NU-TEC ROOFING CONTRACTORS, LL -002146 -7/25/2011 CARsMEL REDEVELOPMENT COMMISSION 002146
Nu-Tec Roofing Contractors, LL Check: 2146
5025 Emco Drive Date: 7/25/2011
Indianapolis, IN 46220 Vendor: NUTECROO
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
8 288.00 288.00 0.00 0.00 288.00
App8
9 13,392.40 13,392.40 0.00 0.00 13,392.40
Application 9
13,680.40. 13,680.40 0.00 , 0.00 13;680.40
APPLICATION AND CERTIFICATION FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION
AIA DOCUMENT G702/Cma PAGE ONE OF 2 PAGES
TO OWNER: PROJECT: APPLICATION NO: 9 Distribution to:
REI Construction, LLC Village on the Green-Office Building One PERIOD TO: 5/25/11 OWNER
1016 3rd Ave. SW, Ste.200 3rd Ave. SW and C'.• -. • I PROJECT NOS: 09-123 CONSTRUCTION
Carmel, IN 46032 Carmel, IN 46032 I 11 0 U U N MANAGER
FROM CONTRACTOR: CONTRACT DATE: 3/9/10 ARCHITECT
Nu-Tec Roofing Contractors, LLC MAY 1 4 2011 CONTRACTOR
5025 Emco Drive VIA CONSTRUCTION MANAGER:
Indianapolis,IN 46220 VIA ARCHITECT: By
CONTRACT FOR: Roofing-Sheet Metal Work
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 $ 130,100.00
2. Net change by Change Orders $ 3,824.00 CONTRACTOR: Nu-Tec Roofing Contractors.LLC
3. CONTRACT SUM TO DATE(Line 1 ±2) S 133,924.00
4. TOTAL COMPLETED&STORED TO $ 133,924.00
DATE (Column G on G703) By: `-� Date: 5/12/2011
5. RETAINAGE: Otis Burdine,Division Manager
a. 0 %of Completed Work 5 0.00 State of: Indiana County of: Marion
(Column D+E on G703) Subscribed and sworn to before me this 12th day of 9 May
b. %of Stored Material $ 0.00 Notary Public: Jean A.Rathsack
(Column F on G703) My Commission expires: 6/15/17 '= a� AN...,° N. RA r2",
Total Retainage(Lines 5a+5b or ��Xi\•*k_..0 0Q��S�`om
Total in Column I of G703) $ 0.00 CERTIFICATE FOR PAYMENT 0 >o # 60 �S
6. TOTAL EARNED LESS RETAINAGE $ 133,924.00 In accordance with the Contract Documents,based on on-site ollseraaMin +. le edata o
(Line 4 Less Line 5 Total) comprising this application,the Construction Manager and ArEu'�'ett cert . l ,
7. LESS PREVIOUS CERTIFICATES FOR that to the best of their knowledge,information and belief the taas®lpfmc ,s
PAYMENT(Line 6 from prior Certificate) $ 120,531.60 indicated,the quality of the Work is in accordance with the Conr c ents, d. ■fib'
BU�"0° o
8. CURRENT PAYMENT DUE 5 13,392.40 the Contractor is entitled to payment of the AMOUNT CERTIF[)°od O�'ooao.® ��'"
9. BALANCE TO FINISH, INCLUDING RETAINAGE °A,, NOUN �oN, !�0
(Line 3 less Line 6) 0.00 AMOUNT CERTIFIED 392"
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this
Application and on the Continuation Sheet that are changed to onform with the amount certified.)
CONSTRUCTION MANAGER:
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS
Total changes approved BY- ® ������ � - - Date: 7/7//'/
in previous months by Owner $3,824.00 ARCHITECT:
Total approved this Month By: Date:
TOTALS 53,824.00 50.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
- NET CHANGES by Change Order $3,824.00 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 G702JCMa.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 7 DITION-AIA .01992
Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee.
ON INUAT ON SHEET ALI DO( 'l,'MENTG703 r\.,i;: OF 2 PAGES
AIA Document G702.APPLICA I[(;N AND CI;RTIFICA.TION Ft 10 PAYMENT,containing APPLICATION NO: ci
(2:,ntractor's si cue6 certification i. attached. APPLICATION DATE: 5/12/2 011
I;)t,rhulatiotis below,amounts are.dated to the nearest dollar. PERIOD TO: 5/25/11
l)se Column l on Conirncrs where variable retainage for line item:may apply. ARCHITECT'S PROJECI•NO: '4.-123 I) I
F f::'.f 1)F,SCRI11 ix)N OF\.`ORK SCI IkI)I rl,El) - \\'URK COMPLE 11 F:RLN.S t O fAL 1 t;1LA\CI; R;:I'11NAGF.
':O, \'AIJ E LOOM PREVIOUS TIIIS PERI( I) PRLSENTIS Ctt:\IPI ETED ((■ : 10 FINIS]] (II'\-.\IABLI:.
1PPLIC'','I iON STORED AND S'T'ORED (C-() I.::\'PE)
(D !") (i\OT IN Tt T DATE.
])ORE) (I)i: .F)
I Bond $2,000.00 $2.600.00 50.00 50.00 52 600.00 100.00°4 $0.00 $0.00
2 Rooting.Material I $72,330.00 $72,330.00 SO.00 $o u0 572.3 30.00 100.00% $0(ii) $0.00
3 Roolina Labor $31.400.00 $31.400.00 $0O+) 50.1)0 $31.400.00 100.00% 50.01 $0.00
-1 Sheet Metal Ivlatexial $I6,t00.00 $16.000.00 $0.00 S0.)))) 510.000.0(1 100.00% $0.00 $0.00
5 Sheet Metal Labor $7.770.00 $7.770.00 $0.00 $0.00 117 770.00 100.00% $0.(]c) $0.00
#1 Relocate Rout'Curb $552.00 $552.00 $0.01) $0.00 5552.011 I 10000% $0.00 $0.00
'7 42 leak Investig,:rtions $085.00 $655.00 $(100 50.00 $685.00 100.00% $0.00 $0.00
S #3 Temporary Flashing $I-087.00 $1.087.00 $0.00 SO.00 :51.687.00 100.00% $0.00 $0.00
') 44 Lcal. Investigation 5:;15.00 S315.00 $0.00 $0 00 5315.00 100.00% $0A00 $0.00
1(1 #5 Leal: Investigation r $265.00 $205.00 $0.00 $0.00 $265.00 I 100.00% 50.00 $0.00
I I #6 Flash Electri ai Pipes . S370.00 S320.00 511.00 $I).00 5320.00 100.00% 50.00 $0.00
GRAND TOTALS j $1 3; )24.00 $133;924.00 $()00 50.00 $1 33.924.00 100°1° $0.00 $(].0(]
0 sers may obtain validation of this document by requesting of the license a completed AIA Document 0401 -Certification of Document's Authenticity
APPLICATION FOR PAYMENT
FINAL 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
Period to: 5/25/11 Carmel, IN 46032
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 $ 13,392.40
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
Total Completed and Stored to Date: $ 133.924.00
Dated this 12th day of May, 2011
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 12th
day of May, 2011 N.X)001XXXX ®O,QeoatoB►t'o�
My commission expires 6/15/17 My county residence is Hamilton °° NOTq° LP�od
•: MyC t, 02. o�
A oMM/S 4
0 °
6. iRfs 'UN°
Notary �C' ild\ ✓'V v d Printed Jean A. Rathsack s 0 A 20i o�Q:
°°
°°°
UI�.TY \"p®ve
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APPLICATION AND CERTIFICATION FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION ' ':A..„
AIA DOCUMENT G702/Cma PAGE ONE OF 2 PAGES
TO OWNER: PROJECT: APPLICATION NO: 8 Distribution to:
REI Construction, LLC Village on the Green -Office Building One PERIOD TO: 5/25/11 OWNER
1016 3rd Ave. SW, Ste. 200 3rd Ave. SW and City PROJECT NOS: 09-123 CONSTRUCTION
Carmel, IN 46032 Carmel, IN 46032 MANAGER
FROM CONTRACTOR: MAY 1 4 2011 CONTRACT DATE: 3/9/10 ARCHITECT
Nu-Tec Roofing Contractors, LLC —' CONTRACTOR
5025 Emco Drive VIA CONSTRUCTION MANAGER:
Indianapolis,IN 46220 VIA ARCHITECT: By
CONTRACT FOR: Roofing-Sheet Metal Work
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 $ 130,100.00
2. Net change by Change Orders $ 3,824.00 CONTRACTOR: Nu-Tec Roofing Contractors,LLC
3. CONTRACT SUM TO DATE(Line 1 ±2) $ 133,924.00
4. TOTAL COMPLETED&STORED TO $ 133,924.00
DATE (Column G on G703) By: - Date: 5/12/2011
5. RETAINAGE: Otis Burdine,Division Manager
a. 10 %of Completed Work $ 13,392.40 State of: Indiana County of: Marion
(Column D+Eon G703) Subscribed and sworn to before me this 12th day f a Ma,'.2011
b. %of Stored Material $ 0.00 Notary Public: Jean A. Rathsack ) I •II,-( lz Y1 , 'J 1. ,
(Column F on G703) My Commission expires: 6/15/17 �� .�� o o o-
Rio 0
Total Retainage(Lines 5a+5b or v` 01A/� °S9C�i,.
Total in Column I of G703) $ 13,392.40 R Fl A R A T s ' ° # 605574 Co St
6. TOTAL EARNED LESS RETAINAGE $ 120,531.60 — 0
In accordance with the Contract Documents,based on on-site observatwpAl1PN l<7.7,.,rge
(Line 4 Less Line 5 Total) comprising this application,the Construction Manager and Arch eertify&7AfgVAv er aZ'®
7. LESS PREVIOUS CERTIFICATES FOR that to the best of their knowledge, information and belief the Wort, eprifgsi_e2.al 1 e�4
PAYMENT(Line 6 from prior Certificate) $ 120,243.60 indicated,the quality of the Work is in accordance with the Contract / e, �t ^° Oeo
8. CURRENT PAYMENT DUE $ 288.00 the Contractor is entitled to payment of the AMOUNT CERTIFIED.`'®ss9AOty CO�,,,(cA \Si'
9. BALANCE TO FINISH, INCLUDING RETAINAGE a;gs itata 4 10, oO
(Line 3 less Line 6) 13,392.40 AMOUNT CERTIFIED 2 8 —
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this
Application and on the Continuation Sheet that are changed to conform with the amount certified.)
CONSTRUCTION MANAGER:
CHANGE ORDER SUMMARY _ ADDITIONS DEDUCTIONS
/ Date: `�/� >/
Total changes approved By:
in previous months by Owner $3,824.00 ARCHITECT:
Total approved this Month By: Date:
TOTALS 53,824.00 50.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
NET CHANGES by Change Order $3,824.00 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
- Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee.
CONTINUATION SHEET AAIA DO( [rAlENI 0703 f`A,;1 OF 2 PAGES
AIA. Document G702.APPLICATION AND C1 RTIFIC A IO OR PAYMINT,containing APPLICATION NO: $:
C..u):ractor's signed eat ilication is.attached. APPLICATION DA'Z'E: 5/ .2;201. 1
lr tabulatioas below, amounts are stated to the nearest dollar. PERIOD TO: 5/.:15/11.
1 I-c Column 1 on Contracts where +.ariable retainage for line items may apply,. ARCH ITI3CT'S PROJECT NO: 0 --123
.1 t3 _ C 1 D- E F -. (1 _ I H--' - 1
V,.I'M DESCRIPTION OF WORK. I SCI IE1)1'LED \\ORKCORIPLE:tED NI.\I'ERIAIS TOTAL I 1t.A].AIcC]: RF:I:\INAGE:
:vO VALUE FROM PREVIOUS THIS PERIOD PRESENTI.V COMPLETED (C : C) 1 'IUFINISH (IF V.\1.IAF3LE
\PPLIC.' I0)N SCORED ANDS'IOREI) I (C-I.)) I.:-ATE)
I - (D, 1;) (NOT - (I)-1
1)O -
DRE) (I) 1'-i F))
1 Hood $2.600.00 /2,600.00 /11,00 $0.00 $2.600.00 100.00%. $0 00 $260.00
Roofing Material $7 2-330.00 $72,3.7l0.00 5(i U:) $0.110 $72.330.00 100.00% $0.11)) $7,233.00
Rooting Labor $31.400.00 $31,300.00 $0.00 $0.00 $31.300.00 100.00% $0.00 $3.140.00
4 Sheet Metal Material $16.000.00 $10,000.00 $0 Co $0.00 $1(.000.011 100.00% $0.11)) $1.000.00
5 Sheet Metal Labor $7.770.00 $7.770.00 $0.00 $O 00 $7.770.00 100.00% $1.00 $777.00
■ #1 Relocate Roof Club 3552.00 /152.00 $),00 $0.00 $552.0)) 100.00%i 50.00 555.20
7 #2 leak investigations 5685.00 5685.00 $0 00 $0.00 $685 00 100 00% $0.00 /68.50
8 #3 Temporan Flashing $1.087.00 S 1,087.00 50.00 $0 00 $1.687.00 100.00% $0 00 5168.7(1
9 #4 Leak Investigation 53 15.00 5315.00 $0.0t) $0.00 $315.00 100.00% 50.0)) $31.50
10 #5 I,c:tlk Investigation /265.00 /205.00 5(:.111) $0 00 $265.00 100.0(N/o` /0.00 $26.50
`
11 #6 Flash Electri::al Pipes /320.00 /0.00 $321,.00 $0.00 $320.00 100.00%1 $0 00 `32.00
GRAND TOTALS I $133.Q4.00 $133:604.00 $32(i.0U $0.00 $I^3.924.00 100% 50.0:) $13.392.40
Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity
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: 5/25/11
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 $288.00
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 12th day of May, 2011
Nu-Tec Roofing Contractors, LLC
Company Name
BY: d 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 12th��ocol t t t r vogyor
day of May, 2011 X,X `AN,, P. RA rys,ov
v4P°IOTA °
° Ry
My commission expires 6/15/17 My county residence is Hamilton a ° # 605574 °�
▪ o MY COMMISSION :
EXPIRES e¢®
▪ °0 6-15-2017 :Q®
��°° P G
Notary l'Y1 Q C����'t✓a� Printed Jean A. Rathsack � ��°°(JBU°. ■ ee�`