BROADY-CAMPBELL, INC.- 001228- 10/21/2010 ' CAF'ij1EL REDEVELOPMENT COMMISSION
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001228
Broady-Campbell, Inc. Check: 1228
2115 Dr. A.J. Brown Ave. Date: 10/21/2010
Indianapolis, IN 46202 Vendor: BROADY-
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paic
6 72 177,272.90 177,272.90 17,727.29 0-00 159,545.61
Application 6
•
177,272.90 177,272.90 17,727.29 0.00 159,545.61
•
1.;" +cy Carmel Redevelopment Commission REGIONS
00.1'22.8
A�jE-1}.. 30 West Main Street
Suite 220
20 1421/740
CARMEL
0iSTRICi ,_.Carmel, IN 46032
1228
• DATE ••
•
• '*******159,545.61
PAY THE SUM OF ONE HUNDRED FIFTY NINE THOUSAND FIVE HUNDRED FORTY FIVE DOLLARS AND61'CEN-
TO THE _
•
ORDER
CF. • ' Broady-Campbell, Inc.
2115 Dr. A.J. Brown Ave- s`"5-1/2
Indianapolis, IN 46202
11'00 L 2 2a" +:0 740 1 4 2 1 3 1: POE 7 50 4 i 1 Iii'
CARMEL REDEVELOPMENT COMMISSION 001228
Broady-Campbell, Inc. Check: 1228
2115 Dr.A.J. Brown Ave. Date: 10/21/2010
Indianapolis, IN 46202 Vendor: BROADY-
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
6 72 177,272.90 177,272.90 17,727.29 0.00 159,545.61
Application 6
177,272.90 177,272,90 17,727.29 0.00 159,545.61
•
•
LI I) L UP !c t! tli.
Application and Certificate for Payment AuG 1 7 2010 10j
TO OWNER: REI PROJECT VILLAGE ON THE GREEN BLD APPLICATION NO; 6 DIstri, r„ I.
CUST4 RE13 1 I 7 I 1 N PENNSYLVANIA PERIOD TO; 08/1512010
STREET SUITE200 OWNER U
CARMEL IN 46032 CONTRACT FOR: E23
ARCHITECT O
FROM CONTRACTOR: BROADY-CAMPBELL, INC. VIA ARCHITECT: CONTRACT DATE: 1I/1712oo9 CONTRACTOR C
2115 Dr.A.1.Brown Ave. PEDCOR DESIGN GROUP
PROJECT NOS: FIELD LI
Indianapolis,IN 46202
VILLAGE ON THE GREEN BLD 1094 29080 OTHER ❑
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge. information
Application is made for payment,as shown below,in connection with the Contract'. and belief the Work covered by this Application for Payment has been completed in accordance
Continuation Sheet,is for payment, with the Contract Documents, that all amounts have been paid by the Contractor for Work for
818,620.00 which previous Certificates for Payment were issued and payments received from the Owner,and
1. ORIGINAL CONTRACT SUM S 3,91.i.DO that current payment shown herein is now due.
2. Net change by Change Orden S 827.3T5.tu CONTRAC ; Broady- mpbell, Inc.
3.CONTRACT SUM TO DATE(Line 132) $ By -�Cr B. Date: 8-15-2010
4,TOTAL COMPLETED d STORED TO GATE(Column G on 603LSI).... $ 664.&t9.90 Indiana
State af:
5. E0f�1INAGE: County of: Marion
a. %of Completed Work 60,854.95 Subscribed and sworn to before
ic?gumn D+Eon 6031S I) S me this 15th daY of August 2010
b._ri F on 6d Material 5,630.04 ('� ` ,�Ra�•� (%
(Column F on 603451) S Notary Public; p D
66,48499 My Commission expires: 5-5-2016
Total Retainage(Lines 5a+56 or Total in Column i of 603151)... S
6.TOTAL EARNED LESS RETAINAGE _._..._.• S 598,364.91 ARCHITECT'S CERTIFICATE FOR PAYMENT
(Line 4 Less Lire S Total) 438,819.30 In accordance with the Contract Documents, based on on-site observations and the data comprising
7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S this application.the Architect certifies to the Owner that to the best of the Architect's knowledge,
information and belief the Work has progressed as indicated, the quality of the Work is in
(Lint 6 frceu prior Certificate) accordance with the Contract Documents, and the Contractor is entitled to payment of the
8.CURRENT PAYMENT DUE........................... IS ,59.&13.61 I AMOUNT CERTIFIED.
9.BALANCE TO FINISH,INCLUDING RETAINAGE 229210.09 AMOUNT CERTIFIED........._._......._.........._.........................................$ Ia /5%'S tj/
(Line 3 less Line 6) $ (Attach explanation if amount certified differs from the amount applied. Initial all figures on this
Application and on the Continuation Sheet that are changed to conform with the amount certified.
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS --ARCHITECt' Oe,e/,l08l ^,r)
Total changes approved in previous months by Owner S $ B 9/11 / ,
8;953.98 es00-- Y Date: /wZ /
Total approved this Month ,S S
TOTALS S 8.555.OD 0.60 This Certificate is not negotiable The AMOUNT CERTIFIED is payable only to the Contractor
S
NET CHANGES by Change Order S
8.955 00 named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of
the Owner or Contractor under this Contract.
REORDER FORM NO 80451
er
Pliw
Continuation Sheet AIA Document G703-1992 (Instructions on reverse side.) Page I of 1
AIA Document G702.APPLICATION AND CERTIFICATE FOR PAYMENT APPUCATION NO.: 6
romaining Conrncror's signed Certification,a adachcd_ APPUCATION DATE: 08115!2010
In tabulations below,amounts are stated to the nearest dollar.
Oct Column I on Commas where variable rerainage for Line items may apply. PERIOD TO: 081152010
ARCHITECTS PROJECT NO: 09-123
A 0 C D f E F G H I
WORK COMPLETED
MATERIALS TOTAL
FFEM SCHEDULED PRESENTLY COMPLETED q(, BALANCE
RETAFNAGE
DESCRIPTION OF WORK FROM PREVIOUS (G ,-C (IF VARLABL E)
NO. VALUE APPLICATION THIS PERIOD (NOT STORED FINISH RATE)TO(D+ E) D OR El (DtE+F) (C-G)
01 GENERAL CONDITIONS 34,300.00 13.720.00 6.860.00 20.580.00 60.00 13,720.00 2.058.00
02 BRICK LABOR 103,200.00 22.704.00 43344.00 66.048.00 64.00 37.152.00 6,604.80
03 BRICK MATERIAL 75.140.00 16.530.80 31,558.80 19.536.40 67.626.00 90.00 7.514.00 6,762.60
04 STONE LABOR 133,370.00 36,009.90 46,679.50 82,689.40 62.00 50,680.60 8,268.94
05 STONE MATERIAL 155.800.00 42,066.00 54,530.00 24,928.00 121,524.00 78.00 34,276.00 12,€52.40
06 BLOCK LABOR 1 11,050.00 103,276.50 2,22100 105,497.50 95.00 5.552.50 10,549.75
07 BLOCK MATERIAL 62.000.00 57,660.00 1,240.00 3.100.00 62.000.00 100.00 6,200.00
08 GRANITE LABOR 38.300.00 17,235.00 17,235.00 34,470.00 90.00 3,830.00 3,447.00
09 GRANITE MATERIAL 87,360.00 39,312.00 39.312..00 8.736.00 87.360.00 100.00 8.736.90
10 BOND 8.100.00 8,€00.00 8,100.00 100.00 810.00
11 ALLOWANCE 10.000.00 10,000.00
12 COf1I 3,865.00 3.865.00 3.865.00 100.00 386.50
13 COQ 2 5,090.00 5.090.00 5.090.00 100.00 509.00
JOB TOTALS: 827.575.00 356.614.20 251.935.30 56,300 40 664,849.90 162.725.10 66,484 99
G703-1992