Loading...
HomeMy WebLinkAbout182712 03/02/2010 CITY OF CARMEL, INDIANA VENDOR. 363782 Page 1 of 1 ONE CIVIC SQUARE HORNING ROOFING CHECK AMOUNT: $86,553.00 1: o CARMEL, INDIANA 46032 2340 ENTERPRISE PARK PLACE INDIANAPOLIS IN 46218 CHECK NUMBER: 182712 CHECK DATE: 3/2/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 7 86,553.00 PERFORMING ARTS CENTE SL Subcontract Billing Report For Work Invoiced From 12/01/09 to 12/31/09 Subcontract 2695- 3040 '3040•Roofing', Job: 2695- Carmel RPAC Construction Vendor: 3271 HORNING ROOFING 777 3rd Ave. SW Carmel, IN 46032 M contract Tot Date r This Period :s Item Units UM Unit Cost Amount Units1% Amount Units/% Amount 1 3040 Roofing LS 1,366,450.00 47.01% 642,430.00 5.31 72,600.00 Total Contract Items 1,366,450,0 642,430.00 72,600.00 Change Orders 2 CCR 1008 Oculus LS 1,430.00 100.00% 1,430.00 100.00% 1,430.00 Alternate 3 CCR 1009 Clay Tile Roof LS 419,400.00 25.99% 109,000.00 5.96 25,000.00 Alternate Total Change Order Items 417,970.00 107,570.00 23,570.00 Subcontract Totals: 1,784,420.00 750,000.00 96,170.00 Total Billings: 750,000.00 96,170.00 Unpaid Retainage: 75,000.00 9,617.00 Discounts: 0.00 0.00 Net Billings: 675,000.00 86,553.00 98 SSC CMa Projects Page 1 12/17/09 02:35:46 PM Date Format MMIDD /YY SLSubBilling Report. rpt TM X992 =j Document G702 /CMa Application and Certificate for Payment Construction Manager- Adviser Edition TO OWNER: PROJECT APPLICATION NO Distribution to: lU�.�► fm, PERIOD To: X0 OWNER El CONSTRUCTION MANAGER El FROM CONTRA TC� ORR- VIA CONSTRUCTION MANAGER:, CONTRACT DATE: ARCHITECT ft Nin vbd? 0- alai UT L PROJECT NOS: T 1 CONTRACTOR 0 ,y6 e T VIA ARCHITECT: FIELD ON RAC CT POR: C� CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowled 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 Contract Documents, that all amounts ve been paid by the Contractor for Work for which previous Continuation Sheet, AIA Document G703, is attached. Certificates for Payment werp- and payments received from the Owner, and that current 1. ORIGINAL CONTRACT SUM $1 O payment shown herein is no e 2. Net change by 'Change Orders /�J .(}CONTRACT 3. CONTRACT SUM TO DATE (Line 2) y: Date: 4. TOTAL COMPLETED STORED TO DATE Column G on G703 State of: 5.;RETAINAGE County of: mV a. �Q of Completed `Work Subscribed and sworn to before (Column D E on G703) Ij 009 0 me this day of„ b. of Stored Material Notary Public: (Column F on G703) 0.00 My Commission expires:' g Total Retaina a (Lines 5a 5b or Total in Column I of G703) CERTIFICATE FOR PAYMENT 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 o 00 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. B. CURRENT PAYMENT DUE a AMOUNT CERTIFIED (Attach explanation if amount certified differs from the amount applied. Initial l figures on this 9: BALANCE TO FINISH, INCLUDING RETAINAGE Application and of ntinu_ation Sheet that are changed to conform with the amount certified:') (Line 3 less Line 6) $1 CONSTRU AGER: By: oor Date: 7 3,0/= ZoD 4 ADDITIONS DEDUCTIONS CHANGE ORDER. SUMMARY ARC &6 T: Total changes a roved m previous months b Owner g p p Y By: Date:. l Total approved thi s Month This Certificate is not negotiable. The AMOUNT CERTIFIED is payable onO to the Contractor TOTALS (X} named herein. Issuance,'' payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under. this Contract. NET CHANGES by Change Order 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 /CMaTM 1992. Copyright 1992 by The American Institute of Architects. All rights reserved. WARNING: This Ate Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution'of this AIO 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. CONTINUATION SHEET AIA DOCUMENT G703 Page 1 of Application No: Application Date. 11/24/2009 JOB NAME CARMEL -R PAC CONSTRUCTION Period To 12/01/2009 HORNING JOB 8 -2408 Architect's Project No: A B C D E F G H I Work Completed Materials Total Balance Retalnage From Previous Presently Completed to Finish Application Stored Stored to Date (G /C) Item# Description of Work Scheduled Value (D +E) This Period (Not in D or E) (D +E +F) 1 Roofing Labor $107,140.00 $47,430.00 $47,430.00 $59,710.00 $4,743.00 2 Roofing Material $166,980.00 $166,980.00 $166,980.00 $0.00 $16,698.00 3 Nailbase Material $105,300.00 $105,300.00 $105,300.00 $0.00 $10,530.00 4 Nailbase Labor $38,180.00 $30,540.00 $4,000.00 $34,540.00 $3,640.00 $3,454.00 5 Sheet Metal Labor $57,350.00 $11,470.00 $8,600.00 $20,070.00 $37,280.00 $2,007.00 6 Sheet Metal Material $146,390.00 $30,000.00 $60,000.00 $90,000.00 $56,390.00 $9,000.00 7 Tile Dome Material $112,000.00 $112,000.00 $112,000.00 $0.00 $11,200.00 8 Tile Dome Labor $39,800.00 $0.00 $0.00 $39,800.00 $0.00 9 Tile Balance Material $168,000.00 $41,000.00 $41,000.00 $127,000.00 $4,100.00 10 Tile Balance Labor $59,700.00 $0.00 $0.00 $59,700.00 $0,00 11 Paver Material $56,700.00 $0.00 $0.00 $56,700.00 $0.00 12 Paver Labor $18,900.00 $0.00 $0.00 $18,900.00 $0.00 13 Bond $15,010.00 $15,010.00 $15,010.00 $0.00 $1,501.00 14 Subcontractor $250,000.00 $2,100.00 $2,100.00 $247,900.00 $210.00 15 Submittals $5,000.00 $5,000.00 $5,000.00 $0.00 $500.00 16 Safety /Start -up $7,500.00 $3,000.00 $3,000.00 $4,500.00 $300.00 17 Clean-up/Closeout $7,500.00 $0.00 $0.00 $7,500.00 $0.00 18 Change Order #1 ($1,430.00) $0.00 ($1,430.00) ($1,430.00) $0.00 ($143.00) 19 Change Order #2 $419,400.00 $84,000.00 $25;000.00 $109,000.00 $310,400.00 $10,900.00 20 Allowance $5,000.00 $0.00 $0.00 $5,000.00 $0.00 $1,784,420.00 $653,830.00 $96,170.Ofl $0.00 $750,000.00 $1,034,420.00 $75,000.00 HORNING ROOFING SHEET METAL CO, LLC AFFIDAVIT AND WAIVER OF LIEN INVOICE 7 STATE: INDIANA FINAL PARTIAL X PAYMENT TO FOLLOW COUNTY OF: MARION _RON PHELPS II_ Being duly sworn that he is the President of _Homing Roofing Sheet Metal Company, LLC contract with Carmel Redevelopment Commission to furnish certain materials and /or labor as follows: As Per Contract for a project known a� as: Carmel Regional Performing Arts Center located in. Carmel and owned by and does hereby further state on behalf of the aforementioned subcontractor! supplier: (PARTIAL WAIVER) That there is due from the contractor the sum of DOLLARS: $77,400.00 X receipt of which is hereby acknowledged or the payment of which has been promised as the sole consideration of the affidavit and Partial Waiver of Lien which is given solely with respect to said amount and which waiver shall be effective only upon receipt of payment thereof by the undersigned. (FINAL WAIVER) That there is due from the contractor the sum of DOLLARS: receipt of which is hereby acknowledged or the payment of which has been promised as the sole consideration of the affidavit and Final Waiver of Lien which is shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, in any, and further certified that no other party has an laim or right to lien on account of any work performed or material furnished to undersign fo s id project and within the scope of this affidavit and wavier. _Horning Roofing Sheet Metal Co.,LLC_ By: President Ron Ph ps II WITNESS MY HAND AND NOTARIAL SEAL THIS: 11/17/09 MY COMMISSION EXPIRES: 02 -02 -11 COUNTY OF RESIDENCE: Morgan NOTARY Kevin L. Moore 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. �j Payee A ����;�g x as 7 ii1? Purchase Order No. 2 F �o F�, r� /�N, Ja 4 °�i9 <t- Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7 7 6c; Total 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 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or �y��G7 SsG 5s3 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 2G 20 X Signature Dlrja fr r of RadeVe lop mant Title Cost distribution ledger classification if claim paid motor vehicle highway fund