HomeMy WebLinkAbout182723 03/02/2010 CITY OF CARMEL, INDIANA VENDOR: 363784 Page 1 of 1
Q� ONE CIVIC SQUARE POYNTER SHEET METAL CHECK AMOUNT: $84,488.50
CARMEL, INDIANA 46032 8768 N STATE ROAD 37
BLOOMINGTON IN 47404 CHECK NUMBER: 182723
CHECK DATE: 3!212010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 17 84,488.50 PERFORMING ARTS CENTE
SL Subcontract Billing Report
For Work Invoiced From 12101109 to 12/31/09
Subcorit'ract:
6954310 4310iHVAC zSfieet Metal
Job: 2695- Carmel RPAC Construction Vendor: 4744 POYNTER SHEET METAL
777 3rd Ave. SW
Carmel, IN 46032
;Contr r act "To Date r x ThisPenod
Item Units UM Unit Cost Amount Units/% Amount Units/ %4 Amount
1 4310 HVAC Sheet Metal LS 3,345,500.00 69.72% 2,332,465.00 2.30% 76,780.00
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 19,219.0 100.00% 19,219.00 0.00% 0.00
Total Contract Items 3,345,500.0 2,332,465.00 76,780.00
Change Orders
2 SSC -1079 ASI -037 Suppl't LS 13,699.00 100.00% 13,699.00 0.00% 0.00
1 Bsmt Warm'g Kitchen 034
rev'ns
3 CCR -1048 RCP -006 Suppl't LS 24,8410 61.21 15,207.50 31,03% 7,708.50
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 44,281.50 7,708.50
Subcontract Totals: 3,403,261.00 2,376,746.50 84,488.50
Total Billings: 2,376,746.50 84,488.50
Unpaid Retainage: 170,163.05 0.00
Discounts: 0.00 0.00
Net Billings: 2,206,583.45 84,488.50
98 SSG CMa Projects Page 1 12116/09 09:36:58 AM
Date Format MM /DDIYY SLSubBillingReport .rpt
APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER ADVISER EDITION
A.[A DOCUMENT G702 /CMa 9 PAGE ONE OF 4 PAGES
TO O�VN 1Z: PROJECT: Parcel 7:1 I�.'._ Iona]' c �h�>' t� APPLICATION NO: 17 Distribution to:
Can %�:1 Redevelopment Commission Arts Center �Q 1��49g OWNER
One Civic Square Q��' P�JIOD TO: 12/31/09 QCONSTRUCTION
Carmel, IN 46032 ��iPR0JECTN0: 2695 -4310 MANAGER
FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: Sh Se, lnc. (PSM 414065) ARCHITECT
POYNTER SI IEET METAL ATTN: Lynda Weaver, 902 N. Capitol Avenue. Indi,wdpol>�N 46204 CONTRACT DATE: 04/18/08 CONTRACTOR
8763 N. STATE: RD. 37 VIA ARCHITECT:
131..00 1MINGTON.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 f'or which previous Certificates for Payment were issued and
payments received from the Owner, and that current payment shown herein is now due.
1. ORIGINAL CONTRACT SUM 3,345,500.00
2. Net change by Change Orders S 57,161 CONTRACTOR:
3. CONTRACT SUM TO DATE (Line I 2)
4. TOTAL COMPLETED STORED TO DATE S 2 3 76,74
(Column G on G703) By: Date:
5. RETAINAGE: 5% of Contract Total Joseph R. ansde resi nt
.�r
y a. 5 ot Ce p leted leek 170,163.05 State of: IN NA County of: MONROE
T=umn D E on G703) Subscribed and swo n ore I is 7 y of e[e/n
b. 10 %of Stored Material 0.00 Notary Public:
u
o mn F on G703) My Commissio xpires: ugustZ9, 2
Total Retainage (Lines 5a 51b or
Total in Column I of G703) 170,163.05 CERTIFICATE FOR PAYMENT
6. TOTAL EARNED LESS RETAINAGE 2,206,583.45 In accordance with the Contract Documents, based on on -site observations and the data
(Line 4 less Line 5 Total) comprising this application, the Construction Manager and Architect certify 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) 2,122,094.95 progressed as indicated, the quality of the Work is in accordance with the Contract
8. CURRENT PAYMENT DUE 14 4, 48 t '.5 Documents, and the Contractor is entitled to payment of the AMOUNT CERTIF[ED.
9. BALANCE TO FINISH, INCLUDING RETAINAGE 1,196,677.55 t r q j SO
Line 3 less Line 6 AMOUNT CERTIFIED
(Attach explanation if amount certified di "from the amount applied fbr. Initial all
otal changes approved figures on this Application and on the onti nation Sheet that chaiTed to conform to the
in previous months by Owner 557,761.00 amount certi�i
C STR C O NAG
Total approved this Month $0.00 By: Date: y
AR IT
TOTALS $57,761.00 1 $0.00 By: Date: 8�
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.
a a-
THE AMERICAN INSTITUTE OF ARCHITECTS, 1745 NEW YORK AVE N.W., WASHINGTON. DC 20006 -5292
Users may obtain validation of this document by requesting of the license a completed AIA Document D401 Certification of Document's Authenticity
CQ SHEET Poynter Sheet Metal #2695 Page 2of4
Application and Certification for Payment. containing Application No.: 17
Contractor's signed certification is attached. Application Date 12110/2009
In tabulations below, amounts are stated to the nearest dollar. To: 12/31/2009
Use Column I on Contracts where variable retainage for line items may apply.
Architect's Project No.: 2695 -4310
Invoice 14065 -17 Contract: 14065- CARMEL PERFORMING ARTS CENTER
B C -D E
Item Description or Work Scheduled }york Completed Materials Total Balance Retainage
\o. Value From Previous This Period Presently Completed (C 1 C) To Finish
Application In Place j Stored and Stored -G)
To Date
(Not in D or F) (D +E +F)
1 GENERAL CONDITIONS 200,000.00 152,200.00 7,200.00 0.00 159,400.00 79.70% 40,600.00
2 BOND INSURANCE 45,000.00 45,000.00 0.00 0.00, 45,000.00 100.00% 0.00
3 MOBILIZATION 15,000.00 15,000.00 0.00 0.00 15,000.00 100.00% 0.00
4 ALLOWANCE NO 11 BP 4310 208,870.00 0.00 0.00 0.00 0.00 0.00% 208,870.00
5 ALLOWANCE NO 16 CAD 10,000.00 0.00 0.00 0.00 0.00 0.00% 10,000.00
AS- BUILTS
6 DRAWINGSICOORDINATION 80,000.00 80,000.00 0.00 0.00 80,000.00 100.00% 0.00
8 EQUIPMENT 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
9 AIR HANDLERS 550,000.00 550,000.00 0.00 0.00 550,000.00 100.00% 0.00
10 LOUVERS 27,000.00 27,000.00 0.00 0.00 27,000.00 100.00% 0.00
11 62,200.00 0.00 0.00 0.00 0.00 0.00% 62,200.00
GRILLES/REGISTERS/DIFFUSERS
12 FIRE DAMPERS 23,200.00 23,200.00 0.00 0.00 23,200.00 100.00% 0.00
13 VOLUME DAMPERS 6,600.00 6,600.00 0.00 0.00 6,600.00 100.00% 0.00
14 SOUND ATTENUATORS 66,000.00 66,000.00 0.00 0.00 66,000.00 100.00% 0.00
15 FANS 192,000.00 192,000.00 0.00 0.00 192,000.00 100.00% 0.00
16 CHIMNEY FANS 8,000.00 0.00 0.00 0.00 0.00 0.00% 8,000.00
17 VAV BOXES 70,000.00 70,000.00 0.00 0.00 70,000.00 100.00% 0.00
18 MECH BASEMENT LEVEL 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
19 MATERIAL 48,000.00 45,600.00 0.00 0.00 45,600.00 95.00% 2,400.00
20 LABOR 50,700.00 48,165.00 0.00 0.00 48,165.00 95.00% 2,535.00
21 LAGGING 7,000.00 0.00 0.00 0.00 0.00 0.00% 7,000.00
22 BACKHOUSE 0 -00 0.00 0.00 0.00 0.00 0.00% 0.00
23 MATERIAL 56,000 -00 39,200.00 0.00 0.00 39,200.00 70.00% 16,800.00
24 LABOR 59,000 -00 41,300.00 0.00 0.00 41,300.00 70.00% 17,700.00
25 KITCHEN HOOD DUCT 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
26 MATERIAL 15,400 -00 2,310.00 0.00 0.00 2,310.00 15.00% 13,090.00
27 LABOR 10,800.00 1,080.00 0.00 0.00 1,080.00 10.00% 9,720.00
28 INSULATION 10,100.00 0.00 0.00 0.00 0.00 0.00% 10,100.00
29 MECH RM 1 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
30 MATERIAL 50,400.00 45,360.00 0.00 0.00 45,360.00 90.00% 5,040.00
31 LABOR 56,300.00 45,040.00 0.00 0.00 45,040.00 80.00% 11,260.00
32 INSULATION 16,800 -00 0.00 0.00 0.00 0.00 0.00% 16,800.00
33 MECH RM 2 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
CONTINUATIO SHEET Poynter Sheet Metal #2695 -4310 Page 3of4
Application and Certification for Payment, containing Application No.: 17
Contractor's signed certification is attached. Application Date 12/10/2009
In tabulations below. amounts are stated to the nearest dollar. To: 12131/2009
Use Column 1 on Contracts where variable retainage for line items may apply.
Architect's Project No.: 2695 -4310
Invoice 14065 -17 Contract: 14065- CARMEL PERFORMING ARTS CENTER
A C I D E F G
Item Description ofNVork Scheduled Work Completed Materials Total Balance Retainage
No. Value From Previous This Period Presently Completed (G C) To Finish
Application In Place Stored and Stored (C G)
(D +E) To Date
(Not in 1) or E) (D +E +F)
34 MATERIAL 77,000.00 61,600.00 7,700.00 0.00 69,300.00 90.00% 7,700.00
35 LABOR 93,900.00 75,120.00 0.00 0.00 75,120.00 80.00% 18,780.00
36 INSULATION 16,800.00 0.00 0.00 0.00 0.00 0.00% 16,800.00
37 MECH RM 3 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
38 MATERIAL 84,900.00 76,410.00 0.00 0.00 76,410.00 90.00% 8,490.00
39 LABOR 94,500.00 75,600.00 9,450.00 0.00 85,050.00 90.00% 9,450.00
40 INSULATION 16,800.00 0.00 0.00 0.00 0.00 0.00% 16,800.00
41 PLENUM LEVEL 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
42 MATERIAL 49,100.00 46,645.00 0.00 0.00 46,645.00 95.00% 2,455.00
43 LABOR 75,000.00 71,250.00 0.00 0.00 71,250.00 95.00% 3,750.00
44 LAGGING 13,000.00 0.00 0.00 0.00 0.00 0.00% 13,000.00
45 ORCHESTRA HIGH LEVEL 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
46 MATERIAL 34,600.00 24,220.00 1,730.00 0.00 25,950.00 75.00% 8,650.00
47 LABOR 35,400.00 17,700.00 3,540.00 0.00 21,240.00 60.00% 14,160.00
48 ORCHESTRA LOW LEVEL 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
49 MATERIAL 49,400.00 32,110.00 2,470.00 0.00 34,580.00 70.00% 14,820.00
50 LABOR 62,600.00 28,170.00 3,130.00 0.00 31,300.00 50.00% 31,300.00
51 BOX TIER LEVEL 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
52 MATERIAL 70,000.00 35,000.00 7,000.00 0.00 42,000.00 60.00% 28,000.00
53 LABOR 100,300.00 40,120.00 10,030.00 0.00 50,150.00 50.00% 50,150.00
54 LOW BALCONY LEVEL 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
55 MATERIAL 94,100.00 28,230.00 9,410.00 0.00 37,640.00 40.00% 56,460.00
56 LABOR 85,300.00 17,060.00 8,530.00 0.00 25,590.00 30.00% 59,710.00
57 HIGH BALCONY LEVEL 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
58 MATERIAL 38,400.00 11,520.00 1,920.00 0.00 13,440.00 35.00% 24,960.00
59 LABOR 50,200.00 5,020.00 0.00 0.00 5,020.00 10.00% 45,180.00
60 ATTIC LEVEL +50 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
61 MATERIAL 41,600.00 10,400.00 0.00 0.00 10,400.00 25.00% 31,200.00
62 LABOR 44,700,00 11,175.00 0.00 0.00 11,175.00 25.00% 33,525.00
63 ATTIC LEVEL +61 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
64 MATERIAL 16,800.00 8,400.00 0.00 0.00 8,400.00 50.00% 8,400.00
65 LABOR 16,300.00 8,150.00 0.00 0.00 8,150.00 50.00% 8,150.00
CON,TNU SHEET Poyn S Metal #26 -4310 Page 4of4
Application and Certification for Payment, containing Application No.: 17
Contractor's signed certification is attached. Application Date: 12/1012009
In tabulations below, amounts are stated to the nearest dollar. To: 12131/2009
Use Column I on Contracts where variable retainage for line items may apply.
Architect's Project No.: 2695 -0310
Invoice 14065 -17 Contract: 14065- CARMEL PERFORMING ARTS CENTER
A B C D L F G -H
Item Description of Work Scheduled t Work Completed i laterials Total Balance Retainage
No. Value From Previous This Period Presently Completed (G C) To Finish
Application In Place Stored and Stored (C -G
(D +E) To Date
(,Not in D or E) (D +E +F)
66 ATTIC LEVEL +66 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
67 MATERIAL 39,500.00 9,875.00 1,975.00 0.00 11,850.00: 30.00% 27,650.00
68 LABOR 37,900.00 9,475.00 1,895.00 0.00 11,370.00 30.00% 26,530.00
69 ATTIC LEVEL +79 -6 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
70 MATERIAL 6,700.00 6,030.00 0.00 0.00 6,030.00 90.00% 670.00
71 LABOR 5,200.00 4,420.00 0.00 0.00 4,420.00 85.00% 780.00
4 -A ALLOWANCE NO, 11 BP 7,322.00 7,322.00 0.00 0.00 7,322.00 100.00% 0.00
4310(AS I -031)
4 -13 ALLOWANCE NO 11 BP 4310A, -002 10,000.00 5,800.00 800.00 0.00 6,600.00 66.00% 3,400.00
4 -C ALLOWANCE NO 11 BP 43108 -002 4,798.00 4,798.00 0.00 0.00 4,798.00 100.00% 0.00
4 -D ALLOWANCE NO 11 BP 4310B -003 27,476.00 27,476.00 0.00 0.00 27,476.00 100.00% 0.00
4 -E ALLOWANCE NO 11 BP 43106 -004 1,534.00 1,534.00 0.00 0.00 1,534.00 100.00% 0.00
900 PENDING CHANGE ORDERS 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
901 CHANGE ORDER #1 38,542.00 21,198.00 7,708.50 0.00 28,906.50 75,00% 9,635.50
902 CHANGE ORDER #2 (RCP -10) 19,219.00 15,375.00 0.00 0.00 15,375.00 80.00% 3,844.00
Grand Totals 3,403,261.00 2,292,258.00 84,488.50 0.00 2,376,746.50 69.84% 1,026,514.50 161,181.05
AFFIDAVIT
State of Indiana 9/30/2009
14065 -14
County of Hamilton
The Affiant, 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
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 f l
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
FOR CONTRACT TO CONTRACT PREVIOUS THIS COMPLETE
AMOUNT CONTRACT AMOUNT REQUEST REQUEST
Validated Custom Solutions Equipment 474,900.00 3,281.00 478,181.00 478,181.00
Pinnacle Equipment Co., Inc. Equipment 257,500.00 1,639.00 259,139.00 159,545.00 7,925.00 91,669.00
JIM Farrell Company Insulation 50,630.00 50,630.00 50,630.00
Cardinal Contracting Co. Millwrights 16,550.00 16,550.40 16,550.00
Po nter Sheet Metal, Inc. Sheet MetaVHVAC 2,545,920.00 52,841.00 2,598,761.00 989,487.95 147,587.00 1,461,686.05
TOTALS 3,345,500.00 57,761.00 3,403,261.00 1,627,213.95 172,062.00 1,603,985.05
AMOUNT OF ORIGINAL 3,345,500.00 TOTAL AMOUNT REQUESTED 1,797,377.00
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
CREDIT TO CONTRACT AMOUNT OF PREVIOUS 1,627,213.95
PAYMENTS
NET AMOUNT OF CONTRACT 3,403,261.00 AMOUNT DUE THIS PAYMENT 172,062.00
BALANCE TO COMPLETE 1,603,985.05
It is understood that the total amount paid to date plus the amount requested in this Application shall not exceed 58 of the Cost of the Work completed to date. I agree to furnish
Waivers of Lien for all materials under my Contract when demanded.
SIGNED:
S'gnatary me a rtle seph R. Lansdell, President
For Poynter Sheet Metal, Inc.
Subcontractor Name
Subscribed d sworn to before me thi �j�/� L1 1r qw NOTARY PUBLIC:
p
day of e��L�lr 2009.
The above sworn statement should be obtained by the Owner before each and every payment.
rn �ZO. sr ►i;11�'i0d�.,�;;'.;
I''
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
P oVnfer Sheet lW d Purchase Order No.
k7 69 t&te Rj, 37 Terms
tJ /pp)0 tIn l4 /4 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
be et 1 A
IN SUM OF
9�K'
A/-, s'
P,J 37
ON ACCOUNT OF APPROPRIATION FOR
i
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
dEPT. I hereby certify that the attached invoice(s), or
SU 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
L 26 -20 I
Si natur
gof Redeve
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund