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HomeMy WebLinkAboutTHYSSENKRUPP ELEVATOR -001537 -1/7/2011 CARMEL REDEVELOPMENT COMMISSION 0 015 3 7 Thyssenkrupp Elevator Check: 1537 2726 E Kemper Road Date: 1/7/2011 Cincinnati, OH 45241 Vendor: THYSSEN1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 5 56,831.00 56,831.00 0.00 0.00 56,831.00 App 5 on P4460912 56,831.00 56,831.00 0.00 0.00 56,831.00 t APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702/Cma PAGE ONE OF THREE PAGES TO: REI CONSTRUCTION,LLC PROJECT: VILLAGE ON THE GREEN APPLICATION NO: 5 Distribution to: 005EAK401-03 OWNER , CUST.NO. 9319557 RE-SENT: ARCHITECT PERIOD TO: 11/30/10 CONTRACTOR FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: THYSSENKRUPP ELEVATOR 2726 E. KEMPER ROAD VIA ARCHITECT: PROJECT NOS: CINCINNATI,OH 45241 CONTRACT FOR: ELEVATORS CONTRACT DATE: 11/18/09 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. ORIGINAL CONTRACT SUM 348,900.00 C NTRACTOR: THYSSENKRUPP ELEVATOR 2. Net change by Change Orders $ 0.00 3. CONTRACT SUM TO DATE(Line 1±2) $ 348,900.00 By: 4 ------ Date.‘ '4z November 19,2010 4. TOTAL COMPLETED&STORED TO $ 348,900.00 ROSETTA BARNES/CONSTRUCTION COO W., DATE (Column G on G703) State of:OHIO County of:HAMIX. 5. RETAINAGE: Subscribed a d-sworn to before me this 19-Nov-J � Pary a. 0 %of Completed Work $ 0.00 Notary Public: %tar YENS - (Column D+E on 0703) My Commission expires: � ;rj '�`' Y public,State b. 0 %of Stored Material $ 0.00 �i v.,. , My C°mmissi of. (Column F on G703) CERTIFICATE FOR PAYMEN �TFOF.oN\® �,,,)uEr,3,2011 Total Retainage(Lines 5a+5b or In accordance with the Contract Documents,based on on-site ions and the data Total in Column I of 0703) $ 0.00 comprising this application,the Construction Manager and Architect certifies to the Owner 6. TOTAL EARNED LESS RETAINAGE $ 348,900.00 that to the best of their knowledge,information and belief the Work has progressed as (Line 4 Less Line 5 Total) indicated,the quality of the Work is in accordance with the Contract Documents,and 7. LESS PREVIOUS CERTIFICATES FOR the Contractor is entitled to payment of the AMOUNT CERTIFIED. PAYMENT(Line 6 from prior Certificate) 292,069.00 Qty 8. CURRENT PAYMENT DUE $ 56,831.00 AMOUNT CERTIFIED $ S6 g31 31 9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 0.00 (Line 3 less Line 6) (Attach explanation if amount certified differs from the amount applied.Initial all figures on this Application and onthe Continuation Sheet that are changed to conform with the amount certified.) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved CONSTRUCTION MANAGER in previous months by Owner $0.00 $0.00 / ' / By:��''s • Date: /2/ 3/1 v Total approved this Month $0.00 $0.00 ARCHITECT: TOTALS $0.00 $0.00 By: Date: NET CHANGES by Change Order $0.00 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/CMa.APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION•AIA ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,DC 20006-5292 1 CONTINUATION SHEET THYSSENKRUPP JOB# 005EAK401-02 PAGE PAGE 2 OF 3 APPLICATION AND CERTIFICATE FOR PAYMENT,containing PERIOD TO: 11/30/10 APPLICATION NO: 5 Contractor's signed Certification is attached. In tabulations below,amounts are stated to the nearest dollar. JOB NAME: VILLAGE ON THE GREEN DATE OF APPLICATION: 11/19/10 A B C D E F G ' H I WORK TOTAL BALANCE ACTUAL COMPLETED COMPLETED& TO FINISH STORED ITEM SCHEDULED PREVIOUS THIS STORED % LESS RETAINAGE MATERIAL NO. DESCRIPTION OF WORK VALUE APPLICATION PERIOD TO DATE COMPLETED (C-F) TO DATE 1 ENG/PREPRODUCTION 90,300 90,300 0 90,300 100% 0 2 JACK HOLE L 23,323 23,323 0 23,323 100% 0 3 OILDRAULIC JACK M 10,618 10,618 0 10,618 100% 0 0 L 6,362 6,362 0 6,362 100% 0 4 CAR SLING&PLATFORM M 6,194 6,194 0 6,194 100% 0 0 L 4,894 4,894 0 4,894 100% 0 . 5 HOISTWAYACCESSORIES M 9,733 9,733 0 9,733 100% 0 0 L 7,830 7,830 0 7,830 100% 0 6 POWER UNIT M 19,466 19,466 0 19,466 100% 0 0 L 7,340 7,340 0 7,340 100% 0 7 CONTROLLER M 23,005 23,005 0 23,005 100% 0 0 L 7,340 7,340 0 7,340 100% 0 8 ENTRANCES M 11,502 11,502 0 11,502 100% 0 0 L 6,851 6,851 0 6,851 100% 0 9 CAB M 7,963 0 7,963 7,963 100% 0 0 L 6,362 0 6,362 6,362 100% 0 10 DOOR OPERATOR M 1,800 1,800 0 1,800 100% 0 0 L 1,957 0 1,957 1,957 100% 0 11 ADJUSTING L 5,160 0 5,160 5,160 100% 0 0 _TOTAL 258,000 _ 236,558 21,442 258,000 100% 0 0 1 CONTINUATION SHEET THYSSENKRUPP JOB# 005EAK403 PAGE PAGE 3 OF 3 APPLICATION AND CERTIFICATE FOR PAYMENT,containing PERIOD TO: 11/30/10 APPLICATION NO: 5 Contractor's signed Certification is attached. In tabulations below,amounts are stated to the nearest dollar. JOB NAME: VILLAGE ON THE GREEN DATE OF APPLICATION: 11/19/10 A B C D E F G • H I WORK TOTAL BALANCE ' ACTUAL COMPLETED COMPLETED& TO FINISH STORED ITEM SCHEDULED PREVIOUS THIS STORED % LESS RETAINAGE MATERIAL NO. DESCRIPTION OF WORK VALUE APPLICATION PERIOD TO DATE COMPLETED (C-F), TO DATE 1 ENG/PREPRODUCTION 31,815 31,815 0 31,815 100% 0 2 JACK HOLE L 11,644 11,644 0 11,644 100% 0 3 OILDRAULIC JACK M 2,749 2,749 0 2,749 100% 0 0 L 2,719 2,719 0 2,719 100% 0 4 CAR SLING&PLATFORM M 1,603 1,603 0 1,603 100% 0 0 L 2,092 0 2,092 2,092 100% 0 - 5 HOISTWAY ACCESSORIES M 2,520 2,520 0 2,520 100% 0 0 L 3,347 0 3,347 3,347 100% 0 6 POWER UNIT M 5,039 5,039 0 5,039 100% 0 0 L 3,138 0 3,138 3,138 100% 0 7 CONTROLLER M 5,955 5,955 0 5,955 100% 0 0 L 3,138 0 3,138 3,138 100% 0 8 ENTRANCES M 2,978 2,978 0 2,978 100% 0 0 L 2,929 0 2,929 2,929 100% 0 9 CAB M 2,061 2,061 0 2,061 100% 0 0 L 2,718 0 2,718 2,718 100% 0 10 DOOR OPERATOR M 1,800 1,800 0 1,800 100% 0 0 L 837 0 837 837 100% 0 11 ADJUSTING L 1,818 0 1,818 1,818 100% 0. 0 TOTAL 90,900 70,883 20,017 90,900 100% 0 0 APPLICATION FOR PAYMENT PARTIAL WAIVER OF LIEN Contractor: ThYSSenKrupp Elevator Address: 2726 E. Kemper Road Cincinnati,Ohio 45241 •Project Name and Address: V t LLRGQ. ti 1C 3 PIP R 4.. Su'' - t..‘11 e'V CHRmQL iN Period to: 11 -3 b b Job#: ODSEFil44C,1 - b3 The Undersigned has been contracted by REI 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 $ a � 9 3 D • 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 nr Dated this k D H day of N av emb Er ?lb 16 THYSSENKRUPP ELEVATOR CORPORATION Corn any Name Rosetta Barnes BY: TITLE: Construction Coordinator -Rosetta Barnes NAME: Construction Coordinator STATE OF OH COUNTY OF Subscribed and swor to before me,a Notary Public in and for said Counttaixi State,this 1 \ t H day of N ��1�-m�3`P, ,201 D � `�.\I My commission expires My county resid • = ' °= " PAMELA STEVENS VENS ►Y Public,State of Oh' s ��` MY Commission E xpire, ��. ;.; ,! \� Uctobsr 3,2011 Notary Printed TEOF THYSSENKRUPP ELEVATOR 0929306 REMIT TO: THYSSENKRUPP ELEVATOR CORPORATION 2726 E.KEMPER ROAD CINCINNATI,OH 45241 Attention. CASI-I APPLICATIONS SOLD REI CONSTRUCTION LLC CUSTOMER NO: 9319557 TO: 11711 N PENNSYLVANIA CARMEL IN 46032-0000 INVOICE DATE: 11/19/2010 INVOICE NO: 0929306 JOB NUMBER: 005EAK401 CODES: 18 029 084 00 01 CONTRACT#: RE: VILLAGE ON THE GREEN SUB-CONT#: CARMEL, IN CUST PO#: HAMILTON COUNTY CONTRACTOR JOB#: TO: INVOICE FOR ELEVATOR WORK CONTRACT PRICE 348,900.00 VALUE OF MATERIAL AND/OR LABOR FURNISHED TO DATE 348,900.00 348,900.00 LESS PREVIOUS BILLINGS 292,069.00 NET AMOUNT DUE AND PAYABLE 56,831.00 PAYMENT IN FULL DUE AT FINAL ACCEPTANCE IF REMITTING DIFFERENT AMOUNT PLEASE GIVE AMOUNT AND REASON, THANK YOU: $ PLEASE CALL: (866) 719-5080 INVOICE: ROSETTA BARNES EXT: 4961 FAX NUMBER: (866) 545-4278 WAIVERS: MIKE TRENT EXT: 4999 INVOICES ARE DUE WHEN RENDERED CREDIT MGR: MIKE TRENT EXT: 4999 Goods or Services covered by this invoice were produced in compliance with the requirements of the Fair Labor Standards Act of 1938, as amended. CBB04$-01 REMITTANCE FDL077