180800 12/30/2009 ,,,,,;'":7.-, CITY OF CARMEL, INDIANA VENDOR: 363750 Page 1 of 1
.ii t ONE CIVIC SQUARE ERMCO INC
CHECK AMOUNT: $418,424.00
CARMEL, INDIANA 46032 PO 130X 1507
INDIANAPOLIS IN 46206 CHECK NUMBER: 180800
CHECK DATE: 12/3012009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 19 418,424.00 PERFORMING ARTS CENTE
SL Subcontract Billing Report
For Work Invoiced From 11101/09 to 11130109
Subcontract: 2695 -4320 4320 Electrical
Job: 2695- Carmel RPAC Construction Vendor: 2719 ERMCO INC
777 3rd Ave. SW
Carmel, IN 46032
Contract .To Date This Period
Item Units UM Unit Cost Amount Units!% Amount Units!% Amount
1 4320 Electrical LS 10,539,000.00 56,56% 5,961,363.24 3.92% 413,424.00
Total Contract Items 10,539,000.0C 5,961,363.24 413,424.00
r
Change Orders
2 CCR #1008 Oculus Alternate LS 1,000.00 0.00% 0.00 0.00 0.00
3 CCR #1013 Machine -Less LS 11,500.00 73.91% 8,500.00 0.00 0.00
Elevators Alternate
6 CCR #1025 RCP No. LS 58,852.00 100.00% 58,852.00 0.00 0.00
PAC -004 Load Bank
Deletion
7 Addition of Exhibit B to Prime LS 0.00 0.00% 0.00 0.00 0.00
Contract Agreement
8 CCR 1047 SSC 1079 ASI LS 4,218.00 0.00% 0.00 0.00 0.00
PAC -037 Warming Kitchen
Changes
9 CCR1048 SSC 1121 RCP No. LS 18,959.00 71.21% 13,500.00 26.37% 5,000.00
006 RCP No. 006
Supplement #1
10 SSC 1142 RCP -011 Misc. LS 7,554.00 100.00% 7,554.00 0.00 0.00
Elec Items
11 SSC 1080 ASI -038 SuppL LS 18,732.00 64.06% 12,000.00 0.00 0.00
#1 Triplex Rev's
Total Change Order Items 11,997.00 32,406.00 w 5,000.00
Subcontract Totals: 10,527,003.00 5,928,957.24 418,424.00
Total Billings: 5,928,957.24 418,424.00
Unpaid Retainage: 526,350.15 0.00
Discounts: 0.00 0.00
Net Billings: 5,402,607.09 418,424.00
98 SSC CMa Projects Page 1 11/19/09 11:59:14 AM
Date Format MM /DD /YY SLSubBillingReport .rpt
sEnr
R 4 bocument G7O2iCMa 1992
r
Application and Certificate for Payment Construction Manager- Adviser Edition
TO OWNER: Carmel Redevelopment CommisJECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO: 19. Distribution to:
1 Civic Square Center Interior Rough PERIOD TO 11/30/2009 OWNER
Carmel, IN 46032 Construction Package P4
CONSTRUCTION MANAGER
FROM CONT INC. VIA.CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT
P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695 4320 CONTRACTOR
Indianapolis, IN 46206 VIA ARCHITECT: FIELD
CSO Architects
CONTRACT F
@ctrical Installation Project 25310H
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
Application is made for payment, as shown below, in connection with the Contract. belief the Work covered'by this Application for Payment has been completed in accordance with the
Continuation Sheet, AIA Document G703, is attached. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
1. ORIGINAL CONTRACT SUM 1E1,539,000.00 payment shown herein is now due.
2. Net change by Change Orders (11,997.00) CONTRACTO' M IN
3. CONTRACT SUM TO DATE (Line .1 2) I A� 16,527 ;003.00 By: Ni f Date: 11/10/2009
4. TOTAL COMPLETED STORED TO DATE (Column G on G703) $,928,957.24 State of: Inch- na
5. RETAINAGE: County of: Marion
a. of Completed Work Subscribed d sworn to before
(Column D E on G703) me this
526 0.15 1um .day f November O(,9
Y 1 J
b. r °fo of Stored Material Notary Public:
(Column F on G703) My Commission expires: 12/19/2015
Total Retainage (Lines 5a 5b or Total in Column I of G703).. 526,350.15 CERTIFICATE FOR PAYMENT
5,402,607.09 In accordance with the Contract Documents, based on on -site observations and the data comprising
6. TOTAL EARNED LESS RETAINAGE this application. the Construction Manager and Architect certify to the Owner that to the best of their
(Line 4 Less Line 5 Total) knowledge, information and belief the Work has progressed as indicated, the quality 'of the Work is in
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 4,984,183.09 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT
(Line 6 from prior Certificate) CERTIFIED.
8. CURRENT PAYMENT DUE e-- 11 6 1221 418,424.00 AMOUNT CERTIFIED
9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified. differs from e amount applied. Initial all figurer on this
Application and on a Continuation Sheet that to conform with the amount certified.)
(Line 3 less Line 6) 5,124,395.91 CONST'
By: 4J�i CTION M 1 1�.,,64 i Date: 2-1'
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH CT:
Total changes approved i n prev months by Ow 54;409.00 (66,406.00) By: Date: i I *7 01
Total approved this Month This Certificate is not negotiable. The AMOUNT' CERTIFIED is payable only to the Contractor
TOTALS_ 5%,409.00 (66;406.00) named herein. Issuance: payment and acceptance of payment are without prejudice to any rights of
NET CHANGES by Change Order (1 1,997.00) the Owner or Contractor under this Contract.
CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured.
1A Document G7021CMa 1992. Copyright 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties.
9authorized reproduction or distribution of this AIA Document, or any portion of it, may result In severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law.
'^,hasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright @aia.org.
City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
E K'1 o r Purchase Order No.
l.3 7 Terms
.ie "v4 /G</ /6266 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/3a /O) /2 y2YC,e5r
Total Y/(!f2" /C-V
4 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in adeg'rdance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VO ICHER NO. WARRANT NO.
ALLOWED 20
{''dc IN SUM OF
16 ,X SC)' 7
//7o%q.-7.7o% 1, //rte
L/2/_
ON ACCOUNT OF APPROPRIATION FOR
9 G2/ /'0 7
Board Members
DEP Po# T °r INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
9O2 /9 4/yeerm7 v47yvev bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
7--/ 20 03
II
Sig d: ture
Dimntor of n erations
itle
Cost distribution ledger classification if