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Home My WebLink AboutSULLIVAN & POORE- 194- 3/16/2011 Sullivan & Poore Check: 194 Date: 3/16/2011 Vendor: SULLIVA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3 542,699.10 542,699.10 0.00 0.00 542,699.10 app 3 on P7C1 theater 542,699.10 542,699.10 0.00 0.00 542,699.10 194 3/16/2011 ....,***542,699.10 THE SUM OF FIVE HUNDRED FORTY TWO THOUSAND SIX HUNDRED NINETY NINE DOLLARS AND 10 CENTS* Sullivan & Poore Sullivan & Poore Check: 194 Date: 3/16/2011 Vendor: SULLIVA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3 542,699.10 542,699.10 0.00 0.00 542,699.10 app 3 on P7C1 theater 542,699.10 542,699.10 0.00 0.00 542,699.10 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT 6702 PAGE ONE OF 1 PAGES2 - TO OWNER: PROJECT: Village on the Green APPLICATION NO 3 Distribution to: Carmel Theater Development Corporation, LL.0 Parcel 7C1 -Theater OWNER 1 1711 North Pennsylvania St, Suite 200 Carmel,IN 46032 ARCHITECT Carnet,IN 46032 PERIOD TO: 1/3112011 CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: 1'edcor Design Group,LLC Sullivan&Poore 335 City Center Drive 1015 East 42nd Street,P.O.Box 55101 Carmel,IN 46032 PROJECT NOS: 12012 Indianapolis, IN 46205 CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,MA Document 0703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner,and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $ 1,697,000,00 2 Net change by Change Orders $ 0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line I±2) $ 1,697,000.00 4. TOTAL COMPLETED&STORED TO $ 725,207.55 '� v 5- RETAINAGE: - ef,,j � �-!i Date: f r�lr/! a. 10 %of Completed Work 5 72,520.76 Sub'- -.d an is orn to be a inc this ; ' day of r asfkcy dui (Column D-t E on 0703) /// b / . l0 %of Stored Material 5 y c� (Column F on G703) ` 6s1�,e/':(y.-- Total Retainage(Lines 5a 5b or Total in Column]010703) $ 72,520-76 ENGINEER'S CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE 5 652,686.80 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Eneiueer certifies to the Owner that to the best of the 7- LESS PREVIOUS CERTIFICATES FOR Engineer's knowledge,information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) $ 109,987.70 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 542,699.10 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE S 1,044,313,21 ® (Line 3 less Line 6) AMOUNT CERTIFIED $ 52.. (pft�a D CHANGE ORDER SUMMARY ADDITIONS _ (Attach esplanaion if amount certified di fers from the amount app lied Initial llfgures on this Total changes approved Application and oar/e Continuation X eet that are thawed In cot arm with e mount certified)previous months by Owner Total approved this Month _ By: ��S C` Date: i/es/)t TOTALS 50.00 $0.00 This Certi caw is not ne_otiable. The AMOUNT CERTIFIED is payable out to the Contractor led her in.issuance,payment and acceptance or payment arc without NET CHANGES by Change Order 50.00 prejudice to any g is of the Owner or Contractor under this Contract. AIA DocuMENT Cto2-AppLICATION AND CERTIFICATION FOR PAYMENT 1992 Eames'AIA -p1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK Ave,.MW.,WASHINGTON,oC 20096.5292 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. k\oL G703 CONTINUATION SHEET Pape l or To: From: POlt010 Applicnlion No.: 3 ' Carmel'Theater Develop m en(Corporation,LIG Sullivan&Poore Village en the Green Application Date: 1/20/11 12711 North Pennsylvania St,Suite 200 1015 Pool 42,14 Street,110,Boa 55101 Parcel 7C1-Trteater Pened To: 1!31,11 Carmel,.IIN 46032 Indunapolis,IN 46205 Carmel,UN 46032 Eng.Proj6 12012 0 G D E F G ]I I Work Completed Material. Told Presently Completed Reliance Retainage Item Scheduled From Previous Stored and Stored % To Or 0 Dozeriptloo or Work Value Application Gin Period (Not in To Dere (C C) Fiouk Variable D or E) 104E•F1 (C-C) 1204000 MOBILIZATION 15,000.00 3,000,00 12,000,00 0.00 . 15000.00 100% 000 1.500.00 120-1001 SUBMITTALS 10,000 nu 7,500.00 0.00 7,500.00 75% 2,50600 15000 VIBRATION ISOLATION 120-1002 LABOR 3,000.00 0.00 0,00 000 0% 3,000,00 0,00 120-1003 MATERIAL 10,000.00 0.00 0.00 0.00 044 00,00000 0.00 MECHANICAL LNSULATION 1204004 LABOR 96,000.00 0.00 4,50500 0.00 4,500.00 5% 91,500.00 450.00 120.1005 MATERIAL 54,000.00 0.00 3,000.00 0,00 3,000.00 5% 61,000.00 300.00 FIRE PROJECTION 1214000 DESIGN DRAWINGS 20,000.00 14,250.00 0.00 14,150.00 719. 5.750,00 1,425.00 121-1001 LOWER LEVEL-MATERIA1, 7,000.00 600 5,000.00 000 5,000.00 71% 2,000.00 500.00 121-1002 LOWER LEVELLABOR 4,500.00 0.00 2150.00 0.00 2,250.00 50% 2,250,00 225.00 021-1003 FIRST FLOOR-MATER1AL 19,800.00 000 2,000.00 0.00 1,00000 10% 17,800.00 200.00 121-1004 FIRST FLOOR-TABOR 12,000,00 0.170 110000 0.00 1.200.00 00% 10,80100 110.00 121-1005 SECOND FLOOR-MATERIAL 11,300.00 0.00 0.00 0.00 0% 12,30500 0.00 121.1006 SECOND FLOOR-LABOR 7,200.00 0.00 0.00 000 0% 7,100.00 0.00 121.]007 TREATER-MATERIAL 16,400.00 0,00 15,000.00 000 15,000.00 91% 1,400.00 1,500.00 121-1006 THEATER-LABOR 10,900.00 000 10,000.00 0.00 10,000.00 0244 000.00 1,000.00 121-1009 STAGE,-MATERIAL 2,00000 0.00 3500.00 0.00 3,500.00 50% 3,500.00 350.00 121-1010 STAGE-LABOR 5,20000 0.00 600.00 0.00 600.00 12% 4,600.00 6000 121-1001 FIRE PUMP-MATERIAL 50,200.00 0.00 0.00 0.00 0.00 0% 40,200.00 0,00 121-1012 FIRE PUMP-LABOR 121-1013 UNDERGROUND-MATERIAL 4700.00 4,700.00 0.00 4,7110,00 100% 5.000.00 0.00 470,00 121-1014 UNDERGROUND 4ABOR 2,000.00 2,00000 003 2,000.00 100% 0.00 200.00 121-1015 PREACT1ON-.MATERIAL 16,000.00 000 1,600.00 0.00 1,60000 10% 14,400,00 160.00 120-1016 PREACTION-LABOR 4,000.00 000 4,000,00 0.00 1000.00 100% 0.00 400.00 DOMESTIC WATER PIPING 122-1000 LABOR 40,000.00 0.00 35,00000 0.00 35,000.00 88% 5,000.00 3,900.00 121-1001 MATERIAL 32,000,00 19,800.00 0.00 28,80000 909. 3100.00 2,880,00 DOMESTIC WATER PUMPS 122-1002 LABOR 1500,00 0.00 0.00 0.00 0% 1.500.00 0,00 122.1003 MATERIAL 1,000.00 0,00 0.110 0.00 0% 1,00000 ON BELOW GRADE WASTE/STORM 122-1004 LABOR 20,00000 0.00 20000.00 0.00 10,000.00 100% 0.00 2,000.00 122-1005 MATERIAL 14,000.00 0.00 14,000.00 000 14,000.00 100% 0.00 1,40000 COMMERCIAL ELECTRIC WATER HEATTER 122-1000 LABOR 4,000.00 000 0.00 0.00 0Y. 4,000.00 0.00 122-1007 MATERIAL 5,000,00 0.00 0.00 0.00 0% 5,000.00 0.00 PLUMBN'G FIXTURES 122-1008 LABOR 25,00000 0.00 0.00 0.00 0% 25,00000 0,00 122-1009 MATERIAL 30,000.00 0.00 0,00 0.00 0% 30.000.00 0.00 123-1000 ADJUSTING AND BALANCING 15,000.00 4,00 0.00 0.00 0% 15,00000 0.00 TEMPERATURE CONTROLS 123-1001 FNGLNEERING7AUTOCAD 10,000,00 0,00 20,000.00 0.00 28,00000 000% 0.00 2,800,00 1234002 MATERIAL 59,850.00 0.00 15,000,00 0.00 15,000.00 25% 44,050.00 1.500.00 123-1003 INSTALLATION 39,500.00 0.00 113-1004 PROGRAMMINGIS'rARTAT 14,500.00 000 0.00 0.09 0% 14,500.00 0.00 HYDRO,NIC PIPING 123-1005 LABOR 45,000.00 0,00 7,500,00 000 7,500,00 17% 37,500.00 750.00 123-006 MATERIAL 30,00000 24,00000 0.00 24,00000 80% 6,000,00 2,40000 RYORONIC SPECIALTIES 123-1007 LABOR 16,00000 0.00 0.00 0.00 0% 18,000.00 0.00 123-1009 MATERIAL 20,000.00 0.00 9.00 0,00 0% 10,000.00 0.00 HVAC PUMPS 1734009 LABOR 4,00000 0.00 0.00 0.00 0% 4,500.00 0.00 133-tJ10 MATERIAL 10,oW.00 O.Po 10,000.00 000 10,000.90 ]129•/. 0.00 1,000.00 C703 CONTINUATION SHEET Page 1 or -To: From: Project: Application No.: 3 Carmel Theater Development C9rperalinn,LLC Sutli.+n S.Poore Village on the Green 11711 North Pennsylvania S4 Soil,200 1 Application Period T : Uateo 1gp211 1015 Ease lied 46205 P.O.Box 55101 Parcd EN•Theater period oe: !12011 Carmel,W 16032 Indimapotia.M 16205 Carmel,LY 16053 A D C 0 Eng.Praia 12012 E F G H I Work Completed Mrlerlalr T'em1 I Presently Completed Baenoe. Reainagr Be. Scheduled From Previous Stored and Scored. 3G To if a Description of Work Valk Applies/inn This Period (Not in To Dam (Cr/C) Finish Variahle D9rEp (D*E+F) (C-G) SHEET METAL MATERIAL 123.1011 LOWER LEVEL 5,277.00 4,987.50 0.00 1,987.50 86% 789.50 491475 123-1012 1ST FLOOR 13438.00 0.00 25.000.30 0.00 25,000.00 57% 18,63400 2,500.00 123.1013 2510 FLOOR 61,644.00 000 30,000.00 0.00 30,000.00 49% 31,64400 3,000.00 123-1011 3RD FLOOR 115,643.00 0.00 00.100.00 0,00 86 i011.110 69% 15,543.00 8,010.00 SHOP LABOR 123-1015 LOWER LEVEL 11,058.00 4,517.50 5,000.00 0.00 9,547.50 86% 1,510.50 951.75 123-1016 1ST FLOOR 33467.00 0.00 15,000.00 0.00 15.00000 44% 18.167.00 1,500.00 123-1017 250 FLOOR 34,70600 0.00 0.00 400 0% 36,70600 0011 123-1018 3RD FLOOR 63,322.00 0.00 54,672.00 000 54,671.00 86% 8,650.00 5,167.20 FIELD LABOR 124• 019 LOWER LEVEI, 9.312.90 6,123.55 1,57100 0,00 1,00055 8691 1,311.45 800,05 123-1020 1ST FLOOR 32,074.00 8,000.00 8,000.00 0.00 16,000.00 50% 16,074.00 1600.00 1234021 2ND FLOOR 28,47400 7,000.00 3,000.00 000 [0.100.00 35% 1.8,476,00 1,000011 123-1022 3833 FLOOR 82.44500 7000.00 7,50000 bop 14,300.00 18% 67,945.00 1,450.00 TF.NNANT FINIS11 123-1023 LOWER LEVEL 4,894.00 0.00 0-00 000 0 86'. 1,096.00 0.00 1234024 1ST FLOOR 9,07400 000 0.00 0,00 0% 9,077.00 400 1231025 2ND FLOOR 17,317.00 0.00 0.00 000 0% 17317.00 0.00 183-1026 311.0 01.0001. LIMITS 731700 0.00 0.00 9.00 pv. 7417.00 p,pp AIR DANDLING llN1T5 � 023-1027 LABOR 9,000.00 0.00 9,000,00 000 400000 000% 0.00 900.00 123-1028 MATERIAL 170,000.00 0.00 170,000.00 0.00 170.000,00 100% 0 u 11,000.00 123-1029 BOND 22,500.00 0.00 0.00 000 0% 22,50000 0.00 123-1030 TEMPORARY IIEAT 65,00400 0.00 0.00 0.00 0% 45.00000 0.00 123-1031 ALLOWANCE 45.00000 0.00 600 0.00 0% 45,0911.00 0,00 'Iotal. 1,697,000.00 122,208.55 602,999.00 0.00 725,207.55 43% 974792.45 72,52076 PRIME CONTRACTOR'S UNCONDITIONAL PROGRESSIVE WAIVER OF LIEN Jeffrey A. Lusk Being duly sworn upon his/her oath disposes and says that: I. He is Secretary Treasurer, of Sullivan and Poore, Inc. hereafter called the"Prime Contractor". He/she is over the age of twenty-one. He/she is authorized to make this affidavit on behalf ofPrime Contractor. 2. Prime Contractor is the Mechanical Prime Contractor ter the construction of the Village on the Green— Parcel 7CI — Theater Building development, located Cannel (City), Indiana (state), hereafter referred to as the "Development", pursuant to the contract between the Prime Contractor and Cannel Theater Development Corporation, LLC,the Owner. 3. Prime Contractor hereby waives and releases any and all Liens and rights to claim a lien to which Prime Contractor is or may be entitled for services, labor, and/or materials furnished for the Development for work covered by and through the date of the Prime Contractor's Application and Certification for Payment number dared 4. There are no bills, charges, costs or expenses for services, labor, and/or material which could now or hereafter result in lien being filed, or a right to claim a lien, against.the Development or a claim being asserted against the Owner for this work. 5. Prime Contractor has been paid in full, exclusive of retainage, for all services, labor, and materials furnished to, provided for, Or used in connection with, the Development through the period noted above and acknowledges the receipt of to date. IN WITNESS WHERE OF,affiant has signed this document own behalf of thePrime Contractor this day of ,20. V Jfieg , ecretary/Treasurer County of Marion State of Indiana Subscribed and sworn to before me,a Notary Public hi and for said County and State, l'his 21"Day of January, 2011. L. / Earl H. Duckwall My Commission Expires:April 11,2014 NOTARY SEAL MUST APPEAR ON Tills FORM. 1