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HomeMy WebLinkAboutIDEAL HEATING- 001795- 4/22/2011CARMEL REDEVELOPMENT COMMISSION Ideal Heating, Inc. 1417 N Harding Street Indianapolis, IN 46202 Invoice 14 Application 14 P.O. Num. 001795 Check: 1795 Date: 4/22/2011 Vendor: IDEAL1 Prior Invoice Amt Balance Retention Discount Amt. Paid 25,893.45 25,893.45 0.00 0.00 25,893.45 25,893.45 25,893.45 0.00 0.00 25,893.45 THISCHECK ' HAS 'A' COLORED wBACKGROUND -AND ' CONTAINS' : MULTIPLE SECURITY-FEATURES'- SEE BACK FOR DETAILS Carmel Redevelopment Commission 30 West Main Street Suite 220 Carmel, IN 46032 A REGIONs 20. 14211740 DATE AMOUNT 1795 4/22/2011 * * * * * * * * ** **25,893.45 PAY THE SUM OF TWENTY FIVE THOUSAND EIGHT HUNDRED NINETY THREE DOLLARS AND 45 CENTS TO THE ORDER OF?'' -.Ideal Heating, Inc. 1417 N Harding Street Indianapolis, IN 46202 000L7950 1:07400421,31: 00875041LL0 CARMEL REDEVELOPMENT COMMISSION Ideal Heating, Inc. 1417 N Harding Street Indianapolis, IN 46202 Invoice 14 Application 14 P.O. Num. Ie'2D� . X;11r52LTD . ComouterEase Forms Division (8771577-5791 IN506700 001795 Check: 1795 Date: 4/22/2011 Vendor: IDEAL1 Prior Invoice Amt Balance Retention Discount Amt. Paic 25,893.45 25,893.45 0.00 0.00 25,893.4E 25,893.45 25,893.45 0.00 0.00 25,893.4E StAIA Document G7027M -1992 Application and Certificate for Payment TPOWAigfAction Services 11711 North Pennsylvania St. Suite 200 Carmel, IN 46032 -4559 FROM CONTRACTOR: Ideal Heating,A & Refrig,Inc. 1417 N. Harding Street Indianapolis, IN 46202 P\Iiii6Tbn the Green Off.BIdg 3rd Ave. SW & City Center Dr. Carmel, IN 46xxx VIA ARCH TECT: Pedcor Design Group 355 City Center Drive Carmel, IN 46032 APPLICATION NO :J 4 PERIOD TO: 2/28/2011 CONTRACT FOR: HVAC CONTRACT DATE? 0/30/2009 PROJECT NOS: 091111 / INVOICE NO: 4476 niNT FEB 1 0 2011 Distribution to: OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ FIELD ❑ OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. AIA Document G703TM, Continuation Sheet, is attached. 1. ORIGINAL CONTRACT SUM $ 2. NET CHANGE BY CHANGE ORDERS $ 3. CONTRACT SUM TO DATE (Line I ± 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) 5. RET AGE a. I UU % of Completed Work (f lumns D + E on G703) $ 105,568.85 b. % of Stored Material (Column F on G703) $ 968,500.00 114,749.00 $ 1,083,249.00 $ 1,055,688.50 0.00 Total Retainage (Lines 5a + 5b, or Total in Column I of G703) $ 6. TOTAL EARNED LESS RETAINAGE $ (Line 4 minus Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 minus Line 6) 105,568.85 950,119.65 924,226.20 25,893.45 133,129.35 CHANGE ORDER SUMMARY IMIEWIMILITIMMI ummiiimaiiiim " Total changes approved in previous months by Owner Total approved this month TOTAL � • ��', �m miatimmim NET. CHANGES b Chan_e Order 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 pa 1-nt Shown 1terei .t 5_nQw du .. CONTRACT °yea Heat! g;; tS g,InC By: State of: IN Date: p2 /O5' /R0 County ofHendricks Subscribed and worn. to before me this g t1 day of 6 ao 1/ Notary Public: Regan Roberts My commission expires: 9/29/2016 REGP.N A. ROBERTS Hendricks County My Commission Expires Scp. 29, 2016 ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's 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. AMOUNT CERTIFIED $ (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on'the Continuation Sheet, mat sire changed to conform with the amount certified.) itiltTECT By: ` I . Date: J/G I lit 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 G7O2TM — 1992. Copyright © 1953, 1963, 1965, 1971, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal \�\� counsel, copyright @aia.org. NI/b0912- C C C C C C C C C C C E E S R R S S S S T A ��, Document G703 TM Continuation Sheet 1992 Page 2 of AIA Document G702TM, Application and Certification for Payment, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. APPLICATION. NO: 14 APPLICATION DATE: 2/8/2011 PERIOD TO 2/28/2011 ARCHITECT'S PROJECT NO: 091111 A B B C C D D E F F' =:` G G H H ITEM D DESCRIPTION OF WORK A SCHEDULED F WORK COMPLETED T MATERIALS B TOTAL % T BALANCE RETAINAGE FROM PREVIOUS C THIS PERIOD S 11 • • d dd- Chilled & Hot Wtr 5 5,854 5 5,854 0 0 0 0 5 5,854 1 100 0 0 5 585 12 A A d dd- Relocate Roof Hydrant 1 1,750 1 1,750 0 0 0 0 1 1,750 1 100 0 0 1 175 )3 ■ ■ d dd - ASI 5R 5 5,700 5 5,700 0 0 0 0 5 5,700 1 100 0 0 5 570 15 a add - - Roof Hydrant 9 917 9 917 0 0 0 0 9 917 1 100 0 0 9 92 16 • • d dd - Gas piping 6 6,057 6 6,057 0 0 0 0 6 6.,057 1 100 0 0 6 606 '7 D Deduct - -Hole Patch - -1,065 - -1,065 0 0 0 0 1 1,065 1 100 0 0 - -107 118 a add - - ASI# 17 6 6,250 6 6,250 0 0 0 0 6 6,250 1 100 0 0 6 625 )9 a add - - ASI# 27 1 1,695 1 1,695 0 0 0 0 1 1,695 1 100 0 0 1 170 10 a add - - PR #10,2cd Fir B.O. 6 61,800 4 43,260 1 15,450 0 0 5 58,710 9 95 3 3,090 5 5,871 11 d dd- Grease hood & duct 2 24,941 0 0 1 12,471 0 0 1 12,471 5 50 1 12,471 1 1,247 12 • • d dd -(2) temp.heat fan coils 8 850 0 0 8 850 0 0 8 850 1 100 0 0 8 85 II L e equipment L Labor 1 14,000 1 14,000 0 0 0 0 1 14,000 1 100 0 0 1 1,400 1 e equipment M Material • • 2 245,870 2 245,870 , ,0 0 0 • 2 245,870 1 100 0 0 2 24,587 L ' 'Meet M Metal Labor 7 71,000 7 71,000 0 0 0 0 7 71,000 1 100 0 0 7 7,100 "Meet M Metal Material 6 62,000 6 62,000 0 0 0 0 6 62,000 1 100 0 0 6 6,200 CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703T"" - 1992. Copyright © 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This Ale Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA Document, or any portion of it, may result in severe civil and criminal penalties, and will 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. P *AIA G7O3TM Document G703 -1992 Continuation Sheet Page 3 3 AIA Document G702TM, Application and Certification for Payment, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. APPLICATION NO: 14 APPLICATION DATE: 2/8/2011 PERIOD TO 2/28/2011 ARCHITECT'S PROJECT NO: 091111 A B D E G H ITEM NO. DESCRIPTION OF WORK SCHEDULED VALUE WORK COMPLETED FROM PREVIOUS APPLICATION (D + E) THIS PERIOD MATERIALS PRESENTLY STORED (Not in D or E) TOTAL COMPLETED AND STORED TO DATE (D + E + F) (G — C) BALANCE TO FINISH (C — G) RETAINAGE (If variable rate) ER P ermits /Bonding 13,500 13,500 0 0 13,500 100 1,350 GRAND TOTAL 1,083,249 1,026,918 28,771 1,055,689 97 27,561 105,569 CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703TM — 1992. Copyright © 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA ®Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright @aia.org. Contractor: Address: APPLICATION FOR PAYMENT PARTIAL WAIVER OF LIEN Project Name and Address: O4CN v,ecoC rice c";// iqve: SW Period to: (9 X) , � C r y Cis j�v ,0 v•; v �� Job #: C� —1a3 q9/6- I ) 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 furnished or leased, or which may be furnished or leased by, or at the request of, 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 furnished 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, for and in consideration of the total payments in the sum of T 3,.11 5 the receipt of which is hereby acknowledged, does hereby waive, release remise and relinquish F inquish any and all right to ?claim any lien or liens for work done or materials furnished, or any kind or class of lien whatsoever for said building or premises or project alp /44 Dated this day of_ / 20 / I /ea\�� Compan 47, 'BY: ib NAME: TITLE: STATE OF /tip}N/j COUNTY OF MG)f /O/(/ Subscribed and sworn to before me, a Notary Public in and for said County and State, this day of. Ql / Lily commission expires es 6 My county residence is �- .►�� >v>-�, _�,...:,,w: >.,a..�,_; _,mow.,. -o /YPO\ iRf_i;J1n, ROBERTS Ir HOTAAY n HPnr1Tici(s County 1't '. My Commission Expires `ti'D,tKF S.:p, 29, 2016