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HomeMy WebLinkAbout185002 04/28/2010 CITY OF CARMEL, INDIANA VENDOR: 364099 Page 1 of 1 ONE CIVIC SQUARE CHANCE BROS MARBLE TILE INC CARMEL, INDIANA 46032 114 W MCCARTY ST CHECK AMOUNT: $8,280.04 INDIANAPOLIS IN 46225 CHECK NUMBER: 185002 CHECK DATE: 4/2812010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 61 8,280.00 PERFORMING ARTS CENTE limit AI Do 1992 Application and Certificate for Payment Construction h4anager Adviser Edition TO OWNER: SHIEL SEXTON, INC. PROJECT: APPLICATION NO: Distribution to: 902 N. CAPITOL AVE. PERIOD TO: ONE OWNER J INDIANAPOLIS, IN 46204 CARMEL PERFORMING ARTS 03115110 CONSTRUCTION MANAGER El FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: CERAMIC T ILE ARCHITECT El Chance Bros. Marble Tile, Inc. PROJECT NOS: l CONTRACTOR 1 W. McCarty St.. VIA ARCHITECT: CSO ARCH ETECTS FIELD I✓1 CONTRACT Obo napois, IN 46225 CONTRACTOR'S APP LICATION FOR PAYMENT The undersirrned Contractor ceftities that to the best of the Contractor's knov let;lge. informwinn and Iic.ttion is made for a I mc.nt, as Shown hclaw. in Connection !s ith Chu Crtniraet. belie( the 61 eted by this Apphc ttlon for Payment has hcen completed to accorv;ui(x with the pp P Cs'nt 11CLDocumOWS. fh 1t dl ttmE,unts have been peal 1;y t1 e Cootr cior For or'll for which previous C0116MIation Shcet AIA Doc€ rind t(3703- is attached. Cenlficates Yor P,tr -menI �.er� issttc�l and px }rnen_s rec� i�-ed front the O nc.r. and that C11tTeRt 221495.00 1. ORIGINAL CONTRACT SUM payinclit,shjs n Iter!iil 15 no +y`Slu e b Cha Orders f Chance Bros. Marble Tile, Inc. 3/19/2010 9 Y 9 ti CON Z: Net Chan TRACTO- 4 3. CONTRACT SUM TO DATE iLulc -1 203995.00 E' a ar S By: rY t y`y+ `1 A I {Nr1" A 4. TOTAL COMPLETED STORED.TO DATE tCulumn G on G703) S 9200.00 Stare oL~' �Irid'anaf 5. RETAINAGE: coney nF. Iyla�ion a. 10 c:. of Completed Work 920.00 Subscribed and >.vorn to t dVI (CAtinv D F on 6703) S me this 19 day Cif I MARCH r 2010 b. sir of Stoled 1 °tate[iai :ti'vtar Public: O. a© t.—� (:olumn Fort 0703) S 1v Corni- niscion expires: f Total Retainaae (1_i 5 a 5b or To tal in Column l of G70 920.00 CERTIFIC FOR P YME'NT &280.00 In accordance w�i h the Contract Dociimeuls based on on site ob�tty ttion and tLo dt!a comprismg. 6. TOTAL EARNED LESS RETAINAGE this applicairon. the Consmiction J and Architect certif.;, to the ,Qwn erihraau (he: hest of their (L.inc i_ ss Line Total) knowledge. inforination. and belief the 54urkhu> progre,,wd aS indicated. the qualitt of the Work is in 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT S 0.00 accw -dancc with the Contract Document,; anti the Contratcior i5 em itled to paVment of the A-NIO UNIT CERTIFIED. (t_ine 6 From prior Certitieatc) e- 8. CURRENT PAYMENT DUE.. S 8280.00 AMOUNT CERTIFIED �Z s 9. BALANCE TO FINISH, INCLUDING RETAINAGE °l °rrx h E ;j)Ittrx't(rrt if aill turn r t clee di, e T.4 F-rrtr file: n7110i rr clppir d. hrilirrl c�!( {igr rc c on tlti v 195715.00 �iprrrr;'ation and on the C�orrthjacrt.rn, Sir �lic theta -cd to cc�) orw wi�ih rite amore cerfif led_) Lnte 3 less Line 61 S CONS UCTION M N GE ar B,; D l I D {C1I1. "C;E()I2DLRSLI:4I1t. \Ri tDDITIDNS D F- DUTI:TiONS i ARCHIT� I utal chain es appro eo in p reci ous lilwilh S 0:00; 17500.00 A j T Ld approv t his Nlonth 15. 0.00 S 0.00 r, Phis Curliticatc 1s no ne, otiable. The A IOUNT CER is payahlc only to the ConLrlctor, T()TALS j 5 0-00 j S 17500.00 tinmed herein Is;utulce, p;tvraem and accepmnce of pa %men[ are withuul pa ;udice tr:, art1�' ri ^Ills nl 1 I (H: rtit;L•S L� Ch lri CJr der 4 the C7 vne fir t nntr €!ctnr undur this Coltt, N e S 7 500.00 C A U Ylt, N: 'ieut S 110Uid slqn an rtt tgin a I Al Conliacl UCr,ume n y, I .n. s text a:3:e1 r= ire RE :.ri 0-i1_1ir2 a3r1,! 1 cha -o e3 vii!1 not he c,tb .rrun AIA Document 0792:CPda*F' 1992. Copyright 1992 by The American !ns:ilu e o1 Architccis. All rights reserved :'A WING: This AlA' Document rs pretecled by U i:qp i .;h= L r ter 3 n F, -it rte bfl iy. c'd rc qp7 ochsciion or Ar A„ ar apt,• orjrt:cr nav te:;uli it €c c. nl attics, %:1 +rll :;a I•. ,c.. !':ee3 r hs r E. prl; chasers arc bermilled tc produce ten JO) coeies of this d cc nznt when uonlptcfed. I repc,r. capyrg €,t vielatiors ct AIA Corrract DOCUment5, e -mail The Amcrlcan Ins €tote of such tests' Izaal rou ss clry;rnt- Ta'aerg. OO TM Document X703 -1992 Continuation Sheet AIA Document G702 Appltoation and Certification for Payment, APPLICATIOWNO: containing Contractor's signed certification is attached. CARMEL PERFORMING ARTS ONE DATE: In tabulations below, amounts are stated to the nearest dollar. APPLICATION 3/19/2010 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT N0: 3/15/2010 A 13 C D. E F G H C WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G C) FINISH (If variable rate) NO. TO DATE (D +E) (Not inDorE) (D +E +F) (C G) CERAMIC TILE MOBILIZATION 500.00 0.00 500.00 0.00 500:00 100% 0.00 50.00 BOND 1 0.00 1,800.00 0.00 1,800.00 100% 0.00 180.00 ALLOWANCE 2 20,000.00. 0.00 10,000.00 0.00 10,000.00 50% 10,000.00 1,000.00 ALLOWANCE 6 5,000.00 0.00 5,000.00 0.00 5,000,00 100% 0.00 500.00 C.O. 1 (2,500.00) 0,00 0.00 0.00 0.00 0% (2,500.00) 0.00 C.O. #2 (15,000.00) 0.00 (15,000.00) 0.00 (1SOOo.00) 100% 0.00 (1,500.00) C.O. 3 0.00 0.00 0.00 0.00° 0.00 #DIVIO! 0.00 0.00 BASEMENT R.R.S.: LABOR 3,800.00 0.00 1,000.00 0.00 1,000.00 26% 2,800.00 100.00 MATERIAL 5,900.00 0.00 5,900.00 0.00 5,900.00 100% 0.00 590.00 PLENUM RRS LABOR 30,400.00 0.00 0.00, 0.00 0.00 0% 30,400.00 0.00 MATERIAL 45,600.00 0.00 0.00 0.00 0.00 0% 45,600.00 0.00 NORTH BOX TIER LABOR 17,600.00 0.00 0.00 0.00 0.00 0 17,600.00 0.00 MATERIAL 26,400.00 0.00 0.00 0.00 0.00; 0% 26,400.00 0.00 GRAND TOTAL 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 G703TM 1992. Copyright 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA 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. I A +D� Docume nt 7033 7M 1992 Continuation Sheet AIA Document G702Tm, Application and Certification for Payment, APPLICATIOWNO: containing Contractor's signed certification is attached. CARMEL PERFORMING ARTS PG #2 APPLICATION DATE: In tabulations below, amounts are stated:to the nearest dollar. Use Column I on_.Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D E F G H WORK COMPLETED TOTAL MATERIALS BALANCE FROM PREVIOUS COMPLETED SCHEDULED PRESENTLY TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G Q FINISH (If variable rate) NO. TO DATE +E) (Not inBorE) (D +E +F) (C G) NORTH ORCHESTRA LOW LABOR 10,000.00 0.00 0.00 0.00 0.00 0% 10,000.00 0.00 MATERIAL 15,000.00 0.00 0.00 0.00 0.00 0% 15,000.00 0.00 BALCONY HIGH LABOR 16,000.00 0.00 0.00 0.00 0.00 0% 16,000.00 0.00 MATERIAL 23,495.00 0.00 0.00 0.00 0.00 0% 23,495.00 0.00 TOTAL GRAND TOTAL 203,995.00 1 0.00 9,200.00 0:00 9,200.00 5% 194,795.00 1 920.00 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 G703TI 1992. Copyright 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA'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 taw. 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. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 261 (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 �ios ���i T Purchase Order No. ll5r lti 9r fry S Terms 2 :5 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total g2�G G�6 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 k6 22 5- ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 'ia z y� 7 2 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 y 20/a ignature Director of Radomlo Title Cost distribution ledger classification if claim paid motor vehicle highway fund