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HomeMy WebLinkAboutPURDY MASONRY, INC -002553 -12/22/2011 CARMEL REDEVELOPMENT COMMISSION 002553 Purdy Masonry, Inc. Check: 2553 7601 Indianapolis Road Date: 12/22/2011 Zionsville, IN 46077 Vendor: PURDYM1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pak 17 32 5,000.00 5,000.00 0.00 0.00 5,000.0( Balance on contract 5,000.00 5,000.00 0.00 0.00 5,000.0( • - -.D 6 cu m e nt .702/CMarm - 1q92 . • Application and•Certificate e for Payment Construction Manager-Adviser Edition . TO OWNER:' ' '',"': " PROJECT: Parcel 7A-Reg.Pert.Arts'Cntr . APPLICATION NO: ;;, 17:;,• ,; ' Distribution to: CITY OF CARMEL,BY AND THROUGH 11/30/2011 IT'S REDEVELOPMENT COMMISSION PERIOD TO: : OWNER ❑ N•• .. CONSTRUCTION MANAGER ❑ 1/812008 FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT El Purdy Masonry,Inc. SHIEL SEXTON COMPANY 2695 7601 Indianapolis Road PROJECT NOS: / 1 CONTRACTOR ❑ Zionsville,IN 46077 VIA ARCHITECT:CSO ARCHITECTS • FIELD ❑ CONTRACT FOR:43020 EXT.CMU ❑ CONTRACTOR'S APPLICATION FOR PAYMENT - The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet;AIA Document'3703,is attached. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates 1,450,000.00 payments received from the Owner, and that current 1.ORIGINAL.CONTRACT SUM ' ' $ payment shown herein is stnow duesued and a ents - 2.Net change by Change Orders -' - - $ 17,940.60 CONTRACTOR: rdy Masonry, c. 4.TOTAL COMPLETED'&STORED TO DATE $ 1.467,940.60 State Date: t! 3.CONTRACT SUM TO DATE Line'i±,_)° •t 70 _ / (Column on G703) $ 1,467,940.60 State of: IN — 5.RETAINAGE: County of: BOONS• a. .0 00 ixtn D C E pletted Work Stefanie Purdy p ) Subscribed d sworn,to:before a 1 Notary Public Seal State of Indiana 0.00 Hendricks County (Colu 703 $ me this .da of U ry b. %of / Commission Expires 0'3/29/2017 •Stored Material Notary Public: �'i" 'A-6.-. (Column Fon • $ 0.00 My Commission a ' Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ 0.00 CERTIFICATE F f R PAYMENT • • 1,467,940.60 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application,the Construction Manager and Architect certify to the Owner that to the best of their ' (Line 4 Less Line S Total)' knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,462,941.60 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT Or ' '(Line 6 from prior Certificate) CERTIFIED. 5,000.00 S p Tt� �r 8.CURRENT PAYMENT'DUE $ AMOUNT CERTIFIED $ 1 : ►y 9.BALANCE TO FINISH INCLUDING RETAINAGE;•. (Attach explanation if amount certified differs rom the;arno lot applied.Initial all figures on this Application on and on t� •.nt"m uati o n Sh eet tr..arec. •'-d to conform with the amount certified.) (Line 3 less Line'6) 0.00. $ CONS ._CTION MA •• BY: ,iv<-S:-/'A 446..'-,/. , - Date: • CHANGE ORDER SUIVfMARY ADDITIONS DEDUCTIONS ARCHI -47 Total changes approved in'previous months by Owner $ 17,940.60 $ 0.00 B ,% /r f — `L I( 0.00 0.00 Y r G` Date: Total approved this'Month $ $ This Certificate is..•-not negotiable. The AMOUNT CERTIFIED is,payable on'y to the Contractor NET CH ' TOTALS $ 17,940.60 0.00 named ed herein. Con„ance;`payment and acceptance of payment are without prejudice to any rights of CHANGES by Change Order $ tractor under this Contract. CAUTION:You should sign an original ALA Contract Document;on which this text appears in.RED.An original assures that changes will not be obscured. AIA Document G702/CMan,—1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAe Document is protected by U.S.Copyright Law and International Treaties. 1 Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. is 1 " . r Document l . Continuation Sheet ,., .- AIA Document G702TM,Applieatibn''and Certification for Payment, APPLICATI,ON'NO: 17 containing Contractor's sigried. ertification is attached. APPLICATION DATE: 1 U30/2011 In tabulations below,ainounfs are stated to the nearest dollar. -';PERIOD T0: Use CoIumn_I•on dntracts where variable retainage for line items may apply. 11130!2011 ARCHITECT'S PROJECT NO: 2695 A B C D E F 0 H • I WORK COMPLETED TOTAL BALANCE MATERIALS COMPLETED • SCHEDULED FROM PREVIOUS PRESENTLY S pREDY AND STORED ( % TO RETAINAGE ITEM EM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD G_C) FINISH 1f variable rate) NO. (D+E) (Not in D or E) (TDO DATE (C-G) 1 BOND 14,500.00 14,500.00 0.00 0.00 14,500.00 100.00 0.00 0.00 2 SUBMITTALS 24,000.00 24,000.00 0.00 0.00 24,000.00 100.00:_ 0.00 0.00 3 MOCK UP • 1,000.00 1,000.00 0.00 0.00 1,000.00 100.011 0.00 0.00 4 MOBILIZATION , :. . ,•, 10,000.00 10,000.00 0.00 0.00 10,000.00 100.00 0.00 0.00 • 5 CLEAN UP 20,000.00 20,000.00 0.00 0.00 20,000.00 100.00 0.00 0.00 6 SAFETY 20,000.00 20,000.00 0.00 0.00 •20,000.00 100.00 0.00 0.00 7 ORIENTATION ,. 3,000.00 3,000.00 0.00 0.00. •.,, .. 3,000.00 100.00 0.00 0.00 8 REBAR•MATERIAL .59,000.00 59,000.00 0.00 0.00 59,000.00 100.00 0.00 0.00 9 REBAR LABOR 40,000.00 40,000.00 0.00 '•0.00 40,000.00 100.00 0.00 0.00 10 GROUT MATERIAL 105,000.00 105,000.00 0.00 0.00 105,000.00 100.00 0.00 0.00 11 GROUT LABOR 200,000.00 200,000.00 0.00 0.00 200,000.00 100.00 0.00 0.00 12 JOINT REINFORCEMENT . 23,000.00 ajiMO 0.00 0 M 23,000.00 100.00 0.00 0.00 13 WELD ON ANCHORS MATERIAL 14,000.00 • ,t-1 t 0.00 0-C° 14,000.00 100.00 0.00 0.00 14 WELD ON ANCHORS LABOR 19,000.00 19,000.00 0.00 0.00 19,000.00 100.00 0.00 0.00 15 NORTH SIDE 0.00 0.00 0.00 0.00 • 0.00 0.00 0.00 0.00 16 CMU MATERIAL 40,000.00 40,000.00 0.00 0.00 40,000.00 100.00 0.00 0.00 17 CMU LABOR - 130,000.00 130,000.00 0.00 0.00 130,000.00 100`00;,, 0.00 0.00 18 EAST SIDE 0.00 0.00 • 0.00 0.00 0.00-'•,, 0:00 0.00 0.00 19 CMU MATERIAL 45,000.00 45,000.00 0.00 0.00 45,000.00 100.00 0.00 . 0.00 20 CMU LABOR •• 137,625.00 137,625.00 0.00 0.00 137 ,625.00 100.00 0.00 0.00 21 SOUTH SIDE ;; 0.00 :0.00 0.00 0.00.,. -; 0.00 0.00 0.00 0.00 GRAND TOTAL CAUTION:You should sign an original NA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703"-1992.Copyright 01963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAe Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA Document,or any portion of it,may result It intions re of civil l and cri criminal penalties,add will be American Institute u d to ot the maximum legal extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright counsel,copyright @aia.org. • '® ocument 6703 1992 . • Continuation Sheet ' ,. PP Payment, containing Contractor's signeddeerti NO. AIA Document G702 A libation and Certification for APPLICATION 17 fication is attached. APPLICATION.. ..DATE: In tabulations below,amounts are stated to the nearest dollar. 11/30/2011 Use Column,I on,Contracts where variable retainage for line items may apply. ),PERIOD TO: 11/30/2011 `,' ARCHITECT'S PROJECT NO: 2695 A B C 0 I E F G H I . WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G-C) FINISH (If variable rate) NO. TO DATE (D+E) (NotinDorE) (D+E+F) (C-G) 22 CMU MATERIAL 50,000.00 . 50,000.00 0.00 0.00 50,000.00 100.00 0.00 0.00 23 CMU LABOR 145,250.00 145,250.00 0.00 0.00 145,250.00 100.00 0.00 0-00 24 WEST SIDE 0.00 0.00 0.00 0.00 0.00 _0.00 0.00 0.00 25 CMU MATERIAL .. .. . .. 45,000.00 45,000.00 0.00 0.00 45,000.00, 100.00 0.00 0.00 26 CMU LABOR 130,625.00 130,625.00 0.00 . 0.00 130,625.00 100.00 0.00 0-00 27 MORTAR&SAND,. 25,000.00 25,000.00 0.00 0.00 25,000.00 100.00 0.00 0.00 28 ACCESSORIES,,.r ' , 10,000.00 10,000.00 0.00 0.00. a:.;.,i 10,000.00 100.00 0.00 0.00 29 UPPER DRUM 0.00 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 30 CMU MATERIAL . 15,000.00 15,000.00 0.00 0.00 15,000.00 100.00 0.00 0.00 31 CMU LABOR • 90,000.00 90,000.00 0.00 " 0.00 90,000.00 100.00 0.00 0.00 32 GROUT MATERIAL 11,500.00 11,500.00 0.00 0.00 11,500.00 100.00 0.00 0.00 33 GROUT LABOR 20,000.00 20,000.00 0.00 0.00 20,000.00 100.00 0.00 0.00 34 MORTAR&SAND . 2,500.00 2,500.00 0.00 0.00 2,500.00 100.00 0.00 0.00 35 ALLOWANCE CORRECTION -5,000.00 -5,000.00 0.00 0.00 -5,000.00 100.00 0.00 0.00 36 CHANGE ORDER#1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 37 CHANGE ORDER#2 8,279.15 8,279.15 . 0.00 0.00 8,279.15 100.00 . 0.00 0.00 38 CHANGE ORDER#3 9,661.45 9,661.45 0.00 0.00 9,661.45 100.00 ' . 0.00 0.00 39 ALLOWANCE 5,000.00 0.00 5,000.00 0.00 5,000.00- 100.00 0.00 0.00 GRAND TOTAL $1,467,940.60 i 71 I9� 1�-� ' h' in $5,000.00 013C) $1,467,940.60 100.00 $0.00 $0.00 CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703 TM-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. • WAIVER OF LIEN FINAL PARTIAL X PAYMENT TO FOLLOW X DON PURDY BEING DULY SWORN THAT HE IS PRESIDENT OF PURDY MASONRY, INC. AND HAVING CONTRACTED WITH CITY OF CARMEL BY AND THROUGH IT'S REDEVELOPMENT COMMISSION TO FURNISH CERTAIN LABOR & MATERIAL FOR THE PROJECT KNOWN AS PARCEL 7A - REGIONAL PERFORMING ARTS IN CARMEL, IN AND OWNED BY CITY OF CARMEL BY AND THROUGH ITS REDEVELOPMENT COMMISSION DOES FURTHER STATE: MASONRY THE AMOUNT WHICH IS DUE FROM THE OWNER IS THE SUM OF: FIVE THOUSAND DOLLARS AND 00/100. $5,000.00 THE PAYMENT WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND PARTIAL WAIVER OF LIEN WHICH IS GIVEN TO AND FOR SAID AMOUNT, EFFECTIVE UPON RECIEPT OF PAYMENT. PURDY MASONRY, INC. •• 4.11, 9.1,4 PRESIDE T 1 WITNESS MY HAND AND NOTORIAL SEAL THIS 30TH DAY OF NOVEMBER 2011 URA At A g STEFANIE PURDY ip MY COMMISSION EXPIRES: 6/29/17 ,d,, Stefanie Purdy COUNTY OF RESIDENCE: HENDRICKS Notary Public Seal County Indiana Hendricks County My Commission Expires 06r29/2017 Prescribed by State Board of Accounts City Form No 201(Rev.1995) ACCOUNTS PAYABLE VOUCHER 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 pot� /(,�/,J o� Purchase Order No. 741 1tid, <r4,u 1,, 7Q•e2 Terms ) (42 61(0677 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) ///3o7 f/ /7 ber/gr.•P 047 cv,77Lvgc-51 S; O .�6 Total S,�G I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I - . - : e in accordance with IC 5-11-10-1.6. a?:i fC1. , 20 1( - -Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 p,r,-4 / _ IN SUM OF $ /) 4/6677 $ S, 000UO ON ACCOUNT OF APPROPRIATION FOR �0 2 Board Members PO#or DEPT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or ycZ /7 5''6,6Tc7 50c'dO47 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 /2 -7 20/7 rc- EXJV Director Cost distribution ledger classification if tiYf17 @I T(6lI iesn claim paid motor vehicle highway fund .w.ww soft ItAn/1^MV7