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181456 01/19/2010 e,+,, CITY OF CARMEL, INDIANA VENDOR: 355244 Page 1 of 1 ONE CIVIC SQUARE COMPLETE MASONARY SERVICES INC 1."141„,.. i, a CAR MEL, INDIANA 46032 4631 S COUNTRY RD 700 WEST CHECK AMOUNT: $85,873.00 iclra, o PO BOX 236 CHECK NUMBER: 181456 YORKTOWN IN 47396 CHECK DATE: 1/19/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 13 85,873.00 PERFORMING ARTS CENTE t SL Subcontract Billing Report For Work Invoiced From 11/01/09 to 11/30/09 Subcontract: 2695 -4010 ••4010 Interior Masonry, Job: 2695- Carmel RPAC Construction Vendor: 2208 COMPLETE MASONRY SERVICES, INC 777 3rd Ave. SW Carmel, IN 46032 Item Units UM Unit Cost Amount Units!% Amount Units!% Amount 1 4010 Interior Masonry LS 2,134,000.00 96.95% 2,068,835.00 4.02% 85,873.00 Total Contract Items 2,134,000.00 2,068,835.00 85,873.00 Change Orders'' 2 CCR #1017 ASI No. LS 1,526.00 100.00% 1,526.00 0.00% 0.00 PAC -007 3 RCP #PAC -006 LS 8,798.00 100.00% 8,798.00 0.00% 0.00 Total Change Order Items 7,272.00 7,272.00 0.00, Subcontract Totals: 2,126,728.00 2,061,563.00 85,873.00 Total Billings: 2,061,563.00 85,873.00 Unpaid Retainage: 106,336.40 0.00 Discounts: 0.00 0.00 Net Billings: 1,955,226.60 85,873.00 98 SSC CMa Projects Page 1 11119109 11:58:33 AM Date Format MM /DD /YY SLSubBillingReport .rpt LII tAIA Document G702 /CMaTM -1992 Application and Certificate for Payment Construction Manager- Adviser Edition TO OWNER: PROJECT: PARCEL 7A APPLICATION NO 1 3' Distribution to CARMEL REDEVELOPMENT COMMISSION REGIONAL PERFORMING ARTS T PERIOD TO 31!30! OWNER ONE CIVIC SQUARE CARMEL, INDIANA CARMEL IN 46032 o CONSTRUCTION MANAGER ii t FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT COMPLETE MASONRY SERVICES, INC. ray /PROJECT NOS: CONTRACTOR P.O. BOX 236 SHIEL SEXTON CO., INC. e CMS 08 -07 YORKTOWN, IN 47396 VIA ARCHITECT: Z AGREEMENT NO. 2695 -4010 FIELD CONTRACT F 0- INTERIOR MASONRY CSO ARCHITECTS IN( CONTRACTOR'S APPLICATION FOR PAYMENT T he u nders ig ned 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 2,$1341100 p0 payment shown herein is now due. 2. Net change by Change Orders 7,272.00 CONTRACTOR:COMPL E M ERVICES INC 3. CONTRACT SUM TO DATE (Li ne l 2) 2 $126,728.00 By Date: 11/16/09 4. TOTAL COMPLETED STORED TO DATE (Column G on G703) 261State of ,563.00 INDIANA ERIC J. KELLY, PRESIDENT 5. RETAINAGE County of a. 5 of C NTRACT TO DATE Subscribed a nds worn to n efore (Column D E on G703) 106,336.40 me this day of //n b. D of Stored Material Notary Public: 16TH NOV 2009 i t 46 (Column F on G703) 0.00 My Commission expires: 02/28/15 V Total Retainage (Lines 5a+5bor Total in Column lofG703). 106,336.40 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE 1,955,226.60 In accordance with the Contract Documents, based on on -site observations and the data comprising 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 1,869,353.60 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 85,873.00 AMOUNT CERTIFIED CJ5 I el 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach ex if amount certified differs from the at Initial all figures on this A Application and on a Continuation Sheet that c p an ed pp p to conform with the amount certified.) (Line 3 less Line 6) 171,501.40 CONST° CTION Grp By: ,,r /i�yC�� i Date: /r G� CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH C Total changes approved m previous months by Owner 1; 26.00 8,798.00 By: 'JI Date: Total approved this`Month 0.00 0.00 This Certificate is not .negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 1,`%26.00 8,798.00 named herein. Issuance, 'payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order the Owner or Contractor under this Contract. 72 00 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. AIA Document G702 /CMa 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. Unauthorized reproduction or di 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. Purchasers 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. 4 AIA G7O3TM Document G7o3 —1992 Continuation Sheet AIA Document G702, APPLICATI AND CERTIFICATION FOR PAYMENT, APPLICATION 'NO: containing Contractor's signed.ceitification is attached. COMPLETE MASONRY SERVICES INC 13 APPLICATION DATE: In tabulations below amounts are stated to the nearest dollar. AGREEMENT #2695 4010 1 1/16/2009 Use Column I on Contracts where variable retainage for line items may apply. CMS JOB NO 08 -07 P ERIOD TO 11/30/2009 RETAINAGE 10% UNTIL 50% COMPLETE ARCHITECT'S PROJECT NO: A B C D E F- G H 1 WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED RETAINAGE SCHEDULED FROM PREVIOUS TO ITEM DESCRIPTION OF WORK STORED AND STORED (IF VARIABLE NO. VALUE APPLICATION THIS PERIOD (G C) FINISH (NOT IN TO DATE RATE) (D E) D OR E) (D +E +F) (C G) 1 BOND 20000 20000 20000 100% 0 2 MOBILIZATION 3000 3000 3000 100% 0 3 DE- MOBILIZATION 3000 0 0 3000 4 INS /HAZCOM /SAFETY 12000 11250 500 11750 98% 250 5 SUBMITTALS 15000 15000 15000 100% 0 6 DAILY CLEAN UP 22000 19800 1950 21750 99% 250 7 CLOSE OUT 8000 0 0% 8000 8 FOUNDATION CMU LABOR 48000 48000 48000 100% 0 MATERIAL CMU 5000 5000 5000 100% 0 REBAR 3500 3500 3500 100% 0 GROUT 5250 5250 5250 100% 0 SHEET METAL 2000 2000 2000 100% 0 MORTAR AND SAND 1250 1250 1250 100% 0 ACCESSORIES 4250 4250 4250 100% 0 9 BASEMENT /PLENIUM CMU LABOR 270000 270000 270000 100% 0 MATERIAL CMU 26500 26500 26500 '1009/0 0 REBAR 16650 16650 16650 ;:100% 0 GROUT 150 31500 31500 30 100% 0 SHEET METAL 10000 10000 "::10000 100% 0 MORTAR`:'AND SAND 7000 7000 7000 100% 0 ACCESSORIES 24000 24000 24000 100% 0 SUB -TOTAL 537900 523950 2450 0 526400 98% 11500 0 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. AIA Document G703TM 1992. Copyright 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This Ale Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA 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. Purchasers are permitted 10 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. ,4 AI A TM Document G103 -1992 Continuation Sheet AlA Document 0702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION N0: containing Contractor s signed certification is attached. COMPLETE MASONRY SERVICES INC APPLICATION DATE: 13 In tabulations below amounts are stated to the nearest dollar. AGREEMENT #2695 -4010 11/16/2009 Use Column Ion Contracts where variable retainage for line items may apply. PERIOD T0: CMS JOB NO. 08 -07 11/30/2009 ARCHITECT'S PROJECT NO: A B C D RE 14INACiE 'Ll:1% UN1 IL 50% CU G H 1 WORK COMPLETED MATERIALS TOTAL BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED RETAINAGE ITEM DESCRIPTION OF WORK STORED AND STORED TO (IF VARIABLE NO VALUE APPLICATION THIS PERIOD (G C) FINISH (D E) (NOT IN TO DATE (C G) RATE) D OR E) (D +E +F) 10 ORCHESTRA LOW /HI CMU LABOR 325000 305000 15000 320000 98% 5000 MATERIALS CMU 30500 28750 1250 30000 98% 500 REBAR 21000 19650 1350 21000 100% 0 GROUT 32000 30100 1250 31350 98% 650 SHEET METAL 12000 12000 100% 0 MORTAR AND SAND 8000 7500 300 78 98% 200 ACCESSORIES 28000 26250 1750 28000 100% 0 11 BOX TIER CMU LABOR 175000 158000 14000 172000 98% 3000 MATERIALS CMU 23500 21050 2000 23050 98% 450 REBAR 10000 9000 1000 10000 100% 0 GROUT 19000 17150 1500 18650 98% 350 SHEET METAL 5500 5500 5500 100% 0 MORTAR AND SAND 4500 4050 350 4400 98% 100 ACCESSORIES 15600 14100 1500 15600 100% 0 12 BALCONY LOW CMU LABOR 198000 191500 3500 195000 98°70. 3000 MATERIALS CMU 19000 18400 300 18700 98% 300 REBAR 12000 11650 350 12000 100% 0 GROUT 19500 18900 300 19200 98% 300 SHEET. METAL 6000 6000 6000 100% 0 MORTAR AND SAND 5000 4850 50 4900 98% 100 ACCESSORIES 11000 10700 300 11000 100% 0 S -TOTAL 1518000 1444050 48500 0 1492550 98% 25450 0 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. AIA Document 6703TM 1992. Copyright 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA is protected by U.S- Copyright Law and International Treaties. Unauthorized reproduction or distribution of this Ale 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. Purchas4rs 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. Document G703 TM -1992 Continuation Sheet AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO containing Contractors signed certification is attached. COMPLETE MASONRY SERVICES INC. 13 APPLICATION DATE: In tabulations below k.tmounts are stated to the nearest dollar. AGREEMENT #2695 -4010 11/16/2009 Use Column 1 on Contracts where variable retainage for line items may apply. PER T0: CMS JOB NO 08 -07 ARCHITECT'S PROJECT NO 11/3012009 A B C D RET�1INHi,E l e U TIL 50% COI�r1NLt It G H I WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED RETAINAGE SCHEDULED FROM PREVIOUS TO ITEM DESCRIPTION OF WORK STORED AND STORED (IF VARIABLE NO. VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G C) FINISH RATE) (D E) D OR E) (D +E +F) (C G) 13 :ALCONY HI CMU ABOR 195000 179500 15500 195000 00% 0 ATERIALS MU 17000 15600 1400 17000 00% 0 'EBAR 11000 10250 750 11000 00% 0 ROUT 18000 16700 1300 18000 '00% 0 HEET METAL is 6000 6000 6000` 00% 0 ORTAR -AND SAND 5000 4650 350 5000 00% 0 CCESSORIES 11000 10150 850 H 11000 00% 0 14 ATTIC CMU aBOR 125000 125000 125000 '00% 0 MATERIALS ;,MU 17000 17000 17000 00% 0 REBAR 11000 11000 11000 00% 0 3ROUT 18000 18000 18000 00% 0 SHEET METAL 6000 6000 6000 00% 0 MORTAR AND SAND 5000 5000 5000 00% 0 ACCESSORIES 11000 11000 11000 "00 0 15 SEALANTS SUBCONTRACT 85000 66500 10000 76500 90% 8500 16 DAMPROOFING SUBCONTRACT 20000 20000 20000 00% 0 17 ALLOWANCE GENERAL 50000 16562 7223 23785 48% 26215 ALLOWANCE.- 'CAD 5000 0 0% 5000 18 C.O. #1 1526 1526. 1526 00% 0 19 C.0...#2,' -8798 -8798 -8798 00% 0 TOTAL 2126728 1975690 a55/3 0 2Q61563 97 65165 106336 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. AIA Document G703TM 1992. Copyright ©1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This Ale Document is protected by U.S. Copyright Law and International Treaties. Unauthorized 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. Purcha are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations 01 AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright @aia.org. Prescribed by State Board of Accounts 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 Co z..... Asa ry 3 L c Purchase Order No. I l'96?‹ 2 36 Terms /42 z/ Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /1/4 c 3 7- 85-P73_o0 Total F'S ��3_ I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT•NO. ALLOWED 20 L q.,/,4744 5 7 S�rrii r s �y c IN SUM OF ec,.x 23C y'G 4 7 1 7` 7 .39 8- S _Uc ON ACCOUNT OF APPROPRIATION FOR 9 7 7 Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 9.2. /3 V600e)? �5�7� 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 20 /c ■101MIEN •.‘gnature Director of Operations Title Cost distribution ledger classification if claim paid motor vehicle highway fund