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HomeMy WebLinkAboutERMCO, INC.- 001428- 12/2/2010 OliRi1ELfREOEVELOPMENT COMMISSION 001428 Ermco, Inc. Check: 1428 PO Box 1507 Date: 12/2/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior ' Invoice P.O. Num, Invoice Amt Balance • Retention Discount Amt. Paid 31A 36 71,753.00 71,753.00 0.00 0.00 71,753.00 Application 31A 71,753.00 71,753.00 0.00 0.00 ' 71,753.00 PPSSi°3 Carmel Redevelopment Commission 0014;28 30 West Main Street At REGIONS i Suite 229 20•1421 f740 . - - OITP� ":TR:EG. Carmel, IN 46032 1.428 • DATE AMOUNT . 12/2/2010 . ""`"""`771,753:00:. PAY .• THE SUM OF SEVENTY ONE THOUSAND"SEVEN HUNDRED FIFTY THREEDOLLARS TO THE, ORDER Or Ermco, Inc. , PO Box1507. q,,,:,vs,, . . • " Indianapolis, IN 46206 j _ ° ' µ P` b qEA 10� II'00 Lt. 2811' 1:07110 IA 2I 31: 00a ? sot. L1le CARMEL REDEVELOPMENT COMMISSION 001428 Ermco, Inc. Check: 1428 PO Box 1507 Date: 12/2/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paic 31A 36 71,753.00 71,753.00 0.00 0.00 71,753.0( Application 31A 71,753.00 71,753.00 0.00 0.00 71,753.0( PAC., CP Document G702/CMaTM — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition • TO OWNER: Carmel Redevelopment Commis5'189JECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO 31 Distribution to 1 Civic Square Center Interior Rough PERIOD TO 10/31/2010 OWNER El Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER El FROM CONTI:M INC. VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4(320 ( CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CSO Architects CONTRACT FOR: Installation Proie t#25310H ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certilie: at to the best of the Contractor's knowledge. information and Application is made for payment, as shown below,in connection with the CcmtracL belief the Wet covered by this Al- .li.atinn for Payment has been completed in accordance with the Continuation Sheet.AIA Document 0701 is attached. Contract Do!ut tents. that all a not.Its I ave been paid by the Contractor for Work for which previous Certificates For Payment vnr. i.•ued an payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM -5,505,000 00 payment at nvr herein is n M. i 2. Net change by Change Orders 4{325,595.00) CONTRAC AR RMCI I r • 3.CONTRACT SUM TO DATE(Line 1 ±2) $,179,405.00 By U al 1 J Date: 10/15/2010 4.TOTAL COMPLETED 8 STORED TO DATE(Column G on G703)........ .$019,681.78 State of . Indiana ® f 5.RETAINAGE County of Marion I a. %of Completed Work Subscribe d sworn to before 358,920,25 me this ID 1 .do of U tobet,�1 c7, {ColumnD+Eon G703) :6 y � b/ /mowOh \• b. %of Stored Material Notary Public: -1t.J`�J (Column F on G703) $ My Commission expires' 12/19/2015 Total Retainage(Lines 5a-t fib or Total in Column Io10703).. $ 358,970.25 CERTIFICATE FOR PAYMENT 6,660,711.53 In accordance with the Contract Documents, based on on-site observations and the data comprising 8.TOTAL EARNED LESS RETAINAGE $ 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 S 6,588,958.53 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) - CERTIFIED. �l 8.CURRENT PAYMENT DUE $ 71,753.00 AMOUNT CERTIFIED • S It ilS3 8.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach espknmrlon if amount certified differ,t�inn the;anou rt.applied. initial ail figures on this Applicailan and on the Conrinuan� Sheer t re rianged to conJbnn with die amount cerlifred.) (Line 3 less line 6) $ 518,693.47 CON ,UCTIO EL N'' ER: (I By �Lkr?..�,rAu&.,_ Dice: /f�/ /IC CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHIT r ir Total changes approved in previous months by Owner319,712.00 (639,307.00) By ,l d - Date: RA 2.511.k Tot appro'ed this Month $ $ . _ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTAL„S 31S,712 00 j,639,307,00) named herein. Issuance,spayment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ (325,595.0-or 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 G702/CMa” -1992.Copyright ©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 AMAe Document,or any portion of h,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 len(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute or Architects'legal counsel,copyright @aia.org. ° ERMCO Contract 2695-4320 Ft #Document G703"M - 1992 124070 Continuation Sheet AIA Document G7024^'.Application and Certification for Payment, APPLICATION NO: 31 containing Contractor's signed certification is attached. APPLICATION DATE: 10/15/2010 In tabulations below.amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD T0: 10/31/2010 ARCHITECT'S PROJECT NO: A B C D I F F G H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY / TO RETAINAGF, P ITEM DESCRIPTION OF WORK AND STORED VALUE APPLICATION THIS PERIOD STORED (G+C') FINISH (/froriahle rare) NO. O DATE (D4Hi (Nor III D or E) (T+E+F) (C —C') 0.001 MOBILIZATION 15,000.00 15,000.00 15,000.00 100 0.002 P.M. 200,000.00 191,190.00 4.450.00 195,640.00 98 4.360.00 0.003 CAD ENG 80.000.00 30,000.00 80,000.00 100 0.004 TEMP- L 75,000.00 74.328.00 672.00 75.000.00 100 a 005 TEMP-M 45,000.00 44.775.00 225.00 45,000.00 100 0.006 CLEAN UP 15.000.00 13,920.00 500.00 14.420.00 9C, 580.00 0.007 BOND 72.000.00 72,000.00 72.000.00 100 0.008 TESTING 18.000.00 15.000.00 1.500.00 16.500.00 92 1,500.00 0.009 SITE OFFICE 23.000.00 23,000.00 23,00000 100 0.010 DEMOBILIZATION 5.000.00 5,000.00 00.071 ALLOWANCE 12 550.000.00 474.565.00 15.283.00 489.848.00 89 60.152.00 0.012 ALLOWNACE 13 350.000.00 325,253.78 325,253.78 93 24.746.22 0.013 ALLOWANCE 14 100,000.00 75,000.00 75.000.00 75 25,000.00 0.014 ALLOWANCE 15 5,000.00 5.000.00 5,000.00 100 00.015 ALLOWANCE 16 10.000.00 10,000.00 10,000.00 100 100.016 EOM.017 MAT 10.000.00 10.000.00 10,000.00 100 ' 10.018 LABOR 6.000.00 6.000.00 6.000.00 100 0.019 EXCAVATION 35.000.00 35.000.00 35.000.00 100 70.020 E0.12 10.025 BRANCH R -M 500.00 500.00 500.00 100 10.026 BRANCH R-L 1,500.00 1.500.00 1.500.00 100 0.027 BRANCH F-M 100.00 100.00 100.00 100 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 0 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. T40, ERMCO Contract it 2695-4320 : in Document G703' - 1992 124070 Continuation Sheet AIA Document 0702 114, Application and Certification for Payment, APPLICATION NO: 31 containing Contractor's:signed certification is attached. APPLICATION DATE: 10,15/2010 In tabulations below.amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. PERIOD T0: 10131/2010 ARCHITECT'S PROJECT NO: A B C D j E F t G H 1 WORK COMPLETED TOTAL MATERIALS BALANCE FROM PREVIOUS COMPLETED SCHEDULED PRESENTLY % TO RFTA]NAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED TO DATE (G'--CJ FINISH (fjvurioble rate) • (D+E) •fol in D or E) (D+6+F) (C- G) 00.028 BRANCH F - L 200.00 100.00 100.00 200.00 100 00.029 [1.01 . 00.030 FEEDER M 975,000 00 975,000.00 975.000.00 100 no.031 FEEDER L 600900.00 600.000.00 600000.00 '100 00.032 E1 02 - . 00.033 EQ M -- 250,000.00 250,000.00 250,000,00' 100 00.034 EQ L,- . _ _. 150.000.00 150,00000 - • 150,000.00 100 00.033 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 15,000.00 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 8,000.00 100 00,040 E1.04 00.041 EQ R -M 10,00{)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 24,000.00 1.000.00 25,000,00 100 00.044 EQ F-L 8,000.00 7,750.00 150.00 7.900.00 99 100.00 00.045 E1.05 00046 EQ R-M 5.001100 5,000.00 5,000.00 100 00.047 EQ R-L 5.000.00 5,000.00 5,000.00 100 00.048 EQ F - M - 35.000.00 34,500.00 500.00 35.000.00 100 00.049 EQ F- L 8,000,00 7,750.00 150.00 , 7,900.00 99 100.00 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 G793w-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. G703' ERMCO Contract 4 2695 4320 ° Document G703 - 1992 124070 Continuation Sheet AIA Document 67021m,Applicmton and Certification for Payment, APPLICATION NO: 31 containing Contractor's signed certification is attached. APPLICATION DATE: 10/1512010 In tabulations below,amounts arc stated to the nearest dollar. 10/31/2010 Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: ---- ARCHITECT'S PROJECT NO: A B C D I E ::F ' G H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RF.TAINAGL TTEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED (G+0 FINISH rifrm'iabie role) (7)4.Ell (.Nat in or El TO OATS (C_C,f (O+ F.=F) 00.051 RIGGING 35,000.00 35,000.00 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 575,000.00 574,500.00 500.00 575,000.00 '.100 00.055 EQ F- L 30,000.00 29,000.00 500.00 29.500,00 98 500.00 00,056 BRANCH R - M ' 17.000.00 17,000.00 17,000.00 100 00.057 BRANCH R- L - 13,000.00 12900.00 100.00 13,000.00 100 00.058 BRANCH. F-:M 7,000.00 . 6,750.00 250.00 '-7,000.00 I00 5,000.00 4,500.00 250-00 . 4,750.00 00.059 BRANCH F-.L - - 95 250.00 00.060 FEEDER 1:1- M 550,000.00 550,000,00 • 550,000.00 100 00.061 FEEDER R -L 250.000,00 250,000.00 2502000.00 100 00.062. FEEDER F - M 6,000.00 6.000.00 6.000.00 100 00.063 FEEDER F -L . 10""000.00. 10_,000,00 10,000.00 100 00.064 E2.01 E2,02 00.065 RIGGING 10.000.00 10,000.00 10.000,00 100 00.070 BRANCH R-M 15,000.00 15,000.00 15,000.00 100 00.07i BRANCH R- L 8,000.00 7,780.00 220.00 8.000.00 100 00.072 BRANCH F- M 2,500.00 2,500.00 2,500.00 100 00.073 BRANCH F- L 3,500.00 3,000.00 250.00 3.250.00 93• 250.00 00.074 E2.03&A " 00.075 BRANCH R- M 20,000.00 19,550.00 450.00 20.000.00 '100 00.076 BRANCH R - L 16,000.00 15,620.00 380.00 16,000.00 100 00.077 BRANCH F.-'M 1.000,00 1,000.00 --- 1.000.00 100 GRANDTITrAL - 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'e-1992.Copyright©1961 1965, 1966,1967,1970, 1978,1983 and 1992 by The American Institute of Archieds.All rights reserved.WARNING:This AIAeDocument 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 dna 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, AIA® ERMCO Contract # 2695-4320 Document G703'R - 1992 124070 Continuation Sheet AIA Document G702'",Application and Certification for Payment, APPLICATION NO: • 31 containing Contractor's signed certification is attached. APPLICATION DATE: 10/15/2010 In tabulations below,amounts are stated to the nearest dollar. 10/31/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D I E F , G H I WORK COMPLETED TOTAL MATERIALS BALANCE FROM PREVIOUS COMPLETED SCHEDULED PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED TO DATE (G+C) FINISH (I J'variable rate) (D+ry) (A'at in Dar G) (D+E+F) (C-G) 00.078 BRANCH F - L 2,500.00 2,050.00 300.00 2,350.00 94 150.00 00.079 FEEDER R- M 65,000.00 65,000.00 65,000.00 100 00.080 FEEDER R - L 45.000.00 45,000.00 45,000.00 100 00.081 FEEDER F-M 2,500.00 2,500.00 2,500.00 100 00.082 FEEDER F- L 5.000.00 5,000.00 5.000.00 • 100 00.083 E2.04 00.084 BRANCH R-M 6,000.00 5,820.00 180.00 6.000.00 100 00.085 BRANCH R- L 8.000.00 7,660.00 340.00 8.000.00 100 00.086 BRANCH F-M 1.000.00 1,000.00 1.000.00 100 00.087 BRANCH F- L 2,500.00 2200.00 150.00 2,350.00 94 150.00 00.088 E2.05 00.089 BRANCH R-M 15.000.00 15,000.00 15.000.00 100 00.090 BRANCH R- L 14,000.00 13,730.00 270.00 14,000.00 100 00.091 BRANCH F - M 800.00 400.00 400.00 800.00 100 00.092 BRANCH F- L 1,500.00 750.00 500.00 1,250.00 83 250.00 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 600.00 300.00 300.00 600.00 100 00.097 BRANCH F- L 1,200.00 600.00 300.00 900.00 75 300.00 00.098 E2.07 00.099 BRANCH R-M 8.000.00 8.000.00 8.000.00 100 00.100 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 6703".-1992.Copyright O 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 AIAeDocument,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. T ® ERMCO Contract # 2695-4320 SWAT Document G703TM — 1992 124070 Continuation Sheet • AIA Document G702Am,Application and Certification for Payment, APPLICATION NO: 31 containing Contractor's sinned certification is attached. APPLICATION DATE: 10/15/2010 In tabulations below,amounts are stated Lo the nearest dollar 10!31/2010 Use Column Ion Contracts where variable rclainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: I_ A B C D I E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMYI-EYED % TO RETAINAGE ITEM DESCP IPFION OF WORK AND STORED VALUE APPLICATION THIS PERIOD STORED (Cr CI FINISH (If variable rate) NO. TO DATE (D+8.2 Mr in D or E) (D+t;+F) (L G) 90.101 BRANCH F- M 1.000.00 500.00 500.00 1.000,00 1.00 n0.102 BRANCH F - L 2.300.00 1,000.00 750.00 1,750.00 70 750.00 00.103 E2 07A 00.104 BRANCH R - M 15,000,00 15,000.00 15,000.00 100_'. 00.105 BRANCH R -L 20,000.00 20,000.00 20,000.00 100 00.106 BRANCH F-M - 9,000.00 7,700.00 1,300,00 9,000.00 100 00.107 BRANCH F-L 10,000.00 8,000.00 1.000.00 r 9.000 A0 90 1,000.00 o0.101 E2.08 00.109 BRANCH R-M 6,000.00 6,000.00 6,000.00 100 00.110 BRANCH R - L 8,000.00 8.000.00 8,00000 100 00,111 BRANCH F-M 2,000.00 L500.00 500.00 2,000.00 100 00.112 BRANCH F-L 3,500.00 2,500.00 500.00 3,000.00 86 500.00 00.113 E2.09 00.114 EQ R - M 8000.00 - 8,000.00 8.000.00 100 00.115 EQ . R-L 10.000.00 10.000.00 10,000.00 100 00.116 EQ F- M 2,500.00 2500.00 2,500.00 100 00.1 17 EQ F- L 3,000,00 2,750.00 250.00 3,000.00 100 00118 E2.10 00.119 BRANCH R - M 1,000.00 1,000.00 1,000.00 100 00120 BRANCH R - L 2,500.00 2.250,00 250-00 2,500.00 100- 00.121 BRANCH F-M - . 10(100 100.00 100.00 100 00.122 BRANCH F- L 500.00 250.00 150.00 400.00 80 100.00 00.123 EQ R-M 6,000.00 6,000.00 . 6;000.00 100 GRAND TOTAL . 4 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'TM-1992.Copyright 01963 1965,1966, 1967, 1970,1978,1993 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 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(19)copies of this document when completed.To report copyright violations of AIA Contract 1]ocuments,e-mail The American Institute of Architects legal counsel,copyright @aia,erg. ERMCO Contract if 2695-4320 *AIA Document G7O3TM — 1992 24070 Continuation Sheet A1A Document G702tl,Application and Certification for Payment, APPLICATION'NO: 31 containing Contractor's signed certification is attached. 10/15/2010 APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 10/31/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOQ TO: ARCHITECT'S PROJECT NO: A B C D E .'F G El I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO KETAINAGE ITEM DESCRIPTION OF WORK AND STORED VALUE_ APPLICA EION THIS PERIOD STORED (G `C) FINISH 4(/variable rule) NO. TO DATE ID+E) {NoonDorF) (Dfi B+F} (C—C') 00.124 EQ R - L 10:000.00 10,000.00 10,000.00 100 00.125 EQ F-M 1.500.00 750.00 750_00 1,500.00 100 00.126 EQ F- L 2_.000,00 1,000.00 500.00 1.500.00 75.. - 500.00 00,162 E4.00&A& P 00.163 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 E4.01 &A 00.166 SOUND R-M 40.000.00 40,000.00 .- 40,000,00 100 00.167 SOUND R - L 25,000-00 25,000.00 , - 25_.000.00 100 00.168 E4,02 & A 00.169 SOUND 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 25000.00 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 SOUND R - L 18,000.00 18_,000.00 18-000-00 100 00.177 E4.05& .068 .07& .09 • 00.178 SOUND R-Ni ' 80,000.00 80:000.00 80,.000.00 100... . 00.179 SOUND R - L 65 000.00 65,000.00 65.000.00 100 00.180 E5.00& P 00.181 F.A. R- M 15.000,00 15,000.00 15:000.00 100 - GRAND'I'OTA L . CAUTION:You should sign an original MA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. MA Document G703 TM-1992.Copyright®1963, 1965,1466.1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Al,Coocumont is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of IF 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 41 2695-4320 tie kITT A Document G7037M - 1992 124070 Continuation Sheet AIA Document G702TM,Application and Certification for Payment. APPLICATION NO: 31 containing Contractor's signed certification is attached. 10/1512010 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: PERIOD TO: 10/31/2010 Use Column I on Contracts where variable remain-age for line items may apply. ARCHITECT'S PROJECT NO: A H C D F. P c H I WORK COMPLE'T'ED TOTAf, MATERIALS BALANCE COMPLETED SCEt6DULa) FROM PREVIOUS PRESENTLY l TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED TO DAYL• (C+,CI) FINNISH Oy variable rate) (D+E) (.Vatic Dor F3 (I)+E+F) (C- C) 00.182 F.A. R - L 9.000.00 9,000.00 9,000.00 100 00.183 F.A. F-M 20.000.00 19.500.00 500.00 20,000.00 100 00.184 F.A. F - L 5,000.00 3,500.00 750.00 4250.00 85 750.00 00.185 E5.01 & .02& .03 00.136 F.A. R-M 17,000.00 I6.69000 310.00 17,000.00 100 00.187 F.A. R-L 10,000.00 9.50000 500.00 10.000.00 100 00.188 F.A. F.='M 20,000.00 19,000.00 500.00 19,500,00 98 500.00 00.t89 F.A. F -.L 5,000.00 2,000.00 1.500.00 3,500.00 70 1.500.00 00.190 E5.04 & 05& 06 00.191 F.A. R - M 20.000.00 19,750.00 250.00 - 20.00000 100 00.192 F.A. R - L 17,000.00 16,000.00 500.00 - 16,500.00 97 500.00 00.193 F.A. F- M • 20.000.00 19,500.00 500.00 20,000.00 100 00.194 F A. F- L 5.000.00 2,000.00 1,500.00 3,500.00 70 1,500.00 00,195 E5,07 & .08& .09& .10 00,196 F.A. R - M 20,000.00 19,450.00 550.00 20,000.00 100 00.197 F.A. R-L 15,000.00 14.250.00 350.00 14,600.00 97 400.00 00.198 F.A. F-M 16,000.00 15,250.00 750.00 16,000.00 100 00.199 F.A. F- L 3.000.00 1,000.00 1,000.00 2,000.00 67 1,000.00 00.200 E6.02 .. 00.201 EQ M 55.000.00 55,000.00 55.00000 . : 100 00.202 EQ L . 20000.00 19,500.00 300.00 19,800.00 . .99 200.00 00.203 CABLE M .,. 35,000.01) 35,000.00 35.000.00 100 00,204 CABLE L 45,000.00 43.500.00 750.00 44i250.00 98 750.00 .. 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 O 1963,1965, 1956,1957,1970, 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 AlAeDocument,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,copydght@aia org. e ERMCO Contract if 2695-4320 !iLAI4 Document G703TM - 1992 124070 Continuation Sheet AEA Document G7c2 3+,Application'and Certification for Payment. APPLICATION NO: 31 containing Contractor's signed'.certification is attached. APPLICATION DATE: I0/15/20]0 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: 10/31/2010 ARCHITECT'S PROJECT NO: A H C D E 'F '::. G H 1 WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE VALUE AND STORED NO APPLICATION THIS PERIOD S'PORY:D DATE (G.-C) FINISH Ur variable rale) (LI+F.I (Nor in LI or rJ (U+E+E) (C C) 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 00210 SECURITY F-M 18,000 00 3,000.00 13,000.00 16,000.00 89 2,000.00 00.211 SECURITY 6F-L 6.000.00 2500.00 1_.000.00 - 3.500.00 58 2,500.00 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 41,350.00 1-750.00 43_-100.00 96 1,900.00 00.215 E6.06 00.216 OPTIC SENSOR M 8,000.00 8.000.00 8,000,00 100 00217 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 99,500.00 500.00 100,000.00 100 00.220 5$C L 80,000.00 78500.00 750.00 79.250.00 99 750.00 00 221 ES.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 00224 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 00.227 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 G7O3TM—1992.Copyright O 1963,1965, 1965,1957,1970, 1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAeDocunlent 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.org. "MIAERMCO Contract # 2695-4320 ==_=�1 Document G703rn - 1992 ' 124070 Continuation Sheet AIA Document G7O2TM.Application and Certification for Payment. APPLICATION.NO: 31 containing Contractor's signed:ceeitication is attached. APPLICATION DATE: 10/15/2010 En tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable rctainage for line items may apply. PERIOD TO: 10/31/2010 ARCHITECTS PROJECT NO: A N C U 1 E P _ Ci H • I WORK COMPLETED TOTAL BALANCE COMPLETED SCNEDELED FROM PREVIOUS PRESENTLY % TO R ETA[NAGE ITEM DESCRIPTION OE WORK AND STORED VALUE APPLICATION THIS PERIOD STORED ((.2 r C) FINISH Of variable rare) NO. (D.H F) (,Vol inD or El (0 DATE (C._■11;) 00.228 MACHINELESS ELEVATOR 11.500.00 11.500.00 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 00232 CHANGE ORDER#005 00.233 A51-037, RCP-005 r. ' ' 23,177.00 22,000.00 1_,177.00 23':177.00 100 00.234 CHANGE ORDER#006 00233 RCP-011 - . . (7,554.00) (7554.00) 17,554 00) 100 00.236 CHANGE ORDER #007 00.237 ASI-038 18,732.00 18,000.00 732.00 18,732.00 100 00.238 CHANGE ORDER#008 00.239 ALLOWANCE 4320A ELEC GENE (350,000.00) (350.000.00) (350,000.00) 100 00.240 ALLOWANCE 4330A FIRE ALARN (75,000.00) (75,000.00) (75.000.00) 100 00,241 ALLOWANCE 4330B FIRE/SECUR (5,000.00) (5,000.00) (5,000.00) 100 00.242 ALLOWANCE 43200 ELECTRICA. (10,000.00) (10,000.00) (10.000.00) 100 00.243 BOND REDUCTION FOR ALLOW I (2.715.00) (2,715.00) {2,715.00) 100 00.244 CHANGE ORDER#009 00.245 WORK DIRECTIVE 4320-001 NEVV 00.246 CHANGE ORDER #010 00.247 ASI-PAC-104 WATER HEATED,A❑ 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-C ' 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 G7031'-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 AIAeDocumenl,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(101 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 # 2695-4320 *AIA Document G703TM - 1992 124070 Continuation Sheet •- AIA Document G702T't.Application-und Certification for Payment, APPLICATION NO: 31 containing Contractor's siianedIeeRifieation is attached. APPLICATION DATE: 1 0/15/2010 in tabulations below,amounts are stated to the nearest dollar. 10/31/2010 Use Column I en Contracts where variable retainage for line items may apply. PERIOD TO: .. ARCHITECT'S PROJECT NO A B C U E F C H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED (7 FROM ITEM DESCRIPTION OF WORK FROM PREVIOUS PRGSENTLY AND STDRED 70 RL rA1NAGE NO VALUE APPLICATION THIS PERIOD STORED TO DATE (C:_.C) FINISH (Fjvnrrobie rnre) (Die E.) (Nor in Dur P) (U+E+P) (C-C) 00.251 LIGHTING F-M 350,000.00 350,000.00 350.000.00 100 00.252 LIGHTING F- L 22,000.00 19,500.00 2.500.00 22,000.00 100 00253 CHANGE ORDER#11 • 00.254 ALLOWANCE FROM 43208 ALLOIM1 (100,000.00) (100,000.00) (100,000.00) 100 00.255 ALLOWANCE TO 4320AALLOW 11 100,000.00 100.000.00 100,000.00 100 00.256 ALLOW REDUCTION_ 4320E ALLO (30,000.00) (30,000.00) (30,000.00) 100 00257 BOND REDUCTION I (186.00) (186.00) (186.00) 100 00.258 CHANGE ORDER#12 00159 ALLOWANCE FROM 4320B ALLO) (50,000.00) (50,000.00) (50.000.00) 100 00.260 ALLOWANCE TO 4320A ALLOWAI 50,000.00 50,000.00 50,000.00 100 00.261 ALLOWANCE FROM 4320D ALL01 (10,000.00) (10,000.00) (10,000.00) 100 00.262 ALLOWANCE TO 4320A ALLOWAI 10,000.00 10,000.00 10,000.00 100 00.263 CHANGE ORDER# 13 00.264 ASI-PAC-147 28,549.00 28549.00 28,549.00 100 00 265 CHANGE ORDER# 14 00,266 RCP-PAC-028 8,950.00 8,950.00 8,950.00 100 00.267 CHANGE ORDER#15 00.268 RCP-PAC-029 3214 00 3314.00 3,214.00 100 , 00 269 CHANGE ORDER#16 • 00 270 ALLOWANCE REALLOCATION42: 5]._500.00 51.500.00 51500.00 :ii 00.271 CHANGE ORDER#17 00172 STEEL DELAY ISSUES -- 50000.00 50.000.00 50,001_00- 100 GRAND TOTAL 7.179.405.00 6.947,928.78 71,753.00 7.019,681.78 98 159,723 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 0703TM-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 AIAeDocument,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 Amercan Institute of Architects'legal counsel,copyright @aia.org. AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA. ) Final Partial X )SS: COUNTY OF MARION ) Darrell Gossett being duly sworn states that he is the President of ERMCO, INC. having contracted with City of Carmel (124070.031) 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 SEVENTY ONE THOUSAND SEVEN HUNDRED FIFTY THREE DOLLARS AMD NO/100($71.753.00) 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: TI-IEREFORE, 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 Ii n� account of any work performed or material furnished to th `nderstgned for said project, and within the scope of this affidavit and waiver. ERMCO, I (/� by I 11 Dared Gossett President f Witness my hand and notarial seal, this I 5th day of October, 010 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 ) Darrell Gossett being duly sworn states that he is the President of ERMCO, INC. having contracted with City of Carmel (124070.0261 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 ONE HUNDRED THIRTY SEVEN THOUSAND SIX HUNDRED TWO DOLLARS AND 511100(5137,602.51) 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: TI-IEREFORE, 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 la. on account of any work performed or material furnished to t e undersigned for said project, and within the scope of this affidavit and waive ERMCO, . by r I.Ah,),.'k i.I11 I TI Da cell Gossett Pr sidetifi.— ��Witness my hand and notarial seal, this l 5`1 day of October 2010 �r Iii P' Notary Public My Commission Expires: 12;39/2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion