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GENERAL PIPING, INC. -001877 -4/20/2011
CP.RMEL REDEVELOPMENT COMMISSION 001877 Gccieral Piping, Inc. Check: 1877 PO Box 34367 Date: 4/20/2011 Indianapolis, IN 46234 Vendor: GENERPIP Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 29 44 5,949.99 5,949.99 0.00 0.00 5,949.99 Application 29 042011 90,000.00 90,000.00 0.00 0.00 90,000.00 Claim settlement 4.20.2011 95,949.99 95,949.99 0.00 0.00 95,949.99 e i TM AIA Document G732 — 2009 Liii Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: City of Carmel PROJECT: CPAC 84% APPLICATION NO:029 DISTRIBUTION TO: OWNER PERIOD TO:March 31,2011 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: General Construction 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 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 $ 3,492,504.00 shown herein is now due. 2. NET CHANGES IN THE WORK $ 221,209.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line I f 2) $ 3,713,713.00 By: Date: *larch 28,2011 4. TOTAL COMPLETED AND STORED TO DATE(Column G on G703).... $ 3,509,540.46 State of:Indiana 5. RETAINAGE: County of:Hendric a. 100 %of Completed Work Subscribed and sworn to before ia.K............____ (Column D+Eon G703) $ 161,762.59 me this j$ day of N,acCtet 1 2O b. 0 %of Stored Material Notary Public:Luke Roseboom (Column F on G703) $ 0.00 My Commission expires:July 07,2012 Total Retainage(Lines 5a+5b,or Total in Column I on G703) $ 161,762.59 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 3,347,777.87 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 $ 3,341,827.88 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 CERTIFIED. 8. CURRENT PAYMENT DUE $ 5,949.99 AMOUNT CERTIFIED $ 5,949.99 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs f. he amount applied.Initial all figures on this Application and on he Continuation#eet tha. . hanged to conform with the am rnt cent f ed.) (Line 3 minus Line 6) $ 365,935.13 CON .RUCTION ;NAA f: .�, _ . 1 // By �:..Oh,__,i i Date: SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS ARC , C :_ '© -:I Multiple Prime Contractors are responsible for performi g p i 'o of the Project, t r,`t e s.1rrtif cation is not ;L uired) r� Total changes approved in previous months by Owner$ 241,444.60$ 20,235.60 By: ' •`L , _-• Date: —1 Total approved this month including Construction Change Directives $ 0.00$ 0.00 This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the 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 NET CHANGES IN THE WORK $ 221,209.00 or Contractor under this Contract. AIA Document G7321•—2009(formerly G702T"CMa—1992).Copyright®1992 and 2009 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 Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to .I the maximum extent possible under the law.This document was produced by AIA software at 14:24:50 on 03/28/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: ,4 (19163579 rt v ® j-� Document G703" - 1992 Continuation Sheet AIA Document,G702TM-1992,Application and Certification for Payment,or G736TM-2049, APPLICATION NO:029 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE:03/28/2011 containing Contractor's signed certification is attached. In tabulations below, amounts are in US dollars. PERIOD TO:03/31/2011 Use Column Ion 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/o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR 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 181,855.00 181,855.00 0.00 0.00 181,855.00 100.00% 0.00 10,911.30 4 Material 72,013.00 72,013.01 -0.01 0.00 72,013.00 100.00% 0.00 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 _ 12,000.00 0.00 0.00 12,000.00 100.00% 0.00 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 15,000.00. 0.00 0.00 15,000.00 100.00% 0.00 675.00 AW#8-Plumbing 12 (4290A) 66,148.00 0.00 0.00 0.00 0.00 0.00% 66,148.00 0.00 AW#9-Water/Gas 13 (4290B) 109,386.54 0.00 0.00 0.00 0.00 0.00% 109,386.54 317.94 AW#10Hyd. 14 (4300A) 2,638.00 0.00 _ 0.00 0.00 0.00 0.00% 2,638.00 0.00 15 _AW#I6 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 5,100.00 0.00 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 G703Tx-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 1 the maximum extent possible under the law.This document was produced by AtA software at 14:28:33 on 03/28/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (846297170) <,y i1 A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY °l° NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G C) (C-G) RATE) (D+E) (NOT IN D OR 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 5,350.00 0.00 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 0.001 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 3,360.00 0.00 0.00 3,360.00 100.00% 0.00 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 WN 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 1.00.00% 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 WN 43 (M) 165,426.00 165,426.00 0.00 0.00 165,426.00 100.00% 0.00 14,888.34 Aboveground WN 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 G7O3TM-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe 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 2 the maximum extent possible under the law.This document was produced by MA software at 14:28:33 on 03/28/2011 under Order No.0689551328 1 which expires on 05/13/2012,and is not for resale. User Notes: - r� (846297170) rI A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e/Q BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY AND STORED TO FINISH (IF VARIABLE NO. WORK VALUE PREVIOUS THIS PERIOD STORED (G-C) APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+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 1.00.00% 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 WN (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 i 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIA Document G703" -1992.Copyright 0 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects,All rights reserved.WARNING;This AlAe Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe 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 14:28:33 on 03/28/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale" User Notes: (846297170) rr, A B C D I 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 STORED TO FINISH (IF VARIABLE APPLICATION ' THIS PERIOD STORED DATE (G_C) (C-G) RATE) (D+E) (NOT IN D OR 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) 12,3.47.00 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 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 0.00 108 Water Softener 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIA Document GMT"-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 AIA5 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 AlA software at 14:28:33 on 03/28/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes; (846297170) r, . re A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e/ BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G_C) (C-G) RATE) (D+E) (NOT IN D OR E)' (D+E+F) 109 Labor 2,400.00 2,400.00 0.00 0.00 2,400.00 1.00.00% 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 G703TM-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe 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 5 the maximum extent possible under the law.This document was produced by AIA software at 14:28:33 on 03/28/2011 under Order No.0689561328_1 which expires on 05/13/2012,and is not for resale. User Notes: (846297170) w . it A B C D I E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED °/° BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR 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 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 1,76.3.00 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- 1.51 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 G703,11-1992.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 AIAe 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 AlA software at 14:28:33 on 03/28/2011 under Order No.0689551328 1 which expires on 0 511 3/201 2,and is not for resale. User Notes: - (846297170) •r A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED 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) 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 31,937.00 0.00 0.00 31,937.00 100.00% 0.00 638.74 171 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 G703T"-1992.Copyright 0 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 Ale 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 14:28:33 on 03/28/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (846297170) I. A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE oh. ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION DATE (C-G) RATE) (D+E) (NOT IN D OR 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 1 1,786.00 1 1,786.00 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 13,835.00, 0.00 0.00 13,835.00 100.00% 0.00 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 11,786.00 11,786.00 0.00 0.00 11,786.00 100.00% 0.00 0.00 Temp. Controls- 187 Engineering 64,4.46.00 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 83,003.00 0.00 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 51,877.00 0.00 0.00 51,877.00 1.00.00% 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 15,563.00 0.00 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 0.00 198 Labor 15,563.00 15,563.00 0.00 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 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 8 the maximum extent possible under the law.This document was produced by AIA software at 14:28:33 on 03128/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (846297170) J. A B C D E F G H I WORK COMPLETED TOTAL - MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G_C) (C-G) RATE) (D+E) (NOT IN D OR E} (D+E+F) Balcony 201 Labor 15,563.00 15,563.00 0.00 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 15,563.00 0.00 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 19,474.00 0.00 0.00 19,474.00 100.00% 0.00 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 1.39.21 216 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 1,845.0. 0 100.00% 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 22,218.46 22,218.46 0.00 0.00 22,218.46 100.00% 0.00 317.94 AlA Document G703'"-1992.Copyright O 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 Ale Document,or any portion of it,may resurt 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 14:28:33 on 03/28/2011 under Order No.0689551328 1 which expires on 05/13/2012,and is not for resale. User Notes: - (846297170) 4. A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR 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-1.0-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 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 G703"'-1992.Copyright 0 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 AIAe 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 AlA software at 14:28:33 on 03128!2011 under Order No.0689551328 1 which expires on 05/13/2012,and is not for resale. ' User Notes: (846297170) ik A B C D E F G H I WORK COMPLETED TOTAL MATERIALS FROM PRESENTLY ESENT LY COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) AW 4290A-012- 238 F#82 4,791.00 4,791.00 0.00 0.00 4,791.00 100.00% 0.00 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 4,1 32.00 4,132.00 0.00 0.00 4,132.00 100.00% 0.00 0.00 AW 4290B-014- 242 F#93 12,46.0.00 12,460.00 0.00 0.00 12,460.00 100.00% 0.00 0.00 AW 4290B-015 - 243 F#101 3,759.00 3,759.00 0.00 0.00 3,759.00 100.00% 0.00 0.00 AW 4300A-025- 244 F#59 1,594.00 1,594.00 0.00 0.00 1,594.00 100.00% 0.00 0.00 AW 4300A-026- 245 F#102 450.00 0.00 450.00 0.00 450.00 100.00% 0.00 0.00 AW 4290A-017- 246 F#67 5,500.00 0.00 5,500.00 0.00 5,500.00 100.00% 0.00 0.00 GRAND TOTAL $3,713,713.00 $3,503,590.47 $5,949.99' $0.00 $3,509,540.46 94.50% $204,172.54 $161,762.59 AIA Document G703 T"-1992.Copyright©1963,1965,1966,1967,1970,1978.1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe 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 11 . the maximum extent possible under the law.This document was produced by AIA software at 14:28:33 on 03/28/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. ` User Notes: (846297170) CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT PROJECT: Carmel Performing Arts Center Upon receipt by the undersigned of a check from City of Carmel Rdvlpmnt Comm. in the sum of $5,949.99 payable to General Piping Inc. and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien, stop notice, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned's position, the undersigned has on the job of City of Carmel Rdvlpmnt Comm. located at 777 3rd Ave. SW, Carmel, IN 46032 to the following extent. This release covers a progress payment for labor, services, equipment or materials furnished to the jobsite or to City of Carmel Rdvlpmnt Comm. through 03/31/11 only and does not cover any retentions retained before or after the release date; extras furnished before the release date for which payment has not been received; extras or items furnished after the release date or pending modifications and changes. Rights based upon work performed or items furnished under a written change order which has been fully executed by the parties prior to the release date are covered by this release unless specifically reserved by the claimant in this release. This release of any mechanic's lien, stop notice or bond right shall not otherwise affect the contract rights, including rights between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the right of the undersigned to recover compensation for furnished labor, services, equipment, or material covered by this release if that furnished labor, services, equipment or material was not compensated by the progress payment. The undersigned warrants that he either has already paid or will use the monies he receives from this progress payment to promptly pay in full all of his laborers, subcontractors, materialmen and suppliers for all work, materials, equipment or services provided for or to the above-referenced project up to the date of this waiver. Before any recipient of this document relies on it, said party should verify evidence of payment to the undersigned. DATE: 3(7g( 1 ( General Piping Inc. (signature) Sc. / 7 . (title) ■I •J% Document G732 - 2009 Application and Certificate for Payment Construction Manager as Adviser Edition TO OWNER: City of Carmel PROJECT: CPAC 84% APPLICATION N0:030 DISTRIBUTION TO: OWNER PERIOD TO:March 31,2011 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/28291 NA CONTRACTOR Indianapolis,IN 46234 FIELD CONTRACT FOR: General Construction 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 AIA Document G703T14 Continuation Sheet,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 CHANGES IN TIE WORK $ 191,209.00 CONTRACTOR: • 3. CONTRACT SUM TO DATE(Line I t 2) $ 3,683,713.00 By: Date: May 05,30'I .,11.,,:1,,,, 4. TOTAL COMPLETED AND STORED TO DATE(Column G on G703)....$ 3,599,540.46 State of:Indiana ��,•,',.:.,, 5. RETAINAGE: County of:Hen ks a. 100 %of Completed Work Subscribed and sworn to before (Column D+Eon G703) $ 161,762.59 me this 5 day of 010.4 2,4 I( �I b. 0 %of Stored Material J t Notary Public:Luke Roseboom ,, ,; I ': .} (Column Fon G703) $ 0.00 My Commission expires:July 07,2012 i s'.'.' ?. -' s Total Retainage(Lines Sa+5b,or Total in Column 1 on G703) $ 161,762.59 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 3,437,777.87 In accordance with the Contract Documents,based on evaluations of the Work and the,data comprising (Line 4 minus Line S Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 3,347,777.87 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in (Line 6 from prier Certificate) accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 8. CURRENT PAYMENT DUE $ 90,000.0C AMOUNT CERTPED ..... $ 90,000.00 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation ifamormt certified differs • 'the• • nt applied.Initial all figures on this Application and on rt.Continuation Sheet • a •chang •to conform with the amount eerti ed.) (Line 3 mimes Line 6) $ 245,935.13 r .. a. �' � 31 i ( BY ��_'. •7410.'•_, •�af. .. Date: AR '• T: -• ':.•''' 'pie Prime Contractors are responsible for performi rtio the SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS , Project,the A�,`7.d's I Certifi • .•% ' not required) ?? Total changes approved in previous months by Owner$ 241,444.60$ 20,235.60 By: J Date: Si /1 Total approved this month including Construction $ 90,000.110$ 120,000.00 Change Directives _ Thi - ificate': negotiable. AMOUNT CERTIFIEDis payable only to the Contractor named TOTALS S 331,444.60$ 140,235.60 he it ...- pa an. •• _ . • of payment are without prejudice to any rights of the Owner NET CHANGES IN THE WORK S 191,209.00 or .' ar under th tract. NA Deeunnnt 0132^"—25011(ferxsry 0752'°CUS-1012).Copyright a 11112 and 2009 by The American krotihrte ofArCti1 cis.Aa rights moa,W.WARNING:This A,.A*Document is protected by U.S. Copyright Law and International Trestles.Unauthorised reproduction or distribution of this Ale Document,or any portion or It,may rearm In severe civil and criminal penalties,and will be prosecuted to ' the maximum octant possible under the law.This decument was pmadueed by A1A software at 12:22:37 an 05/052011 wide Order No.0669551328_1 which expires en 05/13/2012,end is not For resets. User Nobs: (126421093) i Document 6703 TM 1 992 Continuation Sheet AIA Document,G702TM-1992,Application and Certification for Payment,or G736'M-2009, APPLICATION NO:030 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE: containing Contractor's signed certification is attached. In tabulations below,amounts are in US dollars. PERIOD TO: 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 1 WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o/e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (G-C) (C-G) RATE) (D.-+-E) (NOT IN D OR E) (D+E+F) 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 181,855.00 181,855.00 0.00 0.00 181,855.00 100.00% 0.00 10,911.30 4 Material 72,013.00 72,013.00 0.00 0.00 72,013.00 100.00% 0.01 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 Punehlist 12,000.00 12,000.00 0.00 0.00 12,000.00 100.00% 0.00 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 15,000.00 0.00 0.00 15,000.00 100.00% 0.00 675.00 AW#8-Plumbing 12 (4290A) 16,148.00 0.00 0.00 0.00 0.00 0.00% 16,148.00 0.00 AW#9-Water/Gas 13 (4290B) 39,386.54 0.00 0.00 0.00 0.00 0.00% 39,386.54 317.94 AW#10 Hyd. 14 (4300A) 2,638.00 0,00 0.00 0.00 0.00 0.00% 2,638.00 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 5,100.00 0.00 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 G703"-1992.Copyright®1963,1965,1968,1967,1970,1978.1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAr'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 I the maximum extent possible under the law.This document was produced byAlA software at 12:19:06 on 05/05/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1783648824) .r A 13 C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR 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 5,350.00 0.00 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 3,360.00 0.00 0.00 3,360.00 100,00% 0.00 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 WN 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 WN 43 (M) 165,426.00 165,426.00 0.00 0.00 165,426.00 100.00% 0.00 14,888.34 Aboveground WN 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®1963,1965,1986,1967,1970,1976,1983 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 2 the maximum extent possible under the law.This document was produced by AIA software at 12:19:06 on 05/0512011 under Order No.0689551328_1 which expires on 05113/2012,and Is not for resale. User Notes: (1783848824) .g A B C D 1 E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY oJo BALANCE TO RETAIN-AGE NO, WORK VALUE PREVIOUS STORED AND STORED TO FINISH (1F VARIABLE APPLICATION THIS PERIOD DATE (G_C) (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) 67,1 65.00 67,165.00 0.00 0.00 67,165.00 100.00% 0.00 6,044.86 Aboveground WN (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 15,976.00v 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 I7,692.00 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 AIA Document G703' -1992.Copyright ei 1963,1965,1966,1967,1970,1978.1983 and 1992 by The American Institute of Architects.Alt rights reserved.WARNING:This Ale.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 3 the maximum extent possible under the law.This document was produced by AlA software at 12:19:06 on 05/05/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1783648824) •1 p A B C D I E F G H I WORK COMPLETED TOTAL MATERIALS PRESENTLY COMPLETED BALANCE TO RETAINAGE%ITEM DESCRIPTION OF SCHEDULED SENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G_C) (C-G) RATE) (D+E) (NOT IN D OR 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 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 0.00 108 Water Softener 0,00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIA Document G703•"-1992.Copyright®1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.Ail 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 4 the maximum extent possible under the law.This document was produced by AIA software at 12:19:06 on 0510.512011 under Order No.0689551328 1 which expires on 05113/2012,and Is not for resale. User Notes: (1783646824) St A B C D E F G H 1 WORK COMPLETED TOTAL MATERIALS COMPLETED "/o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G_C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 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 0.00 723 Hydronic Piping(M) 197,044.00 197,044.00 0.00 0.00 197,044.00 1.00.00% 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 Plentun 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 Va_ 0.00 4,757.65 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 AIA61 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 5 the maximum extent possible under the law.This document was produced by AIA software at 12:19:06 on 05/05/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1783648824) A B C D I E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED 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) 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, AMA Document G703•-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 Ale 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 12:19:09 on 05/05/2011 under Order No.0689551328_1 which expires on 05113/2012,and is not for resale. User Notes: (1783648824) =f • A B C D I E F G 1-1 I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PREVIOUS PRESENTLY AND STORED TO % FINISH (IF VARIABLE NO. WORK VALUE THIS PERIOD STORED (G_C) APPLICATION (NOT TN D OR E) (p+E DATE)DATE (C-G) RATE) 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 FIR Connections- . 166 Box Tier 6,307.00 6,307.00 0.00 0.00 6,307.00 100.00% 0.00 0.00 FIR 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 31,937.00 0.00 0.00 31,937.00 100.00% 0.00 638.74 171 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 G7037"-1992.Copyright 01963,1965,1966.1967,1970,1978,1983 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 12:19:06 on 05/05/2011 under Order No.0689551328_1 which expires on 05/13/2912,and Is not for resale. User Notes: (1783648824) -1 A B C D E F G H I WORK COMPLETED MATERIALS TOTAL • ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C} (C-G) RATE) (D+E) (NOT IN D OR 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 -13,835.00 0.00 0.00 13,835.00 100.00% 0.00 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 11,786.00 11,786.00 0.00 0.00 11,786.00 100.00% 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 83,003.00 0.00 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 51,877.00 0.00 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 15,563.00 0.00 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 15,563.00 0.00 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, AtA Document G703 T"-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 wilt be prosecuted to 8 the maximum extent possible under the law.This document was produced byAlA software at 12:19:06 on 05105/2011 under Order No.0689551328 1 which expires on 05/13/2012,and is not for resale. User Notes: (1783648824) u co, A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED eta BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (G+C) (C-G) RATE) (D+E) (NOT D OR E) (D+E+F) Balcony 201 Labor 15,563.00 15,563.00 0.00 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 15,563.00 0.00 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 19,474.00 0.00 0.00 19,474.00 100.00% 0.00 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 22,218.46 22,218.46 0.00 0.00 22,218.46 100.00% 0.00 317.94 MA Document G703'"--1992.Copyright m 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 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 byAlA software at 12:19:06 on 05/0512011 under Order No.0689551328_1 which expires on 05113/2012.and is not for resale. User Notes: (1783648824) . • ' 4 -,- A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /o NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (G f C) (C-G) RATE) (D+E) (NOT IN D OR 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 AM Document G703"-1992.Copyright 01963,1965.1966,1967,1970,1978,1983 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 ALA"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 byAIA software at 12:19:06 on 05/05/2011 under Order No.0689551328_1 which expires on 05/13/2012,and Is not for resale. User Notes: (1783646824) rl r A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (Cr_C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) r AW 4290A-012- 238 F#82 4,791,00 4,791.00 0.00 ' 0.00 4,791.00 100.00% 0.00 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-01.3- .- 241 F#91 4,132.00 4,132.00 0.00 0.00 4,132.00 100.00% 0.00 0.00 AW 4290B-01.4- 242 F#93 12,460.00 12,460.00 0.00 0.00 12,460.00 100.00% 0.00 0.00 AW 4290B-015- 243 F#101 3,759.00 3,759.00 0.00 0.00 3,759.00 100.00% 0.00 0.00 AW 4300A-025- 244 F#59 1,594.00 1,594.00 0.00 0.00 1,594.00 100.00% 0.00 0.00 AW 4300A-026- 245 F#102 450.00 450.00 0.00 0.00 450.00 100.00% 0.00 0.00 • AW 4290A-017- 246 F#67 5,500.00 5,500.00 0.00 0.00 5,500.00 100.00% 0.00 0.00 247 AW-4290A 0.00 0,00 0.00 0.00 0.00% 0.00 0.00 CO#6-Reduce 248 AW429A$50,000 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 CO#9-Reduce 249 AW429B$20,000 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 CO#11 -Reduce 250 AW4290B$50,000 0.00 0,00 0.00 0.00 0.00 0.00% 0.00 0.00 251 CO#12-Settlement 90,000.00 0.00 90,000.00 • 0.00 90,000.00 100.00% 0.00 0.00 GRAND TOTAL $3,683,713.00 $3,509,540.46 $90,000.00 $0.00 $3,599,540.46 97.72% $84,172.54 $161,762.59 'MA Document G703°-1992.Copyright a 1963,1965,1968,1967,1970,1978,1983 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 AAA"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 byAlA software at 12:19:06 on 05/0512011 under Order No.0689551328_1 which expires on 05113!2012,and is nal for resale. User Notes: (1783648824) • CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT PROJECT: Carmel Performing Arts Center Upon receipt by the undersigned of a check from City of Carmel Rdvlpmnt Comm. in the sum of $90,000.00 payable to General Piping Inc. and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien, stop notice, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned's position, the undersigned has on the job of City of Carmel Rdvlpmnt Comm. located at 777 3rd Ave. SW, Carmel, IN 46032 to the following extent. This release covers a progress payment for labor, services, equipment or materials furnished to the jobsite or to City of Carmel Rdvlpmnt Comm. through 05/05/11 only and does not cover any retentions retained before or after the release date; extras furnished before the release date for which payment has not been received; extras or items furnished after the release date or pending modifications and changes. Rights based upon work performed or items furnished under a written change order which has been fully executed by the parties prior to the release date are covered by this release unless specifically reserved by the claimant in this release. This release of any mechanic's lien, stop notice or bond right shall not otherwise affect the contract rights, including rights between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the right of the undersigned to recover compensation for furnished labor, services, equipment, or material covered by this release if that furnished labor, services, equipment or material was not compensated by the progress payment. The undersigned warrants that he either has already paid or will use the monies he receives from this progress payment to promptly pay in full all of his laborers, subcontractors, materialmen and suppliers for all work, materials, equipment or services provided for or to the above-referenced project up to the date of this waiver. Before any recipient of this document relies on it, said party should verify evidence of payment to the undersigned. DATE: 11 General Piping Inc. (signature) Sec. 77e45. title)