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Home My WebLink About181468 01/19/2010 11±, CITY OF CARMEL, INDIANA VENDOR: 363784 Page 1 of 1 ONE CIVIC SQUARE POYNTER SHEET METAL k., itt'of CARMEL, INDIANA 46032 8768 N STATE ROAD 37 CHECK AMOUNT: $11,949.00 BL O OMINGTON IN 47404 q T CH ECK NUMBER: 181 68 CHECK DATE: 1/19/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 16 11,949.00 PERFORMING ARTS CENTE SL Subcontract Billing Report For Work Invoiced From 11/01/09 to 1//30109 Subcontract: 2695 -4310 4310 HVAC Sheet Metal Job: 2695- Carmel RPAC Construction Vendor: 4744 POYNTER SHEET METAL 777 3rd Ave. SW Carmel, IN 46032 Contract To Date This Period Item Units UM Unit Cost Amount I Units/% Amount Units!% Amount 1 4310 HVAC Sheet Metal LS 3,345,500.0C 67.42% 2,255,685.00 3.35 111,949.00 4 RCP No. PAC -010 Fire LS 19,219,OC 100.00% 19,219.00 0.00 0.00 Damper Substitution 7 4310 HVAC Sheet Metal LS 19,219.00 100.00% 19,219.00 0.00 0.00 Total Contract Items 3,345,500.0C 2,255,685.00 111,949.00 Change Orders 2 SSC -1079 ASI -037 Suppl't LS 13,699.0C 100.00% 13,699.00 0.00 0,00 1 Bsmt Warm'g Kitchen 034 rev'ns 3 CCR -1048 RCP -006 Suppl't LS 24,843.00 30.19% 7,499.00 0.00 0.00 1 Box Tier catering space rev'ns 6 SSC #1141 CCR #1066 LS 19,219.00 80.00% 15,375.00 0.00 0.00 RCP No. PAC -010 Alternate Fire Damper Total Change Order Items 57,761.00 36,573.00 0.00 Subcontract Totals: 3,403,261.00 2,292,258.00 111,949.00 Total Billings: 2,292,258.00 111,949.00 Unpaid Retainage: 170,163.05 0.00 Discounts: 0.00 0.00 Net Billings: 2,122,094.95 111,949.00 98 SSC CMa Projects Page 1 11/19/09 12:01:12 PM Date Format MM/DD/YY SLSubBiflingReport .rpt SL Subcontract Billing Report For Work Invoiced From 11/01/09 to 11/30/09 Subcontract: 2695 -4310 4310 HVAC Sheet Metal Job: 2695- Carmel RPAC Construction Vendor: 4744 POYNTER SHEET METAL 777 3rd Ave. SW Carmel, IN 46032 Contract To bate This Period. Item Units UM Unit Cost Amount Units!% Amount Units Amount 1 4310 HVAC Sheet Metal LS 3,345,500.00 67.42% 2,255,685.00 3.35 111,949.00 4 RCP No. PAC -010 Fire LS 19,219.00 100.00% 19,219,00 0.00 0.00 Damper Substitution 7 4310 HVAC Sheet Metal LS 19,219.00 100.00% 19,219.00 0.00 0.00 Total Contract Items 3,345,500,OC 2,255,685.00 111,949,00 Change Orders 2 SSC -1079 ASI -037 Suppl't LS 13,699.0C 100.00% 13,699.00 0.00 0.00 1 Bsmt Warm'g Kitchen 034 rev'ns 3 CCR -1048 RCP -006 Suppl't LS 24,843.0C 30.19% 7,499.00 0.00 0.00 1 Box Tier catering space rev'ns 6 SSC #1141 CCR #1066 LS 19,219.0C 80.00% 15,375.00 0.00 0.00 RCP No. PAC -010 Alternate Fire Damper Total Change Order Items 57,761.00 36,573.00 0.00 Subcontract Totals: 3,403,261.00 2,292,258.00 111,949.00 Total Billings: 2,292,258.00 111,949.00 Unpaid Retainage: 170,163.05 0.00 Discounts: 0.00 '0.00 Net Billings: 2,122,094.95 111,949.00 98 SSC CMa Projects Page 1 11/19/09 12:01:12 PM Date Format MM /DD/YY SLSubBillingReport .rpt APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER- ADVISER EDITION AIA DOCUMENT G7O2 /CMa PAGE ONE OF 4 PAGES TO OWNER: PROJECT: Parcel 7A. Regional Performing APPLICATION NO: 16 Distribution to: Cannel Redevelopment Commission Arts Center nOWNER One Civic Square PERIOD TO: 11/30/09 nCONSTRUCTION Carmel. IN 46032 PROJECT NO: 2695 -4310 MANAGER FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: Shicl- Sexton Co,, Inc. (PSM 414065) nARCHITECT POYNTER SHEET METAL ATTN: Lynda Weaver, 902 N. Capitol Avenue. Indianapolis, IN 46204 CONTRACT DATE: 04/18/08 n CONTRACTOR 8768 N. STATE R.D. 37 VIA ARCHITECT: BLOOMINGTON. IN 47404 CONTRACT FOR: Bid Package #4310 HVAC Sheet Metal CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet, AIA Document G703, is attached. completed in accordance with the 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 payment shown herein is now due. I. ORIGINAL CONTRACT SUM 3,345,500.00 2. Net change by Change Orders 51,761.00 CONTRACTOR: 3. CONTRACT SUM TO DATE (Line I 2) 3,403,261.00 4. TOTAL COMPLETED STORED TO DATE 2,292,258.00 (Column G on G703) By: Date: ////3/O 9 5. RETAINAGE: 5% of Contract Total Joseph R. ansde 1• -nt a. 5 of C6mpleted- aAtork 170,163.05 State of: IN D' NA County of: MONROE 0052 (Column D E on G703) Subscribed and s o ore is y day of {/j? c2 b. 10 of Stored Material 0.00 Notary Public: t (7 Z `"'Y (Column F on G703) My Commission expires: August 29, 2014 Total Retainage (Lines 5a 5b or Total in Column 1 of G703) 170,163.05 6. TOTAL EARNED LESS RETAINAGE 2,122,094.95 In accordance with the Contract Documents, based on on -site observations and the data (Line 4 less Line 5 rota!) 5 comprising this application, the Construction Manager and Architect certity to the 7. LESS PREVIOUS CERTIFICATES FOR Owner that to the best of their knowledge, information and belief the Work has PAYMENT (Line 6 from prior Certificate) 2,010,145.95 progressed as indicated, the quality of the Work is in accordance with the Contract 8. CURRENT PAYMENT DUE 111,949.00 Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE 1,281,166.05 1 q `Gj C� 1 1 (Line 3 less Line 6) AMOUNT CERTIFIED A l 1 1 1 1 1 1 1 1 1 (Attach explanation if amount certified differs from the amount applied for. Initial all Total changes approved figures on this Application and on the Conlin r Sheet that changed to conform to the in previous months by Owner $57,761.00 amount certified. CO TRUC T IJ i 111 ER: 1 Total approved this Month $0.00 By: AR ..rr Date: 1 0 t r i i TOTALS $57,761.00 $0.00 By a Date: 1 l 3 f NET CHANGES by Change Order $57,761.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. A1A -.6 1. 1 .a••.• •...I I• 0. r 0. i. ._.I. I.• j1:: •.p +a t, THE AMERICAN INSTITUTE OF ARCHITECTS, 1745 NEW YORK AVE., N.W.. WASHINGTON. DC 20006 -5292 y Users may obtain validation of this document by requesting of the license a completed AIA Document D401 Certification of Document's Authenticity x R k. 5. AFFIDAVIT State of Indiana 8/31/2009 14065 -13 County of Hamilton The Afflant, Joseph R. Lansdell being first duly sworn, on oath deposes and says that he /she is an Authorized Representive Poynter Sheet Metal, Inc. who has a Contract with THE CITY OF CARMEL, under its Owner Agreement with Carmel Redevelopment Commission for the project known as v. Carmel Performing Arts Center to provide all labor, material, equipment, supervision and insurance as required to complete all Sheet Metal Bid Package on the following described premises in said County, to wit: 777 Third Avenue SW, Carmel, IN 46032 That for the purpose of said Contract, the following persons have been contracted with and have furnished, or are furnishing and preparing materials for and have performed or are performing labor on said improvement; that there is due and to become due them, respectively, the amounts set forth opposite their names for materials or labor as stated; that this statement is made to said Owner for the pupose of procuring from said Owner Partial Payment on said Contract; and this is a full, true and complete statement of all such persons, and of the amounts paid, due, and to become due them. NAME AND ADDRESS CONTRACT BASE EXTRAS REVISED TOTAL AMOUNT OF BALANCE TO 'c x I FOR CONTRACT TO CONTRACT PREVIOUS THIS COMPLETE AMOUNT CONTRACT AMOUNT REQUEST REQUEST Validated Custom Solutions Equipment 474,900.00 3,281.00 478,181.00 456,100.00 22,081.00 xr_ Pinnacle Equipment Co., Inc. Equipment 257,500.00 1,639.00 259,139.00 133,292.00 125,847.00 JM Farrell Company Insulation 50,630.00 50,630.00 50,630.00.; Cardinal Contracting Co. Millwrights 16,550.00 16,550.00 16,550.00 Poynter Sheet Metal, Inc. Sheet Metal /HVAC 2,545,920.00 52,841.00 2,598,761.00 997,818.90 17,922.05 1,583,020.05' TOTALS 3,345,500.00 57,761.00 3,403,261.00 1,587,210.90 40,003.05 1,776,047.05 s AMOUNT OF ORIGINAL 3,345,500.00 TOTAL AMOUNT REQUESTED 1,797,377.00 s', CONTRACT EXTRAS TO CONTRACT 57,761.00 LESS 5% of CONTRACT RETAINED 170,163.05 TOTAL CONTRACT EXTRAS 3,403,261.00 NET AMOUNT EARNED 1,627,213.95 i CREDIT CREDIT TO CONTRACT AMOUNT OF PREVIOUS 1,587,210.90 PAYMENTS NET AMOUNT OF CONTRACT 3,403,261.00 AMOUNT DUE THIS PAYMENT 40,003.05 BALANCE TO COMPLETE 1,776,047.05 11 is understood that the total amount paid to date plus the amount requested in this Application shall not exceed 53 of the Cost of the Work completed to date. I agree to furnish Waivers of Lien for all materials under my Contract when demanded. iri i SIGNED: i `V- i Signatory Joseph R. Lansdell, President For: Poynter Sheet Metal, Inc. Subcontractor Name Subscribe and sworn to me thi NOTARY PUBLIC: 4,, .�L EL E IRDWEiJ, Wary B day of AVONe410 e/ 2009. Residing in Morgan County. The above sworn statement should be obtained by the Owner before each and every payment. 4 Mycommission IfeSilllgnst -4, VOU HIR NO. WARRANT NO ALLOWED 20 IN SUM OF r f F7 r/r/.,5 7`�,Pe 3 7 197oaiwr? K I- f 7 l/ 9 y5,00 ON ACCOUNT OF APPROPRIATION FOR 2o/-5/ (F67 Board Members P 4-or INVOICE NO ACM AMOUNT certify invoice( s), oEPr. a I hereby certi that the attached invoices or *2 /6 yCe=o7 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/G Sig ture Director Operations Title Cost distribution ledger classification if claim paid motor vehicle highway fund 're f �s 1. �r1 c p> •rit i'� a y k F s h Wy 4 t s 'w�" p .F l a s 444;',C}.,4, i a x e n t a rr r8�' �:7�� .��k M a •e# i t T��y �r'��sh ��'�`e�� INk p t r City Form No. 201 (Rev. 1995) Hc6 S' 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 Y6•9e-7 Purchase Order No. i g76Y ti_ S to Terms 9 Date Due Invoice Invoice Descrip Arnounf Date Number (or note attached invoice(s), or bill(s)) r w 7 13 caste •Total r .UC, L hereby certify that the attached invoice(s), or bill(s), is (are) true%and correct and I have audited same in ac $dance with IC 5- 11- 10 -1.6. �r 20 Clerk- Treasurer