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W.R. DUNKIN & SONS, INC.- 206136- 3/28/2011
.tile .; , TRUST SERVICES .AN AFFILIATE ORMERCANTIIE BANCCRP;INC.- - 4, /28/ a 1 P Date • 739137 00 A ! CRC/Dunkin Performing`Arts#4050 tt Pay r . :pour Huntlred Seventy Six Thousand Eight Hundred Thirty Three'DoIlars 880/100 v� To tpe W R Dunking&Sons IInc �f� r l ,, t xf476,833 Order Altn Craig:Dunkin a $y" y < s,;abk of., `'PO Box 2247. m k.;. An ' P91 IN 46018 ' '� V• 'a • • u°>20 6 L 36�►" 008 200 5 3 L''• L© L0ODQ.�Soy _� WR AN AFFILIATE Of MERCAN11LE BANCORP,INC. Date 03/28/11 Transaction.Number 1961977 W.R. Dunkin&Sons, Inc. Distribution Bid Pkg#4050 For Retainage 73913700 CRC/Dunkin Performing Arts#4050 Teresa Kuchling Principal $476,833.80 PRINTED IN U.S.A.WLCKB5111C MARLON BUSINESS FORMS 217.224-3676/PAX 211.224.38-75 �i � I MK": Document G732" - 2009 Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: Carmel Redevlt Comm PROJECT: Parcel 7A,#4050 CPA APPLICATION NO:035 A RETAINAGE DISTRIBUTION TO: One Civic Square 777 3rd Ave. S.W. OWNER Carmel,IN 46032 Carmel,IN 46032 PERIOD TO:February 11,2011 CONSTRUCTION MANAGER FROM W.R.Dunkin&Son,Inc. VIA CONSTRUCTION Shiel Sexton Co.,Inc. CONTRACT DATE:May 08,2008 ARCHITECT CONTRACTOR: PO Box 2247 MANAGER: PROJECT NOS:25310/2695-4050/2695 CONTRACTOR Anderson,IN 46018 FIELD 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 Payment 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 been paid ""ti - Contractor for Work for which previous AIA Document G703TM' Continuation Sheet,is attached. Certificates for Payment were i .• and p.. rtne • receives from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 9,966,300.00 payment shown 1- • • now•1- � 2.NET CHANGES IN THE WORK $ -60,864.00 CONTRA- R D i� n & ry F C C. 3.CONTRACT SUM TO DATE(Line 1 f 2) $ 9,905,436.00 By: ��' 1 - 2011 4.TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $ 9,303,057.00 State . :Indiana MARTHA A.CARPENTER z°�1; 5.RETAINAGE: County of:Madison '-�, NOTARY PUBLIC a. 5 %of Completed Work Subscribed and sworn to before V� r STATE OF INDIANA (Column D+Eon G703) $ 15,000.00 me this 11th day of February 2 • My Cam issl0n Expires 1-8-17 b. 0 %of Stored Material Notary Public:Martha A.Carpenter (Column Fon G703) $ 0.00 My Commission expires:January 08,2017 Total Retainage(Lines 5a+5b, or Total in Column Ion G703) $ 15,000.00 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 9,288,057.00 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 $ 8,811,223.20 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. p, Ber 8.CURRENT PAYMENT DUE $ 476,833.80 AMOUNT CERTIFIED $ 41� U 3� 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the mot, t applied.Initial all figures on this Application and on in.Continu ion Sheet'hat are chi.aged to conform with the amou it certified.) (Line 3 minus Line 6) $ 617,379.0.0 CONSTR,CTION M' ER BY: %�i►`-`__4or!�/ Date: �i� /1 SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS AR ' TE T', F ultiple Prime Contractors are responsible for performati g porti ns of the Projec�. l;4Q4�,/t I. Certi ,, ,;.>.... --required) Q Total changes approved in previous months by Owner $ 699,466.00$ 760,330.00 By: . Date: Z\e.C)I111 Total approved this month including Construction Change Directives $ 0.00 $ 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ 699,466.00 $ 760,330.00 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 $ -60,864.00 AIA Document G732T"—2009(formerly G702T"CMa—1992).Copyright©1992 and 2009 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 I to the maximum extent possible under the law.This document was produced by AIA software at 13:36:07 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (1110729316) %-leltAIA Document 6703 1992 Continuation Sheet AIA Document, G702TM-1992,Application and Certification for Payment,or G736TM-2009, APPLICATION NO: 035 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE:02/11/2011 containing Contractor's signed certification is attached. In tabulations below, amounts are in US dollars. PERIOD TO: 02/11/2011 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:25310 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 STORED AND STORED TO G-C FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE ( ) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 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-O 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 140B0 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- 191,700.00 126,234.00 0.00 0.00 126,234.00 65.85% 65,466.00 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 I prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 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 320,000.00 330,335.00 0.00 0.00 330,335.00 103.23% -10,335.00 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 LEA SE/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 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 2 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 (NOT IN D OR E) DATE (C-G) RATE) (D+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-#2 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- 140S0 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 5,165.00 100.00% 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 400,000.00 443,444.00 0.00 0.00 443,444.00 110.86% -43,444.00 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 G703T".-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 3 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 (NOT IN D OR E) DATE (C-G) RATE) (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 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 4 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 STORED AND STORED TO (G±C) FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) TEMPORARY 01523 BARRIERS-M 6,800.00 6,800.00 0.00 0.00 6,800.00 100.00% 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 SETUP 14,300.00 0.00 0.00 0.00 0.00 0.00% 14,300.00 0.00 HOIST-EXTERIOR- RENTAL/OPERATI 1546.2 ON 139,040.00 0.00 0.00 0.00 0.00 0.00% 139,040.00 0.00 HOIST-EXTERIOR- 1546.3 DISMANTLE 8,000.00 0.00 0.00 0.00 0.00 0.00% 8,000.00 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 5 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 (CT-C) FINISH (IF VARIABLE APPLICATION (NOT IN D ORE) DATE (C-G) RATE) (D+E) (D+E+F) HOIST-STAIR2-SET 1547.1 UP 14,300.00 0.00 0.00 0.00 0.00 0.00% 14,300.00 0.00 HOIST-STAIR 2- RENTAL/OPERATI 1547.2 ON 139,040.00 0.00 0.00 0.00 0.00 0.00% 139,040.00 0.00 HOIST-STAIR 2- 1547.3 DISMANTLE 8,000.00 0.00 0.00 0.00 0.00 0.00% 8,000.00 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 0.00 0.00 0.00 0.00% 9,830.00 0.00 HOIST- ALLOWANCE- RENTAL/OPERATI 1549.2 ON 97,500.00 20,971.00 0.00 0.00 20,971.00 21.51 % 76,529.00 0.00 HOIST- ALLOWANCE- 1549.3 DISMANTLE 2,500.00 0.00 0.00 0.00 0.00 0.00% 2,500.00 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 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 6 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 STORED AND STORED TO (G_C) FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (C-G) RATE) (D+E) (NOT IN D OR 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 209,800.00 209,800.00 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 80,000.00 100.00% 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 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 7 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 STORED AND STORED TO (G_C) FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (C-G) RATE) (D+E) (NOT IN D OR 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 4,519.80 MISCELLANEOUS 05512 METALS-L 275,000.00 275,000.00 0.00 0.00 275,000.00 100.00% 0.00 8,094.30 INTERIOR ROUGH 06100 CARPENTRY-M 31,000.00 31,000.00 0.00 0.00 31,000.00 100.00% 0.00 372.00 INTERIOR ROUGH 06101 CARPENTRY-L 44,000.00 44,000.00 0.00 0.00 44,000.00 100.00% 0.00 484.00 FOUNDATION WATERPROOFING 07110 -M 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 510.00 FOUNDATION WATERPROOFING 107111 -L 6,600.00 6,600.00 0.00 0.00 6,600.00 100.00% 0.00 660.00 07210 DUCT L1NERS-M 97,000.00 97,000.00 0.00 0.00 97,000.00 100.00% 0.00 337.90 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 07811 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 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 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 AIA® 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 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 G±C) FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (C-G) RATE) (D+E) (NOT IN D OR 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 G7O3TM-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 9 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) 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 (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 22.00 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 SPECIALTIES-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 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE 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) ELEVATOR- MATERIAL/EQUIP MENT HYDRAULIC ELEVATOR- 14243 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 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 11 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY AND STORED TO % FINISH (IF VARIABLE NO. WORK VALUE PREVIOUS THIS PERIOD STORED (G-C) APPLICATION (NOT IN D ORE) DATE (C-G) RATE) (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 GRAND TOTAL $9,905,436.00 $9,303,057.00 $0.00 $0.00 $9,303,057.00 93.92% $602,379.00 $15,000.00 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 1 2 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:29:22 on 02/25/2011 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (929252965) CONSENT OF SURETY TO REDUCTION IN AORCNHITECT °❑ OR PARTIAL RELEASE OF RETAINAGE CONTRACTOR ❑ SURETY ❑ A/A DOCUMENT G707A OTHER PRF 7600385 01 PROJECT: Parcel 7A, #4050 Cannel Performing Arts Center (name, address) 777 3rd Ave. S.W. Camel, IN 46032 TO (Owner ity of Cannel, IN —1 ARCHITECT'S PROJECT NO: 25310 One Civic Square CONTRACT FOR: Bid Package #4050 Camel, IN 46032 General Trades L_ I CONTRACT DATE: May 08, 2008 CONTRACTOR: W.R. Dunkin & Son, Inc. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) FIDELITY AND DEPOSIT COMPANY OF MARYLAND ,SURETY COMPANY, 9229 Delegates Row, Suite 300 Indianapolis, IN 46240 on bond of (here insert name and address of Contractor) W.R. Dunkin & Son, Inc. 2911 Enterprise Drive , CONTRACTOR, Anderson, IN 46018 hereby approves the reduction in or partial release of retainage to the Contractor as follows: Reduce Retainage to Leave Balance at $50,000.00 The Surety aggress that such reduction in or partial release of retainage to the Contractor shall not relieve the Surety of any of its obligations to (here insert name and address of Owner) City of Carmel, Indiana One Civic Square , OWNER, Cannel, IN 46032 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 3rd day of February, 2011. FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety Company BY: f-LC' / 4_u.004" ' -- Attest: Signature of Authorized Reprel•ntative - - (Seal): Carol J. Hudson, Attorney-In-Fact. Title Attorney-In-Fact AIA DOCUMENT G707A • CONSENT OF SURETY COMPANY REDUCTION IN OR PARTIAL RELEASE OF RETAINAGE • 1994 EDITION • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006-5292 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Maryland, by THEODORE G. MARTINEZ, Vice President, and GREGORY E. MURRAY, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By-Law . ,id Company, which are set forth on the reverse side hereof and are hereby certified to be in full force and eff- mop':.t +:!•: �-reof, does hereby nominate, constitute and appoint Paula SOLLARS and Carol J. HUD a �j�'':� ;1j. : � : rso:p i ana, EACH its true and lawful agent and Attorney-in-Fact,to make,execute, seal • •j'��• ��j:+u • o• �•• {� l ,and as its act and deed: any and all bonds and undertakings,and t may: i . . b‘—eh b.•: •— 1,+i151'gs in pursuance of these presents, shall be as binding upon said Co•.•• y,\ 111 • a awl I• c : h and purposes,as if they had been duly executed and acknowledged b •:1 P cted +:wpany at its office in Baltimore, Md., in their own proper persons. Th' ��`;��: .'a ' re i ►.• • •ehalf of Tim PATISHALL, Paula SOLLARS, Carol J. HUDSON, dated Fe ..,20��p \-I\\ ,. The said Assistant .t•':, 1ies e eby certify that the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2,of the By-L s:'said Company,and is now in force. IN WITNESS WHEREOF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 18th day of November, A.D. 2009. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND DEPps� t O By: Gregory E. Murray Assistant Secretary Theodore G. Martinez State of Maryland ss: City of Baltimore On this 18th day of November, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came THEODORE G. MARTINEZ, Vice President, and GREGORY E. MURRAY, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. 1 'Jos Maria D. Adamski Notary Public My Commission Expires: July 8,2011 POA-F 044-2077 EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice-President, or any of the Senior Vice-Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vice-Presidents, Assistant Vice-Presidents and Attorneys-in-Fact as the business of the Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations, policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in the nature of mortgages,...and to affix the seal of the Company thereto." CERTIFICATE I,the undersigned,Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this ,30- . )day of , . Assistant Secretary