HomeMy WebLinkAboutW R DUNKIN & SONS, INC. -002170 -8/18/2011 CARMEL REDEVELOPMENT COMMISSION 002170 W R Dunkin & Son, Inc. Check: 2170 PO Box 2247 Date: 8/18/2011 Anderson, IN 46018 Vendor: DUNKINW1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 37A 35 32,147.00 32,147.00 0.00 0.00 32,147.00 Application 37A 32,147.00 32,147.00 0.00 0.00 32,147.00 • ,,r 1 °; ct 72TM 2009 • ...♦ ,` Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: Cannel Redevelopment PROJECT: Parcel 7A,#4050 Carmel APPLICATION NO: 037 f57 DISTRIBUTION TO: Commission Performing Arts OWNER One Civic Square 777 3rd Ave. S.W. PERIOD TO:July 28,2011 CONSTRUCTION MANAGER Carmel,IN 46032 Cannel,IN 46032 ARCHITECT FROM W.R.Dunkin&Son,Inc. VIA CONSTRUCTION Shiel Sexton Co.,Inc. CONTRACT DATE:May 08,2008 CONTRACTOR CONTRACTOR: PO Box 2247 MANAGER: PROJECT NOS:25310/2695-4050/2695 FIELD Anderson,IN 46018 CONTRACT FOR: Bid Package#4050-General VIA ARCHITECT: CSO Architects OTHER Trades 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 P. 'men/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 bee / ': b the Contractor for Work for which previous AIA Document G703TM Continuation Sheet,is attached. Certificates for Payment we ssued . d p en t received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 9,966,300.00 pay-•:•...�: 0:•_. is n' v :ue.� 2.NET CHANGES IN THE WORK $ -500,262.00 CON �i W R Ai i n-.yr . Son, • . 3.CONTRACT SUM TO DATE(Line 1±2) $ 9,466,038.00 By. A Date: July 28,2011 4.TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $ 9,362,860.00 S .e of:Indiana s 5.RETAINAGE: County of:Madison •,,�''�P6m MARTHA A.CARPENTER a. 5 %of Completed Work Subscribed and sworn to before z��° NOTARY PUBLIC (Column D+E_on G703) $ 15,000.00 me this 28th day of July, 2011 I ST' OF INDIANA b. 0 %of Stored Material Notary Public:Martha A.Carpenter (-71_.‘,6,.6,Z1 �� . ,4i _Comu Expires 1•&17 (Column F on G703) $ 0.00 My Commission expires:January 08,2017 Total Retainage(Lines 5a+5b, or Total in Column I on G703) $ 15,000.00 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 9,347,860.00 In accordance with the Contract Documents, based on evaluations of the Work and the data (Line 4 minus Line 5 Total) comprising this application,the Construction Manager and Architect certify to the Owner that to the 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 9,315,713.00 best of their knowledge, information and belief the Work has progressed as indicated, the quality of (Line 6 from prior Certificate) the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 8.CURRENT PAYMENT DUE $ 32,147.00 AMOUNT CERTIFIED $ SZ t`il + 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs fro; e .nouns applied.Initial all figures on this Application and on I yy Continuation et that s'e charged to conform with the amount certified) (Line 3 minus Line 6) $ 118,178.00 CON RUCTION MA I'GEC I By: 1 I' ,F■f A / , Date: 07 2, I 1 SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS ARC CT: km/7E: f' ltiple Prime Contractors are responsible for peiforn ting onions of the Project, be , •e,t' ertificati_._ ':... required) Total changes approved in previous months by Owner $ 699,466.00$ 760,330.00 By; Date: 2A\It' Total approved this month including Construction $ 0.00 $ 439,398.00 Change Directives This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ 699,466.00 $ 1,199,728.00 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. NET CHANGES IN THE WORK $ -500,262.00 AIA Document G732TM—2009(formerly G7021"CMa—1992).Copyright©1992 and 2009 by The American Institute of Architects.All rights reserved.WARNING:This AlAe Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted 1 to the maximum extent possible under the law.This document was produced by AIA software at 17:04:23 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (1934325368) /L. t, ® TM Document 6703 ® 1992 _ . Continuation Sheet AIA Document,G702T14-1992,Application and Certification for Payment, or G736TM-2009, APPLICATION NO: 037 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE: 07/28/2011 containing Contractor's signed certification is attached. In tabulations below,amounts are in US dollars. PERIOD TO:07/28/2011 Use Colunm I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:25310 A B C D I E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE AND STORED TO FINISH (IF VARIABLE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY % NO. WORK VALUE PREVIOUS THIS PERIOD STORED DATE (G-C) (C G) ( RATE) APPLICATION (NOT IN D ORE) (D+E+F) +E) ( ) PERFORMANCE 01010 BOND 106,000.00 106,000.00 0.00 0.00 106,000.00 100.00% 0.00 0.00 • MOBILIZE/DEMOB 01015 ILIZE 29,000.00 29,000.00 0.00 0.00 29,000.00 100.00% 0.00 0.00 SUPERVISION/CO 01020 ORDINATION 361,000.00 361,000.00 0.00 0.00 361,000.00 100.00% 0.00 0.00 GENERAL 01025 CONDITIONS-M 380,000.00 380,000.00 0.00 0.00 380,000.00 100.00% 0.00 0.00 GENERAL 01026 CONDITIONS-L 98,000.00 98,000.00 0.00 0.00 98,000.00 100.00% 0.00 0.00 GENERAL 01027 CONDITIONS-0 262,990.00 262,990.00 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 14080 HANDRAIL 38,000.00 37,039.00 0.00 0.00 37,039.00 97.47% 961.00 0.00 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 0.00 ALLOWANCE- 140E0 SECURITY 31,000.00 63,836.00 0.00 0.00 63,836.00 205.92% -32,836.00 0.00 140F0 ALLOWANCE- 191,700.00 128,664.00 270.00 0.00 128,934.00 67.26% 62,766.00 0.00 AM Document G703TM-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA® Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be I prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 16'56'07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAITIAGE ITEM DESCRIPTION OF SCHEDULED PREVIOUS PRESENTLY 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 DATE (D+E) DUMPSTERS ALLOWANCE- TRAILER 140G0 CONNECTOR 34,000.00 33,500.00 0.00 0.00 33,500.00 98.53 % 500.00 0.00 ALLOWANCE- TRAILER 140H0 CLEANING 19,169.00 15,720.00 0.00 0.00 15,720.00 82.01 % 3,449.00 0.00 ALLOWANCE-SITE 14010 SIGNAGE/SAFETY 22,000.00 11,623.00 0.00 0.00 11,623.00 52.83 % 10,377.00 0.00 ALLOWANCE- 140J0 GENERAL LABOR 320,000.00 331,606.00 585.00 0.00 332,191.00 103.81 % -12,191.00 0.00 ALLOWANCE- TEMPORARY FENCE 140K0 MODIFICATIONS 5,000.00 4,008.00 0.00 0.00 4,008.00 80.16% 992.00 0.00 ALLOWANCE-#2 140L0 OR#53 STONE 37,900.00 48,226.00 0.00 0.00 48,226.00 127.25% -10,326.00 0.00 ALLOWANCE- WAREHOUSE 140M LEASE/LAYDOWN 0 /PARKING 500,000.00 500,000.00 0.00 0.00 500,000.00 100.00% 0.00 0.00 ALLOWANCE- PARKING LOT INSTALL/MAINTAI 140N1 N 100,000.00 80,519.00 0.00 0.00 80,519.00 80.52% 19,481.00 0.00 ALLOWANCE- MAINT.-OFF SITE STAGING/PARKIN 140N2 G 35,000.00 25,115.00 0.00 0.00 25,115.00 71.76% 9,885.00 0.00 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, 0.00 AJA 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 2 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 16:56:07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) • 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 AND STORED TO (G_C) FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (C-G) RATE) D+E) ( (NOT IN D OR 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 0.00 ALLOWANCE-6 OZ. GEOTECH 140Q1 FABRIC 4,700.00 0.00 0.00 0.00 0.00 0.00% 4,700.00 0.00 ALLOWANCE- 140Q2 TENSAR GEOGRID 8,500.00 8,126.00 0.00 0.00 8,126.00 95.60% 374.00 0.00 ALLOWANCE-42 140R0 STONE 26,200.00 23,580.00 0.00 0.00 23,580.00 90.00% 2,620.00 0.00 ALLOWANCE- CABLE PASS- 140SO 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 1.00.00% 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 200,000.00 162,328.00 0.00 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 400,000.00 467,399.00 59,151.00 0.00 526,550.00 131.64% -126,550.00 0.00 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 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 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 16:56:07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PREVIOUS PRESENTLY 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) 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 0.00 TEMPORARY TOILETS/WASHIN 01503 G STATIONS-M 41,800.00 41,800.00 0.00 0.00 41,800.00 100.00% 0.00 0.00 TEMPORARY TOILETS/WASHIN 01504 G STATIONS-L 7,600.00 7,600.00 0.00 0.00 7,600.00 100.00% 0.00 0.00 FIRE PROTECTION/EME 01505 RG.STATIONS-M 19,300.00 19,300.00 0.00 0.00 19,300.00 100.00% 0.00 0.00 FIRE PROTECTION/EME 01506 RG.STATIONS-L 4,000.00 4,000.00 0.00 0.00 4,000.00 100.00% 0.00 0.00 FURNISH/MAINTA 01507 IN TRASH CANS-M 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 0.00 FURNISH/MAINTA 01508 IN TRASH CANS-L 40,000.00 40,000.00 0.00 0.00 40,000.00 100.00% 0.00 0.00 TEMPORARY ROAD/MAINTENA 01510 NCE 148,000.00 148,000.00 0.00 0.00 148,000.00 100.00% 0.00 0.00 TEMPORARY FENCING- REMOVE/RELOCA 01520 TE 15,800.00 15,800.00 0.00 0.00 15,800.00 100.00% 0.00 0.00 TEMPORARY 01521 FENCING-GATES 6,500.00 6,500.00 0.00 0.00 6,500.00 100.00% 0.00 0.00 TEMPORARY FENCING- 01522 SCREENING 8,744.00 8,744.00 0.00_ 0.00 8,744.00 100.00% 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 Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAa 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 16:56:07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO -C) FINISH (IF VARIABLE APPLICATION (NOT IN D ORE) 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 1.00.00% 0.00 0.00 TEMPORARY 01524 BARRIERS-L 7,500.00 7,500.00 0.00 0.00 7,500.00 100.00% 0.00 0.00 TEMPORARY 01530 ENCLOSURES-M 10,800.00 10,800.00 0.00 0.00 10,800.00 100.00% 0.00 0.00 TEMPORARY 01531 ENCLOSURES-L 14,000.00 14,000.00 0.00 0.00 14,000.00 100.00% 0.00 0.00 SCAFFOLDING- SET UP/CONSUMABLE 01540 S 398,000.00 398,000.00 0.00 0.00 398,000.00 100.00% 0.00 0.00 SCAFFOLDING- MONTHLY RENTAL/INSPECTI 01541 ONS 228,000.00 228,000.00 0.00 0.00 228,000.00 100.00% 0.00 0.00 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 0.00 STAIR TOWERS- MONTHLY 01544 RENTAL 28,500.00 28,500.00 0.00 0.00 28,500.00 100.00% 0.00 0.00 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- 1546.1 SET UP 14,300.00 0.00 14,300.00 0.00 14,300.00 100.00% 0.00 0.00 HOIST-EXTERIOR- RENTAL/OPERATI 1546.2 ON 139,040.00 0.00 139,040.00 0.00 139,040.00 100.00% 0.00 0.00 HOIST-EXTERIOR- 1546.3 DISMANTLE 8,000.00 0.00 8,000.00 0.00 8,000.00 100.00% 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 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 16:56:07 on 07/28/201 1 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) 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 APPLICATION THIS PERIOD STORED DATE (G_C) (C G) RATE) (NOT IN D OR E) (D+E+F) +E) D+E+F) HOIST-STAIR2-SET 1547.1 UP 14,300.00 0.00 14,300.00 0.00 14,300.00 100.00% 0.00 0.00 HOIST-STAIR 2- RENTAL/OPERATI 1547.2 ON 139,040.00 0.00 139,040.00 0.00 139,040.00 100.00% 0.00 0.00 HOIST-STAIR 2- 1547.3 DISMANTLE 8,000.00 0.00 8,000.00 0.00 8,000.00 100.00% 0.00 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 0.00 HOIST-ROOM 100- RENTAL/OPERATI 1548.2 ON 211,000.00 211,000.00 0.00 0.00 211,000.00 100.00% 0.00 0.00 HOIST-ROOM 100- 1548.3 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 9,830.00 0.00 9,830.00 100.00% 0.00 0.00 HOIST- ALLOWANCE- RENTAL/OPERATI 1549.2 ON 97,500.00 20,971.00 76,529.00 0.00 97,500.00 100.00% 0.00 0.00 H:OIST- ALLOWANCE- 1549.3 DISMANTLE 2,500.00 0.00 2,500.00 0.00 2,500.00 100.00% 0.00 0.00 01556 TRASH CHUTES-M 52,000.00 52,000.00 0.00 0.00 52,000.00 100.00% 0.00 0.00 01557 TRASH CHUTES-L 58,000.00 58,000.00 0.00 0.00 58,000.00 100.00% 0.00 0.00 GENERAL CLEAN 01560 UP-M 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 0.00 GENERAL CLEAN 01561 UP-L 60,000.00 60,000.00 0.00 0.00 60,000.00 100.00% 0.00 0.00 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 0.00 AIA Document.G703""-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be 6 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 16.56:07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS 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) 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 0.00 02240 SHORING 209,80000 209,800.00 0.00 0.00 209,800.00 100.00% 0.00 0.00 CAST IN PLACE 03301 CONCRETE-M 12,000.00 12,000.00 0.00 0.00 12,000.00 100.00% 0.00 0.00 CAST IN PLACE 03302 CONCETE-L 40,000.00 40,000.00 0.00 0.00 40,000.00 100.00% 0.00 0.00 PRECAST PLANKS-12" 03410 HOLLOW CORE 161,000.00 161,000.00 0.00 0.00 161,000.00 100.00% 0.00 0.00 PRECAST PLANKS-12" 03411 SOLID 898,000.00 898,000.00 0.00 0.00 898,000.00 100.00% 0.00 0.00 PRECAST 03412 PLANKS-6" SOLID 107,000.00 107,000.00 0.00 0.00 107,000.00 100.00% 0.00 0.00 PRECAST 03413 TRUCKING 82,000.00 82,000.00 0.00 0.00 82,000.00 100.00% 0.00 0.00 PRECAST 03414 ERECTION 186,000.00 186,000.00 0.00 0.00 186,000.00 100.00% 0.00 0.00 INTERIOR METAL FABRICATIONS- 05504 SUBMITTALS 102,000.00 102,000.00 0.00 0.00 102,000.00 100.00% 0.00 0.00 STEEL STAIRS 05505 WITH RAIL-M 179,000.00 179,000.00 0.00 0.00 179,000.00 100.00% 0.00 0.00 STEEL STAIRS 05506 WITH RAIL-L 80,000.00 80,000.00 0.00 0.00 80,000.00 1.00.00% 0.00 0.00 05507 LADDERS-M 26,000.00 26,000.00 0.00 0.00 26,000.00 100.00% 0.00 0.00 05508 LADDERS-L 12,500.00 12,500.00 0.00 0.00 12,500.00 100.00% 0.00 0.00 CATWALK 05509 FRAMING-M 63,000.00 63,000.00 0.00 0.00 63,000.00 100.00% 0.00 0.00 AMA Document G703""-1992.Copyright©1963, 1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This 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 16:56:07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) 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 DATE _ (C-G) RATE) (NOT 1N 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 0.00 MISCELLANEOUS 05511 METALS-M 441,000.00 441,000.00 0.00 0.00 441,000.00 100.00% 0.00 0.00 MISCELLANEOUS 05512 METALS-L 275,000.00 275,000.00 0.00 0.00 275,000.00 100.00% 0.00 0.00 INTERIOR ROUGH 06100 CARPENTRY-M 31,000.00 31,000.00 0.00 0.00 31,000.00 100.00% 0.00 0.00 INTERIOR ROUGH 06101 CARPENTRY-L 44,000.00 44,000.00 0.00 0.00 44,000.00 100.00% 0.00 0.00 FOUNDATION WATERPROOFING 07110 -M 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 0.00 FOUNDATION WATERPROOFING 07111 -L 6,600.00 6,600.00 0.00 0.00 6,600.00 100.00% 0.00 0.00 07210 DUCT LINERS-M 97,000.00 97,000.00 0.00 0.00 97,000.00 100.00% 0.00 0.00 07211 DUCT LINERS-L 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 0.00 07810 FIRESTOPPING-M 24,000.00 24,000.00 0.00 0.00 24,000.00 100.00% 0.00 0.00 078I 1 FIRESTOPPING-L 16,000.00 16,000.00 0.00 0.00 16,000.00 100.00% 0.00 0.00 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 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 AM Document G70311'-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 8 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 16:56:07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) 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 -C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) 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.FRAMED ENTRANCES/STOR 08411 EFRONS-L 0.00 0.00 0.00 0.00 0.00% 0.00 INTERIOR ALUM. DOORS& 08413 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 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 AlAe 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 16:56:07 on 07/28/2011 under Order No.021 5931 57 2_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) 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 (G-C) APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) CURTAIN WALLS- M GLAED ALUM. CURTAIN WALLS- 08441 L 148,000.00 148,000.00 0.00 0.00 148,000.00 100.00% 0.00 0.00 08710 HARDWARE 525,000.00 525,000.00 0.00 0.00 525,000.00 100.00% 0.00 0.00 INTERIOR 08810 GLAZING-M 11,000.00 11,000.00 0.00 0.00 11,000.00 100.00% 0.00 0.00 INTERIOR 08811 GLAZING-L 8,000.00 8,000.00 0.00 0.00 8,000.00 100.00% 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 SPECIALTLES-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 0.00 LOADING DOCK 11131 EQUIPMENT-L 3,800.00 3,800.00 0.00 0.00 3,800.00 100.00% 0.00 0.00 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 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 10 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 16:56:07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PREVIOUS FROM PRESENTLY 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) ELEVATOR- MATERIAL/EQUIP MENT HYDRAULIC ELEVATOR- 1 4243 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 0.00 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 0.00 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 0.00 17000 CHANGE ORDER 6 NO. 06 17,527.00 17,527.00 0.00 0.00 17,527.00 100.00% 0.00 0.00 17000 CHANGE ORDER 7 NO. 07 11,292.00 11,292.00 0.00 0.00 11,292.00 100.00% 0.00 0.00 17000 CHANGE ORDER 8 NO. 08 44,936.00 44,936.00 0.00 0.00 44,936.00 100.00% 0.00 0.00 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 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 AIA® 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 16:56:07 on 07/28/201 1 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PREVOOUS PRESENTLY AND STORED TO % FINISH (1F 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 -760,330.00 0.00 0.00 -760,330.00 100.00% 0.00 0.00 17001 CHANGE ORDER 2 NO. 12 49,062.00 49,062.00 0.00 0.00 49,062.00 100.00% 0.00 0.00 17001 CHANGE ORDER 3 NO. 13 3,801.00 3,801.00 0.00 0.00 3,801.00 100.00% 0.00 0.00 17001 CHANGE ORDER 4 NO. 14 787.00 787.00 0.00 0.00 787.00 100.00% 0.00 0.00 17001 CHANGE ORDER 5 NO. 15 34,158.00 34,158.00 0.00 0.00 34,158.00 100.00% 0.00 0.00 17001 CHANGE ORDER 6 NO. 16 7,529.00 7,529.00 0.00 0.00 7,529.00 100.00% 0.00 0.00 17001 CHANGE ORDER 7 NO. 17 7,083.00 7,083.00 0.00 0.00 7,083.00 100.00% 0.00 0.00 17001 CHANGE ORDER 8 NO. 18 22,591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 0.00 17001 CHANGE ORDER 9 NO. 19 22,591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 0.00 17002 CHANGE ORDER 0 NO. 20 22,591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 0.00 17002 CHANGE ORDER 1 NO. 21 22,591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 0.00 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 4,562.00 100.00% 0.00 0.00 17002 CHANGE ORDER 4 NO. 24 6,954.00 6,954.00 0.00 0.00 6,954.00 100.00% 0.00 0.00 17002 CHANGE ORDER 5 NO. 25 -439,398.00 0.00 -439,398.00 0.00 -439,398.00 100.00% 0.00 0.00 GRAND TOTAL $9,466,038.00 $9,330,713.00 $32,147.00 $0.00 $9,362,860.00 98.91 % $103,178.00 $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 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 12 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 16:56:07 on 07/28/2011 under Order No.0215931572_1 which expires on 05/10/2012,and is not for resale. User Notes: (947347813) AFFIDAVIT AND WAIVER OF LIEN [ ]FINAL [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 # 37A for work performed through 7/28/11 , 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 Thirty-two Thousand One Hundred Forty-seven dollars and 00/cents (32,147.00 ) 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 ($ 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($ ) 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 account of any work perform�/material furnished to the undersigned for said project, and within the scope of this affi••vit a 7 giver. , 111,--,-1": / -----amer W. R. Dunkin& Son,Inc. : � i Title: Project Manager WITNESS MY HAND AND NOTARIAL SEAL,this 28th day of July 2011 '*----7172a4. -4‹..—/fee - (Notary Public) My Commission Expires: January 08,2017 Printed Martha A. Carpenter Residing in Madison County tis MARTHA A.CARPENTER z° �I, NOTARY PUBLIC u4 STATE OF INDIANA 'FCF My Commission Expires 1-8-17 Prescibed by Slate 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 G6/ / nv7 V' 5-d 4 ) /a c Purchase Order No. o fj cox 22 L{7 Terms t a/i /-,5 1 , /(% 7/bO// Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7,25'—// 37/9 /�� 37/9 97 32,/s'7 Ga Total 32,7r 7_c I hereby certify that the attached invoice(s), or bill(s), is (are) true and corre . - _ •f ed s.• e in accordance with IC 5-11-10-1.6. 6--0 , 20 II - reasurer VOUCHER NO. WARRANT NO. • ff,, ALLOWED 20 /// , , IN SUM OF $ /D 5 &X227 $ 32/ / 77_o • ON ACCOUNT OF APPROPRIATION FOR d� Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify DEPT.# ! hereb certif that the attached invoice (s), or 9oz 37/c yy661Ja7 32,/92 V bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 51-3 20// Ignature Director of Redevelopment Cost distribution ledger classification if Title claim paid motor vehicle highway fund