The URL can be used to link to this page

Home My WebLink AboutSIGNATURE CONSTRUCTION, LLC- 339- 8/11/2011 • Signature Construction, LLC Check: 339 720 3rd Ave., SW Date: 8/11/2011 Carmel, IN 46032 Vendor: SIGNATO1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-20 99,764.10 99,764.10 0.00 0.00 99,764.10 Application 20 on theater 99,764.10 99,764.10 0.00 0.00 99,764.10 339 8/11/201 1 **********99,764.10 THE SUM OF NINETY NINE THOUSAND SEVEN HUNDRED SIXTY FOUR DOLLARS AND 10 CENTS**************** Signature Construction, LLC 720 3rd Ave., SW Carmel, IN 46032 Signature Construction, LLC Check: 339 720 3rd Ave., SW Date: 8/11/2011 Carmel, IN 46032 Vendor: SIGNATO1 Prior Invoice P.O. Num, Invoice Amt Balance Retention Discount Amt. Paid 2-20 99,764.10 99,764.10 0.00 0.00 99,764.10 Application 20 on theater 99,764.10 99,764.10 0.00 0.00 99,764.10 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUV /cNT 6702 PAGE ONE OF 2 PAGES2 TO OWNER CRC et City of Carmel PROJECT, 7C-1 Main Theater APPLICATION NO:Apphraf:nn a in Distribution to: Application 4 i5 Signature costs I "'OW'NER Carmel Indiana 46032 [ lARCHITF,CT PERIOD TO: 5/25/2011 1 X ]CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design Signature Constriction Services LLC 720 3rd Avenue&W. I'ROJFCT NOS: Cannel,Indiana 16032 CONTRACT FOR: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the bell of the Contractors knowledge, Application is made for payment.as shown below,in connection with the Contract information and beliet the Work covered by this Application the Payment has been Continuation Sheet,AIA 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 Ceniticales Ibr Payment were issued and payments received from the Owner,and that current payment shown herein is now due. !_ ORIGINAL CONTRACT SUM 5 I_73,525.79 2. Net change by Change Orders S IU9,701,)tl CONTRACTOR: 3. CONTRACT SUM TODATE_(Line 1Y 2) S 1.3-e,2[r.29 4 TOTAL COMPLETED&StORGD TO S IO02,heh.81 �--� �% it,.': ..- Date_ 5,/z y r/ 5. REI'AINAGE. • Inomas y.Koontz.President 4�a. 0 S'ol'Com Completed Work $ 0 o It LINDA BUCHANAN P -uhsuibed dsrmrn to belhte me this Z� day of �'IQI ;� .. ( futon D+ t on rr703) I _ Hancock Count; IL otsm,cd Material 5 s 54--M. My Commission Expires l t in F on 0703) "''n ��.'' August 20,2011 total Roamage&,toes Sc-DO or Total in Column Inf0703) s 0.00 ARGHII Et: I'S GERI IF GATE FOR PAYMEN 6. TOTAL EARNED LESS RE'TAINAGE S i US2,1.2h.8I In accordance with the Contract Documents.based on on-site observations and the data (line 4 Less Line 5 Total) ctnnprtsing the application,the Architect unities to the Owner that to[behest of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge.information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certireale) S 952,761 71 the quality of the Work is in accordance with the Contract Documents,and the Conlmcmr 8. CURRENT PAYMENT DUE 5 99,7h4.10 is entitled to payment oCthe AMOUNT CERTJFtE0. 9_ BALANCE TO FINISH,INCLUDING RETAINAGE S 2131,7U1.4S �� 76 If �� (Line 3 less Line 6) AMOUNT CERTIFIED. ' ' ' '..5 7.$ Cl IANoG ORDER SUMMARY Al)])]I IUNs I)hLAUL,IIUNS (Anne r explurmrlony'annuli cern%ieirlq(er5'Jronelle ammWnr applied fnillnt rill figures OR/hi.) I otal changes approved — Applionlion and onitre Continuation Skeet tier are cha red nr corfornr with the amount certified) in previous months by Owner $56,707.44 AR_FITECT,.0.-1... .,r-• e-111 /' - Tom1 approved this Month $22,994.05 i<��,t Dote: 'TOTALS 5109.701.50 5000 This Cenifcate is not negotiable. The AMOUNT CERTIFIED is payable only to the toms-actor named nereta issuance,payment arts acceptance co payment are wnnuut NET CHANGES by Chance Order 5109,707.50 prejudice to any rights of Owner or Contractor under this Connect. AV Ir ALA n{)NMEN:'GrC2.APPLICATION Arm CERTIFICATION FOR PAYMENT-19ot eDItION AM.mt992 TH_AMICAN iNSnnITE OF ARCHIrecsr.I 71 NEw YORK AV=-N.W.,WASHINCTON,DC 2m%SM2 Co. Users may obtain validation of this document by requesting a completed AIA Document D401 -Codification of Document's Authenticity from the Licensee. SIGNATURE CONSTRUCTION LLC 720 3rd. Avenue, 5. W. Carmel, Indiana 46032 Application # 20 5/23/11 7C-1 Main Theater Carmel, Indiana Revised WOW( COMPLETED MATERIALS TOTAL BALANCE DESCRIPTION OF SCHEDULED Change SCHEDULED FROM PREVIOUS THIS PRESENTLY COMPLETED AND TO WORE VALUE Orders VALUE APPLICATIONS PERIOD STORED STORED TO DATE % FINISH RETAINAGE Pre-Construction Services: Site Supervision 20,921.29 20,921.29 20,921.29 0.00 0.00 20,921.29 100% 0.00 0.00 Construction Management 3,139.47 3,139.47 3,139.47 - 0.00 3,139.47 100% 0.00 0.00 Design Drawings 5,068.68 5,068.60 5,068.68 0.00 0.00 5,068.68 100% 0.00 0.00 Jobsite Trailer 2,947.03 2,947.03 2,947.03 0.00 0.00 2,947.03 100% 0.00 0.00 General Conditions; Testing and Inspecting 29,634.51 5,440.00 35,074.51 31,215.45 1,201.41 0.00 32,416.86 92% 2,657.65 0.00 Site Supervision 312,500.00 26,641.96 339,141.96 268,392.97 25,354.28 0.00 293,747.25 87% 45,394.71 0.00 Construction Management 59,690.49 59,690.49 26,228.59 3,428.97 0.00 79,657.56 50% 30,032.93 0.00 Site Safety Director 15,000.00 15,000.00 8,936.99 718.42 0.00 9,655.41 64% 5,344.59 0.00 Design Drawings 42,000.00 42,000.00 36,154.10 897.93 0.00 37,052.03 88% 4,947.97 0.00 Sanitary Facilities 9,500.00 9,500.00 7,265.32 0.00 0.00 7,265.32 76% 2,234.68 0.00 Field Office 20,000.00 20,000.00 12,748.40 2,497.93 0.00 15,246.33 76% 4,753.67 0.00 Temporary Electric 3,000.00 3,000.00 1,511.79 601.33 0.00 2,113.12 70% 086.88 0.00 Office Supplies 10,000.00 10,000.00 7,110.95 1,665.24 0.00 0,776.19 08% 1,223.91 0,00 Temporary Telecommunications 1,000.00 1,000.00 568.32 0.00 0.00 568.32 57% 431.68 0.00 Temporary Water 685.00 685.00 165.74 22.37 0.00 188.11 271 496.09 0.00 Tools and Equipment 28,000.00 28,000.00 24,997.26 0.00 0.00 26,997.26 89% 3,002.74 0.00 Access Road 0.00 5,707.80 5,707.80 5,436.00 0.00 0.00 5,436.00 95% 271.90 0.00 Lithko Risers 3,480.00 0.00 3,480,00 2,215.00 1,265.00 0.00 3,480.00 100% 0.00 0.00 Field Eng. and Surveying 4,000.00 4,000 00 3,099.00 647.23 0.00 3,746.23 94% 253.77 0.00 Insurance 0,00 16,625.23 16,625.23 16,141.00 0.00 0.00 16,141.00 974 484.23 0.00 Health and Safety 1,234.66 1,234.66 486.73 575.00 0.00 1,061.73 86% 172.93 0.00 Waste Disposal 26,000.00 26,000.00 19,808.80 6,191.20 0.00 26,000.00 100E 0.00 0.00 Project Signage 1,500.00 1,500.00 0.00 35.98 0.00 35.98 2% 1,464.02 0.00 Temp fencing 1,500.00 7,980.00 9,480.00 7,600.00 0.00 0.00 7,600.00 80% 1,880.00 0.00 Temp Electric Site 20,000.00 20,000.00 16,030.40 0.00 0.00 16,030.40 80% 3,969.60 0.00 Temp Lighting Site 3.000.00 3,000.00 0.00 0.00 0.00 0.00 0% 3,000.00 0.00 Temp water Site 3,000.00 3,000.00 2,012.27 777.56 0.00 2,789.83 93% 210.17 0.00 Temp Fire Protection 1,000.00 1,000.00 0.00 631.29 0.00 631.29 63% 368.71 0.00 Allowance 0.00 18,151.35 18,151.35 0.00 295.65 0,00 295.65 2% 17,855,70 0.00 Construction Management Fee 595,724.66 29,155.16 624,879.82 422,560.16 52,957.31 0.00 475,517.47 76% 149,362.35 0.00 1,223,525.79 109,701.50 1,333,227,29 952,761.71 99,764.10 0.00 1,052,525 81 86% 280,701.48 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 Main Theater, 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 ninty-nine thousand seven hundred sixty-four dollars and ten cents ($99,764.10)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 f .------ Tomas Koontz, President / Cuescribed and sworn to before Jme this: May 1q , 3a/ Notary Public:( J �2ue-A-•4� LINDA BUCNANAN _ Hancock County s triy Commission Expires Pt W m August 20,2011 LitAn Contracting, Inc. '><` '`M s q„ s 11 . fit y $'4 ;F'. z {513} 539-4144 f, t liy �. ft ` Remittance Address s .. .. . : ONO M CONTRACTING ONRDE, OHIO 15050 ItriVAN I INC. 1 57882 TO: CARMEL THEATRE. DEVELOPMENT COMPANY._ LLC 11711 NORTH PENNSLYVAN1A ST.,SUITE 2011 Invoice No. CARMEL, IN 46032 28752 Rd C/O SIGNATURE CONSTRUCTION 720 THIRD AVE., SW Invoice Date CARMEL, IN 46032 4/28/11 Joh name: Lithko Job No. Customer Job No. . A.O.No. VILLAGE ON THE GREEN THEATRE BLDG. L5626 I 72012 Description Amount DRAW# 11 GROSS 22,445,84 RET 2.244.58 20,201.26 COMMUNICATIONS CONVEYED ON CHECK TENDERED STATING PAYMENT IN FULL AND/OR WAIVING OF LIEN RIGHTS TO ANY EXTENT MUST BE SEN'I'1'O SELLER.AS FOLLOWS: ATTN: ACCOUNTS RECEIVABLE DEPT., LITHKO CONTRACTING, INC. P.O. BOX 270, MONROE, OH 45050 Payment Terms 30 DAYS TOTAI. AMOUNT DUE b S 20,201.26