Loading...
HomeMy WebLinkAboutSTEEL SUPPLY & ENGINEERING- 001438- 12/2/2010 CAMEL REDEVELOPMENT COMMISSION 001438 Steel Supply& Engineering Check: 1438 2020 Newark AVe., SE Date: 12/2/2010 Grand Rapids, MI 49507 Vendor: STEELSO1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 18 31 24,423.99 24,423.99 2,100.00 0.00 22,323.99 Application 18 24,423.99 24,423.99 2,100.00 0.00 22,323.99 Rt+, ite-SiG`faMMITMS'CHECWHAWKCO ' • ers6 oEsiot Carmel Redevelopment Commission 001438 30 West Main Street .m. REGIONS 20-1421/740 Suite 220 @TR1, Carmel, IN 46032 1438 DATE AMOUNT , 12/2/2010 "'""""'22,323.99 PAY THE SUM OF TWENTY TWO THOUSAND THREE HUNDRED TWENTY THREE DOLLARS AND 99 CENTS TO THE ORDER OF. Steel Supply& Engineering 2020 Newark AVe., SE p,sms"m Grand Rapids, MI 49507 %-t,,,o4/ 11'001438" 1:074011, 2 L31: 0087504 L 1 Lip' CARMEL REDEVELOPMENT COMMISSION 001438 Steel Supply& Engineering Check: 1438 2020 Newark AVe., SE Date: 12/2/2010 Grand Rapids, MI 49507 Vendor: STEELSO1 Prior Invoice P.O. Num, invoice Amt Balance Retention Discount Amt. Pal, 18 31 24,423.99 24,423.99 2,100.00 0.00 22,323.9 Application 18 _ 24,423.99 24,423.99 2,100.00 0.00 22,323.9 !p. mr IT AIA Document G702/CMaw - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition ss&E Invoice U 084567-018 (Revised) TO OWNER: PROJECT: Carmel Redevelopment Commission 08-4-567 - Regional APPLICATION NO: 18 Distribution to: 902 N. Capital Avenue Preforming Arts PERIODTO: 09-30-2010 OWNER Indianapolis, IN 46204 CONSTRUCTION MANAGER ' FROM CONTRACTOR: VIA CONSTRUCTIONMANAGER: CONTRACTDATE: 01-08-2008 ARCHITECT Steel Supply & Engineering S _el Sexton 9 1222 Burton SE 902 North Capital Avenue PROJECT NOS: / / CONTRACTOR Grand Rapids, MI 49507 VIA ARCHITECT: Indianapolis, IN 96204 FIELD CONTRACT FOR: C50 Architects SS, MM, MD; Erected 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 Paynient 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 1.ORIGINAL CONTRACT SUM Certificates for Pay t were issued and payments received from the Owner, and that current S 9,923,000.no payment shown herein now due. 2.Net change by Change Orders 5 179.861.00 CONTRACT II /� 3.CONTRACT SUM TO DATE(Line tc 2) 510,102,061.00 By: 1� J �/1., / Date. 11-8-2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703).........._$ 10,101,410.00 State of:Michigan "'VT/ 5.RETAINAGE: County of: Kent TERESAL RILEY a. s.oc %al-Completed Work Subsaibed and sworn to before HOTARYPUBLKnB&ATEOF69 (Column D+E on G703) $ 507,071.85 me this 8th day of November, 2 COUNIYOFIIIT h. %of Stored Material Notary Public;Teresa L Rile MYCOIASnSSroNEXPipESDec25,20�,bC !Column F on 6703) $ My Commission expires:Decent r 2 , 014 ACTING INCOUNTYOF�Z�/ Total Rctainage(Lines 5a-5b or Total in Column I of G703). $ . 507,071.85 CERTIFICATE FORiYMENT 6.TOTAL EARNED LESS RETAINAGE . s e,994.338 15 In accordance with the CRa66uvct Documents,based on on-site observations and the data comprising (Line 4 Less lint 5 Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 9,572,014 16 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. S.CURRENT PAYMENT DUE IS 22,323 99 I AMOUNT CERTIFIED ............................................................................. $ 22,323.SS (Attach explanation if amount certifieddii fers from the amount applied Initial all figures on thin 9.BALANCE TO FINISH,INCLUDING RETAINAGE Application and on the Continuation Sheri that are changed to conform with the mammt certified.) (Line 3 less Line 6) $508,522 as CONSTRUCTION MANAGER: By. Date: CHANGE ORDER SUMMARY ADDrONS DEDUCTIONS ARCHITECT: Total changes approved in pm/tom months by Owner S 206,437 01 S 30,000 00 B). Total approved this Month Date: $ 2/463.99 5 v,790.oo This Certificate is not negotiable. The AMOUNT CER11tlbD is payable only to the Contractor TOTALS S 227,601.00 5 47,740.00 named herein.Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order s 179,861.°o the Owner or Contractor under this Contract. CAUTION:You should skin an origami MA Contract Document,on which this text appears in RED.An original assures that changes wilt not be obscured. AIA Document(1702/crnnm-1992 CopyrlpM O 199TAby T e Amenean Institute of Architects All eight.ntorv.d.WARNMO:This AIA Document is protected by U.G.Cppynght taw and Intmnothmel Treaties. Unauthorized reproduction or distributIon of this AlA Document or any portion of it may result In severe ewe and ctnNnd ponamat and win bo prosocutad to the maximum extent possible under the la v. Pu.•ohaoero pro ponnlaod to reproduce ferrite)copoe of Na I document when completed,To report copyright vblations of Apt Contract Documents.e-mal Tire Amelran Insam°otArduects legal counsel,copyngh5Mala.an . . ..,.:„ ...„. ... .IA Document G7031'1 - 1992 Continuation Sheet Pag° 2 cr 8 AIA Document G702TM,Application and Certification for Payment. APPLICATION NO: i a containing Contractor's signed certification is attached. Er,tabulations below,amcU S are stated to the nearest dollar. APPLICATION DATE: 09-27-2010 Use Column I on Contracts where'wadable retaieage for line items may apply, PERIOD TO: 09-30-2010 I ARCHITECTS PROJECT NO: EAT] B C D i E F G H I t WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORT: SCHEDULED COMPLETED FRONT PRliVI0U5 PRESENTLY % TO REFANAGE NO VALUE AND STORED I APPLICATION THIS PERIOD STORED TO DATE I. -CJ FINISH (If vurabk moil r-J (D<EJ (Nor in O ern') (D+E+F) (� OJ 100 I Bonds 6 Insurance 953000 00 85,000.00 C.oa - 0.00 8,,000.00 100.00% 0.00 4,250.00 200 �etailinc 567,500.00 557,3t.0.00 0.00 0.00 567,500.00 100.00% 0.00 22,275.00 300 Mobilization 400 3030 Allowance 250,000.00 250,000-00 0.00 J 0.00 350,000.00 100.00% 0.00 12,500-00 75,000.00 73,249.00 C-00 0 00 73,549.00 98.07% 1,451.20 3.740.00 500 Cad Allowance 5,000.00 5,000.00 000.00 0.00 C-00 3.000.00 100.00% 0.00 250.00 600 1 Sequence 41 610 I Structural Material 35, 000 00 35,000.00 0.00 0.00 35,000.00 100,00% 0.00 1, 750.00 1620 l Deck Material 4.000.00 4,000.00 0.00 '0.00 4,000.00 100.00% 0.00 200.00 630 [ Structural Field Labor 8,654.00 8,654-00 0.00 0.00 8,654 .00 100.00% 0.00 432.70 640 E Detail Labor 7,127-00 7,127.00 0.00 0 C 7,1.27.00 100,00% 0.00 35h 4h i650 Deck/Studs Labor 9,376.00 9,376.00 0.00 0.00 9,376.00 100.00% 0-00 468.00 I700 Sequence 42 710 I Structural Material n75, 000 00 375,000.00 0.00 0.00 375,000.00 100.00% 9.00 J _8,750.00 1720 Deck Material 6,250.00 6,250.00 0.00 2.00 6,250-00 100.O0% 0.00 3 212.50 730 Structural Field Labor 136,261.00 136,261.00 C.CO 0.60 135,261.06 100.005 2.00 EI '0, 913-05 740 Detail Labor 112,215.00 112,215,00 0.00 0 G 112,215.00 100.00% 0.00 ` 5, 510.70 750 Deck/Studs Labor 10.739 00 14,139.00 G.CO 0.00 14,734.00 �lOG.003 0.00 735.70 000 sequence !3 810 Structural Material 290,000-00 290,000.00 0 C 0 0 290, 000-Oc 100-00% 0.00 14,500.00 2220 f Deck Maternal 6,250.00 5,250,00 C.GO G.GO 0,250.OC 100.00% D.00 312.50 830 Structural Field Labor . 105,747.00 105,747.00 0 GG C-00 i 105.747.00 100.00% 0,00 5,28'1.35 590 Detail Laba r. 87.086.00 87,086.00 0,00 0.00 67.686,00 100.003 0.00 4,354.30 736.70 850 Deck/$tads Labarl 4,734.00 14,734.00 0.00 0.00 14.734,00 100.00% 0.00 I 900 sequence 44 910 Structural Material 185,000.00 185,000.00 0 C 0.00 193, 000.00 100,00% 0.00 9,250.00 920 1 Deck Material 6,250.00 6,250.00 0.CO 0-00 6,250-OC 10-C.00% 0-00 , 312.50 930 ! Structural Field Labor 57,419.00 :7,918.00 C.CO C.00 57,418.00 100.00% 0.00 2.970,90 940 ' Detail Labor 17,285.00 47,285,00 C.CO C.00 47,205.00 100.00% 0,00 :,369 ,25 950 Deck/Studs Labor 14.734.00 14,731.00 0.00 0.00 14,734.00 100.00E 0.00 756.70 1 1000 Sequence 05 10101 Structural Material 222,000.00 222,000.00 0.00 0.00 222,000.00 100,00% 0-0C _ 11,100.00 GRAND TOTAL - CAUTION:You should sign an original Ate Contract Document on which tills text appears In RED.An otelnal assures that changes will not be ensnared. alA Da cement 0703^'-.1992.Copyright 91863,1965, 1966,1967,1970,1970,1963 and 1892 by She American Institute a/Achitells,All dght6 reserved,WARNjNGI This IlleDoeumant is protected by 51.8.Copyright bossibloundarthn taw_Pitch ,,.e.......,:x.....,.,,_._a,.__.__,.,,,__ �' rn'orem/parlpn Of R,cm rawtt In eevelV ClWlan4 criminal yenalfim,and All be proseeuCad to the maafmum extort Law and intemonortas Treaties.Unuuthorlted reproduction or dishibidton of th . •.. .- _ _ . _ - . _ .... _ ._ . . 1.,,asikii,AlA Document 0703 -- 1992 Continuation Sheet Paco 3 of E AIA Document G702T,Application and Certification for Payment, APPLICATION NO: i'n containing Contractor's signed certification is attached. In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 9-27-3 010 Use Column I on Contracts where variable retainage for Ise items may apply. PERIOD TO: 9-30-2010 ARCHITECT'S PROJECT NO: ' A B C D E P C H 1 WORK COMPLETED MATERIALS TOTAL BALANCE ITEM OESCRIPT!ON OF WORK SCHEDULED COMStORED FAOM PREVIOUS PRESENTLY % TO RETABIAGE NO. VALUE APPLICATION WESPERIOD STORED ANDS-PORED ;6- C :WISE TD DATE ❑1wrinGle rmeJ (D+EJ Not in D arRj (C-n/ �� CD+E+F) 61020 Deck Material 7,350 00 7,350.00 0.00 - 0.00 7,350.00 100-00% 0.00 ! 367.50 j1030 Structural Field Labor 66,946.00 66,840.00 0.09 0.00 66.946 00 100.0.7% 0.00 3,342.30 1.040 Detail Labor 55,,050.00 55, 050.00 0.00 0.00 55, 950.00 100.00% 0.00 2,752.50 1050 Deck/Studs Labor 17,412,00 17, 112.00 0.00 0.00 17, 412.00 100.00E 0.001 870.60 1100 Sequence 46 1110 Structural Material 330,500.00 330,500 00 0.00 0.00 330,500.00 100.00% 0.00 15, 523,00 1120 Deck Material 7,350.00 7,350.00 0.00 0.00 7,350.00 100.00% 0.00 357.50 1130 Structural Field Labor 117,737,00 117,737,00 0.00 0,D0 117,737.00 100.00% 0.00 5.886 05 III 1140 Detail Labor 96,960 00 96, 960.00 0.00 0.00 96,950.00 100.00% 0.00 4,848.00 1150 Deck/Studs Labor 17,412.00 17,412.00 0.00 0.00 17,412.00 100.00% 0.00 870.60 11.200 Sequence 47 '210 Structural Material 143, 000.00 142.000 00 0.00 0.00 113,000.00 100.00% 0.00 • 7,1.0.00 /220 i Deck Material 5,100.00 5, 100.30 0.00 0.00 5,100.90 100.00% 0,00 255.00 1230 Structural Field Labor 48,329,00 48,329.00 0.00 0,00 48,329,00 100.00* 0.00 2.416 45 1240 Detail Labor 39,801.00 3°_,001 .00 0.90 0.00 39, 901.00 100.00% 0.00 1 1,990.05 1250 Deck/Studs Labor 12,355.00 12,055.00 0.90 0.00 12,055.00 100.00% 0,00 502.75 1300 Sequence 48 1310 Structural Material 117,000,00 117,000.00 0.00 0.00 117,000.00 100.33% 0.00 5, 650.•00 1320 Deck Materiel 5,100.00 5, 100.00 0,00 0.00 5.100.00 100.00% 0.00 755,00 1330 Structural Field Labor 35, 616.00 35.616.00 0.00 0.00 35, 616.00 100.00% 0.00 1.780.30 1340 Detail Labor 29, 331.90 29,331.00 0.00 0.00 29, 331.00 100,00E 0.00 i,465•.25 1350 Deck/Studs Labor 12,055.00 12,055,00 9.00 0.00 12.055.00 100.00% 0.00 i 502.75 it 1400 Sequence 49 14101 Structural Material 110.000.00 110,000.00 0,00 0.00 110,000.00 180.00% O.00 i 5,500 00 1920 Deck Material 5, 100.90 5,100.00 0.00 0.00 5, 100.00 100.00% 0.00 255.00 1430 Structural, Field Labor 32,830.00 32,630.00 0.00 0.00 32, 830.00 100.00%! 0.00 1,641.50 1440 Detail Labor 27,036.00 27,036.00 0.00 0.00 27.03600 100.00% 0.00 1,351.30 1450 Deck/Studs Labor 12,055.00 12 055-00 0.00 0.00 i2.055 00 100.004 0,70 502 75 1500 Sequence 410 1510 Structural Material 97,x00.00 97,500.00 0.00 0.00 97,500.00 100.00: 0.00 4,975.00 I GRAND TOTAL I I CAUTION:You should sign an originel AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured, AEA Document G7o3'e-1992 Copyright Cigna.1265.1966,1967,1970,1979,19839W 1992 by Ina Aa a,1 n Ine6hle afAirhiteele.Al Vats referved,WARN1NGr Thle AIA.Ductu nt is protected W U.3.C0Pyrigftt 0o aibb nntamailonaw7re91b5.Ilnernhnrtm,d reproduction ar distribution of this MA°lhcument w any Portion of K may result is Swann that re Mminal venaltiaa.and win na nrnana,x..n fa Ma„.......,.__■ •-• . . pit, AM Document G703'M - 1992 Continuation Sheet Page 4 of 2 ' ALA Document G i021M,Application and Certification for Payment, APPLICATION NO: 18 containing Contractor's signed certification is attached. In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 9-2 7-2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 9-30-2010 ����------App--�--��� ARCHITECT'S PROJECT NO: B I C D E F G j H I WORK COMPLETED MATERIALS TOTAL BALANCE COMPLETED I ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY % TO RETA[NAGE I NO. VALUE APPLICATION THIS PERIOD STORED AND STORK (G+C) FINISH ,/Jjvariable tree) I (D 4-E) (Na to Dor R) (p+E+� (C-G) f 11520 I Deck Material 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 255.00 11530 I Structural Field Labor 34,067.00 34.067.00 0.00 0.00 34,067.00 100.00% 0.00 1,703.35 1540 Detail Labor 28,055.00 28,055.00 0.00 0.00 25,055.00 100.00% 0.00 1,402.75 1550 Deck/Studs Labor 12,055.00 12,035.00 0.00 0.00 12,055.00 100.00% 0.00 602.75 11600 I Sequence #11 1610 i Structural Material 205,350.00 205,350.00 0.00 0.00 205,350.00 100.00% 0.00 10.267.50 1620 Deck Material 7,350.00 7,350.00 0.00 0.00 7,350.00 100.008 0.00 367.50 I11630 Structural Field Labor 75,305.00 75,305.00 0.00 - 0.00 75,305.00 100.00% 0.00 3,765.25 1640 Detail Labor 62,016.00 62,016.00 0.00 0.00 62,016.00 100.00% 3.00 3,100.80 1650 Deck/Studs Labor 17,412.00 17,412.00 0.00 0.00 17.412.00 100.00% 0.00 670.60 11700 Sequence #12 1710 I Structural Material 108,500.00 108,500.00 0.00 0.00 108,500.00 100.00% 0.00 5.425.00 1720 II Deck Material 6,200.00 6,200.00 0.00 0.00 6,200.00 100.00% 0.00 310.00 1730 I Structural Field Labor 37,989.00 37,989.00 0.00 0.00 37, 989.00 100.00% 0.00 1,899.45 1740 Detail Labor 31,285.00 31,285.00 0.00 0.00 31,285.00 100.00% 0.00 1, 564 25 1750 Deck/Studs Labor 14,734.00 ' 14,734.00 0.00 0.e0 14,734.00 100.00% 0.00 736.70 1800 Sequence 313 1810 Structural Material 94,500.00 94,500.00 0.00 0.00 94,500.000 100.001 0.00 4,725.00 118201 Deck Material 6,200.00 6,200.00 • 0.00 0.00 6,200.00 100.00% 0.00 310.00 1830 Structural Field Labor 33,054.00 33,054.00 0.00 0.00 33,054.00 100.00% 0.00 1,652.70 18401 ' Detail Labor 27,221.00 27,221.00 0.00 0.00 27,221.00 100.00% 0.00 J 1,361.05 11850 Deck/Studs Labor 14.734.00 14,734.00 C.00 0.00 14,734.00 100.00% 0.00 I 736.70 19001 Sequence #14 1910 Structural Material 140,650.00 140,650.00 0.00 0.00 140,650.00 100.00% 0.00 7,032.50 1' 1920 Deck Material 9,300.00 9, 300.00 0.00 0.00 9,300.00 100.00% 0.00 465.00 1930 Structural Field Labor 49,965.00 49,965.00 0.00 0.00 49,965.00 100.00% 0.00 2,498.25 1940 Detail Labor 41. 147.00 41,147.00 0.00 0.00 41,147.00 100.00% 0.00 I 2,057.35 1950 Deck/studs Labor 21,966.00 21,966.00 0.00 0.0C 21,966.00 100.00% 0.00 1.098.30 2000 Sequence #15 2010 Structural Material 175.650.00 175.650.00 0.00 0.00 175,650.00 100.00% 0.0C 8.732.50 1 - • I 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. MA aw and International nt G703 ' Tre992,o yyai ght c 1 6,1985,1966,1967,1970,1978,1883 a d 1992 by The American institute of Arannac s.All rights rneervod.WARNING:This AM°bocument la protected nv b,6.Copyright possible under the Law.Purchasers am wm+vee" �uetlpn.'distribution of elite AlA Document.or any portion of h may result In severe civil and otminM Penahiea.and rM be tupaeadHf to eh.mavu.............. • AIA Document G703' 1992 Continuation Sheet page 5 AIA Document 0702TM,Application and Certification for Payment. APPLICATION NO:16 containing Contractor's signed certification is attached In Tabulations below,amounts are stated to the nearest dollar. APPLICATION GATE: 09-27-2010 Use Column I on Contracts'Where variable retainage for line items may apply. PERIOD T0: 09-30-2010 ARCHITECT'S PROJECT 4O: 1 A E C I D E F 0 H I 1 l WORK COMPLETED TOTAL ITEM+ DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS RFS•I MATERIALS SY COMPLETED 24. EA TO CE RETAINAGE NO. ' VALUE APPLICATION THIS PERIOD STORED AND STORED (G-CJ FINISH (Ifvariuble:ere) I (D+£) tRoHn Dor Ej TO DATE (C-GJ (D+E+p7 12 peck Material 9,300 DO 9,300.00 1 0.00 0-00 9,300.00 100.CO% 0-00 485.00 2030 Structural Field !Son 60, 703,00 60,703.00 0.00 0.00 60,703.00 100.00% 0.00 � 3,035.15 2040 Detail Labor 49, 991.00 49,991.00 0.00 C.CO 99,991.00 100.005• 0-00 � 2,499.55 2050 Deck/Studs Labor 22,234.00 22,234.00 0 O 0.CO 22,234.09 100.00% 0.00 1, €11-70 2100 1 Sequence #16 2110 I Structural Material 7.82,500.00 7.32,540,00 0.00 0.00 282,300.00 104.008 0-00 I 14,125.00 2120 ) Deck Material 6,350-00 6,330.00 0.00 C.CO 6,350.00 100.00% 0 00 317.50 2130 Structural Field Labor 101,266.00 IC1,268.00 0.00 0.00 101,268.00 100.00% C-00 5.063.40 2140 Detail Labor 33,397.04 83, 397.00 0.00 0.00 53.397.00 ,100 net 0.00 4169 45 2150 Deck/Studs Labor 15,001.00 15,001.OD 0,00 0.00 15,641.40 104.00% 0.00 750.05 122001 Sequence 917 2210 Structural Material 272,500.00 272,300.00 0.00 C.CO 272.300.00 1.00.00% C-00 13,825.00 122201 Deck Material 7,450.CO 7,450.00 0.00 0.00 7,450.00 100.5105 C.00 372.50 2230E Structural Field Labor 93,649.00 98,699,00 0.00 0.00 98,699.00 100-005 0.00 4,932-45 2290 Detail Labor 01,20.00 . 31,240.00 0.00 0.00 81,240.00 100.001 0.00 4,062.00 12250 neck/Studs Labor 17,680.00 17,680.00 0.00 0 G 17,680-00 100.00% 0.00 8Et,00 2300 Sequence 918 2310 Structural Macortal 110,000.00 110,000,00 0.00 0.00 179,006.00 100.035 0.00 i 5,500.00 2320 Deck Material 7,450.00 7,950-00 0.00 0.00 7,956.00 100.00% 0.00 372.50 23301 Structural Field Labor 40,239.00 40,239.00 0 G 0.G0 40.239.00 100.00% 0.00 i 2.011.95 2310 Detail Labor 33, 110-00 33,140-00 0,00 0 C 33,190-00 100.001 0.00 i 1, 657.00 2350 Deck/Studs Tabor 17,680 17,680.00 0.00 0 G 17, 680.00 100-00& 0.00 88 4.00 1 2400 Sequence y19 2410 Structural Material 118,500,00 118,500.00 0.00 C.00 119,300.00 100.005 0.00 3,925-00 1 2420 Deck Material 7,450,00 7,450.00 0.00 C-00 7,430.00 100.004 0.00 372-50 1 2430 Structural Field Labor 42,323.00 42,323.00 0.00 0.00 42,323.00 136.003 0.00 1 2,116.13 2440 Detail Labor 24,855.00 34,855,OC 0,00 C.CO 31,955.00 100.00% 0.00 I 1,752.75 24501 Deck/Studs Labor 17, 690 00 17,6E0.00 0.00 0.00 17,680.00 100.00% 0.00 684,00 t GRAND TOTAL CAUTION:You should sign an original PIA Contract Document,1x,on which this text appears in RED.An orlglnal assures that changes wilt not be o6scveed. AiA Datumant 07031°-1932.CopyttgM t 1863,1665. 1986,1967,1970,1979,18833 and 1992 by The Amerran In ttute el tmh1'.ecte.All HOS reserved.WARNJNG:The AIA6Cocument is protected by(S,S.Capyngnt Law SS endu International toadies .e Unauthorized reproduction or dlstdbntlon oltilis qW°Document,or any poHkn of It may muffin severe civil and criminal penalties.and will ha promcutud to no maximum exam 41[iV Document G703Th - 1992 Continuation Sheet Page 6 of 5 A/A Document G702T111,Application and Cattifi;atxon for Payment. APPLICATION NO: 18 containing Contractor's sighed certification is attached In tabnlation5 below,amounts are stated to the nearest dollar. APPLICATION DATE: 09-27-231C Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 0 9-30-201 0 ARCHITECT'S PROJECT NO: A i B C D 1 E F G H I 1 WORK COMPLETED TOTAL MATERIALS COMPLETED n BALANCE I TEEM: DFSCRiPTTONOF WORK SCHEDULED FROM PREVIOUS PRESENTLY /, TO RETAit4AGE NO. I VALUE APPLICATION THIS PERIOD STORED A1T STORED iG-C1 FINISH TO DATE (if varia6Ic ra e) (a7+@j (Not in l7 r,El (D�E+F) (CI-6), 2500 Sequence 420 2510 Structural Material 117,950.00 117, 950.00 0,00 0-00 117,950.00 100.008 C.00 5,89".-50 12520 Deck Material 2,300.00 2,300.00 0.00 0.00 2,300.00 700-00% 0.00 115.00 25-'OI Structural Field Labor 43,235.03 43,225 00 0.00 0 00 43,235.00 100.00% 0.00 2,161,75 12540 Detail Labor ?5,605.00 35,605.00 0-00 0.00 35,605.00 100.00% 0.00 1_780 25 2550 . Deck/studs Labor 5,358.00 5,358-00 0-00 0.00 5.358-00 100,00% 0.00 257. 90 2600] Sequence 921 112610) Structural Material 98,750.30 98,750.00 0.00 0.00 98,753.00 100.00% 0.00 4, 937.50 26201 Deck Material 4,400.00 4,403.00 0.00 0.00 4,400.00 100-30% 0-00 _220.00 2630 Structural Field Labor 24, 964 00 34.964.00 0.00 0.00 34,964.00 100.00€ 0.00 1, 74E.20 26401 Detail Labor 28,794.00 28,794.00 0.00 0-00 28,794.00 100.00% 0.00 1,439.70 126501 Deck/Studs Labor 10,447-00 10, 447.00 0.00 0.00 10,447 GO 100.00% 0.00 522_? 27001 ' Sequence 922 5 27101 Structural Material 202.650.00 202,630.00 0.00 U.00 207,550.00 100,00% G-40 10„32.50 2720+ Deck. Material 5.650 00 5,650.00 0.00 0.00 5,650.00 100-00% 4,00 282.50 2770 Structural Field Labor 74,299 00 '74,299.00 3.00 0.00 74,299.00 190.00% 0.00 3.714-95 2750 Detail Labor 61,168.00 61.188.00 0.00 0.00 61.188.00 100.00% 0.00 3, 050.10 2759 Deck/Studs Labor 1..3.394.00 1 399.00 0.00 0.00 13,394.00 100.00% 0.00 669.70 2800 Sequence *23 2810' Structural Material 204, 250-00 204,250.00 0.00 0.00 204,250.00 7.06.00% 0.00 10,212.50 1820 Duck. Material 5, 650.00 5.650.00 0.00 0.00 5.650.00 100.005 0.00 232. 50 2830 Structural Field Labor 74,849.00 74,849.00 0.00 0-00 74,849.00 100,00% 0.00 3,742.45. 28401 Detail Labor 61,641.00 61,641.00 0-00 0.00 61,641.00 130.008 0.00 5.082 05 28501 Deck/Studs Labor 13,394.00 13, 394.00 0.00 0,.00 13,394 00 100.00%I 0.00 669.70 1 2900 Sequence 924 2910 Structural Material 148,500.00 148, 500.00 0.00 0,.00 149,500,00 100.00% 0.00 7, 423.00 22920 Deck Material 5, 650.00 5,650.00 0.00 0-00 5,650.00 100.00% 0.00 282.50 2930 Structural Field Labor 54,473.00 54,473.00 0.00 0-00 54,473-00 100.30k 0.00 2,727.65 2940 Detail Labor 44.660,00 44.56000 0.00 0.00 44,960.00 100.00% 0.00 l 2.243.00 2950 Deck/Studs Labor 13,394.00 12.394.00 0.00 0.00 13,394.00 100.00% 0.00 669,70 GRAND TOTAL I 1 I I CAUTION:You should sign an original ALA Gentract Document,on which this text appears in RED.An original assures that changes will not be obscured. AAlA and meat G709/ -1992.Copyright yriho G 1953.1965.1966.1967,1970.1978,1993 and 1992 6Y The Amerlcan hell/ate of Archltects,All rights resetvcd,WARMI4G;This ANA°Daeumeat to sn o%,,ted by&a�OYright .wt .. »^._... __-. reproduction or distribution of Ws AfA DocutngrA,or amt uaraan a}It mar rvsun In eaves civil e,M�mtnwt w...txe. ...w,.mt n........l.e...._...___.._.- . . . _ 01.1A Document G703r" - 1992 Continuation Sheet AIA Document 0702T2+ Page 7 of S Application and Certification for Payment APPLICATION NO: 16 containing Contractor's signed certification is attached. In rabuiations below,unmans are stared to the nearest dollar. APPLICATION DATE; 09-27-2 010 Use Column Ion Contacts where variable retainage for like items may apply. PERIOD T0; 09-30-2010 n I ARCHITECT'S PROJECT NO: I 6 I C D______J E F C ti I t I WORK OOMPL.LItll TOTAL BALANCE 1 ITEM I DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PiESY COMPLETED I N0. ' VALUE APPLICATION TIES PERIOD STORED AND STORED TD 2ETA1NAGE TO DATE G. C) i FINISH (.If um-106k rare) rD+El (N41 in orb} a7-c) (D +f+Fj 13000 Sequence P25 3010 Structural Material 156,500.00 156,500 OD 0.00 0.00 155,500.00 100 001 0,00 7.62 00 3020 Deck Material 5, 550.00 5, 650.PO 0.00 0.00 5,650.00 100.004 0.00 202,50 3030 Structural Field Labor Detail Tabor 57,616.00 57,816,00 0.00 0.00 57, 016.00 100,00% , 0.00 2,290.30 3040 47,613.00 0-00 0.00 a7, 513-00 100.00% n 00 2,33p 65 3050 Deck/studs Labor 3100 Sequence 13,394:00 _3,394.00 0.00 0.00 ' 3.339.00 100.00% 0.09 069.70 -"26 - 3110 Structural Material 206,900.00 206, 900.00 0.00 0.00 206,°00.00 100.00% 0.00 10,39=_.DU 3120 Deck Material 9,900,00 • 4,400.00 0.00 0-00 4,400.00 100.001 0.00 220.00 .3130 Structural Field Labor 76,470.00 76,97^_.00 0.03 0.00 76,470.00 100.008 0.00 3,223. 50 f 3140 Detail Labor 67,975.00 62,975.00 0.00 9.00 62, 975.00 100.00% 0.00 75 31501 0eck/Studs Labor 10,447 00 _0,447,00 0.00 0.00 I i 0. 447.00 100,00% 0.00 522.35 3200 ' Sequence 327 32101 Structural Material 87, 000,00 97,000.00 0.00 0.00 57,000.00 100.001 0 3220 Deck Material I 0.00 I 4,350 00 2, 50,DD 2,10'0.00 0.00 0.00 2,100.00 100.00% 0.00 '_05.00 / '330 Structural Field Labor 32,150,00 32, 1.00.00 O,OC 0,00 32,150.00 100.00% 0 D 1.607,50 3340 Detail Labor 26.476.00 26,476.00 0.00 0.00 56,476 00 100.004 0.00 I 32, 3350 Deck/Studs Labor 5,350,00 5,358.00 0.00 0.00 5,356,00 100.00% 0 00 - 7.90 3400 Sequence 426 267.�F, 3410 Structural Material 161,350.00 28:,350.00 n { 3420 Desk. Material -00 0-40 141, 350-00 100.009 0.00 9, 057-5G 3430' 300.00 300.00 0.00 r_00 300.00 100.00% 0.00 1_°. 00 fIf Structural Field Labor 56,742-00 69,742.00 0.00 0,00 58,792,.00 100-004 0.40 3,937.10 1 33440 Detail Labor 55.611.00 55,61-.00 0.00 0.00 56.61:.00 100.00% 0.00 2, 830 55 450 Deck/Studs Labor 1, 072.00 1,072.00 0.00 0:00 1,072.00 109 001 0.00 II 2500 Misc Stairs Material 260, 500.00 250,500-00 10,000,00 0.00 260,500.00 100.00% 0,00 02_.00 3600 Mi=_c Stairs Field Labor 220,000.00 209,000.00 11,000.00 0,00 220, 000.00 100.00% 0.00 11,000.00 1 3700 change Order fl 51.000.00 51,000.00 0.00 I 0'0 0 5 1, 0 0 0-0 0 100.001 0.0 0 2.550.00 3500 Change Order *2 130.000,00) 130,000.007 0,00 0.00 (70,000.001 100.009 0,00 ;1.500.00) , 3900 Change Order #3 0.00 0.00 0.00 0.00 0.00 C-004 0.00 i 0 0 I+ I GRAND TOTAL • I CAUTION:You should sign an original AIA Contract Document,on which this taxi appears in RED.An ofiglnal-assures that changes will not be obscunit AIA Document G703i4-1992.Copyrigm 451963,1905,7966,1987,1970.1978.1983 arts 1992 The American Instlrute SAreh11ects,All rights reserved,WARNING:7hb AMA°bocumeMlsprotecred by EkS.Ce,yright Law and kkamaBenalTreafle Dneutnorlm0 mptadudioh or dielributldn at Hllg NA°DecuineM.er arw oonhn Mama..meek u.eaaen SAIA Document G703'" - 1992 Continuation Sheet _,,,e AIA Documrn l G70255‘•Awnmien and CernDoation for Payment APPLICATION NO: IS containing Cone-nctor's signed ref canon is attached. APPLICATION DATE: Q 9-27-2 910 In tabrladons below.MOMS axe stated to the nearest dollar. Use Column Ton Contracts when mt.-labia retainage for line items ay apply. PERIOD 70: 0 9-3G-291:1 ARCHITECTS PROJECT NO: J A l D C , D E f 1 G H I WORGCOMPLETED TOTAL . 1 CI'E.y I 7pg[ SCHED[II.'np MATHUALS DALANCE COMPLETED n1YlfOly oP WORK FROM PREVIOLS PRESENTLY AND STORED °e NI RET_4i/erl I NO, VALUE APPLICATION THIS PERIOD STORED TO DATE /G+C) 1 FINISH i f.!flvrinufe.-arc; I I f/7-E1 War in D or Ej OD`6?'F) (C-G) 1 F UOO Change Order 39 18.406.39 18,906.39 0.OL a.OO 15,406. 39 100.^Ob 0.00 ° 920._s 4100 Change Order i5 4,'!46.57 6,716.57 0.09 0_cO c, 4A, 57 710 �, 0.G0i O.CO E :13.._3 ,4200 Change Order t5 I 24 163.00 24,163.00 0.00 0.00 24,1 ? I i p 33.00 100.COD O.CO 1 _ 39._3 v 4990 I Change Order d7 32.799.54 32.7 94.59 0.00 0.00 38,799.54 ?00-8O% f.on r _.53 c,/3 4400 I Change Order 118 29,390.00 29,340.00 0.00 0.00 20.350.00 00.00', 0.00 1 - 407.00 454C Cheers Order 40 9,27,0.00 9.220.00 0.00 0.00 9.220.00 140-005 0.00 � 951.00 4600 I Change Order *10 I 3,554.74 5,859.18 9.0n 0.00 1 3,854.08 100-004 •0.00 132.71 - 47001 Change Order 411 30,911.73 30,911.-7.a 9.00 0.00 20,911.73 1110.00$ 0 00 . 14900 1 change n3e Order #12 I-i7,710 001 0.00 (17,749.00) 0.00 i (17 740.001 100-"%i 0.10 (557.000 15200 Change Order x 16 E,708.00 0.00 5.758.01 0.00 l 5,758.00 100-00',3 0.00 0 5300J Change Orden #17 6.140 00 0.00 5, _40.00 0.00 6,140 00 IOC.0041 Cr.C0 '300.00 54 JO I t.'tan9e O 'de e' #18 2,307.0S D.00 2,307.00 0.00 2.307 00 t00.00S 0.0a , '• 1 9500 Change Order 419 Iq 2, 915.OF 0.00 =,•Lo AO 0.00 2,410.00 06.004 0.00 1 - 1 SC 1 5600i Change Oder L20 j 4.532.99 0.00 4.53'3.09 6.00 4,=32.99 / 100 i.COS 0 1 0 ; , 11 i I I 1; • l f . i • • • I I I I ! GRAND TOTAL 1 10,3_02,86'1.00 10,006,96E.01,. 24,923.94 1 0.00 10,101,91.0.00 051994 1,451.00 507.01.65 I CAUTION:You should sign an original MA Contract Document,on which this text appears in RED.An original annum.that changes win not be obscured. AlA Doter ant 5703^'-1992.Copyright D 9653,1965, 1965,1951,1970.19766 1883 ruse 1982 by TTe Arnsrttsa Insta%ofAchaecs,Al!rights reserved.WARNING:Thla AAeDoeumoMb mecum!by US.Ccyvrtipb! Law and Intumee oral Trusting,OOeuthollaed reproduction or dlr?d5usoe Of tole AW'OSClatMSH,or arty portion Or 15 ran in=all In aovom civil Ras anti pe wittao,one will be prosecuted to the maximum ertent possible cunaar the larr.Purchasers are Permitted to riwrodu,Ion no)anp'cs of this doca e.7t%Ten¢npleirriTomine mPN19hl videtbra et AIA Coneed Doer rgartn.a.rfal(T:1P American tnnHlWn M 4.chi:--;7're,.,r • I Partial WAIVER OF LIEN WHERAS, Steel Supply & Engineering, 2902 N. Tobey Drive, Indianapolis, IN 46219, (Contractor) Has been heretofore employed by Shiel Sexton Company (Company) to furnish certain materials, supplies, equipment or labor for or, in connection with, improvements owned by Carmel Performing Arts Center (hereinafter collectively referred to as the Premises) and: WHEREAS, the undersigned is duly authorized to execute this Waiver of Lien for and on behalf of the Contractor, Steel Supply & Engineering, 2902 N. Tobey Dr., Indianapolis, IN 46219. NOW, THEREFORE, the Contractor have received the following payment amount for work performed through the month of September, 2010 with the exception of claims by SSE for all outstanding COR's, ASI's, RFI's, Remedial work performed before or during this same time period which are not included in the amount received. (twenty-Two Thousand Three Hundred Twenty-Three and 99/100 Dollars) $22323.99 Steel Supply & Engineering 0.l'^^ A6.4. ) Controller. (Name of Contractor) John Naylor Dated: November 8, 2010 STATE of: Michigan COUNTY of: Kent Before me, Notary Public in and for said County and State, personally appeared John Naylor Who acknowledged the execution of the foregoing Waiver of Lien, and who having been sworn, stated That the representatives therein contained are true. Witness my I • s and Notarial Seal this 8th day of November 2010. Teresa L Riley (Notary 'ubl.' S4ialure) (Printed Name of Notary Public) Commission Expires: December 25, 2010 County of Residence:: Kent 1ERESAL RREY NOTARYPurtic,81'Amone MYCOMM&VNTyoreaT ACTING IN N}YO u Q