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Home My WebLink AboutNU-TEC ROOFING CONTRACTORS, LL -001535 -1/7/2011 CARMEL REDEVELOPMENT COMMISSION 001535 Nu-Tec Roofing Contractors, LL Check: 1535 5025 Emco Drive Date: 1/7/2011 Indianapolis, IN 46220 Vendor: NUTECROO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4 699.30 699.30 0.00 0.00 699.30 App 4 on 4460912 699.30 699.30 0.00 0.00 699.30 APPLICATION AND CERTIFICATION FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION A1A DOCUMENT-C-792/Cma •,`.. PAGE ONE OF 2 PAGES TO OWNER: PROJECT: APPLICATION NO: 4 Distribution to: REI Construction, LLC Village on the Green -Office Building One PERIOD TO: 11/30/10 IOWNER 11711 N. Pennsylvania St., #200 3rd Ave. SW and City Center Dr. PROJECT NOS: 09-123 CONSTRUCTION Carmel, IN 46032 Carmel, IN 46032 MANAGER FROM CONTRACTOR: D rl wi r mj CONTRACT DATE: 3/9/10 ARCHITECT Nu-Tec Roofing Contractors, LLC C j CONTRACTOR 5025 Emco Drive VIA CONSTRUCTION MANAGER: NOV ` 6 L Indianapolis,IN 46220 VIA ARCHITECT: — CONTRACT FOR: Roofing-Sheet Metal Work `J CONTRACTOR'S APPLICATION FOR PAYMENT ,By— The undcrsigned-C-ontracpr 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 $ 130,100.00 2. Net change by Change Orders $ 0.00 CONTRACTOR: Nu-Tec Roofing Contractors;LLC 3. CONTRACT SUM TO DATE(Line 1 f 2) $ 130,100.00 4. TOTAL COMPLETED&STORED TO $ 130,100.00 DATE (Column G on G703) By: _ ,' Date: 11/22/10 5. RETAINAGE: Otls ur.Ine,Division Manager a. 10 %of Completed Work $ 13,010.00 State of: Indiana County of: Marion (Column D+E on G703) Subscribed and sworn to before me this 22nd day of Novvember,2010 b. %of Stored Material $ 0.00 Notary Public: Jean A. Rathsack 9064/ /� Ratkzo- (Column F on G703) My Commission expires: 6/15/17 (i� Total Retainage(Lines 5a+5b or `and11119,l°/P;�e'� e�°° P R A r// o Total in Column I of G703) $ 13,010.00 CERTIFICATE FOR PAYMENT � \r1 ll,R1°°q0�,, 6. TOTAL EARNED LESS RETAINAGE $ 117,090.00 In accordance with the Contract Documents,based on on-site ob ro t e ta°°1--S.4 (Line 4 Less Line 5 Total) comprising this application,the Construction Manager and Arcl°+te>co°cer#f36135l 7 net 7. LESS PREVIOUS CERTIFICATES FOR that to the best of their knowledge, information and belief the WZfrk haw- - e � � �DN o< PAYMENT(Line 6 from prior Certificate) $ 116,390.70 indicated,the quality of the Work is in accordance with the CotragaDocurit e Z� 8. CURRENT PAYMENT DUE $ 699.30 the Contractor is entitled to payment of the AMOUNT CERTIFI 6-15-2611 a�� 9. BALANCE TO FINISH,INCLUDING RETAINAGE °; °° p \G °°�Q<� ,,' °° U B∎-° \ e� (Line 3 less Line 6) `. 13,010.00 AMOUNT CERTIFIED s/T(Q °° ea (Attach explanation if amount certified differs from the amount applied q 4 ;I' res on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) CONSTRUCTION MANAGER: CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved By:. /)/ 2- u!_ Date: /L/ i 0 in previous months by Owner J ARCHITECT: Total approved this Month By: Date: TOTALS $0.00 _ $0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the NET CHANGES by Change Order $0.00 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 CONSTRUCTION MANAGER-ADVISER EDITION THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N W,WASHINGTON,DC 20006.5292 1992 EDITION•AIA •01992 1 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. �`� C •0 TI '" UA.° ION SHEET Ala DOCUMENT G7O3 PAGE OF 2 PAGES AAA Document 6702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 4 Contractor's signed certification is attached. APPLICATION DATE: 11/22/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 11/30/10 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 09-123 A 13 C D I E E G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLT I'ED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (0=C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-0) RATE) (D.:.E) (NOT IN TO DATE D OR E) (D+E+F) I Bond $2,600.00 $2,600.00 $0.00 $0.00 $2;600.00 100.00% $0.00 $260.00 2 Roofing Material $72,330.00 $72,330.00 $0.00 $0.00 $72,330.00 100.00% $0.00 $7,233.00 3 Rooting Labor $31,400.00 $31,400.00 $0.00 $0.00 $31,400.00 100.00% $0.00 $3;140.00 4 Sheet Metal Material $16,000.00 $16,000.00 $0.00 $0.00 $16,000 00 100 00% $0.00 $1,600.00 S Sheet Metal Labor $7,770.00 $6,993.00 $777.00 $0.00 $7,770.00 100 00°A $0 00 $777.00 GRAND TOTALS $130,100.00 $129,323.00 $777.00 $0.00 $130,100.00 100% $0.00 $13,010.00 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity r. • APPLICATION FOR PAYMENT PARTIAL WAIVER OF LIEN • Contractor: Nu-Tec Roofing Contractors, LLC Address: 5025 Emco Dr. Indianapolis, IN 46220 Project Name and Address: Village on the Green - Office Building One 3rd Avenue SW and City Center Drive Carmel, IN 46032 Period to: 11/30/10 Job #: 09-123 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 $ 699.30 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 19th day of November_ 9010 Nu-Tec Roofing Contractors, LLC Company Name BY: TITLE: Division Manager NAME: Otis Burdine STATE OF IN COUNTY OF Marion Subscribed and sworn to before me, a Notary Public in and for said County and State, this ¢8191mt, day of November , 2010 v®PN A. Rgrtai�, ` °°°°° My commission expires 6/15/17 My county residence is Hamil tort® 0 ife 6 ° *C 05514 ° Notar Prini94MdL )Y Jean A. Rathsack s �o.°° Q ®� �,�Cpiy N��eeNee�