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HomeMy WebLinkAboutBILL LAWRENCE COMPANY, INC.- 00342- 8/11/2011 Bill Lawrence Company, Inc. Check: 342 221 N College Avenue Date: 8/11/2011 Indianapolis, IN 46202 Vendor: BILLLAWR Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2 60,174.00 60,174.00 0.00 0.00 60,174.00 Theater 60,174.00 60,174.00 0.00 0.00 60,174.00 342 8/11/2011 **********60,174.00 THE SUM OF SIXTY THOUSAND ONE HUNDRED SEVENTY FOUR DOLLARS AND NO CENTS ***** Bill Lawrence Company, Inc. 221 N College Avenue Indianapolis, IN 46202 Bill Lawrence Company, Inc. Check: 342 221 N College Avenue Date: 8/11/2011 Indianapolis, IN 46202 Vendor: BILLLAWR Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2 60,174.00 60,174.00 0.00 0.00 60,174.00 Theater 60,174.00 60,174.00 0.00 0.00 60,174.00 A _ , x••O"O%'.e ro C Docuent G702' - 1992 O Application and Certificate for Payment T@OWNERIeater Development Corp., LLC PRQFlfig:on the Green Theater-BP5C APPLICATION NO 1 Distribution to 1016 3rd Avenue SW,Suite 200 PERIOD TO 05/17/2011 OWNER ❑ Carmel �uT���T�R IN 46032- CONTRACT FOR: Village on the Green Theater-BP5C ARCHITECT ❑ FgRM19117VRE�VCE ''(7MPANY INC. VIA ARCHITECT: CONTRACT DATE: 03/23/2011 CONTRACTOR ❑ 221 NORTH COLLEGE AVENUE PROJECT NOS: 12012/ / FIELD ❑ INDIANAPOLIS IN 46202- OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge. information Application is made for payment.as shown below, in connection with the Contract. and belief the Work covered by this Application for Payment has been completed in accordance AIA Document made for.Continuation Sheet. is attached. 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 1.ORIGINAL CONTRACT SUM S 224,435.00 that current payment shown herein is now due. 2.NET CHANGE BY CHANGE ORDERS S 0.00 CONTRACTOR: BILL LAWRENCE COMPANY INC. 3.CONTRACT SUM TO DATE(Line I ±?) S 224 00,435. By: '°�1 j Date: 5/17/11 4.TOTAL COMPLETED&STORED TO DATE(Column G on G70)) S 131,b13.15 State of in 5.RETAINAGE: County of: Marion a. %of Completed\\rork 13,161.33 Subscribed and sworn to before (Columns D + Eon 6703) S me this 17th day of may, 2011 b. %u of Stored Material Q (Column E on G703) � ' i C'1 ,2,e- S Notate Public: ✓- Cl 1_t.� 13,161.33 My commission expires: Total Retainage(Linc.c icn + )b, or Total in Co/a nn I u/'G%I)_i) S 6/19/16 Hendricks County 6.TOTAL EARNED LESS RETAINAGE S 118'451.92 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 nrinrr.c Line? Total) 58,277.92 In accordance with the Contract Documents.based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S this application, the Architect certifies to the Owner that to the best of the Architect's knowledge. information and belief the \York has prop_*ressed as indicated the quality of the Work is in (Lin( 6 from prior CertiJicatel accordance with the Contract Documents. and the Contractor is entitled to pavnient of the 8.CURRENT PAYMENT DUE S b0,1/4.00 AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED S ,j C7 1 Li (Line 3 minus Line 1) S 105,983.08 /4nac/r(\planation if amount certified differs It the aim ant applied. Initial all figin t. on 1hi.c f pplication and on the Contimration ShCC t that ell e c hanged to C71711771 Ill>>1111 the anlournt c c riot a) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS CW^.--e-c" Total changes approved in previous months by Owner S S B\ �'�/'� �� Date: /// Total approved this month S This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor TOTAL S S named herein. Issuance payment and acceptance of payment are without prejudice to any rights of\Ab NET CJ{ANDES by C'hamee Order S 0.00 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 Ale 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. �:g �P�P�e /', �1 TM . .�� it}®cU ; eat 70 ® 1 992 owlivii.Continuation Sheet 1 AIA Document G702T".Application and Certification for Payment. APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 2 hi tabulations below.amounts are stated to the nearest dollar. 5/17/2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 5/17/2011 ARCHITECT'S PROJECT NO: A B C D E F G 12012 H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED ITEM DESCRIPTION OF\WORK AND STORED �' TO I�ET\IN\GE NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (G C) FINISH (lfi'w'itrble rate) (D+EI ('A'o,in0arEl (C-G) (D+E± ) 001 STAGE: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 002 099100 Paint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 003 109-2000 Labor 41,435.00 39,363.25 0.00 0.00 39,363.25 95.00 2,071.75 3,936.33 004 109-2001 Material 10,200.00 9,690.00 0.00 0.00 9,690.00 95.00 510.00 969.00 005 AUDITORIUM: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 006 099100 Paint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 007 109-2002 Labor 36,800.00 9,200.00 18,400.00 0.00 27,600.00 75.00 9,200.00 2,760.00 008 109-2003 Material 9,200.00 2,300.00 4,600.00 0.00 6,900.00 75.00 2,300.00 690.00 009 097200 Wallcovering 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 010 109-2004 Labor 2,100.00 0.00 0.00 0.00 0.00 0.00 2.100.00 0.00 011 109-2005 Material 3.700.00 0.00 3,700.00 0.00 3,700.00 100.00 0.00 370.00 012 FRONT OF HOUSE: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 013 099100 Paint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 014 109-2006 Labor 24,500.00 0.00 2,450.00 0.00 2,450.00 10.00 22,050.00 245.00 015 109-2007 Material 6,100.00 0.00 610.00 0.00 610.00 10.00 5,490.00 61.00 016 097200 Wallcovering 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 017 109-2008 Labor 8,600.00 0.00 0.00 0.00 0.00 0.00 8,600.00 0.00 018 109-2009 Material 14,800.00 0.00 14,800.00 0.00 14,800.00 100.00 0.00 1,480.00 GRAND TOTAL 157,435.00 60,553.25 44.560.00 0.00 105.113.25 66.77 52,321.75 10,511.33 - 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 G703'"-1992.Copyright 01963.1965,1966, 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. :��,.:: oc i ;lent G713TM ® 1 992 °o lo`.a° s ail 4S. Continuation Sheet 2 AlA Document G702T".Application and Certification for Pavnient. APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 2 In tabulations belom.amounts are stated to the nearest dollar. 5/17/2011 Use Column I on Contracts where variable retainage for line items max apple. PERIOD T0: 5/17/2011 ARCHITECT'S PROJECT NO: A B C D E F G 12012 I \PORK CON'tPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY CO\1PLETED DESCRIPTION OF\\ORK % TO RETC\I\:\GE ITEM VALUE AND STORED fG C) FINISH (if rnrrabic rnle) NO APPLICATION THIS PERIOD STORED (D+E) Om in D or El TO DATE (DBE-E) (C-GI 019 BACK OF HOUSE: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 020 099100 Paint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 021 109-2010 Labor 33,600.00 3,360.00 16,800.00 0.00 20,160.00 60.00 13,440.00 2,016.00 022 109-2011 Material 8,400.00 840.00 4,200.00 0.00 5,040.00 60.00 3,360.00 504.00 023 033000 Sealer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 024 109-2012 Labor 7,200.00 0.00 360.00 0.00 360.00 5.00 6,840.00 36.00 025 109-2013 Material 2,800.00 0.00 140.00 0.00 140.00 5.00 2,660.00 14.00 026 109-2014 Allowance 15,000.00 0.00 800.00 0.00 800.00 5.33 14,200.00 80.00 GRAND TOTAL 224,435.00 64,753.25 66,860.00 0.00 131,613.25 58.64 92,821.75 13,161.33 - 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 G703."4-1992.Copyright©1963,1965,1966,1967.1970, 1978. 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AleDocument 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. ii ®:r. s 1992 �. ; is 9,r'®c u d ) t Continuation Sheet AIA Document G702T".Application and Certification for Payment. APPLICATION NO: containing Contractor's signed certification is attached. In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED ITEM DESCRIPTION OF WORK AND STORED TO RETAINAGE NO, VALUE APPLICATION THIS PERIOD STORED (G=C7 FINISH Ofvoriablelate) (D+E) (Nor is D or LI TO DATE ID+F_ +FI IC GI Allowance 00134--PR042 180.W 180.00 00139-Efforescence 800.00 80).00 800.0X3 100 0 80.CO 00151 PR052 777,00 222.00 GRAND TOTAL 1,202.00 800,00 8CO.00 402.00 8000 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 Ale 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. PRIME CONTRACTOR'S SWORN STATEMENT OF INDEBTNESS &WAIVER OF LIEN STATE OF Indiana COUNTY OF Marion Angela F. Kinney Being duly sworn upon his/her oath disposes and says that: 1. she is president. of BILL LAWRENCE COMPANY, INC. hereafter called the "Prime Contractor". He/she is over the age of twenty-one. He/she is authorized to make this affidavit on behalf of Prime Contractor. 2. Prime Contractor is the painting and wallcovering Prime Contractor for the construction of the development known as VILLAGE ON THE GREEN — PARCEL 7C1 — THEATER BUILDING located in CARMEL (City), INDIANA (state), hereafter referred to as the "Development", pursuant to the contract between the Prime Contractor and CARMEL THEATER DEVELOPMENT CORPORATION, LLC., the Owner. 3. This affidavit is made for the express purpose of inducing and CARMEL THEATER DEVELOPMENT CORPORATION, LLC., to make payment to Prime Contractor of the invoice submitted herewith for labor and materials furnished pursuant to said Contractor. Upon receipt of said payment the Prime Contractor hereby waives any lien rights to which Prime Contractor is entitled for labor or materials furnished for the development to the date hereof. 4. Listed below are all suppliers or other persons who either has furnished or might furnish the Prime Contractor with materials, appliances, machinery, fixtures or furnishing placed upon or installed on the development. Mark (X) in the appropriate column for EACH supplier listed. Place an (X) in column: 1) If a waiver of lien by supplier conditioned by payment of a specified amount is attached hereto. (In this case also show the amount owed the supplier). 2.) If a FULL (final) lien release has been signed and delivered to the Owner. 3.) If the initial delivery has not been made. Supplier List(Add list if necessary 1. Amount Owed 2 3 Glidden Prot. $/,b/0.22 X U L (.:Ouch $14,1//.6b X #1 and 2 correspond to the same numbered choices on the waiver format. CARMEL THEATER DEVELOPMENT CORPORATION, LLC.is hereby authorized to make payment to each such unpaid creditor either directly or by check jointly payable to Prime Contractor and such creditor, as CARMEL THEATER DEVELOPMENT CORPORATION, LLC. shall determine. 5. There are no bills, charges, costs or expenses for labor or material which could now or hereafter result in lien being filed against the Development or a claim being asserted against the Owner except the persons or businesses named in Paragraph 4 above. IN WITNESS WHERE OF, affiant has signed this document on behalf of the Prime Contractor this 17th day of May, 20 11. president (Authorized Representative of Prime Contractor, Title) County of Marion ) State of Indiana Subscribed and sworn to before me, a Notary Public in and for said County and State, This 17th nay of May , 7(111 LOC; ,) L- `-(Notary Publi Kathleen M. Apple (Printed Name) My Commission Expires: 6/19./16 NOTARY SEAL MUST APPEAR ON THIS FORM. 1 Affidavit& Waiver of Lien We,the undersigned,having been employed Bill Lawrence Co., Inc.to furnish materials to do construction work on the premises known as Village on the Green Theatre hereby warrant that the premises of the above-named job cannot be made subject to any valid lien or claim by anyone who furnished material,supplies,labor or services to the Undersigned for use in the above-named Project;and the undersigned hereby waives any and all claims of whatsoever kind or nature against the General Contractor,and Owner, and against the buildings), improvements or Project,and the land on which same is Iocated for any labor,materials,or supplies furnished or services performed through 5/19/11. This release is given in order to induce payment in the Amount Due of$14,177.65 and upon receipt of Amount Due by the Undersigned, this release as to the Amount Due becomes valid,enforceable and of full effect. Upon attachment of the canceled check and the legal description of the Project, this release may be recorded by the Owner or Mortgages of the Project. Notwithstanding the foregoing, the Undersigned does hereby unconditionally waive and release any and all liens or rights to liens upon the premises,improvements thereto,or monies due in connection therewith, with respect to monies due the Undersigned for previous payment requests in the total sum of 0 the receipt and sufficiency of which is hereby acknowledged. Given under our hand and seal this 19th day of May,2011. D L Couch By -� /r - •� Name: STATE OF Indiana ) )SS COUNTY OF j� Subscribed and swore to before me this 19th d.y of May,2011. _IA t . . I .! t • Notary Public: My Commission Expires: S"-3O-2O) 7 SHARI t. SPERA stArt County of Residence: j o l -. 'Ns Notary Public,State of Indiana ►J1 ° Henry County e. 1�c: My Commission si x 6089.87 Expires i• Y' My Commission xpre ' August 30, 2017 ree tirt W. ihe„ undersigned, hav be:£aa employed MA 1.r. -rerx:e•Ca.Inc. to tinriush nut,vials to do c;;tastruetion work on the pnttnises known as Village on the Own Tlute:re hereby +'arrant that the premises of the akive-na ned job ca'uiot be niade Sub eil to any valid f'ien or c{ati.n by anyone who furnished material,Supplies, labor or services to the t_incder';8gned fbr use in the above-named Project;aric.i the under°ai.grted tw teby wain c s eny and all daimQ of what ver kind nr nature€rgavnst the General Contractor, and Owr t, and again at the building(0,i.rat !roverttart6.or Project, and the lairl on t ''.hiCh%taut,is located for anr I btrr.rriateria1s.or supplies)ti.trraished for ser ices performed through ltts.re es.ae is gic°err in order toy induce payrn:.n3 in the. mou.Ttt Due of 17 570.02 and upon receipi frf'Arnount Due by the Undersigned.tt>_i>feltal e as to the Amount Due l?ec<rrne,i vaFid.enforceable and of full efreut. tipon ttttachtasent of the canceled cl xtl( arc the le'gai description of'the Prof:ct.this re3rrase may' recorded by the Owner or Mortgages of the Project. c>twitt,4;tarrding the foregoing,the?Tn ders..i;ed doe: hereby U ncon litio aa11y waive and release .u'o and al; liens or tights to liens upon the mitaiscs, irrrprcr'e.rnen,ts thereto, or rtrnraif: due in cr:nnection rtssprct to monies dut the Unrletsigrted for orerious ppeyre'nt rt uestS in ti1e rota! "tam or 0 the ri,ce'ip.a.'id r+kffici.eru y of which"i hereby acknowledgod. C.ri yeti enders crux hand and seas this 1gth day OfMty,2011. Glidden Profcs,'ora&l : 4 Name: cl'r Ohio ) )5 5 1rti'ry t'bf` Cuyahov: Suhsorihed arid sworn to hef+ors me this day of?v tsr-, 2011. Notsyy Public: i rte � �n}�y �-�^p sg `�f� C.'.o nYty o t7,e5'i�"aence: �t ,J�r°i".� 9 ti Y1 i p/1 I Scat 17 ' tdctary Pubtic,S45ta Df t37tl0 ITY .- y r�t,tl�8ion E if SS ,i,' ,'I'Y=; r:c Aprit 5,21:116 IF