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HomeMy WebLinkAboutERMCO, INC.- 001458- 12/17/2010 CARMEL REDEVELOPMENT COMMISSION 001458 Ermco, Inc. Check: 1458 PO Box 1507 Date: 12/17/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice p.O. Num. Invoice Amt Balance Retention Discoun Amt. Paid 32 36 27,590.00 27,590.00 0.00 0.00 27,590.00 Application 32 27,590.00 27,590.00 0.00 0.00 27,590.00• Post,DE,*�D� Carmel Redevelopment Commission 00145,8 0 West Main Street Suite A REGIONS Suite 220 20-1421/740 %TRRIG4 Carmel, IN 46032 1458 - DATE AMOUNT 12/17/2010 27,590.00 PAY THE SUM OF TWENTY SEVEN THOUSAND FIVE HUNDRED NINETY DOLLARS TO THE ORDER • OF -Ermco, Inc. PO Box 1507 Indianapolis, IN 46206 r M P AF4 0� n•0011, 581' 1:0740 14 2 1 31: 008 7 504 1 IL" CARMEL REDEVELOPMENT COMMISSION 001458 Ermco, Inc. Check: 1458 PO Box 1507 Date: 12/17/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Am . Paid 32 36 27,590.00 27,590.00 0.00 0.00 27,590.00 Application 32 27,590.00 27,590.00 0.00 0.00 27,590.0C ft ‘ vfrAIA /5(0 Document G702/CMa TM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment CommisJECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO: 32 Distribution to: 1 Civic Square Center Interior Rough PERIOD TO: 11/30/2010 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONTR � INC. VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 / CONTRACTOR ❑ - Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CSO Architects CONTRACT FAR: ciectrical Installation Project#25310H ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information 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 Continuation Sheet,AIA Document meat,as 0703,is attached. 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 1.ORIGINAL CONTRACT SUM 8,505,000.00 payment shown herein is now due. 2. Net change by Change Orders $(325,595.00) CONTRACTO•.'ERM,/CO, INC - 3.CONTRACT SUM TO DATE(Line I ±2) 8 // ,179,405.00 By: / _ 2 ,/ia _ Date: 11/15/2010 4.TOTAL COMPLETED 8 STORED TO DATE(Column G on 0703) 8,047,271.78 State of: Indiana 5.RETAINAGE: County of: Marion a. _%of Completed Work Subscribe♦�f sworn to before 358,977.0.25 November, 20 0 (Column D+Eon G703) S me this day of 4 b. S„of Stored Material Notary Public: ' c t-_-e-6) (Column F on(3703) $ My Commission expires: 12/19/2015 Total Retainage(Lines 5a+5b or Total in Column I of G703).. S 358,970.25 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 6,688,301.53 In accordance with the Contract Documents. based on on-site observations and the data comprising this application,the Construction Manager and Architect certify to the Owner that to the 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 $ 6,660,711.53 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. -r goer 8.CURRENT PAYMENT DUE $ 27,590.00-1 AMOUNT CERTIFIED $ 21 S1. P -- 9.BALANCE TO FINISH,INCLUDING RETAINAGE - (Attach explanation if amount certified dii firms frog eanount applied. Initial all f figures on this _ Application and on Continuation S et that t hanged to con form with the amount certified.) 491,103.47 (Line 3 less Line 6) - $ CONST'. TIO r M ;. . By: `�; \ %/� ./ t Date: I St /19 CHANGE ORDER SUMMARY I ADDITIONS DEDUCTIONS ARCH! '1' Total changes approved in previous months by Owner313,712.00 $639,307.00) By: tit Date: t . r _e Total approved this Month $ _ $ This Certificate is not neeotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 21G,792 00 (639,307.00] named herein. Issuance; payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order L (a25,59b.UU) the Owner or Contractor under this Contract. CAUTION: You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G702JCMa"'—1992.Copyright ®1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. - Purchasers are permitted to reproduce ten(t 0)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. °' ERNCO Contract N 2695-4320 - - lAJA Document G703TM - 1992 124070 Continuation Sheet . AlA Document 0702•71,Application and Certification for Payment, APPLICATION NO: 32 containing Contractor's signed certification is attached. APPLICATION DATE: 11/15(2010 In tabulations below,amounts arc stated In the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply, PERIOD TO: I V30l2010 ARCHITECT'S PROJECT NO: A B I C 1) E ,,r - O H WORK COMPLETED TOTAL MATERIALS COMPLETED 13A LANCE ITEM D1:SCR]PT(ON OF WORK SCHEDULED FROM PREVIOUS PRESENTLY 35 TO RETAINAGE NO. VALUE APPLICA'T'ION THIS PERIOD STORED AND STORED NO. TO DATE (G=CJ FINISH (If variable tat!) (Di E). (Not in Dor E) (U+E+F) (C—G) •00.001 MOBILIZATION 15.00000 15.000.00 15.000.00 100 00.002 P.M. 200.000-00 195,640.00 4360.00 200.000.00 100 00.00: CAD ENG 80.000.00 80,000.00 80.000.00 100 00.00« TEMP-L - 7500.00 75,000,00 75,000.00 -=.x`100 • 00.00: TEMP-M 45,000.00 45,000.00 45,000.00 .100 00.00E CLEAN UP ''�' (5,000.00 14,420.00 580.00 .15,000,00 100 00.00 BOND 72,000.00 72.000.00 72,000,00 100 00.00 TESTING • .18,000 DO 16.50090 1,500.01 18,000.00 100 00,00E SITE OFFICE 23,000.00 23,000.00 23,000,00 100 00,01( DEMOBILIZATION 5.000.00 2_.000.00 2.00000 40 3.000.00 00.01 ALLOWANCE 12 550,000.00 489,848.00 489,848.00 89 60,152.00 00.01_) ALLOWNACE 13 350,000.00 325,253.78 . . 325,253.78 93 24.746.2: 0001 ALLOWANCE 14 100,000.00 75.000.00 75,000.00 75 25,000.00 00.01 ALLOWANCE 15 5,000.00 5,000.00 5,000 00 100 00.01 ALLOWANCE 16 10,000.00 10_.000.00 10,000.00 100 00.01• EO.11 00.01 MAT 10,000.00 10,000.00 10.0000( 100 0001 LABOR 6,000.00 6,000.00 6,000.0( 100 00.01+ EXCAVATION 35_,000.00 35.000.00 35.000.0( 100 00.021 E0.12 00.025 BRANCH R-M - : . 500.00 500.0( 5(100(1 :., 100 00.02: BRANCH R- L -- ' 1,500.00 1,500.00 1.50)10( 100 00.021 BRANCH. F'- M 100,00 100,00 100.0( 100 • GRAND TOTAL I .. . . CAUTION:You should sign an original AEA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AM Document G703itl—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 Ale Document,or any portion of It,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AlA Contract Documents,e-mail The American Institute of Architects'legal ' counsel,copyright @ain_reg. AATT ERMCO Contract it 2695-4320 = L11A Document G703TM — 1992 124070 Continuation Sheet AEA Document 6702131, Application and Certification for Payment, APPLICATION NO: 32 containing Contractor's signed certification is attached. APPLICATION DATE: En tabulations below. amounts are stated to the nearest dollar. L 1/1572030 Use Column 1 on Contracts where variable relainage for line items may apply. PERIOD TO: 11/30/2010 ARCHITECT'S PROJECT NO: r1 B C D E F (21 II I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLF.T90 SCHEDULED FROM PREVIOUS PRESENTLY 4 TO RETAINAGE tNO. DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED TO DATE (6+Ca FINISH (Iflvriable rare) (D+F1 (A;:nmDorE: (D.i.E+/_) (C—(T) 00.028 BRANCH F - L 200.00 200.00 200 00 100 00.029 E1.01 00.030 FEEDER M 975.000.00 975,000.00 975,000-00 100 00.031 FEEDER L 600,000.00 600,000.00 600,000-00 100 00.032 E1.02 00.033 EQ M 250,000.00 250,000.00 .-250,000-00 100 00.034 EQ L 150,000.00 ]50,000 00 150,000 00 [00 00.035 E1.03 00.036 EQ R-M 10,000.00 10.000.00 10,000.00 100 00.037 EQ R-L 15,000,00 15,00000 15,000.00 100 00.038 EQ F - M 30,000.00 30,000-00 30,000.00 100 00.039 EQ F- L 8.000.00 8-000.00 8.000.00 €00 00.040 E1.04 00.041 EQ R- M 10.000.00 10,000.00 10.000.00 100 00.042 EQ R- L 15,000.00 15,000.00 15,000.00 100 00.043 EQ F - M 25.000.00 25,000-00 25,000.00 100 00.044 EQ F-L 8.000.00 7,900.00 100.00 8__000.00 100 00-045 E1.05 00,046 EQ R-M 5,000.00 5,000.00 5,000.00 IOU 00.047 EQ R- L - 5,000.00 5,000.00 5,000.00 . 100 00.048 EQ F-M 35.000.00 35,000.00 35.000.00 100 00 049 EQ F-L 8.000-00 7,900.00 100.00 84000.00 100 00.050 E2.00&A& P - GRAND TOTAL 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 0 1953,1965,1966, 1967,1970,1978.1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by D.B.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(1 0)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. TT ® ERMCO Contract if 2695-4320 . . . 411114 i Document G7031N =AIA - 1992 124070 Continuation Sheet . AIA Document G702.94, Application and Certification for Payment. APPLICATION'NO: 32 containing Contractors signed certification is attached. APPLICATION DATE: 11/15/2010 In tabulations helow,amounts are stated to the nearest dollar. I/5012010 Use Column 1 on Contracts where variable rctainagc for line items play apply. PERIOD TO: ' ARCHITECT'S PROJECT NO: A - B C 1) ' F -''F` G FI t WORK COMPLETED TOTAL • MATERIALS BALANCE SCHEDULED COMPLETED I'T'EM DESCRIPTION OF WORK FROM PREVIOUS PRESENTLY % TO RE-TANAGG VALUE AND STORF,D NO APPLICATION THIS PER30D STORED TO DATE 05+C) FINISH a/variable rare) (ID+E) (Not in Dor E) (D+E+F.) (C-C) 00,051 RIGGING 35.000.00 335.000.00 35.000.00 100 00.052 EQ R- M 30,000.00 30,000.00 30,000.00 100 00.053 EQ R- L 20,000.00 20.000.00 20,000.00 100, 00.054 EQ , F-M 575,000-00 575,000.00 575000 00 Y100.. 00.055 EQ F- L 301100.03 29,500.00 500 00 30 '100 00.056 BRANCH R 7 M : 17,000.00 17.000.00 17,000:00 100 00.057 BRANCH R- 1_ - 13,000.00 13,000.00 13,000.00 100 00.058 BRANCH F-M 7,000.00 7,000.00 ' 7,000.00 100 00,059 BRANCH F- L 5,000.00 4,750.00 250,00 5,000.00 100 00.060 FEEDER R-M 550.000.00 550,000.00 550,000.00 100 00.061 FEEDER R- L 250,000.00 250,000.00 . 250,000.00 TOO 00.062 FEEDER F-M 6,000.00 6.000.00 6,000.00 100 90.063 FEEDER F- L 10.000.00 10,000.00 101)00.00 I00 00.064 E2.01 E2.02 00.065 RIGGING 10,000.00 10.000.DO 10,000.00 100 00.070 BRANCH R- M 15,000.00 . 15,000.00 15,000 00 100 00.071 BRANCH R- L 8,000.00 8,000.00 8.000.00 100 00072 BRANCH F - M 2500.00 2.500.00 2,500.00 100 00.073 BRANCH F-L 3,500.00 3,250.00 250,00 3,500.00 100 . 00.074 E2.03&A 00.075 BRANCH R-M 20,000.00 20.000.00 20,000,00. 100 00,076 BRANCH R-L 16,000.00 16,000.00 161000.00 100 00.077 BRANCH : F- M 1,000.00 1,000.00 1.000.00 ]00 GRAND'FOi'AL • 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. AR Document G763"-1992.Copyright©1963,1965,1966, 1967,1970.1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AleDocument Is protected by U.5.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permihed to reproduce ten(10)copies of this document when completed. in report copyright violations of AlA Contract Documents,e-mail The American Institute of Architects'legal counsel.copyright @aia.org. ® ERMCO Contract /i 2695-4320 —AIA Document G7037M - 1992 124070 Continuation Sheet AIA Document 07021M,Application and Certification for Payment. APPLICATION NO: 32 containing Contractor's signed certification is attached. APPLICATION DATE: 11/15/2010 In tabulations below,amounts are stated to the nearest dollar. ' Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 11/30/2010 ARCHITECT'S PROJECT NO: A B C 0 E F G H I WORK COMPLETED TOTAI, MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY 38 TO RETAINAGE lint DESCRIPTION OF WORK AND STORED NO. VALUE APPLIC'A'TION THIS PERIOD STORED TO DATE (G+C) FINISH (If variable rare) (D+C) (Not in D or E) (I)+F+F) (C—G) 10.078 BRANCH F- L 2.500.00 2,350.00 150.00 2500.00 100 30.079 FEEDER R-M 65,000.00 65,000.00 65,000.00 100 )0.080 FEEDER R-L 45,000.00 45,000.00 45,000.00 100 )0.081 FEEDER F-M 2,500.00 2.500.00 2,500.00 100 )0.082 FEEDER F-L 5,000.00 5,000.00 5,000.00 100 )0.083 E2.04 00.084 BRANCH R-M 6.000.00 6.000.00 6,000.00 100 )0.085 BRANCH R-L 8,000.00 8,000.00 8,000.00 100 10.086 BRANCH F- M 1,000.00 1.000.00 1,000.00 100 )0.087 BRANCH F-L 2,500.00 2,350.00 150.00 2,500.00 100 )0.088 E2.05 )0.089 BRANCH R-M 15.000.00 15,000.00 15.000.00 100 00.090 BRANCH R - L 14.000.00 14,000.00 14.000.00 100 )0.091 BRANCH F-M 800.00 800.00 800.00 100 )0.092 BRANCH F-L 1,500.00 1,250.00 250.00 1,500.00 100 00.093 E2.06 00.094 BRANCH R-M 4,000.00 4,000.00 4.000.00 100 00.095 BRANCH R- L 6,000.00 6,000.00 6,000.00 100 00.096 BRANCH F-M 600.00 600.00 600.00 100 00.097 BRANCH F- L 1,200.00 900:00 300.00 1,200.00 100 00.098 E2.07 )0.099 BRANCH R-M 8.000.00 8.000.00 8.000.00 100 30.100 BRANCH R-L 10,000.00 10.000.00 10,000.00 100 GRAND TOTAL 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'v—1992.Copyright®1963,1965,1966,1967, 1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAe 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 possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. ® ERMCO Contract ll 2695-4320 . - .It-, T TM 124070 =�°AIA Document G7O3TM — 1992 Continuation Sheet AIA Document G702T`t,Application and Certification for Payment, APPLICATION NO: 32 containing Contractor's signed certification is attached. APPLICATION DATE: 1 1/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 1 1/30/2010 ARCHITECT'S PROJECT NO: A 13 _ C U E F C U 1 WORK COMPLETED 101 1f MATERIALS BALANCE LUULED COMPLETED SCII ITEM DESCRIPTION OF WORK AND PREVIOUS PRESENTLY AND STORED I O RETAINAGE VALUE APPLICATION THIS PERIOD STORED (C+C) FINISH (If variable rate) NO. TO DATE (U+E) (A'a in Dar F.) (D+E+F) . (C-G) 30.101 BRANCH F- M 1.000.00 1.000.00 1.000.00 100 10.102 BRANCH F- L - 2.500.00 1.750.00 750.00 2500.00 100 )0.103 E2.07A 10.104 BRANCH R-M 15.000.00 15,000.00 15.000.00 100 30.105 BRANCH R-L 20,000.00 20,000.00 20,000.00 100 00.106 BRANCH F- M 9,000.00 9,000.00 9,000.00 100 00.107 BRANCH F- L 10,000.00 9,000.00 1,000.00 10,000.00 100 10.108 E2.08 0.109 BRANCH R-M 6.000.00 6,000.00 6,000.00 100 0.110 BRANCH R- L 8,000.00 8,000.00 8,000.00 100 10.111 BRANCH F- M 2.000.00 2,000.00 2,000.00 100 0.112 BRANCH F- L 3500.00 3,000.00 500.00 3.500.00 100 0.113 E2.09 0.114 EQ R- M 8.000.00 8.000.00 8,000.00 100 0.115 EQ R- L 10.000.00 10.000.00 10.000.00 100 10.116 EQ F- M 2.500.00 2.500.00 - 2.500.00 100 10.117 EQ F- L 3.000.00 3.000.00 3.000.00 100 30.118 E2.10 • 10.119 BRANCH R-M 1,000.00 1,000.00 1,000.00 100 30.120 BRANCH R- L 2.50000 2,500.00 2.500.00 100 30.121 BRANCH F-M 100.00 100.00 100.00 100 10.122 BRANCH F-L 500.00 400.00 100.00 500.00 100 10.123 EQ R- M 6,000.00 6.000.00 6.000.00 100 GRAND'I'O'I'AL • 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 G7031M-1992.Copyright e 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 Ale Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. 1!AIAERMCO Contract It 2695-4320 17"3:A kad Document G703' — 1992 124070 - Continuation Sheet AIA Document G7O2TM.Application and Certification for Payment. APPLICATION NO: 32 containing Contractor's signed certification is attached. APPLICATION DATE: 11/15/2010 In tabulations below.amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 1 11.30/2010 ARCHITECT'S PROJECT NO: A H C D I E F G H I WORK COMPLETED TOTAL COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RF,TAINAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED TO DATE (Cr+CJ FINISH ([fvariable rare) (D+E) (Not in or L) (D+E+F) (C—G) 00.124 EQ R- L 10.000.00 10,000.00 10,000.00 100 00.125 EQ F-M 1.500.00 1.500.00 1 500.00 100 00.126 EQ F- L 2,000.00 1,500.00 500.00 2,000.00 100 00.162 E4.00&A& P 110.163 SOUND R-M 75.000.00 75,000.00 75,000.00 100 00.164 SOUND R- L 60.000.00 60.000.00 60,000.00 100 00.165 4.01 &A 10.166 OUND R-M 40,000.00 40.000.00 40,000.00 100 00.167 OUND R- L 25,000.00 25.000.00 25.000.00 100 00.168 4.02 &A 00.169 OUND R-M 40,000.00 40.000.00 40,000.00 100 00.170 SOUND R- L 25,000.00 25.000.00 25.000.00 100 00.171 E4.03 00.172 SOUND R-M 25.000.00 25,000.00 25.000.00 100 00.173 SOUND R - L 18.000.00 18,000,00 18,000.00 100 00.174 E4.04 00.175 SOUND R-M 25,000.00 25.000.00 25.000.00 100 00.176 !BOUND R-L 18.000.00 18,000.00 18,000.00 100 00.177 E4.05& .06& .07 & .09 00.178 SOUND R-M 80,000.00 80,000.00 80,000.00 100 I 00.179 SOUND R-L 65.000.00 65,000.00 65,000.00 100 0.180 E5.00& P 00.181 F.A. R-M 15,000.00 15,000.00 15,000.00 100 GRAND TOTAL • 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, 1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. m T ® ERMCO Contract # 2695-4320 . . et =AIA Document G703TM — 1992 124070 Continuation Sheet A1A Document G702T`t,Application and Certification for Payment. APPLICATION NO: 32 containing Contractor's signed certification is attached. APPLICATION DATE: 11/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 11/30/2010 'ARCHITECT'S PROJECT NO: A 13 C D I E F 0 11 I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS CONIPLLILD ITEM DESCRIPTION CIF WORK PRESENTLti AND STORED 10 RGfAINAGF, VALUE APPLICATION THIS PERIOD , (G-C) FI\1511 (If variable rate) NO. TO DATE (0 4 E) (.Vot in Dor R) (D+b.+F) lC-G) 00.182 F.A. R- L 9,000.00 9,000.00 9,000.00 100 00.183 F.A. F-M 20.00000 20.000.00 20.00000 100 00.184 F.A. F-L 5.000.00 4_.250.00 750.00 5,000.00 100 00.185 E5.01 & .02& .03 00.186 F.A. R- M 17.000.00 17.000.00 17,000.00 100 00.t87 F.A. R-L 10.000.00 10,000.00 10,000.00 100 00.188 F.A. F-M 20,00000 19,500.00 500.00 20,000.00 100 00.189 F.A. F- L 5_,000.00 3.500.00 1.500.00 5.00000 100 00.190 E5.04& .05&.06 00.191 F.A. R- M 20.000.00 20,000.00 - 20.000.00 100 00.192 F.A. R- L 17.000.00 16500.00 500.00 17,000.00 100 00.193 F.A. F- M 20.000.00 20.000.00 20,000.00 100 00.194 F.A. F- L 5,000.00 3,500.00 1,500.00 5,000.00 100 00.195 E5.07& .08 & .09& .10 00.196 F.A. R- M 20,000.00 20,000.00 20,000.00 100 00.197 F.A. R- L 15.000.00 147600.00 400.00 15,000.00 100 00.198 F.A. F- M 16,000.00 16,000.00 16.000.00 100 00.199 F.A. F - L 3.00000 2,000.00 1.00000 3,000.00 100 00.200 E6.02 00.201 EQ M 55,000.00 55,000.00 55,000.00 100 00.202 EQ L 20,000.00 19.800.00 200.00 20,000.00 100 00.203 CABLE M 35.000.00 35,000.00 35,000.00 100 00.204 CABLE L 45,000.00 44,250.00 750.00 45.000.00 100 GRAND TOTAL . 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 G7031°-1992.Copyright©1963.1965.1966,1967.1970.1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AleDocument,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal ' counsel,copyright @aia.arg. AaQA�`�ty ® ERMCO Contract // 2695-4320 • " rt rnt 124070 . . - A1 Document G7O3TM — 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 32 In tabulations below,amounts are stated to the nearest dollar. 1 1/15/2010 Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 11/30/2010 ARCHITECT'S PROJECT NO: A B C D I E F G II 1 WORK COMPLETED - TOTAL NI.ATERIALS BALANCE COMPLETED COMPLETED ITEM DESCRIPTION OF WORK AND FROM PREVIOUS PRESENTLY % ' TO RETAINAGE AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (G_C) FINISH (If variable rote) (D+F.) (Not)nllor E) (13+E+F) (C-G) 00.205 GR M 5.000.00 5.000.00 5,000.00 100 00.206 GR L 2,000.00 2,000.00 2,000.00 100 00.207 E6.03 00.208 SECURITY R-M 40.000.00 40.000.00 40,000.00 100 00.209 SECURITY R- L 20.000.00 20,000.00 20,000.00 100 00.210 SECURITY F- M 18.000.00 16.000.00 2,000.00 18,000.00 100 00.211 SECURITY F- L 6.000.00 3,500.00 2,500.00 6,000.00 100 00.212 E6.05 00.213 DIMMING M 60.000.00 60,000.00 60.000.00 100 00.214 DIMMING L 45,000.00 43,100.00 1.900.00 45,000.0.0 100 00.215 E6.06 00.216 OPTIC SENSOR M 8.000.00 8.000.00 8.000.00 100 00.217 OPTIC SENSOR L 4,000.00 4.000.00 4,000.00 100 00.218 E7.09 00.219 S& C M 100.000.00 100,000.00 100.000.00 100 00.220 S & C L 80,000.00 79,250.00 750.00 80,000.00 100 00221 E8.00 . 00.222 LIGHTNING PRO M 42,000.00 42,000.00 42,000.00 100 00.223 LIGHTNING PRO . L 18.000.00 18,000.00 18,000.00 100 00.224 ALLOWANCE 17 40,000.00 20,765.00 20.765.00 52 19,235.00 00.225 CHANGE ORDER#1 00.226 OCULUS ALTERNATE 1,000.00 1,000.00 1,000.00 100 00327 CHANGE ORDER#2 GRAND TOTAL 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 G703T"-1992.Copyright 0 1963,1965,1966,1967.1970,1978.1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AleDocument is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of It,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. $jtAIA Document G703TM - 1992 ERr,GO °°t> °t " 2695 4320 ' NO 124070 Continuation Sheet A1A Document 6702TM,Application and Certification for Payment. APPLICATION NO: 31 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below.amounts are staled to the nearest dollar. I I/15/2010 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 11/30/2010 ARCHITECT'S PROJECT NO: • A B C D E F G II I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND S'T'ORED VALUE APPLICATION THIS PERIOD STORED (G+C') FINISH (lfvariable rare) NO. TO DATE (U+E) (Nor in Dor E) (D+F,+F) (C-G) 00.228 MACHINELESS ELEVATOR 1 1.500.00 1 1,500.00 11,500.00 100 00.229 CHANGE ORDER#3 00.230 RCP 4 (58.852.00) (58.852.00) (58,852.00) 100 00.231 CHANGE ORDER#004 NO COAT 00.232 CHANGE ORDER#005 00.233 ASI-037, RCP-006 23,177.00 23.177.00 23,177.00 100 00.234 CHANGE ORDER#006 00.235 RCP-011 (7.554.00) (7,554.00) (7.554.00) 100 00.236 CHANGE ORDER#007 00.237 ASI-038 18,732.00 18,732.00 18_.732.00 100 00.238 CHANGE ORDER#008 00.239 ALLOWANCE 4320A ELEC GEN:F (350,000.00) (350,000.00) (350,000.00) 100 00.240 ALLOWANCE 4330A FIRE ALARM (75.000.00) (75,000.00) (75.000.00)1 100 00.241 ALLOWANCE 4330B FIRE/SECU (5,000.00) (5,000.00) . (5,000.00) 100 00.242 ALLOWANCE 4320D ELECTRIC L (10,000.00) (10,000.00) (10.000.00) 100 00.243 BOND REDUCTION FOR ALLO I (2,715.00) (2,715.00) (2.715.00) 100 00.244 CHANGE ORDER#009 00.245 WORK DIRECTIVE 4320-001 NEW 00.246 CHANGE ORDER#010 00.247 ASI-PAC-104 WATER HEATER AD 17.090.00 17.090.00 17.090,00 100 00.248 E3.03 00.249 LIGHTING R-M 30,000.00 30,000.00 30,000.00 100 00.250 LIGHTING R-L - 35.000.00 35,000.00 35,000.00 100 GRAND TOTAL 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 1"-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 Ale Document,or any portion of It,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. • mC ® ERMCO Contract Il 2695-4320 Document G703TM - 1992 124070 • Continuation Sheet AIA Document G7O2TM,Application and Certification for Payment, APPLICATION NO: 32 containing Contractor's signed certification is attached. APPLICATION DATE: 11/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. .PERIOD TO: 11/30/2010 ARCHITECT'S PROJECT NO: A B C 0 I E F G H I WORK COh11'LETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED PREVIOUS PRESENTLY % TO RI°TAINAGE ITEM DESCRIPTION OF-WORK VALUE APPLICATION TIIIS PERIOD STORED AND STORLD (G-C) FINISH (!(variable rate) NO. TO DATE /D+5) (Not inUor E) (D+E+F) (C—G) 00.251 LIGHTING F-M 350.000.00 350.000.00 350,000.00 100 00.252 LIGHTING F- L 22,000.00 22,000.00 22.000.00 100 00.253 CHANGE ORDER# 11 00.254 ALLOWANCE FROM 4320B ALLOI (100,000.00) (100.000.00) (100.000.00) 100 00.255 ALLOWANCE TO 4320A ALLOW ' 100.000.00 100.000.00 100.00000 100 00.256 ALLOW REDUCTION 4320B ALLO (30,000.00) (30,000.00) (30,000.00) 100 00.257 BOND REDUCTION (186.00) (186.00) (186.00) 100 00.258 CHANGE ORDER# 12 00.259 ALLOWANCE FROM 4320B ALLO (50.000.00) (50,000.00) (50,000.00) 100 00.260 ALLOWANCE TO 4320A ALLOW 50.000.00 50.000.00 50,000.00 100 10.261 ALLOWANCE FROM 4320D ALLO (10,000.00) (10900.00) (10,000.00) 100 . 10.262 ALLOWANCE TO 4320A ALLOW 10,000.00 10,000.00 10,000.00 100 10.263 CHANGE ORDER# 13 10.264 ASI-PAC-147 28_.549.00 28,549.00 28,549.00 100 10.265 CHANGE ORDER# 14 $0.266 RCP-PAC-028 8,950.00 8,950.00 8.950.00 100 0.267 CHANGE ORDER# 15 0.268 RCP-PAC-029 3,214.00 3,214.00 3.214.00 100 0.269 CHANGE ORDER# 16 10.270 ALLOWANCE REALLOCATION42_ 51,500.00 51.50090 51,500.00 100 100.271 CHANGE ORDER# 17 00.272 STEEL DELAY ISSUES 50.000.00 50,000.00 50,000.00 100 GRAND TOTAL 7,179,405.00 7.019.681.78 27,590.00 7,047.271.78 98 132,133.22 • CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703TM—1992.Copyright 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 AIAe Document,or any portion of it may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) Final Partial X )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with City of Carmel (124070.032) to furnish certain materials and /or labor as follows: Electrical Installation for a project known as Parcel 7A, Regional Performing Arts Center Interior Rough Construction Package P4 located in Carmel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of TWENTY SEVEN THOUSAND FIVE HUNDRED NINETY DOLLARS AND NO/1 00($27.590.00) the receipt of which is hereby acknowledged: or X the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: FINAL WAIVER: That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE. the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. ERMCO, by /A/t/ Rod Burton Controller Witness my hand and notarial seal, this 15°i day of November, 2010 � IJ Notary Public My Commission Expires: 12/19//2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion • AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) Final Partial X )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with City of Carmel (124070.027,28.29430) to furnish certain materials and /or labor as follows: Electrical Installation for a project known as Parcel 7A. Regional Performing Arts Center Interior Rough Construction Package P4 located in Cannel. IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of THREE HUNDRED FIFTY FOUR THOUSAND NINE HUNDRED NINETEEN DOLLARS AND 35/100(S354,919.35) X the receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: FINAL WAIVER: That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE. the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned • thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. ERMCO,�INC. /f by ! //�il� Rod Burton Controller Witness my hand and notarial seal, this 24th day of November, 2010 Notary Public My Commission Expires: 12/19/2015 Lou Anne Puckett Notary Public-Printed Signature • County of Residence: Marion