Loading...
HomeMy WebLinkAboutERMCO, INC. -002525 -12/22/2011 CARMEL REDEVELOPMENT COMMISSION 002525 Ermco, Inc. Check: 2525 PO Box 1507 Date: 12/22/2011 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pais 30A 36 50,000.00 215.00 0.00 0.00 215.01 Application 30A 33 36 147,955.00 9,785.00 0.00 0.00 9,785.01 Application 33 40 36 10,672.65 10,672.65 0.00 0.00 10,672.6! App 40 on P7A . 208,627.65 20,672.65 0.00 0.00 • 20,672.6: __. = - - • �, , E@�g� v 'z w TM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment Commiss�i+ 9JECT: Parcel 7A, Regional Performing Arts APPLICATION NO: 40 Distribution to: 1 Civic Square Center Interior Rough PERIOD TO: 12/31/2011 OWNER Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT 0 ERMCO, INC. PROJECT NOS: L 1 CONTRACTOR P.O. Box 1507 Shief Sexton 2695-4, 20 Indianapolis, IN 46206 VIA ARCHITECT: FIELD 0 CONTRACT FAR: . N CSO Architects_' 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,as 6703,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, and that current 1.ORIGINAL CONTRACT SUM 75505,000.00 payment shown herein is now due. 2.Net change by Change Orders $ (4,237.00) CONTRACTOR:,F1CO, INC. • 3.CONTRACT SUM TO DATE(Line 1 ±2) 75500,763.00 By: j j Date: 12/1/2011 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) 7$500,763.00 State of: ` In•iana - ���PUCc . 5.RETAINAGE: County of: Marion. TT a. %of Completed Work Subscribedlasnnd sworn to before December, 2011 e 1 AR Y (Column D+Eon G703) S me this day of C� b. %of Stored Material Notary Public: ,-...--__-L. -,--__ - P`"a (Column F on 0703) S My Commission expires: 12/19/2015 Total Retainage(Lines 5a+5b or Total in Column I of G703). 5 CERTIFICATE FOR PAYMENT PUS\-\ 4t: 6.TOTAL EARNED LESS RETAINAGE $ 7,500,763.00 In accordance with the Contract Documents,based on on-site observa' s and the N6mprisina this application,the Construction Manager and Architect certify to the a' a ¶L1 est of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the c{ Ii of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 7,480,090.35 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 1.01 �� �� B.CURRENT PAYMENT DUE $ 20,672.65 AMOUNT CERTIFIED I S 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if )(rnt certified differsfroit the /unman applied. Initial al!figures on this Applirtion and on II• C'ntinu ion Sheet it t an, elu nged to conform with the amount certified.) (Line 3 less Line 6) 5 CONSTRUCTION t A 1, 4,. By: tl�,l:•,v �I�t�tl ' Date: l� O( [� 'CHANGE ORDER SUMMARY J ADDITIONS 1 DEDUCTIONS ARCHITEC , s r ] I ,,r- ; Total changes approved in previous months by Owne63g 070.00 {339.307.00) I3y: Date: 9Z 11 Total approved this Month S S This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only tr the Contractor TOTAIS63§,070.00 (639,307.00) named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ (4,237.00) the Owner or Contractor under this Contract. 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. Av AIA Document G7021CMa^"—1992.Copyright©1992 by The American Institute of Architects.An rights reserved.':*1AFiNi'tiG:This AIA0 Document is protected by U.S.Copyright Law and'nternafiOnai Treaties. \i Unauthorized reproduction or distribution of this A10"Gocumen',or any uortfon of it;may result in severe civil and criminal penalties,and wiii!.be prosecuted to the maximum astern 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,email The American Institute of Architects'legal counsel,copyright @aia.org. • •A]IA ERMCO Contract i� 2695-4320 r 1 } Tht Document G7O - 1992 124070 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 17.)11_01 1 Use Column Ion Contracts where variable retainage for line items may apply. PERIOD T0: 12/31/2011 ARCHITECTS PROJECT NO: • 1 B C D i E F f G H I WORK COMPLETED MATERIALS TOTAL, PRESENTLY COMPLETED BALANCE I RET:1I\AGE SCHEDULED FROM PREVIOUS 9'a i TO ITEM DESCRIPTION OF WORK STORED AND STORED (IF VARIABLE VO I VALUE APPLICATION THIS PERIOD (NOT L\ TO DATE (G+C) FINISH RATE) (D+E) 0 OR E) I (D+E+F) (C-G) i 00.0cl MOBILIZATION 15,000.00 15,000.0 I 15,000.0) 100 • 00.0Q2 P.M. 200,000.00 200,000.0 200,000.0) 100 00.003 CAD ENG 80,000.0 80.000.0 80,000.0) 100 00.04 TEMP-L 75,000.06 75,000.0 75,000_0) 100 00.05 TEMP-M 45,000.0* 45,000.0 45,000.0.) 100 00.0 6 CLEAN UP 15,000-00 15,000.00 I 15,00003 100 00.0 7 BOND 72,000.0 72.000.00 72,000.00 100 00.0 8 TESTING 18,000.0p 18,000.00 18,000Mp 100 00.0 9 SITE OFFICE 23,000.0Q 23,000.00 I 23,000.06 100 00.0 0 DEMOBILIZATiON 5,000.06 5,000.0 5,000.00 100 00.011 ALLOWANCE 12 550,000.0 546,009.0 3,991.00 . 550,000.01 100 I 00.0 2 ALLOWNACE 13 350,000.0 343,488.3 6,511_e5 350,000.0 100 00.0 3 ALLOWANCE 14 100,000.0 99,994.0 6.60 100,000.0 100 00.0 4 ALLOWANCE 15 5,000.0 5,000.0 5,000.0 100 00.0 5 ALLOWANCE 16 10,000.0 9,836.00 164.60 10,000.01 100 00.016 EO.11 00.017 MAT i 10,000.0 10,000.00 10,000.01 100 00.018 LABOR 6,000.0 6,000.0 6,000.01 €00 00.019 EXCAVATION 35,000.0 35,000.00 35,000.00 100 000 0 E0.12 . i 3 00.0 5 BRANCH R-M 500.0 500.06 ; 500.00 100 00.0 6 BRANCH R--L 1,500.0 1,500.00 i 1,500.00 100 00.07 BRANCH F-M i 100.0 100.06 t 100.06 100 , 1 i 1 CAUTION:You should sign an original AIA Contract Documents,on which this text appears in RED.An original assures that changes will not be obscured. AIA tDocumeni G70311.1—1 Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved_WARNING:This Ale Document is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this AIA''Document,or any portion of it,may result in severe civil and criminal penalties.and will bo 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. ERMCO Contract # 2695-4320 •AIA Document 7037M �° 1992 124070 Continuation Sheet AlA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: 1211/-OI 1 • In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainaee for line items may apply. PERIOD TO: 12/31/2011 ARCHITECT'S PROJECT NO: A I B C D j E F 0 H I 1 i WORK COMPLETED i 1 I l MATERIALS TOTAL gALA\CE 1 I SCFIEDULEll PRESENTLY COMPLETED 4'c TO RETAINAGE f FROM PREVIOUS ITEM : DESCRIPTION OF WORK STORED AND STORED (IF VARIABLE N0. VALUE APPLICATION THIS PERIOD (NOT 1\ 1 TO DATE (G=C) FINISH j RATE) (D+E) D OR E) (D+E+F) 1 (C-G) i 00.018 BRANCH F-L 200.0 200.0? 200.01 100 j 00.019 E1.01 00,030 FEEDER M 975,000.06 975,000.06 975,000.0 100 00 Oil FEEDER L 600,000.06 600,000.0 I 600,000.00 100 j 00.032 E1.02 I 00.0.3 EQ M 250,000.01 250,000.0 250.000.0 100 00 02,4 EQ L. 150,000.0 150,000.0 150,000.0 100 00.015 E1.03 00.0 6 EQ R-M 10,000.0 10,000.00 10,000.1 100 00.037 EQ R-L 15,000.0 15,000.0 15,000.00 100 00.028 EQ F -M 30,000.0 30,000.0 I 30,000.00 100 I 00.039 EQ F- L 8,000.00 8,000.06 8,000.00 100 I I 00.040 E1.04 00.041 EQ R-M 10,000.0 10,000.0 10,000.0 100 00.042 EQ R-L 15,000.0 15,000.0 15,000.00 100 1 00 04.3 EQ F-M 25,000.0 25,000.0 25,000.00 100 00.044 EQ F- L 8,000.0 8,000.0 ; 8,000.00 100 00.045 E1.05 t 00.0 6 EQ R-M 5,000.0 5,000_00 5.000.00 100 00.0 7 EQ R-L 5,000.0 1 5,000.00 I 5,000.0) 100 00.0 8 EQ F- M 35,000.00 35,000.043. ` 35,000.06 100 i 00.0 9 EQ F- L 8,000.01 8.000.0 j 8,000.0) 100 00.0.0 E2.00&A&P 11 i CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes wilt not be obscured. AlA Document G703T1t—1992.Copyright O 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American institute of Architects.Alt rights reserved.WARNING:This AIAeDocument is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce len(1 0)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 ERIC() Contract # 2695-4320 . i$° Document Dt 703TM - 1992 CM= 124070 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: 12/1/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. PERIOD T0: 12/31/2011 ARCHITECT'S PROJECT NO: A B C D E F G H I I WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED RETAIN AGE SCHEDULED FROM PREVIOUS c- TO ITEM DESCRIPTION OF WORK STORED AND STORED (IF VARIABLE VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G-C) FINISH �Q RATE) (D+E) D OR E) (D+E+F) (C-G) 1 r � 00.051 RIGGING j 35,0000 35,000.00 35,000.01 100 00.02 EQ R-M 30,000.0 30,000.00 j 30,000.00 100 00.053 EQ R-L 20,000.0! 20,000.00 20,o00.00 loo 00.054 EQ F-M 575,000.00 575,000 00 575,000.00 100 00.055 EQ F- L 30,000.09 30,000.00 30,000.00 100 00.016 BRANCH R-M 17,000-0 17,000.09 17,000.00 100 00.0x7 BRANCH R-L i 13,000.0 13,000.00 13,000.00 100 00.018 BRANCH F-M 7,000.0 7,000.00 7,000.00 100 00.019 BRANCH F-L 5,000.0 5,000.00 5,00000 100 00.0:0 FEEDER R-M 550,000.09 550.000.09 550,000.00 100 00.0:1 FEEDER R- L 250,000.0t 250,000.00 250,000.00 100 00.0 2 FEEDER F-M 6,000.00 6,000.00 6,000.00 100 00.0:3 FEEDER F-L 10,000.00 10,000.00 10,000.00 100 00.0:1 E2.01 E2.02 00 0:5 RIGGING 10,000.00 10,000.00 10,000.00 100 00.0,0 BRANCH R-M 15,000.0' 15,000.09 15,000.0 100 00 01 BRANCH R-L 8,000.0' 8,000.0 8,000.0 100 I I 00.0-I2 BRANCH F-M 2,500.0 2,500.0 2,500.0 100 00.0�i3 BRANCH F-L 3,500-0 3,500.0 3,500.0 100 00.04 E2.03&A 00.0 5 BRANCH R-M 20,000.00 20,OOR0 20;000.09 100 00,0 6 BRANCH R-L 16,000.00 16,000.0 16,000.00 100 00.0 7 BRANCH F-M 1,000.00 1,000.00 1,000.00 100 I I _ I I I 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 G703TU—1992.Copyright 1963,1965,1966,1967,1970,1978,1963 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA5 Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe 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 tL&iA rm 72 4070 Document 703 — 1992 Continuation Sheet AlA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: 12/1/2011 • 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. 12/31/2011 ARCHITECT'S PROJECT NO: I A B I C D E F I G H I i WORK COMPLETED i MATERIALS I TOTAL BALANCE SCHEDULED PRESENTLY COMPLETED RETAINAGE FROM PREVIOUS (IF VARIABLE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (GccC) FINISH 0 NO (NOT TO DATE RATE) (D+E) D OR E) (D+6+F) (C r} 00.0;5 BRANCH F-L 2,500.00 2,500.00 2,500.00 100 00.019 FEEDER R-M 65,000.00 65,000.00 65.000.00 100 00.0E0 FEEDER R-L 45,000.00 45,000.00 45,000.00 100 00.0E I FEEDER F-M 2.,500.00 2,500.01) ! 2,500.0) 100 00.012 FEEDER F- L 5,000.00 5,000.00 5,000.0) 100 00.0f3 E2.04 1 00.011 BRANCH R-M 6,000.0¢ 6,000.0? 6,000.0) 100 00.015 BRANCH R-L 8,000.0l 5,000.00 8:000.0) 100 1 00.01!6 BRANCH F-M 1,000.00 1,000Aq 1,000.0 100 00.057 BRANCH F-L 2,500.00 2,504.00 2,540.0 100 00.018 E2.05 00.09 BRANCH R-M I 15,000.0 15,000.00 15,000.00 100 OD.O 0 BRANCH R-L 14,000.0 14,000.0 f 14,000.0 100 00.041 BRANCH F- M I 800.0 800.0 800.00 100 00.092 BRANCH F-L 1,500.00 1,500.0 I i 1,500.00 100 00.0x3 E2.06 00.04 BRANCH R-M . 4,000.0 J 4,000.0 • 4,000.00 100 E I 00.0'5 BRANCH R-L 6,000.00 6,000.0 6.000.06 100 00.0 6 BRANCH F M 600.00 600.0 600.0 100 00.0 7 BRANCH F-L 1,200.00 1,200.00 1,200.0 100 00.0 8 E2.07 00.0 9 BRANCH R-M 8,000.00 8,000.00 8.000.0 100 II 00.1 0 BRANCH R-L 10;000.00 10,000.00 10,000.0 100 i i 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*u—1992.Copyright 1963,1965, 1966,1967,1970, 1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties_Unauthorized reproduction or distribution of this AIAL 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,copyrighttaia.org. • iiAIA ERMCO Contract # 2695-4320 Document 703 Th3 - 1992 124070 Continuation Sheet AIA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: 1_/1!_Ol T In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO:age P/31/2011 ARCHITECT'S PROJECT NO: A I B C D ! E F I 0 H [ [ WORK COMPLETED MATERIALS TOTAL BALANCE I i PRESENTLY COMPLETED RETAI\AGE I ITEM DESCRTPTTON OF WORK SCHEDULED PROM PREVIOUS STORED AND STORED �° TO (IF VARIABLE I �O VALUE APPLICATION HIS PERIOD (NOT 1\ i TO DATE (0--C) ! FINISH RATE) I ! (D E) D OR E) ! (D-E-i) (C•G} 00.1l/1 BRANCH F-M 1,000.0 1,000.0) I I 1;000.00 100 00.102 BRANCH F-L 2.500.0 2,500.00 i 2,500.00 100E l 00.103 E2.07A I ! I 00.14 BRANCH R-M 15,000.0 15,000.0 I 15,000.00 100 j I 00.105 BRANCH R- L 20,000.0 20,000.0 I 20,000.00 100 '• 1 00.106 BRANCH F-M 9,000.00 9,000.00 ' 9,000.00 100 l 00.1 7 BRANCH F-L 10,000.00 10,000.0 10,000.00 100 00.1$8 E2.08 00.1t9 BRANCH R-M 6,000.00 6,000.00 6,000.00 100 ; I 00.10 BRANCH R-L 8,000.00 8,000.0 8,000,08 100 00.1 1 BRANCH F-M 2,000.00 2,000.00 2,000.0'0 100 00.1 2 BRANCH F-L 3,500.00 3,500.08 3,500.00 100 I I 00.1 3 E2.09 I I 1 00.1 4 EQ R-M 8.000.00 8,000.00 8,000.0 100 00.1 3 EQ R- L 10,000.00 10,000.00 l 10,000.0 100 . 001 6 EQ F-M 2,500.00 2,500.00 2,500.0 100 00.17 EQ F-L 3,000.00 3,000.00 3,000.00 100 00.1 8 E2.10 I I 00.119 BRANCH R-M 1,000.00 1;000.00 ',ammo 100 00.10 BRANCH R-L ? 2,500.010 100 SOO.Ob 2,500.00 _ 00.1 i BRANCH F-M 100.00 100.00 ! 100.010 100 00.11.2 BRANCH F-L 500.0 500.0 500.0{0 100 00.123 EQ R-M 6,000.0 6,000.0 6,000.00 100 i I 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 G703 ,—1992.Copyright lB 1953,1965, 1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA5 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 the maximum extent possible under the taw.Purchasers are permitted to reproduce ten(101 copies at this document when completed.To report copyright violations of AlA Contract Documents,e-mail The American institute of Architects'legal counsel,copyright @aia.org. o ERICO Contract i'rr 2695-4320 A-1/4 7M 124070 ��- *�7 Documen 6703 - 1992 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: 12/1/2011 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: 12/31/2011 ARCHITECTS PROJECT NO: 1 A 1 B C ! 0 I E F I G 1 H 1 WORK COMPLETED MATERIALS TOTAL BALANCE I I PRESENTLY COMPLETED RETALNAGE I ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS STORED AND STORED 7o TO (IF VARIABLE VALUE APPLICATION THIS PERIOD (G+0) FINISH N0. (NOT IN TO DATE. {C C:} RATE) -- {D+E) D OR E) (D E+F) 00.124 EQ R-L 10,000.00 10,000.01 10,000.00 100 00.125 EQ F-M 1,500-01 1,500.01 1, 00.01 100 00.1,7.6 EQ F-L 2,000.01 2,000.01 2,000.01 100 00.]6'2 E4.00&A&P 00.163 SOUND R-M i 75,000.01 75,000.0 I 75,000.03 100 00.164 SOUND R-L 60,000.01 60,000.0 60,000.01 100 00.1I5 E4.01 &A I t 00.166 SOUND R-M 40,000.01 40,000.04 40,000.00 [00 00.16 SOUND R- L 25,000.0 25,000.00 25,000.04 100 00.]6:18 E4.02&A I 1 00.169 SOUND R-M 40,000.0 40,000.0 i 40,000.01 100 00.17]b SOUND R-L 25,000.0 25,000.00 i 25,000.00 100 00.17]1 E4.03 1 i I i I 00.172 SOUND R- M 25,000.0 25,000.00 25,000.0 100 00.173 SOUND R-L 18,000.06 18,000.00 18,000.0 100 I I I i 00.174 E4.04 I 00.17- SOUND R-M 25,000.0 25,000-00 25,000.0 100 00.17 SOUND R-L 18,000.00 18,000.00 18,000.0 100 00.17, E4.05&.06& .07&.09 1 00.178 SOUND R-M 80,000.09 80,000.04 80,000.00 100 00.179 SOUND R-L 65,000.0( 65,000.0 i 65,000.00 100 00.180 E5.00& P l 00.184 F.A. R-M 15,000.00 15,000.0, 15,000.00 100 j I 1 I l I i 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 0703r•'—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Archilects.All rights reserved.WARNING:This AleDocument is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA5Document,or any portion of it,may result in severe civil and criminal penalties,and will oe 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. ® ERMCO Contract 1:1 2695-4320 ' �� p °a r Document G7O3TM - 1 992 124070 o Continuation Sheet AIA Document G707,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: 12/1/2011 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: 12!31/2011 ARCHITECT'S PROJECT NO: HA B I C I D I E • F G H 1 WORK COMPLETED MATERIALS TOTAL. BALANCE SCHEDULED FROM PREVIOUS E PRESENTLY COVIPLETLD ac TO RETAINAGE- ITEM DESCRIPTION OF WORK STORED AND STORED OF VARIABLE . V•a1 I E 1 :APPLICATION PHIS PERIOD (G=C) FINISH NO j (NOT IIti TO DATE RATE) I (D T E) D OR E) (DtE=F) (C G) I 00.182 F.A. R-L 9,000.010 9,000.0!0 9,000.0 100 00.1 3 F.A. F-11/1 20,000.Ob 20,000.01 ; 20,000.00 100 00.I 4 F.A. F-L 5.000.Ob 5,000.0 5,000.0 100 00.1 5 E5.01 &.02& .03 I 00 1?) F.A. R-M 17,000.0 17,000.06 17,000.0 100 00.1 7 F.A. R-L 10,000.0 10,000.0 10,000.01 100 00.1 8 F.A. F-M 20,000.0 20,000.00 20,000.010 100 00.t 9 F.A. F-L 5,000 Op 5,000.00 5,000.0110 100 00 t 0 E5.04& .05&-06 00.1 I F.A. R-M 20,000.013 20,000.i0 20,000.00 100 00.12 F.A. R-L 17,000.00 17,000.0) 17,000.0(3 100 00.13 F.A. F-M 20.000.00 20,000.0) j 20,000.00 100 00.194 F.A. F- L 5,000.0) 5,000.0) i 5,000.010 100 00.15 E5.07& .08&.09&.10 00.1?6 F.A. R-M 20,000 Op 20,000 Op 20,000.00 100 00.I 7 F.A. R-L 15,000.0) 15,000 Op 15 000 PO 100 00.1 898 F.A. F-M 16,000.0) 16,000.01 16,000.00 100 00.199 F.A. F-L 3,000.0 3,000.01 3,000.0:0 100 00200 E6.02 I I 00 201 EQ M 55,000.00 55.000.0 55,000 010 100 002 2 EQ L 20,000.0) 20,000.01 20.000 00I 100 002 3 CABLE M 35,000.0) 35,000.01 35,000.10 100 00-2 :1 CABLE L 45,000.0) 45,000.01 45,000.00 100 I 1 L I i CAUTION:You should sign an original ALA Contract Document,on which this text appears in RED.Art original assures that changes will not be obscured. AIA Document G703T1,—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This ALA°Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale'Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 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 ' iiAIA.. T;t 124070 Document G703 — 1992 Continuation Sheet . AIA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO 40 containing Contractor's signed certification is attached, APPLICATION DATE; 12/1/2011 In tabulations below,amounts are stated to the nearest dollar_ 12/31/2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: i A B C D I E F 0 ( H I WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED f RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED FROM F PREVIOliS l STORED AND STORED �� TO (IF VARIABLE VALUE APPLICATION I THIS PERIOD (G 4-C) I FINISH RATE) NO. (140T IN TO DATE (C-0) I (0 T E) I D OR E) (D-t-E+F) € I t l i 00.2b5 GR M 5,000. 0 5,000.0;0 5,000. 0 100 0021)6 GR L 2,000. 0 2,000.010 2,000.10 100' [ 00.207 E6.03 002D8 SECURITY R-Ni I 40,000. 0 40,000.00 40,000.00 100 00.2 9 SECURITY R L 20,000.00 20,000.00 20,000.00 100 00.2 0 SECURITY F-M 18:000.00 18,000.0.0 18,000. O 100 002 1 SECURITY F-L 6,000.00 6,0004;0 6,000. 0 100 00.2 2 E6.05 t • 00.2113 DIMMING M 60,000.(10 60,000.00 60,000. 0 100 0024 DIMMING L j 45.000.00 45,000.10 i 45;000.60 100 00215 E6.06 00.2J6 OPTIC SENSOR M I 8,000.00 8,000.00 j 8,000.00 100 00.2.7 OPTIC SENSOR L 4,000.00 4,000.00 I I 4,000.00 100( I 00.2 II E7.09 l i 00.2 9 S&C M 100,000.00 100,000.10 100,000. 0 100 00.2'0 S&C L 80,000.0.0 80,000.00 80,000. 0 100 i I 00.2'1 E8.00 r I 00.2 2 LIGHTNING PRO M 42,000.10 42,000.110 42,000.00 100 00.2,.3 LIGHTNING PRO L 18,000.80 18,000.00 18,000.00 100 00.24 ALLOWANCE 17 40,000.00 40,000.00 i 40,000.00 100 00.2-5 CHANGE ORDER#1 I 00.226 OCULUS ALTERNATE 1,000.[0 1,000.00 1,000.00 100 00.227 CHANGE ORDER#2 • f � i I II CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703TM-.1992.Copyright©1963,1965.1966,1967,1970,1978,1983 and 1992 by The American institute of Architects.All rights reserved.WARNING:This AIA'a Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the lam.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AfA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ® ERMCO Contract l 2695-4320 - •AIA Document G703 TM - 1992 124070 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: 12/1/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD T0: 12!31/2011 L ARCHITECT'S PROJECT N0: A f B I C D I E. , F G H r I WORK COMPLETED j MATERIALS TOTAL BALANCE l PRESENTLY COMPLETED RETAINAGE ITEM DESCRIPTION OF WORK { SCHEDULED FROM 1 PItEV[ \LS STORED I AND STORED ` TO I (tF VARIABLE `O i VALUE APPLICATION i THIS PERIOD l {NOT 1N TO DATE (G C) FINISH RATE} EDT El 0 OR E) (Da ETF) 1 (C-G.) 00.238 MACHINELESS ELEVATOR 11,500.0) 1 I,500.0, 11,500.00 100 002£9 CHANGE ORDER#3 I j I 1 00.240 RCP 4 (58,852.00) (58,852.0() i i 08,852.00) 100 00.41 CHANGE ORDER#UD4 NO CO 1 T I ' ]1 00-2;2 CHANGE ORDER#005 I I' ' t p 1, 23,177. 0 100 00.2x3 ASI-037, RCP-006 23,177.0 23,177.0 00.234 CHANGE ORDER#006 00.2.05 RCP-011 (7,554.0)) (7,554.0) (7,554. 0) 100 00-2.016 CHANGE ORDER#007 I 00.217 ASI-038 18,732.00 18,732.010 18,732. 0 100 00.28 CHANGE ORDER#008 00.2139 ALLOWANCE 4320A ELEC GENEF (350,000.0') {350,000.0)) (350,000.Q0) 100 00240 ALLOWANCE 4330A FIRE ALARM (75,000.01) (75,000.0 ) % (75,000.00) 100 00.241 ALLOWANCE 4330B FIRE/SECUR (5,000.01) (5,000.0 ) (5,000.00) 100 00.242 ALLOWANCE 4320D ELECTRICAL (10,000.01) (10,000.01) (10,000.00) 100 00.243 BOND REDUCTION FOR ALLOW I (2,715.01) (2,715.0 ) (2,715.00) 100 00.244 CHANGE ORDER#009 l I 3 00245 WORK DIRECTIVE 4320-001 NEV11 00.246 CHANGE ORDER#010 00.247 ASI-PAC-104 WATER HEATER ac 17,090-0) 17,090.01 17,090- 0 100 00.248 E3.03 00.249 LIGHTING R-M 30,000.0) 30,000.00 30,000. 0 100 0020 LIGHTING R-L 35,000.0) 35,000.00 I 35,000.10 100 1 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 G703Tr^—1992.Copyright 01963.1965,1966,1967,1970,1978,1983 and 1992 by The American Institute at Architects.All rights reserved.WARNING:This AIA''Document is protected by ti-S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.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. ���llt ® ERMCO Contract # 2695-4320 �,'i9��j Trw 124070 e= e Document G73 ® 1992 Continuation Sheet AIA Document G702,.APPLICATION AND CERTIFICATION FOR PAYMENT. APPLICATION N0: 40 containing Contractor's signed certification is a€tached. APPLICATION DATE: 12/1/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 12/31/2011 ARCHITECTS PROJECT NO: A l B C 3 D E F I Cr H I WORK COMPLETED MATERIALS E TOTAL PRESENTLY I COMPLETED C BALANCE RETAINAGE SCHEDULED FROM PREVIOUS I 1 c TO ITEM DESCRIPTION OF WORK STORED AiND STORED (1F VARIABLE VALUE APPLICATION THIS PERIOD I 1 TO (G C) FINISH NO (D+E) (NOT IN DATE RATE) I ± ` D OR E) I (D+E= (C-G)F) i I I 00.2:I LIGHTING F-M 350,000.00 350,000.01 350,000.03 100 00.2:2 LIGHTING F-L 22,000.00 22,000.Ob 22,000.03 100 00.253 CHANGE ORDER#11 00214 ALLOWANCE FROM 43208 ALL.01 (100,000.00) (100,000.0!3) (100,000.04) 100 002$5 ALLOWANCE TO 4320A ALLOW 1 100,000.0 100,000.0 loo,000.00 100 002,6 ALLOW REDUCTION 4320B AL_O (30,000.0 ) (30,000.0 ) I j (30,000.00) 100 00.2:7 BOND REDUCTION (186.0,) (186.OI) (186.0 ) 100 00.2:8 CHANGE ORDER# 12 00.2:9 ALLOWANCE FROM 43208 ALLOT (50;000.0 ) (50,000.0 ) (50,000.0 ) 100 00.260 ALLOWANCE TO 4320A ALLO\//AI 50,000.0 50,000.0 50,000.00 100 00.2.1 ALLOWANCE FROM 4320D ALLOt (10.000.0 ) (10,000.0 ) (10,000.00) 100 00.262 ALLOWANCE TO 4320A ALLOWAI 10;000.0 10,000.0 10,000.010 100 00,213 CHANGE ORDER# 13 i I 00.2,4 ASI-PAC-147 28.549.0' 28,549.01 28.549.00 100 I 00.265 CHANGE ORDER#14 . { I 00.266 RCP-PAC-028 8:950.0 8,950.0 . 8,950.00 100 00.267 CHANGE ORDER#15 I I 00,248 RCP-PAC-029 ! 3.214.0 3,214.0 1 3,214.00 100 00.2 9 CHANGE ORDER#16 1 002 0 ALLOWANCE REALLOCATION425 51,500.00 5i,500.03 51,500.00 100 . 00,2 1 CHANGE ORDER#17 I i �II` 00.2 2 STEEL DELAY ISSUES 50,000_00 50,000.0' 50,Ooo.t 0 100 00.2 3 CHANGE ORDER#18 j I i 1 I I I 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 l3o0ument 0703'w—1992.Copyright©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 al this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and wilt 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,email The American Institute of Architects'legal counsel,copyright @aia.org. ® ERNCO Contract # 2695-4320 . ` ��� 1 24070 Q4 4- Document 7037M - 1992 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 40 containing Contractor's signed certification is attached. APPLICATION DATE: 12/1/2011 In tabulations below,amounts are stated to the nearest dollar. 12/31/2011 Use Column I on Contracts where variable rerin aage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B I C D I E F i G I H I WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED �, BALANCE RETAI:NAGE SCHEDULED FROM PREVIOUS a TO ITEM DESCRIPTION OF WORK (NOT D PTO DAOTE D G-C) FINISH (IF VARIABLE VALUE ?PPLICATiON CRIB PEtz1017 (D-E) D OR E) (D+E+F) { I i 00274 GENERAL ALLOWANCE INCREA5 195,700.0 195,700.00 195,700. 0 100 00.275 CHANGE ORDER#19 00.276 ALLOWANCE REALLOCATION 40. 82,670.00 82,670.00 82,670. 0 100 00.277 CHANGE ORDER#020 13.016.10 13,016. 0 ; 13,016.00 100 00.? 8 CHANGE ORDER#021 14,972. 0 14472. 0 14,972.00 100 00. 9 CHANGE ORDER#022 I 15,000. 0 15,000. 0 15,000.110 100 I I i l € I i I I 1 I I I i I 1 i I � t 7.500,763. 0 7,490,090. 5 10,672.65 I 7,500,763.00 100 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. AEA Document G703T"—1992•Copyright O 1963,1965,1966.1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA5Docurnent 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 civic and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce!en(1 0)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. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee , Purchase Order No. /0 0 (3 6X /5-07 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) N130/ L(.0 yU P 7 lv( 7z,6:5- Total 70/ 472.-65- I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I h. - a a' -: same in accordance with IC 5-11-10-1.6. It _ ffic , 20 �� .. • _,_ reasurer VOUCHER NO. WARRANT NO. ALLOWED 20 , //7e IN SUM OF $ 10 /3 0-4- /5-07 /0d, o l s, /„.r.) `46206 $ 20, 6 72. 6 s ON ACCOUNT OF APPROPRIATION FOR 9 '2 Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify DEPT. I hereb certif that the attached invoice(s), or 902 `7O 4/4/6a-0 7 /C�G7 �s bill(s) is (are) true and correct and that the /0/tv6-61 materials or services itemized thereon for which charge is made were ordered and received except /2 — 20/7 9140Age Director Wl Cost distribution ledger classification if Carmel Redepment Commission claim paid motor vehicle highway fund