BPM006728_Exhibit_C_-_DDD_HM_Project_Specification___Price_Sheet_PSPS.xlsx

DDD Instructions (INTERAL ONLY)

2. Notice there are three (3) tabs in blue. These are the tabs that will be used by the contractor.

3. Ensure the holiday dates are updated for the current year in the Holidays tab (see instructions below).

D. To go the PP2 tab, Review and Protect Sheet to lock the cells, select a password.

7. Save the file as XXXX. The file is now locked and ready for the contractor to fill out.

2. Ensure the Holidays (YEAR) column has the updated holiday dates for the year. Enter in the yellow highlighted cells.

Holidays

Cover Page

Director

As an approved Contractor with the Arizona Department of Economic Security, Division of Developmental Disabilities (Division), your organization is invited to submit a price for the home modification project detailed on the following page(s). Price submittals must be completed as instructed below using the enclosed form(s), and submitted to the Division by the SUBMITTAL DUE DATE listed above. Price submittals for this home modification project received after the above date will not be considered.

*If a name or address is not identified below, contact the C.E.A.C. regarding ACP (Address Confidentiality Program) participants.

Contractor Name: contractor name here

Comments:

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HOME MODIFICATION SERVICE

PROJECT SPECIFICATION AND PRICE SHEET (PSPS)

Arizona Department of Economic Security Division of Developmental Disabilities 4000 N. Central Ave. Suite 400 Phoenix, AZ 85012 DHomeModifications@azdes.gov

Send all price submittals to Fax to 602-666-8807 or email to DHomeModifications@azdes.gov prior to the above SUBMITTAL DUE DATE.

If the Contractor does not wish to submit a price for this project, please email a reply designating “No Price”, or complete the below and check the NO PRICE box at right, and send this page only to the Division at Fax: 602-666-8807 or Email: DHomeModifications@azdes.gov

PSPS

Remove this text before pasting your Company's Letterhead Logo within this cell.

: Click within the cell of Row 1 and Column F to paste your Company's Letterhead Logo within this cell.

PROJECT SPECIFICATION AND PRICE SHEET (PSPS)

Actual Completion Date:

Selected Contractor shall be responsible for adhering to all Special Instructions listed below each ITEM NUMBER.

TOTAL

EXISTING CONDITIONS Structure type: Stucco frame construction home; 2-Story house Foundation: concrete slab Location of bathroom modification: Upstairs master bathroom Existing bathroom tub/shower enclosure material: synthetic cultured marble panels Location of accessible entry: front entry Home is owned by the member-member’s family Note: Always Observe Universal Building Codes, electrical changes comply with the NEC requirements, and the Tile Counsel of North America guidelines for barrier free pan and shower construction.when applicable.

See Picture Tab for photos of existing and proposed sketches they apply

Always ask and allow member / guardian to participate in placement of Bars, P.T. Rails, Assist Poles, and Hand Rails; and utilize Occupational Therapist (O.T.) or Physical Therapist (P.T.) Report if available. Work with member and caregiver on appropriate position, placement and location of all grab bars. When Installing Grab Bars, PT Rails, assist poles and handrails all mounting areas shall have appropriate wall substrate supports at all attachment points. Always install 2x6 minimum backer boards behind wall. Finish grab bar /handrail area: patch drywall, texture, prime and topcoat (2coats) area of modification to nearest corner of the ceiling and adjoining walls. 'Wing-It' mounting anchors may only be used when wall backing installation is not possible for all Grab Bar, PT Rail, Assist Pole and Handrail installations.

Handrails: The diameter or width of the gripping surfaces of a handrail shall be 1-¼” to 1-½” (32 mm to 38 mm) or an equivalent profile gripping surface. Rails shall have minimum 1/4” (6.4 mm) radius on gripping surface edges with non-grip edges on handrails shall have a minimum radius of 1/8 in (3.2 mm).

When handrails mounted on or beside wall, the space between the wall and the handrails shall be 1-1/2 in (38 mm). Handrails, walls or surfaces adjacent to it shall be free of any sharp or abrasive elements. Some field measurements required in home at the time of installation to ensure the proper placement of the handrails to meet the individual’s specific need.

To provide support and stability while accessing the member’s bathing and sleeping areas:

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PRICING

CHANGE ORDER

UNFORESEEN CIRCUMSTANCE

INVOICE

Pictures

Mod Service Acknowledgments

I acknowledge that I am not to make any request from the Contractor that will place the Contractor in a position that may violate any condition of the SOW and the Project Specification and Price Sheet, which include, but not limited to:

Entering into any agreement with the Contractors assigned to a Home Modification Project to perform any additional services; including upgrades to materials and/or equipment, which are not addressed on the Project Specification and Price Sheet.

Additional upgrades to materials and/or equipment used to complete specified modifications to increase the project’s cost will be considered unauthorized and will not be reimbursed by the Division.

Work done contrary to or in disregard of the service provisions listed in the Project Specification and Price Sheet, or any extra work done without prior written authorization, shall be considered to be unauthorized and at the expense of the Contractor and shall not be paid for by the Division. The Contractor may be ordered to remove and/or replace the unauthorized work at the Contractor's expense.

The Division will not be responsible for damages or cost of repairs to the residence due to any unauthorized work performed by the Contractor.

Schedule and provide all services between the hours of 8:00 a.m. and 5:00 p.m. Monday through Friday, excluding State Holidays, unless otherwise arranged with the homeowner/DDD Member or Legally Responsible Person.

The work is scheduled only when the DDD Member can be accompanied by a Legally Responsible Person or designated Responsible Adult (age 18 years of age or older).

I will contact my Support Coordinator/Home Modification Unit and /or Contractor, if the Contractor does not contact me within (7) calendar days of receiving the Notice of Selection, to schedule a start date for the modifications. I will work with the Contractor to schedule a start and completion date to finish project within the 90-day Completion Due Date from the date of the assessment..

Require all its Personnel to wear an identification badge, uniform or clothing with the Contractor’s or the Subcontractor’s name to identify themselves to individuals at the DDD Member’s residence. Only persons employed by the Contractor or Subcontractor personnel shall be allowed on the jobsite.

Perform work in a manner that minimizes disruption to the normal day-to-day routines of the DDD Member.

Take reasonable measures to minimize noise and ensure construction area is sealed to prevent dust migration through the DDD Member’s residence.

Keep all materials, equipment, and devices safe by the Contractor. Should the materials, equipment, or devices be lost, stolen, or damaged during the course of the project, the replacement of the items is the responsibly of the Contractor and shall not be the billed to the Division, Member, Legal Responsible Person or Property Owner.

Remove Contractor’s and Subcontractor(s) property and remaining materials, as applicable, from the DDD Member’s residence upon completion of the Home Modification Project.

Clean up and remove all trash and debris generated by the Home Modification Project from the DDD Member’s residence on a daily basis.

Will not dispose of trash and debris in the DDD Member’s, Legal Responsible Person’s or Property Owner’s trash.

When using property owners’ premises / landscaped area for preparation of building materials and demolition rubble, ensure to obtain permissions from property owner and protect surrounding area from overspray and debris by using tarps or similar means to maintain landscape integrity.

Restore the premises / landscaped area to its pre-construction state.

Provide instruction to the DDD Member and/or the Legally Responsible Person any information regarding the safe operation and maintenance of all equipment or building features installed.

Provide the DDD Member and/or the Legally Responsible Person with all operating instructions, manuals, and warranty information literature from the manufacturer.

Warranty all equipment for two (2) year from the Home Modification Project completion date, or as provided by the manufacturer, whichever is greater.

Warranty all materials and workmanship for two (2) years from the Home Modification Project completion date, including all work performed by the Contractor Personnel or as deemed by AZ Registrar of Contractors (AROC).

I acknowledge that the workmanship of the modification is warrantied for two (2) years from the date the project is complete.

I am to contact the SC of any concerns/issues with a home modification provided by the Division within the 2-years after the project completion date, the SC must notify the Home Modification Unit of the concerns/issues. The Home Modification Unit will work with the family and the contractor who completed the work on the modifications to address/correct the issues.

If any modification issues are brought to the attention of the Home Modification Unit after the two (2) years from the project completion date, the Division will not pay to correct modification issues when the two-year warranty period has expired. These become the responsibility of the homeowner.

I acknowledge that the contractor is not responsible for corrections/repairs when the two-year warranty period has expired. These become the resonsibility of the homeowner.

I acknowledge that any workmanship correction and payment of modification issues becomes the homeowner’s responsibility after the two-year warranty expires.

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