HomeMy WebLinkAboutPOYNTER SHEET METAL -001591 -2/3/2011 CARMEL REDEVELOPMENT COMMISSION 001591
Poynter Sheet Metal Check: 1591
PO Box 427 Date: 2/3/2011
Bloomington, IN 47402 Vendor: POYNTER1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
27B 41 13,360.00 13,360.00 0.00 0.00 13,360.00
Application 27B
13,360.00 13,360.00 0.00 0.00 13,360.00
APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION
AIA DOCUMENT G702/CMa _ PAGE ONE OF 4 PAGES 't,
TO OWNER: PROJECT: Parcel 7A, Regional Performing APPLICATION NO: 27B Distribution to:
Cannel Redevelopment Commission Arts Center ( OWNER
One Civic Square PERIOD TO: 12/31/10 I 'CONSTRUCTION
Cannel, IN 46032 PROJECT NO: 2695-4310 MANAGER
FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: Shiel-Sexton Co., Inc. (PSM#14065) ARCHITECT
POYNTER SI II_,ET METAL ATTN: Lynda Weaver,902 N. Capitol Avenue, Indianapolis, IN 46.204 CONTRACT DATE: 04/18/08 CONTRACTOR
8768 N. STATE RD. 37 VIA ARCHITECT:
BL�-t()MI\GJ ON. IN 47404
CONTRACT FOR: Bid Package#4310- 1-IVAC Sheet Metal
CON T RACTOR`E 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.
I. ORIGINAL CONTRACT SUM $ 2,340,500.00
2. Net change by Change Orders $ (12,519.00) CONTRACTOR:
3. CONTRACT SUM TO DATE(Line 1 ±2) $ 2,327,981.00
4. TOTAL COMPLETED& STORED TO DATE $ 2,324.481.00 IP* OOP
(Column G on G703) By: �
_ a` Date: 44o7/3Q/l°
5. RETAINAGE: 5%of Contract Total Josepl e, President
a. 5 %of Gempletod Work $ 1 16.22400 State of: County of: MONROE
(7o mn D+Eon G703) Subscribed • . .,. to before n e this --� ay of D p2O C
b. %of Stored Material $ 0.00 Notary Public: - i -
(Column F on G703) My Commissioi expires:es : •ugust 29,2 14
Total Retainage(Lines 5a+5b or
Total in Column I of G703) $ 1 16.224.00 tERTIFICATE-FOR-PAYME
6. TOTAL EARNED LESS RETAINAGE 2,208,257.00 In accordance with the Contract Documents,based on on-site observations and the data
(Line 4 less Line a I otal) $ comprising this application,the Construction Manager and Architect certify to the
7. LESS PREVIOUS CERTIFICATES FOR Owner that to the best of their knowledge, information and belief the Work has
PAYMENT(Line 6 from prior Certificate) $ 2,194,897.00 progressed as indicated,the quality of the Work is in accordance with the Contract
8. CURRENT PAYMENT DUE $ I3,360.00 Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 119,724.00 /�`
(Line 3 less Line 6) AMOUNT CERTIFIED $ 11j ,7tgo
-CH ANU1T RLM R- ---_ ADDI I IONS DEDUC I IONS 1 (Attach explanation if amount certified clif/ers fi-nn 'lie a ioniv applied fbr Initial all
",aii�es approve figures on this App atioa and on the Cm :Hunt iii She,t that changed to conform to the
Iin previous months by Owner $162,481.00 $175,000.00 am( nit certified.)
CO ,,ORUC �► • t/f-R: �,,,/
I 'Total approved this Month $0.00 $0.00 BY: ... ! _. Date: tZ1✓ I u°
AR :JrT-, 1,""
TOTALS $162,481.00 $175,000.00 By: /�� ' -i Date: i 2../ I Alt,
NET CHANGES by Change Order ($12,519.00) 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.
'AIF DOGUMENTG702/CMS—APPLICA I ION AND-CER1IFICA rON-FOR-PAYMENT—CONS ROCTION-MANAGER-ADVISER EUIITON--1992-EDf'iON AIA"1 ate- '
THE AMERICAN INSTITUTE OF ARCHITECTS,1745 NEW YORK AVE,N.W,WASHINGTON,DC 20006-5292
Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity
b
1CONTUATOON SHEET .A IA DOCUMENTG703 2 PAGE OF PAGES 4
AlA Document 0702.APPLICATION AND CERTIFICA'T'ION FOR PAYMENT.containing APPLICATION NO: l U
C'ontractor's signed certification is attached. APPLICATION DATE: '/'.', . . . .
In tabulations below,amounts are stated to the nearest dollar. 1'SM .1013#: 14065 PERIOD 1'0: 12./31/2010
Use Column Ion Contracts where variable retainage for line items may apply. NAME : Carmel PAC CONTRACT NO: 695—')
A B C I) E F G I-I I
LINE DESCRIPTION OF WORK SCHEDULED WORK COMPLEI'ED MATERIALS TOTAL ,1 I3ALANCE RI 1'AINAGI
NO VALUE FROM PREVIOUS TI-IIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE
APPLICATION STORED AND STORED (C-G) RATE)
(D+E) (NOT IN TODA'1'E
DOREl (D+E+F) 5%
I GENERAL CONDITIONS 200,000.00 $200,000 $0 $0 $200.000 100% $10,000
2 BOND& INSURANCE 45,000.00 $45,000 $0 $0 $45,000 100% $2.250
3 MOBILIZATION 15,000.00 $15,000 $0 $0 $15,000 100% $750
4 ALLOWANCE NO 11 BP 4310 651.00 $651 $0 $0 $651 100% $33
5 ALLOWANCE NO 16 CAD AS-BUILTS 10,000.00 $10,000 $0 $0 $10,000 100% $500
6 DRAWINGS/COORDINATION 80,000.00 $80,000 $0 $0 $80.000 100% $4,000
7 MECH BASEMENT LEVEL
8 MATERIAL 48,000.00 $48.000 $0 $0 $48.000 100% $2.400
9 LABOR 50,700.00 $50,700 $0 $0 $50,700 100% $2,535
10 LAGGING 7,000.00 $7,000 $0 $0 $7,000 100% $350
11 BACKHOUSE
12 MATERIAL 56,000.00 $56,000 $0 $0 $56.000 100% $2.800
13 LABOR 59,000.00 $59.000 $0 $0 $59,000 100% $2.950
14 KITCHEN HOOD&DUCT
15 MATERIAL 15,400 00 $15,400 $0 $0 $15,400 100% $770
16 LABOR 10,800.00 $10.800 $0 $0 $10.800 100% $540
17 INSULATION 10,100.00 $10,100 $0 $0 $10.100 100% $505
18 MECH RM 1 •
19 MATERIAL 50,400.00 $50,400 $0 $0 $50,400 100% • $2,520
20 LABOR 56,300.00 $56.300 $0 $0 $56;300 100% $2,815
21 INSULATION 16,800.00 $16.800 $0 $0 $16.800 100% $840
22 MECH RM 2
23 MATERIAL 77,000.00 $77,000 $0 $0 $77.000 100% $3.850
24 LABOR 93,900.00 $93,900 $0 $0 $93,900 100% $4.695
25 INSULATION 16,800.00 $16,800 $0 $0 $16,800 100% $840
26 MECH RM 3
27 MATERIAL 84,900.00 $84,900 $0 $0 $84,900 100% $4,245
28 LABOR 94,500.00 $94,500 $0 $0 $94.500 100% $4.725
29 INSULATION 16,800.00 $16,800 $0 $0 $16,800 100% $840
30 PLENUM LEVEL
31 MATERIAL 49,100.00 $49.100 $0 $0 $49,100 100% $2.455
32 LABOR 75,000.00 $75,000 $0 $0 $75.000 100% $3.750
33 LAGGING 13,000.00 $13,000 $0 $0 $13.000 100% $650
34 ORCHESTRA HIGH LEVEL
' 35 MATERIAL 34,600.00 $34,600 $0 $0 $34,600 100% $1,730
CONTINUATION SHEET AlA DOC UAIENT 6703 3 PAGE OF PAGES 4
ALA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT.containing APPLICATION NO: r 1:
Contractor's signed certification is attached. APPLICATION DATE: l',' ."010
In tabulations below,amounts are stated to the nearest dollar. I'SM .1013#: 14065 PERIOD 10: II.-/31/2010
Use Column I on Contracts where variable retainage for line items may apply. NAME : Carmel PAC CONTRACT NO: :_695-431
A B — - C D I E F G I-I I
LINE DESCRIPTION WORK SCHEDULED WORK COMPLEtED MATERIALS TOTAL % I3ALANCE RETAINAGE
NO VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G-C) TO FINISH (IF VARIABLE
APPI,ICATION STORED AND STORED (C-CO RATE)
(D+E) (NOT IN TO DATE
DOREI (D+E+F) 50/0
36 LABOR 35,400.00 $33.630 $1.416 $0 $35.046 99% $354 $1,73_'
37 ORCHESTRA LOW LEVEL
38 MATERIAL 49,400.00
$49,400 $0 $0 $49.400
100% $2.170
39 LABOR 62,600.00 $59,470 $2.504 $0 $61,974 99% $626 $3;099
40 BOX TIER LEVEL
41 MATERIAL 70,000.00 $70;000 $0 $0
$70,000
100% $3,500
42 LABOR 100,300.00 $95 285 $1.012 $0 $99.297 99% $1.003
$4,965
43 LOW BALCONY LEVEL
44 MATERIAL 94,100.00 $94.100 $0 $0 $94.100
100% $4,705
45 LABOR 85,300.00 $81,035 $3.112 $0 $84,447 99% $853 $4,222
46 HIGH BALCONY LEVEL
47 MATERIAL 38,400 00
$38,400 $0 $0 $38.400 100%, $1.920
48 LABOR 50,200.00 847.690 82.008 $0 $49,698 99% $502 $2,485
49 ATTIC LEVEL+50
50 MATERIAL 41,600.00 $41,600 $0 $0 $41,600 100% $2.080
51 LABOR 44,700.00 844.700 $0 $0 $44,700 100% $2.235
52 ATTIC LEVEL+61
53 MATERIAL 16,800.00 $16,800 $0 $0 $16,800 100% $840
54 LABOR 16,300.00 $15.485 $652 $0 $16,137 99% $163 $807
55 ATTIC LEVEL+66
56 MATERIAL 39,500.00 $39.500 $0 $0 $39,500 100% $1.975
57 LABOR 37,900.00 $37,900 $0 $0 837.900 100% $1,895
58 ATTIC LEVEL+79-6
59 MATERIAL 6,700.00 $6.700 $0 $0 $6,700 100% $335
60 LABOR 5,200.00 $5.142 $58 $0 $5,200 100% $260
4-A ALLOWANCE NO. 11 BP 4310(ASI-031) 7,322.00 $7,322 $0 $0 $7,322 100% $366
4-B ALLOWANCE NO 11 BP 4310A-002 10,000.00 $10.000 $0 $0 $10,000 100% $500
4-C ALLOWANCE NO 11 BP 4310B-002 4,798.00 $4.798 $0 $0 $4,798 100% $240
4-1) ALLOWANCE NO 11 BP 4310B-003 1,534.00 $1,534 $0 $0 $1,534 100% $77
4-E ALLOWANCE NO 11 BP 4310B-004 27,142.00 827.142 $0 $0 $27,142 100% $1,357
4-F ALLOWANCE NO 11 BP 4310B-005 9,625.00 $9,625 $0 $0 $9.625 100% $481
4-0 ALLOWANCE NO 11 BP 4310B-006 175,000.00 $175,000 $0 $0 $175.000 100% $8.750
4-H ALLOWANCE NO 11 BP 4310B-007 546.00 $546 $0 $0 $546 100% $27
4-I ALLOWANCE NO 11 BP 4310B-008 10,933.00 $10.933 $0 $0 $10933 100% $547
4-.I ALLOWANCE NO 11 BP 4310B-009 12,449.00 $12,449 $0 $0 $12,449 100% $622
ICONT NUATOON SHEET .ALA DOCUMENT G703 4 PAGE OF PAGES 4
AIA Document 0702.APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: ,
Contractor's signed certification is attached. APPLICA[ION DATE: 1 /;.3/.1; is
PERIOD TO: 1
In tabulations bolo�,amounts are stated to the nearest dollar. PSM .10134: 14065 /31/2051Q
Use Column I on Contracts where variable retainagc 16r line items may apply. NAME : Carmel PAC CONTRACT NO: .16 95-4
A I— — I C D E F G LI I
LINE DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TO'T'AL % BALANCE RECAINAGE
NO VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G*C) TO FINISH OF V.ARLABLE
APPLICATION STORED AND STORED (C-C) RATE)
(D+E) (NOT IN TO DA'T'E
DOR El ID+E+F) 5%
4-K ALLOWANCE NO 11 BP 4310B-010 $30K $0 $0 $0 $0 0% $0
4-L ALLOWANCE NO 11 BP 4310B-011 5,001.00 $0 $0 $0 $0 0% $0 '
4-M ALLOWANCE NO 11 BP 4310B-012 3,021.00 $0 $0 $0 $0 0% $0
4-N ALLOWANCE NO 11 BP 4310B-013 6,103.00 $0 $0 $0 $0 0% $0
4-0 ALLOWANCE NO 11 BP 4310B-014 5,979.00 $0 $0 $0 $0 0% $0
4-P ALLOWANCE NO 11 BP 4310B-015 1,806.00 $0 $0 $0 $0 0% $0
.4-Q ALLOWANCE NO 11 BP 4310B-016 2,480.00 $0 $0 $0 $0 0% $0
4-R ALLOWANCE NO 11 BP 4310B-017 2,334.00 $0 $0 $0 $0 0% $0
4-S ALLOWANCE NO 11 BP 4310B-018 3,254.00 $0 $0 $0 $0 0% $0
Café' 5,006.00 $0 $0 $0 $0 0% $0
$0
$0
$0
$0
900 PENDING CHANGE ORDERS
901 CHANGE ORDER#1 38,542.00 $38,542 $0 $0 $38.542 100% $1,927
902 CHANGE ORDER#2(RCP-10) 19,219.00 $19219 $0 $0 $19,219 100% $961
903 CHANGE ORDER#3 BP 4310B-005 -175,000.00 ($175,000) $0 $0 ($175,000) 100% ($8.750)
904
905 CHANGE ORDER#5 30,000.00 $30,000 $0 $0 $30,000 100% $1,500
906 CHANGE ORDER#6 24,720.00 $24,720 $0 $0 $24,720 100% $1,236
907 CHANGE ORDER#7 50,000.00 $50,000 $0 $0 $50,000 100% $2.500
. . - —_,
$2,327,981 2,310.418 14,062 0 2.324,480 100% 3,501 116,224
4 Y
.04' METAL
POYNTER SHEET METAL, INC.
CONTRACTOR'S AFFIDAVIT AND WAIVER OF LIEN
PARTIAL ( X) FINAL ( )
We, the undersigned, leaving been employed by CARMEL REDEVELOPMENT
COMM ISSION furnish labor and materials to do construction work on the premises known as
PARCEL 7A, CARMEL REGIONAL PERFORMING ARTS CENTER hereby warrant that
the premises of the above named job cannot be made subject to any valid lien by anyone who
furnished material, supplies, labor or services to the undersigned for use in the above named
project for any labor, materials or supplies furnished or services performed through 12/31/10 to
the extent that the undersigned has been paid as set forth herein.
This waiver is given in order to induce payment in the amount of 513,360.00 and upon receipt of
the amount due by the undersigned, this waiver as to the amount due becomes valid, enforceable
and of full effect. Upon attachment of the canceled check and the legal description of the
project, this waiver may be recorded by the Owner or mortgage holder(s) of the project.
This Contractor's Affidavit and Waiver of Lien only applies to the extent paid, and does not
apply to or cover retention, unresolved claims or unresolved changes. change orders or change
requests.
Given under our hand and seal this 21" day of DECEMBER, 2010
POYNTER SHEET METAL, INC.
Signatu,-e n•ized Representative
Joseph ' . ell
PRESIDENT
Title of Authorized Representative
STATE OF: Indiana )
COUNTY OF: Monroe )
Subscribed and sworn to before me this 21sT day of DECEMBER, 2010
- //
(Notary Public)
Commission Expires: August 29, 2014
County of Residence: Morgan