Loading...
HomeMy WebLinkAboutW R DUNKIN & SONS, INC. -001593 -2/3/2011 CARMFL REDEVELOPMENT COMMISSION 001593 W R Dunkin & Son, Inc. Check: 1593 PO Box 2247 Date: 2/3/2011 Anderson, IN 46018 Vendor: DUNKIMW1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 22 51 515.00 515.00 0.00 0.00 515.00 Application 22 33A. 35 12,308.00 12,308.00 0.00 0.00 12,308.00 Applictiori 33A 12,823.00 12,823.00 0.00 0.00 12,823.00 7r ® Document G702ICNiaTM — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition 1 TO OWNER: Carmel Redevelopment PROJECT: Parcel 7A,#5010 Carmel APPLICATION NO:022 Distribution to: Commission Performing Arts OWNER:X One Civic Square 777 3rd Ave S.W. CONSTRUCTION MANAGER:X Carmel,IN 46032 Carmel,IN 46032 PERIOD TO:December 31,2010 ARCHITECT:X FROM W.R.Dunkin&Son,Inc. VIA CONSTRUCTION Shiel Sexton Co.,Inc. CONTRACT DATE:February 23,2009 CONTRACTOR: X CONTRACTOR: PO Box 2247 MANAGER: PROJECT NOS:25310H/2695/50101 2695 FIELD: Anderson,IN 46018 CONTRACT FOR: Bid Pkg#5010 VIA ARCHITECT: CSO Architects OTHER: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payme t has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been pa' y the Co_tractor for Work for which previous Continuation Sheet,AIA Document G703,is attached. Certificates for Payment were issued an' .yi nts rec ' o from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 1,480,000.00 payment shown herein is no due. l 2.NET CHANGE BY CHANGE ORDERS $ -81,040.00 • ' ••airy-: W R/10 ' . . S n, nc. 3.CONTRACT SUM TO DATE(Line 1±2) $ 1,398,960.00 �i/ ,�„` / Date: December 14,2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 1,337,743.00 St. - ot:-ndiana 5.RETAINAGE: County of:Madison a. 5 %of Completed Work Subscribed and sworn to before (Column D+E on 0703) $ 69,948.00 me this 14th day of Decembe/�?,r 2��01f0',� / e7 b. 0 %of Stored Material Notary Public:Martha A.Carpenter l /tG4iL���� .�'. Ct(_. (Column F on G703) $ 0.00 My Commission expires:January 08,2017 Total Retainage(Lines 5a+5b or Total in Column I of G703) $ 69,948.00 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 1,267,795.00 In accordance with the Contract Documents, based on on-site observations and the data comprising (Line 4 Less Line 5 Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,267,280.00 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the MOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE $ 515.00/ AMOUNT CERTIFIED $ 5‘56 :18111:111— 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from -amount applied.Initial all figures on this Application and or e Continuation Sheet that a e cha ged to conform with the amount certified.) (Line 3 less Line 6) $ 131,165.00 CONS UCTION 10).GE'' I By: /' � �� L�. _ Date: ( CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARC . Total changes approved in previous months by Owner $ 0.00$ 81,040.00 By: rt Date: \e' -5t t Total approved this Month $ 0.00$ 0.00 This Certificate i not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ 0.00 $ 81,040.00 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order $ -81,040.00 AIA Document G702VCMarm—1992.Copyright©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible I under the law.This document was produced by AIA software at 14:19:57 on 12/20/2010 under Order No.0168420739_I which expires on 0511012011,and is not for resale. User Notes: (1161065807) tsitAIA Document 6703 - 1992 Continuation Sheet AIA Document, G702TM-1992,Application and Certification for Payment,or G73671'4-2009, APPLICATION NO: 022 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition APPLICATION DATE: 12/14/2010 containing Contractor's signed certification is attached. In tabulations below,amounts are in US dollars. PERIOD TO: Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:25310H A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY AND STORED TO % FINISH (IF VARIABLE NO. WORK VALUE PREVIOUS THIS PERIOD STORED DATE (G-C) (C-G) RATE) APPLICATION (NOT IN D ORE) (D+E) (D+E+F) 01010 Performance Bond 26,400.00 26,400.00 0.00 0.00 26,400.00 100.00% 0.00 2,640.00 Mobilize/ 01015 Demobilize 8,000.00 8,000.00 0.00 0.00 8,000.00 100.00% 0.00 400.00 Supervision/ 01020 Coordination 87,000.00 86,000.00 1,000.00 0.00 87,000.00 100.00% 0.00 6,600.00 General Conditions- 01025 M 30,000.00 30,000.00 0.00 0.00 30,000.00 100.00% 0.00 2,440.00 General Conditions- 01026 L 34,000.00 34,000.00 0.00 0.00 34,000.00 100.00% 0.00 2,520.00 1400A Organ Facade Pipes 200,000.00 200,000.00 0.00 0.00 200,000.00 1.00.00% 0.00 8,672.00 Carpentry Labor 1.400E Hours 32,000.00 32,000.00 0.00 0.00 32,000.00 100.00% 0.00 3,200.00 Provide Tie-Off 1400C Points at Balconies 25,000.00_ 6,688.00 0.00 0.00 6,688.00 26.75 % 18,312.00 0.00 Vertical Partition System&Backfold 1400D Doors 15,000.00 15,000.00 0.00 0.00 15,000.00 100.00% 0.00 1,500.00 16'X16' Temporary 1400E Overhead Door 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 600.00 Temporary OI-ID Enclosure and 1400F Insulation 10,000.00 1,644.00 0.00 0.00 1,644.00 16.44% 8,356.00 164.40 1000 SY of BX 1200 1400G Tensar Geogrid 17,000.00 4,1 17.00 0.00 0.00 4,117.00 24.22% 12,883.00 411.70 1400H 350 CY of#2 Stone 18,200.00 5,718.00, 0.00 0.00 5,718.00 31.42% 12,482.00 571.80 AIA Document G703T°-1992.Copyright©1963,1965,1966,1967,1970,1979,1983 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 1 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:18:23 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (877623374) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAiNAGE %ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO, WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G C) FINISH OF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) 1400J 200 CY of#53 Stone 10,000.00 1,746.00` 0.00 0.00 1,746.00 17.46% 8,254.00 174.60 1400K General Allowance 75,000.00 73,515.00 555.00 0.00 74,070.00 98.76% 930.00 5,000.00 CAD As-Built 1400L Allowance 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 500.00 General Clean Up- 01560 M 4,000.00 4,000.00 0.00 0.00 4,000.00 100.00% 0.00 140.00 01561 General Clean Up-L 25,000.00 25,000.00 0.00 0.00 25,000.00 100.00% 0.00 1,130.00 Final Cleaning(Items 01562 in BP 5010 10,000.00 10,000.00 0.00 0.00 10,000.00 100.00% 0.00 0.00 Dewatering for 9 02110 Montbs-M-Eq 18,500.00 18,500.00 0.00 0.00 18,500.00 100.00% 0.00 1,850.00 Dewatering for 9 02111 Months-L-Eq 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 2,800.00 Piping from Tri-Plex 02240 to Lift Station 21,000.00 21,000.00 0.00 0.00 21,000.00 100.00% 0.00 2,100.00 Interior Metal Fabrications- 05504 Submittals 6,200.00 6,200.00 0.00 0.00 6,200.00 100.00% 0.00 620.00 Interior Metal Fabrication s- 05505 Materials 86,500.00 86,500.00 0.00 0.00 86,500.00 100.00% 0.00 8,650.00 Interior Metal 05506 Fabrications-Erection 24,000.00 24,000.00 0.00 0.00 24,000.00 100.00% 0.00 2,400.00 Miscellaneous Metals 05511 -M 5,640.00 5,640.00 0.00 0.00 5,640.00 100.00% 0.00 564.00 Miscellaneous Metals 05512 -L 2,500.00 2,500.00 0.00 0.00 2,500.00 100.00% 0.00 250,00 Interior Rough 06100 Carpentry-M 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 2,660.00 Interior Rough 06101 Carpentry-L 36,500.00 36,500.00 0.00 0.00 36,500.00 100.00% 0.00 3,199.50 07810 Skylight Shade-M 62,000.00 62,000.00 0.00 0.00 62,000.00 100.00% 0.00 6,200.00 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 AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 2 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:18:23 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale, User Notes: (877623374) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) Skylight Shade- 0781 1 Installation 29,500.00 29,500.00 0.00 0.00 29,500.00 100.00% 0.00 2,950.00 07910 Joint Sealants-M 48,000.00 48,000.00 0.00 0.00 48,000.00 100.00% 0.00 760.00 07911 Joint.Sealants-L 24,500.00 24,500.00 0.00 0.00 24,500.00 100.00% 0.00 420.00 08810 Interior Glazing 42,000.00 42,000.00 0.00 0.00 42,000.00 100.00% 0.00 84.00 09610 Access Flooring 19,500.00 19,500.00 0.00 0.00 19,500.00 100.00% 0.00 0.00 09710 FRP Wall Panels-M 1,000.00 1,000.00 0.00 0.00 1,000.00 100.00% 0.00 0.00 09711 FRP Wall Panels-L 2,000.00 2,000.00 0.00 0.00 2,000.00 100.00% 0.00 0.00 Acoustic Fabric 09712 Wrapped Panels 42,500.00 42,500.00 0.00 0.00 42,500.00 100.00% 0.00 1,000.00 10210 Toilet Compartments 44,000.00 44,000.00 0.00 0.00 44,000.00 100.00% 0.00 0.00 Backfold Door 10220 Tracks-M 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 500.00 Backfold Door 10221 Tracks-L 4,560.00 4,560.00 0.00 0.00 4,560.00 100.00% 0.00 456.00 10222 Operable Partition 21,000.00 21,000.00 0.00 0.00 21,000.00 100.00% 0.00 320.00 10223 Wire Mesh Partitions 9,500.00 9,500.00 0.00 0.00 9,500.00 100.00% 0.00 0.00 Toilet Accessories- 10224 M 34,000.00 34,000.00 0.00 0.00 34,000.00 100.00% 0.00 3,400.00 Toilet Accessories- 10225 L 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 100.00 10510 Metal Lockers 16,500.00 16,500.00 0.00 0.00 16,500.00 100.00% 0.00 0.00 10520 Phenolic Lockers-M 110,000.00 110,000.00 0.00 0.00 110,000.00 100.00% 0.00 0.00 10521 Phenolic Lockers-L 29,000.00 29,000.00 0.00 0.00 29,000.00 100.00% 0.00 0.00 10610 Corner Guards-M 9,500.00 9,500.00 0.00 0.00 9,500.00 100.00% 0.00 0.00 10611 Corner Guards-L 3,500.00 3,500.00 0.00 0.00 3,500.00 100.00% 0.00 0.00 17001 Changr Order No.01 -81,040.00 -80,000.00 -1,040.00 0.00 -81,040.00 100.00% 0.00 -8,000.00 GRAND TOTAL $1,398,960.00 $1,337,228.00 $515.00 $0.00 $1,337,743.00 95.62% $61,217.00 $69,948.00 AIA Document G703T""-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be 3 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:18:23 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (877623374) AFFIDAVIT AND WAIVER OF LIEN [ ]FINAL [X] PARTIAL [ ]PAYMENT TO FOLLOW State of Indiana, County of Madison. SS Bradley Tyler , being duly sworn states that he is the Project Manager of W. R. Dunkin & Son, Inc. having contracted with City of Carmel Redevelopment Commission to furnish certain materials and/or labor as follows: Bid Package 5010-Interior Finishes for a project known as Parcel 7A, Carmel Regional Performing Arts Center located at Carmel, Indiana and owned by City of Carmel and does hereby further state on behalf of the aforementioned Contractor. Application for Payment # 19 has been received for work performed through 09/30/l0. (PARTIAL WAIVER)that there is due from the contractor the sum of One Hundred Forty-two Thousand Three Hundred Fifty dollars and 00/cents ($ 142,350.00) Application for Payment # has been received for work performed through _ (FINAL WAIVER)that the final balance due from the Owner is the sum of dollars and 00/cents($ ) THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon on account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on accou of any work performed or material furnished to the undersigned for said project,and within the ope of ' :f davit a iver. W.R.Dunkin& Son, Inc. Title: Project Manager WITNESS MY HAND AND NOTARIAL SEAL,this 20th day of December ,2010 --Ae/e://0<___(Notary Pub1 c) My Commission Expires: January 08,2017 Printed Martha A. Carpenter Residing in Madison County _ . ar Document 6702/C aT" — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition 3 s TO OWNER: Carmel Redevelopment PROJECT: Parcel 7A,#4050 Carmel APPLICATION NO: 033 A Distribution to: Commission Performing Arts OWNER: X One Civic Square 777 3rd Ave. S.W. Carmel,IN 46032 Carmel, IN 46032 PERIOD TO:December 30,2010 CONSTRUCTION MANAGER:X ARCHITECT:X FROM W.R.Dunkin&Son,Inc. VIA CONSTRUCTION Shiel Sexton Co.,Inc. CONTRACT DATE:May 08,2008 CONTRACTOR: X CONTRACTOR: PO Box 2247 MANAGER: PROJECT NOS:25310/2695-4050/2695 FIELD: Anderson,IN 46018 OTHER: CONTRACT FOR: BP-#4050 General Trades VIA ARCHITECT: CSO Architects CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payi nt has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been d by the Contractor for Work for which previous Continuation Sheet,AIA Document G703,is attached. Certificates for Payment w- e issue* e p dents rece' red from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 9,966,300.00 payll , ,- is�I .w due. / 2.NET CHANGE BY CHANGE ORDERS $ -60,864.00 CONTRAC.iii` W ' Du - on. I ' . 'fr� ' 3.CONTRACT SUM TO DATE(Line 1 +2) $ 9,905,436.00 i • 4.,e_i/ ` Date: December 20,2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) $ 9,293,391.00 St of:Indiana / 5.RETAINAGE: County of:Madison a. 5 %of Completed Work Subscribed and sworn to before /� (Column D+Eon 0703) $ 491,833.80 me this 20th day of Decembe 2010 i b. 0 %of Stored Material Notary Public:Martha A.Carpenter h� (Column F on G703) $ 0.00 My Commission expires:January 08,2017 i/ Total Retainage(Lines 5a+5b or Total in Column I of G703) $ 491,833.80 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 8,801,557.20 In accordance with the Contract Documents, based on on-site observations and the data comprising (Line 4 Less Line 5 Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 8,789,249.20 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. Oar 8.CURRENT PAYMENT DUE $ 12,308.00 AMOUNT CERTIFIED $ l2 393 .--'-- 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from II amount applied.Initial all figures on this Application and on the Continuation Sheet that ar anged to conform with the amount certified.) (Line 3 less Line 6) 5 1,103,878.80 CONS RUCTION ii AGE;: / BY: ■. t_';r.11!L.__ A .. , Date: 0 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARC ,w y� Total changes approved in previous months by Owner 5 699,466.00$ 760,330.00 By: Date: , Z 31 1% Total approved this Month $ 0.00$ 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ 699,466.00$ 760,330.00 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order $ -60,864.00 AIA Document G702tCMaTM-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.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 1 under the law.This document was produced by AIA software at 14:50:27 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (1735088488) f(L I sF4: I . Document G703" ® 1992 Continuation Sheet AlA Document, G702' -1992,Application and Certification for Payment, or 0736T"-2009, APPLICATION NO: 33 A Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE: 12/14/2010 containing Contractor's signed certification is attached. In tabulations below, amounts are in US dollars. PERIOD TO: 12/31/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:25310 A B C D E F G H 1 WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE%ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (0-C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) PERFORMANCE 01010 BOND 106,000.00 106,000.00 0.00 0.00 106,000.00 100.00% 0.00 10,600.00 MOBILIZE/DEMOB 01015 ILIZE 29,000.00 26,000.00 2,000.00 0.00 28,000.00 96.55% 1,000.00 1,500.00 SUPERVISION/CO 01020 ORDINATION 361,000.00 359,900.00 0.00 0.00 359,900.00 99.70% 1,100.00 28,480.00 GENERAL 01025 CONDITIONS-M 380,000.00 380,000.00 0.00 0.00 380,000.00 100.00% 0.00 27,000.00 GENERAL 01026 CONDITIONS-L 98,000.00 98,000.00 0.00 0.00 98,000.00 100.00% 0.00 7,000.00 GENERAL 01027 CONDITIONS-O 262,990.00 262,990.00 0.00 0.00 262,990.00 100.00% 0.00 0.00 ALLOWANCE- STONE 140A0 WALKWAY 8,500.00 0.00 0.00 0.00 0.00 0.00% 8,500.00 0.00 ALLOWANCE- TEMPORARY 140B0 HANDRAIL 38,000.00 37,039.00 0.00 0.00 37,039.00 97.47% 961.00 2,776.90 ALLOWANCE- TEMPORARY DOORS/FRAMES/H 14000 ARDWARE 10,000.00 5,972.00 0.00 0.00 5,972.00 59.72% 4,028.00 0.00 140D0 ALLOWANCE-ICE 13,500.00 2,943.00 0.00 0.00 2,943.00 21.80% 10,557.00 207.10 ALLOWANCE- 140E0 SECURITY 31,000.00 58,114.00 5,722.00 0.00 63,836.00 205.92% -32,836.00 0.00 140F0 ALLOWANCE- 191,700.00 116,514.00 6,480.00 0.00 122,994.00 64.16% 68,706.00 3,987.90 MA Document G703TM-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 1 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A B C D I E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE% PREVIOUS AND STORED TO FINISH (IF VARIABLE NO. WORK VALUE THIS PERIOD STORED DATE (G-C) (C-G) RATE) APPLICATION (NOT IN D OR E) (D+E) (D+E+F) DUMPSTERS ALLOWANCE- TRAILER 140G0 CONNECTOR 34,000.00 33,500.00 0.00 0.00 33,500.00 98.53% 500.00 2,200.90 ALLOWANCE- TRAILER 140H0 CLEANING 19,169.00 15,720.00 0.00 0.00 15,720.00 82.01 % 3,449.00 1,066.10 ALLOWANCE-SITE 14010 SIGNAGE/SAFETY 22,000.00 11,623.00 0.00 0.00 11,623.00 52.83% 10,377.00 1,055.90 ALLOWANCE- 140.10 GENERAL LABOR 320,000.00 327,973.00 231.00 0.00 328,204.00 102.56% -8,204.00 594.40 ALLOWANCE- TEMPORARY FENCE 140K0 MODIFICATIONS 5,000.00 4,008.00 0.00 0.00 4,008.00 80.16% 992.00 400.80 ALLOWANCE-#2 140L0 OR#53 STONE 37,900.00 48,226.00 0.00 0.00 48,226.00 127.25% -10,326.00 1,885.60 ALLOWANCE- WAREHOUSE 140M LEASE/LAYDOWN 0 /PARKING 500,000.00 500,000.00 0.00 0.00 500,000.00 100.00% 0.00 942.70 ALLOWANCE- PARKING LOT INSTALL/MAINTAI 140N1 N 100,000.00 80,324.00 0.00 0.00 80,324.00 80.32% 19,676.00 5,532.40 ALLOWANCE- MAINT.-OFF SITE STAGING/PARKIN 140N2 G 35,000.00 24,700.00 415.00 0.00 25,115.00 71.76% 9,885.00 685.50 ALLOWANCE- PARKING LOT REMOVE/REFURBI 14000 SH 100,000.00 2,745.00 0.00 0.00 2,745.00 2.75% 97,255.00 274.50 AIA Document G703T"-1992.Copyright 0 1963, 1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This 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 2 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE FINISH (IF VARIABLE NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO DATE (G mm C) (C-G) RATE) APPLICATION (NOT IN D OR E) (D+E) (D+E+F) ALLOWANCE- HAUL/DISPOSE UNSUITABLE 140P0 MATERIAL 25,000.00 14,794.00 0.00 0.00 14,794.00 59.18% 10,206.00 1,479.40 ALLOWANCE-6 OZ. GEOTECH 140Q1 FABRIC 4,700.00 0.00 0.00 0.00 0.00 0.00% 4,700.00 320.70 ALLOWANCE- 140Q2 1'ENSAR GEOGRID 8,500.00 8,126.00 0.00 0.00 8,126.00 95.60% 374.00 0.00 ALLOWANCE-#2 140R0 STONE 26,200.00 23,580.00 0.00 0.00 23,580.00 90.00% 2,620.00 1,027.50 ALLOWANCE- CABLE PASS- 140S0 THRU(FOH) 6,456.00 6,456.00 0.00 0.00 6,456.00 100.00% 0.00 0.00 ALLOWANCE- CABLE PASS- 140T0 THRU(.BOH) 5,165.00 5,165.00 0.00 0.00 5,165.00 100.00% 0.00 0.00 ALLOWANCE- 140U CABLE PASS- O THRU(FLOOR) 17,217.00 17,217.00 0.00 0.00 17,217.00 100.00% 0.00 0.00 ALLOWANCE- TEMPORARY ELEVATOR 140V0 USAGE 200,000.00 153,084.00 9,244.00 0.00 162,328.00 81.16% 37,672.00 0.00 ALLOWANCE- 140W DONOR 0 RECOGNITION 100,000.00 100,000.00 0.00 0.00 100,000.00 100.00% 0.00 0.00 GENERAL 140X0 ALLOWANCE 400,000.00 445,471.00 -2,027.00 0.00 443,444.00 1.10.86% -43,444.00 598.00 ALLOWANCE-AS- 140Y0 BUILD/CAD 5,000.00 4,242.00 0.00 0.00 4,242.00 84.84% 758.00 0.00 FIELD 01501 OFFICE/STORAGE 16,400.00 16,400.00 0.00 0.00 16,400.00 100.00% 0.00 I,320.00 AIA Document G703"-1992.Copyright O 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects,All rights reserved.WARNING:This 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 3 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G±C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) TRAILER-M FIELD OFFICE/STORAGE 01502 TRAILER-L 5,500.00 5,500.00 0.00 0.00 5,500.00 100.00% 0.00 405.00 TEMPORARY TOILETS/WASHIN 01503 G STATIONS-M 41,800.00 41,800.00 0.00 0.00 41,800.00 1.00.00% 0,00 2,860.00 TEMPORARY TOILETS/WASI-IIN 01504 G STATIONS-L 7,600.00 7,600.00 0.00 0.00 7,600.00 1.00.00% 0.00 555.00 FIRE PROTECTION/EME 01505 RG.STATIONS-M 19,300.00 19,300.00 0.00 0.00 19,300.00 100.00% 0.00 1,930.00 FIRE PROTECTION/EME 01506 RG.STATIONS-L 4,000.00 4,000.00 0.00 0.00 4,000.00 1.00.00% 0.00 310.00 FURNISH/MAINTA 01507 IN TRASH CANS-M 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 600.00 FURNISH/MAINTA. 01508 IN TRASH CANS-L 40,000.00 40,000.00 0.00 0.00 40,000.00 100.00% 0.00 2,350.00 TEMPORARY ROAD/MAINTENA 01510 NCE 148,000.00 148,000.00 0.00 0.00 148,000.00 100.00% 0.00 12,220.00 TEMPORARY FENCING- REMOVE/RELOCA 01520 TE 15,800.00 15,800.00 0.00 0.00 15,800.00 100.00% 0.00 1,580.00 TEMPORARY v 01521 FENCING-GATES 6,500.00 6,500.00 0.00 0.00 6,500.00 100.00% 0.00 650.00 TEMPORARY FENCING- 01522 SCREENING 8,744.00 8,744.00 0.00 0.00 8,744.00 100.00% 0.00 874.40 AIA Document G703."'-1992.Copyright 0 1963, 1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This 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 4 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A 13 C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY AND STORED TO % FINISH IF VARIABLE NO. WORK VALUE PREVIOUS THIS PERIOD STORED (G-C) APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) TEMPORARY 01523 BARRIERS-M 6,800.00 6,800.00 0.00 0.00 6,800.00 100.00% 0.00 680.00 TEMPORARY 01524 BARRIERS-L 7,500.00 7,500.00 0.00 0.00 7,500.00 100.00% 0.00 750.00 TEMPORARY 01530 ENCLOSURES-M 10,800.00 10,800.00 0.00 0.00 10,800.00 100.00% 0.00 1,050.00 TEMPORARY 01531 ENCLOSURES-L 14,000.00 14,000.00 0.00 0.00 14,000.00 100.00% 0.00 1,360.00 SCAFFOLDING- SET UP/CONSUMABLE 01540 S 398,000.00 398,000.00 0.00 0.00 398,000.00 100.00% 0.00 37,620.00 SCAFFOLDING- MONTHLY RENTAL/INSPECTI 01541 ONS 228,000.00 228,000.00 0.00 0.00 228,000.00 1.00.00% 0.00 10,450.00 SCAFFOLDING- DISMANTLE/REM 01542 OVE 55,000.00 55,000.00 0.00 0.00 55,000.00 100.00% 0.00 0.00 STAIR TOWERS- 01543 SETUP 54,000.00 54,000.00 0.00 0.00 54,000.00 100.00% 0.00 1,800.00 STAIR TOWERS- MONTHLY 01544 RENTAL 28,500.00 28,500.00 0.00 0.00 28,500.00 100.00% 0.00 350.00 STAIR TOWERS- 01545 DISMANTLE 6,700.00 6,700.00 0.00 0.00 6,700.00 100.00% 0.00 0.00 HOIST-EXTERIOR- 546.1 SET UP 14,300.00 0.00 0.00 0.00 0.00 0.00% 14,300.00 0.00 HOIST-EXTERIOR- RENTAL/OPERATI 1546.2 ON 139,040.00 0.00 0.00 0.00 0.00 0.00% 139,040.00 0.00 HOIST-EXTERIOR- 1546.3 DISMANTLE 8,000.00 0.00 0.00 0.00 0.00 0.00% 8,000.00 0.00 AIA Document G703"'-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 5 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE%ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION (NOT IN D ORE) DATE (C-G) RATE) (D+E) (D+E+F) HOI ST-STA.IR2-SET 1547.1 UP 14,300.00 0,00 0.00 0.00 0.00 0.00% 14,300.00 0.00 HOIST-STAIR 2- RENTAL/OPERATI 1547.2 ON 139,040.00 0.00 0.00 0.00 0.00 0.00% 139,040.00 0.00 HOIST-STAIR 2- 1547.3 DISMANTLE 8,000.00 0.00 0.00 0.00 0.00 0.00% 8,000.00 0.00 HOIST-ROOM 100- 1548.1 SET UP 95,000.00 95,000.00 0.00 0.00 95,000.00 100.00% 0.00 9,500.00 HOIST-ROOM 100- RENTAL/OPERATI 1548.2 ON 211,000.00 211,000.00 0.00 0.00 211,000.00 1.00.00% 0.00 16,975.00 HOIST-ROOM 100- 1.548.3 DISMANTLE 2,500.00_ 2,500.00 0.00 0.00 2,500.00 100.00% 0.00 0.00 HOIST- ALLOWANCE-SET 1549.1 UP 9,830.00 0.00 0.00 0.00 0.00 0.00% 9,830.00 0.00 HOIST- ALLOWANCE- RENTAL/OPERATI 1549.2 ON 97,500.00 20,971.00 0.00 0.00 20,971.00 21.51 % 76,529.00 0.00 HOIST- ALLOWANCE- 1549.3 DISMANTLE 2,500.00 0.00 0.00 0.00 0.00 0.00% 2,500.00 0.00 01556 TRASH CHUTES-M 52,000.00 52,000.00 0.00 0.00 52,000.00 100.00% 0.00 4,490.00 01557 TRASH CHUTES-L 58,000.00 58,000.00 0.00 0.00 58,000.00 100.00% 0.00 2,500.00 GENERAL CLEAN 01560 UP-M 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 314.00 GENERAL CLEAN 01561 UP-L 60,000.00 60,000.00 0.00 0.00 60,000.00 100.00% 0.00 3,560.00 01562 FINAL CLEANING 65,000.00 65,000.00 0.00 0.00 65,000.00 100.00% 0.00 0.00 02110 EXCAVATION/BA 12,019.00 12,019.00 0.00 0.00 12,019.00 100.00% 0.00 1,201.90 AIA Document G703"-1992.Copyright 0 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA° Document,or any portion of it,may result in severe civil and criminal penalties,and will be 6 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. t - User Notes: (913535053) A B C D E F G H WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE PREVIOUS AND STORED TO FINISH (IF VARIABLE NO. WORK VALUE THIS PERIOD STORED DATE (G-C) (C-G} RATE) APPLICATION (NOT IN D OR E) (D+E) (D+E+F) CKFILL-SUMPS-M EXCAVATION/BA CKFILL-SUMPS-L 02111 EQ 25,000.00 25,000.00 0.00 0.00 25,000.00 100.00% 0.00 2,500.00 02240 SHORING 209,800.00 209,800.00 0.00 0.00 209,800.00 100.00% 0.00 20,980.00 CAST IN PLACE 03301 CONCRETE-M 12,000.00 12,000.00 0.00 0.00 12,000.00 100.00% 0.00 1,000.00 CAST IN PLACE 03302 CONCETE-L 40,000.00 40,000.00 0.00 0.00 40,000.00 100.00% 0.00 3,500.00 PRECAST PLANKS-12" 03410 HOLLOW CORE 161,000.00 161,000.00 0.00 0.00 161,000.00 100.00% 0.00 16,100.00 PRECAST PLANKS-12" 03411 SOLID 898,000.00 898,000.00 0.00 0.00 898,000.00 100.00% 0.00 89,800.00 PRECAST 03412 PLANKS-6" SOLID 107,000.00 107,000.00 0.00 0.00 107,000.00 100.00% 0.00 10,700.00 PRECAST 03413 TRUCKING 82,000.00 82,000.00 0.00 0.00 82,000.00 100.00% 0.00 8,200.00 PRECAST 03414 ERECTION 186,000.00 1 86,000.00 0.00 0.00 186,000.00 100.00% 0.00 18,600.00 INTERIOR METAL FABRICATIONS- 05504 SUBMITTALS 102,000.00 102,000 00 0.00 0.00 102,000.00 100.00% 0.00 10,200.00 STEEL STAIRS 05505 WITH RAIL-M 179,000.00 179,000.00 0.00 0.00 179,000.00 100.00% 0.00 14,857.00 STEEL STAIRS 05506 WITH RAIL-L 80,000.00 80,000.00 0.00 0.00 80,000.00 100.00% 0.00 6,600.00 05507 LADDERS-M 26,000.00 26,000.00 0.00 0.00 26,000.00 100.00% 0.00 2,600.00 - 05508 LADDERS-L 12,500.00 12,500.00 0.00 0.00 12,500.00 100.00% 0.00 1,220.00 CATWALK 05509 FRAMING-M 63,000.00 63,000.00 0.00 0.00 63,000.00 100.00% 0.00 6,300.00 AIA 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 AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 7 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE PREVIOUS AND STORED TO FINISH (IF VARIABLE NO. WORK VALUE THIS PERIOD STORED DATE (G-C) (C-G) RATE) APPLICATION (NOT IN D OR E) (D+E) (D+E+F) CATWALK 05510 FRAMING-L 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 1,710.00 MISCELLANEOUS 05511 METALS-M 441,000.00 441,000.00 0.00 0.00 441,000.00 100.00% 0.00 13,615.00 MISCELLANEOUS 05512 METALS-L 275,000.00 275,000.00 0.00 0.00 275,000.00 100.00% 0.00 8,094.30 INTERIOR ROUGH 06100 CARPENTRY-M 31,000.00 31,000.00 0.00 0.00 31,000.00 100.00% 0.00 372.00 INTERIOR ROUGH 06101 CARPENTRY-L 44,000.00 44,000.00 0.00 0.00 44,000.00 100.00% 0.00 484.00 FOUNDATION WATERPROOFING 07110 -M 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 510.00 FOUNDATION WATERPROOFING 07111 -L 6,600.00 6,600.00 0.00 0.00 6,600.00 100.00% 0.00 660.00 07210 DUCT LINERS-M 97,000.00 97,000.00 0.00 0.00 97,000.00 100.00% 0.00 9,700.00 07211 DUCT LINERS-L 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 1,120.00 07810 FIRESTOPPING-M 24,000.00 24,000.00 0.00 0.00 24,000.00 100.00% 0.00 1,680.00 07811 FIRESTOPPING-L 16,000.00 16,000.00 0.00 0.00 16,000.00 100.00% 0.00 1,220.00 JOINT SEALANTS- 07910 M 35,000.00 35,000.00 0.00 0.00 35,000.00 100.00% 0.00 0.00 JOINT SEALANTS- 07911 L 80,000.00 80,000.00 0.00 0.00 80,000.00 100.00% 0.00 0.00 STEEL DOORS& 08110 FRAMES-M 0.00 0.00 0.00 0.00 0.00% 0.00 STEEL DOORS& 08111 FRAMES-L 0.00 0.00 0.00 0.00 0.00% 0.00 FLUSH WOOD 08140 DOORS-M 0.00 0.00 0.00 0.00 0.00% 0.00 FLUSH WOOD 08141 DOORS-L 0.00 0.00 0.00 0.00 0.00% 0.00 AIA Document G703'4-1992.Copyright©1963, 1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 8 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A B C D I E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY PREVIOUS AND STORED TO FINISH (IF VARIABLE NO. WORK VALUE THIS PERIOD STORED DATE (G±C) (C-G) RATE) APPLICATION (NOT IN D OR E) D+E+F) (D+E) STILE&RAIL 08143 WOOD DOORS-M 0.00 0.00 0.00 0.00 0.00% 0.00 STILE&RAIL 08144 WOOD DOORS-L 0.00 0.00 0.00 0.00 0.00% 0.00 SOUND CONTROL DOORS& 08347 WINDOWS-M 0.00 0.00 0.00 0.00 0.00% 0.00 SOUND CONTROL DOORS& 08348 WINDOWS-L 0.00 0.00 0.00 0.00 0.00% 0.00 OVER COILING 08355 DOORS-M 0.00 0.00 0.00 0.00 0.00% 0.00 OVERHEAR 08356 COILING DOORS-L 0.00 0.00 0.00 0.00 0.00% 0.00 ALUM.FRAMED ENTRANCES/STOR 08410 EFRONTS-M 0.00 0.00 0.00 0.00 0.00% 0.00 ALUM.FRAIvIED ENTRANCES/STOR 08411 EFRONS-L 0.00 0.00 0.00 0.00 0.00% 0.00 INTERIOR ALUM. DOORS& 0841.3 FRAMES-M 0.00 0.00 0.00 0.00 0.00% 0.00 INTERIOR ALUM. DOORS& 08414 FRAMES-L 0.00 0.00 0.00 0.00 0.00% 0.00 REVOLVING DOOR 08423 ENTRANCES-M 0.00 0.00 0.00 0.00 0.00% 0.00 REVOLVING DOOR 08424 ENTRANCES-L 0.00 0.00 0.00 0.00 0.00% 0.00 08440 GLAZED ALU,. 325,000.00 325,000.00 0.00 0.00 325,000.00 100.00% 0.00 11,375.00 AIA Document G703-"4-1992.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 AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 9 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.01 6 842073 9_1 which expires on 05/1012011,and is not for resale. User Notes: (913535053) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY PREVIOUS AND STORED TO FINISH (IF VARIABLE NO. WORK VALUE THIS PERIOD STORED DATE (G C) (C-G) RATE) APPLICATION (NOT IN D OR E) DATE (D+E) CURTAIN WALLS- M GLAED ALUM. CURTAIN WALLS- 08441 L 148,000.00 146,000.00 0.00 0.00 146,000.00 98.65% 2,000.00 0.00 08710 HARDWARE 525,000.00 525,000.00 0.00 0.00 525,000.00 100.00% 0.00 18,800.00 INTERIOR 08810 GLAZING-M 1 1,000.00 11,000.00 0.00 0.00 11,000.00 100.00% 0.00 22.00 INTERIOR 08811 GLAZING-L 8,000.00 8,000.00 0.00 0.00 8,000.00 1.00.00% 0.00 0.00 FIRE PROTECTION 10440 SPECIALTIES-M 7,580.00 7,580.00 0.00 0.00 7,580.00 100.00% 0.00 0.00 FIRE PROTECTION 10441 SPECIALTIES-L 1,800.00 1,800.00 0.00 0.00 1,800.00 100.00% 0.00 0.00 10450 KNOX BOX 650.00 650.00 0.00 0.00 650.00 100.00% 0.00 0.00 LOADING DOCK 11130 EQUIPMENT-M 18,500.00 18,500.00 0.00 0.00 18,500.00 100.00% 0.00 1,647.50 LOADING DOCK 11131 EQUIPMENT-L 3,800.00 3,800.00 0.00 0.00 3,800.00 1.00.00% 0.00 220.00 ELEC.TRACTION ELEVATORS- 14210 ENGINEERING 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 ELEC.TRACTION ELEVATORS- MATERIAL/EQUIP 14211 MENT 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 ELEC.TRACTION 14212 ELEVATORS-L 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 HYDRAULIC ELEVATOR- 14241 ENGINEERING 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 14242 HYDRAULIC 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIA Document G703Tm-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be 10 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51'42 on 12/20/2010 under Order No 0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE%ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G C) FINISH (IF VARIABLE - APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) - ELEVATOR- MATERIAL/EQUIP MENT HYDRAULIC ELEVATOR- 14243 LABOR 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 WHEELCHAIR LIFT- MATERIAL/EQUIP 14421 MENT 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 WHEELCHAIR 14422 LIFT-PERMITS 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 WHEELCHAIR 14423 LIFT-LABOR 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 CHANGE ORDER 17001 NO. 01 228,000.00 228,000.00 0.00 0.00 228,000.00 100.00% 0.00 450.00 CHANGE ORDER 17002 NO. 02 9,031.00 9,031.00 0.00 0.00 9,031.00 100.00% 0.00 0.00 CHANGE ORDER 17003 NO. 03 2,196.00 2,196.00 0.00 0.00 2,196.00 100.00% 0.00 30.00 17000 CHANGE ORDER 4 NO. 04 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 17000 CHANGE ORDER 5 NO. 05 98,741.00 98,741.00 0.00 0.00 98,741.00 100.00% 0.00 9,874.10 17000 CHANGE ORDER. 6 NO. 06 17,527.00 17,527.00 0.00 0.00 17,527.00 100.00% 0.00 1,400.00 17000 CHANGE ORDER 7 NO. 07 11,292.00 11,292.00 0.00 0.00 11,292.00 100.00% 0.00 1,129.20 17000 CHANGE ORDER 8 NO. 08 44,936.00 44,936.00 0.00 0.00 44,936.00 100.00% 0.00 4,493.60 17000 CHANGE ORDER 9 NO. 09 14,683.00 14,683.00 0.00 0.00 14,683.00 100.00% 0.00 0.00 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 AIAe Document is protected by • U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 11 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168,120739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE PREVIOUS AND STORED TO _ FINISH (IF VARIABLE NO. WORK VALUE THIS PERIOD STORED DATE (G C) (C G) RATE APPLICATION (NOT IN D OR E) ( ) ) (D+E) (D+E+F) 17001 CHANGE ORDER 0 NO. 10 -760,330.00_ -750,573.00 -9,757.00 0.00 -760,330.00 100.00% 0.00 -38,016.50 17001 CHANGE ORDER 2 NO. 12 49,062.00 49,062.00 0.00 0.00 49,062.00 100.00% 0.00 2,453.10 17001 CHANGE ORDER 3 NO. 13 3,801.00 3,801.00 0.00 0.00 3,801.00 100.00% 0.00 190.05 17001 CHANGE ORDER 4 NO. 14 787.00 787.00 0.00 0.00 787.00 100.00% 0.00 39.35 17001 CHANGE ORDER 5 NO. 15 34,158.00 34,158.00 0.00 0.00 34,158.00 1.00.00% 0.00 1,707,90 17001 CHANGE ORDER 6 NO. 16 7,529.00 7,529.00 0.00 0.00 7,529.00 100.00% 0.00 376.45 17001 CHANGE ORDER 7 NO. 17 7,083.00 7,083.00 0.00 0.00 7,083.00 100.00% 0.00 354.15 17001 CHANGE ORDER 8 NO. 18 22,591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 1,129.55 17001 CHANGE ORDER 9 NO. 19 22,591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 1,129.55 17002 CHANGE ORDER 0 NO. 20 22,591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 1,129.55 17002 CHANGE ORDER 1 NO. 21 22,591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 1,129.55 17002 CHANGE ORDER 2 NO.22 68,760.00 68,760.00 0.00 0.00 68,760.00 100.00% 0.00 0.00 17002 CHANGE ORDER 3 NO. 23 4,562.00 4,562.00 0.00 0.00 4,562.00 1.00.00% 0.00 228.I0 17002 CHANGE ORDER 4 NO. 24 6,954.00 6,954.00 0.00 0.00 6,954.00 100.00% 0.00 347.70 GRAND TOTAL $9,905,436.00 $9,281,083.00 $12,308.00 $0.00 $9,293,391.00 93.82% $612,045.00 $491,833.80 AIA Document G703T"'-1992.Copyright 0 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 12 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:51:42 on 12/20/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (913535053) AFFIDAVIT AND WAIVER OF LIEN [ ]F1AL [X]PARTIAL [X] PAYMENT TO FOLLOW State of Indiana,County of Madison. SS Bradley Tyler , being duly sworn states that he is the Project Manager of W. R. Dunkin & Son, Inc. having contracted with City of Carmel Redevelopment Commission to furnish certain materials and/or labor as follows: Bid Package 4050-General Trades for a project known as Parcel 7A, Carmel Regional Performing Arts Center located at Carmel, Indiana and owned by City of Carmel and does hereby further state on behalf of the aforementioned Contractor. Payment for Application # 33A for work performed through 12/31/10 , of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned. (PARTIAL WAIVER)that there is due from the contractor the sum of Twelve Thousand Three Hundred Eight dollars and 00/cents (S 12,308.00 ) Payment for Application # for work performed through , of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount,and which waiver shall be effective only upon receipt of payment thereof by the undersigned. (PARTIAL WAIVER)that there is due from the contractor the sum of dollars and 00/cents (S 0.00 ) 3 Application for Payment # has been received for work performed through . (FINAL WAIVER)that the final balance due from the Owner is the sum of dollars and 00/cents(S ) THEREFORE,the undersigned waives and releases unto the Owner of said premises,any and all lien or claim whatsoever on the above described property and improvements thereon on account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if.ny; and further certifies that no other party has any claim or right to a lien on account of any work performed orb aterial furnished to the undersigned for said project,and within the scope o p 4.::i a ,r.,d w.' er. W.R. Dunkin& Son, Inc. B, ii , Title:Project Manager WITNESS MY HAND AND NOTARIAL S AL,this 20th day of December ,2010 A,,,,,,‘6„,,64c,,....„7/—,,,. , (Notary Public) My Commission Expires: January 08,2017 Printed Martha A. Carpenter Residing in Madison County AFFIDAVIT AND WAIVER OF LIEN [ ]FINAL [X]PARTIAL [ ]PAYMENT TO FOLLOW State of Indiana,County of Madison. SS Bradley A. Tyler , being duly sworn states that he is the Project Manager of W. R. Dunkin & Son, Inc. having contracted with City of Carmel Redevelopment Commission to furnish certain materials and/or labor as follows: Bid Package 4050-General Trades for a project known as Parcel 7A, Carmel Regional Performing Arts Center located at Carmel, Indiana and owned by City of Carmel and does hereby further state on behalf of the aforementioned Contractor. Application for Payment # 30A has been received for work performed through 10/31/10 (PARTIAL WAIVER)that there is due from the contractor the sum of Sixty-eight Thousand Seven Hundred Sixty dollars and 00/cents ($ 68,76000 ) Application for Payment # 30B has been received for work performed through 10/31/10. (FINAL WAIVER)that the fmal balance due from the Owner is the sum of Seventy-seven Thousand Seven Hundred Twenty dollars and 00/cents($ 77,720.00 ) THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon on account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on . :ount .many work performed or material furnished to the undersigned for said pro'- the`•ope of .ff.'vit and//4. W.R.Dunkin&Son,Inc.`? ��/.t'L /�� i� Title:Project Manager WITNESS MY HAND AND NOTARIAL SEAL,this 20th day of December ,2010 (Notary P4,66lic) My Commission Expires: January 08,2017 Printed Martha A. Carpenter Residing in Madison County