HomeMy WebLinkAboutBunting Graphics - $44,640.40 Regions Bank hereby is instructed to make a disbursement of Loan Proceeds from the Borrower Loan
Account to (or for the account of) Borrower in: (a) the amount of the "Total Authorized Disbursement" line
in the "Amount of Authorized Disbursement" column below; and (b) accordance with the terms and
conditions of the Agreement, the other Loan Documents, and the Disbursement Instructions.
Purpose of Authorized Disbursement Amount of Authorized Disbursement
Amount to be paid by Carmel Theater Development Company as per the PAC
Signage installment purchase contract
Application 5(Bunting Graphics) December 2011 $ 33,551.50
Application 6(Bunting Graphics) April 2012 $ 11,088.90
Total Authorized Disbursement $ 44,640.40
All terms used in these Disbursement Instructions without definition shall have the meanings ascribed
thereto in that certain Loan Agreement (Equipment and Improvements), dated July 22, 2010, by and
between Regions Ba k and Carmel Theater Development Company, LLC.
Dated: S//t /Z CITY OF CARMEL REDEVELOPMENT
/ COMMISSI N
By:
•
Les S. Olds
Printed:
Executive Director
Title:
It is acknowledged and agreed by the parties that CRC has reserved the right to require, as a condition of
authorizing disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of)
Borrower: (a) completion of a satisfactory inspection by CRC of the portions of the Equipment and/or the
Improvements to which the disbursement relates; and (b) receipt of customary submittals.
Bunting Grapics Check: 144
20 River Road Date: 5/15/2012
Vernon, PA 15147 Vendor: BUNTING1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
5 IPC 33,551.50 33,551.50 0.00 0.00 33,551.50
PAC Signage IPC - Regions
6 IPC 11,088.90 11,088.90 0.00 0.00 11,088.90
PAC Signage IPC - Regions
44,640.40 44,640.40 0.00 0.00 44,640.40
144
5/15/2012 **********44,640.40
THE SUM OF FORTY FOUR THOUSAND SIX HUNDRED FORTY DOLLARS AND 40 CENTS *********
Bunting Grapics
20 River Road
Vernon, PA 15147
Bunting Grapics Check: 144
20 River Road Date: 5/15/2012
Vernon, PA 15147 Vendor: BUNTING1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
5 IPC 33,551.50 33,551.50 0.00 0.00 33,551.50
PAC Signage IPC - Regions
6 IPC 11,088.90 11,088.90 0.00 0.00 11,088.90
PAC Signage IPC- Regions
44,640.40 44,640.40 0.00 0.00 44,640.40
Draft
PAC Signage (Bunting Graphics)
December 2010 (application 1)
Paid by the Carmel Theater Development Company $ 121,933.35
January 2011 (application 2)
Paid by the Carmel Theater Development Company $ 76,496.85
March 2011 (application 3)
Paid by the Carmel Theater Development Company $ 58,942.80
September 2011 (application 4)
Paid by the Carmel Theater Development Company $ 37,562.00
December 2011 (application 5)
Amount to be paid by the Carmel Theater Development Company $ 33,551.50
April 2012 (application 6)
Amount to be paid by the Carmel Theater Development Company $ 11,088.90
APPLICATION AND CERTIFICATION FOR PAYMENT AM DOCUMENT G702 PAGE ONE OF I PAGES
TO: CSO Architects PROJECT: 'Iihe Palladium at the APPLICATION NO: 05 Distribution to:
280 East 96th Street,Suite 100 Center for Performing Arts OWNER
Indianapolis,IN 46240 ARCHITECT
Attn:Brandon Hogan PERIOD TO: 12/31/11 CONTRACTOR
FROM CONTRACTOR: VIA ARCHITECT:
Bunting Graphics,Inc.
20 River Road,Verona,I'A 15147 PROJECT NOS: 66780
CONTRACT FOR: CONTRACT DATE: 09/22/10
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors knowledge.
Application is made for payment.as shown below.in connection with the Contract. information and belief the Work covered by this Application for Payment has been
Continuation Sheet.ALA Document G703.is attached. completed in accordance with the 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 payment shown herein is now due.
I. ORIGINAI_CONTRACTSiJM 5 454.oao.00 COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
2. Net change by Change Orders S CONTRACTOR
Marjorie R.G Notary Public
3. CONTRACT SUM TO DATE(Line I r 2) 5 454.080.00 Verona Bore,Germanowskl,owskl Allegheny County
4. TOTAL COMPLETED&STORED TO 5 364"985.00 / -,._ � r
DATE (Column G on G703) By: ii��y'' My Commission Expires June 20,2014 r
5. RETAINAGE: Richard 2olinas. Ft,„r e„? ptityrin_Ps!':.1lQlttJif r t
a. 10 :o of Completed Work S 36.498.50 State of:Pennsylvania County of:Allegheny
(Column D Eon G703) Subscribed ane=efore me thi god ay of April.2012
b. 10
%of Stored Material S 0 Notary Public: "—.••^-••• r-.---"L.
(Column F on G703) My Commission espires June 20.2014
Total Retainage(Lines 5a •5b or
Total in Column lofG703) S 36.498.50 ARCHITECTS CERTIFICATE FOR PAYMENT
6. TOTAL EARNED LESS RETAINAGE S 328.486.50 In accordance with the Contract Documents.based on on•site observations and die data
(Line 4 Less Line 5 Total) comprising the application.the Architect certifies to to Owner fiat to the best of Me
7, LESS PREVIOUS CERTIFICATES FOR Architect's knowledge.information and belief the Work has progressed as indicated.
PAYMENT(Line 6 front prior Certificate) S 294.935.00 the quality of the Work is in accordance with the Contract Documents.and the Contractor
8. CURRENT PAYMENT DUE $ 33.551.50 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH.INCLUDING RETAINAGE S 125.593.50
(Line 3 less Line 6) AMOUNT CERTIFIED S 3 r ✓� Plo`-
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation i(anrowN certified d firs front the amount applied.Initial all figures on this
Total changes approved Application and ondte Continuation Sheet that are changed to conform r,'itlh the amount certified.)
in previous months by Owner ARCHI'ITCi:
4\Total approved this Month By: —��� Date: Z, 1∎L
TOTALS $0.00 SO.UO "!tins Certifi e is not i gotiable. The MOUNT CERTIFIED is payable only to the
Contracto named rein.Issuance.i rt'and acceptance of payment are without
NET CHANGES by Change Order $0.00 prejudi to •rights of the Own •r Contractor under this Contract.
AN DOCUMENT 0792 APPLICATION AND CERTIFICATION FOR PAYMENT 1002 EDITION AN 01092 THE AMERICAN INSTITUTE OF ARCHITECTS,1715 NEW VORA AVE.N W.WASHINGTON.DC 20005-5202
Users may obtain validation of this document by requesting a completed AIA Document 0401-Certification of Document's Authenticity from the Licensee.
CONTINUATION SHEET AM DOCUMENT G703
A1A Document 0702.APPLICATION AND CERTIFICATION FOR PAYMENT.containing APPLICATION NO: 05 R
Contr actor's sigted coni5eation is attached. APPLICATION DATE: 04/20/12
In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/1 1
Use Column I on Contracts where variable retainage for lint items may apply. ARCHITECTS PROJECT NO: 66780
-
A B C D I 0 F G H 1
' ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATEIUALS TUrAL % BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS THIS PE)UOD PRESENTLY COMPLETED 10+C) TO FINISH (IF VARIABLE
APPLICATION STORED AND STORED (C-G) RATE)
(D4-E) (NOT IN TO DATE
DOREl (D*E*F')
1 General Condit-inns(Sep,•Dee.2010) 5158,928.00 015692800 $0.00 50.00 5158,928.00 1130% 50.00 $13.392.80
2 Submittals 514,758.00 514,758,00 50.00 50.00 514,758.00 100991, 50.00 51,475,80
3 Alt#1 Sigt Type A Wall&Letters 531,229,00 50.00 5I5,000.00 50.00 015.000.00 48% 516,229.00 51,500.00
4 Alta 2 Sigh Type B 58,255.00 50.00 57,255.00 5000 57255.00 88% $0.00 5725.50
5 Sign Type CFabrication 53.16900 S000 53.369.00 $0.00 53.369.00 100% 50.00 5336.90
6 Sim Type C Installation 01.925,00 00.00 50.00 50.00 50.00 0;'. S1,025.00 50.00
7 Alt N 3 Sign Type D 51.216 00 00,00 51,216,00 50.00 01.216.00 1001: 50.00 5121.60
a Ah#4 Sign Type 0 59.15500 50.00 08-155.00 50.00 58,155.00 8955 50.00 5515.50
9 Sig!Type F Fabricanan 517,57000 50.00 50 00 50.00 50.00 Ole 50.00 $000
10 Sip Type t installation 57.796.00 50.00 S0 00 50.00 50.00 0% 57,796.00 5000
11 Sig!Type Fabrication 51,146.00 51,146,00 50.00 50.00 51,146.00 100% 50.00 5114.60
12 Sign Type Installation 591.00 591,00 50.00 50.00 591.00 100% 50.00 59.10
I3 Sign Type)Fabrication 52,437.00 52,437.00 50.00 5000 52,437.00 100% 50.00 5243.70
14 S1gs Types!Installation 81,907.00 51,997.00 50.00 50.00 51,997.00 100% 50.00 5199.70
15 Sign Type K Falmcation 5884.00 5884.00 50.00 50.00 5884.00 100% 50.00 588 40
16 Sign Type K lnuallatian $128 00 5128.00 50 00 50,00 5128.00 100% S0.00 512.80
17 Sip Type LFabrication 51,419.00 51,419.00 50.00 50.00 51,419.00 100% 50.00 S14190
IS Sign Type L Installation 597.00 597.00 50.00 S000 507.00 100% 50.00 S970
19 Sign Type H Fabrication 5162.00 50.00 5162.00 50.00 5162,00 100% 50.00 $16 20
20 Sign Type H Installation 5989.00 50,00 50.00 50.00 50.00 0;e 5989.00 50 00
21 Sign Type AA Fabrication 550800 0505.00 50.00 50.00 5508.00 100% 50.00 55080
22 Sign Type AA Installation 5614.00 5614.00 00.00 50.00 5614.00 100% S0.00 06140
23 Sign Type BB Fabrication 52,418.00 52.418,00 50.00 50.00 52,418.00 10056 50.00 5241 80
24 Sign Type BB Installation 5693,00 5693.00 50.00 50.00 5693.00 100% $0.00 56930
25 Si6m Type CC Fabrication 5210.00 518000 530.00 50.00 52 10.00 100% 50.00 $221 00
26 Silas Type CClnuallation 5189.00 SI50.00 539.00 50.00 5189.00 100% S0.00 51890
27 Sgt Type OD Fabrication 5883.00 50.00 50.00 50.00 50.00 0% 5883.00 5000
28 Slip TypeDDlnstallation 5189.00 50.00 50.00 S0.00 50.00 0% SI89.00 5000
29 Sig!Type EE Fabrication 51,363.00 SI.365.130 50.00 50.00 51.363.00 00% 50.00 013630
30 Sgt Type EE installation 5199.00 5199.00 50.00 50,00 S199.00 00% 50.00 $1990
31 Sign Type FF Fabrication 51 229.00 01,329,00 50.00 50.00 51229.00 0055 50.00 5122.90
32 Sgt Type FF Installation 5370.00 5370.00 50,00 50,00 5370.00 00% 50.00 537 00
33 SiLm Type NH Fabrication 515.199.00 $15,199.00 50.00 50 00 515.199.00 00% 50.00 51.519,90
34 Sign Type Ill)Installation 514,66.00 514,664.00 50.00 50.00 514,664.00 00% 50.00 51,466.40
35 Sim Type 71 Fabrication 516,710.00 516,710.00 50.00 50.00 $16,710.00 00% 50.00 51.671 00
36 Sign Type))Installation 52.514 00 52,514.00 5000 50.00 52 514.00 00% 50.00 5231 40
37 Sign Type KK FAmeatian 517531.00 517,531.00 50.00 50,00 517,511,00 00% 50.00 $1,753.10
38 Sip TypeKKlnstallation 53,60800 03,008,00 50.00 50.00 53.60800 00% 50.00 536080
39 Sigt Type LL Fabrication 54.532.00 54.532.00 50.00 50.00 54.532,00 00% 00.00 5453.20
40 Sup Type LL Installation 5683.00 5682,00 50.00 50.00 5682.00 00% 50.00 568.20
41 Sp Type MM Fabrication 52,512.00 52,512.00 50.00 50.00 52.512.00 00% 50.00 52251.20
42 Sip Type MM tnstallation 5620.00 5620.00 50.00 50,00 5620.00 00% 50.00 562.00
43 5lgt Type NN Fatrication SI6,009.00 516009.00 50.00 50,00 $16,009.00 00% 50.00 51,600.90
44 Sign Type NH Instillation 53,676.00 53.676.00 50.00 50.00 53,676.00 00% S0.00 5367.60
45 Shpt Type 00 Fabrication 55,259.00 55 259.00 50.00 50.00 S5.259.00 00% 50.00 5525.90
46 Sign Type 00 Installation 0976.00 50.00 5976.00 50.00 5976.00 00% 50.00 597.60
47 Sips Type PP Fabrication 03,999.00 53,999.00 50.00 50.00 53,999.00 0091. 50.00 5399.90
48 Sip Type PP installation 5381.00 50.00 5381.00 50.00 0381.00 005,5 50.00 538,10
49 Sign Type QQFabrication 51,752.00 51,752.00 50.00 50.00 51,752.00 00% $0.00 5175.20
50 Sign Type QQ Installation 029.00 529.00 50.00 50.00 029 00 00% $0.00 $2.90
SI Sign Type RR S SS Fabrication 53,805,00 52.664.00 50.00 50.00 52,664.00 70% 50.00 5266.40
52 Sign Type RR&SS Instillation 51,541.00 50.00 50.00 50.00 50 00 0% 50.00 50.00
53 Sign Type TT Fabrication 52.339.00' 52,105.00 5234.00 50.00 52.339.00 1009'. 50.00 5233.90
NAOOCU2.EMT GTOa CONTnnJATON 9HEEr FOR Gr172 1072 EDIT/ON NA 01002
0703-1992
THEN/ERKN4 INSTRUTE OF ARCHITECTS,1735 NEW VCR%AVENUE,sew WASHINGTON 0 C 20000.5237
CONTINUATION SHEET ,u,DOCUMENTG703
AIA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT.containing APPLICATION NO: 0512
Contractor's signed certification rs attached. APPLICATION DATE: 04;20/12
In tabulations below.amounts are stated to the nearest dollar. PERIOD TO: 12/31/11
Use Column I on Contracts where variable retainage for Tine items may apply. ARCI.IITECT'S PROJECT NO: 66780
A B C 0 1 E F 0 H 1
ITEM DESCItIPTION OF WORK SCHEDULED WORNCO,ti1YLETED MATERIALS TOTAL , BALANCE RE'rA(NAGE
NO. VALUE FROM FItEVIOUS - THIS PERIOD PRESENTLY COMPLETED (G-C) TOFINJSIt (IP VARIABLE
APPLICATION STORED AND STORED (C•GI RATE)
ID.El (NOT IN TO DATE
0 OR 8) (0+04.F)
54 Sign Type TT 17wallatwn 5369.00 5000 50.00 $0.015 50.00 0% 5309.00 50.0)
55 Alt II S Cast Mounting Brackets 514,093.00 514.09300 50.00 50.00 514.093,00 1009: 50.00 01.409,30
56 Sign Type AAA Fabrication 5731.00 S731.00 50.00 50.00 5731.00 100% 50.00 573.10
57 Sign Type AAA Installation 5126.00 S126.00 5000 50.00 5126.00 100% 50.00 512.60
58 srgt Type BBB Fabrication S2p13.00 52.41300 50.00 5000 52,113.00 100% 50,00 5241.30
59 Silts Type BBB Installation 5984.00 5984.00 50.00 50.00 5984.00 100% 50.00 598.40
60 Sigt Type BBB.2 Fabrication 5300.00 5300.00 50.00 50.00 5300.00 100% 50.00 530.00
61 Sign Type BBB-2Installation 565.00 565.00 50.00 50.00 565.00 10(1% 50.00 56.50
62 Sign Type CCC Fabrication 5966.00 5966.00 50.00 50.00 5966.00 100% 50.00 596.60
63 Sign Type CCC Installation $419.00 5419.00 50.00 50.00 5419.00 100% 50.00 541.90
64 Sign Type ODD Fabrication 5477.00 5477.00 50.00 50.00 5477.00 100% 50.00 547.70
65 Sips Type DDD Installation 5195.00 5195.00 50.00 50.00 5195.00 10050 50.00 519.50
66 Sign Type FFF Fabrication 5212.00 5212.00 50.00 50.00 5212.00 100% 50.00 521.20
67 Sign Type EYE Installation 586.00 586.00 50.00 50.00 556,00 100% 50.00 58.60
68 Sig!Type HRH Fabrication $118.00 5110.00 50.00 00.00 SI18.00 100% 50.00 511.80
69 Sig!Type 811811 Installation 543.00 543.00 50.00 50.00 543.00 (00% 50.00 54.30 •
70 Sip Type Ill Fabrication 5206.00 50.00 5206.00 50.00 5206.00 100% 50.00 S20.60
71 Sign TypelJl Installation 5365.00 50,00 50.00 50.00 50.00 0% 5365.00 50.1)0
72 Sip Type al64M Fabricanon 52.312.00 52.312.00 50,00 50.00 51311.00 100% 50.00 5231.20
73 Sign Type MMM Installation 5492.00 5492.00 50,00 50.00 5492,00 100% 50.00 549.20
74 Sig!Type NNN Fabrication 5256.00 50.00 5256.00 50.00 5256.00 100% 50.00 525.60
75 Sign Type NNN Installation S 101.00 50.00 50.00 50.00 50.00 0•0 5101.00 50.00
76 Allowenec General 518998.50 50.00 50.00 50.00 5000 0% 50.00 50,00
77 Atlowence Lime Stone Engraving 518,998.50 50,00 50.00 50.00 50.00 0% 518.998.50 5900
GRAND TOTALS 5454,080.00 5327,706.00 537.279.00 50.00 5364.985.00 80% 547,844.50 536.498,90
Users may obtain validation of this document by requesting of the license a completed AIA Document 0401-Certification of Document's Authenticity
NADOCUMENT 0703 CONTMUATION EISSET FOR 0742 10026th n NA 01002
THE NAEnICFl11N5rrnUTE Or ARC Nn ELT 5.1735 NEW YORKA40Ni7E,a w wAa10NO TON se 30000.1ta 6703.1992
APPLICATION AND CERTIFICATION FOR PAYMENT A/A DOCUMENT G702 PAGE ONE OF I PAGES
TO: CSO Architects PROJECT:The Palladium at the APPLICATION NO: 06 Distribution to:
280 East 96th Street,Suite 100 Center for Performing Arts OWNER
Indianapolis,IN 46240 ARCHITECT
Mtn:Brandon Bogan PERIOD TO: 04/30/12 CONTRACTOR
FROM CONTRACTOR: VIA ARCHITECT:
Bunting Graphics,Inc.
20 River Road,Verona.PA 15147 PROJECT NOS: 66780
CONTRACT FOR: CONTRACT DATE: 09/22/10
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge.
Application is made for payment,as shown below.in connection with the Contract. information and belief the Work covered by this Application for Payment has been
Continuation Sheet.AIA Document G703.is attached. completed in accordance with the 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 payment shown herein is now due.
1. Net change by CONTRACT SUM S 454.080.00 41 /
2. Net change by Change Orders S CONTRACTOR
3. CONTRACT SUM TO DATE(Line I s 2) S 454.080.00
4. TOTAL COMPLETED&STORED TO S 377,306.00 //__� •
DATE (Column Con G703) By: / IN,• �, ` Date: 0426112
5. RETAINAGE: Ricl'rd Zolina •
a. 10 %of Completed Work $ 37.730.60 State of:Pennsylva• CouDty� B TM OF PENNSYLVANIA
(Column D 4'Eon 0703) Subscribed and sworn to before me this 26th day April.2012 -----7----l Notarial Seal
b. 10 %of Stored Material $ 0 Notary Public: R.
(Column F on 0703) My Commission expires: June 20.2014 Marjorie R Gerrne Allegheny.Notary Public
Total Retains a(Litres 5a 4-56 or Verona Boro,Allegheny County
6 nxnrrernn Fvl Ims Rifle 2014
Total in Column 1 010703) $ 37.730.60 ARCHITECT'S CERTIFICATE FOR PA
‘r4Y1440Pennsylvanla 0.sseele ten of Netiaffee
6. TOTAL EARNED LESS RETAINAGE $ 339.575 40 In accordance with the Contract Documents,based on on-site observations and the data
(Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the
7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge.information and belief the Work has progressed as indicated.
PAYMENT(Line 6 from prior Certificate) S 328.486.50 the quality of the Work is in accordance with the Contract Documents.and the Contractor
8. CURRENT PAYMENT DUE S 11.088.90 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH.INCLUDING RETAINAGE S 114.504.60 1 ;YJ r ��
(Line 3 less Line 6) AMOUNT CERTIFIED S
,/a
G
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified dillersfronr the amount applied.Initial al/figures on this
Total changes approved Application and ontlre Continuation Sheet that are charged to conform with the amount certified.
in previous months by Owner ARCHITECT:
Total approved this Month By: ,,` / Date: ,4 0-7\`2—
TOTALS $0.00_ $0.00 This Certific.e' not negotiable. T AMOUNT CERTIFIED is payable only to the
Contractor to ed herein.Issuan pa ent and acceptance of payment are without
NET CHANGES by Change Order $0.00 prejudic .any rights of the 0• • or Contractor under this Contract.
AN DOCUMENT 0702•APPLICATION AND CERTIFICATION FOR PAYMENT•1002 EDITION•AN 01002 THE AMERICAN INSTITUTE OF ARCHITECTS,1706 NEW YORK AVE.N W,.WASHINGTON,DC 20000-52,4
Users may obtain validation of this document by requesting a completed AlA Document D401-Certification of Document's Authenticity from the Licensee.
CONTINUATION SHEET AIA DOCUMENT 0703
AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT.containing APPLICATION NO: 06
Contractor's signed certiOcation is attached. APPLICATION DATE: 04/26/12
In tabulations below,amounts are stated to nhc nearest dollar. PERIOD TO: 04/30/12
Usc Column ton Contracts where variable retainage for line items may apply. ARCHITECTS PROJECT NO: 66780
A B C D E F G H t
ITEM DESCRIPTIONOF WORK SCHEDULED WORK COMPLETED MA'TEIUAIS TOTAL 96 BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G C) TO FINIS! OF VARIABLE
APPLICATION STORED ANDSTORED (C•0) RATE)
(D+E) (NOT IN TO DATE
D OR E) (D+E-F)
I General Conditions(Sep.•Dec.2010) 5158.9213.00 5158,92$00 30.00 50.00 1158.9/8.00 1110% SU.OU 515392.80
2 Submittals $14,758.00 $14,758.00 50.00 50.00 514.758.00 100% 50.00 51,475,80
3 Alt NI Sign Type A Will&Letters 531,229.00 05.000.00 57.500.00 50.00 522.500,00 72% 58,729.00 52.250.00
4 Alt N 2 Sign Type 13 58,253.00 57255.00 50.00 50.00 57.255.00 88% 50.00 5725.50
5 Sign Type C Fabrication 53,369,00 $3.369.00 50.00 50.00 53,369.60 100% 50.00 5336.90
6 Sip lypeCInstallation $1,925.00 5000 $1,925.00 50.00 51.925.00 100% 50.00 510250
7 Alt N 3 Sign Type D $1,216.00 51,216.00 50.00 50,00 51.216.00 100% 50.00 $121.60
8 All N4 Sign Type E 59.155.00 58,155.00 50.00 50,00 $8,155.00 89% 50.00 58)550
9 S'Igrt Type FFabrication 517,570.00 50.00 50.00 50.00 50.00 0% 517,570.00 50.00
10 Sip Type Ftnzalbdon $7,796.00 50.00 50.00 50.00 50.00 0% 57,796.00 50.00
II Sigh Type G Fabrication 51,146.00 51,146.00 50.00 50.00 51,146.00 100% 50.00 5)14.60
12 Sip Type 0 Installation 591.00 591.00 50.00 50.00 $91.00 100% 50.00 $9.10
13 Sign Type l Fabrication 52,437.00 52,437.00 50,00 50.00 52,437.00 100% 50.00 5243.70
14 Sign Type IInstallation 51,997,00 51,997.00 50.00 50.00 51,997.00 100% 50.00 $199.70
15 Sign Type K Fabrication 5884.00 5884.00 50.00 50.00 588 4.0 0 100% 50.00 58890
16 Sign Type K Installation $128.00 5128.00 50.00 50.00 5128.00 100% S0.00 512.80
17 Sign Type L Fabrication 51,419.00 $1,419.00 $0.00 $0.00 $1.419.00 100% 50.00 5141.90
I0 Sign Type L Installation 597.00 597.00 5000 50.00 597.00 100% 50.00 S9,70
19 Sign Type H Fabrication 5162.00 5162.00 $0.00 $0.00 5162.00 100% $0.00 $1620
20 Sign Type HInstallation 5959.00 50.00 5989.00 S0.00 5989.00 100% 50.00 598,90
21 Sign Type AA Fabrication 5508.00 550800 50.00 50,00 $508.00 100% $0.00 $50.80
22 Sign Type AA Installation 5614.00 5614.00 $0.00 50.00 5614,00 100% 50.00 $61.40
23 Sign Type BB Fabrication 52.418.00 $2,418.00 50.00 50.00 $2,418.00 100% 50.00 5241.80
24 Sign Type BB Installation 5693.00 5693.00 50.00 $0.00 5693.00 100% 50.00 569.30
25 Sisal Type CC Fabrication $210.00 $210.00 $0.00 50,00 5210.00 100% 50.00 $21.00
26 Sign Type CC Installation 5189.00 5189.00 50.00 50.00 $189.00 100% ' $0.00 $18.90
27 Sign Type DDFabrication 5883.00 50.00 5883.00 50.00 5883.00 100% 50.00 $88.30
28 Sign Type DD Installation $189.00 $0.00 $189.00 $0.00 5189.00 100% 50.00 $18.90
29 Sign Type EE Fabrication 51,363.00 $1363.00 50.00 50.00 51,363.00 100% 50.00 5136.30
30 Sgn Typo EE Installation 5199.00 $199.00 5000 50.00 $199.00 100% 50.00 519.90
31 Sign Type FP Fabrication 11 229.00 51,229,00 50,00 50.00 51229.00 100% 50,00 5122.90
32 Slot Type FF Installation $370.00 $370.00 50.00 50.00 5370.00 100% 50.00 537,00
33 Sign Type 104 Fabrication 515,199.00 515,199.00 50.00 50.00 515,199.00 100% 50.00 $1,519.90
34 Sign Type Hit Installation 514.664 00 514.664.00 $0,00 50.00 $14,664.00 100% 50.00 11,466.40
35 Sign Type JJ Fabrication S16.710.00 $16,710.00 10.00 54.00 $16,710.00 100% 50.00 $1,671.00
36 Sign Type JI Installation $2,514,00 52.514,00 50,00 $0,00 52514,00 100% $0.00 $251.40
37 Sign Type KK Fabrication 517331.00 517,531.00 50.00 50.00 517,531.00. 100% 50.00 51,753.10
38 Sign Type KK Installation 53,608.00 53.608.00 50.00 $0.02 53,608,00 100% 50.00 $360.80
39 Sign Type LL Fabrication 54,532.00 54.532.00 50.00 50.00 $4,532,00 100% 50.00 5453.20
40 Sign Type LL Installation 5682.00 5682 00 50.00 50.00 5682.00 100% 50.00 $68.20
41 Sign Type MM Fabrication $2,512.00 52,512.00 50.00 50.00 52,512.00 100% 50.00 $251,20
42 Sign Type 64M Installation $620.00 5620,00 50,00 50.00 5620.00 100% 50.00 562,00
43 Sign Type NN Fabrication $16,009.00 516.009,00 5000 $0.00 516,009.00 100% 50.00 $1,600.90
44 Sign Type NN Installation $3,676.00 $3,676.00 50.00 50.00 53.676.00 100% `50.00 5367.60
43 Sign Type OOFabrication 55.259,00 55259.00 50.00 50.00 55,259.00 100% 50.00 5525.90
46 Sign Type 00lnnallation $976.00 $976.00 50,00 50.00 5976.00 100% 50.00 597.60
47 Sgn Type PP Fabrication 53,99900 53,99900 50.00 50.00 53,999.00 100% 50.00 $399.90
48 Sign Type PP Itstallatian 5381.00 5381,00 $0.00 $0.00 5381.00 100% 50.00 $38.10
49 Sign Type QQ Fabrication $1,752.00 51.752,00 $0,00 5000 $1,752.00 100% 50.00 5175.20
50 Sign Type QQ Installation _ 529,00 529,00 50.00 50,00 529.00 100% 50.00 52.90
51 Sign Typc RR&SS Fabrcat on $3,805.00 52,664.00 50.00 50,00 52,664,00 70% 50.00 $266.40
52 Sign Type RR&SS Installation $1,571.00 90.00 50.00 $0.00 50.00 0% S0.00 $0.00
53 Sgt Type TT Fabrication 52339.00 $2,339.00 50.00 50.00 52,339.00 100% 50.00 5233.90
NA DOCUMENT 0703•CONTINUATION SHEET FOR G702.1992 E9ng9 NA 01992
TI.E MlOmcNi INSTRUTE OF AACHsTECT5,1735 NEW VORA AVENUE,N,W,wMwHGTON,0 C 200003232 0703-1992
CONTINUATION SHEET AIA DOCUMENT 0703
ALA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 06
Contractors signed certification is attached. APPLICATION DATE: 04/ 6/12
In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 04/30/12
Use Colwnn I on Contracts where variable retainngc for line items may apply. ARCHITECTS PROJECT NO: 6618 0
A _ B C D 0 F 0 H 1
ITEM DESCRIPTION OF WORK SCI{ DGLED WORK COMPLETED MATERIALS TOTAL 3: BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED 10+CI TOF1NISH (IF VARIABLE
APPLICATION STORED AND STORED (C-G) RATE)
(D E) (NOT IN TO DATE
D OR E) (D+E+F)
54 Sign Type IT Installation 5369.00 30.00 5369.00 50.00' 5369.00 11.111% 10.00 536.40
55 Alt#5 Cast Mounting Brackets S14.093.00 $14,093.00 $0.00 50.00 $14,093,00 100% $0.00 51,409.30
56 Sign Type AAA Fabrication 5131.00 5731 00 50.00 50.00 5731.00 100% 50.00 573.10
57 Sign Type AAA Installation 5126.00 5126.00 50.00 S0.00 5126.00 100% 50.00 512.60
58 5ign Type BBB Fabrication 52,413.00 S2,413.00 50.00 50.00 52,413.00 100% 50.00 5241.30
59 Sign Type BBB Installation 5984.00 5984.00 $0.00 50.00 $984.00 100% $0.00 S90.40
60 Sign Type BBB•2 Fabrication 5300.00 5300.00 50.00 50.00 530000 100% 50.00 530.00
61 Sign Type BBB•2Installation $65.00 565.00 50.00 50.00 365.00 100% 50.00 56,50
62 Sign Type CCC Fabrication 5966.00 5966.00 50.00 50.00 5966.00 100% S0.00 596.60
63 Sign Type CCC Installation $419.00 5419.00 50.00 50.00 5419.00 100% 50.00 541,90
64 Sign Type DDD Fabrication 5477.00 5477.00 50.00 50.00 5471.00 100% 50.00 547.70
65 Sign Type DDD Installation 5195.00 5195.00 50.00 50.00 $195.00 100% 50.00 519.50
66 Sign Type F'FF Fabrication 5212.00 5212.00 $0.00 50.00 5212.00 100% 50.00 521,20
67 Sign Type FFF installation 586.00 586.00 50.00 50.00 586.00 100% 50.00 58.60
68 Sign Type HUH Fabrication S118.00 5118.00 ¶0.00 50.00 5118.00 100% $0.00 511.80
69 Sign Type HHH Installation 543.00 543,00 50.00 50.00 543.00 100% 50.00 54.30
70 Sign Type 11.1 Fabrication 5206.00 5206.00 50.00 50.00 5206.00 100% 50.00 520.60
71 Sign Type)J)Installation 5365.00 50.00 5365.00 50.00 5365.00 100% 50.00 536.50
72 Sign Type MMMFabrication 52,312,00 52,312,00 50.00 5000 52.31100 100x/ 50.00 5231,20
73 Sign Type MMM Installation 5492.00 5492,00 50.00 50.00 5492,00 100% 50,00 549.20
74 Sign Type NNN Fabrication 5256,00 5256,00 50.00 50.00 5256.00 100% 50.00 525.60
75 Sign Type NNN(nstallatbn 5101.00 50,00 $101.00 50.00 5101.00 100% 50.00 510.10
76 AllowenceGeneral 518,999.50 50.00 50.00 50.00 50.00 0% 50.00 50.00
77 Allowence Lime Stone Engraving 518,998.50 50.00 50,00 50.00 50.00 0% 518,998.50 50,00
GRAND TOTALS 1454,080.00 5364.985.00 512,321.00 50.00 5371,306.00 83% 553,093.50 537,731.00
Users may obtain validation of this document by requesting of the license a completed AIA Document 0401-Certification of Document's Authenticity
NA DOCMANENf 0105 COOTwUAf ON SHEET FOR G70: 1922 E000N•Ato 01002
T HE MERtC AN WSTtT UT OF ARCH°ECTS,1755 NEW rOWc AVENUE.NW WASNW6t ON,0 C :0000-6272 G103.1992