Exhibit 1 - Hillcrest Middle School SSI.pdf

Statement of Special Inspections

Project: Hillcrest Middle School

Location: 530 Daniels Farm Road, Trumbull, CT 06611

Owner: Town of Trumbull

Structural Engineer of Record: Michael Horton Associates, Inc.

This Statement of Special Inspections is submitted as a condition for permit issuance in accordance with the Special Inspection and Structural Testing requirements of the Building Code. It includes a schedule of Special Inspection services applicable to this project as well as the name of the Special Inspection Coordinator and the identity of other approved agencies to be retained for conducting these inspections and tests. This Statement of Special Inspections encompass the following disciplines:

Structural Mechanical/Electrical/Plumbing

Architectural Other:

The Special Inspection Coordinator shall keep records of all inspections and shall furnish inspection reports to the Building Official and the Structural Engineer of Record. Discovered discrepancies shall be brought to the immediate attention of the Contractor for correction. If such discrepancies are not corrected, the discrepancies shall be brought to the attention of the Building Official and the Structural Engineer of Record.

The Special Inspection program does not relieve the Contractor of his or her responsibilities.

Interim reports shall be submitted to the Building Official and the Structural Engineer of Record.

A Final Report of Special Inspections documenting completion of all required Special Inspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy.

Job site safety and means and methods of construction are solely the responsibility of the Contractor.

Interim Report Frequency: Monthly or per attached schedule.

Prepared by:

Design Professional Seal

Paul J. Sheehan, P.E.

(type or print name)

4-1-2026

Signature Date

Owner’s Authorization:

Building Official’s Acceptance:

Signature Date Signature Date

CASE Form 101 • Statement of Special Inspections • ©CASE 2004

Schedule of Inspection and Testing Agencies

This Statement of Special Inspections / Quality Assurance Plan includes the following building systems:

Soils and Foundations Spray Fire Resistant Material Cast-in-Place Concrete Wood Construction Precast Concrete Exterior Insulation and Finish System Masonry Mechanical & Electrical Systems Structural Steel Architectural Systems Cold-Formed Steel Framing Special Cases

Special Inspection Agencies Firm Address, Telephone, e-mail

1. Special Inspection Coordinator

TBD

2. Inspector Langan Alfred Jones ajones@langan.com

617-824-9122

555 Long Wharf Drive

New Haven, CT 06511

3. Inspector

4. Testing Agency TBD

5. Testing Agency

6. Other

Note: The inspectors and testing agencies shall be engaged by the Owner or the Owner’s Agent, and not by the Contractor or Subcontractor whose work is to be inspected or tested. Any conflict of interest must be disclosed to the Building Official, prior to commencing work.

Quality Assurance Plan

Quality Assurance for Seismic Resistance

Seismic Design Category B

Quality Assurance Plan Required (Y/N) N

Description of seismic force resisting system and designated seismic systems:

STEEL SYSTEMS NOT SPECIFICALLY DETAILED FOR SEISMIC RESISTANCE

Quality Assurance for Wind Requirements

Basic Wind Speed (3 second gust) 130 (Vult) 101(Vasd)

Wind Exposure Category C

Quality Assurance Plan Required (Y/N) N

Description of wind force resisting system and designated wind resisting components:

STEEL SYSTEMS NOT SPECIFICALLY DETAILED FOR SEISMIC RESISTANCE

Statement of Responsibility

Each contractor responsible for the construction or fabrication of a system or component designated above must submit a Statement of Responsibility.

Qualifications of Inspectors and Testing Technicians

The qualifications of all personnel performing Special Inspection and testing activities are subject to the approval of the Building Official. The credentials of all Inspectors and testing technicians shall be provided if requested.

Key for Minimum Qualifications of Inspection Agents:

When the Registered Design Professional in Responsible Charge deems it appropriate that the individual performing a stipulated test or inspection have a specific certification or license as indicated below, such designation shall appear below the Agency Number on the Schedule.

PE/SE Structural Engineer – a licensed SE or PE specializing in the design of building structures PE/GE Geotechnical Engineer – a licensed PE specializing in soil mechanics and foundations EIT Engineer-In-Training – a graduate engineer who has passed the Fundamentals of

Engineering examination

American Concrete Institute (ACI) Certification

ACI-CFTT Concrete Field Testing Technician – Grade 1 ACI-CCI Concrete Construction Inspector ACI-LTT Laboratory Testing Technician – Grade 1&2 ACI-STT Strength Testing Technician

American Welding Society (AWS) Certification

AWS-CWI Certified Welding Inspector AWS/AISC-SSI Certified Structural Steel Inspector

American Society of Non-Destructive Testing (ASNT) Certification

ASNT Non-Destructive Testing Technician – Level II or III.

International Code Council (ICC) Certification

ICC-SMSI Structural Masonry Special Inspector ICC-SWSI Structural Steel and Welding Special Inspector ICC-SFSI Spray-Applied Fireproofing Special Inspector ICC-PCSI Prestressed Concrete Special Inspector ICC-RCSI Reinforced Concrete Special Inspector

National Institute for Certification in Engineering Technologies (NICET)

NICET-CT Concrete Technician – Levels I, II, III & IV NICET-ST Soils Technician - Levels I, II, III & IV NICET-GET Geotechnical Engineering Technician - Levels I, II, III & IV

Exterior Design Institute (EDI) Certification

EDI-EIFS EIFS Third Party Inspector

Other

Soils and Foundations Page 5 of 10

Item Agency #

(Qualif.)

Scope Inspection Frequency

1. Shallow Foundations 2

PE/GE

Review the in situ bearing strata and compacted structural fill bearing strata for footings and slabs cast on grade

Inspect soils below footings for adequate bearing capacity and consistency with geotechnical report.

Inspect removal of unsuitable material and preparation of subgrade prior to placement of controlled fill

P

2. Controlled Structural Fill 4

GE or TA

Perform sieve tests (ASTM D422 & D1140) and modified Proctor tests (ASTM D1557) of each source of fill material.

Inspect placement, lift thickness and compaction of controlled fill for support of footings and slabs.

Test density of each lift of fill by nuclear methods

(ASTM D2922).

Verify extent and slope of fill placement.

C

3. Ground Improvement System N/A N/A

4. Deep Foundations

N/A N/A

5. Other:

Inspection Frequency:

C: Continuous P: Periodic Inspections. Inspection frequency shall be determined by the Geotechnical Engineer (GE.)

During ongoing soil and foundation operations, daily (minimum) inspections shall be performed.

Notes:

Cast-in-Place Concrete Page 6 of 10

1. Mix Design 1,4

ACI

Review concrete batch tickets and verify compliance with approved mix design. Verify that water added at the site does not exceed that allowed by the mix design.

P

2. Material Certification 4 Verify on site materials (reinforcing, forms, accessories, embed items) are in accordance with plans and approved submittals.

P2

3. Reinforcement Installation 4

Inspect size, spacing, cover, positioning and grade of reinforcing steel including dowels.

Verify that reinforcing bars are free of form oil or other deleterious materials. Inspect bar laps and mechanical splices. Verify that bars are adequately tied and supported on chairs or bolsters.

P2

4. Formwork Geometry 4

Inspect formwork for shape, location and dimensions of the concrete member being formed.

P2

5. Welding of Reinforcing 4

AWS-CWI

Verify weldability of reinforcing steel other than

ASTM A706. Inspect preheating of steel when required.

Visually inspect single-pass fillet welds, maximum 5/16”

Visually inspect all other welds.

6. Anchor Rods 4

ACI

Inspect size, positioning and embedment of anchor rods. Inspect concrete placement and consolidation around anchors.

P2

7. Concrete Placement 4

ACI

Inspect placement of concrete. Verify that concrete conveyance and depositing avoids segregation or contamination. Verify that concrete is properly consolidated.

C

8. Sampling and Testing of Concrete

Test concrete compressive strength (ASTM C31

& C39), slump (ASTM C143), air-content

(ASTM C231 or C173) and temperature (ASTM

C1064).

P3

9. Curing and Protection 4

ACI

Inspect curing, cold weather protection and hot weather protection procedures.

P4

10. Other:

Drill and epoxied reinforcing

Or anchor rods

ACI

Inspect that drilled and epoxied anchors are the proper size and are installed per the manufacturer’s recommendations:

Adhesive anchors installed in horizontally or upwardly inclined orientations to resist sustained tension loads.

Mechanical and adhesive anchors not defined above.

C: Continuous P: Periodic Inspections.

P1: If all requirements are met, only one inspection is required.

P2: Inspect before concrete placement.

P3: Per Section 033000 “Cast-in-Place Concrete” specification.

P4: Daily when required by weather conditions (See ACI305R, ACI 306R, ACI 306.1.)

Notes:

1. Nonstructural concrete slabs supported directly on the ground.

2. Concrete patios, driveways and sidewalks on grade.

Masonry Required Inspection Level: A B C

1. Material Certification 1,4 Review masonry units, mortar and grout proportions, masonry ties and joint reinforcement.

C

2. Mixing of Mortar and Grout 4

ICC-SMSI

Inspect proportioning, mixing and retempering of mortar and grout.

P

3. Installation of Masonry 4

ICC-SMSI

Inspect size, layout, bonding and placement of masonry units.

P

4. Mortar Joints 4

ICC-SMSI

Inspect construction of mortar joints including tooling and filling of head joints.

P

5. Reinforcement Installation 4

ICC-SMSI

AWS

Inspect placement, positioning and lapping of reinforcing steel.

Inspect welding of reinforcing steel.

6. Prestressed Masonry None

7. Grouting Operations 4

ICC-SMSI

Inspect grout space prior to grouting.

Inspect placement and consolidation of grout.

Inspect masonry clean-outs for high-lift grouting.

C

8. Weather Protection 4

ICC-SMSI

Inspect cold weather protection and hot weather protection procedures. Verify that wall cavities are protected against precipitation.

P

9. Evaluation of Masonry Strength

ICC-SMSI

Test compressive strength of grout cube samples

(ASTM C780).

Test compressive strength of masonry prisms

(ASTM C1314).

Observe preparation of grout specimens, mortar specimens, and prisms.

10. Anchors and Ties 4

ICC-SMSI

Inspect size, location, spacing and embedment of dowels, anchors and ties.

C

11. Wall Bracing 4 Verify that masonry walls have been braced to the structure per the project details and notes.

P

12. Other:

Drill and epoxied reinforcing or anchors

ACI

Inspect that drilled and epoxied anchors are the proper size and are installed per the manufacturer’s recommendations:

Adhesive anchors installed in horizontally or upwardly inclined orientations to resist sustained tension loads.

Mechanical and adhesive anchors not defined above.

Structural Steel Page 9 of 10

1. Fabricator Certification/ Quality Control Procedures

Fabricator Exempt

Review shop fabrication procedures and quality control procedures.

P1

2. Material Certification 1, 4

Review certified mill test reports and identification markings on wide-flange shapes, high-strength bolts, nuts and welding electrodes

P2

3. Open Web Steel Joists 4

AWS/AISC

Inspect size, installation, field welding, and bridging of joists.

P2

4. Bolting 4

AWS/AISC

Inspect installation and tightening of high-strength bolts. Verify that splines have separated from tension control bolts. Verify proper tightening sequence. Continuous inspection of bolts in slip-critical connections.

C

5. Welding 4

AWS

Visually inspect all welds. Inspect pre-heat, post-heat and surface preparation between passes. Verify size and length of fillet welds.

Ultrasonic testing of all full-penetration welds.

P3

6. Shear Connectors 4

AWS

Inspect size, number, positioning and welding of shear connectors. Inspect suds for full 360 degree flash. Ring test all shear connectors with a 3 lb hammer. Bend test all questionable studs to 15 degrees.

7. Structural Details 1/4

Inspect steel frame for compliance with contract documents, including bracing, member configuration and connection details.

P2

8. Metal Deck 4

AWS

Inspect size and fastening of metal floor and roof

P2

9. Other:

Add’l Requirements as follows:

P2: While steel erection operations are ongoing, daily inspections shall be performed, unless otherwise noted.

This inspection frequency may be increased or decreased at the Special Inspections Coordinator’s discretion.

P3: Refer to Section 051000 Structural Steel

Notes:

Cold-Formed Steel Framing Page 10 of 10

1. Member Sizes 4 Inspect size of members for conformance to the

Contract Documents and shop drawings, for work constructed as part of specification

Sections 05410.

P

2. Material Thickness 4 Review product data submission for conformance with the Contract Documents and shop drawings, for work constructed as part of specification Sections 05410.

P2

3. Material Properties 4 Review product data submission for conformance with the Contract Documents and shop drawings, for work constructed as part of specification Sections 05410.

P1

4. Mechanical Connections 4 Review installation of screw connections for conformance with the Contract Documents and shop drawings, for work constructed as part of specification Sections 05410.

P

5. Welding 4

AWS

Review installation of welded connections for conformance with the Contract Documents and shop drawings, for work constructed as part of specification Sections 05220 and 05400.

C

6. Framing Details 4 Review installation of cold formed structural metal framing for conformance with the

Contract Documents and shop drawings, for work constructed as part of specification

Sections 05410.

P2

7. Trusses N/A

8. Permanent Truss Bracing N/A

9. Other:

Add’l Requirements as follows:

P2: While cold-form metal framing operations are ongoing, daily inspections shall be performed, unless otherwise noted. This inspection frequency may be increased or decreased at the Special Inspections Coordinator’s discretion.