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HomeMy WebLinkAbout187171 07/06/2010 CITY OF CARMEL, INDIANA VENDOR: 363789 Page 1 of 1 ONE CIVIC SQUARE CIRCLE B COMPANY, INC CHECK AMOUNT: $604,713.75 �a CARMEL, INDIANA 46032 5636 S MERIDIAN ST INDIANAPOLIS IN 46217 CHECK NUMBER: 187171 CHECK DATE: 7/6/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 APP 19 604,713.75 PERFORMING ARTS CENTE AIA Document G7021CMa TM -1992 Application and Certificate f ©r Payment Construction Manager Adviser Edition 3 TO OWNER: PROJECT: APPLICATION NO. l Distribution to: CARMEL REDEVELOPMENT COMMISSION CARMEL PERFORMING ARTS CENTER PERIOD TO OWNER 1-1 ONE CIVIC SQUARE. 4/15/2010 CARMEL, IN 46032 CONSTRUCTION MANAGER FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 4/22/08 ARCHITECT CIRCLE B CONSTRUCTION SYSTEMS SHIEL SEXTON COMPANY PROJECT NOS: 2695 -4090 1 CONTRACTOR 5636 S. MERIDIAN ST. INDIANAPOLIS IN 46217 VIA ARCHITECT: FIELD CONTRACTFOR: INTERIOR FINISHES CSO ARCHTIECTS CONTRACTOR'S APPLICATION FOR PAYMENT The undersi Contractor certifies that to the best of the Contractor's knowled information and Application is made for payment, as shown below, in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the 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 Pay men w re 'sued and payments received from the Owner, and that current 1. ORIGINAL CONTRACT SUM 6,394, ayment sho ere w e. 2. Net change by Change Orders (19, 569.0 CONT ONSTRUCTION SYSTEMS 3. CONTRACT SUM TO DATE (Line 1 2);;q 6, 374, 931 .O�Y Dater 4. TOTAL COMPLETED g STORED" DATE (Column G on G703) 5 418 ,178 .4- §tate of: DANA 5. RETAINAGE Count o Y MARION a. of Cohipleted Work Subsc ed d wor o (Column D E on G703) 318,746.55 me this °f f CATHY A. GINDEIR b. %of Stored Material Notary Public: NOTARY PUBLIC STATE OF INDIANA JOHNSON COUNTY (Column F on G703) My Commission 1res. W COMMISSION EXP. FEB. 1. 2017 Total Retainage. (Lines 5a +5b or Total in Column of G703). 318, 746.55 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising 6. TOTAL EARNED LESS RETAINAGE 5 ,099,431'. 88 this application, the Construction Manager and Architect certify to the Owner that to the best of their (Lane 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 4,494, 718 13 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8. CURRENT PAYMENT DUE 604, 713.75 AMOUNT CERTIFIED 9. BALANCE TO FINISH, INCLUDING RETAINAGE Applicatio ore t hettha a e t hanged to _applied. Initial all figures on this conform with the amount certifieri. (Line 3 less Line 6) 1,275,499.1 CONS UCTION M E By. Date: Z-7 ID CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH Total changes approved in previous months by Owner By: Date: Total a roved this "Month PP This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only o the ontractor TOTALS named herein. Issuance;' payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order 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 G7021CNtaTm 1992. Copyright 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. r Document G702/CMa'm- 1992 Instructions Application and Certificate for Payment Construction Manager Adviser Edition A. General Information AIA Document G702 /CMa, Application and Certificate for Payment, Construction Manager Adviser Edition, is to be used in conjunction with AIA Document G703, Continuation Sheet. These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner, but not as a constructor, and where multiple Contractors have direct Agreements with the Owner. Procedures for their use are covered in AIA Document A201 /CMa, General Conditions of the Contract for Construction, Construction Manager- Adviser Edition, 1992 Edition. B. Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this document, nor does membership in The American institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702 /CMa, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EULA). To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. C. Completing the G702/CMa Form After the Contractor has completed AIA Document G703, Continuation Sheet, summary information should be transferred to AIA Document G7021CMa, Application and Certificate for Payment, Construction Manager Adviser Edition. The Contractor should sign G702/CMa, have it notarized and submit it, together with G703, to the Construction Manager and Architect. The Construction Manager and Architect should review G702 /CMa and G703 and, if they are acceptable, complete the Certificate for Payment on G702 /CMa. The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A201 /CMa. They should then initial all figures on G702 /CMa and G703 that have been changed to conform to the amount certified and attach an explanation. The completed G702 /CMa and G703 should be forwarded to the Owner. D. Completing the G703 Form Heading: This information should be completed to be consistent with similar information on AIA Document G702 /CMa, Application and Certificate for Payment, Construction Manager Adviser Edition. Columns A, B C: These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted. The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially, this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. Column D: Enter in this column the amount of completed work covered by the previous application (columns D E from the previous application). Values from column F (Materials Presently Stored) from the previous application should not be entered in this column. Column E: Enter here the value of Work completed at the time of this application, including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored (column F). Column F: Enter here the value of Materials Presently Stored for which payment is sought. The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E (Work Completed This Period). Column G: Enter here the total of columns D, E and F. Calculate the percentage completed by dividing column G by column C. Column H: Enter here the difference between column C (Scheduled Value) and column G (Total Completed and Stored to Date). Column I: This column is normally used only for contracts where variable retainage is permitted on a line -item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders: Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project, this is not normally done. Usually, Change Orders are listed separately, either on their own G703 form or dvthe.end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 /CMa tormA Construction Change Directives: Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders. Amounts remaining in dispute should be dealt with according to Section 7.3 in A20y /CMa: E. Making Payment The Owner should make payment directly to the Contractor based on the amount certified bytttie Construction Manager and Architect on AIA Document G7021CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition. The completed form contains the name and address of the.Cont%tor. Payment should not be made to any other party unless specifically indicated on G702/CMa. AIA Document G7021CMaTM 1992. Copyright 1992 by The American Institute of Architects..All rights reserved. WARNING: This AJO 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 If 0) copies of this document when completed. To report copyright viofations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. 1A Document G703TM 1992 Continuation Sheet AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached, APPLICATION DATE: 1 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 0411512010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT N0: 04/15 /2010 A B C D E F G H WORK COMPLETED MATERIALS TOTAL ITEM BALANCE PRESENTLY COMPLETED RETAINAGE DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS TO NO. VALUE STORED AND STORED (G C) FINISH ([F VARIABLE APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (D E) D OR E) (D +E +F) (C G) 100 BASEMENT FRAME MATL 107,259.00 107,259.00 107,259.00 100.00 101 BASEMENT FRAME LABOR 85,992.00 85,992.00 85,992.00 100,00 102 BASEMENT HANG MATL 125,006.00 125,006.00 125,006.00 100.00 103 BASEMENT HANG LABOR 133,158.00 133,158.00 1.33,158.00 100.00 104 ORCHESTRA FRAME MATL 118,670.00 118,670.00 118,670.00 100.00 105 ORCHESTRA FRAME LAB 100,713.00 90,641.70 5,035.65 95,677.35 95.00 5,035.65 106 ORCHESTRA HANG MAIL 124,796.00 112,316.40 12,479.60 124,796.00 100.00 107 ORCHESTRA HANG LAB 141,631.00 70,815.50 35,407.75 106,223.25 75.00 35,407.75 1.08 BALCONY FRAME MATL 108,051,00 108,051.00 108,051.00 100.00 109 BALCONY FRAME LABOR 92,419,00 64,693.30 13,862.85 78,556.15 85.00 13,862.85 110 BALCONY HANG MATL 115,731.00 92,584.80 23,146.20 115,731.00 100.00 III BALCONY HANG LABOR 129,223.00 51,689.20 12.,922.30 64,611.50 50.00 64,61 1.50 112 BOX TIER FRAME MATL 135,171.00 135,171.00 135,171.00 100,00 113 BOX TIER FRAME LABOR 113,521.00 79,464.70 34,056.30 113,521.00 100.00 114 BOX TIER HANG MATL 140,350.00 98,245.00 42,105.00 140,350.00 100.00 115 BOX TIER HANG LABOR 178,584.00 44,646.00 89,29100 133,938.00 75.00 44,646.00 116 ATTIC FRAME MATL 102,176.00 1.02,176,00 102,176.00 100.00 117 ATTIC FRAME LABOR 87,922.00 87,922.00 87,922,00 100.00 118 ATTIC HANG MATL 90,226.00 90,226.00 90,226.00 100.00 119 ATTIC HANG LABOR 11.0,889.00 1.10,889.00 110,889.00 100.00 120 ACOUS CEILING MATL 52,941.00 52,941.00 PAGE TOTALS: 2,394,429.00 1,909,616.60 268,307.65 .00 2,177,924.25 216,504.75 .00 CAUTION: You should sign an original AIA Con tract Document, on which this text appears in RED. An original assures that chang 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, copyrlghl@aia.org. S AIA Document GM 1992 Instructions MEN= Continuation Sheet GENERAL INFORMATION ;Purpose and Related Documents. AIA Document G702, Application and Certificate for Payment, is to be used in conjunction with AIA Document G703, Continuation Sheet. These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered In AIA Document A201, General Conditions of the Contract for Construction. Use of Current Documents. Prior to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition Reproductions. This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproducethisldocument, nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission from.the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EULA). To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. COMPLETING THE G703 FORM Heading: This information should be completed in a manner consistent with similar information on AIA Document G702, Application and Certificate for Payment. Columns A, 8, &,C: These columns should,be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the of the Project or as subsequently adjusted. The breakdown may be by sections of the Work or by Subcontractors and should 'remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at'the bottom when more than one page is used and totaled on the last page. Initially, this total should equal the original Contract Sum, The total of column C maybe adj'usted by Change Orders during the Project. Column D: Enter in this column the amount of completed Work covered by the previous application (columns D E from the previous application). Values from column F (Materials Presently.Stored) -from the previous application should not be entered in this column. Column E: Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under -Materials Presently Stored (column F). Column F: Enter here the`value of Materials Presently Stored for which payment is sought. The total of the column must be recalculated at the end of each pay period. This value covers-both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E (Work Completed This Period). Column G.: Enter here the-_total of columns D, E and F. Calculate the percentage completed by dividing column G by column C. Column H: Enter here the difference between column C` (Scheduled Value) and the column G (Total Completed and Stored to Date). Column t: This,column is normally used Orly for contracts where variable retainage is permitted on a line -item basis. It need not be completed on projects where a constant retainage i's'withheld'from' the`ov_erall amount. Change Orders: Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project, this is not normally done. Usually, Change Orders are listed separately, either on the own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location of the G702 form. Construction Change Directives: Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders. Amounts remaining indispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress. Please note that dollar amounts shown are for illustrative purposes only, and are not intended to reflect actual construction costs. A B C D E F G H WORK COMPLETED MATERIALS TOTAL BALANCE ITEM SCHEDULED FROM PRESENTLY CONIFLETED TO RETAINAGE No. DESCRIPT[ON OF_WORK VALUE PREVIOUS STORED AN[) STORED (GEC) FINISH (IF VARIABLE APPLICATION PHIS PERIOD (NOTIN '['D DATE RATE) (D +E) DORL') (D +E +F) (C G) 1 MIONLIZ,ATION 5.000 5.000 O O 5.000 100 O 2 5TUMP REMOVAL 5,000 5.000 0 0 5.000 100 0 3 EARTH WORK.. 15,000 10.000 5.000 0 15.000 100 0 4 GOWER RETAINING WALL 10,000 0 5,000 0 5.000 50 5.000 5 CUR55 M15C. GONG. 5.000 0 0 0 0 0 5.000 6 PAVING. UPPER DRIVE 20.000 0 0 0 0 O 20.000 7 PAVING LOWER DRIVE 20,000 0 0 0 0 0 20.000 8 PAVER5 20,000 0 0 10.000 10.000 50 10.000 9 6PICK WORN 5,000 0 0 0 O 0 5.000 10 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 on 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 @ala.orig. f 1ADocument G703m 1992 Continuation Sheet AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 19 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 04/15/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT N0: 04/15/2010 A B C D E F G H WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED PRESENTLY COMPLETED TO RETAINAGE FROM PREVIOUS STORED AND STORED (G C) FINISH (fF VARIABLE NO. VALUE APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (D E) D OR E) (D +E +F) (C G) 121 ACOUS CEILING LABOR 40,759.00 40,759.00 122 INSULATION MATL 82,670.00 66,136.00 16,534.00 82,670.00 100.00 123 INSULATION LABOR 117,330.00 70,398.00 35,199.00 105,597.00 90.00 11,733.00 200 N/S ELIP CLG METAL M 51,331.00 51,331.00 51,331.00 100.00 201 N/S ELIP CLG METAL L 201,384.00 201,384.00 201,384.00 100.00 202 N/S ELIP CLG PLAS M 74,360.00 74,360.00 74,360.00 100.00 203 N/S ELIP CLG PLAS L 438,153.00 438,153.00 438,1.53.00 100.00 204 MAIN ELIP CLG METL M 52,412.00 52,412.00 52,412.00 100.00 205 MAIN ELIP CLG METL L 168,703.00 168,703.00 168,703.00 100.00 206 MAIN ELIP CLG PLAS M 71,273.00 71,273.00 71,273.00 100.00 207 MAIN ELIP CLG PLAS L 430,314.00 430,314.00 430,314.00 100.00 208 UP /LOW BALCNY METL M 15,304.00 15,304.00 15,304.00 100.00 209 UP /LOW BALCNY METL L 143,518.00 143,518.00 143,518.00 100.00 210 UP /LOW BALCNY PLAS M 37,975.00 37,975.00 37,975.00 100.00 211 UP /LOW BALCNY PLAS L 633,522.00 380,113.20 158,380.50 538,493.70 85.00 95,028.30 212 BOX TIER/COL METAL M 10,245.00 10,245.00 10,245.00 100.00 213 BOX TIER /COL METAL L 118,363.00 118,363.00 118,363.00 100.00 214 BOX TIER/COL PLAS M 70,300.00 70,300.00 70,300.00 100.00 215 BOX TIER/COL PLAS L 319,455.00 159,727.50 63,891.00 223,618.50 70.00 95,836.50 216 ORCH H/L METAL M 5,317.00 5,317.00 5,317.00 100.00 217 ORCH H/L METAL L 112,967.00 112,967.00 112,967.00 100.00 218 ORCH H/L PLASM 15,260.00 15,260.00 15,260.00 100.00 ri PAGE TOTALS 3,210,915.00 2,693,553.70 274,004.50 .00 2,967.558.20 243,356.80 .00 CAUTION: You should sign an original AIA C o n tract D o cum ent, on which this text appears in RED. An original assures that changes w ill not be obscured. 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 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, 7 2ol AIA TM Document G703 -1992 Instructions Continuation Sheet GENERAL INFORMATION ?urpose and Related Documents. AIA Document G702, Application and Certificate for Payment, is to be used in conjunction with AIA Document G703, Continuation Sheet. These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in -AIA Document A201, General Conditions of the Contract for Construction. Use of Current Documents. Priorto using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition Reproductions. This`dociiment is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this; document, nor does membership in The American Institute of Architects confer any further rights to reproduce this document: The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission frotfi the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EU.LA)., To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright@aia.org. COMPLETING THE G703 FORM Heading: This information should be completed in a manner consistent with similar information on AIA Document G702, Application and Certificate for Payment. Columns A, B, C: These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the of the Project or as subsequently adjusted. The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at'the bottom when more than one page is used and totaled on the last page. Initially, this total should equal the original Contract Sum. The total of °column C maybe adjusted.by Change Orders during the Project. Column D: Enter.in this column the amount.of completed Work covered by the previous application (columns D E from the previous application). Values from column F (Materials Presently.Stored from the previous application should not be entered in this column. Column E: Enter here the value.of'Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under.- Materials Presently Stored (column F). Column F: Enter here -the value of Materials Presently Stored for which payment is sought. The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from this and incorporated into column `E (Work Completed This Period). Column G: Enter here the total of columns D,, E and F. Calculate the percentage completed by dividing column G by column C. Column H: Enter here the difference,between column C (Scheduled Value) and the column G (Total Completed and Stored to Date). Column I: This column is normally 'used only for contracts where variable retainage is permitted on a line -item basis. It need not be completed on projects where a constant retainage is withheld from the'oVe ral I contract amount. Change Orders: Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project, this is not normally _done. Usually,.Change Orders are listed separately, either on the own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location of the G702 form. Construction Change Directives: Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders. Amounts remaining indispute should be dealt with according to Section 7.3 in A201. The following is,an example of a Continuation Sheet for work in progress. Please note that dollar amounts shown are for iAustrative purposes only, and are not intended to reflect actual construction costs. A B C D E F G H WORK COMPLETED MXITRIALS TOTAL BALANCE ITEM SCHE DULFD FROM PRF_SFNTLY COMPLETED TO RETAINAGE NO: .DESCRIPTION OF WORK VALUE PREVIOUS ITORFD AND STORED (G C) FINISH (]F VARIABLE APPLICATION THIS PEk[6D IN0 TO DATE RATE) (D F) I M0511ZATION 5,000 5.000 0 0 5.000 100 0 2 5TUMP'RE1KAOVAL 5.000 5.000 O 0 5.000 100 O 5 EARTH WORK 15.000 10.000 5.000 0 15A00 100 0 4. LOWER RETAINING WALL' 10,000 0 5.000 0 5,000 50 5,000 5 CUP55 M15C. CONC. 5,000 0 0 0 0 0 5,000 6 PAVING. UP U DRIYE 20.000 0 0 0 0 0 20.000 7 PAVING, LOWER DRIVE 20.000 0 0 0 0 0 20.000 8 PAVERS 20.000 0 0 10.000 10,000 50 10.000 BRIG{ WORK: 5,000 0 O 0 0 0 5.000 10 c 10,UUU A!A Document G703 TM -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 on 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.o6g. e a. 1A Document G703TM 1992 Continuation Sheet AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 19 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 04/15/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 04/15/2010 A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED PRESENTLY COMPLETED TO RETAINAGE NO. VALUE FROM PREVIOUS STORED AND STORED (G C) FINISH RATE) VARIABLE APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (D E) D OR E) (D +E +F) (C G) 219 ORCH H/L PLAS L 315,844.00 63,168.80 47,376.60 110,545.40 35.00 205,298.60 220 4090A GEN. ALLOWANCE 225,000.00 154,030.40 154,030.40 68.46 70,969.60 221 4090B CAD ALLOWANCE 5,000.00 5,000.00 5,000.00 100.00 222 4100A GEN ALLOWANCE 175,000.00 90,025.18 90,025.18 51.44 84,974.82 223 4100B CAD ALLOWANCE 5,000.00 5,000.00 5,000.00 100.00 300 BOND PREMIUM 63,312.00 63,312.00 63,312.00 100.00 301 CO. #1 /CCR #1008 60,100.00 15,025.00 15,025.00 30,050.00 50.00 30,050.00 302 C.O. #2 /CCR #101.1 27,970.00 27,970.00 303 C.O. #3 /CCR #1012 1,200.00 1,200.00 304 C.O. #4 /CCR #1014 19,800.00 19,800.00 305 C.O. 45 /CCR #101.5 31,680.00 31,680.00 306 C.O. #6 /CCR #1016 27,720.00 2,772.00 2,772.00 10.00 24,948.00 308 CO #8/PAC006(CO7 0) 20,490.00 20,490.00 20,490.00 100.00 309 CO 9 /ALLOWANCE ADJ 226,269.00 226,269.00 226,269.00 100.00 310 CO #11 /HIGH RAILING 17,740.00 17,740.00 17,740.00 100.00 3 J J CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures t hat change will not be obscured. AIA Document G703 TM —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. 1 TM Document G703 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents. AIA Document G702, Application and Certificate for Payment, is to be used in conjunction with AIA Document G703, Continuation Sheet. These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201, General Conditions of the Contract for Construction. Use of Current Documents. Prior'to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition Reproductions. This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this document, nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission from the AIA. Rights Ito reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EULA). To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright@aia.org. COMPLETING THE G703 FORM Heading: This information should be completed in a manner consistent with similar information on AIA Document G702, Application and Certificate for Payment. Columns A, B, &•C: These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the of the Project or as subsequently adjusted. The breakdown may be by sections of the Work or by Subcontractors and should'remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at bottom when more than one page is used and totaled on the last page. Initially, this total should equal the original Contract Sum. The total column C may:beadjusted by Change Orders during the Project. Column 0: Enter in this.column the amounf completed Work covered by the previous application (columns D E from the previous application). Values from column F (Materials Presently Stored)-from the previous application should not be entered in this column. Column E: Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under'Materials Presently Stored (column F). Column F: 'Enter here the'value of Materials Presently Stored for which payment is sought. The total of the column must be recalculated at the end of each pay period. This value covers both- materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by. the Ownerfor.stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from this�column and•incorporated into column E (Work Completed This Period). Column G: Enter here the total of columns D; E and F. Calculate the percentage completed by dividing column G by column C. Column H: Enter here.the difference,between column. C (Scheduled Value) and the column G (Total Completed and Stored to Date). Column I: This column is normally used only for contracts where variable retainage is permitted on a line -item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders: Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project, this is not normally done. Usually, Change Orders are listed separately, either on the own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location of the G702 form. Construction Change Directives: Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders. Amounts remaining indispute should be dealt with according to Section 7.3 in A201. The following is.an example of a Continuation Sheet for work in progress. Please note that dollar amounts shown are for illustrative purposes only, and are not intended to reflect actual construction costs. A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM SCHEDULED FROM PRESENTLY COMPLETED TO RETAINAGE NO. DESCRI[IION OF,WORK. VALUE PREVIOUS STORED ANDSTORED (G C) FINISH (IF VARIABLE APPLICATION THIS PERIOD (NOTIN TO DATE RATE) (D +E) DORE) (D +F +F) (C G) 1 MOBIL IZATION 5.000 5.000 O 0 5.000 100 O 2 STUMP REMOVAL. 5.000 5.000 O 0 5.000 100 O '5 EARTH WORK 15.000 10.000 5.000 O 15.000 100 O 4 LOWER RETAINING WALL 10.000 0 5.000 0 5.000 50 5,000 5 CUR55 MI5C. CONC. 5.000 0 0 0 0 0 5.000 0 rAVING, UPPER DRIVE 20.000 O 0 O 0 0 20.000 7 PAVING, LOWER, DRIVE 20.000 0 0 0 0 0 20.000 8 PAVER5 20.000 0 0 10.000 10.000 50 10.000 5PICK WORT: 5,000 0 0 0 0 0 5.000 10 __11 lun,uGu c AIA Document G703 TM -1992. Copyright ©1963, 1965, 1966, 1967, 1970 1978, 1983 and 1992 b The American Institute of Architects. All rights reserved. WARNING: Y 9 This AlA® Document is protected by U.S. Copyright law and International Treaties. Unauthorized reproduction or distribution on 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(?taia.orig. AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TO FOLLOW STATE OF INDIANA COUNTY OF MARION SS: JOHN M. ABBOTT BEING DULY SWORN THAT HE IS THE PRESIDENT OF CIRCLE B CONSTR. SYSTEMS, LLC HAVING CONTRACTED WITH CARMEL REDEVELOPMENT COMMISSION TO FURNISI -i CERTAIN MATERIALS AND /OR LABOR AS FOLLOWS: INTERIOR FINISHES FOR A PROJECT KNOWN AS: CARMEL PERFORMING ARTS CENTER AND OWNED BY: CAR-MEL REDEVELOPMENT COMMISSION DOES HEREBY FURTHER STATE OF BEHALF OF THE AFOREMENTIONED SUBCONTRACTOWSUPPLIER: PARTIAL WAIVER) THAT THE BALANCE DUE FROM THE CONTRACTOR IS THE SUM OF 54,056,363.33 XX RECEIPT OF WATCH IS HEREBY ACKNOWLEDGED: OR THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND PARTIAL WAIVER OF LIEN, WHICH IS GIVEN TO AND FOR SAID AMOUNT, EFFECTIVE UPON RECEIPT OF PAYMENT; (FINAL WAIVER) THAT T141E FINAL BALANCE DUE IS THE SUM OF: RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED: OR THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR T141S AFFIDAVIT AND WAIVER OF LIEN WHICH SHALL BECOME EFFECTIVE UPON RECEIPT OF SUCH PAYMENT. THEREFORE THE UNDERSIGNED WAIVES AND RELEASES UNTO THE OWNER OF SAID PREMISED, ANY AND ALL LIEN OF CLAIM WHATSOEVER ON THE ABOVE DESCRIBED PROPERTY AND IMPROVEMENTS ON ACCOUNT OF LABOR OR MATERIAL OR BOTH, FURNISHED BY THE UNDERSIGNED THERETO, AND FUR'Cl -1ER THAT NO OTHER PARTY HAS ANY CLAIM OR RIGHT TO A LIEN ON ACCOUNT OF WORK PERFORMED OR MATERIAL FURNISHED TO THE UNDERSIGNED FOR SAID ROJE AND WITHIN THE SCOPE OF THIS AFFIDAVIT AND WAIVER. CIRCLE B CONSTR. SYSTEMS, LLC B TITLE: PRESIDENT W I NO I L SEAL THIS 20th DAY OF APRIL, 2010 'r C LR AR I MY CO MI SION EXPIRES: 02/01/2017 RESIDENT OF JOHNSON COUNTY 4. �3.. M eRCLE B Construction systems OWNER: 04/20/2010 CARMEL REDEVELOPMENT COMMISSION CM: SHIEL SEXTON COMPANY PROJECT: CARMEL PERFORMING ARTS PROJECT NO. 2695 -4090 DRYWALL PAYMENT VERIFICATION AFFIDAVIT: THE FOLLOWING PAYMENTS HAVE BEEN RECEIVED: APPLICATION NO. AMOUNT PAID. J. #1 56,980.80 #2 8,369.42 #3 16,209.00 #4 44,810.04 95 57,634.11 #6 76,202.64 #7 201,168.08 #8 169,090.74 #9 280,896.48 #10 35,997.80 #11 8,465.60 #12 437,984.92 #13 514,933.22 #14 357,219.33 #15 546,768.67 #16 621,587.91 #17 622, 044.57 TOTAL PAID TO DATE 4,056,363_33 i i I ONSTRUCTION SYSTEMS j M. ABBOTT, PRESIDENT (317) 757 -5746 i fax (317) 780 -2654 i 5535 South Meridian Street Indianapolis, Indiana 46217 i Equaf Opportunity Ernpiwer l 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 11 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 0f /S GOy 7/3, 7S r 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 C i`rr�o �J C. Grp 7 r� i�7; v �ys7�o <r's IN SUM OF 6�y '713, 75 ON ACCOUNT OF APPROPRIATION FOR Pay from TIF III Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT I hereby certify that the attached invoice(s), or 664 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 !5 1 Director of hhW"b$ffiCA Title Cost distribution ledger classification if claim paid motor vehicle highway fund