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HomeMy WebLinkAboutERMCO, INC.- 002585- 1/18/2012 CARMEL REDEVELOPMENT COMMISSION 002585 Ermco, Inc. Check: 2585 PO Box 1507 Date: 1/18/2012 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pal( 41 36 9,862.00 9,862.00 0.00 0.00 9,862.0( App 41 9,862.00 9,862.00 0.00 0.00 9,862.0C i THE KEY TO DOCUMENT SECURITY•HEAT ACTIVATED THUMB PRINT•ADDITIONAL SECURITY FEATURES INCLUDED•SEE BACK FOR DETAILS i O s6 De o Carmel Redevelopment Commission s 002585 °Art 30 West Main Street LI, . A A REGIosis 20 lazinao ,, Suite 220 27 'CAHMEL Carmel IN 46032 i, - ' �, ,�� srR1 - DATE -/-�` 2585 - AMOUNT - ----- 1/18/2012 *'***'*****9,862.00 PAY THE SUM'ONINE-THOUSAND,EIG F.. HT HUNDRED SIXTY TWO DOLLARS AND NO CENTS ***;*'**** TO THE - ORDER 7 OF ,Ermco Inc.. • PO-Box 1507 Indianapolis, IN 46206 — — -- — — — — —-- — ---- ------'�„n- 1000 2585”' 1:0 740 14 2 1 31: 008 7 50 4 1 1 Ill' CARMEL REDEVELOPMENT COMMISSION 002585 Ermco, Inc. Check: 2585 PO Box 1507 Date: 1/18/2012 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 41 36 9,862.00 9,862.00 0.00 0.00 9,862.00 App 41 9,862.00 9,862.00 0.00 0.00 9,862.00 1 . / X-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-37228 Art SAJA Document G702/CMS" —' 1992 • Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment Commi R@JECT: Parcel 7A, Regional Performing ArtskPPLICATION NO: 41 Distribution to: 1 Civic Square Center Interior Rough PERIOD TO: 12131/2011 OWNER E Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONT 6/ O, VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ INC. P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 1 CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CSC?Architects ID FQApctrical Installation Project# 25310H CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,intormation and Application is made for payment,as shown below,in connection with the Contract. 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 Continuation Sheet,ALA Document 6703,is attached. Certificates for Payment were issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM....... .... . ...._. ..................... ....7,505,000.00 payment shown herein is now due. 2. Nat change by Change Orders s 5,625.00 CONTRACTOR: , Rat( ICO, 1,N --..---7 3.CONTRACT SUM TO DATE(I me. I ±2) 17,510.625.00 By: ii�� Date: 2912011 A.TOTAL COMPLETED 8 STORED TO DATE(Coluum G on 0703) .....,_.....17,510,625.00 State of v Indiana QJ 5.RETAINAGE County or: Marion ke ¢`( a. %m of Completed Work Subscribed and sworn to before Z y 4 Column D+Eon 0703) S me thus 29th day of December, 201}-� + Q Z b. b'o orStored Material Notary Public a b' .. L3(Column F on 0703) S My Conmussion expires: 12119/2015 - � ' e Total Rctainage(Lines fa +5b or Total in Column I of 0703).. S CERTIFICATE FOR PAYMENT Q� 7,510,625.00 In accordance with the Contract Documents, based on on-site observations 2, /�compdsing 6.TOTAL EARNED LESS RETAINAGE -S _ this application,the Constnlcnon Manager and Architect certif•to the Owner e best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT ................._... S 7,500,763.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFfED_ mm S.CURRENT PAYMENT DUE I S 9.862.00 AMOUNT CERTIFIED .-.- $ 98411 . 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Arrach explanation it'alnount certified diyersfr trim t noun:applied.lniriae ad figures an tiny Appeirarion and on annnuadon S r tie- are ch- gad to conform with the amount certified-) (Line 3 less Line 6) S CONS ',ACTION M iliJ'50 t l BY: �.[;�-�777777i..! �i�. ..L5 , _� Date: SSCLLGE ORDER SUMMARY ADDITIONS DEDU("CLONE ARC �• `.. - 1Total changes approved in previous months by Owner 4a),(170.nn _�((&393>t' 1 By. � �� lf` Date- I -era:Liz rTucal approved this Month S4Fi9 S This Certificate is not negotiable- The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 4Sa 92 P DO 639 31 11 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of L N.EI'CHANGES by Change Order S5 625 00 _ the Owner or Contractor under this Contract C.AtIT IC N: You should sign an original ALA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. • aka nnnumem G70?ICMan.'-1992.Coovdpht +'91992 by The American Institute olArChitects.Ali lights reserved.WARNING:This ALA' Doan-nest is oroteated by U.S.Copyr[gh1 Lew 3 nd InIernalionat Treaties. e o ERNCO Contract IF 2695-4320 - Document G7O3TM - 1992 24°'° Continuation Sheet AIA Document 6702TM,Application and Certification for Payment, APPLICATION NO: 41 . containing Contractor's signed certitication is attached. APPLICATION DATE. 122912011 In tabulations below,amounts are stated to the nearest dollar- PERIOD T0: List Column Ion Contracts where variable retainaae for line items may apply. 1213117011 ARCHITECT'S PROJECT NO: _ _A B c D .i_ E _. - r O 1 H 1 WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE SCHEDULED FROM PREVIOUS PRESENTLY AND STORED TO RETAINACE ITEM DESCPJ PTlON OF WORK VALUE APPLICATION THIS PERIOD STORED (G=C) FINISH Of wad lnb[e rnIP) NO (p_F) for in Dar EJ TO t)ATE (C-(;) 00.001 MOBILIZATION 15,00000 15,000.0 15,000. 0 10` 00.1J02 P.M 200,000 00 200,000 10 200,000.0 101 . 00. 1 CAD ENG 80,000 0 80,000 JO 80,000. 0 10 00. 04 TEMP- L 75,000 0 75,000 10 75,000.30 . 10 00. 05 TEMP- M 45,000 0 45,000 0 45,000.00 101 • 00. 06 CLEAN UP 15,000 00 €5,000;10 15,000.10 101 00 07 BOND 72,000 0 72,0001 0 72,000. )0 10 00. as TEST€NG 18.000 0 18,000;0 18,000. 10 lilt 00. 09 SITE OFFICE 23,000. 0 21 3,000 0 23,000. 0 10 00. l0 DEMOBILIZATION 5,000 0 5,000 0 5,000. 0 101 00 11 ALLOWANCE 12 550,000 JO 550,000. 0 550,000.10 10C 00. 12 ALLOWNACE 13 350,000 0 350,000 0 350,000. 0 10 00. 13 ALLOWANCE 14 100,000.f70 100,000. 0 ' 100,000.10 101 00. 14 ALLOWANCE t5 5,0001100 5,000. 0 5,000. 0 100 00.P t5 ALLOWANCE 16 - 10,000100 10,000 ia - 10,000.10 100 00.015 E0.11 oo.bt7 MAT 10.000.00 10,000. 0 10,000. 0 101 00.i]t8 LABOR 6,000.00 6,000. 0 6,000. 0 10. no 19 EXCAVATION 35,000.00 35.000 0 35,000. 10 101 00. 20 EO.12 00. 23 BRANCH R-M 500.00 - 500. 0 500.10 10* 00. 26 BRANCH R - L 1.500.00 500. 0 1,500.70 10 00. 27 BRANCH F - M 100.100 100.)0 100.30 101 CRANO TOTAL I _ 1 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 G7631A-1992.Copyright 01963, 1965.1966,1967, 1970,1978.1932 and 1992 by The Ameflean Institute of Architects-All rights reserved WAP LING This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction cc distribution of this AIADocument,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent cossible 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 ArierlC.3n institute et Architects'legal ERMCO Contract / 2695-4320 1kAI4 Document G703rr" 1992 24070. Continuation Sheet AlA Document C702°' Application and Certification for Payment, APPLICATION.NO: 41 containing Contractor's signed certification is attached. APPLICATION DATE: 12/29/2011 In tabulations below,amounts arc stated to the nearest dollar. PERIOD T0: Use Column I on Contracts where variable retainage for tine items may apply. 12/31/2011 ARCHITECT'S PROJECT NO: A _ B C I D I E F O f 1 I WORK COMPLETED TOTAL MATFR1ALS BALANCE COhIPLETED SCHEDULED FROM PREVIOUS PRESENTLY AND STORED % TO RETA€NAGE 1TcM DESCRIPTION 06 WORK VALUE - APPLICATION THIS PERIOD STORED (G-C) FINISH Off variable rare) NO. varenDorc TODATE (�,—G) (D=E) fN % (p+E+Fj 00 .28 BRANCH F-L 200 00 200 00 200.00 100 00. 29 E1.01 00.330 FEEDER M 975,000 00 975,000 00 975,000.130 10C Oo_ 31 FEEDER L 600,000 00 603,000 0 600,000.00 100 00. 32 E1.02 0033 EQ M 250,000 00 250,000 10 250,000.30 10 00. 34 EQ L 150,000 00 150,000 0 150,000.00 101' 00. 33 E1.03 II U0.138 EQ R-M 10,0001,00 10,000 00 10,000.00 I01 00 137 EQ R- L 15,000100 15,000 0 15,000.10 101 00. 380.. F -M 30,000100 . 30,000 00 - 30,00010 10C' 00. 39 EQ F- L 8,000100 -8,00000 8,000. 0 101 00. 0 E1.04 00. 91 EQ R- M 10,000 0 10,00000 10,000. 0 101 on.b42 EQ R - L 15,000 0 15,000100 15,000.10 10i. 00.1h,.3 EQ F-M 25.000 0 25,000'00 25,000. 0 lop 00.p44 EQ F-L 8,000 0 8,000. 0 8,000. 0 106 00. 45 [1.05 00146 EQ R- M 5,000 0 5,000. 0 5,00010: .' I0D 00.117 EQ R- L 5,000 )0 5,000 0 5,00o, 0 100 00.198 EQ F-M 35,00000 35,000. 0 35,000,70 100 00.199 EQ F- L ! 3,000'00 8,000 0 8,000.00 100 00. i50 E2.00&A& P ' GR.-12ND TOTAL CAUTION: You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703T'°—1992.Copyright©1963,1955,1966,1967,1970,1976,1983 and i992 by The American institute of Architects.All rights reserved.WARNING: This Ale Document is protected by U.S.Copyright Law and International Treaties. Unauthonzeu reproduction or distribution of this AIA°'Document,or any portion of it,may result in severe civil and criminal penalties,and wilt be prosecuted to the maximum extent _.-._..�..,...., p vrhaeereere nn rmil12r1 in reoraduce len f 101 Goalies of this document when completed-To repail copyrightcialationS of ALA Contract Documents.e-mail The American Institute of Architecs'legal ERMCO Contract # 2695-4320 OM ti� SY 124070 Document 6703 rn+ — 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, - APPLICATION NO: 41 containing.Contractor's signed certification is attached. APPLICATION DATE: 12/29/2011 In tabulations below,amounts are stated to the nearest dollar. PERIOD T0: 12i31Rbl i Use Column I on Contracts where variable retainage for line items may apply. - - • ARCHITECT'S PROJECT NO: • A B I C D E F C H —I I i WORK COMPLETED I MATERIALS TOTAL I 1 BALANCE I SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED - AND STORED TO 2E'F.�INAOE ITEM DESCRIPTION OF WORK APPLICATION THIS PERIOD STORED (G+C) FINISH (Ilf variab.e+ate) TO DATE C- G NO. (D=f) (A'or Tn Dno E') (D:E=FJ ( ) I . 00.•51 RIGGING 35,000.10 35,000.10 35,000. 0 100 00. 52 EQ R-M 30,000. 0 30,000. 0 30,000. 0 100 00. 53 EQ R-L 20,000. 0 20,000. 0 20,000. 0 100 00. 54 EC F-Ni 575,000.00 575,000-10 575,000.00 100 00. 55 EQ F-L 3D,ob0. 0 30,000. 0 30,000. 10 100 00, 56 BRANCH R-M 17,000.00 17,000.10 17,000.00 100 00.-57 BRANCH R - L 13,000.9 13,000.00 €3,000.10 100 00. SS BRANCH F-Ni 7,000.90 7,000.00 7,000.-0 100 1 00.059 BRANCH F- L 5,000. 0 5,00010 5;000. 0 100 00.060 FEEDER R -M 550,000. 0 550,000. 0 550,000.0 100 1 00.661 FEEDER R-L 250,000. 0 250,000.10 250,000.10 100 00. 62 FEEDER F- M 6,000. 0 6,000.10 6,000.10 100 • 00. 63 FEEDER F- L 10,000. 0 10,000. 0 10,000.10 100 90. 64 E2.01 E2.02 00. 65 RIGGING 10,000. 0 10,000.10 10,000. 0 too 00. 70 BRANCH R-M 15,000.90 15,000. 0 15,000. 0 100 • 00. 71 BRANCH R-L 8,000.00 8,000.1 0 ` 8,000. 0 100 00. 72 BRANCH F-M 2,500. 0 2,500.00 2,500. 0 !DO 003 73 BRANCH F- L • 3,500.10 3,500.00 3,500.00 100 00.-74 E2.03 &A 00.175 BRANCH R-M 20,000. 0 20,000. 0 20,000.10 100• OR 76 BRANCH R-L 16,000. i0 16,000. 0 16,000.00 100 00. 77 BRANCH F- M 1,000. 0 1,000.10 1,000..0 100 CR IND TOTAL. CAUTION:YOU should sign an original AlA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G7-03n`-1992.Copyright®1963,1965,1966,1957, 1910,1978,1963 and 1992 by The American Institute of Architects.Al!tights reserved.WARNING:This AIA°Document is protected by U.S.Copyright Lae 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 ... . .- - .--.. -,..._._„„..............o,w n.,o,....nn-e ron OM rani t of Ibis document when comoleted.To report copyright violations of AlA Contract Documents,a-mail The American Institute of Architects'legal ;' ® 1992 ERMC0 Contract // 2695-4320 �5,-- Document G7Q3t'° 992 124070 Continuation Sheet AIA Document G702T'4,Application and Certification for Payment, APPLICATION NO: 41 containing Contractor's signed certification is attached. APPLICATION DATE: 12/29/2011 In tabulations below,amounts arc stated to the nearest dollar. PERIOD TO: Use Column I on Conrracts where variable rotainage for line items may apply. 12131/2011 ARCHITECT'S PROJECT NO: A B C D F - 0 E H I - WOKKCOMPLETED ! 1 MATERIALS TOTA I- BALANCE COMPLETED ITEM DESCRIPTION OF WORK SCIIHDULED FROM PREVIOUS PRESENTLY 1 TO RETAL`tACE AND STORED VALUE APPLICATION THIS PERIOD STORED (G<-C) FINISH (ty ear infle Mir) (D E) !hot in.0 or 6j (Dt F F) (C-CO DAT 0078 BRANCH F-L ?500100 2,500100 2,500.10 IOC 00 79 FEEDER R-M 65,000100 65,000100 65,000.10 100 0080 FEEDER R-L i 45,00000 45,000j00 45,000.+0 IU[ 00 St FEEDER F- M I 2,50000 2,500100 2,500.10 106 00 82 FEEDER F - L 5,000 00 5,000 00 5,000. 0 100 0087 E2 04 00. 84 BRANCH R - M 6,000 00 6,000 00 6,000.'0 100, 00.1385 BRANCH R - L 8,00000 8,000 00 8,000. 0 IOd 00.`f86 BRANCH F-M 1,000100 L000 00 1,000.-0 104[ 00.087 BRANCH F - L 2,5002100 2,500 00 2,500. 0 100'i 00.)88 E2.05 00-)89 BRANCH R-M 15,000 00 15,000 00 15,000. 0 100) 00. 90 BRANCH R-L 14,00000 14,000 00 14,000..0 100 00.191 BRANCH F- M 800100 800 00 800. 0 10 00. 92 BRANCH F - L 1,500100 [,5002100 1,500. 0 100 00.193 E2.06 00. 94 BRANCH R-M 4,000.00 4,000100 4,000.10 10 00.195 BRANCH R- L 6,0000"0 6,000100 6,000. 0 IOC CO. 96 BRANCH F-M 60010 600;00 600. 0 IO 00. 97 BRANCH F-L 1200,40 I,)00100 1,200:10 10 00.198 E2.07 00.199 BRANCH R-M 8,000 km 8,000:00 8,000. 0 10 00. 00 BRANCH R-L 10,000,00 10,000100 10,000.'0 10 I GRAND TOTAL _ I J 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 1963,1965,1966,1967, 1970, 1975.1993 and 1992 by The American Inslilule of Architects.All rights reserved.WARNING: This Ale Document is protected by U.S.Copyright Lev, and lntcrnational Treaties.Unauthorized reproduction or distribution of this AIA5Document,or any portion of it may result in severe civil and criminal penames,and will be prosecuted to the maximum extent ___.................+n,.,,. pa.n6nmrc vro rvvmilred to renrMuc€e ten 1101 cocies of this document when completed_To report copyright violations.of AIA Contract Documents.e-moil The American Institute of Architects'legal aN ERMCO Contract li 2695-4320 `0-L Document G703"" -- 1992 124070. . Continuation Sheet AIA Document 0702TM,Application and Certification for Payment, APPLICATION,NO: . 41 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 12/29/2011 Use Column I on Contracts whore variable fete inage for line items may apply. PERIOD T0: 1213 W2011 ARCHITECT'S PROJECT NO: A B I C D E F G H 1 • WORK COMPLETED ' TOTAL • .BALANCE. COMPLETED • SCHEDULED FROM PREVIOUS 1 PRESENTLY % TO fver b AGE ITEM DESCRIPTION OF WORK AND STORED G+C F€VISEI (IJ vt+rioble rare) VALUE APPLICATION THIS PERIOD STORED TO DATE ( ) NO. (D T E) i'Mn n D or E) (D 4-E+t) fC—GI II oo,kol BRANCH F -M 3,000,00 1,000100 1,000.30 100 O0.O2 BRANCH F- L 2,500100 2,500 00 2,500.30 [00 00. 03 E2.07A �, 00.[04 BRANCH R-M 15,000 0 15,000.00 - 15,000.00 .. 100 00.r05 BRANCH R-L 20,000 0 20,00000 20,000. 0 100 00.106 BRANCH F - M - 9,000 0 9,0007100 - 9,000. 0 100 00.107 BRANCH F- L 10,000100 30,00160 10,000. 0 100 00108 E2.08 0 ja6 BRANCH R-M 6,00000 6,00090 - 6,000. 0 '00 00. 10 BRANCH R- L 8,000.30 8,000.1100 8,000_00 100 00. 11 BRANCH F - M 2,000.00 2,000.100 2,000.10 100 00. 12 BRANCH F-L 3,500.00 3,500 0 3.500.30 100 00. 13 E2.09 00. 14 EQ R- M 8,000.30 3,000 0 3,000.30 100 01 15 EQ R- L 10,00000 10,000. 0 10,000.10 100 00. 16 EQ F-M 2,500.30 2,50010 - 2,500.10 100 00. 17 EQ F - L 3,000.20 3,000. 0 3,000.)0 :100 01 18 E2.110 _ 00. 19 BRANCH R-M 1,000.00 1,000. 0 1,0000 ' 10C 00. 20 BRANCH R - L 2,500.pO 2,500. 0 2,300. 0 10 00. 2! BRANCH F-M 1001/0 Expo - 100. 0 100 00. 22 BRANCH F- L 500.130 500100 I .. 500.30 100 00. 23 EQ R-M 6,0100 6,000.30 6,000..0 100 i . GRAND TOTAL • - 1 CAUTION: You should sign an original AlA Contract Document,on which this text appears in RED.Art original assures that changes will not be obscured- AIA Document G703Tw-1992.Copyright O 1963,1965.1966,1967, 1970,1978,1983 and 1962 by The American Insti:ere of Architects.Ah rights reserved.WARNING:This AIA'Document is protected by U.S.Copyright Lew and international Treaties-Unauthorized reproduction or distribution of this AIA5 Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent ,.,ccihle'cedar the i,:,-Purchasers are permitted to reproduce ten 1101 copies of this document when completed-To report copyright violations of ALA Contract Documents,e-mail The American Institute of Architects'legal op ERMCO Contract # 2695-4320 "AIA Document G703RI - 1992 124 070 Continuation Sheet ALA.Document G702T"t,Application and Ceniftcation fir Payment, APPLICATION ND: 41 containing Contractor's slatted certification is attached. APPLICATION DATE: 12(2912011 in tabulations below,amounts are stated to the nearest dollar- PERIOD TO: i2f31/2011 Use Column.I on Contracts where variable rerainagc for line items may apply- ARCHITECT'S PROJECT NO: A B C I - D E F 1 G }t _ I W02K CO!QfPLLTED TOTAL BALANCE MATERIALS BALANCE PL El SCHEDULED FROM PREVIOUS PRESENTLY AN'D STORED ° TO RETAINAGE ITt'_;t4 DESCRIPT10i�' OF WORK VALUE APPLICATION THIS PER€OD STORED (O=C) FINISH gfvariablerarn) NO_ TO DATE D +P) (C—G) 00.121 EQ R-L 10,000 10 10,000.00 10,000.10 10� D0. 25 EQ F-M 1,500 0 1,500.40 1,300.0 100 oo_ 26 EQ F-L 2,00011 be 2,000 0 2,000.30 .• €00 00_62 E4.00&A& P ] 00. 63 SOUND R-M 73,000x00 75,000. 0 75,000-)0 100 00.164 SOUND R - L 60,000..0 60,000 0 60,000_30 100 00.1 65 E4.01 &A 00-:66 SOUND R-M 40,000. 0 40,000 0 _ 40,000.30 100 00. 67 SOUND R- L 25,000. 0 25,00000 25,000.30 100 00.963 E4.02&A 001169 SOUND R-M 40,000 0 40,000A30 40,000.00 100 0070 SOUND R-L 25,000. 0 25,000. 0 25,000.)0 100 00. 71 E4.03 00. 72 SOUND R-M 25,000. 0 25,000.00 25,00030 100 00.173 SOUND R - L 18,000. 0 18,000100 18,000.10 100 00.'74 E4,04 o0-'75 SOUND R-M 25,000.1)0 25,0000 25,000.00 100 00.1176 SOUND R- L 18,000.)0 18,000. 0 18,000.)0 100 00-177 E4.05 & 06&.07 & .09 00. 78 SOUND R-M 80,000100 80,000.30 80,000.)0 100 00. 79 SOUND R-L 65,000�00 65,000.)O 65,000.00 100 co. s0 E5-00& P 00. 81 F.A. R - M 15,000. 0 15,000.)0 1 15,000. 10 100 1 GW4NVD TOTAL , CAUTION:You should sign an original ALA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G793" -1992.Copyright G1962, 1965,1966,1957.1970,1979.1983 and 1992 by The American Institute of Architects.A11 rights reserved.WARNING:This A7ADocument is protected by U.S.copyright Laar anti 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 _. . .. . . ...........--,..,..._._,,.'A.,..,.,.,,,..,re ken ri m rrvni•e Of this document when comaleted.To report copyright violations of AIA Contract Documents.e-mail The American Institute of Architects'legal ERMCD Contract ll 2695-4320 • °f T�W Document G701" - 1992 124 070 Continuation Sheet AlA Document C702n',Application and Certification for Payment, APPLICATION NO: 43 containing Contractor's signed certification is attached. APPLICATION DATE: 12/29/2011 In tabulations below,amounts are stated to the nearest dollar- PERIOD 70: 12/29/20€1 Use Column 1 on Contracr where variable retainagc for tine items may apply. ARCHITECT'S PROJECT NO; B 1 C 1] I E F I G 1I 1 WORK CO�7PLETEO TOTAL BALANCE MATERIALS I comp, if PRE PRESENTLY r l TO rRE.=AhIAGE SCHEDULED FROM.RAT'IOUS ANDSTOR U FINISH j (Ifvurrndte rate] ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED 70 DATE 0)-CI NO, (D+E) (h'ol is D w'E) (pT E.=F) (C-0) 00. 82 F.A. R -L 9,000. 0 9,000. 0 9,000. 0 100 00. 83 F.A. F- M 20,000- 0 20,000. 0 20,000. 0 100 00- 84 F A. F-L 5,000. 0 5,000. 0 5,000.'0 100 00. 85 E5.01 & .02& .03 I 00. 86 F.A. R-M 17,000.0 17,000. 0 17,000, 0 100 00. 87 F.A. R- L 10,000.10 10,000. 0 10,000. 0 100 ' 00. 88 F.A. -F-M 20,000. 0 20,000. 0 20,000.-0 100 00:89 FA. F-L 5,000. 0 5,000. 0 5,000.00 100 00. 90 E5.04 & .05&.06 00. 91 FA. R - M 20,000. 0 20,000.00 20,000.110 100 00.192 F A R-t. 17,000. 10 17,000.00 €7,000.110 100 co 93 F A F-M 20,000.II) 20,000.00 20,000..0 100 I 00, 94 F.A. F- L 5,000.10 5,000.10 5,000.00 100 co. 95 E5.07& .08 & .09&.10 00. 96 F.A. R-M 20,000. 0 20,000Q0 20,000..0 100 00. 97 F.A. R-L 15,000. 0 15,000190 15,000.10 100 00. 98 F A. F-M 16,000. 0 16,000. 0 I 16.000. 0 100 1 00. 99 F - F . L 3,000. 0 3.000. 0 3,000. 0 100 00.:oo E6.02 00.:01 EQ M 55,000. 0 55,000. 0 55,000.110 100. 00.02 EQ L 20,000.10 20,000. 0 20.000.t 0 100 00.203 CABLE M 35,000.00 35,000.)0 35,000.0 100 00 04 CABLE L 45,000.70 45,000.30 43,000- 0 100 GRAND TOTAL CAUT€ON:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Oocument 070331-199.2,Copyright t:t963, 1955,1966.1967,1973,1978,1993 and 9992 by The American Instituteot Architects.Alt rights reserved.WARNING:This A€A°'DOCUment is protected by U.S.Copyright Law and international Treaties-Unauthorized reproduction or distribution of this Arks Document,or any pordon of it,may result in severe civil and criminal penalties, it The will he pro institute of Ae maximum um extent nnsimc under el s lava.Purchasers are permitted to repmnuee ten(10)copies e€:his document when completed.To report copyright violations of AIA Contract Documents. ERMCO Contract # 2695-4320 - ISl :tit Document G703" - 1992 124070 Continuation Sheet • A€A Document 0702 T'4,Application and Certification for Payment, APPLICATION NO: • 41 containing Contractor's signed certification is attached. APPLICATION DATE: I 2!291201 I In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: . Use Column Inn Contracts where variable manage for tine items may apply'. - 12/31R01 I ARCHITECT'S PROJECT NO: • • A B C D —E F G H I WORK COMPLETED TOTAL BALANCE MATERIALS COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY t TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED G I FINISH (iruariob/e rare! VALUE APPLICATION TillS PERIOD STORED IODATE ( -� N�O, (D+ E) nW in Dor EJ (U.+E1-F} (C-G) , —_ I 00.•05 GR NI 5,000 0 5.000:00 5000.30 IOC 00. 06 GR L 2,000 0 2,000100 2,000- 0 IOL, 00. 07 E6.03 If 0008 SECURITY R-M 40,000 0 40,000 00 40,000. 0 100 00.k04 SECURITY R-L 20,000.00 20,000 00 20,000. 0 10 OO.pIO SECURITY F - M 18,00000 18,000100 • 18,000. 10 10 00.211 SECURITY F-L 6,000,00 6,000100 6,000..0 10 00. 12 E6.05 60,000 0 60,000. 0 10 oo. 13 DIMMING M 60,000AO 00.'14 DIMMING L 45,000:00 45,000 0 45,000-10 10 00.•15 E6.06 00_ 16 OPTIC SENSOR M 8,000'00 8,00000 8,000. 0 10 00.1217 OPTIC SENSOR L 4,0001)0 4,000 I 0 4,000. 0 10 00.':8 E7.09 . D0.i 19 S&C M 100,000 0 100,000. 0 100,000,)0 10 00. 20 S&C L 80,000 0 80,000:00 80,000.J0 10 00.'21 ES 00 00.'22 LIGHTNING PRO M 42,000.00 42,00000 42,0110.00 10 00. 23 LIGHTNING PRO L 18,000100 18,00000 18,000.)0 IOC 00.24 ALLOWANCE 17 40,000. 0 40,000AO 40,000.)0 100 00425 CHANGE ORDER#1 00.5.26 OCULUS ALTERNATE 1,00000 1,00000 1,000.)0 100 00227 CHANGE ORDER#2 GR ND TOTAL i C�UTION:You should sign an original AIA Contract Document, on which this text appears in RED.An original assures that changes will not be obscured. AlA Document G703,"-1992.Copyrightw 1963,1965.1966, 1967,1970,1976, 1963 311d 1992 by The American iootilute of Nchitects.All rights reserved.WARNtNGI This AIA'IOocument is protected by U.S.Copyright and International Treaties Unauthorized reproduction or distribution of this AIA61 Document,or arty portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent «,.9—,f.., P,vrhesers are permitted to reproduce ten(1O}copies o min document when completed.To repoR copyright violations of AIA Gomel Documents,e-mail The American Institute of Architects'legal ERMCO Contract // 269 5-4 320 sAlADocument G703' - 1992 Continuation Sheet AIA Document G702TM,Application and Cenification for Payment, APPLICATION NO: . 41 containing Contractor's sighed certification is attached. APPLICATION DATE:. 12129/2011 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/3112011 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: I A B C 1) L__E F ' t' H I I WORK COMPLETED TOTAL MATERIALS BALANCE r ATERIALS PRESENTLY COMPLETED oip TO RETAINAGE WORK SCHEDULED FROM PREV10t15 AND STORED G=C FINISH (I(variable rote) tLE\1 DESC?tl E'T10N OF t:ORK. VALUE .APPLICn'F10N THIS P�R10D STORED I - ) NO_ (NattaDarEJ TODATE (C_G) (D+.6} (.9+Et f'1 00.'28 MACHINELESS ELEVATOR 11,50000 11,500.10) 71,500.}p 100 00.t29 CHANGE ORDER#3 € 00.1 "0 RCP 4 (58,832.'0) (58.852.00) (58,852.)0) - 101• 00. 31 CHANGE ORDER#004 NO C AT E 00. 32 CHANGE ORDER#005 00. 33 ASI-037, RCP-006 23,177.00 23,177-30 23,177.30 101 00. 34 CHANGE ORDER#006 00 35 RCP-011 (7,554.00) (7,55410) 1 (7,554.30) lot 00. 36 CHANGE ORDER#007 007 AS1-038 18,732,30 18,732.00 18332.10 10.= 00}it8- CHANGE ORDER#008 00-39 ALLOWANCE 4320A ELEC G NEF (350,00010) (350,00010) (350,000. 0) 10 00.1k.'40 ALLOWANCE 4330A FIRE A PM (75,000.10) (75,000.L00) (73,000. 0) 100 00.641 ALLOWANCE 43300 FIRE/SE UR (5,000.30) (5,000.301 (5,000. 0) 100 00.'42 ALLOWANCE 4320D ELECTR CAL (10,000.)0) (10,000. 0) (10,008 D) 100 00_43 BOND REDUCTION FOR ALLOW 1 (2,715.}0) (2,715.30) (2,715.10) 100 00. 44 CHANGE ORDER#009 00 45 WORK DIRECTIVE 4320-001 NEW 00.46 CHANGE ORDER#010 II .- 00. 47 ASI-PAC-104 WATER HEATER AD 17,090.10 17,090,10 17,090. 0 101' 00. 48 E3.03 00:49 LIGHTING R-M 30,000.40 30,000.0 _ 30,000. 0 100 00.150 LIGHTING R-L 35,000.40 35.000. 0 35,000.10 100 GRAND TOTAL CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703T"—1992.Copyright*1963,1965,1966.1937,1970, 1978.1963 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.copyright L_w 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 ... -. n..-..h ,,,,,non tnnrneI,ee tan rim nonles of tilts document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institutehi Architects'team ERMCO Contract // 2695-4320 SAL& M 1992 124070 Docu ment G703 - Continuation Sheet • APPLICATION NO: 41 AIA Document Gctor's Application and n Certification is att a attached.for Payment, APPLICATION DATE: 12/292011 containing Contractor's signed certification is attached. In tabulations below,amounts are stated to the nearest dollar. - -PERIOD TO: ]2r 1/201 I Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: • A B C I D I E I F I G ( H I } WORK COMPLETED TOTAL BALANCE MATERIALS COMPLETED TO RETAMAGE PRESENTLY AND STORED �° SCHEDULED FROM PREVIOUS STORED (G+C) FINISH (If variable rare) ITE�Vt DESCRIPTION OF WORK VALUE APPLICATION "fHIS PERIOD TO DATE (�•_G) NO. (D+E) (Not in Dor E) (D- E+F) 00.251 LIGHTING F-M 350,00000 350,00000 350,000.00 100 1 22,000.30 100 00.'52 LIGHTING F -L 22,000.00 22,000I 10 00.'53 CHANGE ORDER# 11 (100,00030) 100 00.'54 ALLOWANCE FROlM4320BALLOI (100,000.00) (100,00000) 00 , 0 100,000.)0 l0a 0 00.'55 ALLOWANCE TO 4320A ALLOW 1 100,000.)0 100 (30,000.30) 10 00.'36 ALLOW REDUCTION 4320B A_LO (30,000 00) (30,000 0) (186. 0) 10 i 00.'57 BOND REDUCTION (186.10) (186 0) 00_•58 CHANGE ORDER# 12 (50,000 0) (50,000. 0) 10 00. 59 ALLOWANCE FROM 43208.1 LO\ (50,000.10) ( - 50,000. 0 100 00. 60 ALLOWANCE TO 4320A ALL AI 50,000110 50,000 0 00. 61 ALLOWANCE FROM 4320D A LOt (10,000.00) (10,000 0) (10,000.1 0) 101 00. 62 ALLOWANCE TO 4320A ALLC WAI 10,000.10 10,000100 10,000. 0 101 00. 63 CHANGE ORDER#13 I 28,549. 0 10. 00. 64 ASI-PAC-147 28,549. 0 28,54910 00. 65 CHANGE ORDER# 14 8,950. 0 101 00.,66 RCP-PAC-028 8,950. 0 8,950 00 00.167 CHANGE ORDER# 15 3,214. 0 101 00. 68 RCP-PAC-029 3.214. 0 3,2140 . 00.'69 CHANGE ORDER#16 00._70 ALLOWANCE REALLOCATION42E 51,500. 0 51,500. 0 51,50030 IOr• 00.271 CHANGE ORDER#17 50,00030 101 00.'.72 STEEL DELAY ISSUES 50,000. 0 50,000.70 . - 00.e73 CHANGE ORDER#18 GRAND TOTAL l 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. La Document G7034'-1992 es.Unauthorized rre reproduction or distribution ton 1978,1983 and this AIA"Document,or�eportionsof it,may result inysevere civil and eccrim'inal penalties,and will be Document Is by U.S.Copyright mum extent Ale Law and International. n.,n P I copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal ... n.,r.r,�<o.<are nermined to reorotluce ten(t0 copies of this document when completed.To report copy g ERMCO Contract # 2695-4320 WAL& 7M 1992 124070 • Document G703 - Continuation Sheet AlA Document 0702"3,Application and Certification for Payment, APPLICATION NO: 41• containing Contractor's signed certification is attached. APPLICATION DATE: 12/292011 In tabulations below,amounts are stated to the nearest dollar. . , ',PERIOD TO: 12/31!2011 Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: If A l D 1 C I D E F C H I ( WORK COMPLETED TOTAL - BALANCE IIIII MATERIALS COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY AND STORED % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED (G-C) FINISH (7/variable rate). TO DATE C-G) NO. (D_F) (Ater in D or E) (D'E+F) ( . . {{ I 00.374 GENERAL ALLOWANCE INC t EA: 195300 ll 0 195,700- 0 195J00.30 100• 00.75 CHANGE ORDER#19 00176 ALLOWANCE REALLOCATION 40: 82,670.10 82,670. 0 82,670.)0 100 00.277 CHANGE ORDER#020 13,016.10 13,016. 0 13,016.30 100 oo.17S CHANGE ORDER#021 14,972.10 14,972. 0 14,972.30 100 00.}79 CHANGE ORDER#022 • 15,000.10 I5,000.�0 _ 15,000.00 100 • 001.80 CHANGE ORDER#023 9,862.10 9,862 00 9,862.30 100 • GRAND TOTAL 7,510,625.00 7,500,763.30 9,862.00 • 7,510,625.00 100 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. ALA Document G703r°—1992.Copyright 01963.1965,1966,1967,1970,1978.1983 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 ,.,.e,t.ac,...rtnr the law.Purchasers are°ermitted 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 � ; ' SHIEL SEXTON Transmittal F7ILJ 0 1, 1 ' 1 4" 1/9/2012 Transmitted To: DON CLEVELAND CITY OF CARMEL 30 WEST MAIN STREET, SUITE 220 CARMEL, IN 46032 FAX: 317.571.2789 Owner: CITY OF CARMEL Transmittal #: 0705 Project: CARMEL - RPAC CONSTRUCTION SSC Project #: 2695- Architect: CSO ARCHITECTS Reason For DOCUMENTATION FOR PAYMENT Delivery: Delivered DAVE BURCHARD HAND DELIVERED 01/09/12 Sent By: Via: Phone #: 317-423-6024 Fax #: 317-423-6300 Subject: ERMCO CONSENT OF SURETY TO FINAL PAYMENT Document Copies Status Remarks/Comments : Ermco Consent of Surety to Final Payment 1 For Your Use Notes: Att'd document is for final retainage invoiced by Ermco in November. DAVE ;a j RD, Sr. Project Manager cc: File 902 N Capitol Avenue, Indianapolis IN 46204 Phone: 317-423-6000 FAX: 317-423-6300 Consent of Surety OWNER ❑ to Final Payment ARCHITECT ❑ CONTRACTOR ❑ SURETY Ci AIA DOCUMENT G707 OTHER ❑ Bond No. 929541719 TO OWNER: City of Carmel ARCHITECT'S PROJECT NO.: (Name and address) One Civic Square Carmel, IN 46032 CONTRACT FOR: Parcel 7A, Regional Performing Arts Center- Interior Rough Construction Package P4 Carmel, IN PROJECT: Parcel 7A, Regional Performing Arts Center- Interior Rough Construction Package P4 (Name and address) Carmel, IN CONTRACT DATED: May 3, 2008 In accordance with the provisions of the Contract between the Owner and the Contractor as included above, the Continental Casualty Company, 9000 Keystone Crossing, Suite 500, Indianapolis, IN 46240 (Insert name and address of Surety) SURETY, on bond of ERMCO, Inc. (Insert name and address of Contractor) PO Box 1507, Indianapolis, IN 46206 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to City of Carmel (Insert name and address of Owner) One Civic Square, Carmel, IN 46032 , OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: December 2, 2011 (Insert in writing the month followed by the numeric date and year.) Continental Casualty Company Attest: (Seal): (Signature of authorized representative) Daniel T. Touw,Attorney-In-Fact (Printed name and title Printed in cooperation with the American Institute of Architects(AIA)by the CNA Insurance Companies. The language in this document conforms exactly to the language used in AIA Document G707-Consent of Surety Company to Final Payment- 1994 Edition. POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hartford,an Illinois insurance company,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania insurance company(herein called 'the CNA Companies"),are duly organized and existing insurance companies having their principal offices in the City of Chicago,and State of Illinois, and that they do by virtue of the signatures and seals herein affixed hereby make,constitute and appoint Liana M Shelton,Norma,1 Lerch,Daniel T Touw,Jason D McEldowney,Individually of Indianapolis,IN,their true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on their behalf bonds,undertakings and other obligatory instruments of similar nature - In Unlimited Amounts- and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of said Attorney,pursuant to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutions,printed on the reverse hereof,duly adopted,as indicated,by the Boards of Directors of the insurance companies. In Witness Whereof,the CNA Companies have caused these presents to be signed by their Senior Vice President and their corporate seals to be hereto affixed on this 30th day of November,2010. pnstytr t9t5uq�, ur Continental Casualty Company A� ,�. %, National Fire Insurance Company of Hartford GOPPORATE (i.: ('s ,srayrFel�R American Casualty Company of Reading,Pennsylvania �F/ � a° JULY n, It) SEAL `z� a LY HOZ / e ■� :r� t . 1 Q� �e�CQf-fro•leo Jac tk yne Belcastro Senior Vice President State of Illinois,County of Cook,ss: On this 30th day of November,2010,before me personally came Jacquelyn M.Belcastro to me known,who,being by me duly sworn,did depose and say: that she resides in the City of Chicago,State of Illinois;that she is a Senior Vice President of Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hartford,an Illinois insurance company,and American Casualty Company of Reading, Pennsylvania,a Pennsylvania insurance company described in and which executed the above instrument;that she knows the seals of said insurance companies;that the seals affixed to the said instrument are such corporate seals;that they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that she signed her name thereto pursuant to like authority,and acknowledges same to be the act and deed of said insurance companies. 011811011181/1 Asict„ CpAtej4 ttmwrewc-8181189 uwar wcweagrttoawacmvtro My Commission Expires September 17,2013 Eliza Price Notary Public CERTIFICATE 1,Mary A.Rihikawskis,Assistant Secretary of Continental Casualty Company,an Illinois insurance company,National Fire Insurance Company of Hanford,an Illinois insurance company,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania insurance company do hereby certify that the Power of Attorney herein above set forth is still in force,and further certify that the By-Law and Resolution of the Board of Directors of the insurance companies printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance companies this 2nd day of December 2011 . prslytT` tasuk of Continental Casualty Company •115' ,� d' National Fire Insurance Company of Hartford OAP.�TF �T:r S,N rneg rFO aR American Casualty Company of Reading, Pennsylvania = g JULY 11, it SEAL .r II�� Y \ 1992 1887 HM � • MarA. R ika ,kis &tsSry Form F6853-5/2009 Prescribed by State Board of Accounts Cily Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee E%%4n< /.19 Purchase Order No. /.507 Terms "74,7/oz,/,'s, 7,-V V62-66 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12 3//// 4/7 y/ o• P7 �862CY> • • J t G Total g I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I hay- _..t. -. -me in accordance with IC 5-11-10-1.6. e.; 1 — I9 , 2012 4- - reasurer