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Home My WebLink AboutHorning Roofing - $50,400 Draft Alternate Clay Tile Roofing (Horning Roofing) Up Through January 2010 Partial Contract Amounts through application 8 Completed and Stored to date $ 134,000.00 Retention held(based on 10%retention) $ 13,400.00 Paid to date $ 120,600.00 Paid by Carmel Theater Development Company $ 120,600.00 February 2010 Partial Contract Amounts for application 9 Completed and Stored $ - Retention held(based on 10%retention) $ - To be paid $ - April 2010 Partial Contract Amount for application 11 Completed and Stored $ 56,000.00 Retention held(based on 10%retention) $ 5,600.00 To be paid $ 50,400.00 Amount to be paid by Carmel Theater Development Company $ 50,400.00 wtA\ IADocument G702/CMa - 1992. Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER PROJECT:-ma fr-ed 7 APPLICATION NO: // Distribution to: earMe/H-edea/ ntena'` .. .V;ona_/ r-e lime)11. -- i h Y PERIOD TO:.. --/5-/D OWNER ❑ , /ne (%/ � Sia`'e- 41:r (e/J�/i CONSTRUCTION MANAGER ❑ CCU Fati60 CTOR:6d�� VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ do rn Jh 6,f;//,''- .51)11/S-e) ,1 PROJECT NOS: 2(gQSI I CONTRACTOR ❑ a31//C),, terf/'i Je ?G./"/'P/ VIA ARCHITECT: FIELD ❑ `(XOTI1I'P 'T46R: yLea'a` (1s') ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment hasbeen completed in accordance with the Continuation pi is Sheet,AIA aymemeas shown is attached. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $i 3�'GF s70 payment shown •t in is now duo. 2.Net change by Change Orders $ , /.06 CONTRACTO, /l 3.CONTRACT SUM TO DATE(Line I ±2) iyl I .', Q,di By: / % I Date: y.2,) -/d 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ /!b,6-e?,76016 State of: 1"c/,'4,4, ,. 5.'RETAINAGE: County of:al r or>. a. %of Completed Work Subscribed and sworn to before (Column D+Eon G703) $ 9oi.q/ St) me this .21— day of �',/r .iO/(7 b. 9'o of Stored Material Notary Public: (Column F on G703) $ d,O(} My Commission expires: gfra,e4AA?y(j z,.A01i Total Retainage(Lines 5a+513 or Total in Column I of 0703).. $ 9D, qiV-5'd CERTIFICATE FOR PAYMENT //�� //8'415" In accordance with the Contract Documents,based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ 7/00) sa this application, the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) p knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $67.6- . 3&4 del accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. ///_ x 8.CURRENT PAYMENT DUE $ S'3 1/lo/.,5D AMOUNT CERTIFIED $ g '7('/ 5-6 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied.Initial all figures on this ¢ /y �/�/ Application Ind on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ S'/Q -I`7 7.5 CONSTRUCTION 7_7 R: By: ��JJJCti �----� Date: ',Z7 - 4 J(J CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITEC /' Di Total changes approved in previous months by Owner $ r // $ I. By: � Date: "l ,Z ` 'i jr Total approved this Month $• f ,,.a $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ $ named herein. Issuance, payment and:acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ if:Vf.7JfD OD the Owner or Contractor under this Contract. CAUTION:You-should sign•an original;AIA'Contract_Document,;anwhich/This text appears in RED.ArfOriginal:assures that.changes'will not be obscured: AIA Document G7021CMa"-1992.Copyright O 1992 by The American Institute of Architects.All rights reserved.WARNING:This'Ale Document is protected'by U.S:Copyright Law and International Treaties. .Unnuthorized reproduction or distribution of this Ale Document;or any,portion of it,-may result insevere civit and criminal penolties,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. CONTINUATION SHEET AlA DOCUMENT G703 Page,1 of 1_, Application No 25 Application Date: 03/23/2010 JOB NAME CARMEL-R PAC CONSTRUCTION Period To: 04/01/2010 HORNING JOB # 8-2408 Architects Project No: A B C D E F G H I Work Completed Materials Total Balance Retainage From Previous Presently Completed & to Finish Application Stored Stored to.Date (G/C) Item# Description of Work Scheduled Value (D+E) This Period (Not in D or E) (D+E+F) 1 Roofing Labor $107,140100 $77,290.00 .$20,000:00 $97,290.00 $9,850.00 $7,290.00 2 Roofing Material . $166;980:00 $166,980.00 $166,980.00 $0.00 $16;698.00 3 Nailbase Material $105,300:00 $105,300.00 $105,300.00 $0:00 $10,530.00 4 Nailbase Labor $38,1.80:00 $38,180:00 $38,180.00 $0.00 $3,818.00 5 Sheet Metal Labor $57,350.00 $30,070.00 $30,070:00, $27,280.00 $3,007.00 6 Sheet Metal Material $146,390.00 $146;390.00 $146,390:00 $0.00 $14,639.00 7 Tile Dome Material $112,000.00 $112,000.00 $112,000:00 $0.00 $11,200.00 8 Tile Dome Labor $39,800.00 $0.00 $0.00' $39,800100 $0.00 9 Tile Balance Material $168,000.00 $101,000:00 $101,000:00 $67,000.00 $10,100.00 10 Tile'Balance Labor $59;700.00 $15,000.00 $15;000.00 $44,700.00 $1,500.00. 11. Paver Material $56;700.00 $0.00 $0:00 $56,700.00 $0.00. 12 Paver Labor $18,900.00 $0.00 '$0:00 $18,900.00 $0.00 . 13 Bond $15,010.00 $15,010.00 $.15010.00 $0.00 $1,501.00 14 Subcontractor $250,000.00 $2,100.00 $2,100.00 $247,900.00 $210.00 15 Submittals $5,000.00 $5,000.00 $5,000.00 '$0.00 $500.00 16 Safety/Start-up $7,500.00 $3,000.00 $3,000.00 $4,500.00 $300.00 17 Clean-up/Closeout $7,500.00 $0.00 , $0,00 $7,500.00 $0.00 18 Change Order 4#1 ($1,430.00) ($1,430:00) ($1,430.00) $0.00 ($143.00) 19 Change Order#2 $419,400.00 $134;000.00 $56,000100 '$190;000:00 $229,400.00 $6,377.50' 20 Allowance $5,000.00, $0.00 $0.00 $5,000.00 $0.00. 21 Change Order,#4 $33,870.00 $33,870.00 $33,870.00 $0:00 $3,387.00 $1,818,290.00 '$983,760.00 $76,000.00 $0.00 $1,059,760.00 $758,530:00 $90,914:50 HORNING ROOFING & SHEET METAL CO, LLC AFFIDAVIT AND WAIVER OF LIEN INVOICE# 11 STATE: INDIANA FINAL PARTIAL A PAYMENT TO FOLLOW _ COUNTY OF: MARION _RON PHELPS It Being duly sworn that he is the President of_Horning Roofing& Sheet Metal Company, LLC contract With Carmel Redevelopment Commission to furnish certain materials and/or labor as follows: As Per Contract for a project known as as: Carmel Regional Performing Arts Center located in: Carmel and owned by and does hereby further state on behalf of the aforementioned subcontractor:/supplier: (PARTIAL WAIVER) That there is due from the contractor the sum of: DOLLARS: $97,650.00 X. receipt of which is hereby acknowledged or the payment of which has been promised as'the sole consideration of the 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 there is due from the contractor the sum of: DOLLARS: receipt of which is hereby:acknowledged or the payment of which has been promised as the sole consideration of the affidavit and Final Waiver of'Lien which is 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,in any,and further certified that no other party has any claim or.right to lien on account of any work performed or material furnished to undersigned for said project and within the scope.of this affidavit and wavier. _Horning Roofing&Sheet Metal Co.,LLG_By: /it l President �� n Phelps II WITNESS MY HAND AND NOTARIAL SEAL THIS: 11717/09 MY COMMISSION EXPIRES:02-02-11 COUNTY OF RESIDENCE:Morgan a NOTARY Kevin L:Moore