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Home My WebLink AboutSIMPLEX GRINNELL, LP- 001234- 10/21/2010 ,CARMEL REDEVELOPMENT COMMISSION 001234 Simplex Grinnell, LP Check: 1234 11820 Pendleton Pike Date: 10/21/2010 Indianapolis, IN 46236 Vendor: SIMPLEX1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-2 80 34,664.00 34,664.00 3,466.40 0.00 31,197.6C Application 2 on Village on th - — 34,664.00 34,664.00 3,466.40 0.00 31,197.60 !r1PP VIIMASTHIS.CHECK'HAS'AtCO • Ppts6 oyyES�CA. Carmel Redevelopment Commission 00123.4 30 West Main Street REGIONS zo-1az1/740 inao Suite 220 ,:nac Carmel, IN 46032 1234 DATE AMOUNT 10/21/2010 31,197.60 PAY THE SUM OF THIRTY ONE THOUSAND ONE HUNDRED NINETY SEVEN DOLLARS AND 60 CENTS TO THE ORDER OF Simplex Grinnell, LP ' ' 11820 Pendleton Pike p,zc„"om Indianapolis, IN 46236 _ M �94 4 TO 11'0012340 1:071.0142L31: 0087504L & V' CARMEL REDEVELOPMENT COMMISSION 001234 Simplex Grinnell, LP Check: 1234 11820 Pendleton Pike Date: 10/21/2010 Indianapolis, IN 46236 Vendor: SIMPLEX1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-2 80 34,664.00 34,664.00 3,466.40 0.00 31,197.6C Application 2 on Village on th 34,664.00 34,664.00 3,466.40 0.00 31,197.6C r f IA;F- Document G702/CMaTh - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: APPLICATION NO: 002 Distribution to: Carmel City Center Village on the Green 30 West Main Street 3rd AVE SW and City Ctr Dr. PERIOD TO: 8/31/2010 OWNER ❑ Suite 200 CONSTRUCTION MANAGER 7p Ca0rTRittel IN 46032 FRO M CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 11-18-2009 ARCHITECT ❑ SimplexGrinnell LP N.EI Construction LLC PROJECT NOS: I I CONTRACTOR ❑ 11820 Pendleton Pike 09- 123 Indianapolis, IN 46236 VIA ARCHITECT: FIELD ❑ CONTRACT FOR: Pedcor Design Group ❑ Fire Protection Sprinklers CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge.information and Application is made for payment.as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet, for Document G703,is attached. Contract Documents,tha all tints have been paid by the contractor for Work for which previous Certificates for Payme we .slued and payments recei from the Owner. and ghat current L ORIGINAL CONTRACT SUM $ 8 0. 150. 00 payment shown herein'. no d e. 2.Net change by Change Orders S 3 .882.40 CONTRACT'R. / 3.CONTRACT SUM TO DATE(Line It2) S84 .032 .40 BY. Date: August 24, 2010 4.TOTAL COMPLETED S STORED TO DATE(Column 0onG703) S 73 .825.00 State of: Indiana _ 5.RETAINAGE: County of: Marion i tesseessa i PAULA K.LEWIS a. 1 0%of Completed Work Subscribed and sworn to before Notary Publle-Sal (Column D+Eon G703) S 7,382.50 me this 24 th ;d/eY of A//yagu 10 4 State of Indiana b. %of Stored Material Notary Public:`� / -4 ✓T�° (Column F on 0703) S 0.00 My Commission expires: 8-12-207,7 MY Commission Expires Aug l2,2017 Total Retainage(Line 5a+5b or Total in Column l of G703). S 7 . 382.50 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE S66 ,442.50 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 S35,244 .90 accordance with the Contract Documents.and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. p 6.CURRENT PAYMENT DUE S31. 197 .60 AMOUNT CERTIFIED $ 3 l / f—1. 9.BALANCE TO FINISH.INCLUDING RETAUUIGE (Attach explanation ifamount certified differs from the amount applied initial all figures on thrs Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less line 6) S 17,589 .90 CONSTRUCTION MANAGER: By /}-tify.SJ / Date: `T/13712 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner S S By Date: Total approved this Month $1,R R 2. 4 f $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $3 .882.4C S named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order 3 3882 .40 the Owner or Contractor under this Contract. CAUTION: You should sign an original AIA Contract Document.on which this ten appears In RED.An original assures that changes will not be obscured. (i/ . AIA Document G7021CMe^t—1992.Copyright O 1992 by The Amoiican Institute of Architects.All rights reserved.WARNING:This AlAe Document is protected by U.S.Copyright Law end international Treaties. Q I II(/ Unauthorized reproduction or distribution of this AlAe Document,or any portion 0111.may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible undo 1ho law. 1 'V _ Ptcthasers we permitted to teprodire ten(10)copies d this document when completed.To report copyright violations of MA Contract Documents,e+naa The American atsuado of MCMacts'legal counsel.copyrlght®ala.a0, SievonIezeGriunnefl SCHEDULE OF VALUES Village on the Green APPLICATION AND CERTIFICATE FOR PAYMENT APPLICATION NO.: 2 APPLICATION DATE: 08/2512010 In tabulations below,amounts are staled to the nearest dollar. PERIOD TO: 08/31/2010 Use Column I on Contracts where variable relainage 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 OR E) (D+E+F) (C-C) - 10000 ADMINISTRATION: 10010 Bonds 8 Insurance $575.00 $575.00 $0.00 $0.00 $575.00 100% $0.00 $57.50 10020 Permits 8 Fees $250.00 $250.00 $0.00 $0.00 $250.00 100% $0.00 $25.00 10030 Engineering 8 Submittals $4,600.00 $3.680.00 $920.00 $0.00 $4.600.00 100% $0.00 $460.00 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 $561.00 $5,049.00 $0.00 $5,610.00 100% $0.00 $561.00 20000 EQUIPMENT $0.00 0% $0.00 $0.00 20010 Overhead $27.446.00 $15,820.00 $11,626.00 $0.00 $27,446.00 100% $0.00 $2,744.60 20020 Stand Pipe $2,500.00 $1250.00 $1,250.00 $0.00 $2,500.00 100% $0.00 $250.00 30000 INSTALLATION $0.00 0% $0.00 $0.00 30010 Overhead $31,624.00 $10,950.00 $14,349.00 $0.00 $25,299.00 80% $6,325.00 $2,529.90 30020 Stand Pipe $2,945.00 $1.475.00 $1470.00 $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 C0000 CHANGE ORDERS C0001 Change Order 1 $3,882.40 $0.00 $0.00 $0.00 $0.00 0% $3,882.40 $0.00 $0.00 0% $0.00 $0.00 $0.00 0°4 $0.00 $0.00 - TOTALS $84,032.40 $39,161.00 $34,664.00 $0.00 $73,825.00 88% 510,207.40 $7,382.50 SimolexGrinnell • !li ,_,....... _r 0 -,..-.. ,:.A ! A Tu MAY 252010 D Application and Certificate for Payment Construction Manager-Adviser Edition •sr_.. TO OWNER: PROJECT: APPLICATION NO: 01 Di. ribution to; Carmel City Center Village on the Green pER10DT0: OWNER ❑ 30 West Main Street 3rd Ave SW any City Ctr Dr 5-31-2010 CSuiittee 1220 20 CONSTRUCTION MANAGER A7 FROM GON TRACTOR:46032 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 Sprinklers CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge. information and Application is made for payment.as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet.AIA Document shown is attached. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment we , issued and payments receive from the Owner. and that current 1.ORIGINAL CONTRACT SUM S 80, 150.00 payment shown herein:. no c. 2.Net change by Change Orders 3 0 .00 CONTRALTO•: 3.CONTRACT SUM TO DATE(Line It 2) S PD . 150 . 00 BY: ° ate. Date: May 24 , 2010 4.TOTAL COMPLETED&STORED TO DATE(Column Gnn 0703)........... S 39, 161 .00 State of:' ndia a Michael M. , i, •..._. . - - - � �1, 5.RETAINAGE: County of: Marion 1 PAULA K.LEWIS a. 10 %of Completed Work Subscribed and sworn to before Notary Public-Seal 1 41 Stale of Indiana 'f (Column D+Eon 0703) S 3 ,916. 10 me this 24 th d of. a 2 0 My Commission Expires Aug 12.2017 b. rya of Stored Material Notary Public: �..(i[,✓tQ 1 (Column F on 0703) S n , DD My Commission expires: a-1 017 -rrT- - Total Retainage(Lines 5a+5h or Total in Column I of G703). S 3.916 .10 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents,based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE.. $ 35,244 .90 this application.the Construction Manager and Architect ceni fy to the Owner that ro 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 . $ 0. 00 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 5 35 , 244. 90 AMOUNT CERTIFIED S 35-2_1111-CI-° 9.BALANCE TO FINISH;INCLUDING RETAINAGE (Attach explanation if amount certified differs front the amount applied.Initial all figures on this Appliranpn and on the Crntmmarinn Sheer that are changed to conform with the amount certified.) (Line 3 less Line 6) S 44,905. 10 CONSTRUCTION MANAGER: /,f/f By: Date: CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner S 5 By: • Date: Total approved this Month S $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS I S $ named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of � NET CHANGES by Change Order L' 0.00 the Owner or Contractor under this Contract. 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. AIA Document G702fCMa' —1992.Copyright 0 1992 by The American Institute at Arctulects.All tights reserved.WARNING:Thin Ale Document is protected by U.S.Copyright Law and International Treaties. - Unnulhortaed reproduction or distribution of this me 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. . Purchasem ale permitted to reproduce ton(fa)copies of his document when completed To tenon copyright violations of AIA Centred Documents.e-mail The American Institute of A,chitecls'legal counsel,cepynghtgala.arg.