Loading...
HomeMy WebLinkAboutCINCINNATI FLOOR COMPANY, INC. -002517 -12/22/2011 CARMEL REDEVELOPMENT COMMISSION 002517 Cincinnati Floor Company, Inc. Check: 2517 8320 Brookville Road Date: 12/22/2011 Suite M Vendor: CINCINN1 Indianapolis, IN 46239 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pais 11 54 280.00 280.00 0.00 0.00 280.0( Change order 5 280.00 280.00 0.00 0.00 280.0( • 4,4 TM . . Document 0732 — 2009 Application and Certificate forPayment, Construction Manager as Adviser Edition TO OWNER: PROJECT: APPLICATION NO: 11 DISTRIBUTION TO: — One Center Green Carmel Regional Performing Arts Center . : "::' September 30,2011 OWNER _ .Carmel, In 46032 Green PERIOD TO:,, '. CONSTRUCTION MANAGER — FR011 VIA CO � f� CONTRACT DATE: ARCHITECT — CONTRACTOR:;._ MANA IW443 PROJECT NOS: / / CONTRACTOR — March 23,2009 FIELD CON'MWRARFloor Company, Inc VIA ARCHITECT: 2695 OTHER COIF t f i RATION FOR PAYMENT The undersignt9ifLcoAN Qcgr#fieps that igi4 4e t of the Contractor's knowledge,information and Indianapolis 6 9 CSO belief the WorOATl rdd�i NK A Iici0131.024 ment has been completed in accordance with the Application is made fBrrgiN t ek §timmtion with the Contract. Contract DocuSiah SMANamounts havelfha paid by the Contractor for Work for which previous AIA Document G703TM,Continuation Sheet,is attached. Certificates for Payment were issued and payments received from the Owner,and that current payment 1.ORIGINAL CONTRACT SUM _ sing yr 49S oo shown herein is now due. . L fhAe/a6 e)/ld fit-' 2.NET CHANGES IN THE WORK $ p — CONTRACTOR:Clri /4/)/9'/-, ��pp2' /T�iL �a�l3.S 3.CONTRACT SUM TO DATE(Line I±2) B Date: /0/0.7"/y s :. '„ 4.TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $ 6,41.1 7 'S' State of: .L-I\..) �,-i,''i "''.,'/fir -'� Y flwk z.A 0 tJ ? 4 il '! 5.RETAINAGE: County of: �_ IPEGGY t iRI)FL a. %of Completed Work Subscribed and sworn to before , �� ;���� _�p ) _ . (Column D+Eon G703 $ me this 1l fC.) ---� 111 Y ���� I I$EM 1 )- •i ( ) 3 its• day e'� l���'�""' .1 ". ,,, b. %of Stored Material Notary Public: 6��c/1[ -514 b INDIANA r r j, (Column F oci 6703 $ M Com ion ex i m t , �sJt 4'2 i5~ ( ) Y p OCTOBER 201 ',l Total Retainage(Lines 5a+5b,or Total in Column Ion G703) $ CERTIFICATE FOR PAYMENT ,,,, ,,Tj,i�`i''ii)f' ,).0 v. 6.TOTAL EARNED LESS RETAINAGE $("p9IG ,..y.5D In accordance with the Contract Documents,based on evaluations of the Work and the data comprising (Line 4 minus Line 5 Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT 4,4V1-1613-64 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in (Line 6 from prior Certificate) accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT 8.CURRENT PAYMENT DUE 1$ ago.oD � CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED $ Z .3 —® (Attach explanation if amount certified differs from the amount applied.Initial all figures on this (Line 3 minus Line 6) $ Application and o '-Continuation Sheet that are c • . to conform with the amount certified) C• STRUCTION IAN G>E( / BY: 1111":ir '.. . Ae 4 A. . ' . Date: /0 gi / 1 SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS ARWR-C : ! O`":17077 iple Prime Contractors are responsible for p, rformi g portions of the Total changes approved in previous months by Owner $ $ Project, t 1 f it- Certification is not required.) I 4 L.,. Total approved this month;'incltiding Construction By: !� Date: Change Directives $ $ This Certi icate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor named TOTALS $ $ herein. Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner NET CHANGES IN THE WORK $ or Contractor under this Contract. 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 G7321'—2009(formerly G702TMCMa—1992).Copyright©1992 and 2009 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 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. !IAiLV TM Document G732 2009 Instructions Application and Certificate for Payment, Construction Manager as Adviser Edition GENERAL INFORMATION Purpose.AIA Document G732TM-2009,Application and Certificate for Payment,Construction Manager as Adviser Edition,is to be used in conjunction with AIA Document G703TM-1992,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.Procedures for their use are covered in AIA Document A232TM-2009,General Conditions of the Contract for Construction,Construction Manager as Adviser Edition. Related Documents.ALA Document G703-1992. 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 G732-2009,but only for use in connection with a particular project.The ALA 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. USING G732-2009 . After the Contractor has completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G732-2009,Application and Certificate for Payment,Construction Manager as Adviser Edition.The Contractor should sign G732,have it notarized and submit it,together with G703,to the Construction Manager and Architect.The Construction Manager and Architect should review G732 and G703 and,if they are acceptable,complete the Certificate for Payment on G732.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A232TM-2009.They should then initial all figures on G732 and G703 that have been changed to conform to the amount certified and attach an explanation.The completed G732 and G703 should be forwarded to the Owner. COMPLETING G703 Heading.This information should be completed to be consistent with similar information on AIA Document G732-2009,Application and Certificate for Payment,Construction Manager as Adviser Edition. Columns A,B and 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 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 (Schedu d Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contr cts wherjvriable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld front e overall contract amount. Change Orders and Construction Change Directives �TTll'a ii of the original contract,adjusted by Change Orders and amounts authorized for Construction Change Directives as reflected t litre4s to be entered on line 3 of the G732 form. MAKING PAYMENT 3':•t...,..-- - ',. The Owner should make payment directly to the Contractor bas° ��o the amount certified by the Construction Manager and Architect on AIA Document G732-2009,Application and Certificate for Pay `� t ntiConstruction Manager as Adviser Edition.The completed form contains the name and address of the Contractor.Paymenl's''hould"5ot. e made to any other party unless specifically indicated on G732. I . s 1,. AIA Document G732TM—2009(formerly G702TMCMa—1992).,Copyright©1992 and 2009 by The American Institute of Architects.All rights reserved. WARNING:This Ale Document is protected by U.S.Copyright Law anli'I4ternational Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civiland'Crhminal 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. �1 4 ® TM • Document G703 - 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION.NO: 11 containing Contractor's signed certification is attached. APPLICATION DATE: 10/31/2011 In tabulations below,amounts are stated to the nearest dollar. 10/31/2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: $ A B C D E F , G H I Carmel Regional Performing Arts Center WORK COMPLETED TOTAL MATERIALS BALANCE SCR�pT SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED TO RETAINAGE ITEM One DoNli C 6reenWORK VALUE APPLICATION THIS PERIOD STORED AND STORED (C÷C) FINISH (If variable rate) NO. (D+E) (Not inDorE) TO DATE (C G) Bonds $ 5,457.00 $ 5,47-.-00 — $ 5,457.00 100% Materials Platform $ 170,063.00 $ 170,063.00 $ 170,063.00 100% Brazillian Cheery Sleeper/Sub .. , Non-Stage General Allowance $ 15,000.00 $ 15,000.00 $ 15,000.00 100% Non-Stage As Built Allowance . $ 5,000.00 $ 5,000.0C $ 5,000.00 100% Labor Platform • $ 30,007.00 $ 30,007.00 . . $ 30,007.00 100% Brazillian Cherry Direct Apply Materials Orchestra High $ 100,026.00 $ 100,026.00 $ 100,026.00 100% Materials Orchestra Low $ 100,026.00 $ 100,026.00 $ 100,026.00 100% • Material Box Tier $ 100,026.00 $ 100,026.00 $ 100,026.00 100% Labor Orchestra High $ 24,712.00 $ 24,712.00 $ 24,712.00 100% Labor Orchestra Low $ 24,712.00 $ 24,712.00 $ 24,712.00 100% Labor Box Tier $ 24,712.00 $ 24,712.00 $ 24,712.00 100% Material Donor Amenity $ 54,278.00 $ 54,278.00 $ 54,278.00 100% Labor Donor Amenity $ 20,476.00 $ 20,476.00 $ 20,476.00 100% Stage As Built Allowance $ 5,000.00 $ 5,000.00 $ 5,000.00 100% CO#1 $ (25,000.00; $ (25,000.001 $ (25,000.00) 100% CO#2 0.00 0:00 CO#3 $ 14,963.50 $ 14,963.50 $ 14,963.50 100% CO#5 $ 280.00 $ 280.00 $ 280.00 100% $ 694,738.50 $ 694,458.50 $ 280.00 $. $ 694,/38.50 100% $ - $ - GRAND TOTAL 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 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. == A Document G703"- 1992 Instructions Continuation Sheet GENERAL INFORMATION, Purpose and Related Documents.AIA Document G702TM,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 ALA Document A201TM,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 ALA 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 G703-1992 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 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 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 their 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 on 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 in dispute 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 below are for illustrative purposes only,and are not intended to reflect actual construction costs. A B C D E F G I I I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED ITEM SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE NO DESCRIPTION OF WORK VALUE AI'PLICAI ION THIS PERIOD STORED AND STORED TO DATE (G-Cl FINISH (If variable rale) (D+E) (\a'DarEl IC- G) (D+E+F) 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5 000 0 0 5000 100 0 3 EARTH WORK 15000 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 8 MISC.CONC. 5,000 0 0 0 0 0 5,000 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 8 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 GRAND TOTAL 105,000 20,000 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 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 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. 8320 Brookville Road Sinc e 1894. Suite M TELEPONE: (317) 357-3562 Indianapolis, IN 46239 CINCINNATI FLOOR FAX: (317) 357-5338 COMPANY AFFIDAVIT AND FINAL WAIVER OF MECHANIC'S LIEN I, Zack Maricle , being first duly sworn, state that I am the Contract Manager of Cincinnati Floor Company(hereafter referred to as the "Company") and am familiar with the following facts stated herein: 1. The undersigned, in consideration of, and upon receipt of payment in the sum of $ 280.00 does hereby waive, release and relinquish any and all liens and claims for liens for labor or work performed and/or material furnished through the 30 day of OCTOBER, 2011 to the construction project commonly known as Carmel Regional Performing Arts Center located at One Center Green Carmel, In 46032 (hereinafter the"Project"). 2. All laborers, material men, and subcontractors or the Company have been paid for all sums which were due for work, labor and/or material machinery provided by said parties for the Project and for which the Company has received payment. 3. The Company represents that it is not aware of any Mechanic's lien having been filed by or presently threatened to be filed against the Project by any party having performed work and labor for the Company and/or furnished material, machinery, equipment, and fuel to the Company for the project. 4. This waiver excludes retainage withheld and any change order work not yet billed. Zack Maricle Contract Manager By: ���%�•� STATE OF INDIANA COUNTY OF MARION Sworn to and subscribed in my presence this 31 day of OCTOBER, 2011 PEGGY t.riT F- NOTARY PUBLIC My Commission Expires: ; STATE'OF INDIANA 0 I My enrinnissinn-Expires.July 4,2016 Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee 0119C/.7lay7 i ClGV✓ Co, Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number /q� (or note attached invoice(s) or bill(s)) ^3D-// 1/ /J ,4/7c- ,." � CU`7/A✓.'?c71- 2<5;''G.Z)D !v4 t) 'a r• Total 280. I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct - I '% dited -ame in accordance with IC 5-11-10-1.6. 'a -V , 20 ( ( - -Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 e/c/7( IN SUM OF $ $ Z c,o7 ON ACCOUNT OF APPROPRIATION FOR cat Board Members D PT.or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or // /fyGoS'e' 2'n bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 92c 20 // E &Me Director Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund