HomeMy WebLinkAbout185014 04/28/2010 CITY OF CARMEL, INDIANA VENDOR: 363794 Page 1 of 1
ONE CIVIC SQUARE GENERAL PIPING, INC
!'s CHECK AMOUNT: $67,586.75
CARMEL, INDIANA 46032 PO BOX 34367
INDIANAPOLIS IN 46234 CHECK NUMBER: 185014
CHECK DATE: 4/28/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 18A 67,586.75 PERFORMING ARTS CENTE
v
Document G7021CMa 1992
Application and Certificate for Payment Construction Manager Adviser Edition y y
TO OWNER: City of Carmel PROJECT: CPAC 84% APPLICATION NO: 18 /1 Distribution to:
OWNER:
PERIOD TO: March 31, 2010 CONSTRUCTION MANAGER:
FROM General Piping Inc. VIA CONSTRUCTION Shiel Sexton CONTRACT DATE: June 11, 2008 ARCHITECT:
CONTRACTOR: P.O. Box 34367 MANAGER: PROJECT NOS: NA 2829 I NA CONTRACTOR:
Indianapolis, IN 46234 FIELD:
CONTRACT FOR: General Construction VIA ARCHITECT CSO Architects OTHER.
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by this Application for Payment has been completed in accordance with the
Application is made for payment, as shown below, in connection with the Contract. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Continuation Sheet, AIA Document G703, is attached. Certificates for Payment were issued and payments received from the Owner, and that current
1. ORIGINAL CONTRACT SUM 3,492,504.00 payment shown herein is now due.
2, NET CHANGE BY CHANGE ORDERS 180,659.00 CONTRACTOR:
3. CONTRACT SUM TO DATE (Line 1 2) 3,673,163.00 By: Date:
4. TOTAL COMPLETED STORED TO DATE (Column G on 6703) 3,063,703.66 State of: Indiana
5. RETAINAGE: County of. He cks
a. 100 of Completed Work Subscribed and sworn to before
(Column D E on G703) 1.61,762.59 me this d .Z 4 day of I ar 1 2 b I o
b. 0 of Stored Material Notary Public: Luke Roseboom
(Column F on G703) 0.00 My Commission expires: July 07, 2012
Total Retainage (Lines 5a 5b or Total in Column 1 of G703)_ 161,762.59 CERTIFICATE FOR PAYMENT
6. TOTAL EARNED LESS RETATNAGE 2,901,941.07 in accordance with the Contract Documents, based on on -site observations and the data comprising
(Line 4 Less Line 5 Total) this application, the Construction Manager and Architect certify to the Owner that to the best of their
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 2,834,354.32 knowledge, information and belief the Work has progressed as indicated, the quality of the Work is
in accordance with the Contract. Documents, and the Contractor is entitled to payment of the
(Line 6 from prior Certificate) AMOUNT CERTIFIED,
8. CURRENT' PAYMENT DUE J 67,586.75 AMOUNT CERTIFIED 67,586.75
9, BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs fro he amount applied. Initial all figures on this
Application and on the Continuation Sheet tha re hanged to conform with the amount certified.)
(Line 3 less Line 6) 771,221.93 CON TRUCTI ANAGER:
By: Date:
CHANGE ORDER SUMMARY ADDTITONS DEDUCTIONS AR C
Total changes approved in previous months by Owner 171,989.16 20,235.60 B 1 Date:
T
q 14,
otal approved this Month 0.()0$ 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
TOTALS 171,989.1.6 20,235.60 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of
the Owner or Contractor under this Contract.
NET CHANGES h Chan a Order 151,753.56
AIA Document G702/CMarm —1992. Copyright m 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 1
under the law. This document was produced by AIA software at 08:06 :53 on 03/24/2010 under Order No.1000389341_1 which expires on 511312010, and is not for resale.
User Notes: (2064647096)
l
AIA Document C74 1992
Continuation Sheet
AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 18
containing Contractor's signed certification is attached.
In tabulations below, amounts are stated to the nearest dollar. APPLICATION DATE: 03/15/2010
Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 03/31/2010
ARCHITECT'S PROJECT NO: NA
A' B C D E F G H I
WORK COMPLETED TOTAL
MATERIALS
ITEM SCHEDULED
FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE
DESCRIPTION OF WORK PREVIOUS AND STORED FINISH (IF VARIABLE
NO. VALUE APPLICATION THIS PERIOD STORED {NOT TO DATE (CT C) (C G) RATE) IN (D E) D OR E) (D +E+F)
1 jBond 27,350.00 27,350.00 0.00 0.00 27,350.00 100.00 0.00 2,735.00
2 Su ervision/PM /Gen. Cond. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 Labor 181,855.00 165,487.96 1,818.55 0.00 167,306.51 92.00 14,548.49 10,911.30
4 Material 72,013.00 65,531.58 720.13 0.00 66,251.71 92.00 5,761.29 4,320.78
5 Submittals 21,869.00' 21,869.00 0.00 0.00 21,869.00 100.00 0.00 2,077.56
6 Punchlist 12,000.00 600.00 600.00 0.00 1,200.00 10.00 10,800.00 0.00
7 Closeout 6,000.00 0.00 0.00 0.00 0.00 0.00 6,000.00 0.00
8 3D CAD /Coordination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9 Labor 34,726.00 34,726.00 0.00 0.00 34,726.00 100.00 0.00 3,279.58
10 Material 64,200.00 64,200.00 0.00 0.00 64,200.00 100.00 0.00 6,099.00
11 Daily Clean-up 15,000.00 11,250.00 750.00 0.00 12,000.00 80.00 3,000.00 675.00
12 AW #8 Plumbing (4290A) 76,621.00 0.00 0.00 0.00 0,00 0.00 76,621.00 0.00
13 AW #9 Water /Gas (4290B) 143,679.16 0.00 0.00 0.00 0.00' 0.00 143,679.16 317.94
14 AW #10 Hyd. (4300A) 12,742.00 0.00 0.00 0.00 0.00 0.00 12,742.00 0.00
15 AW #16 CAD (4290) 10,000.00 0.00 0.00 0.00 0.00 0.00 10,600.00 0.00
16 AW #16 CAD (4300) 10,000.00 0.00 0.00 0.00 0.00 0.00 10,000.00 0.00
17 Mechanical ID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
18 Labor 5,100.00 2,652.00 153.00 0.00 2,805.00 55.00 2,295.00 0.00
19 Material 5,100.00 3,417.00 153.00 0.00 3,570.00 70.00 1,530.00 0.00
20 irestopping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 Labor 5,350.00 3,584.50 160.501 0.00 3,745.001 70.00 1,605.001 160.50
22 Material 5,939.00 3,979.161 178.171 0.00 4,157.331 70.00 1,781,671 178.18
AIA Document G703Tu -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 Ale Document, or any portion of it, may result in severe civil and criminal penalties, and will be 1
prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 08:08:49 on 03/24/2010 under Order No.1000389341_1 which expires on 5/13/2010, and is not for
resale.
User Notes: (1569396957)
23 Housekeeping Pads 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
24 Labor 1,411.00 1,411.00 0.00 0.00 1,411.00 100.00 0.00 141.10
25 Material 2,676.00 2,676.00 0.00 0.00 2,676.00 100.00 0.00 267.61
26 Painting 3 ,000.00 3,000.00 0.00 0.00 3,000.00 100.00 0.00 135.00
27 Sleeves /Core Drill Holes 0.00 0.00 0,00 0.00 0.00 0,00 0.00 0.00
28 ILabor 19,200.00 18,624.00 0.00 0.00 18,624.00 97.00 576.00 1,536.00
29 Material 31,800.00 30,846.00 0.00 0.00 30,846.00 97.00 954.00 2,544.00
30 Grease Interceptor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 Labor 3,360.00 336.00 0.00 0.00 336.00 10.00 %1 3,024.00 0.00
32 Material 16,830.00 16,830.00 0.00 0.00 16,830.00 100.00 0.00 0.00
33 Cranes and Lifts 24,000.00 20,400.00 1,200.00 0.00 21,600.00 90.00 2,400.00 1,440.00
34 Underground W/V 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
35 Labor 28,186.00 28,186.00 0.00 0.00 28,186.00 100.00 0.00 2,818.60
36 Material 35,120.00 35,120.00 0.00 0.00 35,120.00 100.00 0.00 3,512.00
37 Underground Storm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
38 Labor 6,303.00 6,303.00 0.00 0.00 6,30100 100.00 0 .00 630.30
39 Material 10,637.00 10,637.00 0.00 0.00 10,637.00 1.00.00 0.00 1,063.70
40 Underslab Drainage 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00
41 Labor 9,500.00 9,500.00 0.00 0.00 9,500.00 100.00 0.00 950.00
42 Material 1,714.00 1,714.00 0.00 0.00 1,714.00 100.00 0.00 171.40
43 j Aboveground WN (M) 165,426.00 163,771.74 0.00 0.00 163,771.74 99.00 1,654.26 14,888.34
44 Aboveground WN (L) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
45 Basement 33,050.00 31,397.50 1,322.00 0.00 32,719.50 99.00 330.50 2,247.40
46 Plenum 17,879.00 17,879.00 0.00 0.00 17,879.00 100.00 0.00 446.98
47 Orchestra 22,368.00 20,131.21 1,118.40 0.00 21,249.61 95.00 1,118.39 559.21
48 Box Tier 18,144.00 11,793.60 1,814.40 0.00 13,608.00 75.00 %1 4,536.00 453.60
49 Balcony 18,409.00 5,522.74 1,840.90 0.00 7,363.64 40.00 %1 11,045.36 92.05
50 lAttic 7,121.00 5,340.80 1,424.20 0.00 6,765.00 95.00 356.00 35.61
51 Aboveground Storm (M) 67,165.00 66,493.36 0.00 0.00 66,493.36 99.00 671.64 6,044.86
52 Aboveground Storm (L) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 Basement 6,120.00 6,120.00 0.00 0.00 6,120.001 100.00 0.00 459.00
54 Plenum 365.00 365.00 0,00 0.00 365.001 1oo.o0 0.00 0.00
55 Orchestra 7,856.001 7,463.21 0.001 0.001 7,463.211 95.00 %1 392.791 314.24
AIA Document G703 -1992, Copyright 0 1963, 1965, 1968, 1967,1970, 191"83 and 1992 by The American Institute of Architects. All rights reserved. WARW1 N G T h1 sA 1 A w 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 2
to the maximum extent possible under the low. This document was produced by AIA software at 08:08:49 on 03124/2010 under Order No.1000389341_1 which expires on 5/13/2010, and is not for resale.
User Notes: (1569396957)
56 Box Tier 3,665.00 3,481.78 0.00 0.00 3,481.78 95.00 183.22 18.33
57 BalconX 15,976.00 15,177.20 0.00 0.00 15,177.20 95.00 798.80 127.81
58 Attic 9,667.00 8,700.30 483.35 0.00 9,183.65 95.00 483.35 77.34
59 Force Main 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
60 Labor 7,546.00 6,036.80 0.00 0.00 6,036.80 80.00 1,509.20 528.22
61 Material 27,882.00 27,045.54 557.64 0.00 27,603.18 99.00 %1 278.82 2,369.98
68 IDomestic Water (M) 184,831.00 182,982.70 0.00 0.00 182,982.70 99.00 1,848.30 15,710.64
69 Domestic Water (L) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
70 Basement 85,091.00 79,134.64 3,403.64 0.00 82,538.28 97.00 2,552.72 2,046.17
71 Plenum 19,393.00 18,811.24 387.86 0.00 19,199.10 99.00 193.90 232.72
72 Orchestra 26,728.00 24,05.5.20 1,336.40 0.00 25,391.60 95.00 1,336.40 320.74
73 lBox Tier 18,955.00 10,425.28 4,738.75 0.00 15,164.03 80.00 3,790.97 227.46
74 Balcony 17,692.00 2,653.80 1,769.20 0.00 4,423.00 25.00 13,269.00 123.84
75 Attic 823.00 123.48 82.30 0.00 205.78 25.00 617.22 5.76
76 Incoming Dom. Water Service 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00
77 Labor 6,864.00 6,520.80 343.20 0.00 6,864.00 100.00 0.00 274.56
78 IMaterial 7,163.00 7,163.00 0.00 0.00 7,163.00 100.00 0.00 716.30
79 Drains /Cleanouts (M) 25,175.00 25,175.00 0.00 0.00 25,175.00 100.00 0.00 2,517.50
80 Drains /Cleanouts (L) 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00
81 Basement 21,076.00 21,076.00 0.00 0.00 21,076.00 100.00 0.00 2,107.60
82 Plenum 1,920.00 1,920.00 0.00 0.001 1,920.00 100.00 0.00 15160
83 Orchestra 1,320.00 1,320.00 0.00 0.00 1,320.00 100.00 0.00 118.80
84 Box Tier 3,120.00 3,120.00 0.00 0.00 3,120,00 100.00 0.00 249.60
85 Balcon 2,400.00 2,400.00 0.00 0.00 2,400.00 100.00 0.00 120.00
86 Attic 3,720.00 3,720.00 0.00 0.00 3,720.00 100.00 0.00 186.00
87 Carriers (M) 12,347.00 12,347.00 0.00 0.00 12,347.00 100.00 0.00 1,222.35
88 Carriers (L) 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00
89 113asement 1,200.00 1,200.00 0.00 0.00 1,200.00 100.00 0.00 102.00
90 Plenum 6,750.00 6,750.00 0.00 0.00 6,750.00 100.00 0.00 573.76
91 Orchestra 2,100.00 1,995.00 0 .00 0.00 1,995.00 95.00 105.00 178.50
92 Box Tier 4,500.00 4,050.00 0.00 0.00 4,050.00 90.00 450.00 382.50
93 Balcony 3,000.00 2,700.00 0.00 0.00 2,700.00 90.00 300.00 225.00
94 lAttic 300.001 270.001 0.001 0.00 270.00 90.00 30.00 22.50
AIA Document G703 -1992. Copyright Cal 1963, 1965, 1966, 1967,1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights resery ed. WARNING: This AIA Document is protected by U.S.
Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIO Document, or any portion of h, may result in severe civil and criminal penalties, and will be prosecuted 3
to the maximum extent possible under the law. This document was produced by AIA software at 08:08:49 on 03124/2010 under Order No.1000389341_1 which expires on 5113/2010, and is not for resale.
User Notes:
(1569396957)
95 Gas Pressure Regulator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
96 Labor 480.00 24.00 216.00 0.00 240.00 50.00 240.00 0,00
97 Material 277.00 277.00 0.00 0.00 277.00 100.00 0.00 0.00
98 Gas Piping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
99 Labor 2,858.00 1,429.00 428.70 0.00 1,857.70 65.00 1,00030 0.00
100 Material 1,220.00 1,159.00 0.00 0.00 1,159.00 95.00 61.00 109.80
101 Kitchen Connections 6,000.00 1,200.00 0.00 0.00 1,200.00 20.00 4,800.00 0.00
108 Water Softener 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
109 Labor 2,400.00 240.00 0.00 0.00 240.00 10.00 2,160.00 0.00
110 Material 1,453.00 1,453.00 0.00 0.00 1,453.00 100.00 0.00 0.00
111 Thermostatic Mixing Valves 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
112 Labor 840.00 420.00 420.00 0,00 840.00 100.00 0.00 0.00
113 Material 1,159.00 1,159.00 0.00 0.00 1,159.00 100.00 0.00 115.90
114 Backflow Preventers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
115 Labor 1,920.00 1,632.00 288.00 0.00 1,920.00 100.00 0.00 0.00
116 Material 4,337.00 4,337.00 0.00 0.00 4,337.00 100.00 0.00 433.70
117 Vibration Isolation 29,532.00 28,350.72 295.32 0.00 28,646.04 97.00 885.96 1,033.63
118 Condensate Piping (M) 1,608.00 1,559.76 16.08 0.00 1,575.84 98.00 32.16 112.56
119 Condensate Piping (L) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
120 Basement 8,592.00 5,155.20 0.00 0.00 5,155.20 60.00 3,436.80 0.00
121 Orchestra 928.00 46.40 46.40 0.00 92.80 10.00 83.5.20 0.00
122 Box Tier 353.00 17.66 17.65 0.00 35.31 10.00 317.69 0.00
123 H dronic Piping (M) 197,044.00 195,073.56 0.00 0.00 195,073.56 99.00 1,970.44 15,763.52
124 Hydronic Piping (L) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
125 Basement 90,564.00 88,752.73 0.00 0.00 88,752.73 98.00 1,811.27 1,358.46
126 Plenum 14,180.00 14,180.00 0.00 0.00 14,180.00 100.00 0.00 0.00
127 Orchestra 26,716.00 21,372.80 1,335.80 0.00 22,708.60 85.00 4,007.40 0.00
128 Box Tier 25,375.00 20,300.04 1,268.75 0.00 21,568.79 85.00 3,806.21 0.00
129 Balcony 43,190.00 34,552.00 0.00 0.00 34,552.00 80.00 8,638.00 0.00
130 lAttic 13,309.00 6,654.52 0.00 0.00 6,654.52 50.00 6,654.48 0.00
131 Anchors and Guides 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
132 Labor 2,880.00 2,592.00 0.00 0.00 2,592.00 90.00 288.00 172.80
133 Material 1,834.001 1,834.00 0.001 0.00 1,834.001 100.00 0.001 18140
AIA Document G703 -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 4
to the maximum extent possible under the law. This document was produced by AIA software at 08:08:49 on 0312412010 under Order No.1000389341_1 which expires on 5113/2010, and is not for resale.
User Notes: (1569396957)
134 Miscellaneous Supports 79,294.00 75,329.30 0.00 0.00 75,329.30 95.00 3,964.70 4,757.65
135 H dronic Specialties 77,660.00 77,660.00 0.00 0.00 77,660.00 100.00 0.00 0.00
139 Water Treatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
140 Labor 600.00 552.00 0,00 0.00 552.00 92.00 48.00 0.00
141 Material 3,132.00 3,13100 0.00 0.00 3,132.00 100.00 0.00 0.00
Riggin/Offloading HVAC
143 Equipment 3,840.00 3,840.00 0.00 0.00 3,840.00 100.00 0.00 0.00
144 AHU Connections 55,320.00 54,213.60 553.20 0.00 54,766.80 99.00 553.20 0.00
145 Duct Heating Coil Connections 1,260.00 1,197.00 63.00 0.00 1,260.00 100.00 0.00 0,00
146 VAV Connections Basement 8,285.00 4,142.52 3,314.00 0.00 7,456.52 90.00 828.48 0.00
147 VAV Connections Plenum 1,763.00 1,763.02 0.00 0.00 1,763.02 100.00 -0.02 0.00
148 VAV Connections Orchestra 1,586.00 793.00 713.70 0.00 1,506.70 95.00 79.30 0.00
149 VAV Connections Box Tier 4,231.00 634.66 1,480.85 0.00 2,115.51 50.00 2,115.49 0.00
150 VAV Connections Balcony 3,173 .00 95.20 0.00 0.00 95.20 3.00 3,077.80 0.00
151 VAV Connections Attic 2,820.00 84.60 0.00 0.00 84.60 3.00 2,735.40 0.00
Unit Heater Connections
152 Basement 428.00 0.00 0.00 0.00 0.00 0.00 428.00 0.00
Unit Heater Connections
154 Orchestra 215.00 0.00 0.00 0.00 0.00 0.00 21.5.00 0.00
Unit Heater Connections Box
155 Tier 107.00 0.00 0.00 0.00 0.00 0.00 107.00 0.00
156 IFCU Connections Basement 2,057.00 1,234.20 0.00 0.00 1,234.20 60.00 822.80 0.00
157 FCU Connections Orchestra 1,028.00 328.97 61.68 0.00 390.65 38.00 637.35 0.00
158 FCU Connections Box Tier 515.00 103.02 25.75 0.00 128.77 25.00 386.23 0.00
159 Radiant Floor System 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
160 Labor 20,483.00 20,483.00 0.00 0.00 20,483.00 100.00 0.00 1,904.92
161 Material 11,816.00 11,816.00 0.00 0.00 11,816.00 100.00 0.00 1,181.60
162 Humidifier Connections 15,360.00 4,608.00 0.00 0.00 4,608.00 30.00 10,752.00 0.00
163 FTR Connections Basement 664.00 498.01 165.99 0.00 664.00 100.00 0.00 0.00
164 FTR Connections Plenum 2,656.00 2,124.81 531.19 0.00 2,656.00 100.00 0.00 0.00
165 FTR Connections Orchestra 14,605.00 11,684.00 2,921.00 0.00 14,605.00 100.00 0.00 0.00
166 FTR Connections Box Tier 6,307.00 4,414.92 1,261.40 0.00 5,676.32 90.00 630.68 0.00
167 FTR Connections Balcony 9,958.00 6,970.96 1,991.60 0.00 8,962.56 90.00 995.44 0.00
168 FTR Connections Attic 1,992.001 298.80 99.60 0.00 398.40 20.00 1,593.601 0.00
169 Insulation Basement 0.00 0.001 0.00 0.00 0.001 0.00 %1 0.001 0.00
AIA Document G703 -1992. Copyright Q 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 5
to the maximum extent possible under the law. This document was produced by AIA software at 08:08:49 on 0 3124/2 01 0 under Order No.1000389341_1 which expires on 5/13/2010, and is not for resale.
User Notes: (1569396957)
170 Labor 31,937.00 27,146.46 638.74 0.00 27,785.20 87.00 4,151.80 638.74
171 Material 27,208.00 27,208.00 0.00 0.00 27,208.00 1.00.00 0.00 2,176.64
172 Insulation Plenum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
173 Labor 18,103.00 17,197.86 362.06 0.00 17,559.92 97.00 543.08 0.00
1.74 Material 15,423.00 15,423.00 0.00 0.00 15,423.00 100.00 0.00 0.00
175 Insulation Orchestra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
176 Labor 14,914.00 12,527.79 298.28 0.00 12,826.07 86.00 2,087.93 0.00
177 Material 12,706.00 12,706.00 0.00 0.00 12,706.00 100.00 0.00 0.00
178 Insulation Box Tier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
179 Labor 13,835.00 2,075.26 0.00 0.00 2,075.26 15.00 11,759.74 0.00
180 Material 11,786.00 2,357.21 1,767.90 0.00 4,125.11 35.00 7,660.89 0.00
181 Insulation Balcony 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
182 Labor 13,835.00 0.00 2,767.00 0.00 2,767.00 20.00 11,068.00 0.00
183 Material 11,786.00 2,357.21 3,535.80 0.00 5,893.01 50.00 5,892.99 0.00
184 Insulation Attic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
185 Labor 13,835.00 0.00 0.00 0.00 0.00 0.00 13,835.00 0.00
186 Material 11,786.00 2,357.21 0.00 0.00 2,357.21 20.00 9,428.79 0.00
187 Tem Controls Engineering 64,446.00 64,446.00 0.00 0.00 64,446.00 100.00 0.00 6,444.60
188 Temp. Controls Basement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
189 Labor 83,003.00 70,552.59 0.00 0.00 70,552.59 85.00 12,450.41 0.00
190 Material 151,376.00 151,376.00 0.00 0.00 151,376.00 100.00 0.00 12,110.09
191 Temp, Controls Plenum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
192 ILabor 51,877.00 31,126.22 7,781.55 0.00 38,907.77 75.00 12,969.23 0.00
193 Material 78,178.00 78,178.00 0.00 0.00 78,178.00 100.00 0.00 5,472.46
194 Temp. Controls Orchestra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
195 Labor 15,563.00 8,092.80 2,023.19 0.00 10,115.99 65.00 5,447.01 0.00
196 Material 25,508.00 25,508.00 0.00 0.00 25,508.00 100.00 0.00 0.00
197 ITemp. Controls Box Tier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
198 Labor 15,563.00 5,447.06 0.00 0.00 5,447.06 35.00 10,115.94 0.00
199 Material 25,508.00 25,508.00 0.00 0.00 25,508.00 100.00 0.00 0.00
200 Tem Controls Balcony 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
201 Labor 15,563.00 7,003.36 0.00 0.00 7,003.36 45.00 8,559.64 0.00
202 Material 22,701.001 22,701.00 0.001 0.001 22,701.001 100.00 0.00 0.00
AIA Document G703 -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 s
to the maximum extent possible under the law. This document was produced by AIA software at 08:08:49 on 03124/2010 under Order No.1000389341_1 which expires on 5(1312010, and is not for resale.
User Notes: (1569396957)
203 Tem Controls Attic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
204 Labor 15,563.00 3,890.76 0.00 0.00 3,890.76 25.00 11,672.24 0.00
205 Material 16, 170.00 16,_ 170.00 0,00 0.00 16,170.00 100.00 0.00 0.00
206 Test and Balance 19,474.00 0.00 389.48 0.00 389.48 2.00 19,084.52 0.00
207 CO #1 GPI #2 Leach/Russel 24,090.00 24,090.00 0.00 0.00 24,090.00 100.00 0.00 2,409.00
208 CO #2 GPI #3 ASI #18 1,776.00 1,776.00 0.00 0.00 1,776.00 100.00 0.00 177.60
209 GPI #6 Triplex Sump Basin 61,694.00 61,694.00 0.00 0.00 61,694.00 100.00 0.00 3,084.70
GPI #7A Basement Kitchen
210 Rev isions 17,328.00 15,421.92 519.84 0.00 15,941.76 92.00 1,386.24 356.26
GPI #10 Box Tier Catering
211 Kitchen 85,312.00 75,927.70 2,559.36 0.00 78,487.06 92.00 6,824.94 1,706.25
213 AW 430OA -001 F #15 7,277.00 7,277.00 0.00 0.00 7,277.00 100.00 0.00 72.78
214 AW 430QA -002 F #18 8,605.00 8,605.00 0,00 0.00 8,605.00 100.00 0.00 86.06
215 AW 4290A -001 F #5 1,392.00 1,392.00 0.00 0.00 1,392.00 100.00 0.00 139.21
216 AW 4290A -003 F #8 1,372.00 1,372.00 0.00 0.00 1,372.00 100.00 0.00 137.21
217 AW 4290A -002 F#9 1,845.00 1,845.00 0.00 0.00 1,845.00 100.00 0.00 184.50
218 AW 4290B -001 F #19 8,044.00 8,044.00 0.00 0.00 8,044.00 100.00 0.00 80.44
219 AW 4290A -004 F #23A 5,361.00 5,361.00 0.00 0.00 5,361.00 100.00 0.00 536.10
220 AW 4290B Water /Sewer Bills 8,276.84 7,797.84 479.00 0.00 8,276.84 100.00 0.00 317.94
221 AW 430OA -005 F #27 21,740.00 11,304.80 0.00 0.00 11,304.80 52.00 10,435.20 0.00
222 AW 430OA -003 F #24 5,023.00 5,023.00 0.00 0.00 5,023.00 100.00 0.00 0.00
223 jAW 4290A -005 F #28 6,928.00 1,385.60 0.00 0.00 1,385.60k2O .00 5,542.40 0.00
224 AW4300A- 006 -F #25 10,104.00 10,104.00 0.00 0.00 10,104.00 00.00 0.00 0.00
225 GPI #22 Crossover Bride 17,533.00 17,533.00 0.00 0.00 17,533.00 00.00 0.00 876.65
226 AW 430OA -11 F #45 579.00 579.00 0.00 0.00 579.00 00.00 0.00 0.00
227 AW 430OA -10 F #43 6,563.00 6,563.00 0.00 0.00 6,563.00 00.00 0.00 0.00
228 AW 4290A -008 F#41 5,933.00 3,263.16 593.30 0.00 3,856.46 65.00 2,076.54 0.00
CO #8 GPI #30 Lift Station
229 Slab 7,946.00 7,946.00 0.00 0.00 7,946.00 100.00 0.00 0.00
230 AW 430OA -013 F #58 4,521.00 0.00 0.00 0.00 0.00 0.00 4,521.00 0.00
231 AW 430OA -012 F#48 2,937.00 0.00 0.00 0.00 0.00 0.00 2,937.00 0.00
232 AW 4290A -009 F #57 1,105.00 0.00 0.00 0.00 0.00 0.00 1,105.00 0.00
233 AW 4290A -007 F #36 1,653.00 0.00 0.00 0.00 0.00 0.00 1,653.00 0.00
234 AW 430OA -009 F #17 2,376.001 0.001 0.001 0,001 0.00 0,00 2,376.00 0.00
AIA Document G703 -1992. Copyright Q 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 7
to the maximum extent possible under the law. This document was produced by AIA software at 08:08:49 on 03/2412010 under Order No.1000389341_1 which expires on 5/13/2010, and is not for resale.
User Notes: (1569396957)
GRAND TOTAL 3,673,163.00 2,996,116-911 67,586.751 0.001 3,063,703.661 93.41 609,459.34 161,762.59
AIA Document G70 3-1992. Copyright 1963,1965,1966,1967 970, 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, end will be prosecuted 8
to the maximum extent possible under the low. This document was produced by AIA software at 08:08:49 on 0312412010 under Order No.1000389341_1 which expires on 5/13/2010, and is not for resale.
User Notes: (1569396957)
Application #14
Affidavit and Waiver of Lien
Final
x Partial
x ].Payment Received
State of Indiana County of Marion SS:
Anthony Richardson being duly sworn states that he is the Secretary/Treasurer of General Piping, Inc.
having contracted with the City of Carmel to furnish certain materials and/or labor as follows:
Mechanical Work for a project known as Parcel 7A, Regional Performing Arts Center located at 211 City
Center Drive Carmel, IN 46032 and owned by the City .of Carmel and does hereby further state on behalf of
the aforementioned Contractor:
Partial Waiver
...that there is due from the Owner the sum of One Hundred Seventeen Thousand Sig Hundred Forty Eight
Dollars and 74 Cents ($117,648.74)
x receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration of this 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 the final balance due from the Owner is the sum of
receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration of this Affidavit and Partial
Waiver of Lien which 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, if any; and farther
certifies that no other party has any claim or right to a lien on account of any work performed or material
furnished to the undersigned for said project, and within the scope of this affidavit and waiver.
General Piping, Inc. Secretary/Treasu
(Firm) (Authorize epresentative) (Title)
Witness my hand and Notorial Seal, this 31' day of Mar 20 LO
Luke Roseboom
(Printed) (Notary Public)
My Commission Expires: July 7, 2012 Residing in Hendricks County
Application #15
Affidavit and Waiver of Lien
Final
x Partial
x Payment Received
State of Indiana County of Marion SS:
Anthony Richardson being duly sworn states that he is the Secretary/Treasurer of General Piping, Inc.
having contracted with the City of Carmel to furnish certain materials and/or labor as follows:
Mechanical Work for a project known as Parcel 7A Regional Performing Arts Center located at 211 City
Center Drive Carmel, IN 46032 and owned by the City of Carmel and does hereby further state on behalf of
the aforementioned Contractor:
Partial Waiver
...that there is due from the Owner the sum of One Hundred Thirty Sits Thousand One Hundred Sixty Four
Dollars and 5 Cents ($136,164.05)
x receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration of this 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 the final balance due from the Owner is the sum of
receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration of this Affidavit and Partial
Waiver of Lien which 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, if any; and further
certifies that no other party has any claim or right to a lien on account of any work performed or material
furnished to the undersigned for said project, and within the scope of this affidavit and waiver.
General Piping, Inc. Secretary/Treasurer
(Firm) (Authorize epresentative) (Title)
Witness my hand and Notorial Seal, this 24 day f M ch 010
Luke Roseboom
(Printed) (Notary Public)
My Commission Expires: July 7, 2012 Residing in Hendricks County
Application #16
Afdavit and Waiver of Lien
Final
x Partial
x Payment Received
State of Indiana County of Marion SS:
Anthony Richardson being duly sworn states that he is the Secretary/Treasurer of General Piping, Inc.
having contracted with the City of Carmel to furnish certain materials and/or labor as follows:
Mechanical Work for a project known Parcel 7A, Regional Performing Arts Center located at 211 City
Center Drive Carmel, IN 46032 and owned by the City of Carmel and does hereby further state on behalf of
the aforementioned Contractor:
Partial Waiver
...that there is due from the Owner the sum of Two Hundred Thousand Seven Hundred Fifteen Dollars and
27 Cents ($200,715.27)
x receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration of this 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 the final balance due from the Owner is the sutra of
receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration of this.Affidavit and Partial
Waiver of Lien which 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, if any; and further
certifies that no other party has any claim or right to a lien on account of any work performed or material
furnished to the undersigned for said project, and within the scope of this affidavit and waiver.
r
General Piping, Inc. Secretary/Treasurer
(Firm) (Authorize resen tive) (Title)
Witness my hand and Notorial Seal, this 24 d of rch 1
Luke Roseboom
(Printed) (Notary Public)
My Commission Expires: July 7, 2012 Residing in Hendricks County
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
Purchase Order No.
36 7 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4
Total G 7 _57Z 7>
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.
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
G S�75 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 /ca
signat re
Director of Redevelopment
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund