HomeMy WebLinkAbout219250 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 367089 Page 1 of 1
° ONE CIVIC SQUARE BUNTING GRAPHICS INC CHECK AMOUNT: $90,756.89
20 RIVER ROAD CARMEL, INDIANA 46032
aazo� VERONAPA 15147 CHECK NUMBER: 219250
CHECK DATE: 412412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 7 90, 756 . 89 PERFORMING ARTS CENTE
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 1, PAGES
TO: Carmel Redevelopment Commission PROJECT:The Palladium at the APPLICATION NO: 07 Distribution to:
30 W.Main Street,Suite 220 Center for Performing Arts =OWNER
Carmel,IN 46032 =ARCHITECT
PERIOD TO: 01/31/13 =CONTRACTOR
FROM CONTRACTOR: VIA ARCH[TECT:
Bunting Graphics,Inc.
20 River Road,Verona,PA 15147 PROJECT NOS: 66780
CONTRACT FOR:signage 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 0703,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. ORIGINAL CONTRACT SUM $ 454,080.00
2. Net change by Change Orders $ (23,747.71) CONTRACTO
3. CONTRACT SUM TO DATE(Line l t 2) $ 430,332.29
4. TOTAL COMPLETED&STORED TO $ 430,332.29 _
DATE (Column 0 on G703) By: Date: 04122/13
5. RETAINAGE: William M.Kerns,C.F.O.
a. %of Completed Work $ 0 State of:Pennsylvania County of.. All MONWEALTH OF PENNSYLVAN
(Column D+E on G703) Subascrribed and sSvom to b�is 2nd da Qf Ap *,2013 Notal Sep
b. %of Stored Material $ 0 Not Public: - O �y�L
(Column F on G703) My Commission expires: February 19,2017 17
Total Retainage(Lines 5a+5b or NEMea __ A
Total in Column 1 of 0703) $ 0.00 ARCHITECT'S CERTIFICATE FOR PAYMENT
6. TOTAL EARNED LESS RETAINAGE $ 430,332.29 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) $ 339,575.40 the quality of the Work is in accordance with the Contract Documents,and the Contractor
8. CURRENT PAYMENT DUE $ 90,756.89 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 0.00
(Line 3 less Line 6) AMOUNT CERTIFIED........ ...$
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied.Initial all figures on this
Total changes approved Application and onrh ntinua ' at are changed to conform with the amount cert�ed.)
in previous months by Owner $0.00 $0.00 ARCHI
Total a roved this Month $19,230.29 $42,978.00 By: Date:
TOTALS $19,230.29 $42,978.00 This Von,,mned e is not nego able. The AM are
CERTIFIED is payable only to the
Contra herein.t trance,paymen d acceptance of payment are without
NET CHANGES by Change Order ($23,747.71) prejudice to any rights of t Owner or ractor under this Contract.
AIA DOCUMENT 0702 APPLICATION AND CERTIFICATION FOR PAYMENT 1892 EDITION•AIA•C1992 THE AMERICAN INSTITUTE OF ARCHITMFS.1735 NEW YORK AVE.,N,W..WASHINGTON,DO 20WS-6292
Users may obtain validation of this document by requesting a completed AIA Document D401-Certification of Document's Authenticity from the Licensee.
UUN I INUA I IUN bllt= I AIA DOCUMENT G703
AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 07
Commetor's signed certification is attached. APPLICATION DATE: 04/22/13
In tabulations Wow.amounts are stated to the nearest dollar. PERIOD TO: 01/31/13
Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 66780
A B C D E F G H 1
ITEM DESCRIPTION OF WORK SCHEDULED ORKCOMPLEI'ED MATERIALS TOTAL % BA ANCE RE1'AINAGE
NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (O+C) To FINISH (IF VARIABLE
APPLICATION STORED AND STORED (C-G) RATE)
(D+E) (NOTIN TO DATE
D OR E) (D+E+F)
I General Conditions(Sep.-D=2010) $158,928.00 $158,929.00 50.00 50,00 50.00
2 Submittals 514,758.00 $14,758.00 SO.00 $0.00 $14,758.00 100% $0.00 50.00
3 All If I Sign Type A Wall&Letters 531,229.00 $22,500.00 $8,729.00 $0.00 $31,229,00 1000/0 $0.00 $0.00
4 Alt H 2 Sign Type B $8,255.00 57,255.00 $1,000,00 $0.00 $8,255.00 10D% $0.00 $0.00
5 Sign Type C Fabrication $3,369.00 $3,369.00 50.00 $0.00 $3,369.00 100% 50,00 50.00
6 Sign Typo C Installation $1,925.00 51,925.00 SO.00 50.00 $1,925.00 IW/o $0.00 $0.00
7 Alt q3 Sign Type D $1,216.00 SI,216.00 50.00 SO.00 $1,216.00 1 W $(1.00 50.00
8 Alt If 4 Sign Type E $9,155.00 58.155.00 S1.000.00 $0.00 59,155.00 1000/0 $0.00 $0.00
9 Sign Type F Fabrication 517,570.00 50.00 517,570.00 $0.00 $17,570.00 1001/0 $0.00 50.00
to Sign Type F Installation $7,796,00 50.00 57.796.00 50.00 $7,796.00 100% $0.00 50.00
1 I Sign Typo G Fabrication $1,146.00 51,146.00 50.00 50.00 $1,146.00 1000/o $0.00 50.00
12 Sign Type G Installation $91.00 591.00 50.00 $0.00 $91.00 100% $0.00 50.00
13 Sign Type J Fabrication S2,437.00 $2,437.00 50.00 50.00 52,437.00 100% $0.00 50.00
14 SignTypeJ Installation SI,997.00 $1,997.00 50.00 50.00 51,997.00 100% $0.00 $0.00
15 Sign Type K Fabrication $884.00 5884.00 SO.OD 50.00 5884.00 100% 50.00 $0.00
16 Sign Type K Installation 5128.00 S128.00 50.00 $0.00 $128.00 100% $0.00 $0.00
17 Sign Type LFa(nicalion 51,419.00 $1,419.00 SO.OD $0.00 $1,419.00 100% $0.00 $0.00
18 Sign Type L Installation $97.00 $97.00 50.00 50.00 $97.00 100% 50.00 50.00
19 Sign Type H Fabrication $162.00 $162.00 SO.OD 50.00 $162.00 100% $0.00 $0.00
20 Sign Type H Installation 5989.00 5999.00 SOAD $0.00 S989.00 100% $0.00 $0.00
21 Sign Type AA Fabrication 5508,00 $508.00 50.00 50,00 5508.00 100% $0.00 50.00
22 Sign Type AA Installation 5614.00 5614.00 $0.00 SO.00 $614.00 1000/0 $0.00 50.00
23 Sinn Type BB Fabrication 52.419.00 52,418.00 $0.00 50.00 $2,418.00 100% 50.00 50.00
24 Sign Type BB Installation 5693.00 $693.00 $D.00 50.00 $693,00 100,10 $0.00 50.00
25 Sign Type CCFabrication 5210.00 5210.00 50.00 $0.00 $210.00 100% $0.00 SO.00
26 Sign Type CC InslallaliDn 5199.00 5189.00 $0.00 $0.00 $189.00 100% $0,00 $0.00
27 Sip Type DD Fabrication 5893.00 $883.00 $0.00 50.00 5883.00 100% $0.00 SO.00
28 Sign Type DD Installation SI99.00 5189.00 $0.00 50.00 $189.00 100% $0.00 50.00
29 Sign Type EE Fabrication $1,363.00 S1.363.OD SO.D0 50,00 51,363.00 1001/0 $0.00 $0,00
30 Sign Type EElnstallation S199.00 $199.00 S0,00 50.00 $199.00 100% 50.00 $0.00
31 Sign Type FFFabrication 51,229.00 51,229.00 $0.00 50.00 $1,229.00 100% 50.00 SO.00
32 Sign Typo FF Installation 5370.00 5370.00 $0.00 50.00 $370.00 100% $0.00 50.00
33 Sign Type HHFabrication 515,199.00 $15,199.00 50.00 SO.00 $15,199.00 1001/0 50.00 SO.00
34 Sign Type HH Installation $14,664,00 $14,664.00 $0.00 50.00 514,664.00 100% 50.00 50.00
35 Sign Typo JJFabrication $16,710.00 $16,710.00 $0.00 50.00 S16,710.00 100% 50.00 $0.00
36 Sign Type J)installation 52,514.00 $2,514.00 $0.00 SO.DO $2,514.00 100% 50.00 50.00
37 Sign Type KK Fabrication $17.53 LOD 517,531.00 50.00 $0,00 $17,531.00 100% 50.00 50.00
38 Sign Type KK Installation 53,608.00 $3,608.00 $0.00 $0.00 53,608.00 100% $0.00 $0.00
39 Sign Type LL Fabrication S4,532.OD 54,532,00 50.00 50.00 54,532.00 100% $0.00 $0.00
40 Sign Type LL Installation 5682.00 S682.00 50.00 50.00 5682.00 100% $0.00 50.00
41 Sign Type MM Fabrication 52,512.00 S2,512.00 $0.00 50.00 52,512.00 100% 50.00 $0.00
42 Sign Type MM Installation 5620.00 5620.00 $0.00 $0.00 $620.00 100% $0.00 $0.00
43 Sign Type NN Fabrication $16,009.00 516,009,00 50.00 50.00 $16,009.00 100% $0.00 50.00
44 Sign Type NN installation S3,676.00 53,676.00 $0.00 $0.00 $3,676.00 100% $0,00 $0.00
45 Sign Type 00Fabricoion $5,259.00 $5,259.00 $0.00 $0.00 55,259.00 100% $0.00 $0.00
46 Sign Type 00 installation $976.00 5976.00 $O.OD SO.00 $976.00 100% $0.00 50.00
47 Sign Type PP Fabrication 53.999.00 53,999.00 $0.00 50.00 53,999.00 100% $0.00 50.00
48 Sign Typo PP Installation 5381.00 5381.00 50.00 SO.00 5381.00 100% $0.00 $0.00
49 Sign Type QQ Fabrication $1,752.00 51,75240 $0.00 50.00 $1,752.00 100% 50.00 50.00
50 Sign Type QQ Installation $29.00 S29.00 SO.OD $0.00 $29.00 t00% 50.00 50.00
51 Sign Type RR&SS Fabrication $3,805.00 52,664.00 51,141.00 $0.00 $3,805.00 100% SO.00 $0.00
AIA DOCUMENT G703-CONTINUATION SHEET FOR 0702•1992 EDITION•AN•01992 G703.1992
THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVENUE,N.W.wASHINGTON,D.C.20006.5232
L:UN I INUA I IUN Mitt I AIA DOCUMENTG703
AIA Doeumcnt G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 07
Contractors signed certi Bcation is attached. APPLICATION DATE: 04/22/13
In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 01/31/13
Use Column I on Contracts where variable retainage for line items may apply. ARCHITEM PROJECT NO: 66780
A 8 C D E F O H I
ITEM DES RIPTIONOF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANC REI'AINAGE
NO. VALUE FROM PREVIOUS HIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE
APPLICATION STORED ANDSTORED (C-G) RATE)
(D r E) (NOT IN TO DATE
D OR E) (D+•E+F)
52 Sign Typo RR do SS Installation 51,541.00 50.00 $1,541.00 S0.00 51,541.00 50.00 $0.00
53 Sign Type TT Fabrication 52,339.00 52.339.00 SO.OD $0.00 52,339.00 100% $0.00 50.00
54 Sign Type TT Installation 5369.00 5369.00 $0.00 50.00 5369.00 100"/0 30.00 $0.00
55 All k 5 Cast Mounting Brackets $14,093.00 S14,093.00 50.00 50.00 $14,093.00 1000/0 50.00 50.00
56 Sign Type AAA Fabrication 5731.00 5731.00 $0.00 $0.00 $731.00 100% $0.00 $0.00
57 Sign Type AAA Installation 5126.00 $126.00 50.00 $0,00 5126.00 1000A $0.00 SO.D0
58 Sign Type BBD Fabrication $2,413.00 52,413.00 50.00 50.00 52.413.00 1000/0 $0.00 $0.00
59 Sign Type BBB Installation $984.00 5984.00 $0.00 $0.00 5984.00 1000.11 50.00 $0.00
60 Sign Type BBB-2 Fabrication S300.00 $300.00 $0.00 $0.00 5300.00 100% 50.00 $0.00
61 Sign Type 13BD-2 Installation $65.00 $65.00 $0.00 50.00 $65.00 100% $0.00 $0,00
62 Sign Type CCC Fabrication 5966.00 5966.00 50.00 $0.00 S966.D0 100% 50.00 $0.00
63 Sign Type CCC Installation $419.00 5419.00 50.00 50,00 $419.00 100% 50.00 50.00
64 Sign Type DDD Fabrication 5477.00 5477.00 50.00 50.00 $477.00 100% $0.00 50.00
65 Sign Type DDD Installation $195.00 5195.00 SO.00 50.00 5195.00 100% $0.00 $0.00
66 Sign Type FFF Fabrication $212.00 5212.00 $0.00 $0.00 $212.00 100% 50.00 50.00
67 Sign Type FFF Installation $86.00 586.00 SO.OD 50.00 $96.00 100% $0.00 $0.00
68 Sign Type HHH Fabrication 5118.00 SI 18.00 50.00 50.00 5118.00 1001A $0.00 50.00
69 Sign Type HHH Installation S43,00 $43.00 50.00 50.00 543.00 100% 50.00 $0.00
70 Sign Type JJJ Fabrication $206.00 5206.00 50.00 50.00 5206.00 1000/0 SO.00 50.00
71 Sign Type JJJ Installation 5365.00 $365.00 SO.OD 50.00 5365.00 100% 50.00 50.00
72 Sign Type MMM Fabrication 52,312.00 52,312.00 50.00 50.00 52,312.00 1000/0 50.00 50.00
73 Sign Type MMM installation 5492.00 $492.00 50.00 50.00 $492.00 1000/0 $0.00 $0.00
74 Sign Type NNN Fabrication 5256.00 5256.00 $0.00 $0.00 $256.00 1000/0 50.00 $0.00
75 Sign Type NNN Installation 5101.00 SI01.00 $0.00 50.00 $101.00 1000/0 $0.00 $0.00
76 AllowenceGrneral $1&998.50 50.00 $18,998.50 $0.00 S18,998.50 1000/0 50.00 50.00
77 Allowence LitneStone Engraving S18,998.50 50.00 518,998.50 $0.00 $18,998.50 100% $0.00 $0.00
78 Change Orders 519,230.29 50.00 519,230.29 50,00 $19,230.29 100% 50.00 50.00
79 Work not performed (542.978.00) $0.00 (542,978.00) 50.00 (542,978,00) 100016 $0,00 50.00
GRAND TOTALS $430,332.29 $377,306.00 $53,026.29 $0.00 5430,332.29 100% $0.00 I 50.00
Users may obtain validation of this document by requesting of the license a completed AIA Document 0401-Certification of Document's Authenticity
AtA DOCUMENT 0103•CONTtNUATtON SHEET FOR G702-1262 EDITION•NA•01992 (3703-1992
THE AMERICAN IWnTV7E OF ARCHITECTS.1735 NEW YORK AVENUE.N.W.WASHINGTON.U.C.20006-5232
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 T
Purchase Order No.
20 �,ir& M. Terms
UPrph& , I� I S Date Due
Invoice Invoice Description Amount
Date Number (or note attached in or bill(s)) C
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
lh G
IN SUM OF $
10 River
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
D PT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s),
or 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
L'-22- 20 13
gnature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund