceeds are released.
The undersigned hasithe right to cancel this Work Authorization prior to the midnight of the 3rd business day
of signing this agreement by writing and delivering a written cancellation request to Contractor by such time.
See the attached Notice of Cancellation form for an explanation of this right.
AMOUNT OKNOWN i DATE INSURED-OWNER-AUTHORIZED REPRESENTATIVE
� �- 3 I ri ' .3 D 1 :- 0r
€ ART D r'gPS I�/�D L`bAf?SC NbZTE
BELFOR REPRESENTATIVE NAME'AND TITLE INSURED-OWNER-AUTHORIZED REPRESENTATIVE
INSURANCE COMPANY POLICY NUMBER
REV.11/i i
BELFORUSA J00 Cuddy Lane, Cuddy, PA 15031 • 800.421.4108 • ph: 412.257.9997 • Ix: 412.257.9913
BELFORUSA 608 Jeffers Circle, Exton, PA 19341 • 888.629.4768 ph: 610.594.5566 • fx: 610.594.2116
BELFORUSA 2780 Commerce Drive, Suite 200 • Middletown, PA 17057 • 800-509-4189 • ph: 717.939-9090 • fx: 717-939-9097
HEADOVARTERS 185 Oaktanld Ave., Suite 150, Birmingham, MI 48009.3433 • 688.421.4111 • ph: 248.594.1144 s fx: 248.594.1133
24/7 emergency hotline 800.856.3333 • www.69tforus0.c6m
f
i
i
Notice of Cancellation
I
Date of Transaction
You may cancel this transaction, without penalty or obligation,within three business days from the above date(the date
the Work Authorization was signed).
if you cancel, any property,traded in, any payments made by you under the contract or sale, and any negotiable
instrument executed by you will be returned within 10 business days following the receipt by Inrecon of your signed
cancellation notice,and any'security interest arising out of the transaction will be canceled.
i
i
If you cancel,you must make available to the seller at your residence,in substantially as good condition as when received,
any goods delivered to you under this agreement or sale;or you may if you wish,comply with the Instructions of the seller
regarding the return shipment of the goods at the seller's expense and risk.If required by applicable law,if a buyer's return
of goods is Impractical or inequitable, buyer in order to rescind this agreement must tender its reasonable value.
l�
If you do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your
notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods
available to the seller or if you agree to return the goods to the seller and fail to do so, then you remain liable for
performance of all obligations under the contract.
i
To cancel this transaction; mail or deliver a signed and dated copy of this cancellation notice or any other written notice,
or send a telegram to BELFOR USA Group, Inc. at 185 Oakland Avenue,Suite 150, Birmingham Michigan 48009 not later
than midnight of: /0✓+99 01.3
Date
i
I
I hereby cancel this transaction.
I
Date Buyer
i
i
Lmeyge cy.Work
.--.--The undersigned hereby authorizes BELFOR without..delay.to effect repairs on an Emerges y-Bass's."his a repair on
real property,.we waivelour right to cancel this transaction within 3 business`deys:-�._..._
I
I
Buyer
i
Owner Initials _ _/BELFOR Initials REV.11/11
I
I
i
BELFOR : ! 5 WORK AUTHORIZATION
License # PA005253
PROPERTY -'
W '. 1v' 217, ��-�9'9
The undersigned (insured}: � � �'
Address I Clty, —S aS to Zip
represents that he/she/they are owners of/or agents for the hereinafter specified property(and/or its contents)
and hereby authorize and direct BELFOR USA Group, Inc. ("Contractor') to provide all labor, equipment and
materials required to properly repair the specified real property or structure commonly known as:
I
Address City State Zip
I
Description o services to be performed, materials used, and specifications
(Additional Work shall be performed by written change order signed by both parties)
I
It is understood and agreed that Contractor will perform all repair work in a good and workmanlike manner
in accordance with our General Conditions, will have a policy of insurance in full force at the time of signing,
with general liability coverage of $1,000,000 each occurrence, personal injury coverage of $1,000,000 each
occurrence, and insurance covering property damage up to$1,000,000 each occurrence, and will comply with
local safety standards and will perform all work according to local building codes. A one-year workmanship
warranty will be presented upon full payment for the work performed. The undersigned hereby transfers,
assigns and conveys to,Contractor his/her/their right, title and interest in and to the insurance policy proceeds
and all drafts for work performed or to be performed by Contractor. Accordingly, undersigned authorizes and
directs their insurer(named below)to make BELFOR USA a payee on all insurance drafts for all insurance work
performed by Contractor on the above damaged property. The undersigned also agrees to immediately
endorse and tender all drafts as produced to the Contractor.
All insurance work performed by the Contractor Is subject to the terms of the Insured's policy of insurance .
which sets the scope and price of the work based upon industry standards. All uninsured work performed,
including uninsured code-upgrade work, depreciation and insurance deductibles are the responsibility of the
undersigned or Owner.;The undersigned also agrees to and understands the General Conditions staffed
below. Contractor agrees to perform the insured work as approved by the Insurance Company and accept
insurance proceeds asipayment for the insured work.Any uninsured work, which includes but is not limited to
code-upgrade work, asbestos removal or any other form of work not covered under Owner's insurance policy
shall be paid by Owner. In the event insurance proceeds are not issued, Contractor has the right to stop work
until such time the insurance proceeds are released.
The undersigned has the right to cancel this Work Authorization prior to the midnight of the 3rd business day
of signing this agreement by writing and delivering a written cancellation request to Contractor by such time.
See the attached Note of Cancellation form for an explanation of this right.
Lit
AMOUNT OF KNOWN) DATE QS-URO ER-AUTHORIZED REPRESENTATfVE
ESTIMATED ST T D � E LETI N DATE
t1<sr'1
j�_L_FOA REPRESENTATIVE NAME AND TITLE INSURED-OWNER-AUTHORIZED REPRESENTATIVE
",''� A.1Aa.i(I- ' ` s l 6a l �S/ C.� 6 X 31
INSURKNCE COMPANY POLICY NUMBER
��'' ) ► REV.11/11
BELFORUSA 1100 6u'dd Lane, Cuddy, PA 15031 • 800.421.4108 • ph: 412.257.9997 fx: 412.257.9913
BELFORUSA 608 Jeffers Circle, Exton, PA 19341 • 888.629.4768 • ph: 610.594.5566 • fx, 610.594,2116
BELFORUSA 2780 Commerce Drive, Suite 200 • Middletown, PA 17057 • 800-509.4189 • ph: 717-939.9090 • fx: 717.939.9097
HEADQUARTERS 165 Oakland Ave., Suite 150, Birmingham, MI 48009-3433 • 888.421.4111 • ph: 248.594.1144 • fx: 248.594.1133
24/7 emergency hotline 800.856.3333 • www.belforur.a.com
I
i
Ii
Notice of Cancellation
Date of Transaction
i
You may cancel this transaction, without penalty or obligation,within three business days from the above date(the date
the Work Authorization was;signed).
if you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable
instrument executed by yo,'u will be returned within 10 business days following the receipt by Inrecon of your signed
cancellation notice, and any security interest arising out of the transaction will be canceled.
If you cancel,you must make available to the seller at your residence,in substantially as good condition as when received,
any goods delivered to you under this agreement or sale;or you may If you wish,comply with the Instructions of the seller
regarding the return shipment of the goods at the seller's expense and risk.If required by applicable law,if a buyer's return
of goods is impractical or inequitable,buyer in order to rescind this agreement must tender its reasonable value.
I
If you do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your
notice of cancellation,you may retain or dispose of the goods without any further obligation.If you fail to make the goods
available to the seller or, If you agree to return the goods to the seller and fail to do so, then you remain liable for
performance of all obligations under the contract.
i
To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice,
or send a telegram to BELFOR USA Group,Inc. at 185 Oakland Avenue,Suite 150, Birmingham Michigan 48009 not later
than midnight of:
Date
1 hereby cancel this transaction.
L
Date Buyer
I
Emergency Work
I
i
The undersigned hereby authorizes BELFOR without delay to effect repairs on an Emergency Basis.As this is a repair on
real property,we waive our right to cancel this transaction within 3 business days.
J
uyer
r �, �t�7 FOR Initials REV.11/11
Owner Initials
CERTIFICATE OF SATISFACTION
I
Job Name: Kathy Wisner
Job Address: 35 Scaresdale Drive
Camp Hill PA 17011
Project No: 0
Insurance Co: Travelers
Claim M HRP3101001C
I have thoroughly reviewed all of the work performed and completed by BELFOR, and certify
that all work performed, and materials supplied, by the contractor in accordance with the
Estimate of Repairs, have been done to my full satisfaction. I also authorize any
remaining payments or holdbacks(if any)to be paid directly to BELFOR.
Signed this,the day of v-(� ,201Y.
I
Cu/stomer/insured Signature Customer/Insured Signature
sf i!-eA r lJJ.k IJ,-.l—
tomer/Insured Printed Name Customer/Insured Printed Name
8550006007 Harrisburg 5/162014 16:04:43
BEL0001 Job 9 105610738 Job Cost DOAU Page- 3 of 12
Jacludeslh2/12
talls From 1010 Through 121312014
Tann-Date G/L Date Doc Type Doc# Batch# Tran Orig Description Invoice 1 Item# Description Org.DOC#or Qty Amount
50096 1/12014 4/12014 EC Equipment SchedukrCost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 122014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection CPFP) 1.00 EA 4.00
50096 1/32014 4/1/2014 EC Equipment Schedukr Cost PFP PersoaalFallProtection(PFP) 1.00 EA 4.00
50096 1/42014 4/12014 EC Equipment Scheduler Cost PFP PemonalFall Protection(PM 1.00 EA 4.00
50096 1/52014 4/12014 EC Equipment Schedukr Cosi PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/62014 4/1/2014 EC: Equipment Scheduler Cost PFP Personal Fall Protection(FM 1.00 EA 4.00
50096 1172014 4/12014 EC Equipment Scheduler Cost PEP Personal Fall Protection(PFI'} 1.00 EA 4.00
50096 1/&2014 4/12014 EC Equipment Schedukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/92014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PM 1.00 EA 4.00
50096 1/102014 4112014 EC Equipment SchedukrCost PFP Personal Fall Proreetion(PFP) 1.00 EA 4.00
50096 1/112014 4/12014 EC Equipment SehedulerCost PFP Personal Fall Protection(PM 1.00 EA 4.00
50096 1/122014 4/12014 EC Equipment Scheduler Coat PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2/132014 4/22014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/142014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
-W6 1/152014 4/120I4 EC Fquipment SchedukrCost PEP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/162014 4/12014 EC Equipment Schedukr Can FFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/17/2014 4112014 EC Equipment Scheduler Cent PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/18/2014 4/12014 EC Equipment Schedukr Cost PFP Personal Fall Protection(FFP) 1.00 EA 4.00
50096 1/192014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PM 1.00 EA 4.00
50696 !2017014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50)96 1212014 41IM14 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1222014 4/1/2014 EC Equipment Schedukr Cost PFP Personal Fall Protection(FFP) 1.00 EA 4.00
50096 1232014 4/112014 EC Equipment Schcdukr Cost PEP Personal Fall Protection(PFF) 1.00 EA 4.00
50096 1242014 4112014 EC Equipment Scheduler Cost PFP` Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1252014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1262014 4/112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1272014 4112014 EC Equipment Schedukr Cost PFP, PersonalFallProtection(PFP) 1.00 EA 4.00
50096128/7014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Prosection(PFP) 1,00 EA 4.00
50096 1292014 4/12014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/302014 411/2014 EC Equipment Schcdukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 1/312014 4/12014 EC Equipment Schedukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096- MINN-- 4/12014- EC-- - Equipmem-SchedukrCost- PFP---- - PcrsmlFall-Protection(pFp)- - -1: -'
00EA 4:00'
--
50096 2/2212014 4/1/2014 EC Equipment SehedukrCost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2/32014 4/12014 EC Equipment Schedu)erCost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2142014 4/1/2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 22152014 4112014 EC Equipment Schedukr Cast PFP Personal Fall Protection(PFI) 1.00 EA 4.00
50096 2X)2014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2/72014 4/12014 EC Equipment Scheduler Cost PFP Petsoral Fall Protoction(PFI) 1.00 EA 4.00
50096 2/82014 41120]4 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFF) 1.00 EA 4.00
50096 2012014 4/12014 EC Equipment Schedukr Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2/102014 41V2014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
50096 2/112014 4112014 EC Equipment Scheduler Cost PFP Personal Fall Protection(PFP) 1.00 EA 4.00
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson
Sheriff r �HE
Jody S Smith � 1 4 JUL I �t! 10; 20
Chief Deputy ��
2:1,14
''a
Richard W Stewart -. - CUMBERLAND COUNT`r
Solicitor PENNSYLVANIA
sf;
OFFICE OF THE SHERIFF
Belfor USA Group
vs.
Kathleen S Wisner
Case Number
2014-3658
SHERIFF'S RETURN OF SERVICE
06/26/2014 01:01 PM - Deputy Christopher Sharpe, being duly sworn according to law, served the requested
Mechanics Lien Claim by "personally" handing a true copy to a person representing themselves to be the
Defendant, to wit: Kathleen S Wisner at 35 Scarsdale Drive, Lower Allen, Camp Hill, PA 17011.
SHERIFF COST: $44.95
June 27, 2014
CHRISTR SHARPE, DEPUTY
R ANDERSON, SHERIFF
NOTARIAL SEAL
CLAUDIA A. BREWBAKER, NOTARY PUBi r '
Carlisle Boro, Cumberland County'
:My Commission Expires April 4; 2017 '
NOTARY
Affirmed and subscribed to b ore me this
` `--�-may of aniq
(c) CountySuite Sheriff, Teleosoft, Inc.