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MACDOUGAL PIERCE -001797 -4/22/2011
CARMEL REDEVELOPMENT COMMISSION 001797 MacDougal Pierce Check: 1797 12720 Ford Drive Date: 4/22/2011 Fishers, IN 46038 Vendor: MCDOUG1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 10 170,511.30 170,511.30 0.00 0.00 170,511.30 Application 10 170,511.30 170,511.30 0.00 0.00 170,511.30 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF PAGES TO OWNER: PROJECT: APPLICATION NO: 10 Distribution to: VILLAGE ON THE GREEN OWNER PERIOD TO: ARCHITECT - FROM CONTRACTOR: VIA OWNERS REP: 2/28/201 I CONTRACTOR REI CONSTRUCTION SERVICES MACDOUGALL PIERCE PROJECT NOS: CONTRAC-FOR: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors 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 completed Continuation Sheet,ALA Document G703,is attached. in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Pa' ••. ere issued and payments received from the Owner,and that current paym sown cin i'now due. I. ORIGINAL CONTRACT SUM. 908,425.00 2. Net change by Change Orders... . . . . . 263,744 00 CONTRACTOR' ,, ' 'iougall Pierce Consul. ,n,Inc 3. CONTRACT SUM TO DATE(Line I±2) 1,172,169.00 Ailliii --'_11111111Millire■MIW;- 4. TOTAL COMPLETED&STORED TO DATE 1,172,169.00 /�-_r_4.1: -,- .-__!! B)' aI���_�`::��. Doti 2/ 5. RETAINAGE: ©�� �`-� I APRIL CREWS , •a. 10%%of Completed Work 98,271.20 State of: Indiana ��of Hamilton 1 Notary Public-Seal (Column D+E on G703) Subscribed ans om to bi this 28th ay of February 2011 I State of Indiana b. %of Stored Material NOTARY PUBLIC: Q ( My Commission Expires Apr 6, 2014 0 (Column F on G703) My Commission expir 04-06-2014 Total Retainage(Lines 5a+5b or Total in Column I ofG703). 117,216.90 OWNER'S REP. CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAIP 1,054,952.10 In accordance with the Contract Documents.based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Owners Rep certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Owner's rep knowledge,information and belief the Work has progressed as indicated,the quality PAYMENT(Line 6 from prior Certificate) 884,440.80 of the Work is in accordance with the Contract Documents,and the Contractor is entitled to 8. CURRENT PAYMENT DUE. .. 170,SJ_i.30 payment of the AMOUNT CERTIFIED 9. BALANCE TO FINISH,INCLUDING RETAINA 117,216.90 (Line 3 less Line 6) AMOUNT CERTIFIED $ 1 1 0 S ( , RDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differes from the amount applied Initial all figures on this Total changes approved Application and on the Continuation Sheet that are changed to conform to the amount certified) in previous months by Owner $74;287 00 Owners Rep. Total approved this Month $189,457.00 I3y. e- `-'Z/VL, Date. 3) ) ) i ,1 TOTALS $263,744 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 NET CHANGES by Change Orde $263,744.00 prejudice to any rights of the Owner or Contractor under this Contract AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION AIA ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE,N W,WASHINGTON,DC 20006-5292 ix.q-..a`+:�a"°4�w..,✓,iT"�.'Eyv-tn, mwr v+.,�,,r:�:,ss-,...�:T^"'4'�""` ti*.,`-b 'l - C,,NTINUATION SHEET I I IAIA DOCUMENT G703 I 1 PAGE OF PAGES AAA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing 1APPLICATION NO: 10.001 Contractor's signed certification is attacIVILLAGE ON THE GREEN APPLICATION DATE: 25-Feb-11 In tabulations below, amounts are state, PERIOD TO: I 28-Feb-11 Use Column I on Contracts where variable retainage for line items may apply. I CM'S PROJECT NO: I A B C D 1 E F G 1 H I (TEN DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G -C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+ E) (NOT IN TO DATE - -- - - U UK E) (1J-FE-1-h-) ENGINEERING $7,500.00 $7,500.001 j $7,500.00 100.00%1 I $750.00 BOND PREMIUM I $7,500.001 $7,500.001 $7,500.00 _100.00% 1 $750.00 (GENERAL CONDITIONS (M) $9,205.001 $9,205.00 $9,205.00 100.00%1 _I $920.50 GENERAL CONDITIONS (L) $57,039.001 $57,039.00 $57,039.001 100.00%1 1 $5,703.90 1GFRC COLUMN COVERS (M) $16,763.00 $16,763.00 $16,763.001 100.00% I $1,676.30 1GFRC COLUMN COVERS(L) $2,500.00 $2,500.00 $2,500.00 100.00%1 1 $250.00 ROUGH CARPENTRY (M) $6,696.00 $6,696.00 1 $6,696.00 100.00%I I $669.60 ROUGH CARPENTRY (L) i $9,988.001 $9,988.001 I $9,988.001 100.00% I $998.80 (FINISH CARPENTRY (M) $7,309.001 $7,309.00 $7,309.001 100.00%1 $730.90 IFINISH CARPENTRY (L) 1 $8,936.001 $8,936.00 I 1 $8,936.00 100.00%1 I- $893.60 GFRP FABRICATIONS (M) $67,658.001 $67,658.00 $67,658.00' 100.00% 1 $6,765.80 •GFRP FABRICATIONS (L) -1 $5,930.00 $5,930.001 $5,930.00 100.00% $593.00 •CABINETRY(M) $13,018.00 $13,018.001 I ' $13,018 001 100.00% $1,301.80 !CABINETRY (L) I $3,254.001 $3,254.001 I $3,254.001 100.00%1 1 $325.40 'FIREPROOFING (M) $9,600.001 $9,600.00 $9,600.001 100.00%1 1 $960.00 !FIREPROOFING (L) I $6,400.001 $6,400.00 $6,400.001 100.00%1 1 $640.00 IFIRESTOPPING (M) $3,120.001 $3,120.00 j $3,120.00 100.00%I 1 1FIRESTOPPING (L) $4,680.001 $4,680.001 $4,680.001 100.00% $468.00 !CAULKING (M) 1_ $6,000.00 $6,000.001 1 $6,000.001 100.00%1_ $600.00 !CAULKING (L) $14,000.00 $14,000.00 $14,000.00 100.00%! 1 $1,400.00 EXPANSION JOINT COVERS (M) $5,500.001 $5,500.00 I $5,500.00 100.00% $550.00 EXPANSION JOINT COVERS (L) $4,000.00 $4,000.00 1 $4,000.00 100.00% $400.00 !HOLLOW METALS (M) $12,706.00 $12,706.001 1 $12,706.001 100.00% $1,270.60 • 'HOLLOW METALS (L) $1,759.001 $1,759.00 ! $1,759.001 100.00%I $175.90 1 WOOD DOORS (M) 1 $5,933.001 $5,933.00 ! $5,933.001 100.00% 1 $593.30 !WOOD DOORS (L) $2,463.00 $2,463.001 1 $2,463.00 100.00%1 1 $246.30 !DOOR HARDWARE (M) J $28,061.00 $28,061.001 _I $28,061.00 100.00%1 __ 1 $2,806.10 !DOOR HARDWARE (L) _ ! $3,313.00 $3,313.001 1_-_ $3,313.001 100.00%j f I $331.30 (ACCESS DOORS (M) $1,480.001 $1,480.001 ! $1,480.001 100 00% I $148.00 jACCESS DOORS (L) 1 $400.00 _ $400.00 $400.001 100.00%1 _ i � $40.00 !ROLLING DOORS (M) _ $5,853.001 $5,853.001 _ - - _ _ $5,853.001 100.00%I $585.30 !ROLLING DOORS (L) $1,463.001 $1,463.00 $1,463.00' 100.00%1 r $146.30 !GLASS/GLAZING (M) $510.001 $510.00 $510.001 100.00%1 I $51.00 (GLASS/GLAZING (L) $340.00 $340.001 $340.001 100.00%1 ,_ _ $34.00 (METAL STUD FRAMING (M) $124,357.00 $124,357.001 $124,357 001 100.00%! I $12,435.70 !METAL STUD FRAMING (L) $64,332.00 $64,332 001 $64,332.001 100 00%I ' $6,433.20 !METAL STUD TRUSSES (M) 1 $7,089.00' $7,089.001 j 1 $7,089.00' 100.00%1 I $708.90 CONTINUATION SHEET I I I A/A DOCUMENT G703 I I PAGE OF PAGES ■IA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, containing 1APPLICATION NO: j 10.001 1 _ - Contractor's signed certification is attac!VILLAGE ON THE GREEN APPLICATION DATE: _ 25-Feb-111 In tabulations below, amounts are state _ PERIOD TO: 1 28-Feb-11 Use Column I on Contracts where variable retainage for line items may apply. 1^ CM'S PROJECT NO: _ _ A B C D I E F G I H I ITEN DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G _C) TO FINISH _ (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D + E) _ (NOT IN TO DATE 1..)UK t) (D+t=+I-) (METAL STUD TRUSSES(L) 1 $12,440.001 $12,440.001 $12,440.001 100.00%1 $1,244.00 (DRYWALL/SHEATHING (M) $27,061.001 $27,061.001_ $27,061.00 100.00%I__ $2,706.10 DRYWALL/SHEATHIN G (L) $70,220.00 $70,220.00 1 $70,220.00 100.00% 1 $7,022.00 ACOUSTICAL CEILINGS (M) $14,040.00 $14,040.00 $14,040.001 100.00%1 1 $1,404.00 ACOUSTICAL CEILINGS(L) $9,360.00 $9,360.00 I 1 $9,360.001 100.00%1 $936.00 1TILE (M) $34,431.001 $34,431.00 1 $34,431.00 100.00% $3,443.10 1TILE (L) $24,000.00 $24,000.001 $24,000.00 100.00%1 $2,400.00 RESILIENT FLOORING (M) $12,004.00 $12,004.00 _ $12,004.001 100.00%1 $1,200.40 (RESILIENT FLOORING (L) $8,002.00 $8,002.00 I $8,002.00 100.00%1 CARPET(M) 1 $7,541.00 $7,541.00 I I $7,541.00 100.00% $754.10 1CARPET(L) $3,232.001 $3,232.001 $3,232.001 100.00% $323.20 IPAINTING (M) $17,207.001 $17,207.00 I $17,207.001 100.00%1 1 $1,720.70 PAINTING (L) $11,471.001 $11,471.001 1 I $11,471.001 100.00%1 $1,147.10 1DIRECTORY (M) $2,200.001 $2,200.00 $2,200.00 100.00% $220.00 1DIRECTORY (L) $300.00 $300.001 I $300.00 100.00% I $30.00 SIGNAGE (M) I $1,700.001 $1,700.001 I I $1,700.00 100.00%1 1 $170.00 SIGNAGE (L) $300.001 $300.001 I $300.001 100.00%1 I $30.00 FIRE EXTINGUISHERS (M) $2,025.00 $2,025.001 ! $2,025.001 100.00% 1 $202.50 1FIRE EXTINGUISHERS (L) e $596.001 $596.00 I 1 $596.001 100.00% $59.60 ;TOILET PARTITIONS (M) $18,000.001 $18,000.001 $18,000.00 100.00%1- $1,800.00 TOILET PARTITIONS (L) $4,500.001 $4,500.00 I $4,500.00 100.00%1 1 $450.00 TOILET ACCESSORIES (M) $21,260.00 $21,260.001 I $21,260.001 100.00%1 (TOILET ACCESSORIES (L) $2,590.00 $2,590.001 _ 1 $2,590.001 100.00%1 $259.00 10H&P $67,290.00 $67,290.001 $67,290.00 100.00%1 1 $6,729.00 ICO#1 $11,675.001 $11,675.001 $11,675.00 100.00%1 I $1,167.50 1C0#2 I $5,299.001 $5,299.001 1 I $5,299.00 100.00%1 1 $529.90 CO#3 _ $57,313.001 $57,313.00 1 $57,313.001 100 00%1 1 $5,731.30 • CO#4 $189,457.001 1_ $189,457.001 _ $189,457.001-100.00%_ 1_ $18,945.70 TOTAL. $1,172,169.00 $982,712.001 $189,457.001 1 $1,172,169.001 100.00%1 1 $117,216.90 � 1 -1 I { -- - -