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ERMCO, INC.- 001255- 10/21/2010
'CARMEL REDEVELOPMENT COMMISSION 001255 Ermco, Inc. Check: 1255 PO Box 1507 Date: 10/21/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 27A 36 113,238.00 113,238.00 0.00 0.00 113,238.00 Application 27A 113,238.00 113,238.00 0.00 0.00 113,238.00 p'sH -is Carmel Redevelopment Commission • 0 012 5 5 P 30 West Main Street A REGIONS Suite 220 O 20.1421/740 CA0.MEL( Carmel, IN 46032 . • 1255 DATE AMOUNT 10/21/2010 113,238.00 PAY THE SUM OF ONE HUNDRED THIRTEEN THOUSAND TWO HUNDRED THIRTY EIGHT DOLLARS TO THE ORDER OF Ermco, Inc. PO Box 1507 `s`"4". m Indianapolis, IN 46206 a . M "Raa,o' i'OO L 25511' 1:074014 2131: 00/3 7 504 1 1 Le CARMEL REDEVELOPMENT COMMISSION 001255 Ermco, Inc. Check: 1255 PO Box 1507 Date: 10/21/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 27A 36 113,238.00 113,238.00 0.00 0.00 113,238.00 Application 27A 113,238.00 113,238.00 0.00 0.00 113,238.00 ...w4 =N-AP__,,A1A Document G702/CMa' - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition 36 TO OWNER: Carmel Redevelopment Commise JECT:, Parcel 7A, Regional Performing ArtsAPPLICATION NO: 27 AZ Distribution to: 1 Civic Square Center Interior Rough PERIOD TO: 7/31/2010 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONTReWo, 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 F ctrical Installation Project#25310H ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors 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 G703,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 5(467,808.00) CONTRACT E MCO, I I 3.CONTRACT SUM TO DATE(Line I ±2) 5,037,192.00 By: - Date: 7/15/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) 6,699,136.78 State of: Indiana 5.RETAINAGE: County of: Marion a. %of Completed Work Subscribe sworn to before 351,8559.60 ���� July, 2010 (Column D+Eon G703) S me this day:of arm 2 ,_, _ . b. -. %of Stored Material Notary Public: ✓Y°U"' ` (Column F on G703) $ My Commission expires: 12/19/2015 Total Retainage(Lines 5a+5b or Total in Column I of 0703).. $ 351,859.60 CERTIFICATE FOR PAYMENT • 6,347,277.18 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) 6,234,039.18 knowledge.information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S 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 $ —11-372-3-870-0-1 AMOUNT CERTIFIED S 11-6,238....... 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs frcringed r amount applied. Initial all figures on this Application and he Continuation Sheet that to conform with the amount certified.)• (Line 3 less Line 6) $ 689,914.82 CONS- -UCTION� -• / y�►� o7/z3//D By: itlJ-�tair. d ILLS Date: CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITE rt' �y 7 Tr+I�p�I Total changes approved in previous months by Owner 141,499.00 $639,307.00) By Date: fr/ (7 Total approved this Month $ $ This CenifieW is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 31,499.00 0639,30 coo) named herein. Issuance. payment and acceptance of payment are without prejudice to any rights of NET CHANGES b CHANGES y Change Order $ (4b ) 72308-UU the Owner or Contractor under this Contract. I g original appears original changes PkW%t dbrlcRedeveloP C nt" CAUTION:You should sign an on tool AIA Contract Document,on which this text a ears in RED.An on mat assures that than es wi n AIA Document G702JCMaTM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and Intern t1 al Treaties. Unauthorized reproduction or distribution of this AIA° Document,or any portion of it,may resutt 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. e ERMCO Contract # 2695-4320 or_ AIA Document G703Tn — 1992 124070 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION'NO: 27 containine Contractor's signed certification is attached. APPLICATION DATE: 7/15/2010 In tabulations below,amounts are stated to the nearest dollar. Usc Column I on Contracts where variable retainage for line items may apply. 'PERIOD TO: 7/31/2010 ARCHITECTS PROJECT NO: A _ B _ C D I E F 0 II • 1 WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED . FROM PREVIOUS COMPLETED PR6SBNThY % 'FO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (C-C) FINISH (!formable rate) Nr0, TO DATE {'U+GJ (Not in O or E) (1}+H+F) (C-G) 00001 MOBILIZATION 15,000.00 15,000.00 15,000.00 100 00 002 P.M. 200.000.00 177,975.00 4,405.00 182.380.00 91 17,620.00 00.003 CAD ENG 80.000.00 80,000.00 80,000.00 100,' _:' 00,004 TEMP- L 75.000.00 73,078.(t0 • 73,078,00 97' 1.922.00 00.005 TEMP- M 45,000.00 44125.00 - 44.125.00 98 875.00 00.006 CLEAN UP 15.000.00 11.920.00 1,000.00 12.920.00 86 2080.30 00.007 BOND 72,000.00 72,000.00 72,000.00 100 00.D08 TESTING 18.000.00 15,000.00 15,000.00 83 3.000.00 00009 SITE.OFFICE 23;000.00 22,400.00 200.00 22,600.00 98 400.00 00.010 DEMOBILIZATION 5.000 00 5,000.00 00.011 ALLOWANCE 12 ' 550.000.00 163,772,00 45.000.00 508.77200 . 93 41,228.00 00.012 ALLOWNACE 13 350.000-00 274,892.78 361.00 275.253.78 79 74,746.22 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 EC VI 00.017 MAT 10,000.00 10.000.00 . ' 10.000.00 190 00.01s LABOR 6,000.00 6,000,00 6,000,00 100 00.019 EXCAVATION `• 35,000.00 35.000.00 35,000.00 100 00 320 E0.12 00.025 BRANCH R- M 500.00 500.00 500.00 100 00.026 BRANCH R- L 1,500.00 1,50000 - 1,50000 100 00.027 BRANCH F - M 100.00 100 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 G71337"-1992.Copyright 0 1963,1965,1966,1967, 1970.1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA5 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,copyright @ala.org. � ® �I ERMCO Contract fl 2695-4320 Document G7031M - 1992 124070 Continuation Sheet AlA Document G702•`L Applicatibn'and Certitication for Payment, APPLICATION N0: 27 containing Contractor's signed certiFcation is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 7115/2019 Use Column Ion Contracts where variable retatnage for line items may apply. PERIOD TO 7/31/2010 ARCHITECT'S PROJECT NO: A _ B C 0 I E F _ G. H 1 WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED PRFSI:NTLI' % TO RE7:4NAG F, ffEM DESCRIPTION OF WORK VALUE APPLICATION Tills PERIOD STORED AND STORED (t% . Cr FINISH (ffvariahie rate) NO (D+E) (Net In D or E) (L10+EA+F) (C-C) 00.026 BRANCH F - L 200.01) 200.00 00 079 E l.01 n0-030 FEEDER M - 975.000.00 975.000.00 975000-00 1003, - ,, 00,031 FEEDER L 600.000.00 1,00000.00 600,000.00 '100- 00.037 E1.02 - 00033 EQ M 250.000.00 250,000.00 250!000.00 100 00.034 EQ L- b0.000.00 150000.00 7 1 1:50-000.00 100 00.035 E1.03 00036 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 00.035 EQ F -M 30,000.00 30,000.00 30.000.00 100 _ 00,039 EQ F- L 8,000.00 8-_000,00 8000.00 100 00.040 E1.04 00.041 EQ R- M 10,000.00 10.000.00 10.00000 100 • 00.042 EQ R- L 15,000.00 15,00(100 15,000,00 100 00.043 EQ F- M 25,000.00 24,000,00 24.000.00 96 1,00000 00.044 EQ F- L 8,000.00 7,500.00 7;500.00 94 500.00 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 34,000.00 34.000.00 97 1,000.00 00-049 EQ F- L _. ::::1-11.1 1 - 8,000 00 7,500.00 .'7,500.00 94 50000 • 00.050 E2.00&A 8 P - GRAND TOTAL 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 G703f°-1992.Copyright©1963,1965, 1966,1967.1973, 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 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,copyrightQaiaDrg. T ® ERMCO Contract 4k 2695-4320 Shill Document G7O3TM - 1992 124070 Continuation Sheet AIA Document G702",Application and Certification for Payment, APPLICATION NO: 27 containing Con tractor's-sigied'rcertification is attached. APPLICATION DATE: 7/15/2010 In tabulations below,amounts are stated to the nearest dollar_ 7/71/2010 Use Column I on Contracts where variable retainage for line items may apply_ PERIOD T0: ARCHITECT'S PROJECT NO: A B C D I E 'E Cr H 1 WORK COMPLETED ToT'AL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO R ETA NAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED ("G+CJ FINISH (lfnariable rate) NO. TO DATE (D+$1 (ME inDorEl (0+b;+ (C-G) 00,051 RIGGING 35.000.00 35 000.00 35.000.00 100 00.052 EQ R-NI 30.000.00 30.000.00 30,000.00 100 00.013 EQ R- L _ 20.000.00 20.000.00 20,000.00 I06' 00.054 EQ F-M • 575.000.00 574,001)00 574.000,00 -. 100 1.000,00 00.055 EQ F- L . 30.000.00 28,000.00 28,000.00. . 93 2,000.00 00.056 BRANCH R M3:. 17,000.00 17,000.00 .,17.000.00 1011 00.097 BRANCH R L • 13.000.00 12,800.00 ' 12 800.00 98 200.00 00_058 BRANCH :I. F-M 7,000.00 6.500.00 6,500.00 93 500.00 00.059 BRANCH' F - L 5.000.00 4,000.00 4.000,00 80 1.000.00 00.060 FEEDER R-M 550,000,00 550,000.00 550,000.00 100 00061 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 . 00.064 F2.01 E2.02 00.065 RIGGING 10.000,00 10,000.00 10.000.00 100 00.070 BRANCH R - M 15,000.00 15.000.00 15,000.00 100 00.071 BRANCH R- L 8.000.00 7580.00 7,580.00 95 420_00 00.072 BRANCH F-M 2,500.00 2,500.00 2,500_00 100 00.073 BRANCH F-L 3-500.00 2.500.00 2500-00 71 1.000.00 00.074 E2.03 & A , 00.075. BRANCH R - M • 20.000.00 19 400.00 19.400.00 97 600.00 110_076 BRANCH R7-1_ 16,000.00 15,320.00 :-151320.00 96 680.00 00.077 BRANCH F M'-. 1,00000 1,000.00 • 1,000.00 100 • CRAM)TCI'l'AL - CAUTION:You should sign an original PIA 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 or Architects.4)1 rights reserved.WARNING:This AIAeDocument is protected by D.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 extant possible under the law.Purchasers are permitted to reproduce ten(10)copies el this document when completed.To report copyright violations of AlA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. A€ ERMCO Contract if 2695-4320 IA Document G703TN ° - 1992 124070 . Continuation Sheet AIA Document G70TM.Application and Certification for Payment, APPLICATIONNO: 27 containing Contractor's signed certification is attached. APPLICATION DATE: 7/1512010 In tabulations below_amounts are stated to the nearest dollar, - Else Column I on Contracts where variable retainagc for line items may apply. 'PERIODTO: 7/31/2010 H ARCHITECT'S PROJECT NO: A B - C U I E F C H I WORK COMPLETED IU1:'(9_ MATERIALS BALANCE FROM PREVIOUS COMPLETED SCHEDULED PRESENTLY y TO RE3'AINAGE ITEM DESCRIPTION OF WORK VAGUE APPLICATION THIS PERIOD STORED AND STORED HI:+CF) FINISH (lfvartnble row) NO. (UT E) (Yoe in Dor E) (D TO DATE +E+P3 00.07€ BRANCH F-L 2,500.00 1.750-00 1,750.00 70 750.00 00.079 FEEDER R- M 65.000.00 65.000.00 {15.000.00 ' TOO 00 05( FEEDER R-L 45.00000 45,000.00 45.000.00 100 00.0s1 FEEDER F- M 2.5110.00 2,500,00 2300-00 ]00 00982 FEEDER F- L 5.000 00 5.000.00 3000.00 100 00 083 E2.04 On.084 BRANCH r R-M 6,000.00 5,670.00 bHi.15,670 00 95 330.00 00.085 BRANCH -,R-L 8.000.00 7360.00 7360 00 92 640.00 0003E BRANCH F- M 1.000 00 1,000.00 1.000.00 100 00087 BRANCH F- L 2,500.00 1,950.00 1_,950.00 78 550.00 00.088 E2,05 00.039 BRANCH R-M 15.000.00 15,000.00 15,000.00 100 00.090 BRANCH R- L 14_.000.00 13,530,00 13.53000 97 470.00 00.091 BRANCH F- M 800.00 800.00 00.092 BRANCH F-L 1,500.00 1,500.00 00.093 E2,06 00.094 BRANCH R-M 4.000-00 4,000.00 4,000.00 100 00.095 BRANCH R- L • 6,000.00 6_,000,00 6,000.00 100 00.09E BRANCH F-M 600.00 600.00 00097 BRANCH F - L 1200.00 '' 1200.00 00.09h E2.07 .. ..- 00,099 BRANCH R- M 8,000.00 8.000.00 tv 8,000.00 100 00.10( BRANCH R -L 10.000.00 10,000.00 f '1 0000.00 100 i GRAND TOTAL . ", !, . CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G7O3TM-1992.Copyright CO 1963,1985,1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects,An rights reserved.WARNING:This Ate Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA°uocument,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,copyrightrileam.org. =AIAe ERMCO Contract i7 2 69 5-43 20 Document 6703" - 1992 124070 Continuation Sheet A1A Document 0702'M.Application and Certification for Payment, APPLICATION NO: P7 containing Contractor's signed cettification is attached. APPLICATION DATE: 7/15/2010 • In tabulations below,amounts are slated to the nearest dollar. iii ` Use Column I on Contracts where variable retainage for line items may apply. :'PERIOD TO: 713112010 ARCHITECT'S PROJECT NO: A B C Li I E F G II I WORK COMPLETED TOTAL BALANCE SCHEDULED FROM PREVIOUS COMPLETED PREVIOUS PRESENTLY % TO RETAINA(iE ITEM DESCRIPTION OI'WORK VALUE APPLICATION THIS PERIOD SCORED AND STORED (C-'0 FINISH (If variable rale) NO . TO DATE (D+6) (Not ill Dor E.) (�+ F+ FI (C-c1 00-191 BRANCH F-M 1.000.00 1,000.00 00-102 BRANCH F - L 2.500.00 2.500.00 00.103 E2.07A 00.104 BRANCH R-M - 15,000.00 15,000.00 15,000.00..: • 700 • 00,l05 BRANCH R - L - - 20.000.00 20,00000 20,000 00. ` 100 00.106 BRANCH F- M„ 9,000,00 6.500 00 6100f00 72 2.500.00 00.107 BRANCH F-L. 10,000.00 6.50090 6;500.00 65 3,500.00 no,lo8 E2,08 00.109 BRANCH R - M 6.000.00 6,000.00 6.000,00 100 00.110 BRANCH R- L 8,0n0 00 8,000 00 8,000.00 100 70,111 BRANCH F- M 2000-00 1.00000 1.000.00 50 1.000.00 30,112 BRANCH F - L 3,500.00 1,500.00 1,500.00 43 2,000,00 )0.113 E2.09 )0.114 EQ R-M 8,000.00 8,000.00 8.000-00 , 100 511-111 EQ R-L 10,000 00 10,000.00 10,000.00 100 10.115 EQ F- M 2.500.00 2,500.00 2.500.00 100 )0.117 EQ F-L 3.000.00 2.000.00 500.00 2_,500.00 83 500.00 10 1 i g E2.10 30 119 BRANCH R - M 1,000.00 1,000,00 7.000.00 100 30.120 BRANCH R - L 2.500-00 2,000,00 2,000.00- 80 500.00 )0.121 BRANCH F - M . _- . 100.00 - 100.00 30322 BRANCH F-L - - 500.00 500.00 )0.123 EQ R-M 6.000.00 6,000.00 6.000.00 100 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 G7039,-1992-Copyright Cii 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 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(1 di 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. tAJA ERMCO Contract // 2695-4320 Document G7O3TM - 1992 124070 • Continuation Sheet AIA Document G7O2TM.Application and Certification for Payment, APPLICATION NO: 07 • containing Contractor's signed certification is attached. APPLICATION DATE: 7/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 7/31/2010 ARCHITECTS PROJECT NO: A _ B C D I E I F G II I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % TO RE1'AINAGF: ITEM DESCRIPTION OF WORK AND STORED VALUE APPLICATION THIS PERIOD STORED (G+C) FINISH Of variable rare) NO. 'I0 DATE (D+E) (Not in Dor EJ (p+E+F) (C—C) 00.124 EQ R- L 10.000.00 10.000.00 10.000.00 100 00.125 EQ F-M 1.500.00 1.500.00 10.126 EQ F- L 2.000.00 2.000.00 )0.162 E4.00&A&P )0.163 SOUND R-M 75.000.00 75,000.00 75,000.00 100 )0.164 SOUND R- L 60.000.00 59,500.00 500.00 60.000.00 100 )0.165 E4.01 &A )0.166 SOUND R-M 40,000.00 40.000.00 40,000.00 100 )0.167 SOUND R-L 25 000.00 24,750.00 250.00 25,000.00 100 )0.168 E4.02&A )0.169 SOUND R-M 40,000.00 40,000.00 40.000.00 100 )0.170 SOUND R- L 25.000.00 23.000,00 2,000.00 25_.000.00 100 )0.171 E4.03 )0.172 SOUND R-M 25000.00 25,000.00 25.000.00 100 )0.173 SOUND R - L 18.000.00 16.700.00 1,300.00 . 18,000.00 100 )0.174 E4.04 )0.175 SOUND R-M 25,000.00 25,000.00 25.000.00 100 )0.176 SOUND R-L 18,000.01) 17,750.00 250.00 18,000.00 100 )0.177 E4.05& .06 & .07& .09 )0.178 SOUND R-M 80.000.00 80.000.00 80,000.00 100 )0.179 SOUND R-L 65.000.00 63.500.00 1500.00 65.000.00 100 )0.180 E5.00& P 00.181 F.A. R-M 15000.00 14,250.00 300.00 14,550.00 97 450.00 GRAND TOTAL . CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703""—1992.Copyright C 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 NA®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 it TN 124070 Document G7O3TM - 1992 Continuation Sheet AlA Document G702TM.Application and Certification for Payment, APPLICATION NO: 27 containing Contractor's signed certification is attached. APPLICATION DATE: 7/15/2010 In tabulations below,amounts are stated to the nearest dollar. 7/31/2010 Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C I D E F G H I WORK COMPLETED TOTAL BALANCE SCHEDULED COMPLE'T'ED , ITEM DESCRIPTION OF WORK FROM PREVIOUS PRESENTLY AND STORED bo TO RETAINAGE No VALUE APPLICATION THIS PERIOD STORED TO DATE (G+C) FINISH (''if variable rate) (%)+F) (Not in U or E) (D+E )F) (C-6) 00.182 F.A. R- L 9.000.00 8,500.00 250.00 8.750.00 97 250.00 00.183 F.A. F-M 20.000.00 16,500.00 1_.500.00 18,000.00 90 2.000,00 00.184 F.A. F- L 5,000.00 5000.00 00.185 E5.01 & .02& .03 00.186 F.A. R- M 17.000.00 15.840.00 550.00 16,390.00 96 610.00 00.187 F.A. R- L 10.000.00 8.250.00 750.00 9.000.00 90 1.000.00 00.188 F.A. F - M 20,000.00 16500.00 1,500.00 18.000.00 90 2.000,00 00.189 F.A. F- L 5.000.00 5.000.00 00.190 E5.04& .05& .06 00.191 F.A. R- M 20.000.00 18.900.00 550.00 19.450.00 97 550.00 00.192 F.A. . R-L 17.000.00 14.000.00 1.000.00 15.000:00 88 2.000.00 00.193 F.A. F - M 20,000.00 17500.00 1.500.00 19_.000.00 95 1,000.00 00.194 F.A. F - L 5.000.00 5,000.00 00.195 E5.07 & .08& .09& .10 00.196 F.A. R - M 20.000.00 18.400.00 500.00 18.900.00 95 1.100.00 00.197 F.A. R- L 15.000.00 12,750.00 750.00 13500.00 90 1,500.00 00.198 F.A. F- M 16.000.00 13,500.00 1,000.00 14500.00 91 1,500.00 00.199 F.A. F- L 3.000.00 3.000.00 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 12.500.00 3.500.00 16.000.00 80 4_.000.00 00.203 CABLE M 35,000.00 35.000.00 35,1100.00 100 00.204 CABLE L 45.000.00 25.000.00 15,000.00 40.000.00 89 5.000.00 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 G703TM-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 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. e ERMCO Contract ll 2695-4320 aAIA Document G703" — 1992 124070 Continuation Sheet AIA Document G7O2TM.Application and Certification for Payment, APPLICATION NO: 27 containing Contractor's signed certification is attached. APPLICATION DATE: 7/15/2010 In tabulations below,amounts are stated to the nearest dollar. 7/31/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A 13 C U I E F G H 1 I WORK COMPLETED TOTAL I MATERIALS BALANCE FROM PREVIOUS COMPLETED ITEM DESCRIPTION OF WORK SCHEDULED PREVIOUS PRESENTLY % TO KE'I'AINAGb VALUE APPLICATION THIS PERIOD STORED AND STOKEU (G+C) FINISH (If variable rate) NO. TO DATE (H+E.) (Nor in D or F,) (p+F, +F) (C Cr) 00.205 GR M 5,000.00 5.000.00 5,000.00 100 00.206 GR L 2,000.00 2.000.00 2.000.00 100 00.207 E6.03 00.208 SECURITY R-M 40,000.00 33,300.00 5.000.00 38.300.00 96 1.700.00 00.209 SECURITY R - L 20.000.00 12.000.00 4,000.00 16,000.00 80 4,000.00 00.210 SECURITY F-M 18.000.00 18.000.00 00.211 SECURITY F- L 6.000.00 6,000.00 00.212 E6.05 00.213 DIMMING M 60,000.00 60,000.00 60.000.00 100 00.214 DIMMING L 45,000.00 35,350.00 3,000.00 38,350.00 85 6,650.00 00.215 E6.06 00.216 OPTIC SENSOR M 8,000.00 8,000.00 I 8,000.00 100 00.217 OPTIC SENSOR L 4.000.00 2,500.00 2,500.00 63 1,500.00 00.218 E7.09 00.219 S &C M 100,000.00 98.000.00 98,000.00 98 2,000.00 00.220 S & C L 80.000.00 75.000.00 75,000.00 94 5.000.00 00.221 E8.00 00.222 LIGHTNING PRO M 42000.00 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 10.765.00 10.765.00 27 29-235.00 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 0703"'—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 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. ■ ° ® ERMCO Contract # 2695-4320 Document G703 TM — 1992 124070 • Continuation Sheet AIA Document G7O21".Application and Certification for Payment, APPLICATION NO: 27 containing Contractor's signed certification is attached. APPLICATION DATE: 7/I5/2010 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: 7/31/2010 ARCHITECT'S PROJECT NO: - A H C D 1 E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED COMPLETED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (G+C) FINISH (/f variable rote) Ill+E) (Not in D or E) (D+d.-E) (C—G) 00.228 MACHINELESS ELEVATOR 11.500.00 11.500.00 I 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 19.500.00 19,500.00 84 3.677.00 00.234 CHANGE ORDER#006 00.235 RCP-011 (7.554.00) (7,554.00) (7554.00) 100 00.236 CHANGE ORDER#007 00.237 ASI-038 18.732.00 16500.00 16.500.00 88 2.232.00 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/SECUR (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 NET 00.246 CHANGE ORDER#010 00.247 ASI-PAC-104 WATER HEATER AC 17,090.00 12.000.00 12.000.00 70 5.090.00 00.248 E3.03 00.249 LIGHTING R-M 30.000.00 30.000.00 30,000.00 100 00.250 LIGHTING R-L 35.000.00 35,000.00 35,000.00 100 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document 0703TM—1992.Copyright©1963. 1965,1966,1967,1970.1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this 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. ERMCO Contract # 2695-4320 YAIA Document G7037M - 1992 124070 Continuation Sheet AIA Document G702T't.Application and Certification for Payment. APPLICATION NO: 27 containing Contractor's signed certification is attached. APPLICATION DATE: 7/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainaee for line items may apply. PERIOD TO: 7/31/2010 ARCHITECT'S PROJECT NO: A B C 1 D I E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF WORK FROM PREVIOUS PRESENTLY AND STORED TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (G+C) FINISH (If variable rate) (D-E (Not in Dor F.) (L) 1'E+.F) (C—G) 00.251 LIGHTING F-M 350.000.00 340.678.00 9,322.00 350,000.00 100 00.252 LIGHTING F- L 21000.00 13,000.00 4.000.00 17,000.00 77 5.000.00 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 h 100.000.00 100.000.00 100,000.00 100 00.256 ALLOW REDUCTION 43206 ALLO (30.000.00) (30.000.00) (30,000.00) 100 00.257 BOND REDUCTION (186.00) (186.00) (186.001 100 GRAND TOTAL 7,037.192.00 6.585,898.78 1 13.238.00 6.699.136.78 95 338.055.22 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 G703"'—1992.Copyright®1963,1965,1966.1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AleDocument is protected by U.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. AFFIDAVIT AND WAIVER OF LIEN STA'T'E OF INDIANA ) Final Partial )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with City of Carmel (124070.027) to furnish certain materials and /or labor as follows: Electrical Installation for a project known as Parcel 7A. Regional Performing Arts Center Interior Rough Construction Package P4 located in Cannel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of ONE HUNDRED THIRTEEN THOUSAND TWO HUNDRED THIRTY EIGHT DOLLARS AND NO/100($1 13.238.00) 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. i�� by _—L%!'L�s7_1 Rod Burton Controller Witness my hand and notarial seal, this I5tk day of July, 2010 Notary Public My Commission Expires: 12/197/2015 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 (124070.024) 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 Packaee P4 located in Carmel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of THREE HUNDRED THOUSAND SEVEN HUNDRED NINETY DOLLARS AND 49/100(5300,790.49) 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, IN by ""° atilt Rod Burton Controller Witness my hand and notarial seal, this 13th day of July, 201 �N b� i �, �� (I r.,,-,-�. re, it J [c Notary Public w m My Commission Expires: 12/19/2015 o J 0 Lou Anne Puckett 't. Q 4r Notary Public-Printed Signap Q County of Residence: Marion