HomeMy WebLinkAbout184141 04/13/2010 CITY OF CARMEL, INDIANA VENDOR: 356934 Page 1 of 1
ONE CIVIC SQUARE SIGNATURE CONSTRUCTION LLC
CARMEL, INDIANA 46032 720 3RD AVE SW CHECK AMOUNT: $18,920.39
CARMEL IN 46032
�o CHECK NUMBER: 184141
CHECK DATE: 4/13/2010
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460893 APP 1 6,975.70 IND DESIGN STREETSCAP
902 4460894 APP 1 7,012.99 #1 S. RANGELINE RD
902 4460894 APP 1 4,931.70 #2 S. RANGELINE RD
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGEONEOF 2 PAGES2
TO OWNER CRC at City of Carmel PROJECT: Parcel 93 Streetscape APPLICATION NO: invoi� r 1 Distribution to:
Invoice I Signature costs =OWNFR
Carmel Indiana 46032 =ARCHITECT
PERIOD TO: 09/22/09 CONTRACTOR
FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design 0
Signature Construction Services LLC 0
720 3rd Avenue S.W. PROJECT NOS:
Carmel, Indiana 46032
CONTRACT FOR: CONTRACT DATE:
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best ofthe Contractors 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 6,975.70
1 Net change by Change Orders 0.00 CONTRACTOR:
T CONTRACT SUM TO DATE (Line I t 2) 6,975.70
4, TOTAL COMPLETED STORED TO 6,975.70 r
B(Thoma Date:
5. RETAINAGE: Sp Koont z, President -eh,, za/ p
a. 0 of Completed Work 0 S ed a sworn to before me this J''d of ]+k ;x899
(Column D E on G703)
b. of Stored Material AY.Pya LINDA BUCHANAN
(Column F on G703)
no-nFV Hancock County
Total Retainage (Lines 5a 5b or a My Commission Expires
Total in Column I ofG703) 0.00 ARCHITECT'S CERTIFICATE FOR PAYMENT Au zo,2oli
6. TOTAL EARNED LESS RETAINAGE 6,975.70 In accordance with the Contract Documents, based on on -site observations and the data
(Line 4 Less Line 5 Total) comprising the application, the Architect certifies to the Owner that to the best of the
7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief the Work has progressed as indicated,
PAYMENT (Line 6 from prior Certificate) 0.00 the quality of the Work is in accordance with the Contract Documents, and the Contractor
8. CURRENT PAYMENT DUE 6,975.70 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH, INCLUDING RETAINAGE 0.00
(Line 3 less Line 6) AMOUNT CERTIFIED
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation ifamount ceri f ed differs from the amount applied. Initial all figures on this
Total changes approved Application and onthe Continuation She et that are changed to conform with the amount certified.)
in previous months by Owner ARCHITECT:
Total approved this Month By: Date: In
TOTALS $0.00 $0.00 This Certific is t negotiable. The AMOUNT CERTIFIED is payable only ki the
Lontractor name herein. issuance, payment and acceptance of payment are without
NET CHANGES by Change Order $0.00 prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION -AIA 01992 THE AMERICAN INSTITUTE of ARCHITECTS, 1735 NEW YORK AVE,, N.W., WASHINGTON, DC 20006 -5292
Users may obtain validation of this document by requesting a completed AIA Document D401 Certification of Document's Authenticity from the Licensee.
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SIGNATURE CONSTRUCTION LLC
720 3rd Avenue, S. W.
Carmel, Indiana 46032.
Invoice 1
9/22/09
Parcel 93 Streetscape
Carmel, Indiana
WORK BALANCE
COMPLETED RETAINAGE PREVIOUS TOTAL COMPLETED TO ORIGINAL BUDGET Committed
DESCRIPTION THIS PERIOD WITHHELD APPLICATIONS TO DATE FINISH BUDGET ADJUSTMENTS Cost
General Requirement:
Project Management 1,318.56 0.00 0.00 1,318.56 0% 0.00 1,318.56 1,318.56
Site Management 5,173.91 0.00 0.00 5,173.91 0% 0.00 0.00 5,173.91 5,173.91
Design Drawings 483.23 0.00 0.00 483.23 0% 0.00 0.00 483.23 483.23
Construction Management Fee 0.00 0.00 0.00 0% 0.00 0.00 0.00 0.00
6,975.70 0.00 0.00 6,975.70 0% 0.00 0.00 6,975.70 6,975.70
APPLICATION AND CERTIFICATION FOR PAYMENT A 1A D OC UMENT G 702 PAGE ONE OF 2 PAGES2
TO OWNER CRC at City of Carmel PROJECT: Parcel 94 Streetscape APPLICATION NO Invoice H 1 1 Distribution to:
Invoice #E 1 Signature costs =OWNER
Carmel Indiana 46032 =ARCHITECT
PERIOD TO: 09/22/09 =CONTRACTOR
FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design
Signature Construction Services LLC
720 3rd Avenue S.W. PROJECT NOS:
Carmel, Indiana 46032
CONTRACT FOR: CONTRACT DATE:
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.
1. ORIGINAL CONTRACT SUM 7,012.99
2. Net change by Change Orders 0.00 CONTRACTOR:
3. CONTRACT SUM TO DATE (Line 1 2) 7,012.99
4. TOTAL COMPLETED STORED TO 7,012.99
By fday ate:
5. RETAINAGE: Thomas ioontz, President a. 0 of Completed Work 0 bscribed a sworn to before me this ty- 9
(Column D E on G703)
b. of Stored Material Pu"' LINDA BUCHANAN
Hancock County
(Column F on G763)`
NOThPY
Total Retainage (Lines 5a 5b or a n s_a :r_ My Commission Expires
Total in Column IofG703) 0.00 ARCHITECT'S CERTIFICATE FOR PAYMENT August20,2011
6. TOTAL EARNED LESS RETAINAGE 7,012.99 In accordance with the Contract Documents, based on on -site observations and the data
(Line 4 Less Line 5 Total) comprising the application, the Architect certifies to the Owner that to the best of the
7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief the Work has progressed as indicated,
PAYMENT (Line 6 from prior Certificate) 0.00 the quality of the Work is in accordance with the Contract Documents, and the Contractor
S. CURRENT PAYMENT DUE 7,012.99 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH, INCLUDING RETAINAGE 0.00
(Line 3 less Line 6) AMOUNT CERTIFIED
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (,1lrach explanation ifamounl cerl fed differs from the amount applied. Initial all figures on this
Total changes approved Application and onthe Continual Sl 1 that are changed to confnnn with the amount certified.)
in previous months by Owner ARCH €TECT:
Total approved this Month By: I I Date:
TOTALS $0.00 $0.00 This Certi ate is n t ne 1ptiable. The AMOUNT CERTIFIED is payabl only o the
Contractor na erein, issuance, payment ana acceptance of payment are wit' out
NET CHANGES by Change Order $0.00 prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION A1A 01992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006 -5292
Users may obtain validation of this document by requesting a completed AIA Document D401 Certification of Document's Authenticity from the Licensee.
SIGNATURE CONSTRUCTION LLC
720 3rd Avenue, S. W.
Carmel, Indiana 46032
Invoice 1
9/22/09
Parcel 94 Streetscape
Carmel, Indiana
WORK BALANCE
COMPLETED RETAINAGE PREVIOUS TOTAL COMPLETED TO ORIGINAL BUDGET Committed
DESCRIPTION THIS PERIOD WITHHELD APPLICATIONS TO DATE FINISH BUDGET ADJUSTMENTS Cost
General Requirement:
Project Management 1,318.50 0.00 0.00 1,318.50 1 0% 0.00 1,318.50 1,318.50
Site Management 5,211.24 0.00 0.00 5,211.24 0% 0.00 0.00 5,211.24 5,211.24
Design Drawings 483.25 0.00 0.00 483.25 1 0% 0.00 0.00 483.25 483.25
Construction Management Fee 0.00 0.00 0.00 0% 0.00 0.00 0.00 0.00
7,012.99 0.00 0.00 7,012.99 1 0% 0.00 0.00 7,012.99 7,012.99
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENTG702 PAGE ONE OF 2 PAGES
TO OWNER CRC at City of Carmel PROJECT: Parcel 94 Streetscape APPLICATION NO: I—i- s 2 t Distribution to:
Invoice 9 2 Signature costs =OWNER
Carmel Indiana 46032 =ARCHITECT
PERIOD TO: 10/26/09 CONTRACTOR
FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design
Signature Construction Services LLC 0
720 3rd Avenue S.W. PROJECT NOS:
Carmel, Indiana 46032
CONTRACT FOR: CONTRACT DATE:
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best ofthe Contractor's knowledge,
Application is made for payment, as shown below, in connection with the Contract. information and belief the Wort: 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.
1. ORIGINAL CONTRACT SUM 12,931.86
2. Net change by Change Orders 0.00 CONTRACTOR:
3. CONTRACT SUM TO DATE (Line 1 t 2) 12,931.86
4. TOTAL COMPLETED STORED TO S 11,944-69
B(bscribed Date:
5. RETAINAGE: hom Koontz, President moo( Fri— ,via
a. 0 %of Completed Work 0 S d sworn to before me this a day of ucteber -469
(Column D E on G703) LINDA BUCHANAN
b. of Stored Material S F
Column F on G703 ^F Hancock County
My Commission Expires
Total Retainage (Lines 5a+ 5b or
Total in Column I ofG703) 0.00 ARCHITECT'S CERTIFICATE FOR PAYMENT August 20, 2011
6, TOTAL EARNED LESS RETAINAGE S 11,944.69 In accordance with the Contract Documents, based on on -site observations and the data
(Line 4 Less Line 5 Total) comprising the application, the Architect certifies to the Owner that to the best of the
7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief the Work has progressed as indicated,
PAYMENT (Line 6 from prior Certificate) 7,012.99 the quality of the Work is in accordance with the Contract Documents, and the Contractor
S. CURRENT PAYMENT DUE S 4,931.70 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH, INCLUDING RETAINAGE 987 -17
(Line 3 less Line 6) AMOUNT CERTIFIED O
CHANGE ORDER SUMMARY ADDI'T'IONS DEDUCTIONS (Allah explanation farnount certified differsfrom the amount applied. Initial all figures on this
Total changes approved Application and onthe Continuation 'veet that are changed to conform with the amount ceri fed)
in previous months by Owner ARCHITECT:
Total approved this Month By: Date:
TOTALS 50.00 $0.00 This Certi ate is t negotiable. The AMOUNT CERTIFIED is payabl only o the
Contractor n erem. Issuance, payment ono acceptance or payment a e wttnout
NET CHANGES by Change Order $0.00 prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION AIA ®1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006 -5292
Users may obtain validation of this document by requesting a completed AIA Document D401 Certification of Document's Authenticity from the Licensee.
SIGNATURE CONSTRUCTION LLC
720 3rd Avenue, S. W.
Carmel, Indiana 46032
Invoice 2
10/26/09
Parcel 94 Streetsca
Carmel, Indiana
WORK BALANCE
COMPLETED RETAINAGE PREVIOUS TOTAL COMPLETED TO ORIGINAL BUDGET Curren
DESCRIPTION THIS PERIOD WITHHELD APPLICATIONS TO DATE FINISH BUDGET ADJUSTMENTS Budget
General Requirement:
Project Management 0.00 1,318.50 1,316.50 100% 0.00 1,318.50 1,318.50
Site Management 1,038.87 0.00 5,211.24 6,250.11 100% 0.00 0.00 6,250.11 6,250.11
'Design Drawings 0.00 483.25 483.25 100% 0.00 0.00 483.25 483.25
Construction Management Fee 3,892.83 0.00 0.00 3,892.83 80% 987.17 0.00 4,880.00 4,880.00
4,931.70 0.00 7,012.99 11,944.69 0% 987.17 0.00 12,931.86 12,931.86
Sanature Construcion LLC
Outstand Accounts Reveivable
Customer 12011 7C.3 VOG PARKING GARAGE
V 5V 1 7C-3 Parking Garage
09!22109 raw 3 30,981.17 C
w 5 1 raw 5 64,927,34
Draw 6 12/16109 Draw 6 88,113.88
Job 12011 Total 184,022.39
Customer 120.12 7dA MAIN TFIEATER tgg6 i
1201 7C -1 Main Theater G
Draw 3 09122109 Draw 3
t ..y
Customer 12013 7C -3 VOG Office Bldg One
12013 7C -2 Office Building One
Draw 1 11124109 Draw 1 2,678.96
customer 12016' 7C b VOG SITE UTILITY
12016 7C -6 Site Utility Work
Draw 2 12/16/09 Draw 2 705.03
Customer In'i 7C RESIDENTAIL LOFTS
12019 7C -9 Residential Lofts /Retail
Draw 2 11/24/09 Draw 2 3,222.93
Draw 3 12/16/09 Draw 3 818.82
Job 12019 Total 4,041.75
Customer 12020 7Cr10GENSITE.ENPINEERING. uN(oG9
1 0 7C -10 General Site En Erin
Draw 2 09/22/09 Draw 2 1,835.00 C
Draw 11/24/09 raw 4 10,566.81
Draw 5 12/16/09 Draw 5 3,760.63
Job 12020 Total M 16,162.44
Customer 12021 7Cw11 UNDERGROUND DETENT 4 q(,o
12021 7C -11 Underground Detention
Draw 3 11/24/09 Draw 3 11, 311.67
Draw 4 12116/09 Draw 4 2,473.46
Job 12021 Total 13,785.15
Customer 1202.5. J Parcel 93 Streetscape
U PARCEL 93 STREETSCAPE
Dra 2109 Draw 1 6,975:.
vG 'Customer 12026. Parcel 94 Streetscape
12026 P
raw 09122!09 Draw 1 7,012.99
GA G CusKoiner 12028 P111 Waterproofing
12026 PARCEL 94 STREETSCAPE
raw "52116109 Draw 2 4,931.70 t
Total Due for CM Jobs 247,268.88
Sep -09 53,757.63
opt -09 0
Nov -09 92,707.71
Dec -09 100,803.54
247,268.88
Transmittal SIGNATURE CONSTRUCTION, LLC
Letter ONE PEDCOR SQUARE; 720 3' {11 AVENUE, S.W. CARMEL, IN 46032
PHONE: (317) 817 -0360 FAX: (317) 81.7 -0362
PROJECT: Village On The Green /Parcels 93 94 PROJECT NO:
.DATE: February 3, 2010
TO: Carmel Redevelopment Commission
1 1 West Main Street, Suite 200, If enclosures are not as noted, please
Carmel, IN 46032 inform us immediately.
If checked below, please:
ATTN: Don Cleveland O Return enclosures to us.
WE TRANSMIT:
(x) herewith under separate cover via
in accordance with your request
FOR YOUR:
approval distribution to parties O information
review comment (x) record
(x)use
THE FOLLOWING:
Drawings /Specs Shop Drawing Prints O Samples
Proposal Request Shop Drawing Reproducible O Product Literature
Change Order x Pay pplications
COPIES DATE REV. NO. DESCRIPTION ACTION
CODE
Village on the Green Parcels 7C -3 Pay Application 3, 7C -I
1 2 /3 /10 Pay Application 3, 7C -10 Pay Application 2, Parcel 93 Pay
Application 1, Parcel 94 Pay Applications I 2
ACTION A. Action indicated on item transmitted D. For signature and forwarding as noted below under REMARKS
CODE B. No action required E. See REMARKS below
C. For signature and return to this office
REMARKS:
COPIES TO: (with enclosures)
Signature Construction, LLC.
BY: Jason Springer, Sr. Project Engineer
Transmittal SIGNATURE C ONSTRUCTI ®N, LLC
Letter ONE PLDCOR SQUARE; 720 3R` AVENUE, S.W. CARMEL, IN 46032
PRONE: (317) 817 -0360 FAX: (317) 817 -0362
PROJECT: Village On The Green /Parcels 93 94 PROJECT NO:
DATE: February 3, 2010
TO: Carmel .Redevelopment Commission
I 1 West Main Street, Suite 200, If enclosures are not as noted, please
Carmel, IN 46032 inform us immediately_
If checked below, please:
ATTN` Don Cleveland O Return enclosures to us.
WE TRANSMIT:
(x) herewith O under separate cover via
in accordance with your request
FOR YOUR:
approval O distribution to parties O information
review comment (x) record
(x)use
THE FOLLOWING:
Drawings /Specs Shop Drawing Prints O Samples
Proposal Request Shop Drawing Reproducible Product Literature
Change Order x Pay Applications
COPIES DATE REV. NO, DESCRIPTION ACTION
CODE
Village on the Green Parcels 7C -3 Pay Application 3, 7C -1
1 2/3/10 Pay Application 3, 7C -10 Pay Application 2, Parcel 93 Pay
Application 1, Parcel 94 Pay Applications 1 2
ACTION A. Action indicated on item transmitted D. For signature and forwarding as noted below under REMARKS
CODE B. No action required E. See REMARKS below
C. For signature and return to this office
REMARKS:
COPIES TO: (with enclosures)
Signature Construction, LLC.
BY: Jason Springer, Sr. Project Engineer
Signature Construclon LL.0
Outstand Accounts Revelvable
Customer 12011 TC -3 VbG PARKING GARAGE
i`Brr� 7C -3 Parking Garage
raw C 09122109 raw 3 30 981.17:
w 6 i raw 5 64,9 7.34
Draw 6 12/16/09 Draw 6 88,113.88
Job 12011 Total 184,022.39
CUStorrter 12012 711J=1 MklN TFIEATEk
1 20 1 7C -1 Main Theater
Diaw 3l 09122109 Qraw 3
Gu$tomeT 4,Q013 TC.$ Vbq OTflee 61CIg "6
12013 7C -2 Office Building One
Draw 1 11/24/09 Draw 1 2,678.96
;Customer 120.16' 7G,b VQG SIT✓r, tJ?7LITY yyGG9
12016 7C -6 Site Utility Work
Draw 2 12/16109 Draw 2 705.03
Customer 12D 9 7C,9 REfti 'AIL LOFTS T,9
12019 7C -9 Residential Lofts/Retail
Draw 2 11/24/09 Draw 2 3,222.93
Draw 3 12/16/09 Draw 3 818.82
Job 12019 Total 4,041.75
0 4 o n
to 12b2b ZCr10G> N "Slf ,:6NGII�EERING 4L/�C79�
1 0 7C -10 General Site E C
Drawn 09/22!09 Drawl 1,835A0
Draw 11124109 raw 4 10,566.81
Draw 5 12/16/09 Draw 5 3,760.63
Jab 12020 Total 16,162.44
customer 12021 7CAI UNDERGROUND DETENT 4eq(0 Z/
12021 7C -11 Underground Detention
Draw 3 11/24/09 Draw 3 11,311.67
Draw 12/16109 Draw 2,473,48
Job 12021 Total 13,785.15
G customer 12025. Parcel 93 5treesoape
CYO 12,Q25� PARCEL 93 STREETSCAPE
Drag 09 Draw 1 6,975!
G "Customer 12026. Parcel 94 %treetsr
12026 P
�ativ 09122!09 Draw 1 7,012.99 v
f� Cus #oiner 12028 Pill Waterproofing
12026 PARCEL 94 STREETSCAPE
raw ?11 6/09 Draw 2 4,931.70 3'n
Total Due for CM Jobs 247,288.88
Sep -09 53,757.63
1 V 13 Oct-09 0
Nov -09 92,707.71
Dec-09 100,803.54
247,268.88
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
J S'`� fa it Co Z Z_ Purchase Order No.
/7
or y�r
Terms
C 4 4 /'y '{G o 5 Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�2714 9 S f11_1 f'5'�4
Total ��i�2G• 9
1 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.
c ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
o Pr INVOICE NO. ,6CT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
4 f C'S `33 6x75 7o 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
Director nf%develOpment
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund