Loading...
HomeMy WebLinkAbout184115 04/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364051 Page 1 of 1 ONE CIVIC SQUARE INDIANAPOLIS STAGE SALES 8, RENTALAECK AMOUNT: $40,500.00 CARMEL, INDIANA 46032 905 MASSACHUSETTS AVE o a INDIANAPOLIS IN 46202 CHECK NUMBER: 184115 CHECK DATE: 4/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 1 40,500.00 PRODUCTION LIGHTING SL Subcontract Billing Report For Work Invoiced From 12/01/09 to 12131/09 Subcontract: 2695 -6040 6010 Prod. Lighting System Job:. 2695- Carmel RAAC Construction Vendor: 6512 INDIANAPOLIS. STAGE SALES &.RENTALS 777 3rd Ave. SW INC. Carmel,,fly 46,032 Contract To Rafe, This Period Item Units UM Unit Cost Amount Units/% Amount Units/% Amount 1 6010 "Prod. Lighting System LS 81B,334.00 5.50% 45,000.00 5.50% 45,000.00 Total Contract Items 81.8,334.0 45,000.00 45,000.00 Subcontract Totals: 818,334.00 45,000.00 45,000.00 Total Billings: 45,000.00 45,000.00 Unpaid Retainage: 4,500.00 4,500.00 Discounts: 0.00 p;00 Net Billings; 40,500.00 40,500.00 98 SSC CMa Projects Page 1 12/16/09 49 :36:36 AM Date Format MM /DDNY SLSubBip'ingReport .rpt 1A Document 702M la" —X1092 Application and Certificate for Payment Construction Manager- Adviser Edition TO OWNER: PROJECT: APPLICATION NO: Distribution to: Carmel Redevelopment Commission Parcel 7A P 15- Dec -09 PERIOD T0: OWNER One Civic Square Regional Performing Arts Center Carmel, IN 46032 CONSTRUCTION MANAGER FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 17- Feb -09 ARCHITECT Indianapolis Stage Shiel- Sexton Sexton PROJECT NOS: 2695 f 6010 CONTRACTOR 905 Massachusetts Ave. VIA ARCHITECT: FIELD Indianapolis, IN 46202 CSO Architects CONTRACT FOR: Bid Package #6010 Production Lighting 0 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best or the Contractor's knowledge, information and Application is made for payment- as-shown below, in connection with-the Contract. belief the Work c_overed_by_this Application for Payment has been completed in accordance with the Continuation Sheet. AIA Document G703, is attached. Contract Docu ents, that all amounts have been p' y the Contractor for Work for which previous Certificates f r Pay ent were issued and cn received from the Qumcr, and that current i. ORIGINAL CONTRACT SUM ...............................S 8 l S 33 payment sh V vn" cin is ow e. 2. Net change by Change Orders S 601 3 d o CONTr614� 3. CONTRACT SUM TO DATE {Line 1 2) S '7 8, 03Iq By: Date: k 'l 4. TOTAL COMPLETED STORED TO DATE Column G nn G7U3 o p State S, d a rub XWory �bhc- God S. RETAINAGE: Coun ,p I 0-yL Nato of Indiana a. 1 0 5v or Completed Work Subscrib and sworn to before a My Ca t5ilrr im Cltptres io 20, 209 (Column D E on G703) S L i, S0 b me this 14.-tN day of r QC:oct' C/ b. .n of Stored Material Notary Pub" (Column F on G703) S My Commission pies: a2; Total Retainagc (Lines 5a 5b or Tot in Col umn I of G703) L4, so o CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising 6..TOTA! EARNED LESS RETAINAGE S y 0 t �O O this application. the Constniction 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 S accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT (Line 6 front prior Certificate) CERTIFIED. B. CURRENT PAYMENT DUE d S 00 AMOUNT CERTIFIED S 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Amach e.rplanation if amount eerrified di ffers front Ilse amnmrt applied. htilial all frgares on this Applicrrtiarr mrrl a he Cnalirrxnllon ee! that hangs +d it) confnnrt with iltc +nnmlrtrl certified.) (Line 3 less Line 6) 5 7 2 3, 0 3{ CONS TRUCTION A By: Date: 7 B CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARC EC Total changes approved in previous months by Owner S S By: Date: t Total approved this Month S S 50 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable onl to the Contractor TOTALS S 5 0 3 pp named herein. Issuance. payment and acceptance of payment are Withuut prejudice to any rights of NET CHANGES b Change Order S S 0 3 O0 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. AIA Document G702JCMa'" -1992. Copyright 1992 by The American Institute of Architects. All rights reserved: WARNING: This Ale Document is protected by U.S. Copyright Low and International Treaties: Unauthorized reproduction or dlstribuilon of this AIA' Document, or any porifon 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 len (1o) copies of this document when completed. To report copyright violations of AIA Contract Documents. e The American Institute of Archirecls' legal counsel, copyright a aia.org. ..:,A,.! Document 0703 -1992 p'tb�0 0 Continuation Sheet AIA Document G702. APPLICATION AND CERTIFICATION FOP PAYP APPLICATION NO: cuntainin', Contractor's signal ccrtilic.i6on is attached. APPLICATION DATE: 7zt75/2009 III tabulations helow amounts arc staled to the nearest dollar. 22j15l2009 USC C011.111111 I on Cuntrtcls where variable reminage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: 269516010 —Balance A [i C D L P G 'Fe- F- ir#i�h I WORK CONIPLETED NIATERIALS TOTAL BALANCE PRESENTLY CON RF I'AINAGE SCHEDULED FROM PREVIOUS TO ITEM DESCRIPTION DF WORK SCHEDULED AND STORED f IF VARtAI3LE NO VALUE API'LICATION THIS PERIOD (NOT IN TO DATE (G C) FINISH RATE) fD +E1 DOREI (D +E +F1 (C G) 1 Mobilization Submittals 45,000.00 45,000.00 45,000.00 100% 2 Shipment of back boxes racks 84,500.00 84,500.00 3 Shipment of Electronic Components 217,500.00 217,500.00 4 Shipment of Fixtures 250,000.00 250,000.00 5 Installation of light fixtures equipme it 15,000.00 15,000.00 6 System energizalion 95,000.00 95,000.00 7 Training Completion 6,334.00 6,334.00 8 General Allowance 100,000.00 100,000.00 9 CAD Allowance 5,000.00 5,000.00 818,334.D0 45,000.00 45,000.00 773,334.00 CAUTION: You should sign an original AIA Contract Document, an which this tex app in RED. A original- assures tha changes will not be obscured. AIA Document G703 —1992. Copyright© 1963. 1965, 1966, 3967, 1970. 1976, 1963 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This.AlOoocument Is protected by U.S. Copyright Law and International Treatfes. Unauthorized reproduction or distribution of this AIA Document or an j p y 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 tell (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, a -mail The American Institute of Architects' legal counsel, copyright @aia.arg. 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 1 p Z rt jl(_u �JL2 S c�� Salt' Z J1enfI1 13 Purchase Order No. 905 -/M SS 6C� A Terms n i gym) 1 1 2 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12_ 15_09 I I or C u hf S oo, 00 r i Total �0 soo,oa�: 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 I htll WOliS Si m& .Sdies L nQ s IN SUM OF 905 Avg. 'ON ACCOUNT OF APPROPRIATION FOR �4 OKb7 Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 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 1 3- 2.S- 20 Signature 01pAW0r of Redeyelenment Cost distribution ledger classification if Title claim paid motor vehicle highway fund