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LAFEVER ELECTRIC, INC.- 002144- 7/25/2011
CARMEL REDEVELOPMENT COMMISSION LaFever Electric, Inc. 131 N Rangeline Road Carmel, IN 46032 Invoice 14 Application 14 P.O. Num. Invoice Amt 44,930.90 002144 Check: 2144 Date: 7/25/2011 Vendor: LAFEVER1 I Prior Balance Retention Discount Amt. Paid 44,930.90 0.00 0.00 44,930.90 44,930.90 44,930.90 0.00 0.00 44,930.90 THE: KEY TOIDOCUMENT SECURITY • HEATTACTIVATED':THUMB,jPRINT ADDITIONAL SECURITYiFEATURES INCLUDED . E`BACK`FOR DETAILS, ' armel :Redevelopment Commission `30 West Main'Street " =Suite-220 Carmel. IN 46032 44 2144 PAY TO THE ;- ORDER OF "AMOUNT 7/25/2011 * * * * * * * ** *44,93090 THE SUM:OFFORTYFOUR THOUSAND NINE HUNDRED THIRTY;,, DOLLARS AND "90 CENTS; *' * * ** LaFever Electric;`1nc • 131 !N; •Rangeline Road Carmel,yIN.46032' .' Ii°00214410 1:0740L421,31: 0087501i LB. CARMEL REDEVELOPMENT COMMISSION LaFever Electric, Inc. 131 N Rangeline Road Carmel, IN 46032 Invoice 14 Application 14 P.O. Num. Prior Invoice Amt Balance 44,930.90 44,930.90 44,930.90 44,930.90 002144 Check: 2144 Date: 7/25/2011 Vendor: LAFEVER1 Retention Discount Amt. Paid 0.00 0.00 44,930.90 0.00 0.00 44,930.90 X-11-.52 COMPUTEREASE FORMS.DIVISION 417:/)577.-0.9i " T -37228 I . r titi wAIA TM Document G702 /CMa -1992 Application and Certificate for Payment Construction Manager- Adviser Edition TO OWNER: Carmel City Center Community Development Corporation Carmel, Indiana 46032 FROM CONTRACTOR: LaFever Electric, Inc. 131. N. Rangeline Road Carmel, Indiana 46032 CONTRACT FOR: PROJECT: Village on the Green Office Building One 803 3rd Avenue SW Carmel, Indiana 46032 VIA CONSTRUCTION MANAGER: REI Construction, LLC VIA ARCHITECT: Pedcor Design Group APPLICATION NO: 14 PERIOD TO 2/28/2011 CONTRACT DATE: 11/18/2009 PROJECT NOS: 1707 / Distribution to: OWNER ❑ CONSTRUCTION MANAGER ❑ ARCHITECT ❑ CONTRACTOI ❑ FIELD ❑ CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached. 1. ORIGINAL CONTRACT SUM $ 348,000.00 2. Net change by Change Orders $ 101,309.02 3. CONTRACT SUM TO DATE (Line 1 ± 2) $ 449,309.02 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) $ 449,309.02 5. RETAINAGE: a. 10 % of Completed Work (Column D + E on G703) $ b. 10 % of Stored Material (Column F on G703) $ Total Retainage (Lines 5a + 5b or Total in Column I of G703) .. $ 6. TOTAL EARNED LESS RETAINAGE $ (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 404,378.12 (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE RETAINAGE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) 449,309.02 44,930.90 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner $105,800.02 $ 4,491.00 Total approved this Month $ - $ - TOTALS $105,800.02 $ 4,491.0 NET CHANGES by Change Order $ 101 309.02 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the 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 payment shown herein is now due. CONTRACTOR: LaFever Electric, Inc. BY' AMt 3 uupriuu, /, /i Date: 2/25/2011 State of: Indiana MIG(► LaF ra tyke- President County of: Hamilton Z Z' Subscribed and sworn me this 25th ,d. Notary Public: My Commission ex uary, 0 A L Aprik,,11, 01.8 /1 CERTIFICATE FOR PA t P1/40„r, ., In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their 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 CERTIFIED. G� AMOUNT CERTIFIED $ '` 9 5 : E. Colleen S. Marvel (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet thatpre,jchanged to conform with the amount certified.) CONSTRUCTI �R: By: ARCHITECT: By: Date: 7 %/ Date: This Certificate is not, negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance,' payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. 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 G702 /CMa TM - 1992. Copyright © 1992 by The American Institute of Architects. An rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. :RAJA Document G702/CMaTM- 1992 Instructions Application and Certificate for Payment Construction Manager- Adviser Edition A. General Information:.- AIA Document G702 /CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition, is to be used in conjunction with AIA Document G703, Continuation Sheet. These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner, but not as a constructor, and where multiple Contractors °have direct Agreements with the Owner. Procedures for their use are covered in AIA Document A201 /CMa, General Conditions of the Contract for ConstructiontConstruction Manager- Adviser Edition, 1992 Edition. B. Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this document,. nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702 /CMa, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End -User License Agreement (EULA). To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. C. Completing the G702/CMa Form After the Contractor has completed AIA Document.G703, Continuation Sheet, summary information should be transferred to AIA Document G702 %CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition. The Contractor should sign G702 /CMa, have it notarized and submit it together ..with G703, to the Construction Manager and Architect. The Construction Manager and.Architect should review G702 /CMa and G703 and if they are acceptable, complete; the Certificate for Payment on- G702 /C Ma. The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 ofA201 /CMa. They should then-initial all figures on G702 /CMa and G703 that have been changed: to conform to the amount certified and attach an explanation. The G702 /CMa and G703 should be forwarded to the Owner. D. Completing the G703 Form Yf Heading: This information should be completed to be consistent with similar information on AIA Document G702 /CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition. Columns A, B & C: These columns should be completed by identifying the various portions :of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or assubsequently adjusted. The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project. Multiple pages should be used;when required. Column C should be subtotaled at the bottom when more than one page is used and :totaled on the last page. Initially, this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. '- Column D: Enter in this column the amount of completed work covered :by the previous application (columns D & E from the previous application). Values from column F (Materials Presently Stored) from the previous application should not beentered in this column. Column E: Enter here the value of Work completed at the time of this application, includingfthe value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored (column F). Column F: Enter here the value of Materials Presently Stored for which payment is sought..The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E (Work Completed - This Period). Column G: Enter here the total of columns D, E and F. Calculate the percentage,' completed by dividing column G by column C. Column H: Enter here the difference between column C (Scheduled Value) and'column G (Total Completed and Stored to Date). Column I: This column is normally used only for contracts where variable retainage is permitted on a line -item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders: Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project, this is not normally done. Usually, Change Orders are listed separately, either on their ownrG703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 /CMa form; Construction Change Directives: Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders. Amounts remaining in dispute should be dealt with according to Section;-7.3 in A201 /CMa. E. Making Payment The Owner should make payment directly to the Contractor based on the amount certified by :the Construction Manager and Architect on AIA Document G702 /CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition. The completed form contains the name and address of the Contractor. Payment should not be made to any other party unless specifically indicated on G702 /CMa. AIA Document G702/CMaTM - 1992. Copyright © 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. JOB NAME APPLICATION NUMBER Village on the Green Office Building 1 14 APPLICATION DATE PERIOD TO 2/25/2011 2/28/2011 PAGE NUMBER 1 A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G =C) TO FINISH APPLICATION STORED AND STORED (C -G) (D +E) (NOT IN TO DATE D OR E) (D +E +F) 1.00 Switch Gear M 65,000.00 65,000.00 - - 65,000.00 100 - - L 14,000.00 14,000.00 - 14,000.00 100 - 2.00 Light Fixtures M 80,000.00 80,000.00 - - 80,000.00 100 - - - - L 15,000.00 15,000.00. - 15,000.00 100 - - 3.00 Conduit M 10,000.00 10,000.00 - - 10,000.00 100 - - - L 50,000.00 50,000.00 - 50,000.00 100 - - 4.00 Wire M 38,000.00 38,000.00 - - 38,000 - L 30,000.00 30,000.00 - 30,000.00 100 - - 5.00 Basic Electrical Materials M 10,000.00 10,000.00 - . - 10,000.00 100 - - - L 5,000.00 5,000.00 - 5,000.00 100 - - 6.00 Fire Alarm M 14,000.00 14,000.00 - - 14,000.00 100 - - L 6,000.00 6,000.00 - 6,000.00 100 - - 7.00 Trenching M 4,000.00 4,000.00 - - 4,000.00 100 - - 8.00 Submittals L 4,000.00 4,000.00 - 4,000.00 100 - - 9.00 Bond M 3,000.00 3,000.00 - - 3,000.00 100 - - 10.0 C.O. for AS1.003 2,698.00 I 2,698.00 - 2,698.00 100 - - 11.0 C.O. for 4" Conduit 1,128.00 1,128.00 - - 1,128.00 100 - - 12.0 C.O. for Fixture Changes (600 00) (600.00) - (600.00) 100 - - 13.0 C.O. for Elevator Temp 6,159.00 6.159.00 - - 6,159.00 100 - - 14.0 C.O for canopy can lights 450,00 450.00 - 450.00 100 - 15.0 C.O. for grill closet fixtures 927.00 927.00 - - 927.00 100 - - 16.0 C.O for rooftop hose bib 362.00 362.00 - 362.00 100 - - 17.0 C.O. for 2nd floor idf relocation 1,478 00 1,478.00 - - 1,478.00 100 - - 18.0 PR -10R -A 21.010.00 21,010.00 - 21,010.00 100 - - 381,612.00 381,612.00 - - 381,612.00 ■ - - JOB NAME APPLICATION NUMBER Village on the Green Off ice Building 1 14 APPLICATION DATE PERIOD TO 2/25/2011 2/28/2011 PAGE NUMBER 2 A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G C) TO FINISH APPLICATION STORED AND STORED (C -G) (D +E) (NOT IN TO DATE D OR E) (D +E +F) 19.0 PR -10 2nd Floor 3659200 36592.00 - - 36.592.00 100 - 20.0 Tunnel Communications Project 13,808.00 13,808.00 - 13,808.00 100 - - 21.0 PR -22 5,041.00 5,041.00 - - 5,041.00 100 - - 22.0 PR -24 691.00 691.00 - 691.00 100 - - 23.0 Field Order #11877 694.85. 694.85 - - 694.85 100 - - 24.0 Field Order #11878 434.58 434.58 - 434.58 100 - - 25.0 Field Order #11880 1,657.06 1,657.06 - - 1.657.06 100 - - - 26.0 Field Order #11881 1,786.80 1,786.80 - 1,786.80 100 - - 27.0 E -Mon D -Mon Breakers 1,989.00 1,989.00 - - 1,989.00 100 - - 28.0 4" Conduit for AT&T 2,813.00 2,813.00 - 2,813.00 100 - - 29.0 PR -35 (3,891.00) (3891.00) - (3,891.00) 100 _ - 30.0 Flood Light 1,200.00 1,200.00 - 1,200.00 100 - - 31.0 Field Order #12034 2,332.22 2;332.22 - - 2,332.22 100 - - 32.0 Field Order #12075 400.33 400.33 - 400.33 100 - - 33.0 Field Order #12077 239.78 239.78 - - 239.78 100 - 34.0 Field Order #12078 159.47 1 159.47 - 159.47 100 - - 35.0 Field Order #12130 1,385.43 1,385.43 - - 1,385.43 100 - - 36.0 Field Order #12131 363.50 363.50 - 363.50 100 - - - M - - - - - L - - - M - - - L - - - - M - - - - L 4,=.9 9 C _ E 449,309.02 s Contractor: Address: APPLICATION FOR PAYMENT FINAL WAIVER OF LIEN LaFever Electric, Inc. 131 N. Rangeline Road Carmel_ Indiana 46032 Project Name and Address: Village on the Green - Office Building One 3rd Avenue SW and City Center Drive, Carmel, Indiana 46032 Period to: 02/28/2010 Job #: 1707 The Undersigned has been contracted by REI Construction, LLC as a Contractor in connection with construction of the Project owned by Owner and located as indicated above. The Undersigned, for and in consideration of any and all amounts paid to the Undersigned up to and including the date of execution hereof and other good and valuable consideration, the receipt whereof is hereby acknowledged, waives and releases any and all liens, notices of liens or of character, against, on or relating to or connected with the above - described Project and improvements located thereon and related thereto, on account of labor or services, materials, equipment, tools, machinery or apparatus fumished or leased, or which may be furnished or leased by, or at the request af, the Undersigned for the Project_ The Undersigned hereby warrants that the Project cannot be made subject to any valid lien or claim by anyone who fumished or leased labor or services, materials, equipment, tools, machinery or apparatus to, or at the request of, the Undersigned for use in the Project. This instrument, and the waiver, release and representations hereunder, are for the benefit of, and may be relied upon by, the Owner, its successors, assigns and mortgagees, the above -named General Contractor or Construction Manager, and any other person by or through whom payments have been made to the Undersigned. The undersigned, tor and in consideration of the total payments in me sum of $ 367,398.54 the receipt of which is hereby acknowledged, does hereby waive, release remise and relinquish any and all right to claim any lien or liens for work done or materials furnished, or any kind or class of Tien whatsoever for said building or premises or project Total Completed and Stored to Date: $ 449,309.02 Dated this 25th day of February, 2011 LaFever Electric, Inc. Company Name BY:— NAME: Michael A. LaFever STATE OF Indiana COUNTY OF Hamilton TITLE: Vice - President Subscribed and sworn to before me, a Notary Public in and for said County and State, this 25th day of February 2011 My commission expires April' 018 ...-..<1,,, N1Ay • • .11 on z. Notary ginted Collee LAFEVER ELECTRIC, inc. �v 131 NORTH RANGELINE ROAD • CARMEL, IN 46032 • (317) 846 -4687 FEB 2 5 2011 • FAX (317) = 4 -7943 Commercial and Industrial Contractors LETTER OF TRANSMITTAL TO: REI Construction, LLC 11711 N. Pennsylvania St., Suite 200 Carmel, Indiana 46032 WE ARE SENDING YOU ATTACHED: DATE: 2/25/2011 ATTN: Steve Hardy RE: Village on the Green Office Bldg. Shop Drawings Plans Prints Specifications Warranty Letter Copy of Letter Change Order Contracts X Misc. COPIES JOB DESCRIPTION 1 1707 Application and Certificate of Payment #13 1 1707 Partial Waiver of Lien 1 1707 Application and Certificate of Payment #14 Retainage 1 1707 _ Final Waiver of Lien THESE ARE TRANSMITTED AS CHECKED BELOW: For Approval Approved as Noted X For Your Use REMARKS: COPY TO: For Review Approved as Submitted Return of Corrections As Requested For Signatures Return for Credit RECEIVED BY i PRINT(' Sy---c- c-' (7ul 1-'4 DATE: 2./ VI/