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ERMCO, INC. -001934 -5/31/2011
CARMEL REDEVELOPMENT COMMISSION 001934 Ermco, Inc. Check: 1934 PO Box 1507 Date: 5/31/2011 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 14 36 738,464.56 46,951.36 6,951.36 0.00 40,000.00 Application 14 37 36 71,000.00 71,000.00 0.00 0.00 71,000.00 App 37 809,464.56 117,951.36 6,951.36 0.00 111,000.00 It ...7.6.r.i. 7. A Document 7021 a — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment CommisJECT: Parcel 7A, Regional Performing Arts APPLICATION NO: 37 Distribution to: 1 Civic Square Center Interior Rough PERIOD TO: 4/213/2011 OWNER CI Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER Cl FROM CONTI INC VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4820 I CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CSO Architects o CONTRACT Ff Rt.trical Installation Project#25310H 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 is Sheet,AIA Document shown is attached. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, anti that current 1.ORIGINAL CONTRACT SUM tA'505,000.00 payment shown herein is now due. 2.Net change by Change Orders S(47,225.00) CONTRACTOR: RMC , INC 3.CONTRACT SUM TO DATE(Line 1 ±2) 7x457,775.00 By: 4(7/ 62( Date: 4/28/2011 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) A445,223.35 State of: Indiana dND7ciN/ 5.RETAINAGE: County of: Marion y a. %of Completed Work • Subscribed and sworn to before 0i o (Column D+E on G703) 50,00.00 me this 28th day of n April, 2011 + �f ,0,� b. %of Stored Material Notary Public: ten. G-,'---e- l�. p. H. w(Column F on G703) S My Commission expires: 12/19/2015 `�- • trb \ 0 Total Retainage(Lines 5a+5b or Total in Column I of G703). S 50,000.00 CERTIFICATE FOR PAYMENT -, '(oN 7,395,223.35 In accordance with the Contract Documents, based on on-site o •ans and 11 ' :ata comprising 6.TOTAL EARNED LESS RETAINAGE 5 this application,the Construction Manager and Architect certify tetV11,09L, .�t to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicate"ti. lIty of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 7,324,223.35 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE S 71.000.00 AMOUNT CERTIFIED S 11 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs firo •amount applied. Initial alffigures on this Application and on Continuation Sitiik t that , anged to conform with the at wont certified.) (Line 3 less Line 6) S 62,559.65 CONS r.UCTION� •GEr I r i By: *ill.;F:-... .....,.—.� Date: ►� :fir' 4 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH Mr !! , ...4.4 Total changes approved in previous months by Owner50587 no ig 107 00) By: '' ' r ►'.__� Date: ��' �� � Total approved this Month Sr— This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 5q 087 00 ,669',307 00) _ named herein. Issuance. payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order 5 the Owner or Contractor under this Contract. (47.225.00) e CAUTION:You should sign an original AA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AM Document G702/CMaT"S-1992.Copyright ©1992.by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and international Treaties. Unauthorised 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 Ian. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIR Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aiaorg. Director of Redevelopment- ) b0,5(7 ERMCO Contract # 2695-4320 áA[A.. Do cument 7037M ® 1 992 124070 Continuation Sheet AEA Document 0702TM,Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached, APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainagge for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A 13 C D E F 0 H f WORK COMPLETED TOTA1. MATERIALS BALANCE COMPLETED ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY AND STORED % TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (C 4.CI FINISH fifl•ariable rate) (D-f') (Nor inDorE) (!)rE+F) (C G) IIII I 00.0C1 MOBILIZATION 15,000.00 15,000.00 15,000.00 100 00.0(2 P.M. 200,000.00 200,000.01 200,000.0 100 00.0(3 CAD ENG 80,000.01 80,000.0 80,000.0 100 00.0(4 TEMP-L 75,000.01 75,000.0 75,000.0 100 00.0(5 TEMP-M 00.0(6 CLEAN UP 45.000.01 45,000.00 45,000.0 100 15,000.00 15,000.01 15,000.0 100 00.0&7 BOND oo_o08 TESTING 72,000.01 0 72,000.01 72,000.0 100 18,000.0 18,000.01 18,000.0 100 00.0(9 SITE OFFICE 23,000.00 23,000.00 23,000.0 100 00.010 DEMOBILIZATION 5,000.01 5,000.00 5,000.0 100 i 00.011 ALLOWANCE 12 550,000.0 478,964.01 71,000.00 549,964.06 100 36.00 00.012 ALLOWNACE 13 350,000.0 343,488.3 343,488.3' 98 6,511.65 00.013 ALLOWANCE 14 100,000.0 99,763.00 99,763.00 100 237.00 00.014 ALLOWANCE 15 5,000.08 5.000.01 5,000.0" 100 00.015 ALLOWANCE 16 10,000.00 10,000.0 10,000.00 100 00.016 E0.11 00.017 MAT 10.000.01 10,000.0 l0,000.00 loo 00.018 LABOR 6,000.00 6,000,0 6,000.00 100 00.019 EXCAVATION 35,000.00 35,000.0 35,000.00 100 00.020 E0.12 00.025 BRANCH R-M 500.00 500.04 500.00 100 00.026 BRANCH R-L 1,500.0 1,500.01? 1,500.0 100 00.027 BRANCH F-M 100.0( 100.00 100.00 100 GRAND TOTAL CAUTION:You should sign an original AlA Contract.Document,on which'this text appears in RED.An original assures that changes will not be obscured. . AM Document G703T"—1992.Copyright®1963,1965,1966.1967,1970.1978.1983 an_d 1992 by The American Institute of Architects.All rights reserved.INAl NING: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. 0 ERMCO Contract # 2695-4320 WilA 1119,0:. i s Document G701" - 1992 124070 Continuation Sheet MA Document G702T`s,Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached_ APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO; 4/30/2011 ARCHITECT'S PROJECT NO: i 1 A B I C D E F J G H i WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY P1a TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND SPORED (C=C7 FINISH Of variable rare} NO. DATE � I'U,•C) (r1'ar in or F,} ID+ E.il) J (C—0) L 00.028 BRANCH F-L 200.00 200.00 200.0 100 00.029 E1.01 00.020 FEEDER M 975,000.00 975,000.00 975,000.0 100 00.021 FEEDER L 600,000.00 600,000.0 600,000.0 100 00.032 E1.02 00.0:3 EQ M 250,000.00 250,000.0 250,000.0 100 l 00.0:4 EQ L 150,000.00 150,000.0 150,000.0 100 00.035 E1.03 00.016 EQ R-M 10,000.0 10,000.0 10,000.00 100 00.047 EQ R-L 15,000.0 15,000.0t 15,000.00 100 00.0 8 EQ F -M 30,000.0 30,000.00 30,000.04 100 00.0 9 EQ F-L 8,000.0 8,000.00 8,000.04 100 00.00 E1.04 00.0 I EQ R-M 10,000.0 10,000.00 10,000.00 100 00.0.2 EQ R-L 15,000.0 I5,000.018 15,000.00 100 00.0 3 EQ F-M 25,000.0 25,000.00 25,000.00 100 00.04 EQ F-L 8,000.00 8,000.00 8,000.00 100 00.0.5 E1.05 00.0,6 EQ R-M 5,000.00 5,000.00 5,000.00 100 00.0.7 EQ R-L 5,000.0 0 5,000.09 5,000.00 100 00.0 8 EQ F-M 35,000.00 35,000.00 I 35,000.00 100 00.09 EQ F-L 8,000.00 8,000.00 8,000.00 100 00.050 E2.00&A&P GRAND TOTA1. 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 Al A'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 len(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. IA ERMCD Contract i<1 2695-4320 41,14 TM , 99 124070 e-' nwa 4." Document 6703 tea.@ Continuation Sheet ALA Document(1702TM,Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A B C D E F Cr _ H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS CO�IPLII'ED PRESENTLY LY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED ('G=C) FINISH (If variable rctle) NO TO DATE (D+E (NurinDorli (UTE FJ (t'-G) 00.01 RIGGING 35,000.00 35,000.00 35,000.00 100 i 00.052 EQ R-M 30,000.09 30,000.00 30,000.00 100 00.0.13 EQ R-L 20,000.00 20,000.0 20,000.0 100 00.0°4 EQ F-M 575,000.00 575,000.09 575,000.0 100 00.0-5 EQ F-L 30,000.09 30,000.09 30,000.0 100 00.06 BRANCH R-M 17,000.00 17,000.04 17,000.0 100 00.0 7 BRANCH R-L 13,000.00 13,000.00 13,000.0 100 00.0 8 BRANCH F-M 7,000.00 7,000.00 7,000.0 100 00.0 9 BRANCH F-L 5,000.09 5,000.00 5,000.0 100 00.010 FEEDER R-M 550,000.09 550,000.00 550,000.0 100 00.0:1 FEEDER R-L 250,000.00 250,000.09 250,000.0 100 00.042 FEEDER F-M 6,000.09 6,000.011 6,000.i 100 00.013 FEEDER F-L 10,000.01 10,000.00 10,000.0 100 00.014 E2.01 E2.02 00.0.5 RIGGING 10,000.09 10,000.00 10,000.0 100 00.0 0 BRANCH R-M 15,000.09 15,000.0' 15,000.0 100 00.0 1 BRANCH R- L 8,000.01 8,000.0 8,000.0 100 00.0 2 BRANCH F-M 2,500.0 2,500.0 2,500.0' 100 00.0 3 BRANCH F-L 3,500.0 3,500.0 3,500.0 100 00.0 4 E2.03&A 00.0 5 BRANCH R-M 20,000.0 20,000.0 20,000.0 100 00.0'6 BRANCH R-L 16,000.0 16,000.06 16,000.0 100 00.0'7 BRANCH F-M 1,000,0 1,000.06 1,000.00 100 GRAND TOTAL i . _ 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 G703,"-1992.Copyright 1963,1965,1966,1967,1970,1978.1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This A€A'r 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 he 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. ® ERMCO Contract # 2695-4320 tie.m A . Document 703 — 1992 124070 Continuation Sheet AlA Document G702TM,Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A B C I) E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED PRESENTLI` "ia TO REl'AIN,IGE ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPL.IC'ATION THIS PERIOD STORED TO DATE (C 'C) FINISH !y variable rote) (p+E) (Not orpo,' (C'-G) ID=b=F1 00,0-A8 BRANCH F-L 2,500.00 2,500,00 2,500.00 100 00.049 FEEDER R-M 65,000.00 65,000.0 65,000.00 100 00.00 FEEDER R-L 45,000.00 45,000.0 45,000.00 100 00.0 1 FEEDER F-M 2,500.00 2,500.0 2,500.00 100 00.0:2 FEEDER F-L 5,000.00 5,000.0 5,000.00 100 00.0:3 E2.04 00.0:4 BRANCH R-M 6,000.00 6,000.09 6,000.00 100 00.0:5 BRANCH R-L 8,000.00 8,000.0l 8,000.00 100 00.0:6 BRANCH F-M 1,000.011 1,000.0b 1,000.00 100 00.017 BRANCH F-L 2,500.00 2,500.0 2,500.00 I00 00.0:8 E2.05 00.0:9 BRANCH R-M 15,000.00 15,000.0 15,000.00 100 00.0'0 BRANCH R-L 14,000.00 14,000.0 14,000.09 100 00.0'1 BRANCH F-M 800.00 800.0 800.00 100 00.0'2 BRANCH F-L 1,500.00 1,500.0 1,500.00 100 00.0.3 E2.06 00.0•4 BRANCH R-M 4,000.00 4,000.0 4,000.00 100 00.0 5 BRANCH R-L 6,000.00 6,000.0 6,000.00 100 00.0'6 BRANCH F-M 600.00 600.00 600.00 100 00.0'7 BRANCH F-L 1,200.00 1,200.01 1,200.00 100 00.0•8 E2.07 I 00.0.9 BRANCH R-M 8,000.00 8,000.00 8,000.0 100 oo.l 4.0 BRANCH R-L 10,000.00 10,000.00) 10,000.01 100 GRAND TOTAL CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. A1A Document G703r"-1992.Copyright 91963,1965,1966.1967,1970,1978,1983 and 1992 by The American Institute of Architects_All rights reserved.!NARI4ING: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 110)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 ERMCO Contract # 2596.-43 20 cis �. Document 703TM ® 1992 �.,a_,,0 124070 a Continuation Sheet A1A Document G702T`1.Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached_ APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A B C l) 1 E F G H 1 WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED TO RETAINAGt: ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY' AND STORED % NO. VALUE APPLICATION THIS PERIOD STORED TO DALE {G C') FINISH (/f vur•iRblc rate) ID+E) (AurinDw•C) (D_E+Fj (C G) 00.10 t BRANCH F-M 1,000.00 1,000.0 1,000.04 100 00.112 BRANCH F-L 2,500.00 2,500.0) 2,500.00 100 00.113 E2.07A 00.104- BRANCH R M 15,000.00 15,000.04 15,000.04 100 00.115 BRANCH R-L 20,000.0 20,000.00 20,000.04 100 00.116 BRANCH F-M 9,000.0 9,000.04 9,000.04 100 00.117 BRANCH F-L 10,000.0 10,000.01 10,000.04 100 00.118 E2.08 00.99 BRANCH R-M 6,000.0 6,000.01 6,000.04 100 00.1 0 BRANCH R-L 8,000.00 8,000.01 8,000.01) 100 00.1 1 BRANCH F-M 2,000.00 2,000.01 2,000.0 100 00.1 2 BRANCH F-L 3,500.00 3,500.01 3,500.0 100 00.1 3 E2.09 00.1 4 EQ R-M 8,000.01 8,000-01 8,000.0 100 00.1 5 EQ R-L 10,000.01 10,000.01 10.000.0, 100 00.1 6 EQ F-1V1 2,500.01 2,500.01 2,500.00 100 00.1 7 EQ F-L 3,000.01 3,000.0) 3,000.00 100 00.1 8 E2.10 00.1 9 BRANCH R-M 1,000.01 1,000.01 1,000.09 100 00.1 0 BRANCH R-L 2,500.01 2,500.01 2,500.00 100 ' 00.1 I BRANCH F-M 100.01 100.01 100.00 100 00.1 2 BRANCH F-L 500.01 500.0) 500.00 100 00.1 3 EQ R-M 6,000.01 6,000.00 6,000.00 100 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will nest be obscured. AIA Document 0703T.r-1992.Copyright O 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 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. ERMCO Contract # 2695-4320 ry.a Document 703" ® 1992 124070 if Boum Continuation Sheet AIA Document G702:".Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainaae for line items may apply. PERIOD TO. 4/30/2011 ARCHITECT'S PROJECT NO: A B C I 0 E F G It I WORK COMPLETED TOTAL, MATERIALS BALANCE SCHEDULED FROM REIIOUS PRESENTLY CUMPLETEll i °ro TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (G+C.1 FINISH (1.1va-ialgo WO (D+10 (Nat rnDor l) (n±E+I) (C -G) 00.1 4 EQ R-L 10,000.0) 10,000.01 10,000.00 100 00.15 EQ F-M 1,500.0? 1,500.01 1,500.00 100 00.1 6 EQ F-L 2,000.00 2,000.01 2,000.04 100 00.1 12 E4.00&A&P 00.13 SOUND R-M 75,000.1 75,000.0) 75,000.0) 100 00.164 SOUND R-L 60,000.0 60,000.01 60,000.01 100 00.1 5 E4.01 &A 00,1 6 SOUND R-M 40,000.0 40,000.01 40,000.01 100 00.1 7 SOUND R-L 25,000.0 25,000.01 25,000.01 100 • 00.1 8 E4.02&A 00.1 9 SOUND R-M 40,000.01 40,000.01 40,000.00 100 l 00.i 0 SOUND R-L 25,000.01 25,000.01 25,000.00 100 00.1 1 E4.03 00.112 SOUND R-M 25,000.01 25,000.00 25,000.00 100 00,1 3 SOUND R- L. 18,000.01 18,000.00 18,000.00 100 00.1 4 E4.04 00.1 5 SOUND R-M 25,000.01 25,000.00 25,000.00 100 00.1 6 SOUND R-L 18,000.01 18,000.00 18,000.00 100 00.1 7 E4.05& .06&.07& .09 00.11'8 SOUND R-M 80,000.01 80,000.00 80,000.00 100 00.1 9 SOUND R-L 65,000.01 65,000.00 65,000.00 100 00.1:0 E5.00& P ' 00.t:1 F.A. R-M 15,000.01 15,000.00 15,000.00 100 GRAND TOTAL CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. • AlA Document G703'44--1992.Copyright Cd 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 psneIties,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 @aiaorg, t ® ERMCO Contract # 2695-4320 E �"A i.e by A A.A. Document 703t� - 1992 F 124070 0 Continuation Sheet AIA Document G702TM,Application and Certification for Payment. APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE 37 In tabulations below.amounts are stated to the nearest dollar. 4/28/2.011 Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A B C 1 D E F f G FI t WORK COMPLETED TOTAL h1ATER1AL5 COMPLETED BALANCE ITEM DESCRIPTION Or \'URK SCHEDULED FROM PREVIOUS PRESENTLY `%, TO RE:I\IN�AGF. AND ST()RED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (G'C) FINISH (If variable raw ID r J:} (;\'OP 1/1 L)or l:} (}).L F.p.P7 (C.-6) 00.1812 F.A. R-L 9,000.01 9,000.00 9,000.00 100 00.183 F.A. F-M 20,000.01 20,000.00 20,000.00 100 00.184 F.A. F L 5,000.01 5,000.0C 5,000.00 100 00.185 E5.01 & .02&.03 00,186 F.A. R-M 17,000.01 17,000.00 17,000.01 100 00.187 F.A. R-L 10,000.01 10,000.00 10,000.01 100 00.188 F.A. F-M 20,000.01 20,000.00 20,000.01 100 00.189 F.A. F-L 5,000.01 5,000.00 5,000.01 1'00 00.190 E5.04&.05& .06 1 00.191 F.A. R-M 20,000.01 20,000.00 20,000.01 100 00.152 F.A. R-L 17,000.01 17,000.00 17,000.0 100 00.193 F.A. F-M 20,000.01 20,000.0C 20,000.01 100 00.194 F.A. F-L 5,000.01 5,000.00 5,000.01 100 00.195 E5.07&.08&.09& .10 00.19I6 F.A. R-M 20,000.01 20,000.00 20,000.01 100 00.157 F.A. R-L 15,000.01 15,000.06 I 15,000.04 100 00.198 F.A. F-M 16,000.0 16,000.01 16,000.00 100 00.199 F.A. F-L 3,000.00 3,000.00 3,000.00 100 00.200 E6.02 00.201 EQ M 55,000.00 55,000.00 55,000.00 100 00.2(2 EQ L 20,000.00 20,000.00 20,000.00 100 00.2(3 CABLE M 35,000.00 35,000.00 35,000.00 100 00.2(4 CABLE L 45,000.00 45,000.00 45,000.00 100 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 G703n'—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 J.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIR'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. ERMCO Contrract # 2695-4320 ivAIA Try 124070 Document G7O3TM 1992 Continuation Sheet MA Document G702T",Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD T0: 4/30/2011 ARCHITECT'S PROJECT NO: A B C I 1) 1 E t F G 1 H 1 WORK COMPLETED TOTAL. BALANCE FRO:NI PREVIOUS COMPLETED SCHEDULED PRESENT "o TO RE fAI�PAGE ITEM 1 DESCRIPTION O['WORK VALUE APPLICATION THIS PERIOD STORED ANI)STORED IV-C) FINISH (/Jl•wwh!e airs) NO. "1O DATTE. ft)+F.) (Not inDorE) /Q+E.+f) IC-C) 00.215 GR M 5,000.00 5,000.0? 5,000.0 100 00.216 OR L 2,000.0 2,000.00 2,000.0l 100 00.217 E6.03 00.2t8 SECURITY R-M 40,000.0 40,000.00 40,000.4 100 00-219 SECURITY R-L 20;000.0 20,000.0 20,000.0? 100 00.2 0 SECURITY F-M 18,000.0 18,000.0 18,000.00 100 00.2 1 SECURITY F-L 6,000.0 6,000-0 6,000.00 100 00.2 2 E6.05 00-2 3 DIMMING M 60,000.01 60,000.0 60,000.00 100 00.2 4 DIMMING L 45,000.04 45,000.0 45,000.0 100 00.2 5 E6.06 00.2 6 OPTIC SENSOR M 8,000.01 8,000.0 8,000.0 100 00-2 7 OPTIC SENSOR L 4,000.01 4,000.0 4,000.0 100 00.2 8 E7.09 00.2 9 S&C M 100,000.01 100,000.0? 100,000.0 100 00.2 0 S&C L 80,000.01 80,000.00 80,000.0 100 00.2 1 E8.00 00-2 2 LIGHTNING PRO M 42,000.0 42,000.00 42,000.0 100 i 00.2 3 LIGHTNING PRO L 18,000,0 18,000.00 18,000,00 100 1 00.214 ALLOWANCE 17 40,000.0 36,641.00 36,641.09 92 3,359.00 00.2:5 CHANGE ORDER#1 00.226 OCULUS ALTERNATE 1,000.0 1,000.00 1,000.00 100 00.227 CHANGE ORDER#2 GRAND TOTAL CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. . AIA Document G703T^`—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA`'Document is protected by U.S.Copyright Law and International Treaties,Unauthorized reproduction or distribution of this AIA"Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the taw.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AlA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ® ERMCO Contract # 2695-4320 v fl 7�' e . Document 7 1992 sm 124070 u Continuation Sheet AIA Document G702T"',Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28(2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A B C D I E F Ci I-I I 1 WORK COMPLETED TOTAL MATERIALS BALANCE CO\•lPLETED SCHEDULED FROM PREVIOUS PRESENTLY °.'o TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NU_ VALUE APPLICATION THIS PERIOD STORED TO DATE (G=C) FINISH /If variable rare) (0 r E) 1Ncx in D or Ej {D T F,' T) IC' G) 00.2 8 MACHINELESS ELEVATOR 11,500.00 11,500.00 11,500.00 100 00.2 9 CHANGE ORDER#3 00.2 0 RCP 4 (58,852.00) (58,852.00) (58,852.00) 100 00.2 1 CHANGE ORDER#004 NO COAT 1 00.2 2 CHANGE ORDER#005 00.2 3 ASI-037, RCP-006 23,177.01 23,177.0 23,177.01 100 00.2 4 CHANGE ORDER#006 00.2 5 RCP-011 (7,554.01) (7,554.0 ) (7,554.01) 100 00.2 6 CHANGE ORDER#007 00.2 7 ASI-038 18,732.04 I8,732.00 18,732.0► 100 00.218 CHANGE ORDER#008 00.2 9 ALLOWANCE 4320A ELEC GE Ef (350,000.0)) (350,000.00) (350,000.04) 100 00.2'0 ALLOWANCE 4330A FIRE ALA M (75,000.01) (75,000.00) (75,000.01) 100 00.2'1 ALLOWANCE 4330B FIRE/SEC R (5,000.01) (5,000.00) (5,000.01) 100 00.2,2 ALLOWANCE 4320D ELECTRI At (10,000,0 ) (10,000.00) (10,000.0 ) 100 00.2.3 BOND REDUCTION FOR ALLOW I (2,715.0 ) (2,715.00) (2,715.0 ) 100 00.2'4 CHANGE ORDER#009 00.2.5 WORK DIRECTIVE 4320-001 NVII 00.2.6 CHANGE ORDER#010 00.2.7 ASI-PAC-104 WATER HEATER AD 17,090.01 17,090.00 17,090.03 100 00.2.8 E3.03 00.2 9 LIGHTING R-M 30,000.00 30,000.00 30,000.0) 100 00.2 0 LIGHTING R-L 35,000.00 35,000.00 35,000.00 100 GRAND TOTAL CAUTION:You should sign an original ALA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. . AIA Document G7031"—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 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. ERMCC Contract if 2695-4320 .'ar,.,.0174�. i. Document 70 �M 1992 ate; ;1 124070 Y Continuation Sheet AlA Document G702T",Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retaina_e for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A B C D E F C H 1 WORK COMPLETED TOTAL MATERIALS BALANCE PRtr:SENTLY COMPLETED °�a T(} RETAINAGE i ',C.'HEDULED FROM PREVIOUS AND STOREU ITEM DESCRIPTION OF'A WORK VALIE APPLICATION THIS PERIOD STORED tG=-C) FINISH at t'arianle rare) NO TO DATE W-E) (Nor in D or LJ (C'—G) 00.2$1 LIGHTING F-M 350,000.0 0 350,000.011 350,000.00 100 00,2!!!2 LIGHTING F-L 22,000.00 22,000.00 22,000.00 100 00.23 CHANGE ORDER#11 00.2 4 ALLOWANCE FROM 4320B ALLOI (100,000.01) (100,000.00) (100,000.00) 100 00.2 5 ALLOWANCE TO 4320A ALLOW 1 100,000.0 100,000.09 100,000.0 100 00.26 ALLOW REDUCTION 4320BAL_O (30,000.0) (30,000.00) (30,000.0 ) 100 00.2 7 BOND REDUCTION (186.00) (186.00) (186.0 ) 100 00.2 8 CHANGE ORDER#12 00.2 9 ALLOWANCE FROM 4320E ALLOT (50;000.00) (50,000.00) (50,000.00) 100 00.2+0 ALLOWANCE TO 4320A ALLOV1AI 50,000.00 50,000.06 50,000.00 100 00.2.1 ALLOWANCE.FROM 4320D ALLOI (10,000.00) (10,000.00) (10,000.0 ) 100 00.2.2 ALLOWANCE TO 4320A ALLOWAI 10,000.00 10,000.00 10,000.0' 100 00.2+3 CHANGE ORDER#13 00.2.4 ASI-PAC-'147 28,549.00 28,549.00 28,549,0 100 00.2.5 CHANGE ORDER#14 00.2 6 RCP-PAC-028 8,950.00 8,950.00 8,950.0 100 00.27 CHANGE ORDER#15 00.2 8 RCP-PAC-029 3,214-00 3,214.00 3,214.00 100 00.2 9 CHANGE ORDER#16 1 00.2 0 ALLOWANCE REALLOCATION425 51,500.00 51,500.0) 51,500.00 100 00.2 I CHANGE ORDER#17 00.272 STEEL DELAY ISSUES 50,000.00 50,000.00 50,000.00 100 00.2.43 CHANGE ORDER#18 i 1 GRAND TOTAL I CAUTION:You should sign an original ALA Contract Document,on which this text appears in RED.An original assures that changes will not he obscured. AlA Document G703r"'—1992.Copyright t8 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.ln1ARNING:This AlA"'Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this.41.4'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. ® EI&ICO Contract i`f 2695-4320 my tea � l : Document 7 TM ' „° 1992 124070 Continuation Sheet AlA Document G702T`t,Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 37 In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 I ARCHITECT'S PROJECT NO: A B C I D I E F 0 H I WORK COMPLETED TOTAL. M:\TERIALS BALANCE SCHEDULED FROM PREVIOUS � CND ST TED TO RETAINAGE ITEM DESCRIPTION OF WORK !RES[N'[LY ".� ANDS"I'OREll NO. VALUE TO THIS PERIOI) STORED (G':CJ FINISH (11 ti'u)ioble rore) TO DATE (O+E) (Ant in D or E) (D E._F) (C—Cr/ If 00.2 4 GENERAL ALLOWANCE INCREAE 195,700.00 195,700.00 195,700.00 100 o0.2 5 CHANGE ORDER# 19 ( 00.2 6 ALLOWANCE REALLOCATION 40: 82,670.00 80,262 01 80,262.00 97 2,408.0) i l GRAM)TOTAL' 7,457,775.0 7,374,223.35 71,000.00 7,445,223.3p 100 12,551.65 CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AlA Document G703r"—1992.Copyright 01963,1965,1968,1967,1970,1978.1983 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 PIA'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 @eia.org. • m a r,. A Document 7021 1M - 1992 'nm s Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment Commis JECT: Parcel 7A, Regional Performing Arts APPLICATION NO: 38 Distribution to: 1 Civic Square Center Interior Rough PERIOD TO: 4/28/2011 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONTIytic. INC VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 / CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CSO Architects CONTRACT F1.c trical Installation Project#25310H ❑ 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 payment, shown is below, Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM 7505,000.00 payment shown herein is now due. 2.Net change by Change Orders S(47,225.00) CONTRACTO RMCO, N. 3.CONTRACT SUM TO DATE(Line l ±2) 74457,775.00 By: /4. % i 1rr' Date:'ciNVtel�j�8/2011 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) 445,223.35 State of: Indiana .Y 5.RETAINAGE: County of: Marion 3,' \--\3,1. a. %of Completed Work Subscribed and sworn to before (Column D+Eon 0703) 10,0124100 me this 28th day of � April, 201 ° ,7_, th\ 0- b. %of Stored Material Notary Public: ✓"t- A-r-�-6-<--`4"2"02 6 (Column F on 0703) 5 My Commission expires; 12/19/2015 7 �ntV Total Retainauc(Lines 5a+5b or Total in Column I of 0703). S 10,000.00 CERTIFICATE FOR PAYMENT of, In accordance with the Contract Documents, based on on-site obserVittormErin the data comprising 6.TOTAL EARNED LESS RETAINAGE S 7,435,223.35 this application.the Construction Manager and Architect certify to the Owner that to the hest 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 S 7,395,223.35 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT ea (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE S 40,000 00 AMOUNT CERTIFIED $ ll sfi wi.ri:.�: G.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs fain? e mount applied. milk: till figures on this Application and on r a Continuant»?SI Al that e clic aged to coofot)n with the al ounr certified.) (Line 3 less Line 6) S 27 951.65 CONS CTION M: ER By: .,.. ..� r— .... , Date: 11 ADDITIONS DEDUCTIONS torp:5, �i f CHANGE ORDER SUMMARY ARCH) t i ee Total changes approved in previous months by Owner !r'` `'� Date:00 Total approved this Month $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to a Contractor TOTALS .;,a82 00 (83c307 no) named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order S the Owner or Contractor under this Contract. (47,225.00) 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 G702VCtvtam.—1992.Copyright 0 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 ci it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extant possible under the lac:. 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. �'I�(/ DireGtOr of Redeveiut.rlr�," )� ,0V) 7 1 V WO ® ERMC0 Contract # 2695-4320 "OP VG MESS: Document 703" - 1992 124070 Continuation Sheet AIA Document G702ry,Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: 4128/2011. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A B C D I E I F 0 H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCRI.DULE.D FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND APPLICATION THIS PERIOD STORED ANU STORED (C 'GJ FINISH (I/variable rale) r NO. TO DATE (U+I:) (Nor inOw A) (C'-G1 1 (L) E ,.F) 00.001 MOBILIZATION 15,000.0 15,000.0C 15,000.00 100 I 00.002 P.M. 200,000.0 200,000.00 200,000.00 100 00.000 CAD ENG 80,000.0 80,000.00 80,000.0( 100 00.0 TEMP-L 75,000.0 75,000.00 75,000.00 100 00.05 TEMP-M 45,000.0 45,000.00 45,000.0( 100 00.0 II CLEAN UP 15,000.0C 15,000.00 15,000.00 100 00.0 BOND 72,000.00 72,000.01 72,000.0( 100 00A TESTING 18,000.0 18.000.01 18,000.00 100 00.0 SITE OFFICE 23,000.0 23,000.01 23,000.00 100 00.01 DEMOBILIZATION 5,000.0 5,000.01 5,000.00 100 00.011 ALLOWANCE 12 550,000.0 549,964.01 549,964.00 100 36.00 00.01 ALLOWNACE 13 350,000.0 343,488.3 343,488.3 98 6,511.65 00.01 ALLOWANCE 14 100,000.0 99,763.01 99,763.0 100 237.01 00.01 ALLOWANCE 15 5,000.00 5,000.01 5,000.0 100 00.01 ALLOWANCE 16 10,000.00 10,000.0 10,000.00 100 00.01 EOM I 00.01 MAT 10,000.0 10,000.0 10,000.00 100 00.01 LABOR 6,000.0 6,000.00 6,000.00 100 OOAI EXCAVATION 35,000.0E 35,000.00 35,000.00 100 00.0 E0.12 00.0 5 BRANCH R-M 500.0 500.00 500.00 100 00.0 6 BRANCH R-L 1,500.0 1,500.00 1,500.00 100 00.0 BRANCH F-M 100.0 100.01 100.00 100 GRAND TOTAL 1 CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AlA Document G703'5-1992.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. ,..,_ I y)) F' ERMCO Contract # 2695-4320 a°; am IA Document 703 ® 1992 124070 Continuation Sheet AIA Document G702T".Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: 4/28/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column 1 on Contracts where variable retainagc for line items may apply. PERIOD TO. 4/30/2011 ARCHITECT'S PROJECT NO: A B C I) E F 0 H f WORK COMPLETED MATERIALS TOTAL. BALANCE COMPLETED TO R) 7'AIN.AL;£ SCHEDULED FROM PREVIOUS PRESENTLY % ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED r0 DATE. (G=C) FINISH ((fvorioble mite) (D=F.'1 (Not oil)o) F_j ID;-E+F) (C 6) 00.028 BRANCH F-L 200.00 200.00 200.00 100 00.029 E1.01 00.030 FEEDER M 975,000.00 975,000-00 975,000.00 100 00.031 FEEDER L 600,000.00 600,000.00 600,000.00 100 00.032 E1.02 00.033 EQ M 250,000.01 250,000.04 250,000.00 100 00.034 EQ L 150,000.04 150,000.04 150,,000-00 100 00.035 E1.03 00.036 EQ R-M 10,000.01 10,000.01 10,000.00 100 00.0 7 EQ R-L I5,000.01 15,000.01 15,000.00 100 00.0 8 EQ F -M 30,000.01 30,000.01 30,000.00 100 00.0 9 EQ F-L 8,000.01 8,000.01 8,000.00 100 00.0 0 E1.04 00.0 1 EQ R-M 10,000.01 10,000.01 10,000.00 100 00.0 EQ R-L 15,000.01 15,000.01 15,000.00 100 00.0 EQ F-'M 25,000.04 25,000.01 25,000.00 100 00.0 EQ F-L 8,000.01 8,000.00 8,000.00 100 i 00.0 5 E1.05 I 00.0 6 EQ R-M 5,000.04 5,000.04 5,000.00 100 I 00.0 7 EQ R-L 5,000.04 5,000.00 5.000.0 100 00.0 8 EQ F-M 35,000.01 35,000.00 35,000.00 100 00.0 9 EQ F-L 8,000.04 8,000.00 8,000.00 100 00.0 0 E2.00&A&P GRA\'D TOTAL r CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703TM"—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 AIA,Document,or any portion of it,may result in severe civil and criminal penalties,and will he 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 AlA Contract Documents.e-mail The American Institute of Architects'legal counsel,copyright @aia,Org. � � a ERMCO Contract # 2695--4320 •, $fir Document G7O3TM — 1 992 ;;r ®� 124070 y Continuation Sheet ALA Document G702T"t.Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: 4/28/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A 13 C D T E F / Ci H I WORK COMPLETED TOTAL �1.4TERG\LS BALANCE CUi\IPLETEI) SCHEDULED FROM PREVIOUS PRESENTLY N. TO RETAINAGE ITE\•t DESCRIPTION OF\A'URK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (G=C) FINISH i/f Fn Ode'ate) (l)=F} (t\rvrrnDyr1:I (C—Gl 00.0.1 RIGGING 35,000.00 35,000.00 35,000.00 100 00.0'2 EQ R-M 30,000.00 30,000.00 30,000.00 100 00,0 3 EQ R-L 20,000.00 20,000.00 20,000.00 100 00.04 EQ F-M 575,000.4 575,000.00 575,000.0Q 100 00 0'5 EQ F-L 30,000.0 30,000.00 30,000.0 t I00 00 0-6 BRANCH R-M 17,000.0 17,000.00 17,000.0 100 00.0 7 BRANCH R-L 13,000.00 13,000.00 • f 13,000.0 100 00.0-8 BRANCH F-M 7,000.00 7,000.0 j 7,000.0 100 I 00.0-9 BRANCH F-L 5,000.00 5,000.0 5,000.0 100 oo.04o FEEDER R-M 1 550,000.00 550,000.0 550,000.0 100 00.0:1 FEEDER R-L 250,000.00 250,000.0 250,000.0 100 00.0:2 FEEDER F-M 6,000.0? 6,000.0 � 6,000.0 100 1 00.043 FEEDER F-L 10,000.00 10,000.0 10,000.00 100 00.0.4 E2.01 E2.02 00.045 RIGGING 10,000.00 10,000.0 I 10,000.00 100 00.0 0 BRANCH R-M 15,000.00 15,000.0 15,000.001' 100 oo.0 1 BRANCH R-L 8,000.0 i 8,000.00 8,000.00 100 00.0;2 BRANCH F-M 2,500.0 2,500.00 2,500.0 100 00.0'3 BRANCH F-L ( 3,500.0 3,500.00 3,500.00 100 00.014 E2.03&A o0.055 BRANCH R-M 20,000.0 20,000.00 20,000.00 100 00.0:6 BRANCH R-L 16,000.0' 16,000.00 16,000.00 100 00.07 BRANCH F-M 1,000.00 I,000.00 1,000.00 100 GRAND TOTAL CAUTION:You should sign an original A€A Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. • AIA Document G703'n—1992.Copyright©1963,1965,1966,1967,1970,1978,1963 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.Urtat,thor'sed reproduction or distribution of this ALAi'Document,or any portion of it,may result in severe ci,41 and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten 00)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aio.org. e ERMCO Contract # 2695-4320• e-,010•A.e ��a k Document ®VTR ® 124070 oy�a,t,o Continuation Sheet A1A Document 0702m1,Application and Certification for Payment. APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 4!"8/2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD T0: 4/30/2011 ARCHITECT'S PROJECT NO: A 8 C I D E F 1 0 ft I I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED , SCHEDULED FRO 'l PREVIOUS PRESENTLY 'Ni TO Rr. A1NACiE: ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED '�\D STORED (G=C; FINISH (Ifvuriirble rare) NO. TO DATE (1)±F) (NO1 DT D or E) (C G! (0 -ELF') 00.05 BRANCH F-L 2,500.00 2,500.00 2,500.00 100 00.0 ' FEEDER R-M 65,000.00 65,000.00 65,000.00 t00 00.0:0 FEEDER R-L 45,000.01 45,000.00 45,000.00 100 00.0:1 FEEDER F-M 2,500.01 2,500.00 2,500.00 100 00.00 FEEDER F-L 5,000.01 5,000.00 5,000.00 100 00.0: E2.04 00.0: BRANCH R-M 6,000.0 6,000.00 6,000.00 100 00.0',5 BRANCH R-L 8,000.01 8,000.00 8,000.00 100 00.0:6 BRANCH F-M 1,000.01 1,000.00 1,000.00 100 00.0: BRANCH F-L 2,500.01 2,500.00 2,500.00 100 00.0:8 E2.05 00.0:9 BRANCH R-M 15,000.0! 15,000.00 15,000.00 100 00.0.0 BRANCH R-L 14,000.0 14,000.00 14,000.00 100 00.0.1 BRANCH F-M 800.0 800.00 800.00 100 00.0' BRANCH F-L 1,500.0 1,500.00 1,500.00 100 00.0' E2.06 00.0' BRANCH R-M 4,000.0 4,000.00 4,000.0 100 00.0.5 BRANCH R-L 6,000.00 6,000.00 6,000.04 100 00.0'6 BRANCH F-M 600.00 600.0( 600.00 100 00.0.7 BRANCH F-L 1,200.00 1,200.0( 1,200.00 100 00,0.8 E2.07 00,0.9 BRANCH R-M 8,000.00 8,000.00 8,000.00 100 00.160 BRANCH R-L 10,000.00 10,000.00 10,000.00 100 GRAND TOTAL • CAUTION:You should sign an original AIA Contract Document,en which this text appears in RED.An original assures that changes will not be obscured_ AIA Document 0703TM—1992.Copyright©1963,1965,1966,1967,1970,1976.1983 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 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. •AIE ® ERMCO Contract # 2695-4320 Document G7 3 — 1992 124070 kl Continuation Sheet ALA Document G702Tht,Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached_ APPLICATION DATE: 4/28/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO. 4/30/2011 ARCHITECT'S PROJECT NO: A 13 C 0 6 F G 11 I WORK COMPLETED TOTAL. BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF\E'f)RK FROM PREVIOUS PRESENTLY AND STORED % TO REiTA1NAGE VALUE APPLE. \TION THIS PERIOD STORE[) !G-C FINISH (I,i 17).fable rote) `O. 'I'O DATE: iU w e) (Not in D or El (D T E;F) (C'-G7 00.1(1 BRANCH F-M 1,000.0, 1,000.0(11 1,000.00 100 00.1(2 BRANCH F-L 2,500.01 2,500.01 2,500.00 100 00.1(3 E2.07A 00.104 BRANCH R- M 15,000.01 15,000.01 15,000.00 100 00.1(5 BRANCH R-L 20,000.01 20,000.01 1 20,000.04 100 00.1(6 BRANCH F-M 9,000.01 9,000.01 € 9,000.04 100 00.1(7 BRANCH F-L 10,000.01 10,000.01 10,000.01 100 00.108 E2.08 00.1(9 BRANCH R-M 6,000.01 6,000.01 6,000.01 100 00.110 BRANCH R-L 8,000.01 8,000.01 8,000.01 100 00.111 BRANCH F-M 2,000.00 2,000.01 2.000.01 100 00.112 BRANCH F-L 3,500.00 3,500.01 3,500.01 100 00.113 E2.09 00.114 EQ R-M 8,000.0 8,000.01 8,000.01 100 00.115 EQ R-L 10,000.0 10,000.01 10,000.01 100 00.116 EQ F-M 2,500.0 2,500.06 2,500.01 100 00.117 EQ F-L 3,000.00 3,000.00 3,000.01 100 00.118 E2.10 00,119 BRANCH R-M 1,000.00 1,001.0( 1,000.0 100 00.120 BRANCH R-L 2,500.00 2,500.00 2,500.01 100 00.121 BRANCH F-M 100,00 100.00 100.01 100 00.122 BRANCH F-L 500.00 500.00 500.01 100 00.123 EQ R-M 6,000.00 6,000.00 6,000.01 100 GRAND TOTAL CAUTION:You should sign an original AIR Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIR Document 3703""-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'''0ocument,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. =91%. ERMCO Contract # 2695-4320 @e, ! Document 703 " - 1992 124070 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: 4/28/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column 1 on Contracts where variable retains.ge for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO A 13 C I) E F G H 1 WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED PREVIOUS PRESENTLY 4•a TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED VALUE ti3O APPLICATION THIS PERIOD STORED TO DATE (G=C7 FINISH Of variable rein!). (0 Y E) (.\'or in Dorf/ (D r P) PC-Co 00.1 EQ R-L 10,000.0 10,000.01 10,000.00 100 00.1 5 EQ F-M 1,500.0 1,500.01 1,500.00 100 00.1 6 EQ F-L 2,000.0 2,000.0' 2,000.00 100 00.1 2 E4.00&A&P 00.1 3 SOUND R-M 75,000.0 75,000.01 75,000.00 100 00.1 4 SOUND R-L 60,000.01 60,000.01 60,000.00 100 00.1 5 E4.01 &A 00.1 6 SOUND R-M 40,000.01 40,000.01 40,000.00 100 00,1 7 SOUND R-L 25,000.01 25,000.01 25,000.00 100 00.1 8 E4.02&A 00.1 9 SOUND R-M 40,000.01 40,000.00 40,000.00 100 00.1 0 SOUND R-L 25,000,04 25,000.00 25,000.00 100 00.1 1 E4.03 00.1 SOUND R-M 25,000.01 25,000.00 25,000.00 100 00.1 3 SOUND R-L 18,000.00 18,000.00 18,000.00 100 00.1 E4.04 00.1 5 SOUND R-M 25,000.00 25,000.00 25,000.01 100 00.16 SOUND R-L 18,000.00 18,000.00 18,000.01 100 00.1 7 E4.05&.06& .07&.09 00.178 SOUND R-M 80,000.00 80,000.00 80,000.01 100 00.179 SOUND R-L 65,000.0(1 65,000.00 65,000.01 100 00.180 E5.00&P • 00.181 F.A_ R-M 15,000.00 15,000.00 15,000.00 100 GRAND TOTAL CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703,"-1992.Copyright @ 1963,1965.1966,1967,1970,1976.1983 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 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. � o ERMCO Contract # 2695-4320 IAi 4. A ��l, merit 7 ATM 124070- 1992 m Continuation Sheet AIA Document G702 r".Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: 4128/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column!on Contracts where variable retainaae for line items may apply. PERIOD TO. 4/30/2011 ARCHITECT'S PROJECT NO: + ^A I 13 C D E F 0 H I I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCI IEOULED FRONT PREVIOUS PRESENTLY % CO RETAINA(E ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED 1'ODATF (G-C) FINISH (if Ito/able I ate) (D+EJ (Nor en U or El (v f,) (C Gl 00.1:2 F.A. R-L 9,000.00 9,000.0 9,000.00 100 00.1:3 F.A. F-M 20,000.00 20,000.0 20,000.00 100 00.1:4 F.A. F-L 5,000.00 5,000.0 5,000.00 100 00.1:5 E5.01 &.02&.03 00.1:6 F.A. R-M 17,000.00 17,000.0 17,000.00 100 00.1:7 F.A. R-L 10.000.00 10,000.0 10,000.00 100 00.1:8 F.A. F-M 20,000.00 20,000.0 20,000.01 100 00.1•9 F.A. F-L 5,000.00 5,000.0 5,000.00 100 00.1•0 E5.04&.05& .06 00.1'1 F.A. R-M 20,000.00 20,000.00 20,000.00 100 00.1.2 F.A. R-L 17,000.00 17,000.00 17,000.00 100 00.153 F.A. F-M 20,000-01, 20,000.00 20,000.00 100 00.194 F.A. F-L 5,000.00 5,000.00 5,000.06 100 00.195 E5.07&.08&.09&.10 00.156 F.A. R-M 20,000.00 20,000.00 20,000.00 100 00.197 F.A. R-L 15,000.00 15,000.00 15,000.00 100 00.198 F.A. F-M 16,000.06 16,000.00 16,000.00 100 00.159 F.A. F-L 3,000.00 3,000.00 3,000.00 100 00.2(0 E6.02 00.2(1 EQ M 55,000.00 55,000.00 55,000.01 100 00.202 EQ L 20,000.00 20,000.0 20,000.0 100 0o_203 CABLE M 35,000.00 35,000.00 35,000.0 100 00.2(4 CABLE L 45,000.00 45,000.00 45,000.0 100 GRAND TOTAL I 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 G703T",-1992.Copyright 01963,1965,1966.1967,1970,1978,1983 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. € ERMCO Contract /t` 2695-4320 * ocumen t 7 3rM 1x0070- 1992� Conti nuation Sheet AIA Document 0702T`1,Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A ! 13 I C D It F _ G 1 El E WORK COMPLETED TOTA1. MATERIALS BALANCE COMPLETED TO RE"r,aE�AGE SCHEDULED PROM PREVIOUS PRESENTLY % ITEM DESC:N I IIO U1 WORK SCHEDULED APPLICATION THIS PERIOD STORED �NDSTURI D (G=C') I-l\ISH (!! variable,-ure) NO. To DATE (U E) (Not in0orE) (D_E+Fj (C-C) 00.215 GR M 5,000.00 5,000.00 5,000.01 100 00.216 GR L 2,000.00 2,000.00 2,000.01 100 00.217 E6.03 00.218 SECURITY R-M 40,000.00 40,000.09 40,000.00 100 00.219 SECURITY R-L 20,000.00 20,000.01 20,000.01 100 00.2 0 SECURITY F-M 18,000.01 18,000"00 18,000.01 100 00.2 1 SECURITY F-L 6,000.01 6,000.01 6,000.00 100 00.212 E6.05 002 3 DIMMING M 60,000.00 60,000.00 60,000.011 100 00.2 4 DIMMING L 45,000.00 45,000.00 45,000-06 100 00.2 5 E6.06 00,2'6 OPTIC SENSOR M 8,000.00 8,000.0© 8,000.0 100 00,2 7 OPTIC SENSOR L 4,000.00 4,000.09 4,000.0 100 00.2 8 E7.09 002 9 S&C M 100,000.00 100,000.0 100,000.00 100 00.2 0 S&C L 80,000.00 80,000.00 80,000.00 100 00.2 1 E8.00 00.2 2 LIGHTNING PRO M 42,000.00 42,000.00 42,000.00 100 00.2 3 LIGHTNING PRO L 18,000.00 18,000.0 18,000.00 100 00.2 4 ALLOWANCE 17 40,000.00 36,641.00 36,641.00 92 3,359.03 00.2 5 CHANGE ORDER#1 00.2 6 OCULUS ALTERNATE 1,000.00 1,000.00 1,000.00 100 00.2 7 CHANGE ORDER#2 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. AlA Document G703T'—1992.Copyright©1963,1965,1966.1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA'Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ate 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 or AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. A Document G703" - 1992 ERMCO Contract # 2695-4320 RWAV A, Continuation Sheet AR Document G702TM,Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 4/28/2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: A B C D E F 0 H 1 WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS C'OtiISTORFI PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G,'Ci FINISH (Ifbariuhlerate) NO. TO DATE (D-4 ji (;\orrnDorL) (0 _ f,,__F7 (C'-Ci) 00.2,8 MACHINELESS ELEVATOR 11,500.00 11,500.1 11,500.00 100 00.229 CHANGE ORDER#3 00.20 RCP 4 (58,852.00) (58,852.0 ) (58,852.00) 100 00.2:1 CHANGE ORDER#004 NO COAT 00.2):2 CHANGE ORDER#005 I 00.2:3 ASI-037. RCP-006 23,177.0? 23,177.0? 23,177.00 100 1 00.2:4 CHANGE ORDER#006 ' 00.2"5 RCP-011 (7,554.0 ) (7,554.00) (7,554.00) 100 I 00.2 6 CHANGE ORDER#007 00.2 7 ASI-038 18,732.00 18,732.00 18,732.00 100 00.2 8 CHANGE ORDER#008 00.2 9 ALLOWANCE 4320A ELEC GE El (350,000.00) (350,000.00) (350,000.09) 100 00.20 ALLOWANCE 4330A FIRE ALA M. (75,000.00) (75,000.00) (75,000.09) 100 • 00.2,1 ALLOWANCE 4330B FIREJSECUR (5,000.00) (5,000.00) (5,000.09) 100 00.2.2 ALLOWANCE 4320D ELECTRICAL (10,000.00) (10,000.00) (10,000.09) 100 00,2.3 BOND REDUCTION FOR ALL° F (2,715.00) (2,715.00) (2,715.00) 100 00.24 CHANGE ORDER#009 00.2 5 WORK DIRECTIVE 4320-001 N W 002 6 CHANGE ORDER#010 00.2 7 ASI-PAC-104 WATER HEATER D 17,090.00 17,090.00 17,090.0 100 00.2 8 E3.03 00,2 9 LIGHTING R-M 30,000.0 30,000.00 30,000.0 100 00.2 0 LIGHTING R-L 35,000.0) 35,000.00 35,000.00 100 GRAND TOTAL CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AlA Document G7 03'"—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 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. e ERMCO Contract # 2695-4320 *tIAi A' Document G703" '� 1992 992 124070 Continuation Sheet AIA Document G7O2TM,Application and Certification for Payment. APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below.amounts are stated to the nearest dollar. 4/28/2011 Use Column I on Contracts where variable retainar„e for line items may apply. PERIOD TO: 4/30/2011 ARCHITECT'S PROJECT NO: Al B C I) I E i F G H I WORK COMPLETED TOTAL MATERIALS BALANCE FROM PREVIOUS COMPLETED SCF[EUULED PRESENTLY % I'(7 REl'AENr1GE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED 10 DATE {G=Ct FINISH (lftiuliahlr)ore} (D=EI (Nor rn 0 or i (UT F. F1 (C CJ 00.2'1 LIGHTING F-M 350,000.00 350,000.04 350,000.00 100 00.2 2 LIGHTING F-L 22,000.00 22,000.000 22,000.00 100 00.2'3 CHANGE ORDER#11 00.24 ALLOWANCE FROM 43208 ALLOT (100,000.00) (100,000.00) (100,000.00) 100 00.2 5 ALLOWANCE TO 4320A ALLOvyI 1 100,000.00 100,000.04 100,000.00 100 00 2.6 ALLOW REDUCTION 43206 ALLO (30,000.0 ) (30,000.04) (30,000.00) 100 j 00.2'7 BOND REDUCTION (186.0 ) (186.01) (186.00) 100 00.2 8 CHANGE ORDER#12 E!0 00.2 9 ALLOWANCE FROM 4320B ALLOT (50,000.0 ) (50,000.0 E) (50,000.0 ) 100 00.2+0 ALLOWANCE TO 4320A ALLOWAI 50,000.0 50,000.0© 50,000.0 100 00,2i 1 ALLOWANCE FROM 4320D ALLOT (10,000.0 l) (10,000.00) (10,000.0 ) 100 00 2.2 ALLOWANCE TO 4320A ALLOWAI 10,000.00 10,000.09 10,000.0 100 00 2.3 CHANGE ORDER#13 00 2.4 AS1-PAC-147 28,549.00 28,549.01 28,549.0 100 00.2.5 CHANGE ORDER#14 0o.2.6 RCP-PAC-028 8,950.00 8,950.01 8,950.0 100 00.2:7 CHANGE ORDER#15 00.2:8 RCP-PAC-029 3,214.00 3,214.04 3,214.0 100 00.2.9 CHANGE ORDER#16 00.270 ALLOWANCE REALLOCATION 25 51,500.01 51,500.04 51,500.0 100 00.211 CHANGE ORDER# 17 00.2"2 STEEL DELAY ISSUES 50,000.0) 50,000.01 50,000.09 100 00.2"3 CHANGE ORDER#18 I GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes srviii not be obscured. AIA Document G703TM—1992.Copyright 0 1963,1965.1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects,All rights reserved.WARNING:This AtA'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. A',.® ERMCO Contract if 2695-4320 & $ k A' Docu ent 7 3TM 1992 t:y,, .$ 124070 Continuation Sheet AIA Document Ct702TM,Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: in tabulations below,amounts are stated to the nearest dollar 4/28/2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/201 1 ARCHITECT'S PROJECT NO: A B 1 C 1 0 J E. F 0 _1 H 1 WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED n TO K€IAI\aGE SCHEDULED FROM PREVIOUS PRESENTLY /A ITEM DESCRIPTION OF WORK AND S'I'OREI) NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (O`C) FINISH Of Iambic.rare) it)+E) (No(inDorE) ()rE , Fl (C'-G) 00.2'4 GENERAL ALLOWANCE INCR .5 195,700.0 195,700.00 195,700.00 100 00.2 5 CHANGE ORDER#19 00.26 ALLOWANCE REALLOCATION 0 82,670.0 80,262.00 80,262.00 97 2,408.00 GRAND TOTAL 7,457,775.0) 7,445,223.3 7,445,223.35 100 12,551.66 CATION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. ALA Document G703T'-1992,Copyright Q 1963,1965.1966,1967.1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AMA`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 AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) Final -Partial X )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with City of Carmel(124070.038)to furnish certain materials and/or labor as follows: Electrical Installation for a project known as Parcel 7A, Regional Performing Arts Center Interior Rough.Construction Package P4 located in Carmel.IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of FORTY THOUSAND DOLLARS AND NO/100($40,000.00) the receipt of which is hereby acknowledged: or X 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 such payment: FINAL WAIVER: That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE,the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. ERMCO, INC. y �.. Rod Burton Controller 'dfVb'j`41.? Witness my hand and notarial seal, this 28th day of April,201 . 0i 4 ti% )6) us Notary Public V 'Q \ ° My Commission Expires: 1.2/19/2015 'gip Lou Anne Puckett 1›" N Notary Public-Printed Signat+ 4, County County of Residence: Marion Consent of Surety to OWNER Reduction in or Partial ARCHITECT CONTRACTOR Release of Retainage SURETY AIA DOCUMENT G707 A Bond No. 929451719 OTHER El TO OWNER: City of Carmel ARCHITECTS PROJECT NO.: (Name and address) One Civic Square Carmel, IN 46032 CONTRACT FOR: Parcel 7A, Regional Performing Arts Center- Interior Rough Construction Package P4 Carmel, IN PROJECT: (Name and address) Parcel 7A, Regional Performing Arts Center- Interior Rough Construction Package P4 Carmel, IN CONTRACT DATED: May 3, 2008 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the Continental Casualty Company (Insert the name and address of Surety) .9000 Keystone Crossing, Suite 500, Indianapolis, IN 46240 , SURETY, on bond of ERMCO, Inc. (Insert the name and address of Contractor) 1625 W. Thompson Road, Indianapolis, IN 46217 CONTRACTOR, hereby approves the reduction in or partial release of retainage to the Contractor as follows: Reduce Retainage from Fifty Thousand and 001100 Dollars ($50,000.00)to Ten Thousand and 001100 Dollars ($10,000.00) The Surety agrees that such reduction in or partial release of retainage to the Contractor shall not relieve the Surety of any of its obligations toCity of Carmel (Insert the name and address of Owner) One Civic Square, Carmel, IN 46032 , OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this te: April 29, 2011 (Insert in writing the month followed by the numeric date and year.) • Attest: (Seal): Daniel T. Touw, Attorney-In- act • Continental Casualty Company (Surety) Printed in cooperation with the American Institute of Architects(AIA)by the CNA Insurance Companies. The language in this document conforms exactly to the language used in AIA Document G707 A-Consent of Surety to Reduction in or Partial Release of Retainage-1994 Edition. POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT . know All Men By These Presents,That Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hartford,an Illinois insurance company,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania insurance company(herein called "the CNA Companies"),are duly organized and existing insurance companies having their principal offices in the City of Chicago,and State of Illinois, . and that they do by virtue of the signatures and seals herein affixed hereby make,constitute and appoint Liana M Shelton,Norma J Lerch,Daniel T Touw,Jason D McEldowney,Individually of Indianapolis,IN,their true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on their behalf bonds,undertakings and other obligatory instruments of similar nature • - In Unlimited Amounts- and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney,pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutions,printed on the reverse hereof,duly adopted,as indicated,by the Boards of Directors of the insurance companies. In Witness Whereof,the CNA Companies have caused these presents to be signed by their Senior Vice President and their corporate seals to be hereto affixed on this 30th day of November,2010. CASU.q 00SU/04* os Continental Casualty Company c� y 4' �F National Fire Insurance Company of Hartford cm:Dino, % S�coarORAr,,o Ai American Casualty Company of Reading,Pennsylvania {� a + JULY 31, 1 SU SEAL C ° ! \\"1:11:)....... 1902 T ` � � tea, CI ItAw6cfP • a tat.1 `kl 1 1, 1 �-1 . .t(eaCd` CJ " Jacs yne �.Belcastro• Senior Vice President State of Illinois,County of Cook,ss: On this 30th day of November,2010,before me personally came Jacquelyne M.Belcastro to me known,who,being by me duly sworn,did depose and say: that she resides in the City of Chicago,State of Illinois;that she is a Senior Vice President of Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hartford,an Illinois insurance company,and American Casualty Company of Reading, Pennsylvania,a Pennsylvania insurance company described in and which executed the above instrument;that she knows the seals of said insurance companies;that the seals affixed to the said instrument are such corporate seals;that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that she signed her name thereto pursuant to like authority,and acknowledges same to be the act and deed of said insurance companies. MICK UAL ei EUZA RICE MCCAMi111U0-870.91C• 019 TiOF1117/13 (51i.:404t:i Mot IpkttJ017ft! My Commission Expires September 17,2013 Eliza Price Notary Public CERTIFICATE . I,Mary A.Ribikawskis,Assistant Secretary of Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hartford,an Illinois insurance company,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force,and further certify that the By-Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 29th _day of April , 2011 c ul(P. UISURq v50 oR Continental Casualty.Company k� �, , � 0 National Fire Insurance Company of Hartford lit c iPomre i €" ' I otcovasarfo American Casualty Company of Reading,Pennsylvania _kfEAL a JULY 71. f,V � 1902 .S , 1�,r 897 HA3Y�CR • � Mary A. ika kis Assistant-Secretary Form F6853-512009 Authorizing By-Laws and-Resolutions • ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY: This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the Board of Directors of the Company. "Article IX---Execution of Documents Section 3. Appointment of Attorney-in-fact. The Chairman of the Board of Directors, the President or any Executive, Senior or Group Vice President may, from time to time, appoint by written certificates attorneys-in-fact to act in behalf of the Company in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature. Such attorneys-in-fact, subject to the limitations set forth in their respective certificates of authority,shall have full power to bind the Company by their signature and execution of any such instruments and to attach the seal of the Company thererto. The Chairman of the Board of Directors,the President or any Executive,Senior or Group Vice President or the Board of Directors,may,at any time,revoke all power and authority previously given to any attorney-in-fact." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 17``'day of February, 1993. "Resolved,that the signature of the President or any Executive, Senior or Group Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted pursuant to Section 3 of Article IX of the By-Laws, and the signature of the Secretary or an Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any power or certificate bearing such facsimile signature add seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall,with respect to any bond or undertaking to which it is attached,continue to be valid and binding on the Company." ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING,PENNSYLVANIA: This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the Board of Directors of the Company. "Article VI—Execution of Documents Section 3 Appointment of Attorney-in-fact. The Chairman of the Board of Directors,the President or any Executive or Senior Vice President may, from time to time, appoint by written certificates attorneys-in-fact to act in behalf of the Company in the execution of policies of insurance,bonds, undertakings and other obligatory instruments of like nature. Such attorneys-in-fact,subject to the limitations set forth in their respective certificates of authority,shall have full power to bind the Company by their signature and execution of any such instruments and to attach the seal of the Company thereto. The President or any Executive,Senior Vice President or the Board of Directors may at any time revoke all power and authority previously given to any attorney-in-fact." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 17th day of February, 1993. "Resolved,that the signature of the President or any Executive, Senior or Group Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted pursuant to Section 2 of Article VI of the By-Laws, and the signature of the Secretary or an Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified.by certificate so executed and sealed shall,with respect to any bond or undertaking to which it is attached,continue to be valid and binding on the Company." ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the Board of Directors of the Company. "Article VII—Execution of Documents Section 3. Appointment of Attorney-in-Fact. The Chairman of the Board of Directors, the President or any Executive or Senior Vice President may,from time to time,appoint by written certificates attorneys-in-fact to act in behalf of the Company in the execution of policies of insurance,bonds, undertakings and other obligatory instruments of like nature. Such attorneys-in-fact,subject to the limitations set forth in their respective certificates of authority shall have full power to bind the Company by their signature and execution of any such instruments and to attach the seal of the Company thereto. The Chairman of the Board of Directors, the President or any Executive, Senior Vice President or the Board of Directors, may, at any time, revoke all power and authority previously given to any attorney-in-fact." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 17th day of February, 1993. "RESOLVED: That the signature of the President,an Executive Vice President or any Senior or Group Vice President and the seal of the Insurance Company may be affixed by facsimile on any power of attorney granted pursuant to the Resolution adopted by this Board of Directors on February 17, 1993 and the signature of a Secretary or an Assistant Secretary and the seal of the Insurance Company May be affixed by facsimile to any certificate of any Stich poiver;,and any power or certificate bearing such facsimile signature and seal shall be valid and binding on the Insurance Company. Any such power so executed and sealed and certified by certificate so executed and sealed,shall with respect to any bond or undertaking to which it is attached, con?itile to be valid and binding on the Insurance Company" •