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Home My WebLink AboutVERKLER CONSTRUCTION -001538 -1/7/2011 CARMEL REDEVELOPMENT COMMISSION 001538 Verkler Construction Check: 1538 7240 Georgetown Road Date: 1/7/2011 Indianapolis, IN 46268 Vendor: VERKLER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 11 40,320.00 40,320.00 0.00 0.00 40,320.00 App 11 VOG Office Bldg One 40,320.00 40,320.00 0.00 0.00 40,320.00 APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION AIA DOCUMENT G702/CMa PAGE ONE OF PAGES TO: City of Carmel Community Development PROJECT: Village on the Green Office Building No. I, Carmel Corporation IN APPLICATION NO: 11 Distribution To: Third Avenue S.W. PERIOD TO: 11/30/2010 DOWNER Carmel, Indiana 46032 PROJECT NOS: 09-010 ❑ CONSTRUCTION MANAGER FROM: Verkler Incorporated CONTRACT DATE: 11/9/2009 ❑ ARCHITECT 7240 Georgetown Road ❑ CONTRACTOR Indianapolis, IN 46268 VIA CONSTRUCTION MANAGER: REI Construction, LLC CONTRACT FOR: Bid Item #1 VIA ARCHITECT: Pedcor Design Group LLC The undersigned Contractor certifies that to the best of the Contractor's knowledge, Infor- mation COIVTRACTOR S APPLICATION FOR PAYMENT and belief the Work covered by this Application for Payment has been completed in Application is made for payment, as shown below, in connection with the Contract. accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet, AIA Document G703, is attached. Contractor for Work for which previous Certificates for Payment were issued arid payments 1. ORIGINAL CONTRACT SUM $ $807,500.00 received from the Owner,and that current payment shown herein is now due. 2. Net Change by Change Orders . $ $123,447.51 CO fr ■ ACTOR: 3. CONTRACT SUM TO DATE (Line 1 ±2) . $ $930,947.51 /0 / 4. TOTAL COMPLETED&STORED TO DATE $ $906,147.51 A D•2 D e) Fly: ate: (Column G on G703) 5 RETAINAGE: State of: Indiana a. 10.00%of Completed Work $ $90,614.75 County of: Marion (Columns D+L on G703) Subscribed and sworn to before b. 10.00%of Stored Material me this 30th day of November.2010 (Column F on G703) $ $0.00 Total Rctainage(Line 5a+5b or Total in Column I on G703) $ $90,614.75 / t , 0)(40/CL-62---- 6. TOTAL EARNED LESS RETAINAGE . $ $815,532.76 Notary Public: Janeane Arbuckle (Line 4 less Line 5 Total) My commission expires: March 20 0 LESS PREVIOUS CERTIFICATE FOR PAYMENT . $ $775,212.76 CERTIFICATE F® ' 'IAYMENT 7. 8. CURRENT PAYMENT DUE $ $40,320.00 In accordance with the Contract Documents, based on on-site observations and the data BALANCE TO FINISH INCLUDING RETAINAGE comprising the application, the Construction Manager and Architect certifies to the Owner 9. that to the best of the their knowledge, information and belief the Work has progressed as (Line 3 less Line 6) $115,414.75 indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED o G' $ `.10,320 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (4ttaclr explanation if amount certified differs from the amount applied for. Initial all Total changes approved in figures on this Application and on the Continuation Street that are changed to conform to the amount certified) previous months by Owner CONSTRUCTION MANAG?R: / / Total approved this Month $123,447.51 13y: Q-•�1�.� Date: /Z,/ O ARCHITECT: TOTALS $123,447.51 $0.00 13y: Date: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the NET CHANGES by Change Order $123,447.51 Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. nn AIA DOCUMENT G702/CMa•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION•AIA •©1992•THE AMERICAN INSTITUTE OF ARCIIITECTS,1735 NEW YORK e to ' AVENUE,N W.,WASIIING'PON,DC 20006-5292•Users may obtain validation of this document by requesting a completed AIA Document D401-Certification of Document's Authenticity from the Licensee. 1 G702/CMa-1992 CONTINUATION SHEET AIA DOCUMENT G703 PAGE 1 OF 6 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 11 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 09-010 ARCHITECT'S PROJECT NO: NET CHANGES by Change Order $123,447.51 I This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION•AIA •01992•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N W,WASHINGTON,DC 20006-5292•Users may obtain validation of this document by requesting a completed AIA Document D401-Certification of Document's Authenticity from the Licensee. G702-1992 A B C D E F G H I # Description of Scheduled Previous Work Work Presently Total % Balance to Total Retainage Work Value Complete Completed from Stored Completed & Finish This Period Stored to Date General Conditions 0001 Mobilization $15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 100.00% $0.00 $1,500.00 0002 Performance $10,500.00 $10,500.00 $0.00 $0.00 $10,500.00 100.00% $0.00 $1,050.00 Bond 0003 Safety $4,000.00 $4,000.00 $0.00 $0.00 $4,000.00 100.00% $0.00 $400.00 0004 Project $15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 100.00% $0.00 $1,500.00 Superintendent - 0005 Staking/Layout $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100.00% $0.00 $300.00 General Subtotal: $47,500.00 $47,500.00 $0.00 $0.00 $47,500.00 100.00% $0.00 $4,750.00 Conditions Bid Item#1 0006 Earthwork $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 Mobilization 0007 Excavation $20,000.00 $20,000.00 $0.00 $0.00 $20,000.00 100.00% $0.00 $2,000.00 0008 Demolition $7,000.00 $7,000.00 $0.00 $0.00 $7,000.00 100.00% $0.00 $700.00 0009 Build-Up Bldg $14,000.00 $14,000.00 $0.00 $0.00 $14,000.00 100.00% $0.00 $1,400.00 Pad 0010 Excavation for $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 Foundations 0011 Stone @ Bldg $6,000.00 $6,000.00 $0.00 $0.00 $6,000.00 100.00% $0.00 $600.00 Pad 0012 Prep for New $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $500.00 Walks 0013 Spreading of $4,500.00 $4,500.00 $0.00 $0.00 $4,500.00 100.00% $0.00 $450.00 Topsoil 0014 Remove Auger $17,000.00 $17,000.00 $0.00 $0.00 $17,000.00 100.00% $0.00 $1,700.00 Spoils 0015 Erosion Control $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 0016 Alt.#1 Water $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 , Line 0017 Asphalt Paving- $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $500.00 _ • CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 6 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 11 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 09-010 ARCHITECT'S PROJECT NO: Mobilization 0018 Asphalt Paving- $7,500.00 $7,500.00 $0.00 $0.00 $7,500.00 100.00% $0.00 $750.00 Stone 0019 Asphalt Paving- $13,000.00 $13,000.00 $0.00 $0.00 $13,000.00 100.00% $0.00 $1,300.00 Binder 0020 Asphalt Paving- $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 1• 00.00% $0.00 $1,000.00 Finish Coat 0021 Paving Marking $1,100.00 $1,100.00 $0.00 $0.00 $1,100.00 . 100.00% $0.00 $110.00 0022 Bollards- Mat'l $700.00 $700.00 $0.00 $0.00 $700.00 100.00% $0.00 $70.00 0023 Piling- $15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 100.00% $0.00 $1,500.00 Mobilization 0024 Piling-Test $15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 1• 00.00% $0.00 $1,500.00 Piles 1 0025 Piling $153,900.00 $153,900.00 $0.00 $0.00 $153,900.00 i 100.00% $0.00 $15,390.00 0026 Concrete $55,000.00 $55,000.00 $0.00 $0.00 $55,000.00 . 100.00% $0.00 $5,500.00 Reinforcement- Mat'l 0027 Concrete $25,000.00 $25,000.00 $0.00 $0.00 $25,000.00 1• 00.00% $0.00 $2,500.00 Reinforcement- Labor 0028 Cast In Place- $13,000.00 $13,000.00 $0.00 $0.00 $13,000.00 1• 00.00% $0.00 $1,300.00 Walls-Mat'l 0029 Cast In Place- $40,000.00 $40,000.00 $0.00 $0.00 $40,000.00 100.00% $0.00 $4,000.00 Walls- Labor 0030 Cast In Place- $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $500.00 SOG - Mat'l 0031 Cast In Place- $17,000.00 $17,000.00 $0.00 $0.00 $17,000.00 100.00% $0.00 $1,700.00 SOG - Labor 0032 Cast In Place- $18,000.00 $18,000.00 $0.00 $0.00 $18,000.00 100.00% $0.00 $1,800.00 Elev Slabs- Mat'l 0033 Cast In Place- $55,000.00 $55,000.00 $0.00 $0.00 $55,000.00 1• 00.00% $0.00 $5,500.00 Elev Slabs- Labor 0034 Misc. Concrete- $35,000.00 $35,000.00 $0.00 $0.00 $35,000.00 100.00% $0.00 $3,500.00 Mat'l 0035 Misc. Concrete- $35,000.00 $35,000.00 $0.00 $0.00 $35,000.00 1• 00.00% $0.00 $3,500.00 Labor 0036 Site Concrete- $300.00 $300.00 $0.00 $0.00 $300.00 100.00% $0.00 $30.00 Mat'l 0037 Site Concrete- $16,500.00 $16,500.00 $0.00 $0.00 $16,500.00 100.00% $0.00 $1,650.00 Labor 0038 Bitiminous $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $500.00 Dampproofing _ 0039 Bentonite $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $500.00 Waterproofing CONTINUATION SHEET AlA DOCUMENT G703 PAGE 3 OF 6 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 11 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 09-010 ARCHITECT'S PROJECT NO: 0040 Pedestrian $30,000.00 $3,000.00 $2,700.00 $0.00 $5,700.00 19.00% $24,300.00 $570.00 Traffic Coating 0041 Joint Sealants $500.00 $0.00 $0.00 $0.00 $0.00 0.00% $500.00 $0.00 Bid Item#1 Subtotal: $690,000.00 $662,500.00 $2,700.00 $0.00 $665,200.00 96.41% $24,800.00 $66,520.00 Allowances 0042 Winter $70,000.00 $70,000.00 $0.00 $0.00 $70,000.00 100.00% $0.00 $7,000.00 Conditions Allowance 0043 Delete line $0.00 $0.00 $0.00 $0.00 $0.00 0.00% $0.00 $0.00 Allowances Subtotal: $70,000.00 $70,000.00 $0.00 $0.00 $70,000.00 100.00% $0.00 $7,000.00 CO#01 -Add for sequencing of Slab Pours/ Add for re- routing Fire Hydrant Line/ Add for changing sanitary sewer pipe mat'l 0043 Add for $8,367.00 $8,367.00 $0.00 $0.00 $8,367.00 100.00% $0.00 $836.70 sequencing of Slab Pours/ Add for re- routing Fire Hydrant Line/ Add for changing sanitary sewer pipe mat'I CO#01 -Add Subtotal: $8,367.00 $8,367.00 $0.00 $0.00 $8,367.00 100.00% $0.00 $836.70 for sequencing of Slab Pours/ Add for re- routing Fire Hydrant Line/ Add for changing sanitary sewer pipe mat'I CO#02-Add for PCO#24/ Add for labor& CONTINUATION SHEET A/A DOCUMENT G703 PAGE 4 OF 6 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 11 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 09-010 ARCHITECT'S PROJECT NO: mat'I on Temporary Windows/Add for PCO#26/ Add for additional work at Waterline Tap 0044 Add for PCO $38,972.51 $38,972.51 $0.00 $0.00 $38,972.51 100.00% $0.00 $3,897.25 #24/Add for labor&mat'I on Temporary Windows/Add for PCO#26/ Add for additional work at Waterline Tap CO#02-Add Subtotal: $38,972.51 $38,972.51 $0.00 $0.00 $38,972.51 100.00% $0.00 $3,897.25 for PCO#24/ Add for labor& mat'I on Temporary Windows/Add for PCO#26/ Add for additional work at Waterline Tap CO#03- PCO #23B- Part 3,4 /PCO#27/ PCO#28-33- Add Back for Patriot 0045 PCO#23B- $34,008.00 $34,008.00 $0.00 $0.00 $34,008.00 100.00% $0.00 $3,400.80 Part 3, 4/PCO #27/PCO#28- 33-Add Back for Patriot CO#03- PCO Subtotal: $34,008.00 $34,008.00 $0.00 $0.00 $34,008.00 100.00% $0.00 $3,400.80 #23B- Part 3, 4 /PCO#27/ PCO#28-33- Add Back for Patriot CONTINUATION SHEET A/A DOCUMENT G703 PAGE 5 OF 6 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 11 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 09-010 ARCHITECT'S PROJECT NO: CO#04- PCO #23/PCO#39/ PCO#38 046 Add for PCO 23 $6,683.00 $0.00 $6,683.00 $0.00 $6,683.00 100.00% $0.00 $668.30 - Part 5 Temp. worker 047 Add for PCO $1,100.00 $0.00 $1,100.00 $0.00 $1,100.00 100.00% $0.00 $110.00 #39 Carmel Utilities invoice 048 Add for PCO $34,317.00 $0.00 $34,317.00 $0.00 $34,317.00 100.00% $0.00 $3,431.70 #38 42" of Box Culvert CO#04- PCO Subtotal: $42,100.00 $0.00 $42,100.00 $0.00 $42,100.00 100.00% $0.00 $4,210.00 #23/PCO#39/ PCO#38 GRAND TOTAL $930,947.51 $861,347.51 $44,800.00 $0.00 $906,147.51 97.34% _ $24,800.00 $90,614.75 APPLICATION FOR PAYMENT PARTIAL WAIVER OF LIEN Contractor: Verkler. Inc. Address: 7240 Georgtown Rd. Tnrlianarnlia, TN 46268 Project Name and Address: Village on the Green Office Building No. 1 Period to: 11/30/10 Job#: 1-06-1493 The Undersigned has been contracted by REl Construction, LLC as a Contractor in connection with construction of the Project owned by Owner and located as indicated above. The Undersigned,for and in consideration of any and all amounts paid to the Undersigned up to and including the date of execution hereof and other good and valuable consideration, the receipt whereof is hereby acknowledged, waives and releases any and all liens, notices of liens or of character, against, on or relating to or connected with the above-described Project and improvements located thereon and related thereto, on account of labor or services, materials, equipment, tools, machinery or apparatus furnished or leased, or which may be furnished or leased by, or at the request of,the Undersigned for the Project. The Undersigned hereby warrants that the Project cannot be made subject to any valid lien or claim by anyone who furnished or leased labor or services, materials, equipment, tools, machinery or apparatus to, or at the request of, the Undersigned for use in the Project. This instrument, and the waiver, release and representations hereunder, are for the benefit of, and may be relied upon by, the Owner, its successors, assigns and mortgagees, the above-named General Contractor or Construction Manager, and any other person by or through whom payments have been made to the Undersigned. The undersigned,for and in consideration of the total payments in the sum of $ 40,320.00 the receipt of which is hereby acknowledged, does hereby waive, release remise and relinquish any and all right to claim any lien or liens for work done or materials furnished, or any kind or class of lien whatsoever for said building or premises or project Dated this 30th day of November , 2010 Verkler, Inc. Company Nam-,i BY: LairL 44 TITLE: CEO/Treasurer w NAME: Fred H. Lusk STATE OF Indiana COUNTY OF Marion Subscribed and sworn to before me, a Notary Public in and for said County and State, this 30th day of November , 2010 My commission expires March 20, 2013 My county residence is Hamilton ' r Nota - ' ed Janeane Arbuckle I