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HomeMy WebLinkAboutIDEAL HEATING- 001531- 1/7/2011CARMEL REDEVELOPMENT COMMISSION Ideal Heating, Inc. 1417 N Harding Street Indianapolis, IN 46202 Invoice P.O. Nu_ m. 11 App 11 on P 4460912 001531 Check: 1531 Date: 1/7/2011 Vendor: IDEAL1 Prior Invoice Amt Balance Retention Discount Amt. Paid 17,697.60 17,697.60 0.00 0.00 17,697.60 17,697.60 17,697.60 0.00 0.00 17;697.60 13 HASWCOLORED:BACKGROUNDIANDTCONTAINSIVIULTIBLEiSECURIMEEATURESTMEVBACICEOR(DETAILEMEWBff# MOMS ICEOR(DETAILEMEWB C■RMEL?_ Carmel Redevelopment Commission 30 West Main Street .Suite 220 Carmel, IN 46032: A REGIONS 20- 1421/740. - PAY. TO THE ORDER OF 1/7/2011 * * ** * * * * ** **17;697.60 THE SUM OF SEVENTEEN THOUSAND SIX HUNDRED NINETY SEVEN DOLLARSAND 60 CENTS Ideal Heating, Inc._' 1417 N Harding Street. Indianapolis,: IN 46202 000 L 53 LH' _ PS sENsiL 1. 9RFAT04-. .. 1:071,0 L42L3t: 0013 504LbLn CARMEL REDEVELOPMENT COMMISSION Ideal Heating, Inc. 1417 N Harding Street Indianapolis, IN 46202 001531 Check: 1531 Date: 1/7/2011 Vendor: IDEAL1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 11 17,697.60 17,697.60 0.00 0.00 17,697.60 App 11 on P 4460912 17,697.60 17,697.60 0.00 0.00 17,697.60 110A I A Document G702TM -1992 Application and Certificate for Payment TU AP fiction Services I; 11711 North Pennsylvania St. Suite 200 Carmel, IN 46032-4559 FROM CONTRACTOR: Ideal Heating Inc. 1417 N. Harding St. Indianapolis, IN 46202 W i l lbn the Green Off.BIdg 3rd Ave. SW & City Center Dr. Carmel, IN 46xxx VIA ARCHITECT: Pedcor esign Group 355 City Center Drive Carmel, IN 46032 APPLICATION NOI. PERIOD TO 11 /30/2010 CONTRACT FOR:HVAC CONTRACT DATEI0 /30/2009 PROJECT NOS: 091111 / INVOICE NO: 4152 NOV 13 2010 istribution to: OWNER ❑ ARCHITECT CONTRACTOR FIELD OTHER CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. ALA Document G703TM, Continuation Sheet, is attached. 1. ORIGINAL CONTRACT SUM $ 2. NET CHANGE BY CHANGE ORDERS $ 3. CONTRACT SUM TO DATE (Line l+ 2) $ 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) $ 5. RETANAGE: a. I UU % of Completed Work (fjolumns D + Eon G703) $ b. % of Stored Material (Column F on G703) $ 968,500.00 26,757.00 995,257.00 963,383.00 96,33 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 Docume , that all amounts have been paid by the Contractor for Work for which ious Certificat tha ayp1 ent s Ideal C By: _ (� urrent R: r Payment were issued and payments received from the Owner, and is now due. nc. State of: IN County o1Hendricks Subscribed and sworn to before'' 8.30 me this day of i� 90 /Q 0.00 Notary Public: Regan Roberts 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) $ 96,338.30 867,044.70 849,347.10 17,697.60 128,212.30 .:.:::.... CHANGE ORDER SUMMARY M���� : • Total changes approved in previous months by Owner „�� unpuipmminim ' , Total approved this month TOTAL na 1: i1 NET CHANGES b Chan e Order nuirammiummi My commission expires: 9/29/2016 Date: [ / //09/ /c REGA.N A. ROBERTS Hendricks County My Commission Expires Sup. 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 the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) By: / _,--?y Date: l--2--/31/ This Certificate is nonnegotiable. 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 G702T" — 1992. Copyright © 1953, 1963, 1965, 1971, 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 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. A ® �a - Document G703 TM -1992 Continuation Sheet 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. 11 APPLICATION NO 11/12/2010 APPLICATION DATE: 11/30/2010 PERIOD TO 091111 ARCHITECT'S PROJECT NO: Page 2 C C C C C E E S S R S S S T A P A B C D E F G H I ITEM NO. DESCRIPTION OF WORK SCHEDULED VALUE WORK COMPLETED MATERIALS PRESENTLY STORED (Not inDorE) TOTAL COMPLETED AND STORED TO DATE (D+E +F) % (G - C) BALANCE TO FINISH (C - G) RETAINAGE (If variable rate) FROM PREVIOUS APPLICATION (D +E) THIS PERIOD • • dd- Chilled & Hot Wtr 5,854 5,854 0 0 5,854 100 0 585 12 • dd- Relocate Roof Hydrant 1,750 1,750 0 0 1,750 100 ' 0 175 93 • dd - ASI 5R 5,700 5,700 0 0 5,700 100 0 570 5 • dd - Roof Hydrant 917 917 0 0 917 100 0 92 16 • dd - Gas piping 6,057 6,057 0 0 6,057 100 0 606 17 deduct -Hole Patch -1,065 -1,065 0 0 - 1,065 ! 100 0 -107 �8 • dd - ASI# 17 7,544 0 7,544 0 7,544 100 0 754 9 • dd - ASI# 27 0 0 0 0 0 *"* 0 0 P L : quipment Labor 14,000 14,000 0 0 14,000 100 0 1,400 iP : quipment Material 245,870 245,870 0 0 245,870 100 0 24,587 L • heet Metal Labor 71,000 69,580 710 " 0 70,290 99 710 7,029 • heet Metal Material 62,000 62,000 0 0 62,000 100 0 6,200 DL "egs., Grlls, Fans Labor 12,000 • 11,760 120 0 11,880 99 120 1,188 D •'egs., Grilles, Fans Mat. 16,026 16,026 0 0 16,026 100 0 1,603 B1 ydronic Piping 344,000 337,120 6,880 0 344,000 100 0 34,400 B2 emperature Controls 147,000 139,650 4,410 0 144,060 98 2,940 14,406 B3 • it Balancing 13,104 0 0 0 0 0 13,104 0 B4 a rane /Lifts 13,000 13,000 0 0 13,000 100 0 1,300 P emp Heat 15,000 0 0 0 0 0 15,000 0 D • utoCAD Drawings 2,000 2,000 0 0 2,000 100 0 200 R • ermits /Bonding 13,500 13,500 0 0 13,500. 100 0 1,350 •• •• • .. I •. •. GRAND TOTAL 11111111 IIIIIIIIIMIII CAUTION: You should sign an original AMA 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 Ale Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. Contractor: Address: APPLICATION FOR PAYMENT PARTIAL WAIVER OF LIEN Project Name and Address: V / l /Gc O i N G"ec D. CC' s j/G rtAigue, SW y Period to: ,?j0 /0 Job #: a3 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 Tien 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 $ / / q 76 �d the receipt of which is hereby acknowledged, does hereby waive, release remise and relinquish any and all right to claim any Tien or liens for work done or materials furnished, or any kind or class of lien whatsoever for said building or premises or project �, Dated this /Q day of i V: o20 /0 Idea / a7 Compan 1 . - i; %/ ‘V Afill 7;;(di4Vq air BY: NAME: STATE OF Win I ON I9 COUNTY OF ,,446..1PfOX/ TITLE: Subscribed and sworn to before me, a Notary Public in and for said County and State, this day of D(/ ,308'.20/0 My commission expires '1/'.?/40/ 6 My county residence is Notary / Printed 7L-/vio v; c REGi N .A ROBERTS Hendricks County My Commission Expires Scp. 29, 2016