HomeMy WebLinkAbout189647 09/14/2010 CITY OF CARMEL, INDIANA VENDOR:" 363794 Page 1 of 1
ONE CIVIC SQUARE GENERAL PIPING, INC
CARMEL, INDIANA 46032 PO BOX 34367 CHECK AMOUNT: $37,816.97
INDIANAPOLIS IN 46234
CHECK NUMBER: 189647
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 APP 21A 37,816.97 PAC JUNE
Y
*.AIA Document G7021CMa 1992 Py
Application and Cettipcate for Payment Construction Manager Adviser Edition
TO OWNER: City of Carmel PROJECT: CPAC 84% APPLICATION NO: 021 Distribution to:
OWNER:
PERIOD TO: June 30, 2010 CONSTRUCTION MANAGER:
FROM General Piping, Inc. VIA CONSTRUCTION Shiel Sexton CONTRACT DATE: June 11, 2008 ARCHITECT:
CONTRACTOR P.O. Box 34367 MANAGER: PROJECT NOS: NA! 2829! NA CONTRACTOR:
Indianapolis, IN 46234 FIELD:
CONTRACT FOR: V IA AR C H I T ECT: CSO Architects OTHER:
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by this Application for Payment has been completed in accordance with the
Application is made for payment, as shown below, in connection with the Contract. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Continuation Sheet, AIA Document G703, is attached. Certificates for Payment were issued and payments received from the Owner, and that current payment
1. ORIGINAL CONTRACT SUM 3,492,504.00 shown herein is now due.
2. NET CHANGE BY CHANGE ORDERS 221,209.00 CONTRACTOR:
3. CONTRACT SUM TO DATE (Line 1 f 2) 3,713,713.00 By: Date: June 23, 2010
4. TOTAL COMPLETED STORED TO DATE (Column G on G703) 3,369,268.31 State of: Indiana
5. RETAINAGE: County of: Hendricks
a. 100 of Completed Work Subscribed and sworn to before
(Column D E on G703) 161,762.59 me this a$ day of ,A t 1 2O 10
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 I of G703) 161,762.59 CERTIFICATE FOR PAYMENT
6. TOTAL EARNED LESS RETAINAGE 3,207,505.72 In accordance with the Contract Documents, based on on -site observations and the data comprising this
(Line 4 Less Line 5 Total) application, the Construction Manager and Architect certify to the Owner that to the best of their
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 3,169,688.75 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 AMOUNT
(Line 6 from prior Certificate) CERTIFIED.
8. CURRENT PAYMENT DUE 1 37,816.9 AMOUNT CERTIFIED 37,816.97
9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amo applied Initial all figures on this
Application and ottle Continuation Sheet that are cha ed conform with the amount certified.)
(Line 3 less Line 6) 506,207.28 CONS RUCTION MANAGE
By Date:
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARC
Total changes approved in previous months by Owner 241,444.60 20,235.60 By: Date:
Total approved this Month 0.00S 0.00 This Certifi a is not gotiable. The AMOUNT CERTIFIED is payable only to t Contractor named
TOTALS 241,444.60 20,235.60 herein. Issu ce, ent and acceptance of payment are without prejudice to any rights of the Owner
or Contras der this Contract.
NET CHANGES h Change Order 221,209.00
AIA Document G7021CMa"- —1892. Copyright 1992 by The American Institute of Architects. All rights reserved. WARNING: This A10 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 penattles, and will be prosecuted to the maximum extent possible
under the law. This document was produced by ALA software at 08:30:34 on 06/23/2010 under Order No.9656147774_1 which expires on W1 3/2011. and is not for resale.
User Notes:
(1376902342)
Document 6103 ®1992
Continuation Sheet
AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 021
containing Contractor's signed certification is attached. APPLICATION DATE: 06/23/2010
In tabulations below, amounts are in US dollars.
Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 06/30/2010
ARCHITECT'S PROJECT NO: NA
A B C D E F G H I
WORK COMPLETED TOTAL
FROM MATERIALS COMPLETED e BALANCE TO RETAINAGE
ITEM DESCRIPTION OF SCHEDULED PRESENTLY /o
NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD STORED DATE (G C) (C G) RATE)
D E) (NOT IN D OR E) (D+E +F)
1 Bond 27,350.00 27,350.00 0.00 0.00 27,350.00 100.00% 0.00 2,735.00
Supervision/PM/Gen.
2 Cond. 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
3 Labor 181,855.00 169,125.06 3,382.50 0.00 172,507.56 94.86% 9,347.44 10,911.30
4 Material 72,013.00 66,971.84 1,339.44 0.00 68,31.1.28 94.86% 3,701.72 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 5,400.00 1,800.00 0.00 7,200.00 60.00% 4,800.00 0.00
7 Closeout 6,000.00 0.00 0.00 0.00 0.00 0.00% 6,000.00 0.00
3D
8 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 13,200.00 300.00 0.00 13,500.00 90.00% 1,500.00 675.00
AW 48 Plumbing
12 (4290A) 76,621.00 0,00 0.00 0.00 0.00 0.00 76,621.00 0.00
A #9 Water /Gas
1.3 (4290B) 142,250.10 0.00 0.00 0.00 0.00 0.00% 142,250.10 317.94
AW 410 Hyd.
14 (4300A) 6,443.00 0.00 0.00 0.00 0.00 0,00% 6,443.00 0.00
15 AW 416 CAD (4290) 10,000.00 0.00 0.00 0.00 0.00 0.00% 10,000.00 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 5,1.00.00 3,315.001 510.00 0.00 3,825.00 75.00% 1,275.00 0.00
19 Material 5,100.00 4,335.001 510.00 0.00 1,845.0 95.00 255.00 0.00
AIA Document G703T -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 prosecuted to 1
the maximum extent possible under the law. This document was produced by AIA software at 08:33:42 on 06 /23MIO under Order No.9656147774 1 which expires on 05/13/2011, and is not for resale.
User Notes: (1213036851)
A B C D I E F G H I
WORK COMPLETED MATERIALS TOTAL
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE
NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD STORED DALE (G C) (C G) RATE)
(D E) (NOT IN D OR E) (D +E +F)
20 Firesto22ing 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
21 Labor 5,350.00 5,082.50 107.00 0.00 5,189.50 97.00% 160.50 160.50
22 Material 5,939.00 5,939.00 0.00 0.00 5,939.00 100,00% 0.00 178.18
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
Sleeves /Core Drill
27 Holes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
28 Labor 19,200.00 19,200.00 0.00 0.00 1.9,200.00 100.00%1 0.00 1,536.00
29 Material 31,800.00 31,800.00 0.00 0.00 31,800.00 100.00% 0.00 2,544.00
30 Grease Interceptor 0.00 0.00 0.00 000 0.00 0.00% 0.00 0.00
31 Labor 3,360.00 3,259.20 0.00 0.00 3,259.20 97.00% 100.80 0.00
32 Material 16,830.00 16,830.00 0,00 000 16,830.00 100.00% 0.00 0.00
33 Cranes and Lifts 24,000.00 22,800.00 960.00 0.00 23,760.00 99.00% 240.00 1,440.00
34 Underground WN 0.00 000 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 35,120.00 000 0.00 35,120.00 100.00% 000 3,51100
37 Underground Storm 0.00 0,00 0.00 0.00 0.00 0.00%1 0.00 0.00
38 Labor 6,303.00 6,303.00 0.00 0.00 6,303.00 100.00% 0.00 630.30
39 Material 10,637.00 10,637.00 0.00 0.00 10,637.00 100.00% 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
Aboveground WN
43 (M) 1 165,426.00 165,426.00 000 0.00 165,426.00 100.00% 0.00 14,888.34
Aboveground WN
44 (L) 0.00 0.00 0.00 0.001 0.00 0.00% 0.00 0.00
45 lBasement 33,050.001 33,050.00 0.00 0.001 33,050.00 100.00%1 0.001 2,247.40
AIA Document G703 Copyright ®1963, 1965, 1966, 1967,1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This A10 Document is protected by U.S.
Copyright Law and International Treaties. Unauthorized reproduction or distribution of this A10 Document, or any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to 2
the maximum extent possible under the law. This document was produced by AIA software at 08:33:42 on 06/23/2010 under Order No.9656147774_1 which expires on 0511312011. and is not for resale.
User Notes: (1213036851)
A B C D E F G H I
WORK COMPLETED MATERIALS TOTAL
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE
NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD DATE (G C) (C G) RATE)
(D E) (NOT IN D OR E) (D+E +F)
46 Plenum 17,879.00 17,879.00 0.00 0.00 17,879.00 100.00%1 0.00 446.98
47 Orchestra 22,368.00 21,696.97 447.36 0.00 22,144.33 99.00% 223.67 559.21
48 Box Tier 18,144.00 17,236.80 725.76 0.00 17,962.56 99.00% 181.44 453.60
49 Balcony 18,409.00 17,488.55 736.36 0.00 18,224.91 99.00% 184.09 92.05
50 Attic 7,121.00 6,907.42 142.42_ 0.00 7,049.84 99.00% 71.16 35.61
Aboveground Storm
51 (M) 67,165.00 67,165.00 0.00 0.00 67,165.00 100.00% 0.00 6,044.86
Aboveground WN
(L)
Aboveground Storm
52 0.00 0.00 0.00 0.00 0.00 0.00%1 0.00 0.00
53 Basement 6,120.00 6,120.00 0.00 0.00 6,120.00 100.00 %1 0.00 459.00
54 Plenum 365.00 365.00 0.00 0.00 365.00 100.00% 0.00 0.00
55 Orchestra 7,856.00 7,698.89 78.56 0.00 7,777.45 99.00% 78.55 314.24
56 Box Tier 3,665.00 3,591.73 36.65 0.00 3,628.38 99.00% 36.62 18.33
57 Balcony 15,976.00 15,656A8 159.76 0.00 15,816.24 99.00% 159.76 127.81
58 Attic 9,667.00 9,473.66 96.67 0.00 9,57033 99.00% 96.67 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 6,791.40 0.00 0.00 6,791.40 90.00% 754.60 528.22
61 Material 27,882.00 27,882.00 0.00 0.00 27,882.00 100.00% 0.00 2,369.98
68 Domestic Water (M) 184,831.00 184,831.00 0.00 0.00 184,831.00 100.00% 0.00 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 85,091.00 0.00 0.00 85,091.00 100.00% 0.00 2,046.17
71 Plenum 19,393.00 19,199.10 0.00 0.00 19,199.10 99.00% 193.90 232.72
72 Orchestra 26,728.00 26,460.72 0.00 0.00 26,460.72 99.00%1 267.28 320.74
73 Box Tier 18,955.00 18,007.25 758.20 0.00 18,765.45 99.00%1 189.55 227.46
74 Balcony 17,692.00 16,80T401 707.681 0.001 17,515.08 99.00% 176.92 12184
75 Attic 823.00 781.851 32.92 0.00 814.77 99.00% 8.23 5.76
76 Incoming Dom. 0.00 0.001 0.001 0ml 0.00 0.00 0.00 0.00
AIA Document. G703TM' -1992. copyright m 1963. 1965, 1966, 1967.1970, 1976, 1983 and 1992 by The American Institute of Architects. Alt rights reserved, WARNING: This AIA Document is protected by U.S.
Copyright Law and International Treatles. Unauthorized reproduction or distribution of this AlA Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to 3
the maximum extent possible under the law. This document was produced byAIA software at 08:33:42 on 0612312010 under Order No.9656147774_1 which ewes on 05/13/2011, and is not for resale.
User Notes: (1213036851)
A B C D E F G H I
WORK COMPLETED TOTAL
FROM MATERIALS COMPLETED o BALANCE TO RETAINAGE
ITEM DESCRIPTION OF SCHEDULED PRESENTLY /o
NO. WORK VALUE PREVIOUS AND STORED TO (G C) FINISH (1F VARIABLE
APPLICATION THIS PERIOD STORED DATE (C G) RATE)
(D E) (NOT IN D OR E) (D +E +F)
Water Service
77 Labor 6,864.00 6,864.00 0.00 0,00 6,864.00 100.00% 0.00 274.56
78 Material 7,163.00 7,1.63.00 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%1 0.00 0.00
81 Basement 21,076.00 21,076.00 0.00 0.00 21,076.00 100.00%1 0.00 2,107.60
82 Plenum 1,920.00 1,920.00 0.00 0.00 1,920.00 100.00% 0.00 153.60
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 Balcony 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%1 0.00 1.86.00
87 Carriers (M) 12,347.00 12,347.00 0,00 0.00 12,347.00 100,00%1 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 Basement 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 2,100.00 0.00 0.00 2,100.00 100.00% 0.00 178.50
92 Box Tier 4,500.00 4,500.00 0.00 0.00 4,500.00 100.00% 0.00 382.50
93 Balcony 3,000.00 3,000.00 0.00 0.00 3,000.00 100.00% 0.00 225.00
94 Attic 300.00 300.00 0.00 0.00 300.00 100.00 0.00 22.50
Gas Pressure
95 Regulator 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
96 Labor 480.00 240.00 0.00 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 1 2,858.00 2,572.20 0.00 0.00 2,572.20 90.00%1 285.80 0.00
100 Material 1,220.00 1,220.00 0.00 0.00 1,220.00 100.00% 0.00 109.80
101 Kitchen Connections 6,000.00 5,880.00 0.00 0.00 5,880.00 98.00% 120.00 0.00
I08 Water Softener 0.001 0.00 0,001 0.001 0.00 0.00 0.00 0.00
AIA Document G703Tr -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 AJO Document, orany portion of it, may result in severe civil and criminal penalties, and will be prosecuted to 4
the maximum extent possible under the law. This document was produced by AIA software at 08:33:42 on 06!2312010 under Order No.9656147774_1 which expires on 05/13/2011, and is not for resale.
User Notes: (1213036851)
A B C D E F G H I
WORK COMPLETED MATERIALS TOTAL
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE
NO. WORK VALUE PREVIOUS STORED AND STORED TO (G C) FINISH (IF VARIABLE
APPLICATION THIS PERIOD DATE (C G) RATE)
(D E) (NOT IN D OR E) (D +E +F)
109 Labor 2,400.00 2,352.00 0.00 0.00 2,352.00 98.00%1 48.00 0.00
110 Material 1,453.00 1,453,00 0.00 0.00 1,453.00 100.00% 0.00 0.00
Thermostatic Mixing
III Valves 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
112 Labor 840.00 840.00 0.00 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%1 0,00 0.00
115 Labor 1,920.00 1,920.00 0.00 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 28,646.04 590.64 0.00 29,236.68 99.00% 295.32 1,03163
Condensate Piping
118 (1) 1,608.00 1,608.00 0.00 000 1,608.00 100.00% 0.00 112.56
Condensate Piping
119 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
120 Basement 8,592.00 7,732.80 859.20 0.00 8,592.00 100.00% 0.00 0.00
121 Orchestra 928.00 928.00 0.00 0.00 928.00 100.00% 0.00 0.00
122 Box Tier 353.00 353.00 0.00 0.00 353.00 100,00% 0.00 0.00
123 Hydronic Piping (M) 197,044.00 197,044.00 0.00 0.00 197,044.00 100.00% 0.00 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 89,658.37 905.63 0.00 90,564.00 100.00% 0,00 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 25,380.20 1,068.64 0.00 26,448.84 99.00% 267.16 0.00
128 Box Tier 25,375.00 25,121.29 0.00 0.00 25,121.29 99.00% 253.71 0.00
129 Balcony 43,190.00 41,030.50 1,727.60 0.00 42,758.10 99.00% 431.90 0.00
130 Attic 13,309.00 12,643.55 532.36 0.00 13,175.91 99.00%1 133.09 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 2,736.00 144.00 0.00 2,880.00 100.00% 0.00 1722.80
133 Material 1,834.00 1,834.00 0.00 0.00 1,834.00 100.00% 0.00 183.40
134 Miscellaneous 7 9, 2 94.0 0 76,915.18 1,585.88 0.00 78,50 9 792.94 4,757.65
AIA Document G703T -1992 Copyright 0 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 AI0 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. This document was produced by AIA software at 08:33:42 on 06/23/2010 under Order No.9656147774 1 which expires on 0511312011, and is not for resale,
User Notes: (1213036851)
A B C D I E F G H I
WORK COMPLETED TOTAL
FROM PRESENTLY COMPLETED o BALANCE TO RETAINAGE
ITEM DESCRIPTION OF SCHEDULED PRESENTLY /e
NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD DATE (G G) (C G) RATE)
(D E) (NOT IN D OR E) (D +E +F)
Supports
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 600.00 570.00 30.00 0.00 600.00 100.00% 0.00 0.00
141 Material 3,132.00 3,132.00 0.00 0.00 3,132.00 100.00%1 0.00 0.00
Riggin /Offloading
143 HVAC 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 54,766.80 553.20 0.00 55,320.00 100.00% 0.00 0.00
Duct Heating Coil
1.45 Connections 1,260.00 1,260.00 0.00 0.00 1,260.00 100.00% 0.00 0.0
VAV Connections
146 Basement 8,285.00 8,285.00 0.00 0.00 8,285.00 100.00%1 0.00 0.00
VAV Connections
147 Plenum 1,763.00 1,763.00 0.00 0.00 1,763.00 100.00% 0.00 0.00
VAV Connections
148 Orchestra 1,586.00 1,586.00 0.00 0.00 1,586.00 100.00% 0.00 0.00
VAV Connections
149 Box Tier 4,231.00 4,019.46 169.24 0.00 4,188.70 99.00%1 42.30 0.00
VAV Connections
150 Balcony 3,173.00 3,014.36 126.92 0.00 3,141.28 99.00% 31.72 0.00
VAV Connections
151 Attic 2,820.00 2,115.00 676.80 0.00 2,791.80 99.00% 28.20 0,00
Unit Heater
Connections
152 Basement 428.00 406.60 21.40 0.00 428.00 100.00%1 0.00 0.00
Unit Heater
Connections
154 Orchestra 215.00 204.2 1 0.75 0.00 215.00 100.00% 0.00 0.00
Unit Heater
Connections Box
155 ITier 107.001 t0l.651 5.351 0.00 107.001 1.00.00 %1 0.00 0.00
AIA Document G703TM -1992. Copyright m 1963, 1965, 1966, 1967,1970, 1978, 1983 and 1992 by The American Institute of Architects. A0 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 prosecuted to 6
the maximum extent possible under the law. This document was produced by AIA software at 08:33:42 on 06/23/2010 under Order No.9656147774_1 which expires on 05/1312011 and is not for resale.
User Notes: (1213036851)
A B C D I E F G H l
WORK COMPLETED MATERIALS TOTAL
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE
NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G C) FINISH (IF VARIABLE
APPLICATION (NOT IN D OR E) DATE (C G) RATE)
(D E) (D+E +F)
FCU Connections
156 Basement 2,057.00 1,954.15 102.85 0.00 2,057.00 100.00% 0.00 0.00
FCU Connections
157 Orchestra 1,028.00 1,028.00 0.00 0.00 1,028.00 100.00% 0.00 0.00
FCU Connections
158 Box Tier 515.00 515.00 0.00 0.00 515.00 100.00%1 0.00 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 11,81.6.00 11,816.00 0.00 0.00 11,816.00 100.00% 0.00 1,181.60
Humidifier
162 Connections 15,360.00 8,448.00 3,072.00 0.00 11,520.00 75.00 3,840.00 0.00
FTR Connections
163 Basement 664.00 664.00 0.00 0.00 664.00 100.00% 0.00 0.00
FTR Connections
164 Plenum 2,656.00 2,656.00 0.00 0.00 2,656.00 100.00% 0.00 0.00
FTR Connections
165 Orchestra 14,605.00 14,605.00 0.00 0.00 14,605.00 100.00%1 0.00 0.00
FTR Connections
166 Box Tier 6,307.00 5,802.46 189.21 0.00 5,991.67 95.00% 315.33 0.00
FTR Connections
167 Balcony 9,958.00 9,161.72 298.74 0.00 9 95.00% 497.54 0.00
FTR Connections
168 Attic 1,992.00 697.20 1,195.20 0.00 1,892.40 95.00%1 99.60 0.00
169 Insulation Basement 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
170 Labor 31,937.00 30,340.16 1,277.48 0.00 31,617.64 99.00% 319.36 638.74
171 Material 27,208.00 27,208.00 0.00 0.00 27,208.00 100.00% 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 18,103.00 0.00 0.00 18,103.00 100,00% 0.00 0.00
174 Material 15,423.00 15,423.00 0.00 0.00 15,423.00 100.00% 0.001 0.00
175 Insulation Orchestra 0.001 0.00 0.001 0.00 0.00 0.00% 0.001 0.00
176 Labor 1.4,914.00 14,914.00 0.001 0.00 14,914.00 100.00% 0.001 0.00
AIA Document G703°-1992. Copyright Q 1963, 1965, 1966, 1987,1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved, WARNING: This Ale Document is protected by U.S.
Copyright Law and International Treaties. Unauthorized reproduction or distribution of this A10 Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to 7
the maximum extent possible under the law. This document was produced by AIA software at 08:33:42 on 06/23/2010 under Order No.9656147774_1 which expires on 05/1312011 and is not for resale.
User Notes: (1213036851)
A B C D E F G H I
WORK COMPLETED MATERIALS TOTAL
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE
NO. WORK VALUE PREVIOUS STORED AND STORED TO (G C) FINISH (IF VARIABLE
APPLICATION THIS PERIOD DATE (C G) RATE)
(D E) (NOT IN D OR E) (D+E +F)
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 13,835.00 0.00 0.00 13,835.00 100.00% 0.00 0.00
180 Material 11,786.00 11,786.00 0.00 0 .00 11,786.00 100.00% 0.00 0.00
181 Insulation Balcony 0.00 0.00 0.00 0.00 0.00 0.00%1 0.00 0.00
182 Labor 13,835.00 13,143.25 553.40 0.00 13,696.65 99.00% 138.35 0.00
183 Material 11,786.00 11,786.00 0.00 0.00 11,786.00 100.00% 0.00 0.00
184 Insulation Attic 0.00 0.00 0.00 0,00 0.00 0.00% 0.00 0.00
1.85 Labor 13,835.00 6,917.50 4 0.00 11,068.00 80.00% 2,767.00 0.00
186 Material 11,786.00 8,250.21 3,535.79 0.00 11,786.00 100.00% 0,00 0.00
Temp. Controls
187 Engineering 64,446.00 64,446.00 0.00 0.00 64,446.00 100.00% 0.00 6,444.60
Temp. Controls
188 Basement 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
189 Labor 83,003.00 72,212.65 0.00 72,212.65 87.00%1 10,790.35 0.00
1.90 Material 151,376.00 151,376.00 0.00 0.00 151,376.00 100.00% 0.00 12,110.09
Temp. Controls
191 Plenum 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
192 Labor 51,877.00 49,283.17 0.00 0.00 49,283.17 95.00% 2,593.83 0.00
193 Material 78,178.00 78,178.00 0.00 0.00 78,178.00 100.00% 0.00 5,472.46
Temp. Controls
194 Orchestra 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
195 Labor 15,563.00 13,695.48 OAO 0.00 13,695.48 88.00% 1,867.52 0.00
196 Material 25,508.00 25,508.00 0.00 0.00 25,508.00 100.00% 0.00 0.00
Temp. Controls Box
197 Tier 0.00 0.00 0.00 0.00 0.00 0.00% 0 .00 0.00
198 Labor 15,563.00 11,672.26 0.00 0.00 11,672.26 75.00% 3,890.74, 0.00
199 Material 25,508.00 25,508.00 0.00 0.00 25,508.00 100.00 0.00 0.00
200 ITemp. Controls 0.00 0.00 0.001 0.001 0.001 0.00 0.00 OAO
AIA Document G703 -1992. Copyright G 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 8
the maximum extent possible under the law. This document was produced by AIA software at 08:33:42 on 06/2312010 under Order No.9656147774 1 which expires on 05/13/2011, and is not for resale.
User Notes: (1213036851)
A B C D E F G H I
WORK COMPLETED MATERIALS TOTAL
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE
NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD DATE (G e C) (C G) RATE)
(D E) (NOT IN D OR E) (D+E +F)
Balcony
201 Labor 15,563.00 8,559.66 0.00 0.00 8,559.66 55.00% 7,003.34 0.00
202_ Material 22,701.00 22,701.00 0.00 0.00 22,701.00 100.00% 0.00 0.00
Temp. Controls
203 Attic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
204 Labor 15,563.00 6,225.21 0.00 0.00 6,225.21 40.00%1 9,337.79 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 4,867.70 0.00 0.00 4,867.70 25.00% 14,606.30 0.00
CO #1 GPI #2
207 Leach/Russel 24,090.00 24,090.00 0.00 0.00 24,090.00 100.00% 0.00 2,409.00
CO #2 GPI 93 ASI
208 #18 1,776.00 1,776.00 0.00 0.00 1,776.00 100.00 0.00 177.60
GPI #6 Triplex
209 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
210 Kitchen Revisions 17,328.00 17,328.00 0.00 0.00 17,328.00 100.00% 0.00 356.26
GPI #10 Box Tier
211 Catering Kitchen 85,312.00 85,312.00 0.00 0.00 85,312.00 100.00%1 0.00 1,706.25
AW 430OA -001
213 F#15 7,277.00 7,277.00 0.00 0.00 7,277.00 100.00% 0.00 72.78
AW 430OA -002
214 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 JAW 4290A -003 F #8 1,372.00 1,372.00 0.00 0.00 1,372.00 100.00%1 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
AW 4290B -001
218 F #19 8,044.00 8,044.00 0.00 0.00 8,044.00_ 100.00% 0.00 80.44
AW 4290A -004
219 F #23A 5,361.00 5,361.00 0.00 0.00 5,361.00 100-00% 0.00 536.10
AW 4290B
1 220 Water /Sewer Bills 9,705.90 9,260.39 445.51 0.00 9,705.90 100.00%1 0.001 317.94
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 9
the maximum extent possible under the law. This document was produced by AIA software at 08:33:42 on 06/23/2010 under Order No.9656147774_1 which expires on 05/1W0111. and is not for resale.
User Notes: (1213036851)
A B C D E F G H 1
WORK COMPLETED TOTAL
MATERIALS
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE
NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD STORED DATE (G C) (C G) RATE)
(D E) (NOT IN D OR E) (D +E+F)
AW 430OA -005
221 F #27 21,740.00 20,653.00 0.00 0.00 20,653.00 95.00% 1,087.00 0.00
AW 430OA -003
222 F #24 5,023.00 5,023.00 0.00 0.00 5,023.00 100.00% 0.00 0.00
AW 4290A -005
223 F #28 6,928.00 4,849.60 346.40 0.00 5,196.00 75.00%1 1,732.00 0.00
AW 430OA -006
224 F #25 10,104.00 10,104.00 0.00 0.00 10,104.00 100.00 0.00 0.00
GPI #22 Crossover
225 Bride 17,533.00 17,533.00 0.00 0.00 17,53100 100.00% 0.00 876.65
226 AW 4300A -1 I F#45 579.00 579.00 0.00 0.00 579.00 100.00% 0.00 0.00
227 AW 430OA -10 F #43 6,563.00 6,563.00 0.00 0.00 6,563.00 100.00% 0.00 0.00
AW 4290A -008
228 F #41 5,933.00 5,933.00 0.00 0.00 5,933.00 100.00% 0.00 0.00
CO #8 GPI #30
229 Lift Station Slab 7,946.00 7,946.00 0.00 0.00 7,946.00 100,00% 0.00 0.00
AW 430OA -013
230 F #58 4,521.00 4,52L00 0.00 0.00 4,521.00 100.00%1 0.00 0.00
AW 430OA -012
231 F#48 2,937.00 2,937.00 0.00 0.00 2,937.00 100.00% 0.00 0.00
AW 4290A -009
232 F 457 1,105.00 1,105.00 0.00 0.00 1,105.00 100.00% 0.00 0.00
AW 4290A -007
233 F #36 1,653.00 1,653.00 0.00 0.00 1,653.00 100.00% 0.00 0.00
AW 430OA -009
234 F #17 2,376.00 2,376.00 0.00 0.00 2,376.00 100.00% 0.00 0.00
CO #10 GPI #50
235 ASI 104 40,550.00 34,467.50 811.00 0.00 35,278.50 87.00%1 5,271.50 0.00
AW 430OA -014
236 F #66 3,304.00 3,304.00 0.00 0.00 3,304.00 100,00% 0.00 0.00
AW 430OA -015
237 F #65 2,995.00 2,995.00 0.00 0.00 2,995.00 100,00% 0.00 0.00
AIA Document G703H -1992. Copyright 1963, 1965, 1966, 1987,1970, 1978, 1983 and 1992 by The American Institute of Architects. Ail rights reserved. WARNING: This AIA Document is protected by U.S.
Copyright Law and International Treaties. Unauthorized reproduction or distribution of this Al a Document, orany portion of it, may result in severe civil and criminal penalties, and will be prosecuted to
the maximum extent possible under the law. This document was produced by AIA software at 08:33:42 on 06/23/2010 under Order No.9656147774_1 which expires on 05/13/2011, and is not for resale.
User Notes: (1213036851)
A B C D E F G H i
WORK COMPLETED TOTAL
FROM MATERIALS COMPLETED o BALANCE TO RETAINAGE
ITEM DESCRIPTION OF SCHEDULED PRESENTLY /o
NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G C) FINISH (IF VARIABLE
APPLICATION (NOT IN D OR E) DATE (C G) RATE)
(D E) (D +E +F)
GRAND TOTAL 1 $3,713,713.00 $3,331,451.341 $37,816.97 $0.00 $3,369,268.311 90.73%1 $344,444.691 $161,762.59
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 Ale 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. This document was produced by AIA software at 08:33:42 on 06/23/2010 under Order No.9656147774_1 which expires on 05/13/2011, and is not for resale.
User Notes: (1213036851)
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
A Purchase Order No.
Terms
1 4"11 �rlyq /,`s /ICJ 2 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3�elg. 7
Total 37
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
IN SUM OF
3y3G7
ON ACCOUNT OF APPROPRIATION FOR
F 11
�G2,y5�vro 7
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby cert that the attached invoice or
DEPT. Y certi Y
9G2 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
20 /O
Signature
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund