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HomeMy WebLinkAboutGEIGER & PETERS, INC. -001794 -4/22/2011 CARMEL REDEVELOPMENT COMMISSION 001794 Geiger& Peters, Inc. Check: 1794 PO Box 33807 Date: 4/22/2011 Indianapolis, IN 46203 Vendor: GEIGER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 10-09119 17,649.00 17,649.00 0.00 0.00 17,649.00 Application 10-09119 17,649.00 17,649.00 0.00 0.00 17,649.00 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 Carmel Community Develop.Corp. PROJECT: Village on the Green APPLICATION NO.: 10-09119 Distribution to: 30 W Main St Suite 220 City Center Dr&3rd Ave SW PERIOD TO: 12/31/10 OWNER Cannel,IN 46032 Cannel IN 46032 PROJECT NOS: CONSTRUCTION MANAGE) VIA:(CON TRUCTII�N:MANAGER):---REI Construction ARCHITECHT FROM(CONTRACTOR): Geiger&Peters,Inc. I n (�� I r� 1;711 N Pennsylvania St Suite 200 CONTRACT DATE: CONTRACTOR P 0 Box 33807 U l_ tLLS�� Carmel,IN 46032 Indianapolis,Indiana 46203' D E C 31 2010 317-359-9521 CONTRACT FOR: Structural Steel — —'/ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge.Infor- Application is made for Payment,as shown below,in connection-with:the.Contract. oration 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 CONTRACTO I' 3.CONTRACT SUM TO DATE(Line 1+2).... $ 855,060.00 By. ..j� Date: 12(14(10 4.TOTAL COMPLETED&STORED TO DATE $ 855,060.00 (Column G on G703) State of Indiana County of Marion 5.RETAINAGE: Subscribed and assorntsbetore a 10 %of Completed Work meths 14th day(4 December.2010 (Column D+E on 0703) $ 85,506.00 b. 10 %of Stored Material / /} /� y i KRISTINE M GRACE (ColumnFonG703) $ J`��I" /_✓"r :NOTARY'. Y Total Retainage(Line Sa+Sb or ; ; .•. :. Moron County : `"* s`:, iV hey Commission Expires w Total in Column I of 0703)... ...................__. $ 85,506.00 Notary Public. Kristine M Grace '•1 4• My Commission expires' 6/19/2013 June i9,2013 • __..._._........._..... 6.TOTAL EARNED LESS RETAINAGE $ 769,554.00 (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 (Line 6 from pnor Certificate) $ 751,905.00 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 $ 17,649.00 is entitled to payment of the AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED. .. ... $ /7 6 Li (Line 3 less Line 6) $ 85,506.00 (Attach explanation if amount certified differs from the amount applied jiir. initial all figures on thi.s Application and on the Continuation Sheet that are changed to con/'arm to the amount certified) CONSTRUCTION MANAGER. CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS y '//�i/1�M--i, \/ ,�•✓ Date. / i / 1 i! I Total changes approved m B Y { �J h �Q�Y previous months by Owner $ - Total approved this month $ 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. In� AIA DOCUMENT G702/CMa•APPLICATION AND CERTIFICATE FOR PAYMENT'CONSTRUCTION MANAGER-ADVISER EDITION 1992 EDITION'1992'AIA 1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON, L '^n V G702/Cma-1992 • D.C.2006-5292 (0 CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE TWO OF FIVE PAGES - AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NO.: 10-09119 - Contractor's signed Certification is attached. Geiger&Peters APPLICATION DATE: 12/14/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/10 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I 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 Fabncation&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 $ 1,500.00 $ - $ 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 #0552l3 Tube Railing 23 Material $ 7,400.00 $ 5,550.00 $ 1,850.00 $ 7,400.00 100% $ - $ 740.00 24 Erection $ 4,200.00 $ 2,100.00 $ 2,100.00 $ 4,200.00 100% $ - $ 420.00 25 $ 761,330.00 $ 757,380.00 $ 3,950.00 $ - $ 761,330.00 100% $ - $ 76,133.00 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 CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE THREE OF FIVE PAGES IA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NO.: 10-09119 • Contractor's signed Certification is attached. APPLICATION DATE: 12/14/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/10 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A 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) 26 #057300 Decorative Metal Railings 27 Material $ 26,800.00 $ 20,100.00 $ 6,700.00 $ 26,800.00 100% $ - $ 2,680.00 28 Erection $ 12,800.00 $ 3,840.00 $ 8,960.00 $ 12,800.00 100% $ - $ 1,280.00 29 $ - 30 c/o#I $ 54,130.00 $ 54,130.00 $ - $ 54,130.00 100% $ - $ 5,413.00 31 C/O#2 REI ICO 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 $ 855,060.00 $ 835,450.00 $ 19,610.00 $ - $ 855,060.00 100% $ - $ 85,506.00 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 If- -- <N4 nn WAIVER OF LIEN/TO,DATE STATE OF Indiana } `" a' 2 COUNTY OF Marion } SS r� , TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by REI Construction to furnish NStT•uctural 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 Seventeen Thousand Six Hundred Forty Nine and 00/100 ($ 17,649.00 ) 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 12/14/2010 COMPANY NAME Geiger&Peters Inc. ADDRESS P 0 Box 33807 Indianapolis, IN 46203 SIGNATURE AND TITLE "r- %'r President *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE 0 NY RS,BOTH ORAL AND WRITTEN,TO THE CONTRACT CONTRACTOR'S AFFIDAVIT STATE OF Indiana } COUNTY OF Marion } SS 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 $ 751,905.00 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 INCLUDING EXTRAS. PAID PAYMENT BALANCE DUE Geiger&Peters Inc. Structural Steel 855,060.00 751,905.00 17,649.00 85,506.00 TOTAL LABOR AND MATERIAL INCLUDING EXTRAS TO COMPLETE 855,060.00 751,905.00 17,649.00 85,506.00 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. 41112.. DATE 12/14/2010 SIGNATURE: �� >� SUBSCRIBED AND SWORN TO BEFORE ME THIS 14th DAY OF December 2010 ,LaOz n/1 di _A-ka/e-e-- Kristine M Grace Resident of M on County My Commission expires 6/19/2013 *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS,BOTH ORAL AND WRITTEN,TO THE CONTRACT r .. "--°--"... .•::4>y•-• KRISTINE M^RrtC eouP.•. = Mart-n CC.,':'p: W.SEAL.;r: My COMIii;SSIG':∎_xp . '•••.• `' June 19,2013 '•�OF ttA;:•