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HomeMy WebLinkAboutGEIGER & PETERS, INC. -001530 -1/7/2011 CARMEL REDEVELOPMENT COMMISSION 001530 Geiger& Peters, Inc. Check: 1530 PO Box 33807 Date: 1/7/2011 Indianapolis, IN 46203 Vendor: GEIGER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 09-09119 27,643.50 27,643.50 0.00 0.00 27,643.50 Application 09-09119 27,643.50 27,643.50 0.00 - 0.00 27,643.50 APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION PAGE ONE OF FIVE PAGES 'AIA DOCUMENT G702/CMa (Instructions on reverse side) TO(OWNER): City of Cannel Community Develop.Corp. PROJECT:Village on the Green APPLICATION NO.: 09-09119 Distribution to: 30 W Main St Suite 220 City Center Dr&3rd Ave SW PERIOD TO: 11/30 10 OWNER Carmel,IN 46032 Cannel IN 46032 if CONSTRUCTION MANAGE] VIA(CONSTRUCTION MANAGER): REI Construction f T E4 I ARCHITECT I I FROM(CONTRACTOR): Geiger&Peters,Inc. 11711 N Pennsylvania St Suite 200 �`�`�` CONTRACT D CONTRACTOR - P O Box 33807 Cannel,IN 46032 - NOV 3 0 Z010 Indianapolis,Indiana 46203 U V 0 ! 317-359-9521 CONTRACT FOR: Structural Steel CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Co itactor-certifies'thart�thc-t1E3ibfthe Contractor's knowledge.Infor- Application is made for Payment,as shown below,in connection with the Contract. mation and belief the Work covered by this Application for Payment has been completed Continuation Sheet,AIA 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 Payment were issued and pay- 1.ORIGINAL CONTRACT SUM $ 800,930.00 ments received from the Owner,and that current payment shown herein is now due. 2.Net change by Change Orders $ 54,130.00 CONTR OR: 3.CONTRACT SUM TO DATE(Line 1+2) . . $ 855,060.00 By: Y\ Date: 11718110 4.TOTAL COMPLETED&STORED TO DATE.... $ 835,450.00 (Column G on G703) State of: Indiana County of: Marion 5.RETAINAGE: Subscribed and sworn tobefore a. 10 %of Completed Work meths 18th day of November.2010 (Column D+E on G703) $ 83,545.00 b_ 10 %of Stored Material "aYP° KRISTINE M GRACE I (Column F on G703) $ - WI NOTnry ; Marion County Total Retamage(Line 5a+5b or r Y s ;y.s ;=,s My Commssion Expires --.,;,..*.so:,e,.. June 19,2013 1" Total in Column 1 of G703) $ 83,545 00 Notary Public: Kristine M Grace My Commission expires: 6/19/2013 6.TOTAL EARNED LESS RETAINAGE $ 751,905 00 (Line 4 less Line 5 Total) ARCHITECT'S CERTIFICATE FOR PAYMENT 7 LESS PREVIOUS CERTIFICATES FOR PAYMENT In accordance with the Contract Documents,based on on-site observations and the data (Lme 6 from prior Certificate) $ 724,261.50 comprising this application,the Architect certifies to the Owner that to the best of the Owner's knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in accordance with the Contract Documents,and the Contractor 8.CURRENT PAYMENT DUE I $ 27,643.50 I is entitled to payment of the AMOUNT CERTIFIED. L 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED ... '7 6y ^� $ i 3•; - (Line 3 less Line 6) $ 103,155.00 (Attach explanation if amount certified differs from the amount applied/or Initial all figures on this Application and on the Continuation S/tee!that are changed to conform to the amount certified.) CONSTRUCTION MANAGER: CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Date: � �/ C,/Total changes approved in B previous months by Owner $ - Total approved this month 5 54,130.00 ARCHITECT: TOTALS $ 54,13000 By: Date: NET CHANGES by Change Order $54,130 00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT 6702/CMa'APPLICATION AND CERTIFICATE FOR PAYMENT'CONSTRUCTION MANAGER-ADVISER EDITION n 1992 EDITION•1992•AIA 1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON, G702/Cma-1992 1 D.C.2006-5292 4 CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE TWO OF FIVE PAGES . AE..jocument•G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NO.: 09-09119 Contractor's signed Certification is attached. Geiger&Peters APPLICATION DATE: 11/18/10 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: A B C D 1 E F G H I SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G:C) TO FINISH ITEM DESCRIPTION OF APPLICATION STORED AND STORED (C-G) NO. WORK ESTIMATED (D+E) (NOT IN TO DATE COST D OR E) (D+E+F) I Detailing&Shop Drawings $ 38,700.00 $ 38,700.00 $ - $ 38,700.00 100% $ - $ 3,870.00 2 Anchor Bolts/Embeds $ 6,800.00 $ 6,800.00 $ - $ 6,800.00 100% $ - $ 680.00 3 Payment&Performance Bond $ 4,000.00 $ 4,000.00 $ - $ 4,000.00 100% $ - $ 400.00 4 #05120 Structural Steel $ - 5 Fabrication&Material $ 432,670.00 $ 432,670.00 $ - $ 432,670.00 100% $ - $ 43,267.00 6 Erection $ 94,620.00 $ 94,620.00 $ - $ 94,620.00 100% $ - $ 9,462.00 7 #052100 Steel Joist $ - 8 Material $ 26,500.00 $ 26,500.00 $ - $ 26,500.00 100% $ - $ 2,650.00 9 Erection $ 14,600.00 $ 14,600.00 $ - $ 14,600.00 100% $ - $ 1,460.00 10 #05310 Roof Deck $ - 11 Material $ 10,360.00 $ 10,360.00 $ - $ 10,360.00 100% $ - $ 1,036.00 12 Erection $ 5,180.00 $ 5,180.00 $ - $ 5,180.00 100% $ - $ 518.00 13 #05360 Floor Deck $ - 14 Material $ 31,200.00 $ 31,200.00 $ - $ 31,200.00 100% $ - $ 3,120.00 15 Erection $ 15,600.00 $ 15,600.00 $ - $ 15,600.00 100% $ - $ 1,560.00 16 #05500 Metal Fabrication 17 Material $ 5,600.00 $ 5,600.00 $ - $ 5,600.00 100% $ - $ 560.00 18 Erection $ 1,500.00 $ 525.00 $ 975.00 $ 1,500.00 100% $ - $ 150.00 19 #05510 Metal Stairs 20 Material $ 44,300.00 $ 44,300.00 $ - $ 44,300.00 100% $ - $ 4,430.00 21 Erection $ 18,100.00 $ 18,100.00 $ - $ 18,100.00 100% $ - $ 1,810.00 22 #055213 Tube Railing 23 Material $ 7,400.00 $ 1,850.00 $ 3,700.00 $ 5,550.00 75% $ 1,850.00 $ 555.00 24 Erection $ 4,200.00 $ 2,100.00 $ 2,100.00 50% $ 2,100.00 $ 210.00 25 $ 761,330.00 $ 750,605.00 $ 6,775.00 $ - $ 757,380.00 99% $ 3,950.00 $ 75,738.00 AIA DOCUMENT G702 APPLICATION AND CERTIFICATE FOR PAYMENT 1992 EDITION AIA 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C. 20006-5292 G703-1992 _A CONTINUATION SHEET ALA DOCUMENT G703 (Instructions on reverse side) PAGE THREE OF FIVE PAGES . AIr:;,Documene G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NO.: 09-09119 Contractor's signed Certification is attached. APPLICATION DATE: 11/18/10 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: A B C D , E F G H 1 SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G:C) TO FINISH ITE I DESCRIPTION OF APPLICATION STORED AND STORED (C-G) NO. WORK ESTIMATED (D+E) (NOT M TO DATE COST D OR E) (D+E+F) 26 0057300 Decorative Metal Railings 27 Material $ 26,800.00 $ 20,100.00 $ 20,100.00 75% $ 6,700.00 $ 2,010.00 28 Erection $ 12,800.00 3840 $ 3,840.00 30% $ 8,960.00 $ 384.00 29 30 c/o 01 $ 54,130.00 $ 54,130.00 $ - $ 54,130.00 100% $ - $ 5,413.00 31 C/O 02 REI ICO 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 • $ 855,060.00 $ 804,735.00 $ 30,715.00 $ - $ 835,450.00 98% $ 19,610.00 $ 83,545.00 AIA DOCUMENT G702 APPLICATION AND CERTIFICATE FOR PAYMENT 1992 EDITION AIA 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE,N.W., WASHINGTON,D.C. 20006-5292 G703-1992 1 • WAIVER OF LIEN TO DATE STATE OF Indiana } COUNTY OF Marion } SS • TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by REI Construction to furnish Structural Steel for the premises knows as Village on the Green of which City of Carmel Community Develop. Corp. is the owner. THE undersigned,for and in consideration of Twenty Seven Thousand Six Hundred Forty Three and 50/100 ($ 27,643.50 ) Dollars,and other good and valuable considerations,the receipt whereof is hereby acknowledged,do(es)hereby waive and release any and all lien or claim of,or right to, lien,under the statutes of the State of Indiana,relating to mechanics'liens,with respect to above-described premises,and the improvements thereon,and on the material,fixtures,apparatus or machinery furnished,and on the moneys, funds or other considerations due or to become due from the owner,on account of all labor,services,material,fixtures,apparatus or machinery, furnished to this date by the undersigned,for the above described premises, including extras*. DATE 11/18/2010 COMPANY NAME Geiger&Peters Inc. ADDRESS P 0 Box 33807 Indianapolis, IN 46203 SIGNATURE AND TITLE _�% President I *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS,BOTH ORAL AND WRITTEN,TO THE CONTRACT. '- ��_ CONTRACTOR'S AFFIDAVIT v D10 01/1 STATE OF Indiana COUNTY OF Marion } SS By TO WHOM IT MAY CONCERN: THE UNDERSIGNED, Stephen Knitter BEING DULY SWORN,DEPOSES AND SAYS THAT HE OR SHE IS President OF Geiger&Peters Inc. WHO IS THE CONTRACTOR FURNISHING Structural Steel WORK ON THE BUILDING LOCATED AT City Center Dr&3rd Ave SW Carmel IN 46032 OWNED BY City of Carmel Community Develop.Corp. That the total amount of the contract including extras* is $ 855,060.00 on which he or she has received payment of $ 724,261.50 prior to this payment. That all waivers are true,correct and genuine and delivered unconditionally • and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names and addresses of all parties who have furnished material or labor,or both,for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the construction thereof and the amount due or to become due to each,and that the items mentioned include all labor and material required to complete said work according to plans and specifications: NAMES AND ADDRESSES WHAT FOR CONTRACT PRICE AMOUNT THIS BALANCE DUE INCLUDING EXTRAS' PAID PAYMENT Geiger&Peters Inc. Structural Steel 855,060.00 724,261.50 27,643.50 103,155.00 TOTAL LABOR AND MATERIAL INCLUDING EXTRAS TO COMPLETE 855,060.00 724,261.50 27,643.50 103,155.00 That there are no other contracts for said work outstanding,and that there is nothing due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated. DATE 11/18/2010 SIGNATURE: SUBSCRIBED AND SWORN TO BEFORE ME THIS 18th DAY OF November 2010 Kristine M Grace Resident of Marion County My Commission expires 6/19/2013 *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS,BOTH ORAL AND WRITTEN,TO THE CONTRACT