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HomeMy WebLinkAboutSIMPLEX GRINNELL, LP- 001328- 11/18/2010 CARMEL REDEVELOPMENT COMMISSION 001328 Simplex Grinnell, LP Check: 1328 11820 Pendleton Pike Date: 11/18/2010 Indianapolis, IN 46236 Vendor: SIMPLEX1 Prior Invoice • P.O, Num. Invoice Amt Balance Retention Discount Amt: Paid 3-3 . 6,340.50 6,340.50 0.00 0.00 6,340.50 Work thru 8/31/2010 6,340.50 6,340.50 0.00 0.00 6,340.50 • ,. % Carmel Redevelopment Commission �Jj REGIONS 00132-8 30 West Main Street 20-14211740 Suite 220 •°P°"E` Carmel, IN 46032 °j�T" �� 1328 DATE AMOUNT . - . 11//812010 ***********"6,340.50 PAY .THE SUM OF SIX THOUSAND THREE HUNDRED FORTY DOLLARS AND 50 CENTS ' i. TO THE i : ORDER _ - . : , . . OF ' Simplex Grinnell, LP 11820 Pendleton Pike F,sUis • Indianapolis, IN 46236 7 I -- " officio L3280 1:0740L42131: pal 7504LLLug CARMEL REDEVELOPMENT COMMISSION 001328 Check 1328 11820 Pendleton Pi Date: 1 111 812 0 1 0 118an IN Pike Vendor: SIMPLEX1 Indianapolis, IN 46236 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Am . PS 3-3 6,340.50 6,340.50 0.00 0.00 6,340.51 Work thru 8/31/2010 m- 6,340.50 6,340.50 0.00 0.00 6,340.51 AIA Document G7021CMa1M 1992 Application and Certificate for Payment Construction Manager-Adviser Edition • TO OWNER: PROJECT: APPLICATION NO: 003 Distributionto: Carmel City Center Village on the Green 30 West Main Street 3rd. Ave SW amd Cotu Ctr DrivRERIODTO: 8/31/2010 OWNER DI Suite 200 CONSTRUCTION MANAGER Xl Carmel' IN 96032 FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 11/18/2009 ARCHITECT ❑ SimplexGrinnell LP REI Construction LLC PROJECT NOS: 09_ / 123 / CONTRACTOR ❑ 11820 Pendleton Pike Indianapolis, IN 46236 VIA ARCHITECT: FIELD ❑ CONTRACT FOR: Pedcor Design Group ❑ Fire Protection Sprinkler System 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 f aae for Payment has been completed in aceordc with the Continuation sheet,AIA Document 6703,is attached_ Contract Documents,that all am ants have been paid by the Contractor for Work for which previous Certificates for Payment w' e issued and payments receiyed from the Owner. and that current I.ORIGINAL CONTRACT SUM `_8.0_,.,1.50 00 payment shown herein i at v 7.IC 2. Net change by Change Orders 3 , 882 . 40 CONTRACT c ..,...-th, 3.CONTRACT SUM TO DATE(Line-1 ±2) $ 84 , 092 . 40 By r� Dale: September 21 , 2011 4.TOTAL COMPLETED&STOREDJO DATE(Column Cl on 0703) $ 8 0;070 . 00 State of: Indiana 5.RETAINAGE Conntyof: Marion a. 10 %of(comp€eted Work Subscribed and sworn to:before PAULA K.LEWIS t . (Column D+.E on 0703) $ 8 ,087 . 00 me this 21st •fy of S ptee 2-010 Notary Public-Seal 11 b. -i7e of.Stored Material Notary Public:/yCI�J Gt "�mb -Ga rs-O Stale of Indiana 1 (Column F on 0703) $ 0 . 00 My Couvnisst t expires:8—1 2— 017 My Commission Expires Aug 12.2017 1, Total Retainage(Lines 5a.+5bo Total in Column of0703). $ 8 . 087 . 00 CERTIFICATE FOR PAYMENT R r 6.TOTAL EARNED LESS RETAINAGE $ 7 2 7 83 . 00 In accordance with the Contract Documents, based on on-site observations and the data comprising this application_the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line S Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT ......................... $ 66 , 442 . 50 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CFR HFIED. / B.CURRENT PAYMENT DUE .,. $ 6 , 3 4 0 - 50 AMOUNT CERTIFIED $ 6 3Yo- E 0 $-BALANCE TO FINISH,INCLUDING RETAINAGE (Attach esplanzuron if anmwrr certified differs front the anemia applied. Initial all frgnres on this Application and on the Continuation Sheet their are changed to confirm with the amount certified.) (Line 3 less Line 6) $ 11 , 249 . 40 CONSTRUCTION MANAGER: / By: 2 /(/I--ZIr Date: SQ�/Jo CHANGE ORDER SUMMARY ADDITIONS I DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner $3 , 8 8 2 . 40$ By: ' - Date: Total approved this Month $ IS This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $3 , 8 8 2 . 40$ named herein. Issuanee.'payment and acceptance of payment are without prejudice to any rights of . NET CHANGES by Change Order I S 3 ,882 . 40 the Owner or Contractor under this Contract e- CAUTION:You should sign an original AIA Contract Document,on which this text appears hi RED.An original assures that changes will not be obscured. _ . MA Document G702/CMaTM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAe Document Is protected by U.S.Copyright Law and International Treaties. {�(! Unauthorized reproduction or distribution of this 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 repel copyright violations a1AIA Contract Documents,e-mail The American Institute et Architects'legal counsel,copyright@aia.org. Village on the Green APPLICATION AND CERTIFICATE FOR PAYMENT APPLICATION NO.: 3 APPLICATION DATE: 09/25/2010 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 09/30/2010 Use Column Ion Contracts where variable retainage for line items may apply. PROJECT NO.: 948363301 A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED BALANCE RETAINAGE NO. VALUE APPLICATION THIS STORED AND STORED % TO (IF VARIABLE) (D+E) PERIOD (NOT IN TO DATE (G+C) FINISH RATE - D ORE) (D+E+F) (C-G) 10000 ADMINISTRATION: 10010 Bonds&Insurance $575.00 $575.00 S0.00 $0.00 $575.00 100% $0.00 $57.50 10020 Permits&Fees $250.00 S250.00 $0.00 $0.00 $250.00 100% $0.00 $25.00 10030 Engineering&Submittals $4,600.00 $4,600.00 $0.00 $0.00 $4,600.00 100% $0.00 S460.00 10040 Drawing& Drafting Services $4,600.00 $4,600.00 $0.00 $0.00 $4,600.00 100% $0.00 $460.00 10050 Mobilization $5,610.00 $5,610.00 $0.00 $0.00 $5,610.00 100% $0.00 $561.00 20000 EQUIPMENT $0.00 0% $0.00 $0.00 20010 Overhead $27,446.00 $27,446.00 $0.00 $0.00 $27,446.00 100% 50.00 $2,744.60 20020 Stand Pipe $2,500.00 $2,500.00 $0.00 $0.00 $2,500.00 100% $0.00 $250.00 30000 INSTALLATION $0.00 0% S0.00 $0.00 30010 Overhead $31,624.00 $25,299.00 $3,162.60 50.00 $28,461.60 90% $3,162.40 $2,846.16 30020 Stand Pipe $2,945.00 $2,945.00 $0.00 $0.00 $2,945.00 100% $0.00 $294.50 30050 $0.00 0% $0.00 $0.00 $0.00 0% $0.00 $0.00 00000 CHANGE ORDERS C0001 Change Order 1 $3,882.40 $0.00 $3,882.40 $0.00 $3,882.40 100% $0.00 $388.24 $0.00 0% $0.00 $0.00 $0.00 0% $0.00 $0.00 TOTALS $84,032.40 $73,825.00 $7,045.00 $0.00 $80,870.00 96% $3,162.40 $8,087.00 •