The URL can be used to link to this page

Home My WebLink AboutSIGNATURE CONSTRCTION, LLC- 147- 1/5/2011 Signature Construction, LLC Check: 147 720 3rd Ave., SW Date: 1/5/2011 Carmel, IN 46032 Vendor: SIGNATO1 Prior Invoice P,O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4-17 38,687.86 38,687.86 0.00 0.00 38,687.86 App 17 on Parking Garage 38,687.86 38,687.86 0.00 0.00 38,687.86 147 1/5/2011 **********38,687,86 THE SUM OF THIRTY EIGHT THOUSAND SIX HUNDRED EIGHTY SEVEN DOLLARS AND 86 CENTS**************** Signature Construction, LLC 720 3rd Ave., SW Carmel, IN 46032 Signature Construction, LLC Check: 147 720 3rd Ave., SW Date: 1/5/2011 Carmel, IN 46032 Vendor: SIGNATO1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Art Paid 4-17 38,687.86 38,687.86 0.00 0.00 38,687.86 App 17 on Parking Garage 38,687.86 38,687.86 0.00 0.00 38,687.86 APPLICATION AND CERTIFICATION FOR PAYMENT Ac4 DOCUMENT G702 PAGE ONE OF 2 PAGES 2 TO OWNER CRC at City of Carmel PROJECT: 7C-3 VOG Parking Garage APPLICATION NO:Application a I7 Distribution to: Application ii 17 Signature costs OWNER Cannel Indiana 46032 ARCHITECT PERIOD TO: 11/29/2010 X CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT; Pedcor Design Signature Construction Services'LC 720 3rd Avenue S.W. PROJECT NOS: Carmel, Indiana 46032 CONTRACT FOR: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,MA Document 0703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and . payments received from the Owner,and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $ 848,785.71 2. Net change by Change Orders $ 0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line 1 ±2) $ 848,785.71 4. TOTAL COMPLETED&STORED TO $ 766,503.24 By.. ,/ f _ Date: „7Zy�0 5. RETAINAGE: Thomas, ' Donn,President a. 0 %of Completed Work $ 0 S bscribed a vorn to before me this ' day of ilex/, w U (Column D+E on 0703) b. %of Stored Material $ ,...e iN LINDA BUCHANAN (Column F on 0703) .,a,.a., : Hancock County Total Retainage(Lines 5a+56 or S_y..rtu:, My Commission Expires p °..'Esil ' August 20,2011 Total in Column I of 0703) $ 0.00 ARCHITECTS CERTIFICATE FOR PAYMENT' 6. TOTAL EARNED LESS RETAINAGE $ 766,503.24 In accordance with the Contract Documents,based on on-site observations'aitd the data • (Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) $ 727,815.38 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 38,687.86 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 82,282.47 p / Q/ (Line 3 less Line 6) AMOUNT CERTIFIED $ 7, Q p$7 p. , 6 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount app lied. Initial all figures on this Total changes approved Application and andte Continuation.Sheet that are changed to conform with the amount certified) in previous months by Owner �: t'In- —wn—Lr ,rte Total approved this Month By: � rj Date: /272_40 /(' TOTALS 50.00 $0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named Herein.tssuance,payment and acceptance of payment are without NET CHANGES by Change Order $0.00 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702-APPLICATION AND CERTIFICATION FOR PAYMENT-1992 EDITION-ALA .01992 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE,NW_WASHINGTON,DC 200055292 Users may obtain validation of this document by requesting a completed AIA Document 0401 -Certification of Document's Authenticity from the Licensee. If I P • SIGNATURE CONSTRUCTION LLC 720 3rd Avenue, S. W. Carmel, Indiana 46032 Application # 17 11/29/10 7C-3 VOG Parking Garage Carmel , Indiana WORK COMPLETED I MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF SCHEDULED FROM PREVIOUS THIS PRESENTLY COMPLETED AND TO NO. WORK VALUE APPLICATIONS PERIOD STORED STORED TO DATE $ FINISH RETAINAGE 101 Pre-Construction Services 66,557.63 66,557.63 0.00 0.00 66,557. 63 100% 0.00 0.00 100 General Requirements: Testing & Inspecting 59,421.98 44,036.79 2,148. 58 0.00 46,185.37 78% 13,236.61 0.00 Project Management 58,829.00 24,371.69 4,115.81 0.00 28,487.50 48% 30,341.50 -0.00 Site Supervision 171,987.31 150,113.93 19,452.50 0.00 169,566.43 99$ 2,420.88 0.00 Site Safety Director 10,894.00 4,044.42 1,017.89 0.00 5,062.31 46% 5,831.69 0.00 Design Drawings 12,256.00 1,402.63 794.29 0.00 2,196.92 18% 10,059.08 0.00 Temporary Electric 12,256.00 9,312.70 2,936.14 0.00 12,248.84 100% 7.16 0.00 Temp Fire Protection 1,838.00 0.00 0.00 0.00 0.00 0% 1,838.00 0.00 Temp Lighting 5,426.60 175.39 0.00 0.00 175.39 3% 5,251.21 0.00 Temp Water 1,843.82 40.67 104.72 0.00 145.39 8% 1,698.43 0.00 Sanitary Facilities 497.00 40.04 0.00 0.00 40.04 8% 456.96 0.00 Field Office 12,746.00 12,427.64 0.00 0.00 12,427.64 98% 318.36 0A0 Temp Electric 2,451.19 2,451.19 0.00 0.00 2,451.19 100% 0.00 0.00 Office Supplies 2,451.00 2,303.28 48.13 0.00 2,351.41 96% 99.59 0.00 Temp Phone 4,657.00 328.84 175.39 0.00 504 .23 11$ 4,152 .77 0.00 Temp Water 490.00 157.45 0.00 0.00 157.45 32% 332.55 0.00 Tools & Equipment 19,610.00 18,977.28 467.21 0.00 19,444.49 99% 165.51 0.00 Temp Fence 1,634.00 734.13 0.00 0.00 734.13 45% 899.87 0.00 Project Signage 1,225.00 593.00 0.00 0.00 593.00 48% 632.00 0.00 Field Eng Surveying 3,268.00 1,245.76 0.00 0.00 1,245.76 38% 2,022.24 0.00 Health 6 Safety 2,451.00 1,115.73 211 .33 0.00 1,327.06 54% 1,123.94 0-00 Waste Disposal 9,725.23 5,038.75 2,440. 00 0.00 7,478.75 77% 2,246.48 0.00 Change Orders 5,074.95 0.00 0. 00 0.00 0.00 0% 5,074.95 0.00 199 Construction Management Fee 381,195.00 382,346.44 4,775.87 0.00 387,122.31 102% (5,927.31) 0.00 848,785.71 727,815.38 38,687.86 0.00 766,503.24 90% 82,282.47 0.00 CONDITIONAL AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) COUNTY OF HAMILTOP ) Thomas E. Koontz being duly sworn states that he is the President of Signature Construction, LLC having contract to furnish certain materials and / or labor as follows: Construction Management Services for a project known as Village on the Green Parcel 7c Parking Garage, located at Carmel, Indiana and owned by the Carmel Redevelopment Commission and does state: CONDITIONAL WAIVER: that the balance due from the owner is the sum of thirty-eight thousand six hundred eighty-seven dollars and eighty-six cents (538,687.86) the payment of which has been promised as the sole consideration for this Affidavit and Conditional Waiver of Lien which is given to and for said amount, effective upon receipt of such cash payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all line or claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, finished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work perform or material furnished to the undersigned for the said project, and within the scope of this affidavit and waiver, SIGNATURE CONSTRUCTION, LLC Thomas E Koontz, President Subscribed and sworn to before me this, /1c✓. 2--7, _De/0 Notary Public: +®LINDA BUCHANAN f:,-, Hancock County .s NSE:.Y1,` My Commission Expires August 20,2011 •