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ERMCO, INC.- 001346- 11/18/2010 VA_= Document G702/CMa'M — 1992 • 36 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment Commis@ReJECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO: -.30 /0 Distribution to: 1 Civic Square Center Interior Rough PERIOD TO: 9/30/2010 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONTF 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 FO ctrical Installation Project#25310H ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the hest 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 6703,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 7,505,000.00 payment shown herein is now due. 2. Net change by Change Orders $(325,595.00) CONTRACT • ERMCO, IN 3.CONTRACT SUM TO DATE(Line I ±2) 1,179,405.00 By: .,., 9 . Date: 9/20/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) 5,947,928.78 State 6t Indiana - 5.RETAINAGE: County of: Marion a. %of Completed Work Subscribe sworn to before 358,9770.251 September 2010 (Column U+Eon G703) S me this .day of /'1 ` , !1. b. %of Stored Material Notary Public: W` �' �,./ (Column F on 6703) $ My Commission expires: 12/19/2015 Total Retainage(Lines 5a+5b or Total in Column I of 6703).. $ 358,970.25 CERTIFICATE FOR PAYMENT 6,588,958.53 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.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) 6,541,458.53 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE S 4/,500.U0 AMOUNT CERTIFIED $ 475 00 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs fr the amount.applied. Initial all figures on this Application and on the Continuation leer tin . changed to conform with the mount certified.) (Line 3 less Line 6) $ 590,446.47 CONS -UCTION 'NA �' : / � By: �sr', ;,'AL a. . . _NI Date: h0 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARC t. -�cri Total changes approved in previous months by Owner 463,712.00 <639,307.00) By I' 1.1 - Date: ere le off Total approved this Month 5„.�,000.uO $ This Certificate is not negotiable The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 3 3,71200 ,(b39,J0/.00f named herein. Issuance. payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ (325,59500r 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 G7021CMan,—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 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 len(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. e ® ERMCO Contract Ii 2695-4320 • • 3111 =AIA Document G703' - 1992 124070 . . Continuation Sheet AIA Document 67021m,Application and Certification for Payment. APPLICATION NO: 30 containing Contractor's signed certification is attached. APPLICATION DATE: 9/20/2010 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 9/30/2010 Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C I D E F G f H 1 WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED COMPLEI"EU FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION TFIIS PERIOD STORED TO DATE IG+C'1 FINISH (If variable rare) (/3+El (Not in U or E) (U+F. +F) (C-6) 00.001 MOBILIZATION 15.000.00 15.000.00 15,000.00 100 00.002 P.M. 200,000.00 191,190.00 191.190.00 96 8.810.00 00.003 CAD ENG 80.000.00 80,000.00 80.000.00 100 00.004 TEMP-L 75.000.00 74328.00 74,328.00 99 672.00 00.005 TEMP-M 45,000.00 44,775.00 44.775.00 100 225.00 00.006 CLEAN UP 15,000.00 13.920.00 13.920.00 93 1,080.00 00.007 BOND 72.000.00 72,000.00 72,000.00 100 00.003 TESTING 18,000.00 15,000.00 15,000.00 83 3_.000.00 00.009 SITE OFFICE 23,000.00 23,000.00 23000.00 100 00.010 DEMOBILIZATION 5.000.00 5.000.00 00.011 ALLOWANCE 12 550,000.00 474.565.00 474.565.00 86 75,435.00 00012 ALLOWNACE 13 350,000.00 325,253.78 32�253.78 93 24,746.22 00.013 ALLOWANCE 14 100,000.00 75.000.00 75,000.00 75 25,000.00 00.014 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 00.016 EO.11 00.017 MAT 10,000.00 10,000.00 16000.00 100 00.018 LABOR 6,000.00 6,000.00 6.000.00 100 00.019 EXCAVATION 35,000.00 35,000.00 35,000.00 100 00.020 E0.12 00.025 BRANCH R-M 500.00 500.00 ' 500.00 100 00.026 BRANCH R-L 1,500.00 1,500.00 1,500.00 100 00.027 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®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 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(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 ft 2695-4320 Document G703" - 1992 124070 • kJ &IA . . Continuation Sheet AIA Document G7O2TM.Application and Certification for Payment, APPLICATION NO: 30 containing Contractor's signed certification is attached. APPLICATION DATE: 9/20/2010 •In tabulations below,amounts are stated to the nearest dollar. 9/30/2010 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 SCHEDULED PREVIOUS COMPLETED ITE11 DESCRIPTION OF WORK FROM PRE\IOUS PRESENTLY AND STORED % TO RETAINAGE VALUE APPLICATION THIS PERIOD STORED NO. TO DATE (G_C) FINISH (If variable rate) (D+L) (NO!in D or El jD+E+F) (C—G) 00.028 BRANCH F- L 200.00 100.00 100.00 50 100.00 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 150,000.00 150,000.00 150,000.00 100 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 15.000.00 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 10,000.00 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 24.000.00 24.000.00 96 1,000.00 00.044 EQ F- L 8.000.00 7,750.00 7.750.00 97 250.00 00.045 E1.05 00.046 EQ R-M 5.000.00 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 34,500.00 99 500.00 00.049 EQ F-L 8,000.00 7_,750.00 7.750.00 97 250.00 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 G703i1-1992.Copyright O 1963,1965,1966,1967, 1970. 1978.1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ate 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. U fa-4Z `. C.•-;RMEL REDEVELOPMENT COMMISSION 001346 Ermco, Inc. Check: 1346 PO Box 1507 Date: 11/18/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O, Num. Invoice Amt Balance Retention Discount mt. Paid 29A 36 80,147.00 80,147.00 2,735.70 0.00 77,411.30 Application 29A 30A 36 50,000.00 50,000.00 2,500.00 0.00 47,500.00 Application 30A 130,147.00 130,147.00 5,235.70 0.00 124,911.30 v Carmel Carmel Redevelopment Commission 001346 30 West Main Street A REGIONS Suite 220 20.1421/740 \CP�srai RMlvi Carmel, IN 46032 • 1346 DATE - AMOUNT 11/18/2010 124,911.30 PAY THE SUM OF ONE HUNDRED TWENTY FOUR THOUSAND NINE HUNDRED ELEVEN DOLLARS AND 30 CENT TO THE ORDER . OF Ermco, Inc. PO Box 1507 is st.,„ ' Indianapolis, IN 46206 _if %trt• io 11100 134611' 1:074014 2131: 0087501/ i l Lit' CARMEL REDEVELOPMENT COMMISSION 001346 Ermco, Inc. Check: 1346 PO Box 1507 Date: 11/18/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt Paid 29A 36 80,147.00 80,147.00 2,735.70 0.00 77,411.30 Application 29A 30A 36 50,000.00 50,000.00 2,500.00 - 0.00 47,500.00 Application 30A 130,147.00 130,147.00 5,235.70 0.00 124,911.30 ERMCO Contract ;1 2695-4320 SAIA Document Gl03TM — 1992 124010 Continuation Sheet AIA Document C7021M,Applieation'and Certification for Payment. APPLICATION_'NO: 30 ' containing Contractor's signed certification is attached. 9!20/2010 In tabulations below;amounts are stated to the nearest dollar. APPLICATION DATE: Use Column I on Contracts where variable retainage for line items may apply. '.PERIOD 70: 9,0012010 ARCHITECT'S PROJECT NO: A 13 C D I E :1' G H 1 WORK COMPLETED 'TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % 'I'D RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION 7/08 PERIOD STORED TODCFE (C;+Q FINISH (IJ'variable rale) (D-t E) • (Nor in Dor e) (U+�'k t) (C—G) 00,051 RIGGING 35000.00 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 .: 575,000.00 574.500.00 574,500.00 100'.` . 500.00 00,055 EQ F-L 30,000.00 29,000.00 29.000:00 97 1.000.00 00.056 BRANCH R-M 17.000.00 17,000.00 17.000'.00 100 ' 00.057 BRANCH R - L 13.000.00 12,900.00 12.900.00 99 100.00 00.058 BRANCH . F-M 7-000.00 6.750-00 6.750,00 96 250.00 00.059 BRANCH F-L 5,000.00 4,500.00 • 4,50000 90 500.00 00.060 FEEDER R-M 550,00(1-00 550 000.00 550 001700 100 00.061 FEEDER R-L 250,000.00 250,000.00 250.000.00 100 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 00064 E2.01 E2.02 00.061 RIGGING • 10,000.00 10,000.00 10,00000 100 00.070. BRANCH R-M 15-000.00 15,000.00 15,000,00 700 00.07! BRANCH R- L 8.000.00 7,780.00 7,780.00 97 220.00 00.072 BRANCH F- M 2.500.00 2,500.00 2,500.00 100 00.073 BRANCH F- L 3500.00 3,000.00 3.000.00 86 500.00 00.074 E2.03 &A 00.075 BRANCH R - M 30.000.00 19,550.00 - 19,550.00 98 450.00 00.076 BRANCH R - L 16,000.00 15__620.00 15.620.00 98 380.00 00.077 BRANCH F-M 1,000.00 1.000,00 1.000.00 100 GRAND TUI-AI. 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 G707TM-1992.Copyright Cu 1963,1955,1966, 1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.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 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 ft 2695-4320 -A1 Document G703TN - 1992 . 124070 . Continuation Sheet AIA Document G7024",Application and Certification for Payment, APPLICATION NO: 30 containing Contractor's signed certification is attached. APPLICATION DATE: 9/20/2010 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: 9/30/2010 ARCHITECT'S PROJECT NO: A B C D I E F 0 H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RF.TAINAGE ITEM DESCRIPTION OF WORK AND STORED NO. VALDE APPLICATION THIS PERIOD STORED To DATE (G+L') FINISH (If variable rate) (D+E) (Not in D or E) (D+[+F) (C-G) 00.078 BRANCH F- L 2,500.00 2,050.00 . 2,050.00 82 450.00 100.079 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 5,820.00 5,820.00 97 180.00 00.085 BRANCH R-L 8,000.00 7.660.00 7,660.00 96 340.00 40.086 BRANCH F-M 1,000.00 1,000.00 1,000.00 100 00.087 BRANCH F- L 2,500.00 2.200.00 2.200.00 88 300.00 100.088 E2.05 pi .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 13,730.00 98 270.00 00.091 BRANCH F- M 800.00 400.00 400.00 50 400.00 00.092 BRANCH F-L 1,500.00 750.00 750.00 50 750.00 00.093 E2.06 00.094 BRANCH R-M 4,000.00 4,000.00 4,000.00 100 00.093 BRANCH R- L 6.000.00 6,000.00 6.000.00 100 00.096 BRANCH F-M 600.00 300.00 300.00 50 300.00 00.097 BRANCH F- L 1,200.00 600.00 600.00 50 600.00 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 G703'°—1992.Copyright t 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 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 len(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. ® 9 C { it ERMCOT Contract d 2695-4320 et • ' Docu l men i G703TM - 1 992 124070 Continuation Sheet AIA Document G702Tx,Application and Certification for Payment, APPLICATION NO: 30 containing Contractor's signed certification is attached. APPLICATION DATE: 9!202010 In tabulations below,amounts are stated to the nearest dollar, -..,.. Use Column]on Cont _racts where variable retainage for line items may apply. PERIOD TO: 9130/20 10 - ARCHITECT'S PROJECT NO: A -..... fi C D I E F G II f WORK COMPLETED IOTA' BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF WORK. FROM PREVIOUS PRESENTLY % TO RET.AINAGE FINIS VALUE APPLICATION THIS PERIOD STORED AND STORED FINISH NO. TO DATE (0 ° (If rariahle rate) (O+E) kvnt in Uorf-rl (D+E+F) (CT:—C61 00.101 BRANCH F-M _ 1,000,00 500.00 500.00 50 500.00 00.102 BRANCH F - L 2_.500,00 1,000.00 L000.00 40 , 1,500.00 - 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 •-7:700.00 86 1,300.00 00.107 BRANCH F - L 10,000.00 8,000.00 8.000.00 80 2.000.00 • 00.108 E2.08 00.109 BRANCH R-M 6.000.00 6,000.00 6:000 00 100 0n_110 BRANCH R-L 8,000.00 8_.000.00 8,000.00 100 00.11 I BRANCH F - M 2,000.00 1500.00 1.50000 75 500.00 00.112 BRANCH F-L 3.500.00 2,500,00 2.50(100 71 1,000.00 00.113 E2.09 00.114 EQ R- M 8,000.00 8,00000 8.000.00 100 0n_115 EQ R- L 10,000.00 10.00000 10.000.00 100 00.116 EQ F-M 2.500.00 2.500.00 2.500.00 100 00.117 EQ F- L 3.000.00 2,750.00 2,750.00 92 250.00 00.118 E2.10 00.119 BRANCH ' R-M 1,000-00 1.000.00 1.000.00 100.:- 00.120 BRANCH R- L 2.500.00 2,250 00 2.250 00 1290 250.00 00.121 BRANCH F-M 100.00 100.00 100:00 100 00.122 BRANCH F - L 500.00 250.00 - 250.00 50 250.00 00.123 EQ . . '5...M 6,000.00 6000.00 ::: 6,000.00 100 GRAND TOTAI. -,... 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 G793i°—1992.Copyright 0)1963,1965, 1966,1967.1970, 1978,1983 and 1992 by The American Institute of Architects.All rights reserved,WARNING:This AIAe 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 possibte under the law,Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,email The American Institute of Architects'legal ' counsel,copyright @aia.erg. += ERMCO Contract # 2695-4320#PAIA Document G703" - 1992 124070 Continuation Sheet AIA Document 0702TM,Applicatiodrhnd Certification for Payment, . APPLICATION NO: 30 containing Contractor's.sieued'certification is attached. 9/20/2010 In tabulations below, amounts are stated to the nearest dollar_ APPLICATION DATE: Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 9/30/2010 ARCHITECT'S PROJECT NO: A B C D 1 F F G H 1 WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED COMPLETED FROM PREVIOUS PRESENELY 4 TO RETAINAGE ITEM DESCRIPTION f OF WORK AND STORED VALUE APPLICATION THIS PERIOD STORED (G-C) HMS!i (//Tai mble rale) NO. TO DATE (D+GJ (Nor in D or E) (D+E+FJ (C—G) 00.12-1 ED R- L 10,000.00 10.000.00 10,000.00 100 00.125 EQ F-M 1.500.00 750.00 . 750.00 50 750.00 00.126 EQ F- L 2,000.00 1,000.00 1,000 00 50 1,000 A0 00.162 E4.00&A&P 00.163 SOUND R M - - 75,000.00 75,000.00 75.000011 '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 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 SOUND R-L 18_.000.00 18,000.00 18,000 A0 100 00.177 E4,05 & 06&.07 & -09 _ 00.178 SOUND R - M 80,000.00 80.00000 80.000.00. 100 00.179 SOUND R-L 65_,000.00 65.000-00 65,000.00 I00 00 ISO E5.00& P 00.181 F.A. S-M 15900.00 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 0703TM—1992.Copyright 01963,1965, 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 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,wpyright@aie org. T ERMCO Contract 1l 2695-4320 i A Document G703TM — 1992 • 124070 Continuation Sheet AIA Document 07021M.Apphcation'and Certification for Payment, APPLICATION'NO: 30 containing Contractor's signed coHiification is attached. APPLICATION DATE: 9/2012010 In tabulations below,amounts are stated to the nearest dollar. Use Column)otl,Contracts where variable retainage for line items may apply. PERIOD TO: 9/3012019 ARCHITECT'S PROJECT NO: A B C D I E r O II l WORK COMPLETED TOTAL MATERIALS BALANCE. SCHEDULED FROM PREVIOUS COMPLETED PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED � '0 VALUE APPLICATION THIS PERIOD STORED '1'O DATE (G (7) FINISH gfvariable rate) (p+E) (Nor ill Dorlt) (D+Ft-F) (C— CH 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 12500.00 19,500.00 98 500.00 00.184 F.A. F- L .. 5,000.00 3,500.00 3,500.00 .70 - - 1.500.00 00.165 E5.01 & .02& .03 00.186 F.A. R-M 17.000.00 16.690.00 16.69000. 98 310.00 00,187 F.A. R-L 10.000.00 9,500.00 9=500.00 95 500.00 00.188 F.A. F- M 20,000 00 19,000 00 •19,000.00 95 1,000.00 00.1 s9 F.A. F-L 5_.000.00 2.000.00 2_.00000 40 3.000 00 00.190 E5.04& 05& .06 00.191' F1A: R-M 20,000.00 19,750.00 19,750.00 99 250.00 00.192 F.A. R- L 17.000.00 16:000.00 16.000.00 94 1,000.00 00.193 F A. F- M 20,00000 . 19,500.00 19,500.00 98 500.00 00.194 F . F- L 5,000.00 2,000-00 2.000,00 40 3_.000.00 00.195 E5.07& .08 & .09& .10 00.196 F.A. R- M 20,00000 19,450.00 19,450.00 97 550.00 00.197 F.A. R - L 15.000.00 14.250.00 14,250.00 95 750.00 00.198 F.A. F-M 16,000.00 15.250.00 15,250.00 95 750.00 00.199 F.A. F- L 3.000.00 1.000.00 1,000.00 33 2.006.00 • 00200 E6.02 00201 EQ M `- 55,000.00 55,000.00 55,000.00- -100 00.202 EQ L - - 20.000.00 19,500.00 19500_00 98 500.00 00.203 CABLE M 35.000.00 35,000.00 35.000:00 100 00.204 CABLE L 45.000.00 43,500.00 _ . 43.500,00 97 1.500.00 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 War'.—1992.Copyright O 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 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.erg. ERMCO Contract /I 2695-4320 . Document G7o3 — 1992 AI 124070 . Continuation Sheet AIA Document(1702TM.Application and Certification for Payment. APPLICATION NO: 30 containing Contractor's signed certification is attached. APPLICATION DATE: 9/20/2010 In tabulations below.amounts are stated to the nearest dollar. 9/30/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C I) I E F 0 H I WORK COMPLETED TOTAI. MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY CUMPLE"1'ED % TO RE'I'AINAGE HEM DESCRIP'T'ION OF\WORK AND STORED VALUE APPLICATION alas PERIOD STORED (G+C) FINISH (/l cmdn6le rare) NO. (D+E) (Mn in Dor E) (��DATE 7 (C-G) 00.205 GR M 5.000.00 5.000.00 5.000.00 100 00.206 GR L 2,000.00 2000.00 2,)00.00 100 00.207 E6.03 00.208 SECURITY R-M 40.00000 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 3.000.00 3.000.00 17 15.000.00 00.211 SECURITY F-L 6.000.00 2.500.00 2500.00 42 3.500.00 00.212 E6.05 00.213 DIMMING M 60.000.00 60,000.00 60.000.00 100 00214 DIMMING L 45.000.00 41,350.00 41.350.00 92 3,650.00 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 99,500.00 99,500.00 100 500.00 00.220 S &C L 80,000.00 78.500.00 78,500.00 98 1,500.00 00.221 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 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 G7031'—1992.Copyright 01963,1965, 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 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. ERMCO Contract // 2695-4320 !e T _- 1 Document G703" - 1992 124070 • Continuation Sheet ALA Document G7O2TM.Application and Certification for Payment, APPLICATION NO: 'U containing Contractor's signed certification is attached. APPLICATION DATE: 9/20/2(110 In tabulations below,amounts are stated to the nearest dollar. 9/30/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C I) E F G H 1 WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE AND STORED NO. APPLICATION THIS PERIOD STORED TO DATE (G+C) FINISH alvariable rate/ (D+E) MI in D or L.) (0+E+F) (C-G) 00.228 MACHINELESS ELEVATOR 11.500.00 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 22.000.00 22.000.00 95 1.177.00 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 18.000.00 18,000.00 96 732.00 00.238 CHANGE ORDER#008 00.239 ALLOWANCE 4320A ELEC GENEf (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) 100 00.241 ALLOWANCE 4330B FIRE/SECUll2 (5.000.00) (5.000.00) (5.000.00) 100 00.242 ALLOWANCE 4320D ELECTRICAL (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 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'I'61'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 6703TM-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 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,copyrightgaia.org. ERMCO Contract 11 2695-4320 SAIA Document G703' - 1992 124070 • Continuation Sheet AIA Document G70299,Application and Certification for Payment. APPLICATION NO: 30 containing Contractor's signed certification is attached. APPLICATION DATE: 9/20/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 9/30/2010 ARCHITECT'S PROJECT NO: A B C D I E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY Y TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G-C/ FINISH (!f variable rare) NO TO DATE (D+E,) (Not in D or E) (D+E+E) (C-G) 00151 LIGHTING F-M 350,000.00 350.000.00 350,000.00 100 00.252 LIGHTING F- L 22.000.00 19.500.00 19,500.00 89 2,500.00 00.253 CHANGE ORDER# 11 00.254 ALLOWANCE FROM 4320B ALLO (100,000.00) (100.000.00) (100,000.00) 100 00.255 ALLOWANCE TO 4320A ALLOW 1 100,000.00 100.000.00 100,000.00 100 00.256 ALLOW REDUCTION 4320B ALL (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 43208 ALLO (50,000.00) (50.000.00) (50,000.00) 100 00.260 ALLOWANCE TO 4320A ALLOW I 50.000.00 50,000.00 50.000.00 IOU 00.261 ALLOWANCE FROM 4320D ALLOT (10,000.00) (10,000.00) (10.000.00) 100 00.262 ALLOWANCE TO 4320A ALLOW I 10,000.00 10.000.00 10.000.00 100 00.263 CHANGE ORDER# 13 00.264 ASI-PAC-147 28.549.00 28.549.00 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 3,214.00 3,214.00 00.269 CHANGE ORDER# 16 00.270 ALLOWANCE REALLOCATION42f 51,500.00 51.500.00 51,500.00 100 00171 CHANGE ORDER# 17 00172 STEEL DELAY ISSUES 50.000.00 50,000.00 50,000.00 100 C RAND TOTAL 7,179.405.00 6.897.928.78 50.000.00 6.947.928.78 97 231,476.22 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 G7031"—1992.Copyright O 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 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,copydght@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 Cannel (124070.0301 to furnish certain materials and for 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 FORTY SEVEN THOUSAND FIVE HUNDRED DOLLARS AND 00/100($47,500.00) 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, INC. / by Vnil f Rod Burton Controller Witness my hand and notarial seal, this 20111 day of Se tember,�010 Notary Public My Commission Expires: 1211.9//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 (124070.024C&25C)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: PARTLAl.,WAIVER: That the balance due from the owner is the sum of THREE HUNDRED FORTY SIX THOUSAND TWO HUNDRED FIFTY DOLLARS AND 00/100(1;346,250.001 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.C.. by �}� ���(�/f/ 1 ,,,r`.' Rod Burton Controller Witness my hand and notarial seal, this 17`11 day of September; 2010 22-2,0/ Notary Public My Commission Expires: 12/19/2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion tAIA Document 6702/CMaTM — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition 3& TO OWNER: PROJECT: APPLICATION NO Distribution to Carmel Redevelopment Commission Parcel 7A, Regional Performing Arts 29 it 1 C€vic Square Center Interior Rough PERIOD T0: 9/30/2010 OWNER :I Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER CI FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ ERMCO, INC. PROJECT NOS: / d CONTRACTOR El ss P.O. Box 1507 VIAARCHITECThie' Sexton 2695-4320 FIELD ❑ Indianapolis, IN 46206 CONTRACT FOR: CSO Architects ❑ -6nd LS CONTRAG & A L1 ATION FOR PAYMEN T 'C t z a1o11 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 G71)3,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 5fl5 000 00 payment shown herein is now doe. 7 2,Net change by Change Orders $' CONTRACTOR: $(3751505.00) ERMCQ I 3,CONTRACT SUM TO DATE (Lute 1±2) � By:: Date: z9;41)5:00— S 9/15/2010 Al,TOTAL COMPLETED 8 STORED TO DATE(Column G on 0703) State of: _ Sf,-,897 928.78 Indiana 5.RETAINAGE: _ , County of: Marlon - a. %of Completed Work Subscribed and sworn to before s.(Column D+E on G703) 356,490.25 me this 15th _..dav of Septemb� . 2010 b. To of Stored Material Notary Public: • �_ 'O4l'l (Column F on G703) $ My Commission expires: 12!,9/201-5 Total Retainage(Lines 5a A-5b or Total in Column I of G703).. $ 45R 470.25 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE_.. $_6,541.458 53 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 8 464_04123— accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) - I CERTIFIED. l 8.CURRENT PAYMENT DUE $ 77,411_.317) AMOUNT CERTIFIED S ,�I�� 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation ifnrriouru certified differs fro n the,atrtomet applied-Initial all figures on tats ' Application and on the Condn outran Sheet th r m e'changed to conform wan the amount certified.) (Line 3 less I..inc 6) - $ 587 946-47 CONS UCTION h/�,�y AG By: �.,.pt= deed / Date: 09 ail f/O CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHI'y: I lie S p� Total changes approved in previous months by Owner 0 998P0 1R Q '�R7 00) 13>' tail -�— Date' 01 Z� Total approved this Month �-1-4 pp S This Certificate is not negotiable The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 2.00 563ci '107 CO) named herein. Is"suance,'payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order S (375 595 00 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 G702ICMat'-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:Thls AIAe Document is protected by U.S.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 permitted to reproduce ten i10)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. ® MCO Contract ;l 2695-4320 t, :--_=AI Document G7O3TM — 1992 ER 124070 Continuation Sheet AIA Document G702TM.Applteation'and Certification for Payment APPLICATION NO: 29 containine Contractor's sign',certification is attached_ APPLICATION DATE' 9/1512015 In tabulations below. amounts are stated to the nearest dollar. -.-- Use Column.[on Contracts where variable retainage for line items may apply. _.- PERIOD TO: 9130/2010 . ARCHITECT'S PROJECT NO A 8 C D E iF' 0 H 1 WORK COMPLETED _ TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY. % TO RETAIN'AGE ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED '1'O DATE (G T Cf FINISH Of wrnnbfe ruW) . (I7+E) (Yor in Dor E) (p+F_+Eft (C—G) 00.001 MOBILIZATION 15.000.00 15,000.00 15,000-00 100 00.002 P.M. 200,000.00 186;785.00 4,405.00 191.190.00 96 r 8,810.00 00.003 CAD ENG 80,000.00 80.000.00 80,000.00 100';; 00.004 TEMP - L 75.000.00 73,578.00 750.00 74,328.00 '.99 672.00 00.005 TEMP - M 45.000.00 44,525 00 250.00 44.775 00 100 225.00 r. 00.006 CLEAN UP 15.000.00 12,920,00 1__000.00 131920-00 93 1,080-00 00007 BOND " 72.000.00 72000.00 72;000.00 100 00.009 TESTING 18,000.00 15,001)00 15,000.00 83 3.000.00 00.009 SITE OFFICE 23,000.00 23,000.00 i. 23,000.00 100 00010 DEMOBILIZATION 5,000.00 - 5:00000 00.011 ALLOWANCE 12 550,000.00 493,223.00 (18.658.00) - 474,565.00 86 75,435.00 (10.012 ALLOWNACE 13 350,000,00 325,253-78 325,253-78 93 24,746.22 00.013 ALLOWANCE 14 100.000 00 75,000.00 75.000,00 75 25,000.00 00.014 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 00-016 EOM 00.017 MAT 10.000.00 10.000.00 10,000-00 100 00.018 LABOR _ 6,000.00 6,000.00 6,000.00 100 h. 00.019 EXCAVATION 35000 00 - 35,000.00 35,000.00 1006. 00.020 E0.12 06025 BRANCH R-M 500 00 500.00 500.00 100 00.026 BRANCH R- L- 1.500.00 1.500.00 1,500.90 100 00.027 BRANCH F'-M 100.00 100.00 100.00 [00 • I. CRANO TOTAL I _ 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 9 9963.1965,1966, 1967,1970,1978. 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAeDocument is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction OT 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. !EATERMCO Contract /t 2695-4320 IA Document G703TM - 1992 124070 - Continuation Sheet A[A Document 6702114,,Application and Certification for Payment. - APPLICATION-NO: 19 containing Contractor's signed certification is attached. 9/35/2010 APPLICATION DATE: In tabulations below,amounts arc slated to the nearest dollar. - ; - 9/3012010 Use Column I OR Contracts where variable retainage for line items may apply- •PERIOD TO: _. ARCHITECT'S PROJECT NO: A B C 1) I E F O H T WORK COMPLETED TOTAL MATERIALS BALANCE SCHE EL DULED FROM PREVIOUS PRESENTLY COA1PLETED o� TO RI'AINAGE ITEM DESCRIPTION OF WORK AND STORED NO, VALUE APPLICATION FINS PERIOD STORED TO DATE (G^C) FINISH Oftvrinhle rate) (D+E) (Noon Dor E) (1 +E+F) (C-C) 00.028 BRANCH F - L 200.00 100.00 100 00 50 100.00 00029 El 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 600000-00 lop. 00.032 E1.02 00.033 EQ M • 250,000.00 250,000.00 250,000.00 ' 100 00.034 EQ L 150_,000 00 150.000.00 150.000.00 100 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 15,000.00 15,000.00 100 00038 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 10,000.00 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 24,000.00 24,000.00 96 1_.000,00 00.044 EQ F- L 8,000.00 7,500.00 250.00 7,750.00 97 250.00 00.045 E1.05 00.046 EQ R-M 5.000.00 5,000.00 5,000.00 100 :.. 00.047 EQ R- L 5,000.00 5,000.00 5.000.00 100- 00.043 EQ F-M 35,000.00 .34,000-00 500.00 34,500,00 99 500,00 00.049 EQ F- L 8,000,00 7,500.00 250-00 7,750.00 97 250.00 00.050 E2.00 &A& P ... . GRAND TOTAI, I CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED,An original assures that changes will not he obscured. AIA Document G703'"-1992.Copyright 0 1963, 1965,1966.1967, 1970,1978. 1983 and 1992 by The American Institute of Architects.An rights reserved.WARNING:This AIA®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.org, • = AI ® ERMCO Contract Al 2695-4320 A Document G703" - 1992 124070 Continuation Sheet 29 AIA Document G7O2TM,Application and Certification for Payment, APPLICATION NO: 9/15/2010 containing Contractor's signed ceni Oration is attached. APPLICATION DATE In tabulations below, amounts are stated to the nearest dollar. 9/30/2010 Use Column don Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D E "f G - H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED PREVIOUS PRESENTLY TO RE TA1NAGE I1EY DESCRIPTION OF WORK VALUE AND STORED V NO APPLICATION THIS PERIOD STORED TO DATE 07—C) FINISH (If variable rufa) (D+E) (1'orwDor F.) lD+E:F) (C G,) 00.051 RIGGING 35.000.00 35,000.00 . 35.000.00 100 00.052 EQ R-M 30.00000 30,000.00 - 30.000.00 100 00.053 EQ R-1_ 20.000.00 20,000.00 20.000.00 100. 00.054 EQ F-M 575.000.00 574,000.00 500.00 574.500.00 100 r 500.00 00.055 EQ F-L 30.000-00 28.000.00 1,000.00 29.000.00 97 1._00000 00.056 BRANCH R-M 17.000.00 17,000.00 17.000.00 100 00.057 BRANCH R-L 13.000.00 12.800.00 100.00 12.900.00 99 100.00 00.058 BRANCH F - M 7,000-00 6,500.00 250.00 6,750 00 96 25000 00.059 BRANCH F- L 5.000.00 4.000.00 50000 450000 90 500.00 00.060 FEEDER R-M 550.000.00 550.000.00 _ 550.000.00 100 00.061 FEEDER R-L 250.000.00 250,000.00 250-000900 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 I0_000.00 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 7,580.00 200.00 7.780.00 97 220.00 00.072 BRANCH F-M 2.500.00 2.500.00 2.500.00 100 00.073 BRANCH F - L . 1 3,500.00 2,50000 500-00 3.000.00 86 . 500.00 00.074 E2.03 & A 00.075 BRANCH R-M 20,000.00 19,400.00 [50.00 19550.00 98 450.00 00.076 BRANCH R-L 16,000.00 15=320.00 300.00 15,620.00 98 380.00 00.077 BRANCH F-M 1,000.00 1,000.00 1,000.00 100 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 C.703 1M-1952.Copyright©1963,1965, 1966,1967.1970, 1976.1983 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 AlASDocument,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 Institule of Architects'legal counsel,copyrighteaia.org. ERMCO Contract ii- 2695-4320 ttALk Document G703' - 1992 124070 Continuation Sheet AIA Document G702T•t,Application and Certification for Payment, APPLICATION NO: 29 containing Contractor's signed certification is attached L 9115/3010 • In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 9/30!2010 ARCHITECT'S PROJECT NO: A B C D E F 0 H 1 WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED PREVIOUS COMPLETED FROM PRti\IOUS PRESENTLY % TO RETAINAGE ITE�1 DESCRIPTION OF WORK AND STOKED NO VALUE APPLICATION THIS PERIOD STOKED TO 110.1,E (G-C,J FINISH (If variable rate) rill+E) - (Nor in orb) (D+E+�,) (C-6J 00.078 BRANCH F - L 2,500.00 1,750.00 300.00 2,050.00 82 450.00 00.079 FEEDER R-M 65.000.00 65.000.00 65,000.00 100 00.080 FEEDER R-L 45.00000 45,000.00 45,000 00 100 , 00.081 FEEDER F- M 2,500.00 2,500.00 2,500.00 .... 100' 00.062 FEEDER F-L 5,000.00 5.000.00 5.00.0.00 100 0-083 E2-04 00.084 BRANCH R-M 6,000.00 5,670.00 150.00 5,820.00 97 180.00 DO 085 BRANCH R- L 8.000.00 7,360.00 300.00 • _ 7,660.00 96 340.00 00-086 BRANCH F - M 1,000 00 1,000.00 1,000.00 100 00.087 BRANCH F-L 2,500.00 1,950.00 . 250.00 2,200.00 88 300.00 00.083 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 13,530.00 200.00 13,73000 98 270.00 00.091 BRANCH F-M 800.00 400.00 400.00 50 400.00 00.092 BRANCH F- L 1,500.00 750.00 750.00 50 750.00 00.093 E2.06 60.094 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 50-:._ I:. 300.00 00.097 BRANCH F - L 1,200.00 600.00 600.00 1150-.. 600.00 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 :,:110,0(10 DO 100 CRA,N 11'I'Q'I'p 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 G703'°-1992.Copyright 0 1963,1965.1966, 1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®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 al AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org, e ' ERMCO Contract # 2695-4320 *I$AIA Document G7O3TM — 1992 124070 • Continuation Sheet AIA Document C7O2TM.Application and Certification for Payment, APPLICATION NO: 29 containing Contractor's signed certification is attached. APPLICATION DATE: 9/15/2010 In tabulations below,amounts are stated to the nearest dollar. 9/30/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD T0: ARCHITECT'S PROJECT NO: A B C D E F O H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G+C) FINISH (1(variable rate) NO. ( +F) (Nor ill or E) TO DATE D s (C—Cl (U+E+F) 00.101 BRANCH F- M 1,000.00 500.00 500.00 50 500.00 00.102 BRANCH F-L 2,500.00 1.000.00 1.000.00 40 1,500.00 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 6,500.00 1,200.00 7.700.00 86 1,300.00 00-107 BRANCH F-L 10.000.00 6,500.00 1.500.00 8.000.00 80 2.000.00 00.108 E2.08 00.109 BRANCH R- M 6,000.00 6.000.00 6,000.00 100 00110 BRANCH R- L 8,000.00 8,000.00 8,000.00 100 00.111 BRANCH F-M 2.000.00 1,000.00 500.00 1.500.00 75 500.00 00.112 BRANCH F- L 3.500.00 1,500.00 1,000.00 2.500.00 71 1,000.00 00.113 E2.09 00.114 EQ R-M 8.00000 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 2,500.00 2,500.00 100 00.117 EQ F- L 3,000.00 2.500.00 250.00 2.750.00 92 250.00 00.118 E2.10 00.119 BRANCH R-M 1,000.00 1.000.00 1.000.00 100 00.120 BRANCH R- L 2,500.00 2,000.00 250.00 2,250.00 90 250.00 00.121 BRANCH F- M 100.00 100.00 100.00 100 00.122 BRANCH F - L 500.00 250.00 250.00 50 250.00 00.123 EQ R-M 6,000.00 6.000.00 6.000.00 I 0 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 T"—1992.Copyright O 1963, 1965, 1966,1967,1970, 1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA°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. ry A ERMCO'Contract # 2695-4320 ' AITT A Document G703TM - 1992 124070 . Continuation Sheet . ALA Document( 7G2TM.Application and Certification for Payment, APPLICATION NO: 29 containing Contractor's signed certification is attached, APPLICATION DATE: In tabulations below_amounts are stated to the nearest dollar. 9/15/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 9130/2010 ARCHITECT'S PROJECT NO: A B C D E -F . 0 II 1 WORK COMPLETED TOTAL. MATERIALS BALANCE SCI IEDULED FRO.! PRE\IONS COMPLETED ` ITEM DESCRIPTION OF WORK " PRESENTLY %u TO RETAINAGE VALUE AND STORED NO APPLICATION THIS PERIOD STORED TO DATE (G+CJ FINISH (ff'variable rare} fD 4 0 (Not in U or Gj (D±C+F) (C-GJ 00.124 EQ R-L 10,000.00 10000.00 10,000.00 100 00,125 EQ F-M 1.500.00 750.00 750.00 50 750.00 00.126 EQ F- L 2,000.00 1.000.00 1,000.00 50 1.000.00 00.162 E4.00 &A& P 00.163 SOUND R-M 75.000 A0 75,000.00 75.000.00 - 100 00.164 SOUND R- I_ 60,000.00 60000.00 60,000.00 100 40-165 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 25000.00 100 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 25,000.00 25.000,00 100 00.173 SOUND R- L 18,000.00 18.000.00 18.000.00 100 00174 E4,04 . 00,175 SOUND R - M 25.00000 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 & .06& .07& .09 00.173 SOUND R-M 80,000.00 80.000.00 80,000.00 100 00.179 SOUND R - L 65_.000.00 65.000.00 65.00000 100 00.180 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 G7031"-1992.Copyright©1963, 1965,1966,1967, 1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AltDocument 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. v 2695-4 320 opo ® AIA Document G7o3TM - 1992 ERMCO Contract # 24070 , Continuation Sheet • AIA Document G7O2TM.Application and Certification for Payment, APPLICATION NO: 29 containing Contractor's gigned:certification is attached. APPLICATION DATE: In tabulations below,amounts arc stated to the nearest dollar. 9715/2010 Use Column.Ion Contracts where eariable retainage ter line items may apply. PERIOD TO: 9/30/2010 i ARCHITECT'S PROJECT NO: A 13 C D i E F • G li I WORK COMPLETED - TOTAL MATERIALS BALANCE COMPLETED SCHEDULED PROSI PREVIOUS PRESENTLY' % TO RETAINACiE rrEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (C-2 FINISH ruvarznble rate) (/3+F.) (drat ieBorF) (DI ELF.) (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 19,000.00 500.00. 19,500.00 98 500.00 00.184 F.A. F- L 5_000.00 2,500,00 1,000,00 3500.00 70 1,500.00 00.185 E5.O1 & .02 & .03 00.186 F.A. R-M 17.000.00 16,390.00 300.00 16,690.00 98 310.00 00.187 F.A. R-L 10.000.00 9.000.00 500.00 9,500.00 95 500.00 00.188 F.A. F-M 20,000.00 18,000.00 1.000.00 19.000.00 95 1.000.00 00.189 F.A. F L 5_.000.00 2,000_00 . - 2.000.00 40 3.000.00 00.190 E5.04& .05& .06 • 00.191 F.A. R-M 20,000.00 19.450.00 300.00 19.750_00 99 250.00 00.192 F.A. R-L 17,000.00 15,000_00 1.000.00 16,000.00 94 1.000.00 00.193 F.A. F - M 20.000.00 19.000_00 500.00 _ 19.500.00 98 500.00 00.194 F_A. F- L 5,000.00 2,000.00 2,000.00 40 3,000.00 00.195 E5.07& .08 & 09& 10 00.196 F.A. R- M 20,000.00 18.900.00 550.00 19.450.00 97 550.00 00.197 F.A. R-L 15.000.00 13.500-00 750,00 14,250.00 95 750.00 00.198 F.A. F-M 16,000.00 14_.500,00 750.00 15.25000 95 750.00 00.199 F.A. F-L 3,000.00 1,000.00 1,000.00 33 2.000.00 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 19.000.00 500.00 19.500.00 . 98 500.00 00.20; CABLE M 35.000.00 35,000.00 35,000 00 100 , 00.204 CABLE -. •L li 43.000.00 42500.00 1.000.00 43.500.00 97 1.500.00 • GRAND TOTAL CAUTION:You should sign an original NA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AM Document warm-1092,Copyright©1963,1965,1966, 1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAeDocument is protected by 0.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 he 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 AM Contract Documents,e-mail The American Institute of Architects'legal counsel,copyrightEcaia.org. v ® 1992 ERMCO Contract ll 2695-4320 =AIA Document G7O3TM - 1992 , 124070 Continuation Sheet . AIA Document G702•".Application and Certification for Payment, APPLICATION:NO: 29 containing Contractor's signed certification is attached. APPLICATION DATE: 9/15/2010 In tabulations below,amounts are stated to the nearest dollar, Use Column on Contracts where variable retainage for line items may apply_ • 'PERIOD TO: 9/30/2010 "H i H ARCHITECT'S PROJECT NO: A U C D E F G I I I WORK COMPLETED TOTAL MATERIALS BALANCE COMPI_F,TED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED VALUE NO APPLICATION THIS PERIOD STORED TO DATE «1 C7 FINISH (lfrarfable rule./ In+El) (Fo/in!°rb) (U+G+F) (C O) 00.205 GR M 5,000.00 5.000.00 5,000,00 100 00.206 GR L 2000.00 2,000.00 2.000.00 100 U0.207 E6.03 00.205 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 3,000.00 3,000.00 17 15.000,00 00.211 SECURITY F- L 6,000.00 2,500.00 - • '.2,500.00 42 3,500.00 00.212 E6.05 ..1. •:: 00.213 DIMMING• M 60,000.00 60,000.00 60,000 00 100 ' 00214 DIMMING L 45,000.00 38.350.00 3.000.00 41.350.00 92 3,550.00 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 00.213 E7.09 00.219 S & C M 100.000.00 99,000.00 500.00 99.500.00 100 500.00 00.220 S &C L 80,000.00 77,500.00 1,000.00 78,500.00 98. 1,50000 00221 E8.00 00.222 LIGHTNING PRO M , 42000.00 42.000.00 42.000.00 100 00.223 LIGHTNING PRO L 18,000.00 18000.00 18.000.00 100 00.224 ALLOWANCE 1 17 " ' 40.000.00 20,765.00 20365.00. . ._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 G7031"—1992.Copyright®1963,1955, 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. S AIATERMCO Contract if 2695-4320 . Document G703'M - 1992 124070 Continuation Sheet AIA Document 0702TM,Application and Certification for Payment. APPLICATION NO: 29 containing Contractor's,stgnedlecrtification is attached. APPLICATION DATE: 9/15/2010 In tabulations below,amounts are stated to the nearest dollar. - 9/30/2010 Use Cotumn I on Contracts whew variable retainage for line items may apply. PERIOD T0: ARCHITECT'S PROJECT NO A B C U I E P G H i WORK.COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY i TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G+'C) FINISH (7/-variable rate) NO. 1'0 DATE (p+Err (Not in p or 6) (p+E+F) 30.228 MACHINELESS ELEVATOR 11,500 00 11,500.00 11.500.00 100 10.229 CHANGE ORDER#3 X0230 RCP 4 , (58,852,00) (58,852.00) (58.852.00) 1,00 10231 CHANGE ORDER#004 NO COAT 00.232 CHANGE ORDER#005/- Du 233 ASI-037, RCP-006 -.-' 23_,177.00 21,000.00 1,000.00 • 223000.00 95 1.177.00 30234 CHANGE ORDER.#006 ]0.235 RCP-011 (7554.00) (7,554.00) (7,554 00) 1.00 00 236 CHANGE ORDER#007 loo 237-.ASI-038 18,73100 17,500.00 500.00 18,000.00 96 732.00 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 ALAR (75,000.00) (75,000.00) (75,000.00) 100 20.241 ALLOWANCE 43306 FIRE/SECU (5,000.00) (5,000.00) (5,000.00) 100 00242 ALLOWANCE 4320D 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 OD 244 CHANGE ORDER# 009 00,245 WORK DIRECTIVE 4320-001 NEUtV 00.246 CHANGE ORDER#010 - 30247 ASI-PAC-104 WATER HEATER AD - 17,090.00 17.090.00 • 1709000 ---.100 00,248 E3.03 30149 LIGHTING R-M 30,000.00 30,000.00 30,000.00 100 00250 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 G703i"—1992.Copyright©1963,1965,1966, 1967,4970, 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 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 len(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 # 2695-4320 , gip 124070 Document G703 - 1992 '24070 tb Continuation Sheet .L9 AIA Document 6702 ",Application and Ccni£cation for Payment, APPLICATION NO: 9115/2010 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below;amounts are stated to the nearest dollar. 9/30/2010 Use Column I on Contracts where variable retainage for line items may apply. 'PERIOD TO: ARCHITECT'S PROJECT NO: A 13 C U E _. F C H WORK COMPLETED 'YO'I'AL MATERIALS BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF WORK FROM PREVIOUS PRESENTLY % TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (CSC) FINISH (!f�=orinble rare,) (D+EJ (A'ot en Oar E) (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 17 000,00 2,500 00 19.50000 89 2,500.00 00.253 CHANGE ORDER# 11 • - 00.254 ALLOWANCE FROM 4320B ALLS1 (100,000.00) (100.000.00) (100.000 00) , -100 00.255 ALLOWANCE TO 4320A ALLOW 100.000.00 100,000.00 100000.00 i 100 00.256 ALLOW REDUCTION 4320B ALL"I (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 ALL 1 (50;000.00) (50,000.011 - (50,000.00) 100 00.260 ALLOWANCE TO 4320A ALLOW' I 50.000.00 50,000.00 _• 50000.00 100 00.261 ALLOWANCE FROM 4320D ALLu'1 (10.000.00) (10,000.00) • (10000.00) 100 00.262 ALLOWANCE TO 4320A ALLOW,.I 10_.000.00 10.000.00 10.000.00 100 00.263 CHANCE ORDER# 13 00.264 ASI-PAC-147 28_.549-00 28,549.00 2854900 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 3,214.00 3,214.00 00.269 CHANGE ORDER# 16 00270 ALLOWANCE REALLOCATION4 5'• 51,50000 51,500.00 51,50000 ,]00 --- 7,129.405.00 6,817,781.78 80,141.00 6.89/,1)2N./8 v t 231.4 t6,2: CRAM)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®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 ton 110)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyrighttaia.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 (124070.029) to furnish certain materials and hr labor as follows: Electrical Installation for a project known as Parcel 7A. Regional Performing Arts Center Interior Rough Construction Packauc P4 located in Carmel. IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of SEVENTY SEVEN THOUSAND FOUR HUNDRED ELEVEN DOLLARS AND 30/100($77,41 1.30) 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, INC. by Rod Burton Controller Witness my hand and notarial seat, this 15th day of Sc tember 2010 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 Cannel (124070.026)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 51/100($137,602.51) X the receipt of which is hereby acknowledged: or the payment of which has heen 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, INNC�. by Rod Burton Controller Witness my hand and notarial seal. this 17°' day of Se.temb r 2010 Notary Public • My Commission Expires: 12/19/2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion 08-27-2010 13;50 CERTIFIED PAYROLL REGISTER PAGE: 1 SY: FMK PR\RCERTREG BATCH CODE: E4 ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (317( 780-2923 Fax: (317) 780-2853 PERIOD ENDING: 08/22/10 CALCUEATION 20B, 124070 °ESC: CARMEL PERFORMING ARTS Stast Date: 02/15/O2 CITY CENTER DRIVE53RD AVE S.W., C/O BRYAN CHRIST - CARMEL, IN 46032 Donald C. Doyle SSE:303-02-0204 PAY DISTRIBUTION 1,274.00 BASE PAY 78.99 FICA 110.29 BENE W/H 00 PD BEND 131.00 FED 10.47 MEDI -00 OTHER DEDS 00 IS ADSS 42.66 STATE 41.6.06 TOTAL DELIS 40_010 TOT HOURS MAR: M TEEM: l EEO- CM CIIXH .DD* 1,274.00 TL PAY 34_65 LOCAL 857.94 NET PAY 681.59 AUDI BENE TRADE/5CH: 481 IHEW LOCAL UNION 481 SKILL: 3N JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fsi Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/1S--00/17--08/10--08/19--00/3O--08/21--08/22--- wISK --- WEEK 31.8500 .0000 10.5496 45,3996 Regular Pa 8.000 8.000 5.000 8.000 8.000 .000 .000 40.000 1,935.98 ...+.......u...a.44...2224.......+4.x....,4..11............4s.....0..............4..4......+ Employee Totals: 40.000 1.935.98 Bryan S. Christ SS5:314-64-0421 PAY DISTRYBUTION 1,504.00 BASE PAY 93.25 FICA 229.84 BENE W/H .00 PO RENE 155.00 FF° 21.81 IEDI .00 OTHER DEDS .00 LS AD32 51.14 STATE 572.10 TOTAL DEED 40.000 TOT HOURS MAR: N. FXEM: 2 EEO: CM CHK4 +00" 1,504.00 TL PAY 21.06 LOOSE. 931.90 NET PAY 724.08 ACCR BENE: TRADE/SCH: 481 IEEN LOCAL UNION 481 SKILL: GF GENERAL FOREMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/16--05/1J--08/1G-08/19--08/20--08;21--08(22--- WEEK --- WEEK 37.6000 .0000 18.1020 55.7020 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 2,228.08 4....44*.....4.............x.*.«..++.............,.«>.....+...............ua.....u+e......+ Employee Totals 40.000 2,228.02 Michael D. Allen 554:105-64-0715 PAY DISTRLBUTION 000.00 BASE PAY 19.60 FICA 70.00 SERE F/H .00 PD BENE 59.00 FED 11,60 MEDI .00 OTHER DEDS .00 L5 ADJS. 26.55 STATE 229,95 TOTAL DEUS 40-000 TOT HOURS BAR: M E%EM. 1 EEO: CM CHKI +DD+ 000.00 TL PAY 13.20 LOCAL 570.05 NET PAY 414.00 ACCR BENE TRADE/SCHr 481 102W LOCAL UNION 481 SKILL: API APPRENTICE 4 BASE BENEFITS FRINGES CO. --- -- 1100R5 -- Mon Tue Wed TIu. Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 06/16--05/17--08/18-08/19--08/20--08/21--00/22--- WEEK --- WEEK 20.0000 .0000 10.3500 30.3500 RecIular Pe 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 1,214.00 .>....+.....+......+.>.....*..x*u++s.....s.........e.......+s.a.a...........+.a...u4.**... Employee Totals: 40.000 1.214.00 08-23-2010 13:50 CERTIFIED PAYROLL REGISTER PAGE 2 BY: EMU PR\RCERTREB HATCH GOOF.: E4 ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, rN 49206 Rhona: (317) 7E0-2923 Fax: (317) 790-2053 PERIOD ENDING, 00/22/10 CALCULATION JOE: 124070 PESO: CARMEL PERFORMING ARTS Start Date: 04/15/00 CITY CENTER DRIV863RD AVE S.W„ 0/0 BRYAN CHRIST - CARMEL, IN 46032 Todd C. 40,Vhrew 054:307-04-5671 PAY DISTRIBUTION 1,274.00 RASE PAY 79.08 FICA 110.20 GENE 14/H .00 PD BENE 248.00 FED 10.48 MEBI 00 OTHER BEDS .00 LS APIS 40.22 STATE 525.09 TOTAL LESS 40.000 TOT HOURS MAR: S SEEM; 0 RED: OH CHKX •180. 1,274.00 TI, PAY 21.02 LOCAL 748.91 NET PAY 661.98 ACCR BENE TROE/SCH 481 14FE LOCAL UNION 481 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- - HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- D8/16--BR/17--08/1.8--08/19--08/20--08!21--08/22--- WEEK --- WEEK. 31.8500 .0000 16.5496 48.3996 Regular Pa 0,000 8.000 8.000 8.000 8.000 .000 .000 40.000 1,935.98 a.e..n..u...r.u..a...,..,......x...r........ac...ue.............****.,,,................... Employee Total,. 40.000 1,935.98 Brandon S. Lewis 554:310-95-1921 PAY DISTRIBUTION 1 .271.00 SASE PAY 70.99 FICA 110.29 BENE W/H .00 PO BEEF 120.00 FED 18.40 0TDI .00 OTHER 04D5 .00 I.9 ADES 42.66 STATE 390.26 TOTAL BEDS 40.000 TOT SOURS MAR: M FXEM: 2 EEO: CM CHIGM *DER 1,274.00 TL PAY 17.94 LOCAL 805,74 NET PAY 661.95 ACCR BENE TRADE/SCR: 461 IHEN LOCAL UNION 481 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- - HOURS -- Mon Tue Ned '1'h9 Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/16--08/1'7--08/16--0S/19--0H/20--09/21.--08/22--- WEEK --- WEEK 91.8500 .0000 16.5496. 48.3908 Rpgnlar Pa 8.000 8.000 8.000 9.000 8.000 .000 .000 40.000 1,935.99 ,...,.,.,e.r....................au a.....u............,....r......,....,,a................. Employee Totals_ 40.000 1,935.90 Shawn C. Scott 559:311-92-3019 PAT DISTRIBUTION 1,408.18 BASE PAY 07.31 VILA 121 .68 BENE W/11 00 PD RENE 66.00 FED 20.42 MEDI .00 OTHER REDS .00 L5 ADJS 45.92 STATE 364.56 TOTAL DUDS 39,500 TOT HOURS MAR: M SEEM: 9 EEO: CM 0100 *00* 1,409.18 TL PAY 29.23 LOCAL 1,043.62 NET PAY 694.24 ACCR BENE TRADE/SOH: 481 IBEW LOCAI, UNION 461 SKILL: F FOREMAN BASF BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wec] Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED 'TOTAL --- 08/16--09/17--00/18--08/19--09/20--08121--08/22--- WEEK --- WEEK 35.6500 .0000 17.5756 53.2256 Regular Pa 8.000 7.500 8.000 8.000 8.000 .000 .000 19.500 2,102.41 .....<...............e...............,.e....,...,..................<............,............ Employee Totals,: 29.500 2,102.41 08-23-2010 13:50 CERTIFIED PAYROLL REGISTER PAGE: 3 67: EMT PR\RCERTREG BATCH CODE: 54 ERMCO, Inc. PAL Box 1507 1625 W. Thompson Road IndianarOlia, IN 46206 Phone: (317) 780-2923 Fax: (317) 700-2053 PERIOD ENDING: 68/22/10 CALCULATION JOB: 124070 DE5C: CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRLVE&3RD AVE S.W. , C/O HRYAN CHRIST - CARMEL, IN 46032 David C. Sidebottom II 559:305-92-3704 PAY DISTRIBUTION 036.00 RASE PAY 51 .88 FICA 72.73 BENS WE .00 PD DENS 54.90 FED 12.14 MEDI 00 OTHER DEDS .00 LS ADJS 27.14 STATE 231.70 TOTAL. DEDS 32.000 TOT HOURS MAR: M EXEM: 2 EEO', CV CHKX •DO• 836.80 TL DAY 13.81 LOCAL. 605.10 NET PAY 372,05 ACCR BENS TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: AP6 APPREN'L'ICE 6 BASE BENEFITS FRINGES CO- --- -- HOURS -- Mau Tue Wed 'vHu. Fri Sat Sun HOURS/ AMOUNT/ FATE PAID ACCRUED TOTAL --- 00/16--08/17--08/18--08/19--09/26--05/21--08/22--- WEEK --- WEEK 26.1500 .0000 11.6268 30.7768 Regular Pa 8-000 8.000 8.000 8,090 .000 .000 .000 32.000 1,208.06 .::...a a>.........A.....0...a.rr.....a.>.....t ex:r.....a..r...........e..:..I...a.........' Employee Totals: 32.000 1,208.86 Ronald S. Thompson 0SX:310-96-4196 PAY DT8TRIBII'I'ION 640.00 EASE PAY 39.66 FICA 56.00 BENZ W/R .00 PC HENS 35.00 FED 9.20 MEI' .00 OTHER DEDS .00 LS ADJS 21.11 STATE 10.03 TOTAL DEDS 32.000 TOT HOURS MAR: M EXEM: I GHO: CM CRKA *DIM 640.00 TL PAY 6.96 LOCAL 459.97 NET PAY 331.20 ACCR HONE TRADE/SCH: 481 IBF1W IACAL UNION 481 SKILL: AP4 APPRENTICE 4 BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/16--00/11--O111/18--08/19--OE/20--08/21--05/22--- WEEK --- WEEK 20.0000 .0000 10.3500 30.3500 Regular Pa 8.000 8.000 _000 8.000 8.000 .000 .000 32.000 971,20 ..,........4...........44.,......-a(................At-v.4u...........rye**......tat*.ylk........... Employee eotela: 32.000 971.20 Matthew 0. Wilkerson SIN:304-04-0561 PAY DISTRIBUTION 1,046.00 BASF PAY 64.55 FICA 90.91 BENE w/s .00 PD BENE 135.00 FED 15.16 MEDI' :00 OTHER DEES .00 LS ADDS 34.91 STATE 356.09 TOTAL DEDS 40.000 TOT HOURS MAR: S EXEM: 2 EEO CM CHKB 133883 1.,046.00 TL PAY 17.26 LOCAL 607,91 NET PAY 465.07 ACCR BENE TRADE/SCH: 481 TEEN LOCAL UNION 461 SKILL: AP6 APPRENTICE 6 BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- ------------08/16--08/10--08/18--08/19--08/20--08/21--08!22--- WEEK --- WEEK 26.1500 .0000 11.6268 37.7768 Regular Pa 8.000 0.000 8.000 8.000 8-000 .000 .000 40.000 1,511,07 .......************************************************************************************** Employee Totals: 40,000 1,511,07 08-23-2010 13:50 CERTIFIED PAYROLL REGISTER PAGE: 4 BY: ERR PR/RCERTREC BATCH CODE: E4 ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indi.anapol=a. IN 40206 Phone: 13177 780-2923 C1:. (317) 780-2853 PERICD ENDING: 08/22/10 CAI.CUEATION SOB: 124070 DESC: CAMEL PERFORMING ARTS Start Date: 04/15/06 CITY CENTER DRIVE&311D AVE S.W.. C/O BRYAN CHRIST - CAIUILL: IN 46032 Bradley K. Austin 994:305-04-6319 PAY DISTRIBUTION 1,140.80 BASE PAY 70.73 FICA 108.57 BRNE W/H .00 PD HERE 121.00 FED 16.54 MEDI .00 OTHER REDS .00 LS ADCS 38.13 STATE 368.09 TOTAL Dens 32.000 TOT HOURS MAR. M BEER: 0 EEO: CM CHEF •DD+ 1,140.80 TL PAY 13.12 LOCAL 772.71 NET PAY 562.41 ACCF DENS TRADE/S00_ 481 IHEW LOCAL UNION 481 SKILL: F FOREMAN BASF BENEFITS FRINGES CO. --- -- NOURS -- Man Tue Wed Thu Fri_ Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/16--08/17--08/18--08/19--00/20--08/21--06/22--- WEEK --- WEEK 35.5900 .0000 17.5156 53,2256 Regular Pa 8.300 .000 8.000 8.000 8.000 .000 .000 32.000 1,703.22 ...x.•.e.r....+.ass.....ss a.s.saa a.s..r e.s.er.a.u+.s.s.......aa.............:.....ss... Employee Totals_ 32.000 1,703.22 David B. Singleton SS41305-04-6467 PAY DISTRIBUTION 922.00 BASE PAY 3" 16 FICA 80.37 DENS W/H 00 PD BENS 104.00 FED 13.37 MEOI 00 OTHER DED5 .00 LS ADaS 30.04 STATE 304.30 TOTAL DEUS 40.000 TOT HOURS MAR: 5 EKED: 2 EEO: CM C11K9 133679 922.00 TI. PAY 19.36 LOCAL 617.70 NET PAY 435.49 ACCR HERE TRADE/SCH: 401 MEW LOCAL UNION 401 SKILL: APS APPRENTICE 5 BASE BENEIITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun BOORS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/16--OB/17--05/10--08/19--08/20--08/21--08/22-- WEEK --- WEEK 23.0500 .0000 10.0812 34.0373 Bechar Pa 6.000 0.000 8,000 8.090 0.000 .000 .000 40.000 1,361.49 r..++ss.....s.....a...u..a....s..................ass..................... . Employee Totals: 40,000 1,361.49 Nathan 3. Rude 990:313-96-7499 PAY DISTRIBUTION 1,274.00 RASE PAY 78.08 FICA 110,29 BEBE W/H 00 PD MINE 131.00 FED 18.48 MEDI .00 OTHER DE05 00 LE MAYS 43.32 STATE 399.91 TOTAL REDS 40.000 TOT HOURS MAR: M EHEM: 1 EEO: CM CNR1 'U0+ 1,2'74.00 TL PAT 17.84 LOCAL 874.09 NET PAY 601.95 ACCR BENE TRADE/SCH: 481 IBEW LOCAL UN1ON 401 SKILL: JW JOURNEYMAN RASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tree Wed Thu Fri Sall 5¢n HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 06/1.6--00/17-08/18--08/19--pry/20--08/21--08/22--- WEEK --- REEK 31.8500 .0000 L6.5496 46.3996 Regular Pa 0.000 8.000 8.000 8.000 8.000 .000 .000 40.000 1.935.98 ....s..+........a.....a.s....aa..............aaa..............:..............+a.......... Employee Tots Is. 40.000 1,935.98 08-23-2010 13:50 CERTIFIED PAYROLL REGISTER PACE: BY: EKE PR\RCERTREC HATCH CODE: 84 ERMCO, Ins. PM, Box 1501 1625 W. Thompson Road Indianapolis, [.8 46206 Phone: (311) 100-2923 Fax: (317) 780-2853 PERIOD ENDING: 08/22/10 CALCULATION JOB: 124070 DESC: CARMEL YENFORMWG ARTY Start Date: 04/15/08 CITY CENTER DR1V063R0 AVE S.W., C/C BRYAN CHRIST - CARMEL, TN 46032 Dames E. Thompson 858:304-06-8382 PAY DISTRIBUTION 1,278.00 BASE PAY 78,99 FICA 110.29 BENE W/N .00 PD BENE 175,00 FEB 18-47 MEDI .00 OTHER REDS .00 LS ADDS 42.66 STATE 446.83 TOTAL DEDS 40.000 TOT HOURS NAP: S EXEM. 3 EEO: CIA CURS 'DD' 1,274.00 TL PAY 21.02 LOCAL 827.57 NET PAY 661.00 ACCR BENE TRADE/SCH: 491 IBEN LOCAL UNION 461 SKILL: OW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUE() TOTAL --- 08/16--OE/17-08/18--06/19--08/20--D8/21--08/22--- WEEK --- WEEK 31.8500 .0000 16.5496 88.3996 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 1,935-99 ........er....................r,e•*..........<>....,.,<...u.rr..,.,..,,..,............'.....r, Employee Totals: 60.000 1,935.80 JOB 124070 TOTALS- --- HOURS --- MOn Tun wad Thu Fri Sat Sun TOTAL BASE PAID FRINGES TOTAL 08/16—-0H/1T---08/10---08/19---08/20---08/21-°-08/22 PAY BENEFITS ACCRUED AMOUNT Regular Pay 104,000 95.500 95.000 104,000 96,000 .1100 -000 495.500 14.667,70 -00 7.312.45 21,980,25 Employees Listed on Job: 13 990.500 14.667,70 00 7.312.45 21,980.25 Lump Sum Adjustments: .00 Total Compensation for Job: 21,980,25 7 -a3-�o Date (b)WHERE FRINGE BENEFITS ARE PAID IN CASH Rod Burton Controller I, _ ❑ - Each laborer or mechanic listed in the above referenced payroll has been pain, (Name of Signatory Party) Mau) as indicated on the payroll,art amount not less than the sure of the applicable do hereby slate[ basic hourly wage rate plus the ainount of the required hinge benefits as listed in the contract,except as noted in Section 4(c)below_ (1)That I pay or supervise the payment of the persons employed by (c)EXCEPTIONS ERMCO, Inc', on the (Contractor or Subcontractor) EXCEPTION(CRAFT) EXPLANATION Carmel Performing Arts Ines during the payroll period commencing on the )6 f (Building or Work) ����� d1• of kf V , and ending the da day of ��� all persons employed e said project have been paid the full weekly wages carded, hal no rebates have been or will oe made either directly or indirectly to or on behalf of said ERMCO, Inc. from the full • (Contractor or Subcontractor) weekly wages earned by any parson and that no deductions have been made either directly or indirectly horn the full wages earned by any person,other than permissible deductions as defined in Regulations, Part 3(29 CFR Subtitle A),issued by the Secretary of Labor under the Copeland Act,as amended(40 Slat_94E, 63 Start. t08,72 Stal,E67; 76 Slat.357;40 U.S.C.275o),and described below: REt'JRKS: (2)That any payrolls otherwise under this contract required to be submitted for the above perich are correct and complete;that the wage rates for laborers or mechanics contained [herein are not less than the applicable wage rates contained in any wage determinatian Incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work be perfanined, (3) That any apprentices employed in the above period are duly registered in a bona tide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training,United States Department of Labor,of if no such recognized agency exists in a State.are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. (4)That (a)WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS,CR PROGRAMS Peels AND lea H SIONAT Rod Burton,Controller — in addition to the basic hourly wave rates paid to each laborer or mechanic iSI2d ur the above referenced payroll, payments of fringe benelits as listed in the contract THE it:utaL FAISIFICAnoN OF AMY OF THE ABOVE STATEMEN S LIAY SUBJECT THE CONTRACTOR OR have been or will be made to appropriate programs for the benefit of such SUNCUNI-RACTOR TO CIVIL OR CRIMINAL PROSECUTION.SEC SECTION 100+OF TITLE 10 AM SF,CTlON t41 CF TITLE employees,except as noted in Section 4(c)below. al OF THE UNITED STATES coots. • '05.G.P,0.Ptur sic ten • 08-30-2010 13:41 CERTIFIED PAYROLL REGISTER PAGE: 1 BY: EMS PR\RCHRTREG BATCH CODE: R5 ERMCO, Inc. P.O- Box 1502 1625 W. Thompson Read Indianapolis, TN 46205 Phone: 13171 780-2923 Fax: (317) 700-2853 PERTOP ENDING: 08/29/10 CALCULATION JOB: 124070 DISC, CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRTVE63RD AVE S.W., 0/0 BRYAN CHRIST - CARMEL, IN 46032 Donald C. Doyle PAY DISTRTBUTION 1,226,23 BASE PAY 76.03 FICA 106.15 RENE W/I! ,00 PD GENE 123.00 FED 17.78 MED1 .00 OTHER 11.38 00 L5 ADIS 41.04 STATE 397.35 TOTAL DEDS 38.500 TOT HOURS MAR; M LEEM; 1 FEU: CM CHKH *DOT 1,226.23 TL PAY 33,35 LOCAL 828.87 NIT PAY 637.16 ACE RENE TRADE/SCR: 481 TBEW LOCAL UNION 481 SKILL: JW JOURNEYMAN BASH B£NEFTTS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri. Eat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 013/23--08/24--08/25--09/26--08/27--00/29--08/29-- WEEK --- WEEK 31.8500 .0000 16.5494 40.3994 Regular Pa 8.000 8.000 5.500 8.000 8.000 .000 .000 38.500 1,563.38 ..x......r.r........<.<.a<..<...................rTT.»................»....u......T....... Employee Totals: 38.500 1,563.38 Bryan S. Christ PAY DISTRIBUTION 1,504.00 RASE PAY 93.25 FICA 229.84 BANE W/H .00 PD BENF. 355.00 FED 21.80 MEDS .00 OTHER DEDS .00 LS ADJB 51.14 STATE 572.09 TOTAL DEDS 40.000 TOT HOURS MAR: M EXEM: 2 EEC: CM CHKP TDD` 1,504.00 TI. PAY 21.06 LOCAL 931.91 NET PAY 724.09 ACCR RENE TRADE/R:H: 461 INEW LOCAL UNION 491 SKILL: GE GENERAL. FOREMAN RA:11 BENEFITS FRINGES CO. --- -- HOURS -- Mml Tue Wed Thu Fri Sat Sun HOOKS/ AMOUNT/ NATO PAID ACCRUED TOTAL --- 08/23--08/24--08/25-08/26--08/27--08/213--08/29--- WEEK --- WEEK 37.6000 0000 18.1020 55.7020 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 2.228 08 .....*******<***(.***......*......**..................«*,.......***.***.******.(..................T Employee Totals: 40.000 2.228 08 Michael D. Allen PAY DISTRIBUTION 640.00 SASE PAY 39.58 FICA 56.00 PENE W/o .00 PD RENE 35.00 FFD 9.28 MEDI .00 OTHER DEDS .00 LS ALOE 21.11 STATE 171.63 TOTAL DELIS 12.000 TOT SOURS MAR: M EXEM: 1 EEO: CM CIIK8 *DD. 640.00 TL PAT 10.56 LOCAl 460.37 NET PAY 731.20 ACCR BENZ TRADE/SCR: 481 IEEE LOCAL ONION 481 SKILL: AP4 APPRENTICE 4 BASE 06NRFITS FRINGES CO. --- -- EOORS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RAlE PAID ACCRUED TOTA1. --- 08/23--08/24--08/25--00/26--00/22--08/213--09/29--- WEEK --- WEEK 20.0000 .0000 10.3500 30-3500 Regular Pa 8.000 8-000 .000 0.000 0.000 -000 -000 32.000 971.20 ........TT..:...................T...»..........................>+.....<s..........u.T.:... Employee Epee's, 32.000 971.20 08-30-2010 13:41 CERTIFIED PAYROLL REGISTER PAGE: 2 BY: SHE PR\RCERTREG BATCH CODE: E5 ERMCO, Inc. P.O. Box 1507 • 1625 W. Thompson Read Indianapolis, IN 46206 Phone: 13171 '180-2923 Fax: 13191 703-2053 PERIOD ENDING: 00/29/10 CALCULATION JOB: 124070 DESC: CARNAL PERFORMING ARTS Start Date: 04/15/09 CITY C4N'4ER UKIVE63R0 AvE S.W., 0/0 BRYAN CHRIST - LARKED, 114 46032 Todd C. Nhybruw PAY DISTRIBUTION 1,279.00 RASE PAY 79.99 FICA 110.20 PENS W/H -00 PD RENE 249.00 FED 18.47 MEDI .00 OTHER BEDS .00 LS ADJS 45,32 STATE 525.09 TOTAL DEDS 40.000 TGT HOURS MAR: S BEEN: 0 EEO: CM CURE *DE* 1,271,00 TI, PAY 21.02 LOCAL 748.91 NOT PRY 661.99 ACCR GENE TRADE/SCR: 481. IBEW LOCAL UNION 481 SKILL: 25 JOURNEYMAN BASK HENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun FOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 0B/23--09/24--08125--08/26--00/27--08/28--06/29--- WEEK --- WEEK 31.8500 .0000 16.5496 48,3996 Regular Pa 8.000 6.000 8.000 8.000 8.000 .000 .000 40.000 1,035,98 ...rr•a...................................1.......1........4...ue..•>.................e..th. . Employee Totals; 40.000 1,035.PB Brandon S. Lewis PAY DISTRIBUTION 1,274.00 BASE PAY 78.99 FICA 110.29 BENE 14/H .00 PD BENZ 120.00 FED 13,47 MEDI .00 OTHER DEDS .00 LS AD35 42.66 STATE 383.25 TOTAL DEDS 40.000 'LOT HOURS MAR: H EXEM: 2 EEO: X31 CHK# '001 1,274.00 TI, PAY 17.04 LOCAL 885./5 NET PAY 561.90 ACCR PENS TRADE/SOH: 481 IBEW LOCAL UNION 481 SKILL XI JOURNEYMAN BASE BENEFITS FRINGES CD. --- -- f10UR5 -- Mon Tun Wad Thu Fri. Sat Sun HOURS/ AMOUNT/ RATE PATO ACCRUED TOTAL - 08/23--08124--08/25--08/26--09/21--08/28--03/29--- WEEK --- WEEK 31. 2500 _0000 16.5496 48.3996 Regular Pa 8.000 0.000 8.000 8.000 B.000 000 .000 40-000 1,935.98 eu.4e.........lithe....x..a..........see.,....1.4.......4u thu nlftheeIWA......eth.eth..thf4,ee. Employee Totals: 40.000 1,035.99 Shawn C. SOOtt PAY DISTRIBUTION 1,426.00 BASE PAY 811.41 FICA 1.23.21 ERNE W/H .00 PO HENE 69.00 FED 20.67 p4F,DI 00 OTHER CODS .00 LS ADDS 46.52 STATE 371.34 TOTAL DENS 40.000 TOT HOURS MAP: M E%EM: 9 8E0: C.N 01174 .00T 1.426.00 TL PAY 23.53 LOCAL 1,054.66 NFIT PAY 703.02 ACC13 FIFE TRADE/SOH: 481 IEEE LOCAL UNION 401 SKILL.: F FOREMAN BASE BENEFITS FRINGES CO. --- -- 130URS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/23--08/24-08/25-08/26--00/27-18/28-06/29--- NEEK --- WEEK 35.6500 .0000 17.5756 53.2256 Regular Pa 0,000 8.000 9.000 8.000 0.000 .000 .000 40.000 2,129.02 s.ee...........ea.a.......1.........ee.....a.er.a...-....4.14.,.a..a...e......-.th.eth.a e1..... Employee Totals: 40.000 2,129.02 1 0 08-30-2010 13:41 CERTIFIED PAYROLL REGISTER PAGE; 3 BY: EMK PRSRCERTREG BATCH COME: E5 ERi4CO, Inc. P.C. Box 1507 1625 W. Thompson Road Indianapclls, IN 46206 Phone: 0171 780-2923 Fax: 1311) 780-2053 PERIOD ENDING: 06/29/10 CALCULATION JOB: 124070 DESC CARMEL PERFORMING ARTS Start Date: 04/15/68 CITY CENTER DRLVE63RR AVE S.W., C/0 BRYAN CHRIST - CAIN.EL, IN 46032 David 0. Sidebottom II PAY DISTRIBUTION 1 .046.00 BASE PAY 64.95 FICA 90.91 RENE W/]I .00 PD GENE 86-00 FED 15.16 MEDI .00 OTHER REDS .00 LS ARTS 34.26 STATE 300.44 TOTAL DEDS 40.000 TOT HOURS MAR: M SEEM; 2 EEO: CM [HAM 'DD• 1 ,045.00 TI. PAY 17.26 LOCAL 737.56 NET PAY 465.07 ACCR RENE TRACE/SCH: 481. IGEW LOCAL UNION 481 SKILL: AP6 APPRENTICE 6 BASE HENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE - PAID ACCRUEC TOTAL --- 0B/23--08/24--08/25--00/26--08127--08/25--00/29--- WEEK --- WEEK 26.1500 .0000 11.6268 37.7768 Regular Pa 8.0(10 6.000 6.000 8.000 8.000 .000 000 40.000 1.511.01 ..........waau......+u...........a......«...............u.a...................ee.....+.... Employee Totals: 40.000 1,511.07 Ronald S. Thompson PAY DISTRIBUTION 329.00 BASK PAY 19.64 FICA 26.00 GENE W/II .00 PD PENE .00 FED 4.64 MEDI .00 OTHER BEDS .00 LS ADDS 10,23 STATE 67.15 TOTAL DEES 16.000 TOT HOURS MAR: M SEEM 1 PLO.. CH TER* 'DC' 220.00 TL PAY 4,40 LOCAL 252.81 NET PAY 165.00 ACCR GENE TRADE/SCH: 481 TEEN LOCAL UNION 401 SKILL: API APPRENTICE 4 BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tor_ Wed Thu Fri Sat 0Rn HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/23--00/24--05/25--08/26--08/27--05/28--08/29--- WERE --- NESE 20.0000 .0000 10.3500 30,3500 Regular Pa .000 .000 .000 8.000 8.000 .000 .000 16.000 465.60 ....r....+..0...u....***.r...........•........a.......+...........*v r•........x...****..> Employee Totals: 16.000 405.60 Thomas N. Yeadon PAY DISTRIBUTION 474.01 BASE PAY 29.39 FICA 42.29 U1N1 W/B .00 PD GENE .00 FED BBB MEDI .00 OTHER DEDS .00 L5 AD,IS 14.81 STATE 101.19 TOTN. DEEP 40.600 TOT HOURS MAR: M SEEM: 4 EEO: CM Cosh •DI)+ 474.01 11. PAY 7.82 LOCAL 372.02 NET PAY 339.33 ACCR RENE TRADE/SCR: 401 THEW LOCAL UV ION 461 SKIM.: VA Unindentered Apprentice BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fr1 Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAl, --- 08/23--06/24--08/25--08/26--00/27--06/23--08/29--- WEEK --- WEEK 11.8500 .0000 6.4333 20.3333 Regular Pa 8.000 8.000 8.000 000 .000 .000 .000 24.000 488.00 .a.......+u a..a u................x....x...xxxx....r.....4.0.......e.........e......u..... Employee Totals: 24.000 48R.00 im 08-30-2010 13:41 CERTIFIED PAYROLL REGISTER PAGE: 4 PY: EMI( PRPECERTREG BATCH CODE; E5 ERMCO, Inc. P.O. &Ox 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: 13171 780-2923 Fax: (3171 750-2853 PERIOD ENDING: 08/29/10 CALCULATION 30B: 124070 DESC' CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRIVE63RD A`G S.W., C/0 BRYAN CHRIST - CANNEL, IN 46032 Matthew G. Wilkerson PAY DISTRIBUTION 1,046.00 RASE PAY 64.05 FICA 90.91 BENE W/H .00 PD BENS 135.00 FED 15,17 MEIJI .00 OTHER DEDS .00 LS ADDS 34.91 STATE 358.10 TOTAL REDS 40.000 TOT HOURS MAR: S EXEM: 2 ESC; CM CI1116 133921 1,046.00 71. PAY 17.26 LOCAL 607.90 NET PAY 465,07 ACCR RENE "TRADE/SOH: 161 IBEW LOCAL UNION 481 SKILL: AP6 APPRENTICE 6 BASF BENEFITS FRINGES CO. --- -- POURS -- Mon 'Iue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL. --- O8/23--08/24--00/25--08/26--08/27--08/26--08/29--- WEEK --- WEER 20.1500 .0000 11.5264 37.7768 Regular Pa 8.000 9.000 0.000 8.000 8.000 .000 .000 40.000 1,511.07 :.,1......e........1.a«.e...e.........r..e...<................>1.... .........(.6111m Employee 'Totals: 40.000 1,511.07 Bradley K. Austin PAY DISTRIBUTION 1,426,00 RASE PAY 98.41 FICA 1.33.21 BENS W/H _00 PD GENE 164.00 FED 20.68 MEDI .00 OTHER DEDS .00 LS APJS 47.83 STATE 470.53 TOTAL DEDS 40.000 TOT HOURS MAR: M EXEM: 0 F.EO: CM CHKR 'DC' 1 .426.00 TL PAY 16.40 LOCAL. 955.41 NET PAY 703.02 ACCR BETE TRADE/SCE: 481 1HEW LOCAL UNION 181 SHILL: F FOREMAN BASE BENEFlITS FRINGES ':U. --- - POURS -- Won Tue Wed Thu Fri Sat San HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL. --- 08/23--08/24--08/25--08/26--09/29--04/24--08/29--- WEEK --- WEEK 35.6500 .0000 17.5756 53.2256 Regular Pa 0.000 8.000 8.000 8.000 8.000 .000 .000 40.000 2,129.02 .....**rrr*•*......******e......1.........e.......... .......1 1>....................******.ee employee Totals: 40.000 2,129.02 Dseid B. Singleton PAY DISTRIBUTION 922.00 EASE PAY 57.17 FICA 80.37 BENE W/H .00 PD BENE 104.00 FEU 13.37 MEDI 00 OTHER DEDS .00 I.6 ADJS. 30.04 STATE 301.31 TOTAL LEDS 40.000 TOT HOURS MAR: S EXEM: 2 EEO: CM CHKN 133917 922.00 'rL PAY 19.36 LOCAL 611.69 NET PAY 439.49 ACCR BENE TRADE/SCR: 462 /BEN LOCAL UNION 481 SKIRL, APB APPRENTICE 5 BASF. BENEFITS FRINGES CO. --- -- 110U8S -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 00/23-00/24--1)6/25--08/26--08/27--08/20--06/29--- WEEK --- WEEK 23.0500 .0000 10.9873 34.0373 Regular Pa 0.000 8.000 8.000 0.000 8,000 .000 .000 40.000 1,361.49 ........x.....******e+.aa...(****1-...........*****.......1....11>....................ee....e Employee Totals: 40.000 1,361.49 08-30-201013,41 CERTIFIED PAYROLL REGISTER PAGE: 5 BY: EbIIC PR\RCERTKEG HATCH CODE: EJ ERIlCO, IIC, P,q, Sox 1507 1525 W. Thompson Hoed Indianapolis, IN 46206 Phone (3171 780-2923 Fax: {317) 780-2853 PERIOD ENDING: 08/29/1.0 CALCULATION 00B: 124070 DESC: CARI4EL PERFORMING ARTS Stash Date: 04/15/06 CITY CENTER IRIVES3RD AVE S.W., C/O BRYAN CHRIST - CARMEL. IN 46032 Nathan J. Rude PAY DISTRIBUTION 1,274,00 RASE PAY 78.99 FICA 110.20 BENE WIN .00 PH BENE 131.00 FED 10.47 MEDI .00 OTHER DODS .00 LS ADJS 43.32 STATE 399.91 TOTAL DEnS 40.000 TOT HOURS MAR: M E%EM: 1 EEO: CM OHIO *1141i 1,274,00 TL PAY 17.64 LOCAL $74.09 NET PAY 661.98 ACCR BENE TRADE/SCH: 481 TEEW LOCAL UNION 491 SKILL: Al JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Hon Tue Wed Thu Fri Sat SOS HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/23--08/24--08/25--08/25--00/27--08/28--08/29--- WEEK --- WEEK 21,8500 .0000 16.5496 48-3996 Regular Pa 8.000 8.000 8.000 8.000 0.000 000 .000 40.000 1,935.98 ...,........,.......a....................................................................... Employee ToE:as. 40.000 1,935.98 James E. Thompson PAY DISTRIBUTION 1,214.00 RASE PAY 78.99 FICA 110,29 08148 W/H .00 PD BENE 175.00 FED 10,48 mEDI .00 OTHER BEDS .00 L5 ADJS 42.66 STATE 446.44 TOTAL IOUS 40.000 TOT HOURS MAR: S EKEM: 3 EEO: CM /1HKE *DDr 1.,214.00 it PAY 21.02 LOCAL 827.55 NET VA': 661.98 ACCR RENE TRADE/SCH: 481 TEEN LOCAL UNION 4131 SKILLL JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tux Wed Thu Fri Set Sun HOURS/ AMOUNT/ --- RATE PAID ACCRUED TOTAL --- 08/23--08/24--08/25--08/26--00/27--O0/28--O9/29--- WEEK --- WEEK 31.8500 .0000 12.5496 40.3992 Re9o1Er Ea $.000 8.000 8.000 8.000 0.000 .000 .000 40.000 1,935.98 .........<.....as.L..................e...................................L........-.....ea... Employe. TotEls.- 40.000 1,935.98 James A. Kovoesi PAY DISTRIBUTION 474.01 BASE PAY 29.39 RICA 42.29 GENE W/H .00 FU BENE 28.00 FED 6.87 MEDI .00 OTHER DEDS .00 LS ADJS 10.12 STATE 129.30 TOTAL DEUS 40.000 TOT HOURS Will: S EXPO: 2 EEO: CM CHKR •DD' 474.01 TL PAY 6.94 LOCAL 344.71 NET PAY 339.33 ACCR BENE TRADE/SCR: 491 IBEW LOCAL UNION 481 SKILL: UA Unindentured Apprentice BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tuu Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 00/23--08/24--00/25--00/26--08/27--08/28--C18/29--- WEEK --- WEEK 11 .8900 .0000 8.4833 20-3333 Regular Pa 8.000 0.000 8.000 .000 .000 .000 .000 24,000 488.00 .............................................:............e....e..................e.......e.. mploye_ Total*: 24.000 488.00 • xf 0B-30-2010 13:41 CERTIFIES PAYROLL REGISTER PAGE; 6 BY: EWE( PR\RCERTREG PATCH CODE: ES ER2400, inc. P.O. 30, 1507 1525 N. Thompson Rood Ind.anapolie„ IN 46206 Phone: 1317) 780-2023 Fax: (317) 980-2853 PERIOD ENDING; 08/29/10 CALCULATION JOB. 124070 DESC: CARMEL PERFORMING ARTS Start Date: 04/15/06 CITY CENTER ERIVEC3RD AVE S.W., C/O BRYAN CHRIST - CARMEL, IN 46032 JOB 124070 TOTALS --- HOURS --- Mon Tue wed Thu Fri Sat Sun TOTAL BASE PAID FRINGES TOTAL 0E/23---00/24---00/25---0B/26---0B/27---08/28---08/29 PAY 56NEFITS ACCRUED A'OVNT Regular Pay 112.000 112.000 102.500 104.000 104.000 .000 .000 534.500 15,221.03 00 3,608.82 22,909.88 Employees Listed on Joh: 1S 534.500 15,221.03 00 7,688.82 22,909.88 Lump Sum Adjustments: .00 Total, Compensation for Job: 22,909.88 • Date 8 -‘50 ,10 (b)WHERE FRINGE BENEFITS ARE PAID IN CASH Rod Burton Controller — Each laborer or mechanic listed in the above reterencod payrml has been paid. (Name of Signatory Party) (Title) as indicuted on the payroll, an amount not less than the sum of the applicable no harp by slate' basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract,except as noted in Section 4(c)below. (1)That I pay or supervise the payment of the persons employed ay (c)EXCEPTIONS ERMCO, Inc. on we (Contractor or 9tlbconlractor) EXCEPTION(CRAFT) EXPLANATION Carmel Performing Arts ;char during the payroll period commencing en me (Bull I. g or Work) M I �/ 023 day cf V , *MD, and ending the C2 day of ji.J 7 C3I0, all persons employed on said project hove been paid the full weekly wages earned. but me rebates have boon or will be made either directly or indirectly to or on behalf of said ERMCO, Inc. from the full (Contractor or Subcontractor) meekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Regulations,Part 3 (29 CFR Subtitle A),issued by the Secretary of Labor under the Copeland AP,us amended (45 Star.940, 63 Slant. 105.72 Slat_937;76 Stal.357;40 U.S.C,276c),and described below'. REM4RKS', (2)That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete;that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination Incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (3) That any apprentices employed in the above period are duly registered in a bona tide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor,of if no aeon recognized agency exists in a State.are registered with the Bureau of Apprenticeship and Training.United States Department of Labor (4)That. (a)WHERE FRINGE GENEFtTS ARE PAID TO APPROVED PLANS, FUNDS.OR PROGRAMS ! NAME AND TITLE SIGNsruR Rod Burton,Controller in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of :mane benefits as listed in the contract THE '.VIU.FCL FALSIFIcATIOP OF ANY OF THE A9OVE STATEMENTS MAY suejeer THE couratauTON OR have been or will be made to appropriate programs for the benefit of such SUBCUNTRACrOR TO CIVIL On CeiciseL PROSECUTION.SEE SECTION 1001 OF TIT LE re AND SECTION 231 DE TITLE employees.except as noted In Section 4(c)below. 31 OF THE UNITED STATES cope U.S GPO t190 519116: . ( I 09-07-2010 12:52 CERTIFIED PAYROLL REGISTER PAGE: 1 BY: EMK PR\RCERTREG BATCH CODE: El ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (317) 780-2923 Fax: (317) 780-2853 PERIOD ENDING: 09/05/10 CALCULATION JOB: 124070 DESC: CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRIVE63RD AVE S.W., C/O BRYAN CHRIST - CARMEL, IN 46032 Donald C. Doyle PAY DISTRIBUTION 1,274.00 RASE PAY 78.98 FICA 110.29 GENE W/I1 .00 PD BENE 131.00 FED 18.48 MEDI .00 OTHER DEDS .00 LS ADJS 42.6.6 STATE 416.06 TOTAL. DEDS 40.000 TOT HOURS MAR: M EXEM: 1 EEO: CM CHKN *DD. 1,274.00 TL PAY 34.65 LOCAL 857.94 NET PAY 661.98 ACCR BENE TRADE/SCH: 481 IBEW LO1'L1 UNION 481 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--06/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 31.8500 .0000 16.5496 48.3996 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 1,935.98 Employee Totals: 40.000 1,935.98 Bryan S. Christ PAY DISTRIBUTION 1,504.00 BASE PAY 93.25 FICA 229.84 BENE WIN .00 PD BENE 155.00 FED 21.81 MEDI .00 OTHER DEDS .00 LS ADJS 51.14 STATE 572.10 TOTAL DEDS 40.000 TOT HOURS MAR: M EXEM: 2 EEO: CM CHKS •DD' 1,504.00 TL PAY 21.06 LOCAL 931.90 NET PAY 724.08 ACCR BENE TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: GF GENERAL FOREMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri. Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--08/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 37.6000 .0000 18.1020 55.7020 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 2,228.08 Employee Totals: 40.000 2,228.08 Michael D. Allen PAY DISTRIBUTION 000.00 BASE PAY 49.60 FICA 70.00 BENE W/H .00 PD BENE 59.00 FED 11.60 MEDI .00 OTHER DEDS .00 LS ADJS 26.55 STATE 229.95 TOTAL DEDS 40.000 TOT POURS MAR: 14 EXEM: 1 EEO: CM CHK® *DD• 800.00 TL PAY 13.20 LOCAL 570.05 NET PAY 414.00 ACCR DENE TRADE/SCR: 481 IBEW LOCAL UNION 481 SKILL: AP4 APPRENTICE 4 RASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--00/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 20.0000 .0000 10.3500 30.3500 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 ,000 40.000 1,214.00 Employee Totals: 40.000 1,214.00 ,.. • 09-072010 12:52 CERTIFIED PAYROLL REGISTER PAGE: 2 BY: ERR PR,RCERTREU LATCH CODE: El ERMCO, Inc. P.O. Pox 1607 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (317) 780-2923 Fax: (317) 760-2853 PERIOD ENDING: 09%05/10 CALCULATION JOB:124070 OESC: CARMEL PERFORMING ARTS Start Date: 04/15/06 CITY CENTER DRIVES3RD AVE S.W.. C/0 BRYAN CHRIST - CARMEL. IN 46032 Todd C. Whybsew PAY DLSTRIBUTION 1,214.00 BASE PAY 78.99 FICA 110.29 BENS W/il .00 PD BENS 248.00 FED 18.47 ME01 .00 OTHER BEDS .00 LS ADDS 48.32 STATE 525.09 TOTAL DEDS 40.000 TOT HOURS MAR: S IEEE: 0 EEO: CM CHK4 *DD. 1,274,00 TL PAY 21.02 LOCAL 748.91 NET PAY 661.98 ACCR BENT TRADE/SCH: 461 IBEW LOCAL UNION 481 SKILL: JW JOURNEYMAN EASE BENEFITS FRINGES CO. --- -- HOURS -- Mon The Wed Thu Fri. Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--08/31--D9/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 31.0500 .0000 16,5496 48.3996 Regular Pa 8,000 8.000 8.000 8.000 8.000 .000 .000 40.000 1,935.98 «,.....x.e***..***********..*..*..*.***********..*******.....x.....**.**..*.***..*.......*. Employee Totals: 40.000 1,935.98 Brandon S. Lewis PAY DISTRIBUTION 1,274.00 BASE PAY 78.98 FICA 11(1.29 HENS W/H 00 ED BEN¢ 120.00 FED 18.47 HEDI. -00 OTHER DEDS 00 LS ADDS 42.66 STATE 368.24 TOTAL DEDS 40.000 TOT HOURS WAR: M EXEM: 2 EEO: C11 CARA 'DD" 1,2.14.00 TL PAY 17.84 LOCAL 885.16 NET PAY 551,98 ACCR SEND TRACE/SCH: 151 11308 LOCAI. UNION 461 SKILL: JW JOURNEYMAN BASE REMEDIES FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat sun HOURS/ AMOUNT/ RATE PALO ACCRUED TOTAL --- 08/30--06/31--09/01--09/02--09/93--09/04--09/05--- WEEK --- WEEK 31.8500 .0090 15.5495 48.3996 Regalas Pa 6.000 8.000 8.000 3.900 .000 .000 .000 27.000 1,306.79 ..*..**....a*...r......................*.u*...*..<.................*.....<..................* Employee Totals: 2.7.000 1,306.79 Shawn C. Scott PAY DISTRIBUTION 1,426.00 RARE PAY 88,41 RICA 123.21 BENE W/H .00 NO RENO 69.00 FED 29,55 MED/ .00 OTHER DEDS .00 15 ADDS 46.52 STATE 371.35 TOTAL DEDS 40.000 TOT HOURS MAR: N EKED: 9 EEO: CM CHKB *OD* 1,426.00 TL PAY 23.53 LOCAL 1,054.65 NET PAY 703.02 ACCR PENS TRACE/SON: 481 IBEW LOCAL UNION 481 SKILL: F FOREMAN BASE BENEFITS PRINCES CO. --- - HOURS -- Mon Tue wed Thu Fri Sat. Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--08/31--09/01--92/02--89/03--05/04--09/05--- WEEK --- WEEK 35.5500 .0000 17.5756 13.2256 Regular Pa 8.000 8.000 9.000 6.000 8.000 .000 .000 40.000 2,129-02 .. i....*.....e***...a.**..**..*****.*.u*u.****..*..******....*.e**...**.u......***...**..*x Employee Totals, 40.000 2,129.02 09-07-2010 12:52 CERTIFIED PAYROLL REGISTER PAGE: 3 ELY: EMK PR\RCERTREG BATCH CODE: El ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indisaapo.Lis, IN 46206 Phone: (317) 700-2923 Fax: (317) 780-2853 PERIOD ENDING: 09/05/10 CALCULATION JOB: 124070 DESC: CARMEL PERFORMING ARTS Start Hato: 04/15/06 CITY CENTER DRIVES3R3 AVE S.W.. C/C BRYAN CHRIST - CARMEL, IN 46032 David J. 5,idebottom II PAT DISTRIBUTION 1,046.00 BASE PAY 64.86 FICA 90.91 BHNE W/11 .00 PD BENS 86.00 FED 15.17 MEDI .00 OTHER DEDS .00 LS ADJ5 34.26 STATE 308.46 TOTAL REDS 40.000 TOT HOURS MAR: M SEEM: 2 EEO: CM CHEW •DD• 1,046.00 TO PAY 17.26 LOCAL 737.54 NET PAY 465.07 ACCR BENS TRADE/SOH: 481 SBEH LOCAL ONION 481 SKILL: AP6 APPRENTICE 6 BASE DENEFI'TS FRINGES CO. -- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAP) ACCRUED TOTAL --- 08/30--OS/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 26.1500 .0000 11.5265 37.7758 Regular Pa 8.000 8.000 P.000 6.000 6.000 .000 .000 40.000 1,511,07 it).......«u,«.......e....<....••u..............•........•.r..x...........e...........r.• employee Totals: 40.000 1,511.07 Ronald 5. Thompson PAY DISTRIBU'GION 640.00 BASE PAY 39,68 FICA 56.00 BEAN W/H .00 en BENE 35,00 PFD 9.28 MEDI 00 OTHER DED5 .00 L5 ADJS 21 .11 STATE 170,03 TOTAI. BEDS 32.000 TOT HOURS MAR: M KEEN: 1 EEO: CM CHK9 •DO• 540.00 TL PAY 9.76 LOCAL 469,97 NET PAY 331.20 ACCR BENZ TRADE/SCR: 481 IEEW LOCAL UNION 451 SHILL: AP4 APPRENTICE 4 BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun SOURS/ AMOUNT/ RA rE PAID ACCRUED 'TOTAL --- OB/30--05/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 20,0000 .0000 10.3500 30,3500 Regular Pa 0,000 0.000 .000 0.000 8,000 .000 .000 32.000 971.20 ..».......,...<>..•.«.....................•.............nie....u......e.....0.......ew«... employ„ Totals: 32600 971.20 Mattheo G. Wilkerson PAY DIS"I'RIEUTTON 418.40 BASE PAY 25.94 FICA 36.36 GENE W/H .00 PD RENE 20.00 FED 0.07 Mitt .00 OTHER DED5 .00 LS ADDS 13.57 STATE 106.04 TOTAL BEDS 16.0110 'L'OT HOURS MAR: S EF=M: 2 EEO: CM CHlN 133958 418.40 TL PAY 6.90 LOCAL 309,54 NET PAY 106.09 ACCR RENE TRADE/SCR: 401 TREW LOCAL UNION 401 SKILL: AP5 APPRENTICE 6 BASE BENEFITS FRINGES CO. --- -- POURS -- Mon Tue Ned Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- ou/30--08/31--09/01--09/02--05/03--09/04--09/05--- WEEK --- WEEK 26.1500 .0060 11.6268 37.7768 Regular Pa 6.000 8.000 .000 .000 .000 .000 .000 16.000 504.43 ..........<.<.....r..xa.... ...,.....................u.u.............................. Employee Totals; 16.000 604.43 • S • • • 09-07-2010 12:52 CERTIFIED PAYROLL REGISTER PAGE: 4 BY: FMK PR\RCERTREG BATCH CODE: El ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (317) 790-2923 Fax: (317) 780-2853 ' PERIOD ENDING: 09/05/10 CALCULATION JOB: 124070 DESC: CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRIVE63RD AVE S.W., C/O BRYAN CHRIST - CARMEL, IN 46032 Bradley K. Austin PAY DISTRIBUTION 1,140.80 BASE PAY 70.73 FICA 108.57 BENF. W/H .00 PD BEN. 121.00 FED 16.54 MEDI .00 OTHER DEDS .00 LS ADJS 38.13 STATE 368.09 TOTAL DEDS 32.000 TOT HOURS MAR: M E%EM: 0 EEO: CM CHKX •00` 1,140.80 TL PAY 13.12 LOCAL 772.71 NET PAY 562.41 ACCR BENE TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: F FOREMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--08/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 35.6500 .0000 17.5756 53.2256 Regular Pa 8.000 8.000 8.000 8.000 .000 .000 .000 32.000 1,703.22 )mployee Totals: 32.000 1,703.22 David B. Singleton PAY DISTRIBUTION 922.00 BASE PAY 57.16 FICA 80.37 GENE W/H .00 PD BENE 104.00 FED 13.37 MEDI .00 OTHER DEDS .00 LS ADJS 30.04 STATE 304.30 TOTAL DEDS 40.000 TOT HOURS MAR: S EKEF1: 2 EEO: CM CHKN 133914 922.00 TL PAY 19.36 LOCAL 617.70 NET PAY 439.49 ACCR BENE TRADE/SCH: 491 IDEW LOCAL UNION 481 SKILL: AP5 APPRENTICE 5 BASE BENEFITS FRINGES CO. -- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--00/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 23.0500 .0000 10.9873 34.0373 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 1,361.49 Employee Totals: 40.000 1,361.49 Nathan J. Rude PAY DISTRIBUTION 1,274.00 BASE PAY 78.99 FICA 110.29 GENE W/H .00 PD GENE 131.00 FED 18.47 MEDI .00 OTHER DEDS .00 L5 ADJS 43.32 STATE 399.91 TOTAL DEDS 40.000 TOT HOURS MAR: M EKEM: 1 EEO: CM CHK( *DD• 1.274.00 TL PAY 17.84 LOCAL 874.09 NET PAY 661.98 ACCR RE.NE TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--08/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 31.8500 .0000 16.5496 48.3996 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 1,935.98 Employee Totals: 40.000 1,935.98 i Y' 09-07-2010 12:52 CERTIFIED PAYROLL REGISTER PAGE: 5 BY: EMI PR\RCERTREG BATCH CODE: E1 ERMCO, Inc. P.O. DOx 1507 1625 W. Thompson Road Indianaplis, IN 46206 Phone: (317) 780-2923 Fax: (317) 780-2853 PERIOD ENDING: 09/05/10 CALCULATION JOB: 124070 DESC: CARMEL PERFORMING ARTS Start Date: 04/15/06 CITY CENTER DRIVE63RD AVE S.W., C/O BRYAN CHRIST - CARMEL, IN 46032 James E. Thompson PAY DISTRIBUTION 1,274.00 BASE PAY 78.99 FICA 110.29 BENE W/11 .00 PD BENE 175.00 FED 18.47 MEDT .00 O'PIIER DEDS .00 LS ADJS 42.66 STATE 446.43 TOTAL DEDS 40.000 TOT HOURS MAR: S EXEM: 3 EEO: CM CHKN •DD* 1,274.00 TL PAY 21.02 LOCAL 827.57 NET PAY 661.98 ACCR BENE TRADE/SCR: 481 IDEW LOCAL UNION 461 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 08/30--08/31--09/01--09/02--09/03--09/04--09/05--- WEEK --- WEEK 31.8500 .0000 16.5496 48.3996 Regular Pa 8.000 8.000 8.000 8.000 8.000 .000 .000 40.000 1,935.98 Employee Total::: 40.000 1,935.98 JOB 124070 'TOTALS: --- HOURS --- Mon The Wed Thu Fri Sat Sun TOTAL BASE PAIL) FRINGES TOTAL 08%30---08/31---09/01---0'9/02---09/03---09/04---09/05 PAY BENEFITS ACCRUED AMOUNT Regular Pay 104.000 104.000 88.000 91.000 80.000 .000 .000 467.000 13,853.15 .00 6,920.07 20,773.24 Employees Listed on Job: 13 467.000 13,853.15 .00 6,920.07 20,773.24 Lump Sum Adjustments: .00 Total Compensation for Job: 20,773.24 at. Date 9- `-/0 (h}WHERE FRINGE BENEFITS ARE PAID IN CASH Rod Burton Controller t, — East laborer or mechanic Bated in the abovo raiarenced payroll has been paid, (Name of Signatory Pady) (Title) as in i=fed on the payroll.an amount not less than the sum al the applicable so hereby state' basic hourly wage rate plus the amount of the required fringe benefits as listed • in the contract,except as noted in Section 4(c)below. (1)That I pay or supervise the payment of the persons employed by (c)EXCEPTIONS RAMC°, Inc. no the • (Contractor or Sabcontraoror) EXCEPTION(CRAFT) EXPLANATION • Carmel Performing Arts that during ale payroll pericd commencing an the (But tg or Work) QQ ///fff Q de tit of A�1� and ending the day of"gill. all persons employed on said project have been paid the full weekly wages earned, that no rebates have oeen or will be made either directly or indirectly to or on behalf of said ERMCO, Inc. from the lull (Contractor al Subcontractor) • weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Regulations. Pan 3(29 CFR Subtitle A),issued by the Secretary of Labor under the Copeland Act,as amended(48 Slat. 948, 63 Stan. 108,72Stal.967;76 Stat 357;40 U.S.C-276c),and described below: Frelebcks: (2)That any payrolls otherwise under this Connect required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination Incorporated into the contract; that the classifications set forth therein for each taborer or mechanic conform with the work he performed. (5) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a Stale apprenticeship agency recognized by the Bureau of Apprenticeship and T Training, United States Department of Labor.of if no such recognized agency exists in a Slate.are registered with the Bureau of Apprenticeship and Training, United Slates Department of Labor. (4)That: (a)WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS,OR PROGRAMS NAME ANOTITI,E 'totter Rod Bunan, Controller — m nddilion to the basic hourly wage rates paid to aarh laborer or mecnanic listed in .4 I112 above referenced payroll, payments of fringe benefits as listed in the contract THE 'NILLFLIL FALSIFICATION OF ANY OF THE AeOvE STATEMENTS _V.Y SuOIEOT THE CONTRACTOR OR have been or will be made to appropriate programs for the benefit ai such SuCGONTITAC'TOR TO CM_OR CRebleAL PROSECUTION.SEE SECTION 10e1 UP TITLE Ie 450 SECTION Xi i OF TITLE employees,except as noted in Section 4(c)below. 31 OF THE oraTeD STATES CODE. U.S.GPO 1PMT Stdtlft 4 I 09-13-2010 13:31 CERTIFIED PAYROLL REGISTER PAGE: 1 BY: EMK PR\RCERTREG BATCH CODE: E2 ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (317) 780-2923 Fax: (317) 780-2853 PERIOD ENDING: 09/12/10 CALCULATION JOB: 124070 DESC: CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRIVE63RD AVE S.W., C/O BRYAN CHRIST - CARMEL, IN 46032 Donald C. Doyle PAY DISTRIBUTION 1,019.20 BASE PAY 63.19 FICA 88.23 BENE W/H .00 PD BENE 92.00 FED 14.78 MEDI .00 OTHER DEDS .00 LS ADDS 34.00 STATE 319.92 TOTAL DEDS 32.000 TOT HOURS MAR: M EXEM: 1 EEO: CM CHK9 'DID' 1,019.20 TL PAY 27.72 LOCAL 699.28 NET PAY 529.59 ACCR BENE TRADE/SCR: 481 IBEW LOCAL UNION 481 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE. PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 31.8500 .0000 16.5496 48.3996 Regular Pa .000 8.000 8.000 8.000 8.000 .000 .000 32.000 1,548.79 Employee Totals: 32.000 1,548.79 Bryan S. Christ PAY DISTRIBUTION 1,203.20 BASE PAY 74.60 FICA 203.87 BENE W/H .00 PD BENE 109.00 FED 17.45 MEDI .00 OTHER DEDS .00 LS ADJS 40.91 STATE 462.67 TOTAL DEDS 32.000 TOT HOURS MAR: M EXEM: 2 EEO: CM CHEM •DD' 1,203.20 TL PAY 16.84 LOCAL 740.53 NET PAY 579.27 ACCR BENE TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: GF GENERAL FOREMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- 14c•n Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 37.6000 .0000 18.1020 55.7020 Regular Pa .000 8.000 8.000 8.000 8.000 .000 .000 32.000 1.782.46 Employee Totals: 32.000 1,782.46 Michael D. Allen PAY DISTRIBUTION 480.00 BASE PAY 29.76 FICA 42.00 BENE W/H .00 PD BENE 15.00 FED 6.96 MEDI .00 OTHER DEDS .00 LS ADJS 15.67 STATE 117.31 TOTAL DEDS 24.000 TOT HOURS MAR: M EXEM: 1 EEO: CM CHKW •00* 480.00 TL PAY 7.92 LOCAL 362.69 NET PAY 248.40 ACCR BENE TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: AP4 APPRENTICE 4 BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed 'ITn Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09109--09/10--09/11--09/12--- WEEK --- WEEK 20.0000 .0000 10.3500 30.3500 Regular Pa .000 8.000 .000 8.000 8.000 .000 .000 24.000 728.40 Employee Totals: 24.000 728.40 :•z 4 09-13-2010 13:31 CERTIFIED PAYROLL REGISTER PAGE: 2 BY: ERIK PR\RCERTREG BATCH CODE: E2 ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (317) 780-2923 Fax: (317) 780-2853 PERIOD ENDING: 09/12/10 CALCULATION JOB: 124070 DESC: CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRIVE63RD AVE S.W., C/O BRYAN CHRIST - CARMEL, IN 46032 Todd C. Whybrev PAY DISTRIBUTION] 1,019.20 BASE PAY 63.19 FICA 88.23 BENS W/H .00 PD BENE 184.00 FED 14.78 MEDI .00 OTHER DEDS .00 LS ADJS 39.65 STATE 406.67 TOTAL DEDS 32.000 TOT HOURS MAR: S EXEM: 0 EEO: CM CIIKM 'DD. 1,019.20 TL PAY 16.82 LOCAL 612.53 NET PAY 529.59 ACCR BENE TRADE/SCI : 481 IBEW I(1PAt UNION 481 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tun Wed Thu Fri. Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 31.8500 .0000 16.5496 48.3996 Regular Pa .000 8.000 8.000 8.000 8.000 .000 .000 32.000 1,548.79 Employee Totals: +2.000 1,548.79 Shawn C. Scott PAY DISTRIBUTION 1,140.80 BASE PAY 70.73 FICA 98.57 GENE W/H .00 PD BENE 26.00 FED 16.54 MEDI .00 OTHER DEUS .00 1,S ADJS 36.83 STATE 267.49 TOTAL DEDS 32.000 TOT HOURS MAR: M EXEI1: 9 EEO: CM CHICK 'DD' 1,140.80 TL FAY 18.82 LOCAL 873.31 NET PAY 562.41 ACCR BINE TRADE/SCH: 481 IHEW LOCAL UNION 481 SKILL: F FOREMAN RACE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 35.6500 .0000 17.5756 53.2256 Regular Pa .000 8.000 8.000 8.000 8.000 .000 .000 32.000 1,703.22 Employee Totals: 32.000 1,703.22 David J. Sidobottom II PAY DISTRIBUTION 836.80 BASE PAY 51.88 FICA 72.73 BENE W/H .00 PD BENE 54.00 FED 12.14 MEDI .00 OTHER DEDS .00 LS ADDS 27.14 STATE 231.70 TOTAL DEDS 32.000 TOT HOURS MAR: M EWEN: 2 EEO: CM CHKM *DD. 836.80 TL PAY 13.81 LOCAI, 605.10 NET PAY 372.05 ACCR BENE TRADE./SCH: 481 IDES LOCAL UNION 481 SKILL: AP6 APPRENTICE 6 RASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri. Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/00--08/03--09/10--09/11--09/12--- WEEK --- WEEK 26.1500 .0000 11.6268 37.7768 Regular Pa .000 8.000 8.000 8.000 8.000 .000 .000 32.000 1,208.86 Employee Totals: 32.000 1,208.86 (' 4 . 09-13-2010 13:31 CERTIFIED PAYROLL REGISTER PAGE: 3 BY: EMS PR\RCERTREG BATCH CODE: E2 ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (317) 780-2923 Fax: 1317) 780-2853 PERIOD ENDING: 09/12/10 OAMUTATIDN JOB: 124070 DESC: CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRIVES3RD AVE S.W., C/O BRYAN CHRIST - CARMEL, IN 46032 Ronald S. Thompson PAY DISTRIBUTION 640.00 BASE PAY 39.68 FICA 56.00 BENE W/H .00 PD BENE 35.00 FED 9.28 MEDI .00 OTHER DEDS .(10 1.S ADJS 21.11 STATE 170.03 TOTAL DEDS 32.000 TOT HOURS MAR: M EXEM: 1 EEO: CM CHK# 'DD. 640.00 TL PAY 8.96 LOCAL 469.97 NET PAY 331.20 ACCR BENE TRADE/SCH: 481 IBHM LOCAL UNION 481 SKILL: AP4 APPRENTICE 4 BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 20.0000 .0000 10.3500 30.3500 Regular Pa .000 8.000 8.000 8.000 8.000 .000 .000 32.000 971.20 Employee Totals: 32.000 971.20 Matthew G. Wilkerson PAY DISTRIBUTION 836.80 BASE PAY 51.88 FICA 72.73 BENE W/11 .00 PD BENE 83.00 FED 12.13 MEDI .00 OTHER DEDS .00 LS ADDS 27.80 STATE 261.35 TOTAL DEDS 32.000 TOT HOURS MAR: S EXEM: 2 EEO: CM CHKN 133983 836.80 TL PAY 13.81 LOCAL 575.45 NET PAY 372.05 ACCR BENE TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: AP6 APPRENTICE 6 BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 26.1500 .0000 11.6268 37.7768 Regular Pa .000 8.000 8.000 9.000 8.000 .000 .000 32.000 1,208.86 Employee Totals: 32.000 1,208.86 Bradley K. Austin PAY DISTRIBUTION 1,140.80 RASE PAY 70.73 FICA 108.57 BENE W/H .00 PD BENE 121.00 FED 16.54 MEDI .00 OTHER DEDS .00 LS ADJS 38.13 STATE 368.09 TOTAL DEDS 32.000 TOT HOURS MAR: M EXEM: 0 EEO: CM CHK4 *OD• 1,140.80 TL PAY 13.12 LOCAL 772.71 NET PAY 562.41 ACCR BENE TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: F FOREMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 35.6500 .0000 17.5756 53.2256 Regular Pa .000 8.000 8.000 8.000 8.000 .000 .000 32.000 1,703.22 Employee Totals: 32.000 1,703.22 All .09-13-2010 13:31 CERTIFIED PAYROLL REGISTER PAGE: 4 BY: EMI( PR\RCERTREG BATCH CODE: E2 ERMCO, Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (317) 780-2923 Fax: (317) 780-2853 PERIOD ENDING: 09/12/10 CALCULATION JOB: 124070 DESC: CARMEL PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRIVE63RD AVE S.W., C/0 BRYAN CHRIST - CARMEL, IN 46032 David B. Singleton PAY DISTRIBUTION 368.80 BASE PAY 22.87 FICA 32.15 BENE W/H .00 PD BENE 13.00 FED 5.35 FCDZ .00 OTHER DEDS .00 LS ADJS 11.23 STATE 92.34 TOTAL DEDS 16.000 TOT HOURS MAR: S EXEM: 2 EEO: CM CHKM 133979 368.80 TL PAY 7.74 LOCAL 276.46 NET PAY 175.79 ACCR BENE TRADE/SCR: 401 IDEW LOCAL UNION 481 SKILL: AP5 APPRENTICE 5 BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 23.0500 .0000 10.9873 34.0373 Regular Pa .000 .000 8.000 .000 8.000 .000 .000 16.000 544.60 Employee Totals: 16.000 544.60 Nathan J. Rude PAY DISTRIBUTION 1,019.20 BASE PAY 63.19 FICA 88.23 BENE W/H .00 PD BENE 92.00 FED 14.78 MEDI .00 OTHER BEDS .00 LS ADJS 34.65 STATE 307.12 TOTAL DEDS 32.000 TOT HOURS MAR: M EXEM: 1 EEO: CM CHEM *0D• 1,019.20 TL PAY 14.27 LOCAL 712.08 NET PAY 529.59 ACCR BENE TRADE/SCII: 481 IBEW LOCAL UNION 481 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- IIOURS -- 1100 Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 31.8500 .0000 16.5496 48.3996 Regular Pa .000 8.000 8.000 8.000 8.000 .000 .000 32.000 1,548.79 Employee Totals: 32.000 1,548.79 James E. Thompson PAY DISTRIBUTION 1,019.20 BASE PAY 63.19 FICA 88.23 BENE W/H .00 PD BENE 111.00 FED 14.78 MEDI .00 OTHER DEDS .00 L5 ADJS 34.00 STATE 328.02 TOTAL DEDS 32.000 TOT HOURS MAR: S EXEM: 3 EEO: CM CHKM *DD. 1,019.20 TI. PAY 16.82 LOCAL 691.18 NET PAY 529.59 ACCR BENE TRADE/SCH: 481 IBEW LOCAL UNION 481 SKILL: JW JOURNEYMAN BASE BENEFITS FRINGES CO. --- -- HOURS -- Mon Tue Wed Thu Fri Sat Sun HOURS/ AMOUNT/ RATE PAID ACCRUED TOTAL --- 09/06--09/07--09/08--09/09--09/10--09/11--09/12--- WEEK --- WEEK 31.8500 .0000 16.5496 48.3996 Regular Pa .000 8.000 ,8.000 8.000 8.000 .000 .000 32.000 1,548.79 Employee Totals: 32.000 1,548.79 ' , XI 09-13-2010 13:31 CERTIFIED PAYROLL REGISTER PAGE: 5 BY: EMI( PR\RCERTREG BATCH CODE: E2 ERMCO. Inc. P.O. Box 1507 1625 W. Thompson Road Indianapolis, IN 46206 Phone: (3177 780-2923 Fax: (317) 780-2853 PERIOD ENDING: 09/12/10 CALCULATION JOB: 124070 DESC: CAINE'. PERFORMING ARTS Start Date: 04/15/08 CITY CENTER DRIVE63RD AVE S.W., C/O BRYAN CHRIST - CARMEL, TN 46032 JOB 124070 TOTALS: Tue Wed Thu Fri Sat Sun TOTAL BASE PAID FRINGES TOTAL 09/06---09/07---09/08---09/09---09/10---09/11---09/12 PAY BENEFITS ACCRUED AMOUNT Regular Pay .000 88.000 88.000 88.000 96.000 .000 .000 360.000 10,724.00 .00 5,321.98 16,045.96 Employees Listed on Job: 12 360.000 10,724.00 .00 5,321.98 16,045.96 Lump Sum Adjustments: .00 Total Compensation for Job: 16,045.96 4 1 Dale_ 9-15—/O s;J —/I J (b)WHERE FRINGE BENEFITS ARE PAID IN CASH Rod Burton Controller I, ❑ — Each laborer or mechanic listed in the above referenced payroll nas been paid. (Name of Signatory Party) (Title) as indicated on the payroll,an amount not less than the sum of the applicable do hereby slate' basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract,except as noted in Section 4(c)below. (1)That I pay or supervise the payment of the persons employed by (c)EXCEPTIONS ERMCO, Inc. on the (Contractor or Subcontractor) EXCEPTION(CRAFT) EXPLANATION Carmel Performing Arts ;that during the payroll period commencing on the // (Building or Work) n /� thy of UiO, arid ending the OC day of _,cJO, all persons employed on said project have been paid the tull weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said ERMCO, Inc. from the full (Contractor or Subcontractor) weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions us defined in Regulations,Part _ 3(29 CFR Subtitle A),issued by the Secretary of Labor under the Copeland Act,as amended(48 Stat,948, 63 Start. 508,72 Slat.967;76 Slat.357;40 U.S.C.276c),and described below: REMARKS: (2) That arty payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination Incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he perfonned. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training,United States Department of Labor,of if no such recognized agency exists in a Slate,are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. (4)That: (a)WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS.OR PROGRAMS NAntE AND TITLE I SIGNATU Rod Burton,Controller — in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS I4\Y SUEJECT THE CONTRACTOR OR have been or will be made to appropriate programs for the benefit of such SuecoNrRACTON TO CIVIL OR CRIMINAL PROSECUTION.SEE SECTION 1001 OF TILE lb AND SECTION 231 OF TITLE employees.except as noted in Section 4(c)below. 31 OF THE UNITED STATES COCE. •u s,O F 0:199]Sts.ter