HomeMy WebLinkAboutCertified Floorcovering - $31,985.50 Draft
Carpet and Resilient Flooring
(Certified Floorcovering)
April 2010
Paid by Carmel Theater Development Company $ 4,320.00
May 2010
Paid by Carmel Theater Development Company $ 61,153.20
June 2010
Paid by Carmel Theater Development Company $ 75,598.80
July 2010
Paid by Carmel Theater Development Company $ 14,248.56
August 2010
Paid by Carmel Theater Development Company $ 10,977.75
September 2010
Paid by Carmel Theater Development Company $ 102,812.04
October 2010
Paid by Carmel Theater Development Company $ 141,552.90
November 2010
Amount to be paid by Carmel Theater Development Company $ 31,985.50
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APPLICATION AND CERTIFICATE FOR PAYMENT PAGE ONE OF
AIA DOCUMENT G702/CMa PARCEL 7A, REGIONAL PERFORMING ARTS CENTER
To Contr: Project:
Carmel Redevelopment Commission(Owner) Application#: 8-revised Distribution to:
One Civic Square
Carmel,IN 46032 Application Date: 11/3/2010 OWNER
Attn: Les Olds,AIA,Director of Redevelopment CONSTRUCTIO MGR
From Contractor: Period Ending: 11/30/2010 ARCHITECT
Certified Floorcovering Services, Inc VIA Construction Manager: Shiel Sexton Co.,Inc. CONTRACTOR
5150 West 84th Street
Indianapolis,IN 46268 Via Architect: CSO, Inc.
Contract For: Contract Date#: 07/29/09
Carpet&Resilient Flooring-Contract#2695-5130
Pencil copy to Geoff Pratt(gpratt @shielsexton.com)by 15th of the month. Billing due 20th of the month
One original to the project site.
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 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
1.Original Contract Sum $440,900.00 payments received from the Owner and that current payment shown is herein now due
2.Net Change by Change Orders 26,625.00 Contractor: Certified Floorcovering Services, Inc
Carol illi,V' e-Prs'd t•
3.Contract Sum To Date 467,525.00 By: DATE: Novambez.22,201
State of: In Tana County Of: Marion
4.Total Completed&Stored to Date 466,025.00 Notary Public: Deborah A.Allison 7..`L /_// /J ,,,+
My Commission Exr 09/18/14 �/ ��7j/'�
5.Retainage —_
a. 5.00%of Completed Work $23,376.25 ARCHITECT'S CERTIFICATION
b. 5.00%of Stored Material $0.00 In accordance with the contract documents,based on on-site observations and tlic•data
comprising this application,the Construction Manager and Architect certify to the Owner that
Total Retainage: 23,376.25 to the best of their 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
6.Total Earned Less Retainage 442,648.75 is entitled to payment of the AMOUNT CERTIFIED. Q SO
7.Less Previous Certificates for Payment 410,663.25 AMOUNT CERTIFIED St�et(1
8.Current Payment Due $31,985.50 (Attach explanation if amount certified differs fro• amount applied for.
Initial all figures on this application and on th- ontin ation sheet that are
9.Balance Due to Finish,Including Retainage $24,876.25 changed to con•m to the amount ce' ed.) /2"
Co TRU�►.i ��,�L, �. '
Change Order Summary Additions Deductions By: ∎c∎.�,",./�L Date:
Total changes approved in
previous months by owner 26,625.00 - ARCHITE l� �OI •�y
Total approved this month(November-10) - - By:. A Date: 11 UC/
Totals 26,625.00 -
Net change by Change Order: 26,625.00
This c= ificate is not negotiable The amount certified is payable only to the
ontractor named herein.Issuance,payment&acceptance of payment are
without prejudice to any rights of the owner or contractor under this contract.
APPLICATION AND CERTIFICATE FOR PAYMENT PAGE ONE OF
AIA DOCUMENT G702/CMa PARCEL 7A, REGIONAL PERFORMING ARTS CENTER
To Contr: Project:
Carmel Redevelopment Commission(Owner) Application#: 8-revised Distribution to:
One Civic Square
Carmel,IN 46032 Application Date: 11/3/2010 OWNER
Attn: Les Olds,AIA,Director of Redevelopment CONSTRUCTIO MGR
From Contractor: Period Ending: 11/30/2010 ARCHITECT
Certified Floorcovering Services,Inc VIA Construction Manager: Shiel Sexton Co., Inc. CONTRACTOR
5150 West 84th Street
Indianapolis,IN 46268 Via Architect: CSO,Inc.
Contract For: Contract Date#: 07/29/09
Carpet&Resilient Flooring-Contract#2695-5130
APPLICATION FOR PAYMENT-CONTINUATION SHEET
A B C D E F G H I
ITEM SCHEDULED PREVIOUS COMPLETED STORED TOTAL CP& % BALANCE TO RETAINAGE
NO. DESCRIPTION OF WORK VALUE WORK THIS PERIOD MATERIALS STORED TO DATE (G/C) FINISH(C-G) 5.00%
1 BASEMENT 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
2 Resilient Material 5,500.00 5,500.00 0.00 0.00 5,500.00 100.00% 0.00 275.00
3 Resilient Labor 3,000.00 2,400.00 600.00 0.00 3,000.00 100.00% 0.00 150.00
4 Carpet Material 17,000.00 17,000.00 0.00 0.00 17,000.00 100.00% 0.00 850.00
5 Carpet Labor 3,100.00 3,100.00 0.00 0.00 3,100.00 100.00% 0.00 155.00
6 Grout System Material 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
7 Grout System Labor 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
8 PLENUM 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
9 Resilient Material 2,400.00 2,400.00 0.00 0.00 2,400.00 100.00% 0.00 120.00
10 Resilient Labor 1,300.00 1,040.00 260.00 0.00 1,300.00 100.00% 0.00 65.00
11 Carpet Material 29,000.00 29,000.00 0.00 0.00 29,000.00 100.00% 0.00 1,450.00
12 Carpet Labor 6,100.00 6,100.00 0.00 0.00 6,100.00 100.00% 0.00 305.00
13 Grout System Material 4,680.00 4,680.00 0.00 0.00 4,680.00 100.00% 0.00 234.00
14 Grout System Labor 3,600.00 3,600.00 0.00 0.00 3,600.00 100.00% 0.00 180.00
15 ORCHESTRA LOW 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
16 Resilient Material 8,500.00 8,500.00 0.00 0.00 8,500.00 100.00% 0.00 425.00
17 Resilient Labor 4,400.00 3,520.00 880.00 0.00 4,400.00 100.00% 0.00 220.00
18 Carpet Material 12,000.00 12,000.00 0.00 0.00 12,000.00 100.00% 0.00 600.00
19 Carpet Labor 2,100.00 2,100.00 0.00 0.00 2,100.00 100.00% 0.00 105.00
20 Grout System Material 2,600.00 2,600.00 0.00 0.00 2,600.00 100.00% 0.00 130.00
21 Grout System Labor 2,000.00 2,000.00 0.00 0.00 2,000.00 100.00% 0.00 100.00
22 ORCHESTRA HIGH 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
23 Resilient Material 900.00 900.00 0.00 0.00 900.00 100.00% 0.00 45.00
24 Resilient Labor 400.00. 320.00 80.00 0.00 400.00 100.00% 0.00 20.00
25 Carpet Material 36,000.00 36,000.00 0.00 0.00 36,000.00 100.00% 0.00 1,800.00
26 Carpet Labor 6,300.00 6,300.00 0.00 0.00 6,300.00 100.00% 0.00 315.00
27 Grout System Material 3,510.00 3,510.00 0.00 0.00 3,510.00 100.00% 0.00 175.50
28 Grout System Labor 2,700.00 2,700.00 0.00 0.00 2,700.00 100.00% 0.00 135.00
29 BOX TIER 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
30 Resilient Material 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 255.00
31 Resilient Labor 2,900.00 2,320.00 580.00 0.00 2,900.00 100.00% 0.00 145.00
32 Carpet Material 56,000.00 56,000.00 0.00 0.00 56,000.00 100.00% 0.00 2,800.00
33 Carpet Labor 10,500.00 5,250.00 5,250.00 0.00 10,500.00 100.00% 0.00 525.00
34 Grout System Material 42,770.00 42,770.00 0.00 0.00 42,770.00 100.00% 0.00 2,138.50
APPLICATION FOR PAYMENT-CONTINUATION SHEET
•
APPLICATION AND CERTIFICATE FOR PAYMENT PAGE ONE OF
AIA DOCUMENT G702/CMa PARCEL 7A, REGIONAL PERFORMING ARTS CENTER
To Contr: Project:
Carmel Redevelopment Commission(Owner) Application#: 8-revised Distribution to:
One Civic Square
Carmel,IN 46032 Application Date: 11/3/2010 OWNER
Attn: Les Olds,AIA,Director of Redevelopment CONSTRUCTIO MGR
From Contractor: Period Ending: 11/30/2010 ARCHITECT
Certified Floorcovering Services, Inc VIA Construction Manager: Shiel Sexton Co.,Inc. CONTRACTOR
5150 West 84th Street
Indianapolis,IN 46268 Via Architect: CSO,Inc.
Contract For: Contract Date#: 07/29/09
Carpet&Resilient Flooring-Contract#2695-5130
A B C D E F G H I
ITEM SCHEDULED PREVIOUS COMPLETED STORED TOTAL CP& % BALANCE TO RETAINAGE
NO. DESCRIPTION OF WORK VALUE WORK THIS PERIOD MATERIALS STORED TO DATE (G/C) FINISH(C-G) 5
35 Grout System Labor 31,056.00 31,056.00 0.00 0.00 31,056.00 100.00% 0.00 1,552.80
36 BALCONY LOW 0.00
37 Resilient Material 1,500.00 1,500.00 0.00 0.00 1,500.00 100.00% 0.00 75.00
38 Resilient Labor 800.00 640.00 160.00 0.00 800.00 100.00% 0.00 40.00
39 Carpet Material 19,800.00 19,800.00 0.00 0.00 19,800.00 100.00% 0.00 990.00
40 Carpet Labor 4,000.00 4,000.00 0.00 0.00 4,000.00 100.00% 0.00 200.00
41 Grout System Material 7,800.00 7,800.00 0.00 0.00 7,800.00 100.00% 0.00 390.00
42 Grout System Labor 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 300.00
43 BALCONY HIGH 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
44 Resilient Material 1,300.00 1,300.00 0.00 0.00 1,300.00 100.00% 0.00 65.00
45 Resilient Labor 800.00 400.00 400.00 0.00 800.00 100.00% 0.00 40.00
46 Carpet Material 26,800.00 26,800.00 0.00 0.00 26,800.00 100.00% 0.00 1,340.00
47 Carpet Labor 5,200.00 5,200.00 0.00 0.00 5,200.00 100.00% 0.00 260.00
48 Grout System Material 20,384.00 20,384.00 0.00 0.00 20,384.00 100.00% 0.00 1,019.20
49 Grout System Labor 14,100.00 14,100.00 0.00 0.00 14,100.00 100.00% 0.00 705.00
50 ATTIC 0.00 0.00 0.00 0.00 0.00% 0.00 0.00
51 Resilient Material 600.00 600.00 0.00 0.00 600.00 100.00% 0.00 30.00
52 Grout System Labor 400.00 320.00 80.00 0.00 400.00 100.00% 0.00 20.00
53 ALLOWANCE#5 15,000.00 15,000.00 0.00 0.00 15,000.00 100.00% 0.00 750.00
54 ALLOWANCE#6 CAD DRAWINGS 5,000.00 3,500.00 0.00 0.00 3,500.00 70.00% 1,500.00 250.00
55 BOND/SUBMITTALS/CLOSEOUT 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 300.00
56 CO#1 RCP PAC 006 Changes 2,885.00 1,442.50 1,442.50 0.00 2,885.00 100.00% 0.00 144.25
57 CO#2 TIME EXTENTION $0.00 0.00 0.00 0.00 $0.00 0.00% $0.00 0.00
58 CO#3 PAD CHANGES $23,740.00 23,740.00 0.00 0.00 $23,740.00 100.00% $0.00 1,187.00
0.00 0.00 0.00 0.00.....
TOTALS: $467,525.00 $456,292.50 $9,732.50 $0.00 $466,025.00 $0.00 $1,500.00 $23,376.25
AFFIDAVIT AND WAIVER OF LIENS
❑ Final X Partial ❑ Payment to Follow
State of Indiana,
SS
County of Marion
Carol S. Milli, being duly sworn states that she is the Vice-President of Certified Floorcovering Services,
Incorporated having contracted with Carmel Redevelopment Commission to furnish certain materials and/or labor
as follows: FLOORING; for a project known as: Parcel 7A, Regional Performing Arts Center and owned by
Carmel Redevelopment Commission and does hereby further state on behalf of the aforementioned
subcontractor/supplier:
(PARTIAL WAIVER)that there is due from the contractor sum of Thirty-one Thousand Nine Hundred Eighty-five
Dollars and 50/100 ($31,985.50).
[X] receipt of which is hereby acknowledged; or
[ ] the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of
Lien which is given solely with respect to said amount, and which waiver shall be effective only upon
receipt of payment thereof by the undersigned;
(FINAL WAIVER) that the final balance due from the contractor is the sum of
($
[ ] receipt of which is hereby acknowledged; or
[ ] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of
Lien which shall become effective upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim
whatsoever on the above-described property and improvements thereon on account of LABOR or material or
both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and
further certifies that no other party has any claim or right to a lien on account of any work performed or material
furnished to the undersigned for said project and within the scope of this affidavit and waiver.
Certified Floorcovering Service, Incorporated By Harry Milli, President
Signed: 604.6 • . 1/11.214.
Carol S. Milli/Vice-President
WITNESS MY HAND AND NOTARIAL SEAL, this 22nd day of November , 20 10 .
My Commission Expires: 09/18/2010 D-orah A. Alli o
Residing in Johnson County