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HomeMy WebLinkAboutCIRCLE B CONSTRUCTION SYSTEMS -001582 -2/3/2011 CARMEL;REDEVELOPMENT COMMISSION 001582 Circle B Construction Systems Check: 1582 5636 S Meridian St Date: 2/3/2011 Indianapolis, IN 46217 Vendor: CIRCLEB1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 28 39 18,231.71 18,231.71 0.00 0.00 18,231.71 Application 28 18,231.71 18,231.71 0.00 0.00 18,231.71 *10 TM 3 z:ntlf A I A Document G702/CMa - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: APPLICATION N0: L8 Distribution to: CARMEL REDEVELOPMENT COMMISSION C ARME L PERFORMING ARTS CENTER PERIOD TO: 12/29/2010 OWNER ❑ ONE CIVIC SQUARE r,A . 1 CONSTRUCTION MANAGER ❑ urin' E.u, N . FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: , ARCHITECT ❑ CIRCLED CONSTRUCTION J 1J Tn1 S PROJECT NOS: / / CONTRACTOR ❑ C/_']L n A'Tn IDA-,- ST SHIEL SEXTON COMPANY .JUJU J. 1'1LR1DA11V J1. • 1ND1ANAt OL1S, _TN 46217 VIA ARCHITECT: #f2595-4090 FIELD ❑ CONTRACT FOR: INTERIOR FINISHES nnv ARCHITE mJ • ❑ CONTRACTOR'S APPLICATION FOR PAYMENT • The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet,AIA Document G703,is attached. Contract Documents,that: 1 amounts have been paid by the Contractor for Work for which previous Certificates for P A - issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 6,394,500.00 payment sho er-' 9w due. . 2.Net change by Change Orders 90,727.00 R� 'OR: 1` CitE B CONSTRUCTION SYSTEMS 9 Y 9 $ CONT OR: �. E`ug6d11101tt @rip 3,CONTRACT SUM TO DATE(Line 1 ±2) $ U,4c,J,cz./ .vv By: / I -" Da V M1 ' It. 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 6,470 033.43 State of: r Tn A,t %., .01: ( ) t 1D:Af �'� A'An (nt \ ' G% 5.RETAINAGE: County of• 1lA' ON ;, Qy c a. %of Completed Work Subscrited and I y to before "2 .A `' ' ` 1ER:r (Column D+Eon 6703 $ 318,7'4(3.55 2 9 n .UET.Annn n 1 n ( ) me th . c y v L fi /rr 1 v N BLIC !^ r" •F.'I4NA b. %of Stored Material Notary Publi : r ' NSON �e (Column F on G703) $ My Commis expir-s: / w '� ' ‘ ,ta�01T Total Retainage(Lines Sa+5b or Total in Column I of G703)., $ 318,746.55 CERTIFICATE FO' PA ENT ';.`�b!D.e,A oo In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $6,151,286.88 this application,the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $6,133,055.17 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. Q ,� 8.CURRENT PAYMENT DUE $ 18,231.71 AMOUNT CERTIFIED $ V�3,"..'.-.. 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs froh e amount applied.Initial all.figures on this Application and on e Continuation She that a hanged to conform with the at count certified.) (Line 3 less Line 6) $ 333,940. 12 CONS `UCTION M It,'�/ / 0 0 BY ��i; �� '_:1/ i Date: ADDITIONS DEDUCTIONS �'�. CHANGE ORDER SUMMARY ARC Total changes approved in previous months by Owner $ $ By: te - Date: Total approved this Month $ $ This Certificate i .not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ $ named 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 CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G702/CMa TM—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 Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. P Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail-The American Institute of Architects'legal counsel,copyright @aia.org. ç4AT4® , Document G702/CMaTM - 1992 Instructions Application and Certificate for Payment Construction Manager-Adviser Edition A.General Information AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition,is to be used in conjunction with AIA Document G703, • Continuation Sheet.These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A201/CMa,General Conditions of the Contract for Construction,Construction Manager-Adviser Edition,1992 Edition. B.Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702/CMa,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. C.Completing the G702/CMa Form After the Contractor has completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor should sign G702/CMa,have it notarized and submit it,together with G703,to the Construction Manager and Architect. The Construction Manager and Architect should review G702/CMa and G703 and,if they are acceptable,complete the Certificate for Payment on G702/CMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A201/CMa.They should then initial all figures on G702/CMa and G703 that have been changed to conform to the amount certified and attach an explanation.The completed G702/CMa and G703 should be forwarded to the Owner. D.Completing the G703 Form Heading:This information should be completed to be consistent with similar information on AIA Document G702/CMa,Application and Certificate for Payment, Construction Manager-Adviser Edition. • Columns A,B&C:These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. Column D:Enter in this column the amount of completed work covered by the previous application(columns D&E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). • Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period). Column G:Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. H. Change Orders:Although Change Orders could be incorporated by changing the scheduleof values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own G703 form:or atlhe end of the basic schedule.The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702/CM form:=°! Construction Change Directives:Amounts not in dispute that have been included in Construction Change Directives should be incorporated into.one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201/CMai E.Making Payment r The Owner should make payment directly to the Contractor based on the amount certified•by the Construction Manager and Architect on AIA Document G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completedrfo`m contains the name and•address of the Contractor.Payment should not be made to any other party unless specifically indicated on G702/CMa. - AIA Document G702/CMa TM-1992.Copyright ©1992 by The American Institute of ArchitectsLAlrrights reserved.WARNING:This AIA® 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 under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed. To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. c1/4 & k J4t-a&,93-. 49e 4"-.4:1,14AIA Document G703TM - 1992 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 28 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/29/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 12/29/2010 A B C D E F G H I WORK COMPLETED — MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED PRESENTLY COMPLETED �� TO RETAINAGE NO. FROM PREVIOUS STORED AND STORED (IF VARIABLE VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G-C) FINISH RATE) (D=E) DORE) (D+E+F) (C-G) 100 BASEMENT FRAME MATL 107,259.00 107,259.00 107,259.00 100.00 101 BASEMENT FRAME LABOR 85,992.00 85,992.00 85,992.00 100.00 102 BASEMENT HANG MATL 125,006.00 125,006.00 125,006.00 100.00 103 BASEMENT HANG LABOR 133,158.00 133,158.00 133,158.00 100.00 104 ORCHESTRA FRAME MATL 118,670.00 118,670.00 118,670.00 100.00 105 ORCHESTRA FRAME LAB 100,713.00 100,713.00 100,713.00 100.00 106 ORCHESTRA HANG MATL 124,796.00 124,796.00 124,796.00 100.00 107 ORCHESTRA HANG LAB 141,631.00 141,631.00 141,631.00 100.00 108 BALCONY FRAME MATL 108,051.00 108,051.00 108,051.00 100.00 109 BALCONY FRAME LABOR 92,419.00 92,419.00 92,419.00 100.00 110 BALCONY HANG MATL 115,731.00 115,731.00 115,731.00 100.00 111 BALCONY HANG LABOR 129,223.00 129,223.00 129,223.00 100.00 112 BOX TIER FRAME MATL 135,171.00 135,171.00 135,171.00 100.00 113 BOX TIER FRAME LABOR 113,521.00 113,521.00 113,521.00 100.00 114 BOX TIER HANG MATL 140,350.00 140,350.00 140,350.00 100.00 115 BOX TIER HANG LABOR 178,584.00 178,584.00 178,584.00 100.00 . 116 ATTIC FRAME MATL 102,176.00 102,176.00 102,176.00 100.00 117 ATTIC FRAME LABOR 87,922.00 87,922.00 87,922.00 100.00 118 ATTIC HANG MATL 90,226.00 90,226.00 90,226.00 100.00 119 ATTIC HANG LABOR 110,889.00 110,889.00 110,889.00 100.00 120 ACOUS CEILING MATL 52,941.00 52,941.00 52,941.00 100.00 PAGE TOTALS : 2,394,429.00 2,394,429.00 .00 .00 2,394,429.00 .00 .00 CAUTION: You should sign an original AIA Contract Document,on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703TM–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 the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. 01411 Document G703TM ® 1992 Instructions Continuation Sheet . GENERAL INFORMATION Purpose-and-Related Documents. AIA Document G702,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703, Continuation Sheet.These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are - covered in-AIA Document A201,General Conditions of the Contract for Construction. - Use of Current Documents. Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grahts the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the'AIA.Rights'to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel, .copyright@aia.org. , COMPLETING THE G703 FORM ' " Heading:This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A, B, &C:These columns should.be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the'commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors,and should'remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total-of column C maybe adjusted,:by Change Orders during the Project. Column D Enter in this.colu,mn the amount_of completed Work covered by the previous application (columns D&E from the previous application).Values from 'column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here'the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on . the previous application inder-Materials Presently Stored(column F). Column F: Enter here the'value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period). ' Column G:Enter-here the-total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the difference between column.0(Scheduled Value)and the column G (Total Completed and Stored to Date). . Column(:'This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is-withheld from the overall contract amount. Change Orders:Although.Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on the own G703 form or at the end of the basic schedule.The amount of the original contract adjusted by Change Orders is to'be.entered in the appropriate location of the G702 form. Construction Change Directives:Amounts.not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders;Amounts remaining indispute'should be dealt with according to Section 7.3 in A201. The following is,an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown are for illustrative purposes only,and are not intended to - . reflect actual construction costs. ' A • B C D I E F G H I . WORK COMPLETED MATERIALS TOTAL BALANCE ITEM SCHEDULED FROM PRESENTLY COMPLETED % TO RETAINAGE NO' DESCRIPTION OF WORK VALUE PREVIOUS STORED AND STORED (G-Cl FINISH (IF VARIABLE - APPLICATION THIS PERIOD NOT IN TO DATE RATE) (D+E) D OR El (D+E+F) (C-GI 1 MOBILIZATION 5.000 5.000 0 0 5.000 100 0 2 STUMP REMOVAL 5.000 5.000 0 0 5.000 100 0 3, EARTH WORK ` ! 15.000 10.000 5.000 0 15.000 100 0 -4 LOWER RETAINING WALL; 10.000 0 5.000 0 5.000 50 5.000 5 CURBS&MISC.CONC. t 5000 0 0 0 0 0 5.000 6 PAVING.UPPER DRIVE 20.000 0 0 0 0 0 20.000 7 - PAVING.LOWER DR IVE . 20.000 0 0 0 0 0 20.000 8 PAVERS 20,000 0 0 10.000 10.000 50 10.000 S BRICK WORD 5.000 0 0 0 0 0 5.000 10 it 100.000 80.000 10.000 10.000 40.000 65.000 AIA Document G703TM-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 on this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright©aia.orig. =.9 = Document G703TM - 1992 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 28 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/29/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 12/29/2010 A B C D F F G H 1 WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS STORED AND STORED % TO (IF VARIABLE NO VALUE (G-C) FINISH APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (D-E) D OR E) (D+E+F) (C-G) 121 ACOUS CEILING LABOR 40,759.00 40,759.00 40,759.00 100.00 122 INSULATION MATL 82,670.00 82,670.00 82,670.00 100.00 123 INSULATION LABOR 117,330.00 117,330.00 117,330.00 100.00 200 N/S ELIP CLG METAL M 51,331.00 51,331.00 51,331.00 100.00 201 N/S ELIP CLG METAL L 201,384.00 201,384.00 201,384.00 100.00 202 N/S ELIP CLG PLAS M 74,360.00 74,360.00 74,360.00 100.00 203 N/S ELIP CLG PLAS L 438,153.00 438,153.00 438,153.00 100.00 204 MAIN ELIP CLG METL M 52,412.00 52,412.00 52,412.00 100.00 205 MAIN ELIP CLG METL L 168,703.00 168,703.00 168,703.00 100.00 206 MAIN ELIP CLG PLASM 71,273.00 71,273.00 71,273.00 100.00 207 MAIN ELIP CLG PLAS L 430,314.00 430,314.00 430,314.00 100.00 208 UP/LOW BALCNY METL M 15,304.00 15,304.00 15,304.00 100.00 209 UP/LOW BALCNY METL L 143,518.00 143,518.00 . 143,518.00 100.00 210 UP/LOW BALCNY PLAS M 37,975.00 37,975.00 37,975.00 100.00 211 UP/LOW BALCNY PLAS L 633,522.00 633,522.00 633,522.00 100.00 212 BOX TIER/COL METAL M 10,245.00 10,245.00 10,245.00 100.00 213 BOX TIER/COL METAL L 118,363.00 118,363.00 118,363.00 100.00 214 BOX TIER/COL PLAS M 70,300.00 70,300.00 70,300.00 100.00 215 BOX TIER/COL PLAS L 319,455.00 319,455.00 319,455.00 100.00 216 ORCH H/L METAL M 5,317.00 5,317.00 5,317.00 100.00 217 ORCH H/L METAL L 112,967.00 112,967.00 112,967.00 100.00 218 ORCH H/L PLASM 15,260.00 15,260.00 15,260.00 100.00 PAGE TOTALS : 3,210,915.00 3,210,915.00 .00 .00 3,210,915.00 .00 .00 CAUTION: You should sign an original AIA Contract Document,on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703TM—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 the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. *AIA TM Document G703 ® 1992 Instructions . Continuation Sheet GENERAL INFORMATION Purpose-and-Related Documents. AIA Document G702,Application and Certificate for Payment, is to be used in conjunction with AIA Document G703, Continuation Sheet.These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered-in AIA Document A201,General Conditions of the Contract for Construction. . -Use-of Current Documents. Prior to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with . a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of -written permission from the AIA.Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel, • copyright @aia.org. - COMPLETING THE G703 FORM -Heading:This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B,.&C:These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the'commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should'remain consistent throughout the Project.Multiple pages should be used when required. Column C should-be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total-of column C maybe adjusted:by Change Orders during the Project. Column D`.,Enter in,this column the amount of completed Work covered by the previous application (columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the-previous application under Materials Presently Stored(column F). Column F: Enter here-the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both-materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from-this column and incorporated into column E(Work Completed-This Period). Column G:Enter here the-total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. . Column H:Enter here the difference between column C(Scheduled Value)and the column G (Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the&overall contract amount. -Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on the own G703 form or at the end of the basic schedule.The amount of the original contract adjusted-by.Change Orders is to be.entered in the appropriate location of the G702 form. Construction Change,Directives:Amounts.not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders:`Amounts remaining indispute'should be dealt with according to Section 7.3 in A201. The following is.an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown are for illustrative purposes only,and are not intended to • reflect actual construction costs. A 'B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM SCHEDULED FROM PRESENTLY COMPLETED % TO RETAINAGE . NO. DESCRIPTION OF WORK VALUE PREVIOUS STORED AND STORED (G-C) FINISH IIF VARIABLE APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (D+E) D OR El (D+E+F) (C-G) 1 MOBILIZATION 5.000 5.000 0 0 5.000 100 0 - 2 STUMP REMOVAL 5000 5.000 0 0 5000 100 0 3 EARTH WORK 1 15000 10.000 5000 0 15.000 100 0 . - 4 LOWER RETAINING WALL: 10.000 0 5.000 0 5.000 50 5.000 5 CURBS&MISC.CONC. : 5.000 0 0 0 0 0 5000 6 PAVING.UPPER DRIVE 20.000 0 0 0 0 0 20.000 7 PAVING.LOWER DRIVE _ 20.000 0 0 0 0 0 20.000 & PAVERS 20.000 0 0 10.000 10.000 50 10.000 9 BRICK WORK 5.000 0 0 0 0 0 5.000 10 11 lU0.000 LU.000 10.000 1U.000 40.000 05.000 AIA Document G703TM-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 on this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.orig. ik- Document G703TM - 1992 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 28 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/29/2010 Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 12/29/2010 A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM BALANCE PRESENTLY COMPLETED o RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS �O TO VALUE STORED AND STORED (G—C) FINISH (IF VARIABLE APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (D-E) D OR E) (D+E+F) (C-G) 219 ORCH H/L PLAS L 315,844.00 315,844.00 315,844.00 100.00 220 4090A GEN. ALLOWANCE 225,000.00 225,000.00 225,000.00 100.00 221 4090B CAD ALLOWANCE 5,000.00 5,000.00 5,000.00 100.00 222 4100A GEN ALLOWANCE 175,000.00 175,000.00 175,000.00 100.00 223 4100B CAD ALLOWANCE 5,000.00 5,000.00 5,000.00 100.00 224 ADDITONAL 4090 ALLOW 29,000.00 29,000.00 29,000.00 100.00 224A DELETE LINE 224 -29,000.00 -29,000.00 -29,000.00 100.00 300 BOND PREMIUM 63,312.00 63,312.00 63,312.00 100.00 301 C.O. #1/CCR#1008 60,100.00 60,100.00 60,100.00 100.00 302 C.O.#2/CCR#1011 27,970.00 27,970.00 27,970.00 100.00 303 C.O. #3/CCR#1012 1,200.00 1,200.00 1,200.00 100.00 304 C.O.#4/CCR#1014 19,800.00 19,800.00 19,800.00 100.00 305 C.O. #5/CCR#1015 31,680.00 31,680.00 31,680.00 100.00 306 C.O. #6/CCR#1016 27,720.00 27,720.00 27,720.00 100.00 308 CO#8/PAC006(C07 0) 20,490.00 20,490.00 20,490.00 100.00 309 CO 9/ALLOWANCE ADJ -226,269.00 -226,269.00 -226,269.00 100.00 310 CO#11./HIGH RAILING 17,740.00 17,740.00 17,740.00 100.00 311 C.0.#12'DOME STEEL' 48,000.00 48,000.00 48,000.00 100.00 312 CO#13 -RCP "030" 2,296.00 2,296.00 2,296.00 100.00 313 CO#14 ALLOW 4100A 30,000.00 26,574.72 3,425.28 30,000.00 100.00 314 C.O. #15 ALLOW 4100A 30,000.00 14,806.43 14,806.43 49.35 15,193.57 JOB 101 ALS : 6,485,227.00 6,451,801.72 18,231.71 .00 6,470,033.43 1571-93.57 318,746.55 CAUTION: You should sign an original AIA Contract Document,on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703TM—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 the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. . . , , *AIA TM Y Document G703 - 1992 instructions + 'Continuation Sheet GENERAL INFORMATION - - - Purpose and-Related Documents. AIA Document G702,Application and Certificate for Payment, is to be used in conjunction with AIA Document G703, Continuation Sheet.These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are - - covered in AIA Document A201,General Conditions of the Contract for Construction. Use of Current Documents. Prior to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition .Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this-document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703, but only for use in connection with a particular'project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA.Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel, copyright@aia.org. COMPLETING THE G703 FORM - Heading:This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A, B,'&C:These.columns should,be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule . -of values submitted to the Architect at the'commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by .Subcontractorand should'remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total-of column C may be adjusted-by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application (columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F: Enter here-the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers.both-materials-newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and.incorporated into column E(Work Completed-This Period). Column G:Enter.here the-total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H:"Enter here the difference between column C-'(Scheduled Value)and the column G (Total Completed and Stored to Date). Column-l:-This-column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Charige-Orders:Although.Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not „.normally-done.'Usually,Change Orders are listed separately,either on the own G703 form or at the end of the basic schedule.The amount of the original contract adjusted-by Change Orders is to-be-entered in the appropriate location of the G702 form. - Construction Change.Directives:Amounts.not in dispute that have been included in Construction Change Directives should be incorporated into one or more - -Change-Orders.'Amounts remaining indispute-should be dealt with according to Section 7.3 in A201. The following is,an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown are for illustrative purposes only,and are not intended to - reflect-actual construction costs. A - 'B C D I E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM SCHEDULED FROM PRESENTLY COMPLETED % TO RETAINAGE .DESCRIPTION OF WORK (G_C) FINISH NO. VALUE PREVIOUS STORED AND STORED LIP VARIABLE APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (D+E) DORE) (D+E+F) (C-G) 1 MOBILIZATION - 5.000 5.000 0 0 5.000 100 0 2 STUMP REMOVAL 5,000 5.000 0 0 5000 100 0 5 EARTH WORK I 15.000 10.000 5.000 0 15.000 100 0 4 LOWER RETAINING WALL I 10000 0 5.000 0 5000 50 5000 5 CURBS&MISC.CONC. ; 5.000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE I 20000 0 0 0 0 0 20.000 7 PAVING.LOWER DRIVE ' 20000 0 0 0 0 0 20000 8 PAVERS 20000 0 0 10.000 10.000 50 10.000 BRICK WORK 5.000 0 0 0 0 0 5.000 (0 11 105600 cU,000 10000 ' 10,000 40.000 55.000 AIA Document G703Th1-1992.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 on this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.orig. AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TO FOLLOW STATE OF INDIANA COUNTY OF MARION SS: JOHN M.ABBOTT BEING DULY SWORN THAT HE IS THE PRESIDENT OF CIRCLE B CONSTR. SYSTEMS,LLC HAVING CONTRACTED WITH CARMEL REDEVELOPMENT COMMISSION TO FURNISH CERTAIN MATERIALS AND/OR LABOR AS FOLLOWS: INTERIOR FINISHES FOR A PROJECT KNOWN AS: CARMEL PERFORMING ARTS CENTER AND OWNED BY: CARMEL REDEVELOPMENT COMMISSION DOES HEREBY FURTHER STATE OF BEHALF OF THE AFOREMENTIONED SUBCONTRACTOR/SUPPLIER: PARTIAL WAIVER)THAT THE BALANCE DUE FROM THE CONTRACTOR IS THE SUM OF SIX MILLION ONE HUNDRED THIRTY THREE THOUSAND FIFTY FIVE DOLLARS AND .71/100 ($6,133,055.71) XX RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED: OR THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND PARTIAL WAIVER OF LIEN, WHICH IS GIVEN TO AND FOR SAID AMOUNT,EFFECTIVE UPON RECEIPT OF PAYMENT; (FINAL WAIVER)THAT THIE FINAL BALANCE DUE IS THE SUM OF: RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED: OR THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND WAIVER OF LIEN WHICH SHALL BECOME EFFECTIVE UPON RECEIPT OF SUCH PAYMENT. THEREFORE THE UNDERSIGNED WAIVES AND RELEASES UNTO THE OWNER OF SAID PREMISED,ANY AND ALL LIEN OF CLAIM WHATSOEVER ON THE ABOVE DESCRIBED PROPERTY AND IMPROVEMENTS ON ACCOUNT OF LABOR OR MATERIAL OR BOTH, FURNISHED BY THE UNDERSIGNED THERETO,AND FURTHER THAT NO OTHER PARTY HAS ANY CLAIM OR RIGHT TO A LIEN ON ACCOUNT OF WORK PERFORMED OR MATERIAL FURNISHED TO THE UNDERSIGNED FOR SAID PROJECT AND WITHIN THE SCOPE OF THIS AFFIDAVIT AND WAIVER. CIRCL B CONSTR. SYSTEMS, LLC B : / TITLE: PRESIDENT J�� o `0�0� 0 � ..... • H !f NO •RIA EAL TH129' Y OF Yk.(V BER, 2010 G DE':11T• 'Y BLI' I D: MY COMMI SIO 'EXPIRES: 02/01/2017 /‘�.• RESIDENT OF JOHNSON COUNTY • CIRCLE B Construction Systems OWNER: 12/29/2010 CARMEL REDEVELOPMENT COMMISSION CM: SHIEL SEXTON COMPANY PROJECT: CARMEL PERFORMING ARTS PROJECT NO. 2695-4090 DRYWALL PAYMENT VERIFICATION AFFIDAVIT: THE FOLLOWING PAYMENTS HAVE BEEN RECEIVED: APPLICATION NO. AMOUNT PAID #1 $ 56,980.80 #2 $ 8,369.42 #3 $ 16,209.00 #4 $ 44,810.04 #5 $ 57,634.11 #6 $ 76,202.64 #7 $ 201,168.08 #8 $ 169,090.74 #9 $ 280,896.48 #10 $ 35,997.80 #11 $ 8,465.60 #12 $ 437,984.92 #13 $ 514,933.22 #14 $ 357,219.33 #15 $ 546,768.67 #16 $ 621,587.91 #17 $ 622,044.57 #18 $ 438,354.80 #19 $ 604,713.75 #20 $ 226,649.20 #21 $ 124,747.88 #22 $ 282,108.48 #23 $ 48,000.00 #24 $ 191,157.86 #25 $ 115,754.99 #26 $40,906.16 #27 $4,298.72 TOTAL PAID TO DATE $ 6,133,055.17 CIRCLE , RUCTION SYSTEMS JO: . ABBOTT, PRESIDENT (317)787-5746 fax(317)780-2654 5636 South Meridian Street Indianapolis, Indiana 46217 Equal Opportunity Employer