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HomeMy WebLinkAboutERMCO, INC.- 001335- 11/18/2010 CARMEL REDEVELOPMENT COMMISSION 001335 Ermco, Inc. Check: 1335 PO Box 1507 Date: 11/18/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt_Paid 28A 36 118,645.00 118,645.00 0.00 0.00 116,770.05 Application 23A 118,645.00 118,645.00 0.00 0.00 . 116,770.05 • • • • • q to,'D£S�Cro Carmel Redevelopment Commission. • 0013 3 5 30 West Main Street A REGIONS Suite 220 • 20-1421/740 CARMEL Carmel,IN 46032 /sTRtc 1335 DATE AMOUNT • • 11/18/2010 *****"'"'"116770.05 PAY THE SUM OF ONE HUNDRED SIXTEEN-THOUSAND SEVEN HUNDRED,SEVENTY DOLLARS AND 05 GENII ' TO THE ORDER OF Ernico, Inc. PO Box 1507 Indianapolis, IN 46206 &� A£N,O� 11100L335u 1:0740b42131: 00E17504 III' CARMEL REDEVELOPMENT COMMISSION 001335 Ermco, Inc. Check: 1335 PO Box 1507 Date: 11/18/2010 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount NM:Paid 28A 36 118,645.00 118,645.00 0.00 0.00 116,770.05 Application 23A 118,645.00 118,645.00 0.00 0.00 116,770.05 • 4AIA 36 Document G702/CMaM - 1992• Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: ,. , — , Carmel Redevelopment Commis$iaQJECT: Parcel 7A, Regional Performing ArtsAPPLICATION Na . 28$ Distribution to 1 Civic Square Center Interior Rough PERIOD TO 8!3112010 OWNER ❑• Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER C FROM CONTRACTOR. VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ ERmuO, INC. P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4'320 / CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CSO Architects CONTRACT F al Installation Proiect#25310H CI 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 6703,is attached. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous payment' y payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM .... .. .... ...' ............ .... .....tT 505000.00 rttshoc n herein is now due ysued and , 3-CONTRACT SUM TO DATE(Line I +.2) 8 074,699.00) CONTRACTO$ 1ERM}COL! 2. Net change by Change Orders 5(430,301.00 CO (//�)cC/%/k�,�'f( Date: 8/16/2010 • 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) 6,817,781.78 State of: Indiana 5.RETAINAGE County ot: Marion a %of Completed Work Subscribe I sworn to before 353,7 4.55 �6 ) August, 20 0 (Column D+Eon G'703) mcthls ,day of b. 'PO of Stored Material Notary Public: ' Gar--a- •(Column Pon G703) S My Commission expires: l./ 12119(2015 Total Retainage(Lines 5a+5bor Total in Column IofG703).. $ 353,734.55 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 6,464,047.23 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 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 ....................._.. $ 6,347,277.18 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. (Line 6 from prior Certificate) ,75. 116,770.05 11 8, CURRENT PAYMENT DUE • $ I AMOUNT CERTIFIED $ ILO I L {.0 _ 9.BALANCE TO FINISH,INCLUDING RETAINAGE - (Attach e.rplwiuitinn if dmaunt certified differs frnn e,annnnntapplied. banal all figures tin this Application and on Continuation She• that a hanged to conform with the mnatnt certified.) (Line 3 less Line 6) S 610,643.77 CONS - CTION M'' , By ,.r r:�tikel Lev _. __� Date: DS 2.1/P9 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: - ,zr Total changes apploVed in previous months by Owner 141,499.00 $639,307.00) By '� Date: C15135e10 Total tppro'ed this Month �i7,499.00 $ This Cenireat4�neeotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 20,8,998.00 y(639,307.00) named herein. ssnance payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ '74307.3097007 the Owner or Contractor under this Contract. CAUTION:You should sign an original AM Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AlA Document G702/CMaiM—1992.Copyright 4D. 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 AIAe 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 repot copyright violations of AIA Contract Documents.email The American Institute el Architects'legal counsel.^copyright @aia org_ ® ERMCO Contract # 2695-4320 SALk Document G703' - 1992 124070 Continuation Sheet AEA Ducumcnt 0702T.w;Application and Certification for Payment, APPLICATION NO: 28 containing Contractor's.signed cerii5cacion is attached_ APPLICATION DATE: 8/16/2010 In tabulations below.amounts are stated to the nearest dollar_ 8131/2(110 Use Column Ion Contracts where variable retainage for line items may apply. PERIOD T0: ARCHITECT'S PROJECT NO: A H C D 1 B LF _ G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGF, VALUE APPLICATION THIS PERIOD STORED AND STOREU NO. - To DATE fG+C) FINISH r7fr=ar(nble rare( (U+F) (_Not en Dor E) (C-G) (D+B+FJ 00.00 MOBILIZATION 15,000.00 15,000.00 15.000,00 I.00 00.00 P.M. 200,000.00 182380.00 4.405-00 186.785-00 93 13215.0( am CAD ENG - 80,000.00 80,000 00 80,000.00 10(1 .. 00 00 TEMP-L 75.000.00 73.978.00 500.00 73-578 00 98 ' 1.422.0( 00 30 TEMP-M """ 45000.00 44,125.00 400.00 44.525.00 99 475.01 00.00 CLEAN UP 15,000.00 12,920.00 12920.00 86 ?_,080.0( 00 COT BOND - 72,000.00 72.00000 72`000.0(1 100 on 00 TESTING . 18,)00-00 15,000.00 15.000 Of 83 3.000,01 00.00 SITE OFFICE 23.900.00 22,600.00 460.60 - - 2;_000.0( 100 00.01 DEMOBILIZATION 5.000.00 5,000.01 00,01 ALLOWANCE 12 550,000 00 508,772.00 (15,549.00) 493.223.0 90 56,777.0 00,01 ALLOWNACE 13 350,000.00 275,253.78 50.000.00 325.253.7' 93 24.746.2: 00.01 ALLOWANCE 14 100.000.001 75,000.00 75,000.00 75 25.000.04 oo.otsf ALLOWANCE 15 5,000.0 5,000.00 5,000.0 100 Oo all ALLOWANCE 16 10,000.0( 10,000.00 10,000.01 100 00.016 EO.11 00017 MAT 10.000.00 10,000.0( 10.000.0( 100 00 01-1 LABOR 6000.01 6.000.00 6,000.00 100 _ 00.01) EXCAVATION 35,000.O( 35,000.00 35.000.00 100 00nr7 E012 00.025 BRANCH R-M 500.00 500.0 500.0( 100 00.026 BRANCH R-.L. : 1,500.0( 1,500.00 -1.500,0( 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 G703r"—1992,Copyright D 1963, 1965, 1966,1967,1970, 1973, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAeDocument is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AleDocument,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,a-mail The American Institute of Architects'legal counsel.copyright @aia org. ° ER14CO Contract it 2695-4320 '� L Document G703TM - 1992 124070 Continuation Sheet AIA Document Ci702T14,Application and Certification for Payment, APPLICATION NO: 28 containing.Contractor's signed'certitication is attached. APPLICATION DATE: 8/16/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainuge for line items may apply. PERIOD TO: 8(31/2010 ARCHITECT'S PROJECT NO: - ti c D E F I Cr 11 WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY 61) TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION ElMSPERIOD STORED TO DATE (G o C1 FINISH riff-variable rair) (3TEI (Not in or E) (IJ+F. +F) (C—(7 00 021 R BRANCH F-L 200.01 200 0). oo.o2p E1.01 00.03'0 FEEDER M 975.000.01 975,000.0 l 975,000.00 100 00031 FEEDER L 600.000.0) 600,000.0( 600,000.00 100 000 _ E1.02 00.033 'EQ M 250.000.00 250,000.00 250,000.0!1 100 00.034 EQ L 150,000.00 150,000.00 150,000.00 100 00.035 E1.03 00.056 EQ R - M 10,0000( 10,000.00 10.000.00 100 00.07 EQ R - L 15,0000( 15,000.00 15.000.00 100 00.0'8 EQ F -M 30.000 0(1 30,000.00 30,000.00 100 00.0- EQ F- L 8.0000L 8.00001 8,000.01 100 00.0 El 04 00.0 I EQ R-M 10,000,0( 10,000.00 10.000.0( ICD 00.0 7 EQ R-L 15,000.01 15,000 W 15,000,0 100 00.0 1 EQ F-M 25,000.01 24,000.01 24,000.00 96 1,000,00 00.0 EQ F- L 8,000.00 7,500.00 7,500.0' 94 500 0 1 00.0 5 E1.05 oo.c EQ R-M 5,000.0( 5.000-00 5,000.0- -'100- 00.0 7 EQ R - L - 5 000.00 5,000.00 5,000.011' ''.:.400 003 8 EQ F-M - - 39,000.01 34,000.00 34,000.0( - 97 1,000.00 00,0 EQ F-L 8.000.0(5 7.500.00 7,500.0( 94 500.0) 000. 7 E2.00 & A& P GHANI)TOTAI. . 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 Glia ra-1992.Copyright 01963,1965,1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAeDocument is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AleDocurnent,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 of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia org_ ERMCO Contract 11 2695-4320 iA1A Document Glo31M - 1992 124070 Continuation Sheet AIA Document C7O2TM,Application and Certification(Or Payment, APPLICATIONNO: 28 containing Contractor's signed-.certification is attached. APPLICATION DATE' 811612010 In tabulations below,amounts are staled to the nearest dollar. 8!3112010 Use Column ion Contracts where variable retainage for line items may apply, .PERIOD TO: ARCHITECT'S PROJECT NO A 9 C 0 I E _ F G II 1 WORK COMPLETED TOTAL MA'TERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY 1 co' RE]AINAGE ITEM DESCRIPTION OF WORK VALUE„ APPLICATION THIS PERIOD STORED AND STORED (G+C) FINISH (Ifrorfa6le rare) NO. (D+E) (NM-hi Dor C} TO DATE gA+F) (C- (4) 90.05 RIGGING 35,000.00 35,000.00 35,000 00 100 00.05' EQ R-M 30,000.00 30.000.00 30,000.00 100 00.05 EQ R-L _ 20.000,00 20,000.00 20.000.00 100, , 00.05 EQ F-M 575,000 00 574.000.00 574.000 00 ,100 I,000 00 00.05 . EQ F- L 30.000.00 28.000.00 214000,00- X93 2.000.01 00.05 BRANCH R - M. 17.000.00 1 7,000.0(1 17.000:00 100 00.05 BRANCH R-L 13.000.00 12.800.00 '12.800.00 98 200.01 00.05 ' BRANCH F- M 7.000.00 6500.00 6,500.01 93 500.0(] 00.05- BRANCH F- L 5,000.00 4,000.00 4,000.00 80 1,000.01 00.06 FEEDER R-M 550.000.00 550.000.00 550.000.00 100 0006 FEEDER R-L 250.000.00 250.000.00' 250,000.0 100 0096•_ FEEDER F - M 6,000.00 6,000.00 6,000.0_ 100 00.06. FEEDER F - L 10,000.00 10,000 00 10,000 IA 100 0096 E2.01 E2.02 00.06 RIGGING 10=000.00 10,000,00 10,000.0 100 00.07 l BRANCH R- M 15,000,00 15,000.00 15,000 01 100 00.971 BRANCH R-L 8.000.00 7,580.00 7,580.0 95 420.01 00.072 BRANCH F-M 2,500.00 2,500.00 2,500.0 100 00.07 BRANCH F - L 3,500.00 2,500.00 2500.00 71 1,000.01 00.07 E2,03&A . 00.07- BRANCH R-M - 20,000.00 19,400.00 19,400.00 97 600.01 00.079 BRANCH R- L. 16.000.00 15,320.00 ' 15.320 001 96 680.0( 00.07' BRANCH F - M 1.00000 1,000,00 1,000.00 100 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 G703`"-1992.copyright*1963,1965,1966, 1957,1970,1978, 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 Abe 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.a-mall The American Institute of Architects'legal counsel,copydghl@aia erg. - ERMCO Contract if 2695 4320 t&&IA Document G703rN - 1992 124070 Continuation Sheet AIA Document(3702TM. Application-and Certification for Payment, APPLICATION NO: 28 containing Contractor's sighed certification is attached. APPLICATION DATE: 8/16/2010 In tabulations below,amounts are stated to the nearest dollar. - -- 8/31/2010 Use Column I on Contracts where variable rotainage for line items may apply. : PERIOD TO: ARCHITECT'S PROJECT NO: A H C 0 I 9 I F - G H WORK COMPLETED TOTAL BALANCE FROM PREVIOUS COMPLETED SCHEDULED PRESENTLY % TO RLTAINA(}E ITEM DESCRIPTION OF(YORK. VALUE APPLICATION THIS PERIOD STORED AND STORED (6—C) FINISH (Ifrarinble ma) NO, TO DATE (p+F) (,Vnr itrDar kJ (DrE+F) 07 6) 00,078 BRANCH F- L 2500.00 1,75000 1,750.00 70 750.00 00.079 FEEDER R- M 65,000.00 65,000.00 65,000.00 100 00.080 FEEDER R- L 45,000.00 45,000.00 45,000.00 100 00.081 FEEDER F-M 2,500.00 2,500.00 2,500.00 3 '100 00082 FEEDER F-L - 5_.01)0,00 5,000.00 5.000:00 ' 100 00.083 E204 00.084 BRANCH R - M 6.000.00 5.670.00 5,670.00 95 330.00 00.085 BRANCH - R - L 8,000 00 7.360.00 7,360.00 92 640-00 00 086 BRANCH F- M 1,000.00 , 1,000.00 1,000,00 IOU 00.087 BRANCH F- L 2500.00 1,950.00 €.950.00 78 550.00 00088 E2,05 0R089 BRANCH R -M 15,000.00 15 000.00 15.000,00 100 00.090 BRANCH R - L 14,000.00 13.530.00 13,530 00 97 470.00 00.091 BRANCH F-M 800.00 300.00 00.092 BRANCH F- L 1.50000 1,500.00 00.093 E2.06 00.094 BRANCH R-Ni 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 00.096 BRANCH F - M 600.00 6011.00 00.097 BRANCH F - L 1 200.00 1,200.00 00.098 E2.07 00.099 BRANCH R- M - 8.000.00 8-000-00 .8,000.00` 11)0 00,100 BRANCH R- L` - 1051001)0 10,000.00 -€,10.000,00 100 GRAND TOTAL . I 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 G793'm—1992.Copyright m 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 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(10)copies of this document when completed.To repel copyright violations of AIA Contract Documents,email The American Institute of Architects'legal counsel,copyright @aia.org. ERMCO Contract it 2695-4320 (A I A Document G703TM — 1992 724070 Continuation Sheet AIA Document C702TM.Application and Certification ler Payment. APPLICATION NO: 28 containing Contractor's signed certification is attached. APPLICATION DATE: S/16/2010 In tabulations below.amounts are stated to the nearest dollar. 8/31/2010 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 F G II I WORK COMPLETED 'TOTAL MATERIALS BALANCE FROM PREVIOUS COAIPLLI EU SCHEDULED PRESENTLY ;o TO RE"FAINAGE ITEM DESCRIPTION OF WORK VALUE AND STORED NO APPLICATION THIS PERIOD STORED TO DATE (G+C) FINISH (If variable rate) (D+g) (Nor inDor'E) (D E+F) (C—G) 00.101 BRANCH F-M 1.000.00 1.000.00 00.102 BRANCH F-L 2500.00 2,500.00 00.103 E2.07A 00.104 BRANCH R - M 15.000.00 15,000.00 15,000.00 100 00.105 BRANCH R- L 20,000.00 20.000.00 20,000.00 100 00.106 BRANCH F-M 9.000.00 6.500,00 6.500.00 72 2,500.00 00.107 BRANCH F-L 10,000.00 6.500.00 6,500.00 65 3500.00 00.108 E2.08 00.109 BRANCH R-M 6,000.00 6,000.00 6.000.00 100 00.110 BRANCH R -L 8.000.00 8.000.00 8,000.00 100 00.111 BRANCH F-M 2,000.00 1,000.00 1,000.00 50 1,000.00 00.112 BRANCH F- L 3,500,00 1,500.00 1,500.00 43 2,000.00 00.t13 E2.09 00.114 EQ R- M 8.000.00 8,000.00 8.000.00 100 00.115 EQ R - L 10.00000 10.000.00 10,000.00 100 00.116 EQ F - M 2,500.00 2500.00 2500.00 100 00.117 EQ F - L 3.000.00 2,500.00 2,500.00 83 500.00 00.118 E2.10 00.119 BRANCH R- M 1,000.00 1,000.00 1,000.00 100 00.120 BRANCH R- L 2.500.00 2.000.00 2,000.00 80 500.00 00.121 BRANCH F- M 100.00 100.00 00.122 BRANCH F- L 500.00 500.00 00.123 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 0703T"—1992.Copyright©1963, 1965, 1966, 1967,1970.1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAeDocument 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.erg. = ® ERIC() Contract t? 2695-4320 -- AIA. Document G7O3TM - 1992 124070 Continuation Sheet AIA Document G702T 71,Application and Certification for Payment. APPLICATION NO: 28 containing Contractor's signed certification is attached. APPLICATION DATE: 8/16/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply_ PERIOD TO: 8/31/2010 ARCHITECT'S PROJECT NO: A I 13 C D E F G H I WORK COMPLETED . TOTAL MATERIALS BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF WORK FROM APPLICATION PRESENTLY AND STORED TO of VALUE APPLICATION THIS PERIOD STORED RRe0 FINISH of variable rate) NO lD r E) (Nor in U or-Ey DATE c cJ 00,124 EQ R-L 10__000.00 10,000.00 10_.000.00 100 00.125 EQ F - M 1.50000 1.500.00 00.126 EQ F- L 2.000.00 2.000.00 00.162 E4.90&A& P 00163 SOUND R- M 75.000 00 75 000.00 75,000.00 100 00.164 SOUND R- L 60,000.00 60,000.00 60._000.00 100 00.165 E4.01 &A 00.166 SOUND R - M 40,000.00 40.000,00 40,000.00 100 00.167 SOUND R-L 25.000.00 25.000.00 25_.000.00 100 00.168 E4.02&A . 00.169 SOUND R-M 40,000-00 40.000,00 40,000.00 100 00.170 SOUND R- L 25.000.00 • 25,000.00 25_.000.00 100 00.171 E4.03 00.172 SOUND R - M 25,000.00 25,000.00 25.000,00 100 00.173 SOUND R-L 18 000.00 18,000,00 182000.00 100 00.074 E4.04 00.175 SOUND R- M 25,000.00 25,000.00 25,000.00 100 • 00.176 SOUND R- L 18,000.00 1&000.00 18.000.00 100 00.177 E4.05 & .06& .07 & .09 00.178 SOUND R - M 80000.00 80.000,00 80.000.00 100 00.179 SOUND R- L 65,000.00 65,000.00 65,000.00 100 00.180 E5.00 & P co Is) F.A. . R - M 15,000.00 14,55000 450.00 15,000.00 100 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 G7035,1—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 AIAe 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 ALA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. - ® /� m ERMCO Contract if 2695-4320 y6 Document G703TM - 1992 124070 Continuation Sheet AIA Document(1702TM,Application and Certification for Payment, APPLICATION.NO: 28 ....... ... containing Contractor's signed certification is attached. APPLICATION DATE: 8/16/2010 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: 8/31/7010 ARCHITECT'S PROJECT NO:, A H C I D E F' ' _ G H 1 I WORK COMPLETED TOTAL MATERIALS DA LANCE r COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % YO RETAINAGE ITEM DESCRIPTION OF WORK. VALUE APPLICATION -€PIIS PERIOD STORED AND STORED (ti+C) FINISH (II variable rrue} NO. TO DATE (Dag) (Nor in D or E,1 (D+E+F) (C-0 00 182 F.A. R - L 9.000.00 8,750.00 250.00 9,000.00 100 00.183 F.A. F-M • 20,000.00 18,000.00 1,000_00 19.000.00 95 1.000.00 00.1311 F.A. F-L 5,000,00 2,500.00 2,500.00 50 2,500.00 00.185 E5.01 & 02& .03 00,I SG F.A. R- M - 17.000.00 16.390.00 16,390.00 96 610.00 00.187 F.A. R- L ' 10.00000 9.000.00 •9,000.00 90 1.000.00 00,188 F A_ F- M 202000.00 18,000.00 1: 18,000.00 90 22000.00 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 19 450.00 19,450.00 97 550.00 • 00.192 F.A. R - L 17.000.00 15.000.00 15,000.00 38 2.000.00 00.193 F.A. F-M 20,000.00 192000.00 19,000.00 95 1,000.00 00.194 F.A. F-L 5.000.00 52000.00 00.195 E5.07 & .08& .09 & .10 - n0.196 FA. R- M 20.000.00 18,900.00 18.900.00 95 1.110.00 00.197 F.A. R-L 15.000.00 13500.00 13,500.00 90 1.500.00 00.198 F.A. F- M 16,000.00 14,500.00 14,500.00 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 16.000.00 3.000.00 19.00000. 95 1,000.00 00.203 CABLE M 35,000.00 35,000.00 35.000-00 100 00.204 CABLE L 45.000.00 40,000.00 2500.00 42,500.00 94 2,500.00 • 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 TM—1992.Copyright©1963,1965,1966,1967,1970,1978.1983 and 1992 by The American Institute of Architects.AI]rights reserved.WARNING:This AlAeDocument 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 len(10)copies of this document when completed.To raped copyright violations of AIA Contract Documents,a-mail The American Institute of Architects'legal counsel,copyright @aiaerg. • ® ERMCO Contract # 2695-4320 e- Document G703'" - 1992 124070 Continuation Sheet . AIA Document C7023m,Application and Certification for Payment, APPLICATIONS NO: 28 contaitite Contractor's signed certification is attached. • APPLICATION DATE: 8!16120 t0 In tabulations below amounts are stated to the nearest dollar Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 8131/2010 ARCHITECT'S PROJECT NO: a C D E F - G H I WORK COMPLETED - TOTAL MATERIALS BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF WORK I ROM PREVIOUS PRESENTLY "/ TO ItE'GV NAGS VALUE AND STORED NO APPLICATION THIS PERIOD STORED (C<'C% FINISH (IJvariable rate) (Da E3 (Vox iiiD OP � To DATE. (c-G.. (U+-£T 11 0020 GR M 5,000.00 5,000.00 5,000.00 100 00.20 GR L 2,000.00 2,000.00 2,000.00 100 - 00207 E6.03 1 0010 SECURITY R- M - 40.000.00 38300.00 1,700.00 40,000 00 400 00.205 SECURITY R- L - 20,00000 16,000.00 4,000.00 20.000.00 100 00.211 SECURITY :F'-M 18.000.00 3,000 Od 3,000.00 17 15,000 Of � 00 211 SECURITY F.- L 6.000,00 6.000 0( 0921 E6 05 0021_ DIMMING M 60,000-00 60,000.00 60,000.00 100 0021 DIMMING L 45.00000 38,310,00 38.33000 85 6,650.00 00.2x' E6-06 00216 OPTIC SENSOR M 8,000.00 8,000.00 8,000.00 100 00.217 OPTIC SENSOR L 4._000,00 2.500.00 1_,500.0( 4,000.00 100 00.211 E7.09 00219 S & C M 100,000.00 98,000.00 1,000.01 99,000.00 99 1,000.00 00.220 S 8, C L 80,000-00 75,000.00 2.500.0C 77,500-00 97 2,500.00 00.22 E8.00 00.22: LIGHTNING PRO M 42.000.00 42,000.00 42,000.00 100 00.22: LIGHTNING PRO L • 18.000.00 18.000.00 18,000.00 :100' 0022 ALLOWANCE 17 i,, 40,000,00 10,765.00 10.000.0( 20,765.00 '-52 19,235.00 00.22: CHANGE ORDER#1i.r:: 00.225 OCULUS ALTERNATE ' 1_.000.00 1.000.00 1,000.00 100 00.22: CHANGE ORDER#2 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this test appears in RED.An original assures that changes will not be obscured. AIA Document C703Tm-1992.Copyright CO 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(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 11 2695-4320 Document G703TM° — 1992 124070 Continuation Sheet . AIA Document G7021".Application and Certification for Payment, APPLICATION NO: 28 containing Contractor's:signed certification is attached- APPLICATION DATE: 3116720]0 In tabulations below,atnounts are stated to the nearest dollar. Use Column 1 en Contracts where variable retainage for line items may apply. PERIOD TO: 8/3l/2010 ARCHITECT'S PROJECT NO: A B C. D 1 E F G H 1 WORK COMPLETED TOTAL. MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % 'I'U Rh FAINAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION TIIIS PERIOD STORED TO DATE (C C.) FINISH (ffvariable rare) (IJ+ E) (Sot in Dar E) (D+E+F7 (C-G) 00.228 MACHINELESS ELEVATOR 11,500.0( 11,500.0C 11,500 Or 100 00.2219 CHANGE ORDER #3 00.230 RCP 4 (58,852.00) (58,852.00 (58.852.OP) 100 00.231 CHANGE ORDER #004 NO COAT' 00222 CHANGE ORDER #005 00223 AS1-037, RCP-006 23,177.0 19,500.0C 1.500.0) 210000C 91 2,177.0D 00.234 CHANGE ORDER #006 00235 RCP-011 (7.554.00 (7,554.00) -.:'' (7,554.00 100 00.2315 CHANGE ORDER#007 00.237 ASI-038 18,737 0( 16.500.01 1.000.00 - 17,500.00 93 1232.00 00238 CHANGE ORDER# 008 00234 ALLOWANCE 4320A ELEC GE EF (350,000.01) (350.000.01) (350,000.00) 100 00.24) ALLOWANCE 4330A FIRE ALA"M. (75.000.01) (75.000.01) (75,000-0O 100 00241 ALLOWANCE 43308 FIRE/SEC R (5.000.01) (5,00001) (5,000.01) IOU 00.242 ALLOWANCE 4320D ELECTRIC•1 (10,000.0) (10.00001) (10,000.01) 100 00243 BOND REDUCTION FOR ALLO I (2.715.01) (2.715.00 (2,715.00 IOU 00,244 CHANGE ORDER#009 00.245 WORK DIRECTIVE 4320-001 N:V% 00.246 CHANGE ORDER #010 00.247 ASI-PAC-104 WATER HEATER •C 17_,09001 12,000 01 5,090.00 17.090.00 -100 00.248 E3,03 • 00.249 LIGHTING R-M 30,000 01 30-0000( 30.000201 l00 00.251 LIGHTING R-L 35000.01 35,000.0( 35.000 .CC 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 G703T'-1992.Copyright 0 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(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,email The American Institute of Architects'legal • counsel,copyright @ala.org. c ® • ERMCO Contract # 2695-4320 IN*AIAL Document G703TM - 1992 124070 Continuation Sheet ALA Document G7021m,Application and Certification for Payment, APPLICATION'NO: 78 containing Contractor's.signed certification is attached. APPLICATION DATE: 8/16/2010 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: 8(3](2010 ARCHITECT'S PROJECT NO: A I U i C D E F C H I WORK COMPLETED TOTAL I MATERIALS COp1PLL;TEO BALANCE ITEM DESCRIPTION OF WORK SCHEDULED MUM I'REVLOUS PRTOKE FLY °/ TO RETAINAGE AND STORED NO VALUE APPLICATION THIS PERIOD STORED TO DATE (�•C) FINISH Cif variable rare) (P+G) (,Not in Dnr F,j rj+E+F) (C-G) 00.251 LIGHTING F-M 350.000.00 350,000-00 350,000.00 100 00.252 LIGHTING F- L 22,000.00 17,000.00 17,000 00 77 5,000.00 00253 CHANGE ORDER# 11 00.254 ALLOWANCE FROM 43206 ALLC\ (100,000.00) (100,000.00) (IOO,000.00) 100' 00.255 ALLOWANCE TO 4320A ALLOW 1 100,000.00 100 000.00 1 00,000.00 100 00.256 ALLOW REDUCTION 432013 ALLO (30,000-00) (30,000.00) (30,000-00) 100 00257 BOND REDUCTION (186.00) (186.00) . (186.00) 100 00.258 CHANGE ORDER#12 - 00-259 ALLOWANCE FROM 43203 ALLOY (50,000.00) (50000.00) (50,000 00) 100 00.260 ALLOWANCE TO 4320A ALLOWAI 50.000.00 50.000.00 50,000.00 100 00.261 ALLOWANCE FROM 4320D ALLC1 (10,000.00) (10,00100) (10,000.00) ]00 00.262 ALLOWANCE TO 4320A ALLOWAI 10_,000.00 10__000,00 10,000 00 100 on 263 CHANGE ORDER# 13 00.264 ASI-PAC-147 28,549.00 28__549.00 28.549.00 100 00.265 CHANGE ORDER# 14 00.266 RCP-PAC-028 8,950.00 8.950.00 8,950.00 IOU CRAM)TOTAL 7074,69100 6,699,136.78 118,645.00 6.817,781.78 96 256,909.22 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 G70319-1992.Copyright®1963,1965,1966, 1967,1970,1979 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U .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 AV Contract Documents,e-mail The American Institute of Architects'legal • counsel,copyright @aia,erg. . • 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 (124070.028) to furnish certain materials and for labor as Ibllows: 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 SIXTEEN TI-IOUSAND SEVEN HUNDRED SEVENTY DOLLARS AND 05/100($116.770.05) 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 fir 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. El2uvlCO3 I ,/ 4 by Rod Burton Controller Witness my hand and notarial seal, this 1611] day of Au gust, 2i, 0 Notary Public My Commission Expires: 1.2/19//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 (124070.025) 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 Carmel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of ONE HUNDRED EIGHTY THREE THOUSAND ONE HUNDRED NINETY FOUR DOLLARS AND 52/100(5183,194.52} 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, INC. by /�Lf a/" Rod Burton Controller Witness my hand and notarial seal, this 116(11 day of August, 20 3� Notary Public My Commission Expires: 12/19/2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion A