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GENERAL PIPING, INC. -001664 -2/17/2011
CARMEL REDEVELOPMENT COMMISSION 0,01664 General Piping, Inc. Check: 1664 PO Box 34367 Date: 2/17/2011 Indianapolis, IN 46234 Vendor: GENERPIP Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pais 26A 44 16,087.72 16,087.72 0.00 0.00 16,087.7: Application 26A 16,087.72 16,087.72 0.00 0.00 16,087.7: . A ® 4,), r4 :.17:::: A Document 702/C a TM ® 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: City of Carmel PROJECT: CPAC 84% APPLICATION NO:026 fi Distribution to: OWNER: PERIOD TO:November 30,2010 CONSTRUCTION MANAGER: FROM General Piping,Inc. VIA CONSTRUCTION Shiel Sexton CONTRACT DATE:June 11,2008 ARCHITECT: CONTRACTOR: P.O.Box 34367 MANAGER: PROJECT NOS:NA/2829/NA CONTRACTOR: Indianapolis,IN 46234 FIELD: CONTRACT FOR: VIA ARCHITECT: CSO Architects OTHER: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and belief the Work covered by this Application for Payment has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,ALA Document G703,is attached. Certificates for Payment were issued and payments received from the Owner,and that current payment 1. ORIGINAL CONTRACT SUM $ 3,492,504.00 shown herein is now due. 2. NET CHANGE BY CHANGE ORDERS $ 221,209.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line 1±2) $ 3,713,713.00 By: , /-' Date: t p I1(1 I 1 4 4. TOTAL COMPLETED & STORED TO DATE(Column G on G703) $ 3,480,872.65 State of:Indiana /// 5. RETAINAGE: County of:Hendricks a. 100 %of Completed Work Subscribed and sworn to befor (Column D+Eon G703) $ 161,762.59 me this 11 day of Nov/44x( 20(O b. 0 %of Stored Material Notary Public:Luke Roseboom (Column F on G703) $ 0.00 M Commission ex.ires:Jul 07,2012 Total Retainage(Lines 5a+5b or Total in Column I of G703) $ 161,762.59 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 3,319,110.06 In accordance with the Contract Documents,based on on-site observations and the data comprising this (Line 4 Less Line 5 Total) application, the Construction Manager and Architect certify to the Owner that to the best of their 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 3,303,022.34 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 is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8. CURRENT PAYMENT DUE $ 16,087.721 AMOUNT CERTIFIED $ 16,087.72 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied.Initial all figures on this Application and on the Continuation Sheet that hanged to conform with the amount certified.) (Line 3 less Line 6) $ 394,602.94 CONST- CTION MAN 4ER j / w•, BY: ‘■i t:. i/::t 0_LA _ _ _. Date: 1/ v CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH C : Total changes approved in previous months by Owner$ 241,444.60$ 20,235.60 By: t //// Date: 1 fri QS■ Total approved this Month $ 0.00$ 0.00 This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only tot e Contractor named TOTALS $ 241,444.60_$ 20,235.60 herein.Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order $ 221,209.00 AIA Document G702/CMaTM—1992.Copyright®1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible 1 under the law.This document was produced by AIA software at 12:34:33 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. . User Notes: (1464431462) ''' Document G703"M - 1992 Continuation Sheet AIA Document, G702TM-1992,Application and Certification for Payment,or G736Tm-2009, APPLICATION NO:026 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below, amounts are in US dollars. PERIOD TO: 11/30/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:NA A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e/e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) 1 Bond 27,350.00 27,350.00 0.00 0.00 27,350.00 100.00% 0.00 2,735.00 Supervision/PM/Gen. 2 Cond. 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 3 Labor 181,855.00 178,217.81 1,818.55 0.00 180,036.36 99.00% 1,818.64 10,911.30 4 Material 72,013.00 70,572.49 720.13 0.00 71,292.62 99.00% 720.38 4,320.78 5 Submittals 21,869.00 21,869.00 0.00 0.00 21,869.00 100.00% 0.00 2,077.56 6 Punchlist 12,000.00 11,160.00 480.00 0.00 11,640.00 97.00% 360.00 0.00 7 Closeout 6,000.00 0.00 0.00 0.00 0.00 0.00% 6,000.00 0.00 3D 8 CAD/Coordination 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 9 Labor 34,726.00 34,726.00 0.00 0.00 34,726.00 100.00% 0.00 3,279.58 10 Material 64,200.00 64,200.00 0.00 0.00 64,200.00 100.00% 0.00 6,099.00 11 Daily Clean-up 15,000.00 14,700.00 150.00 0.00 14,850.00 99.00% 150.00 675.00 AW#8-Plumbing 12 (4290A) 71,648.00 0.00 0.00 0.00 0.00 0.00% 71,648.00 0.00 AW#9-Water/Gas 13 (4290B) 115,831.77 0.00 0.00 0.00 0.00 0.00% 115,831.77 317.94 AW#10 Hyd. 14 (4300A) 4,682.00 0.00 0.00 0.00 0.00 0.00% 4,682.00 0.00 15 AW#16 CAD(4290) 10,000.00 0.00 0.00 0.00 0.00 0.00% 10,000.00 0.00 16 AW#16 CAD(4300) 10,000.00 0.00 0.00 0.00 0.00 0.00% 10,000.00 0.00 17 Mechanical ID 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 18 Labor 5,100.00 4,947.00 153.00 0.00 5,100.00 100.00% 0.00 0.00 19 Material 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 0.00 AIA Document G703T"-1992.Copyright®1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 1 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /e NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G_C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) 20 Firestopping 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 21 Labor 5,350.00 5,296.50 53.50 0.00 5,350.00 100.00% 0.00 160.50 22 Material 5,939.00 5,939.00 0.00 0.00 5,939.00 100.00% 0.00 178.18 23 Housekeeping Pads 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 24 Labor 1,411.00 1,411.00 0.00 0.00 1,411,00 100.00% 0.00 141.10 25 Material 2,676.00 2,676.00 0.00 0.00 2,676.00 100.00% 0.00 267.61 26 Painting 3,000.00 3,000.00 0.00 0.00 3,000.00 100.00% 0.00 135.00 Sleeves/Core Drill 27 Holes 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 28 Labor 19,200.00 19,200.00 0.00 0.00 19,200.00 100.00% 0.00 1,536.00 29 Material 31,800.00 31,800.00 0.00 0.00_ 31,800.00 100.00% 0.00 2,544.00 30 Grease Interceptor 0.00 0.00 0.00 0.00_ 0.00 0.00% 0.00 0.00 31 Labor 3,360.00 3,259.20 0.00 0.00 3,259.20 97.00% 100.80 0.00 32 Material 16,830.00 16,830.00 0.00 0.00 16,830.00 100.00% 0.00 0.00 33 Cranes and Lifts 24,000.00 24,000.00 0.00 0.00 24,000.00 100.00% 0.00 1,440.00 34 Underground W/V 0.00 0.00 0.00 0.00 0.00 0.00%_ 0.00 0.00 35 Labor 28,186.00 28,186.00 0.00 0.00 28,186.00 100.00%_ 0.00 2,818.60 36 Material 35,120.00 35,120.00 0.00 0.00 35,120.00 100.00%_ 0.00 3,512.00 37 Underground Storm 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 38 Labor 6,303.00 6,303.00 0.00 0.00 6,303.00 100.00%_ 0.00 630.30 39 Material 10,637.00 10,637.00 0.00 0.00 10,637.00 100.00% 0.00 1,063.70 40 Underslab Drainage 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 41 Labor 9,500.00 9,500.00 0.00 0.00 9,500.00 100.00% 0.00 950.00 42 Material 1,714.00 1,714.00 0.00 0.00 1,714.00 100.00% 0.00 171.40 Aboveground W/V 43 (M) 165,426.00 165,426.00 0.00 0.00 165,426.00 100.00% 0.00 14,888.34 Aboveground W/V 44 (L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 45 Basement 33,050.00 33,050.00 0.00 0.00 33,050.00 100.00% 0.00 2,247.40 AIA Document G703''-1992.Copyright®1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 2 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o/e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 46 Plenum 17,879.00 17,879.00 0.00 0.00 17,879.00 100.00% 0.00 446.98 47 Orchestra 22,368.00 22,368.00 0.00 0.00 22,368.00 100.00% 0.00 559.21 48 Box Tier 18,144.00 18,144.00 0.00 0.00 18,144.00 100.00% 0.00 453.60 49 Balcony 18,409.00 18,409.00 0.00 0.00 18,409.00 100.00% 0.00 92.05 50 Attic 7,121.00 7,121.00 0.00 0.00 7,121.00 100.00% 0.00 35.61 Aboveground Storm 51 (M) 67,165.00 67,165.00 0.00 0.00 67,165.00 100.00% 0.00 6,044.86 Aboveground W/V (L) Aboveground Storm 52 (L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 53 Basement 6,120.00 6,120.00 0.00 0.00 6,120.00 100.00% 0.00 459.00 54 Plenum 365.00 365.00 0.00 0.00 365.00 100.00% 0.00 0.00 55 Orchestra 7,856.00 7,856.00 0.00 0.00 7,856.00 100.00% 0.00 314.24 56 Box Tier 3,665.00 3,665.00 0.00 0.00 3,665.00 100.00% 0.00 18.33 57 Balcony 15,976.00 15,976.00 0.00 0.00 15,976.00 100.00% 0.00 127.81 58 Attic 9,667.00 9,667.00 0.00 0.00 9,667.00 100.00% 0.00 77.34 59 Force Main 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 60 Labor 7,546.00 7,546.00 0.00 0.00 7,546.00 100.00% 0.00 528.22 61 Material 27,882.00 27,882.00 0.00 0.00 27,882.00 100.00% 0.00 2,369.98 68 Domestic Water(M) 184,831.00 184,831.00 0.00 0.00 184,831.00 100.00% 0.00 15,710.64 69 Domestic Water(L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 70 Basement 85,091.00 85,091.00 0.00 0.00 85,091.00 100.00% 0.00 2,046.17 71 Plenum 19,393.00 19,393.00 0.00 0.00 19,393.00 100.00% 0.00 232.72 72 Orchestra 26,728.00 26,728.00 0.00 0.00 26,728.00 100.00% 0.00 320.74 73 Box Tier 18,955.00 18,955.00 0.00 0.00 18,955.00 100.00% 0.00 227.46 74 Balcony 17,692.00 17,692.00 0.00 0.00 17,692.00 100.00% 0.00 123.84 75 Attic 823.00 823.00 0.00 0.00 823.00 100.00% 0.00 5.76 76 Incoming Dom. 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 MA Document G703".-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This ALA®Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 3 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e/e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) Water Service 77 Labor 6,864.00 6,864.00 0.00 0.00 6,864.00 100.00% 0.00 274.56 78 Material 7,163.00 7,163.00 0.00 0.00 7,163.00 100.00% 0.00 716.30 79 Drains/Cleanouts(M) 25,175.00 25,175.00 0.00 0.00 25,175.00 100.00% 0.00 2,517.50 80 Drains/Cleanouts(L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 81 Basement 21,076.00 21,076.00 0.00 0.00 21,076.00 100.00% 0.00 2,107.60 82 Plenum 1,920.00 1,920.00 0.00 0.00 1,920.00 100.00% 0.00 153.60 83 Orchestra 1,320.00 1,320.00 0.00 0.00 1,320.00 100.00% 0.00 118.80 84 Box Tier 3,120.00 3,120.00 0.00 0.00 3,120.00 100.00% 0.00 249.60 85 Balcony 2,400.00 2,400.00 0.00 0.00 2,400.00 100.00% 0.00 120.00 86 Attic 3,720.00 3,720.00 0.00 0.00 3,720.00 100.00% 0.00 186.00 87 Carriers(M) 12,347.00 12,347.00 0.00 0.00 12,347.00 100.00% 0.00 1,222.35 88 Carriers(L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 89 Basement 1,200.00 1,200.00 0.00 0.00 1,200.00 100.00% 0.00 102.00 90 Plenum 6,750.00 6,750.00 0.00 0.00 6,750.00 100.00% 0.00 573.76 91 Orchestra 2,100.00 2,100.00 0.00 0.00 2,100.00 100.00% 0.00 178.50 92 Box Tier 4,500.00 4,500.00 0.00 0.00 4,500.00 100.00% 0.00 382.50 93 Balcony 3,000.00 3,000.00 0.00 0.00 3,000.00 100.00% 0.00 225.00 94 Attic 300.00 300.00 0.00 0.00 300.00 100.00% 0.00 22.50 Gas Pressure 95 Regulator 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 96 Labor 480.00 480.00 0.00 0.00 480.00 100.00% 0.00 0.00 97 Material 277.00 277.00_ 0.00 0.00 277.00 100.00% 0.00 0.00 98 Gas Piping 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 99 Labor 2,858.00 2,858.00 0.00 0.00 2,858.00 100.00% 0.00 0.00 100 Material 1,220.00 1,220.00 0.00 0.00 1,220.00 100.00% 0.00 109.80 101 Kitchen Connections 6,000.00 5,880.00 0.00 0.00 5,880.00 98.00% 120.00 0.00 108 Water Softener 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIA Document G703T"-1992.Copyright®1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA°Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 4 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /e NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G±C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) (D ET F) (C- G) RATE) (D 109 Labor 2,400.00 2,400.00 0.00 0.00 2,400.00 100.00% 0.00 0.00 110 Material 1,453.00 1,453.00 0.00 0.00 1,453.00 100.00% 0.00 0.00 Thermostatic Mixing 111 Valves 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 112 Labor 840.00 840.00 0.00 0.00 840.00 100.00% 0.00 0.00 113 Material 1,159.00 1,159.00 0.00 0.00 1,159.00 100.00% 0.00 115.90 114 Backflow Preventers 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 115 Labor 1,920.00 1,920.00 0.00 0.00 1,920.00 100.00% 0.00 0.00 116 Material 4,337.00 4,337.00 0.00 0.00 4,337.00 100.00% 0.00 433.70 117 Vibration Isolation 29,532.00 29,532.00 0.00 0.00 29,532.00 100.00% 0.00 1,033.63 Condensate Piping 118 (M) 1,608.00 1,608.00 0.00 0.00 1,608.00 100.00% 0.00 112.56 Condensate Piping 119 (L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 120 Basement 8,592.00 8,592.00 0.00 0.00 8,592.00 100.00% 0.00 0.00 121 Orchestra 928.00 928.00 0.00 0.00 928.00 100.00% 0.00 0.00 122 Box Tier 353.00 353.00 0.00 0.00 353.00 100.00% 0.00 0.00 123 Hydronic Piping(M) 197,044.00 197,044.00 0.00 0.00 197,044.00 100.00% 0.00 15,763.52 124 Hydronic Piping(L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 125 Basement 90,564.00 90,564.00 0.00 0.00 90,564.00_ 100.00% 0.00 1,358.46 126 Plenum 14,180.00 14,180.00 0.00 0.00 14,180.00_ 100.00% 0.00 0.00 127 Orchestra 26,716.00 26,716.00 0.00 0.00 26,716.00_ 100.00% 0.00 0.00 128 Box Tier 25,375.00 25,375.00 0.00 0.00 25,375.00 100.00% 0.00 0.00 129 Balcony 43,190.00 43,190.00 0.00 0.00 43,190.00 100.00% 0.00 0.00 130 Attic 13,309.00 13,309.00 0.00 0.00 13,309.00 100.00% 0.00 0.00 131 Anchors and Guides 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 132 Labor 2,880.00 2,880.00 0.00 0.00 2,880.00 100.00% 0.00 172.80 133 Material 1,834.00 1,834.00 0.00 0.00 1,834.00 100.00% 0.00 183.40 134 Miscellaneous 79,294.00 79,294.00 0.00 0.00 79,294.00 100.00% 0.00 4,757.65 AIA Document G703T"-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 5 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS FROM PRESENTLY e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /e NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) Supports 135 Hydronic Specialties 77,660.00 77,660.00 0.00 0.00 77,660.00 100.00% 0.00 0.00 139 Water Treatment 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 140 Labor 600.00 600.00 0.00 0.00 600.00 100.00% 0.00 0.00 141 Material 3,132.00 3,132.00 0.00 0.00 3,132.00 100.00% 0.00 0.00 Riggin/Offloading 143 HVAC Equipment 3,840.00 3,840.00 0.00 0.00 3,840.00 100.00% 0.00 0.00 144 AHU Connections 55,320.00 55,320.00 0.00 0.00 55,320.00 100.00% 0.00 0.00 Duct Heating Coil 145 Connections 1,260.00 1,260.00 0.00 0.00 1,260.00 100.00% 0.00 0.00 VAV Connections- 146 Basement 8,285.00 8,285.00 0.00 0.00 8,285.00 100.00% 0.00 0.00 VAV Connections- 147 Plenum 1,763.00 1,763.00 0.00 0.00 1,763.00 100.00% 0.00 0.00 VAV Connections- 148 Orchestra 1,586.00 1,586.00 0.00 0.00 1,586.00 100.00% 0.00 0.00 VAV Connections- 149 Box Tier 4,231.00 4,231.00 0.00 0.00 4,231.00 100.00% 0.00 0.00 VAV Connections- 150 Balcony 3,173.00 3,173.00 0.00 0.00 3,173.00 100.00% 0.00 0.00 VAV Connections- 151 Attic 2,820.00 2,820.00 0.00 0.00 2,820.00 100.00% 0.00 0.00 Unit Heater Connections- 152 Basement 428.00 428.00 0.00 0.00 428.00 100.00% 0.00 0.00 Unit Heater Connections- 154 Orchestra 215.00 215.00 0.00 0.00 215.00 100.00% 0.00 0.00 Unit Heater Connections-Box 155 Tier 107.00 107.00 0.00 0.00 107.00 100.00% 0.00 0.00 AIA Document G703T"-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 6 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PREVIOUS PRESENTLY AND STORED TO 4- FINISH (IF VARIABLE NO. WORK VALUE THIS PERIOD STORED (G_C) APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) FCU Connections- 156 Basement 2,057.00 2,057.00 0.00 0.00 2,057.00 100.00% 0.00 0.00 FCU Connections- 157 Orchestra 1,028.00 1,028.00 0.00 0.00 1,028.00 100.00% 0.00 0.00 FCU Connections- 158 Box Tier 515.00 515.00 0.00 0.00 515.00 100.00% 0.00 0.00 159 Radiant Floor System 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 160 Labor 20,483.00 20,483.00 0.00 0.00 20,483.00 100.00% 0.00 1,904.92 161 Material 11,816.00 11,816.00 0.00 0.00 11,816.00 100.00% 0.00 1,181.60 Humidifier 162 Connections 15,360.00 15,360.00 0.00 0.00 15,360.00 100.00% 0.00 0.00 FTR Connections- 163 Basement 664.00 664.00 0.00 0.00 664.00 100.00% 0.00 0.00 FTR Connections- 164 Plenum 2,656.00 2,656.00 0.00 0.00 2,656.00 100.00% 0.00 0.00 FTR Connections- 165 Orchestra 14,605.00 14,605.00 0.00 0.00 14,605.00 100.00% 0.00 0.00 FTR Connections- 166 Box Tier 6,307.00 6,307.00 0.00 0.00 6,307.00 100.00% 0.00 0.00 FTR Connections- 167 Balcony 9,958.00 9,958.00 0.00 0.00 9,958.00 100.00% 0.00 0.00 FTR Connections- 168 Attic 1,992.00 1,992.00 0.00 0.00 1,992.00 100.00% 0.00 0.00 169 Insulation-Basement 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 170 Labor 31,937.00 31,617.64 0.00 0.00 31,617.64 99.00% 319.36 638.74 171 Material 27,208.00 27,208.00 0.00 0.00 27,208.00 100.00% 0.00 2,176.64 172 Insulation-Plenum 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 173 Labor 18,103.00 18,103.00 0.00 0.00 18,103.00 100.00% 0.00 0.00 174 Material 15,423.00 15,423.00 0.00 0.00 15,423.00 100.00% 0.00 0.00 175 Insulation-Orchestra 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 176 Labor 14,914.00 14,914.00 0.00 0.00 14,914.00 100.00% 0.00 0.00 AIA Document G703"-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 7 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o/o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G_C) FINISH (IF VARIABLE APPLICATION (NOT IN D ORE) DATE (C-G) RATE) (D+E) (D+E+F) 177 Material 12,706.00 12,706.00 0.00 0.00 12,706.00 100.00% 0.00 0.00 178 Insulation-Box Tier 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 179 Labor 13,835.00 13,835.00 0.00 0.00 13,835.00 100.00% 0.00 0.00 180 Material 11,786.00 11,786.00 0.00 0.00 11,786.00 100.00% 0.00 0.00 181 Insulation-Balcony 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 182 Labor 13,835.00 13,696.65 0.00 0.00 13,696.65 99.00% 138.35 0.00 183 Material 11,786.00 11,786.00 0.00 0.00 11,786.00 100.00% 0.00 0.00 184 Insulation-Attic 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 185 Labor 13,835.00 13,835.00 0.00 0.00 13,835.00 100.00% 0.00 0.00 186 Material 1 1,786.00 1 1,786.00 0.00 0.00 1 1,786.00 100.00% 0.00 0.00 Temp.Controls- 187 Engineering 64.446.00 64,446.00 0.00 0.00 64,446.00 100.00% 0.00 6,444.60 Temp. Controls- 188 Basement 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 189 Labor 83,003.00 80,512.95 2,490.05 0.00 83,003.00 100.00% 0.00 0.00 190 Material 151,376.00 151,376.00 0.00 0.00 151,376.00 100.00% 0.00 12,110.09 Temp.Controls- 191 Plenum 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 192 Labor 51,877.00 50,320.71 1,556.29 0.00 51,877.00 100.00% 0.00 0.00 193 Material 78,178.00 78,178.00 0.00 0.00 78,178.00 100.00% 0.00 5,472.46 Temp. Controls- 194 Orchestra 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 195 Labor 15,563.00 14,629.26 933.74 0.00 15,563.00 100.00% 0.00 0.00 196 Material 25,508.00 25,508.00 0.00 0.00 25,508.00 100.00% 0.00 0.00 Temp.Controls-Box 197 Tier 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 198 Labor 15,563.00 14,317.97 1,245.03 0.00 15,563.00 100.00% 0.00 0.00 199 Material 25,508.00 25,508.00 0.00 0.00 25,508.00 100.00% 0.00 0.00 200 Temp.Controls- 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIA Document G703T"-1992.Copyright a 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 8 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY % NO. WORK VALUE PREVIOUS STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) Balcony 201 Labor 15,563.00 14,317.97 1,245.03 0.00 15,563.00 100.00% 0.00 0.00 202 Material 22,701.00 22,701.00 0.00 0.00 22,701.00 100:00% 0.00 0.00 Temp.Controls- 203 Attic 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 204 Labor 15,563.00 14,006.71 1,556.29 0.00 15,563.00 100.00% 0.00 0.00 205 Material 16,170.00 16,170.00 0.00 0.00 16,170.00 100.00% 0.00 0.00 206 Test and Balance 19,474.00 6,815.10 1,947.40 0.00 8,762.50 45.00% 10,711.50 0.00 CO#1 -GPI#2- 207 Leach/Russel -24,090.00 -24,090.00 0.00 0.00 -24,090.00 100.00% 0.00 -2,409.00 CO#2-GPI#3-ASI 208 #18 1,776.00 1,776.00 0.00 0.00 1,776.00 100.00% 0.00 177.60 GPI#6-Triplex 209 Sump Basin 61,694.00 61,694.00 0.00 0.00 61,694.00 100.00% 0.00 3,084.70 GPI#7A-Basement 210 Kitchen Revisions 17,328.00 17,328.00 0.00 0.00 17,328.00 100.00% 0.00 356.26 GPI#10-Box Tier 211 Catering Kitchen 85,312.00 85,312.00 0.00 0.00 85,312.00 100.00% 0.00 1,706.25 AW 4300A-001 - 213 F#15 7,277.00 7,277.00 0.00 0.00 7,277.00 100.00% 0.00 72.78 AW 4300A-002- 214 F#18 8,605.00 8,605.00 0.00 0.00 8,605.00 100.00% 0.00 86.06 215 AW 4290A-001 -F#5 1,392.00 1,392.00 0.00 0.00 1,392.00 100.00% 0.00 139.21 216 AW 4290A-003-F#8 1,372.00 1,372.00 0.00 0.00 1,372.00 100.00% 0.00 137.21 217 AW 4290A-002-F#9 1,845.00 1,845.00 0.00 0.00 1,845.00 100.00% 0.00 184.50 AW 4290B-001 - 218 F#19 8,044.00 8,044.00 0.00 0.00 8,044.00 100.00% 0.00 80.44 AW 4290A-004- 219 F#23A 5,361.00 5,361.00 0.00 0.00 5,361.00 100.00% 0.00 536.10 AW 4290B- 220 Water/Sewer Bills 19,532.23 18,033.07 1,499.16 0.00 19,532.23 100.00% 0.00 317.94 MA Document G703'"-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 9 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e/e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G_C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) AW 4300A-005- 221 F#27 21,740.00 21,740.00 0.00 0.00 21,740.00 100.00% 0.00 0.00 AW 4300A-003- 222 F#24 5,023.00 5,023.00 0.00 0.00 5,023.00 100.00% 0.00 0.00 AW 4290A-005- 223 F#28 6,928.00 6,928.00 0.00 0.00 6,928.00 100.00% 0.00 0.00 AW 4300A-006- 224 F#25 10,104.00 10,104.00 0.00 0.00 10,104.00 100.00% 0.00 0.00 GPI#22-Crossover 225 Bridge 17,533.00 17,533.00 0.00 0.00 17,533.00 100.00% 0.00 876.65 226 AW 4300A-11 -F#45 579.00 579.00 0.00 0.00 579.00 100.00% 0.00 0.00 227 AW 4300A-10-F#43 6,563.00 6,563.00 0.00 0.00 6,563.00 100.00% 0.00 0.00 AW 4290A-008- 228 F#41 5,933.00 5,933.00 0.00 0.00 5,933.00 100.00% 0.00 0.00 CO#8-GPI#30- 229 Lift Station Slab 7,946.00 7,946.00 0.00 0.00 7,946.00 100.00% 0.00 0.00 AW 4300A-013- 230 F#58 4,521.00 4,521.00 0.00 0.00 4,521.00 100.00% 0.00 0.00 AW 4300A-012- 231 F#48 2,937.00 2,937.00 0.00 0.00 2,937.00 100.00% 0.00 0.00 AW 4290A-009- 232 F#57 -1,105.00 -1,105.00 0.00 0.00 -1,105.00 100.00% 0.00 0.00 AW 4290A-007- 233 F#36 1,653.00 1,653.00 0.00 0.00 1,653.00 100.00% 0.00 0.00 AW 4300A-009- 234 F#17 2,376.00 2,376.00 0.00 0.00 2,376.00 100.00% 0.00 0.00 CO#10-GPI#50- 235 ASI 104 40,550.00 40,550.00 0.00 0.00 40,550.00 100.00% 0.00 0.00 AW 4300A-014- 236 F#66 3,304.00 3,304.00 0.00 0.00 3,304.00 100.00% 0.00 0.00 AW 4300A-015- 237 F#65 2,995.00 2,995.00 0.00 0.00 2,995.00 100.00% 0.00 0.00 AIA Document G703T.-1992.Copyright®1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 10 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e/e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) AW 4290A-012- 238 F#82 4,791.00 4,311.90 239.55 0.00 4,551.45 95.00% 239.55 0.00 AW 4290A-011 - 239 F#13 182.00 182.00 0.00 0.00 182.00 100.00% 0.00 0.00 AW 4300A-019- 240 F#47 1,761.00 1,761.00 0.00 0.00 1,761.00 100.00% 0.00 0.00 AW 4290B-013 - 241 F#91 4,132.00 4,132.00 0.00 0.00 4,132.00 100.00% 0.00 0.00 AW 4290B-014- 242 F#93 12,460.00 12,460.00 0.00 0.00 12,460.00 100.00% 0.00 0.00 GRAND TOTAL $3,713,713.00 $3,464,784.93 $16,087.72 $0.00 $3,480,872.65 93.73% $232,840.35 $161,762.59 AIA Document G703T"'-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 11 the maximum extent possible under the law.This document was produced by AIA software at 12:33:39 on 11/17/2010 under Order No.9656147774_1 which expires on 05/13/2011,and is not for resale. User Notes: (1464479856) Application#26a Affidavit and Waiver of Lien [ ] Final [ x] Partial [ ] Payment Received State of Indiana, County of Marion SS: Anthony Richardson being duly sworn states that he is the Secretary/Treasurer of General Piping, Inc. having contracted with the City of Carmel to furnish certain materials and/or labor as follows: Mechanical Work for a project known as Parcel 7A, Regional Performing Arts Center located at 211 City Center Drive Carmel, IN 46032 and owned by the City of Carmel and does hereby further state on behalf of the aforementioned Contractor: Partial Waiver ...that there is due from the Owner the sum of Sixteen Thousand Eighty Seven Dollars and 72 Cents ($16,087.72) [ ] receipt of which is hereby acknowledged; or [ x] the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; Final Waiver ...that the final balance due from the Owner is the sum of [ ] receipt of which is hereby acknowledged; or [ ] the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which shall become effective upon receipt of such payment. Therefore, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. General Piping, Inc. Secretary/Treasurer (Firm) (Authoriz epresentative) (Title) Witness my hand and Notorial Seal, this 17`h y of Nov nib'r, 2010 Luke Roseboom (Printed) (Notary Public) My Commission Expires: July 7, 2012 Residing in Hendricks County WESTFIELD INSURANCFSM A member of Westfield Group October 12, 2010 Jim Farrell, President U.S. Mail and electronic mail to J M Farrell & Company, LLC !mfarrel146077(c sbcglobal.net P.O. Box 585 Zionsville, IN 46077 Re: Bond No: 0071795, 0051755, 0051767 Principal: General Piping, Inc. Projects: Carmel Performing Arts Center Clark Pleasant Middle School Mt. Vernon High School Dear Mr. Farrell: This will acknowledge receipt of your company's three (3) Proofs of Claim dated October 4, 2010, asserting claims on the subject bonds for-amounts alleged owed but unpaid by General Piping, Inc. ("GPI") for its subcontracts with J M Farrell & Company, LLC ("JMF"). Thank you for talking with me yesterday about these claims. The Proofs of Claim assert a total of$135,227.78 owed on the.subcontra'cts, and state that $45,962.22 and $2,689.98 of that amount are owed.to General Insulation and MacAllister, respectively, for materials allegedlprovided:for JMF's subcontracts. No documentation was provided by JMF in support its claims. In ourtelephone conversation yesterday, you advised that JMF was required to perform soriie corrective work related to insulation jackets required on the Carmel project, and:you agreed to provide documentation related to JMF's claims. Further complicating your company's claims is recent advice that GPI considers JMF's subcontract work incomplete; that GPI is claiming back charges and a projected overall shortfall on JMF's subcontracts;.that JMF and GPI engaged in joint check arrangements for payment of JMF's suppiiers; and that laborers have asserted a claim for $30,978.20 on Bond No. 0071755 for unpaid wages alleged owed by JMF to three (3) laborers on the Clark Pleasant project. Neither incomplete work northe unpaid labor claim nor GPI's back charges are mentioned in JMF's proofs of claim. Enclosed with this letter are GPI's summaries of back charges and projected shortfall dated October 8, 2010, and the claim for unpaid prevailing wage rates dated September 30, 2010. Please provide your company's response to GPI's back charges, and a response to the claim for unpaid wages. As to JMF's claims, please provide a response to GPI's position that JMF's subcontract work is not fully performed, and please provide the following documents and things: Copies of all subcontracts and approved change orders between JMF and GPI forall 2525 Harrodsburg Road•Suite 240•Lexington, KY 40504• 1.800.757.3328•fax 859.219.9823 www.westfieldgrp.com Jim Farrell, President J M Farrell & Company, LLC October 12, 2010 Page 2 three projects; copies of pending change orders and correspondence related to the pending change orders for all three subcontracts; all pay applications (including schedules of value) submitted by JMF to GPI for all three subcontracts; a list of all amounts billed by JMF and all amounts paid by GPI on all three subcontracts; copies of all invoices and signed delivery tickets for materials provided by General Insulation and MacAllister under JMF's subcontracts; copies of all joint check agreements and joint checks issued by GPI for materials provided for JMF's subcontracts; copies of all correspondence and other documents related to corrective work performed under JMF's subcontract on the Carmel project; certified payrolls, time sheets, work logs, and payroll pay stubs for JMF's subcontract on the Clark Pleasant project; and copies of all correspondence related to change orders, change order requests, corrective work, payment to suppliers, and wages paid by JMF on these projects. The foregoing list of documents will enable us to begin our investigation of your company's claims. As the investigation develops, we may request additional documents from you. As you would expect, this letter and the surety's investigation of this claim are not intended to be and should not be construed as being an admission of liability or a waiver of any of the rights and defenses of the surety or principal, all of which are expressly reserved. Thank you for your cooperation. Vg truly yours, /f J WAWA yt Ii' nne M. Stith Senior Bond Claim Counsel (859) 219-9833, ext. 207 annestith @westfieldgrp.com cc: 13-0197, HBG Insurance & Bonds, Zionsville, IN Jim Ginebaugh, Indianapolis, IN Service Office Paul Bickelhaupt, Home Office Bond Dept. General Piping, Inc. City of.Carmel Redevelopment Commission _ Clark Pleasant Middle School Building Corporation Mt. Vernon School Building Corp. of Hancock County/ Mt. Vernon Comm. School Corp. A ire- y,-4, e1 ` t FARRELL& COMPANY, LLC. jmfarre1146077 @sbcglobal.net , ipit..T :;1 P.O. BOX 585 ZIONSVILLE, IN 46077 P: 317-733-4271 F: 317-733-4271 September 13, 2010 Mailed Via Certified Mail Return Receipt Requested Ohio Farmers Insurance Company General Piping Inc 1 Park Circle 1175 Western Drive Westfield Center, OH 44251-5001 Indianapolis, IN 46241 City of Carmel One Civic Square Carmel, IN 46032 Re: Bond Claim against Ohio Farmers Insurance Company Bond#0051795 Principal: General Piping Inc. Projects: Carmel Performing Arts Center Dear Sir, JM Farrell & Company LLC is owed the sum of$37,804.62 for application of mechanical insulation provided by it and used in the performance of the referenced project pursuant to a contract between it and General Piping Inc. This amount does not include retainage in the amount of$18,425.70, and any future billings to be determined. Please consider this letter as a claim against the Payment Bond issued by Ohio Farmers Insurance Company, and as a claim against any funds presently held by the owner on such project. Dan Farrell President JM Farrell & Company LLC ..,.,.& = FARRELL& COMPANY LLC. jmfarre1146077@sbcglobal.net sbcglobal.net P.O. BOX 585 ZIONSVILLE. IN 46077 P: 317-733-4271 F: 317-733-4271 September 13, 2010 Mailed Via Certified Mail Return Receipt Requested Ohio Farmers Insurance Company General Piping Inc 1 Park Circle 1175 Western Drive Westfield Center, OH 44251-5001 Indianapolis, IN 46241 City of Carmel One Civic Square Carmel, IN 46032 Re: Bond Claim against Ohio Farmers Insurance Company Bond #0051795 Principal: General Piping Inc. Projects: Carmel Performing Arts Center Dear Sir, JM Farrell & Company LLC is owed the sum of$37,804.62 for application of mechanical insulation provided by it and used in the performance of the referenced project pursuant to a contract between it and General Piping Inc. This amount does not include retainage in the amount of$18,425.70, and any future billings to be determined. Please consider this letter as a claim against the Payment Bond issued by Ohio Farmers Insurance Company, and as a claim against any funds presently held by the owner on such project. Dan Farrell President JM Farrell & Company LLC Vendor: GENERPIP Sort by: Voucher Number To: GEN�RPIP Detail,Summary or Totals: Detail A/P Open Invoice Report Page 1 Carmel Redevelopment Comm 911511015:53 9/15/2010 Company.L0 Vendor: GENERPIP General Piping,Inc. Voucher Invoice Date Invoice P.O. Invoice Prior Number Date Due Number Number Amount Balance Reten. Payable Disc. Status Description 2440 10/20/08 ' 10/20/08 1 44 320,942.00 32,094.20 32,094.20 0.00 0.00 Pay Application 1 2474 11/15/08 * 11/15/08 2 44 573,856.56 57,385.65 57,385.65 0.00 0.00 Pay Application 2 2505 12/15/08 * 12/15/08 3 44 220,050.86 22,005.09 22,005.09 0.00 0.00 Pay Application 3 2537 1/20/09 ' 1/20/09 4 44 273,505.03 27,350.50 27,350.50 0.00 0.00 Pay Application 4 2564 2/16/09 * 2/16/09 5 44 225,090.66 22,509.06 22,509.06 0.00 0.00 Pay Application 5 2584 3/31/09 * 3/31/09 6 44 363,670.33 36,367.03 36,367.03 0.00 0.00 Pay Application 6 2655 5/31/09 * 5/31/09 8 44 314,820.18 308,153.54 6,525.48 301,628.06 0.00 Pay Application 8 5796 11/30/09 ' 11/30/09 14 44 118,525.39 876.65 876.65 0.00 0.00 Pay Application 14 6897 4/30/10 • 4/30/10 19B 44 3,746.40 3,746.40 0.00 3,746.40 0.00 Pay Application 19B 7163 5/31/10 * 5/31/10 20B 44 3,109.20 3,109.20 0.00 3,109.20 0.00 Pay Application 20B 7468 6/30/10 ' 6/30/10 4300-21B 44 8,799.60 8,799.60 0.00 8,799.60 0.00 Pay Application 21B 7649 7/31/10 ' 7/31/10 22A 44 27,850.76 27,850.76 0.00 27,850.76 0.00 Pay Application 22A 7650 7/31/10 • 7/31/10 22B 44 10,968.00 10,968.00 0.00 10,968.00 0.00 Pay Application 22B 7970 8/31/10 ' 8/31/10 23A 44 5,082.16 5,082.16 0.00 5,082.16 0.00 Pay Application 23A 7971 8/31/10 * 8/31/10 23B 44 5,484.00 5,484.00 0.00 5,484.00 0.00 Pay Appliction 23B 2,475,501.13 571,781.84 205,113.66 366,668.18 0.00 Current 1-30 31-60 61-90 91-120 Over 120 0.00 10,566.16 38,818.76 8,799.60 3,109.20 305,374.46 2,475,501.13 571,781.84 205,113.66 366,668.18 0.00 Current 1-30 31-60 61-90 91-120 Over 120 0.00 10,566.16 38,818.76 8,799.60 3,109.20 305,374.46