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Home My WebLink AboutSYDNEY ELECTRIC CO- 146- 1/5/2011 Sydney Electric Co Check: 146 840 S Vandemark Road Date: 1/5/2011 Sidney, OH 45365 Vendor: SYDNEY1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 8 42,487.20 42,487.20 0.00 0.00 42,487.20 Garage/Parking 7C-3 42,487.20 42,487.20 0.00 0.00 42,487.20 146 1/5/2011 42,487.20 THE SUM OF FORTY TWO THOUSAND FOUR HUNDRED EIGHTY SEVEN DOLLARS AND 20 CENTS Sydney Electric Co 840 S Vandemark Road Sidney, OH 45365 Sydney Electric Co Check: 146 840 S Vandemark Road Date: 1/5/2011 Sidney, OH 45365 Vendor: SYDNEY1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 8 42,487.20 42,487.20 0.00 0.00 42,487.20 Garage/Parking 7C-3 42,487.20 42,487.20 0.00 0.00 42,487.20 APPLICATION AND CERTIFICATION FOR PAYMENT A/A DOCUMENT G702 PAGE ONE OF TWO PAGE(S) TO OWNER: PROJECT: APPLICATION NO 8 Distribution to: Carmel Garage Development Company Garage/Parking Structure Parcel 7C-3 PERIOD TO: thru l 1-30-10 nOWNER FROM CONTRACTOR: VIA ARCHITECT: ARCHITECT Sidney Electric Co. Signature Construction X CONTRACTOR 840 S.Vandemark Rd.,Sidney,OH 45365 Construction Mngr PROJECT NOS: 4460913/1201 I CONTRACT FOR: Electrical 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,AIA 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 SEE A'TT'ACHED SWORN STATEMENT FROM CONTRACTOR'fO OWNER payments received from the Owner,and that current payment shown herein is now due. I. ORIGINAL CONTRACT SUM $ 465,900.00 2. Net change by Change Orders $ 102,235.00 CONTRACTOR: Sidney Electric Co. 3. CONTRACT SUM TO DATE(Line 1 +2) $ 568,135.00 ......-.4-,_4. TOTAL COMPLETED&STORED TO $ 5569,812.00 C DATE (Column G on G703) U Date: 11/30/2010 5. RETAINAGE:(Original Contract Only) / a. to V.of Completed Work $ 56,981.20 to of Ohio f Couct tt85,{yelby (Column D+Eon G703) Subscribed and swam efore m this 21 day,B'��F)'QY f�',�010. b. 10 %of Stored Material S 0.00 Notary Public: ��-)1'='. SUSAN (Column F on G703) My Commission expires: 3 R. MATER Total Retainage(Lines 5a+5b or r _11/71...s. r � kF {rotary Publle, Stdte of Ohlo Total in Column l of G703) $ 56,981.20 ARCHITECT'S CERTIFICA'tE1 31R PA� PV"f�ANltes JU1184,2011 6. TOTAL EARNED LESS RETAINAGE $ 512,830.80 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief the Work has progressed as indicated, PAYMENT(I.ine 6 from prior Certificate) $ 470.343.60 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE S 42,487.20 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 55,304.20 (Line 3 less Line 6) AMOUNT CERTIFIED $ 42,487.20 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation ifanmun7 certified differs from the a/nowu applied Initial all figures on this 'total changes approved Application and o the Conrbmatioh Sheet that are changed to conform with the amount certified.) in previous months by Owner $107,875.00 ($5,640.00) ARCIfIPECt em-‘--v-- `—N- Total approved this Month(#1) $0.00 50.00 By: -----27— —'—'1-1_ Date:/2— 2I)di TOTALS $ 107,875.00 ($5,640.00) 'Ibis Certificate is not negotiable. Thc AMOUNT CERTIFIED is payable only to the Contractor named herein.Issuance,payment and acceptance of payment are without NET CIIANGES by Change Order $ 107.875.00 (55,640.00) prejudice to any rights of the Owner or Contractor under this Contract. MA DOCUMENT 6702 APPLICATIONANDCERTIFICATION FOP PAYMENT 1992 EDITION MA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.NW.WACHINGTCN.DC 200GB-5202 • CONTRACTORS APPLICATION FOR PAYMENT DETAIL GARAGE/PARKING STRUCTURE Page #1 CONTRACTOR: SIDNEY ELECTRIC CO. City Contract Number 4460913 - OWNER'S NAME: SIGNATURE CONSTRUCTION Signature Construction Contract Number 12011 PROJECT NAME: VILLAGE ON THE GREEN-GARAGE/PARKING STRUCTURE PARCEL 7C-3 Application Number 8 Application Date: 11/20/2010 Application Period: Al B C D I E G H Work Completed Item Description of Work Scheduled Previous This Stored Total % Balance No. Value Application Period This Period Completed (F/C) To Finish 1 Submittals $ 5.000 5 5,000.00 $ - $ - $ 5000,00 100% 5 - 2 Bond/Insurance 5 8.000 $ 8,000.00 5 - 3 - $ 8,000.00 100% $ 1 General Conditions $ 15,000 $ 15,000.00 $ - 3 - $ 15.00000 100% 5 - 4 Temporary Power $ 16,932 5 16,932.00 $ - $ - $ 16,932.00 100% $ - 5 Distribution Equipment-Labor 5 5,145 $ 5,145,00 $ - 5 - $ 5,145,00 100% $ - 8 Distribution Equipment-Material S 34,312 S 34,312.00 $ - 5 - 5 34.312.00 100% S 7 Generator/Transfer Switch Equipment-Labor $ 2,315 $ . 2,315.00 $ - 5 - $ 2,315.00 100% $ 8 Generator/Transfer Switch Equipment-Material S 117,030 S 117,030.00 $ - 5 - 5 117,030.00 100% $ 9 Lighting System-Labor $ 9,260 $ 8,800.00 $ - 5 - $ 8,800.00 95% Si 460 10 Lighting System-Material $ 37.000 $ 37,000.00 $ - $ - $ 37,000.00 100% 5 - 11 Grounding•Labor $ 500 $ 500.00 $ - 5 - 5 500.00 100% $ - 12 Grounding-Material $ 400 $ 400.00 $ - $ - 5 400.00 100% $ 13 Feeder Conduit Installation-Labor 5 13.500 $ 13,500.00 5 - $ - S 13,500.00 100% 5 14 Feeder Conduit Installation-Material $ 13,700 5 13,700.00 $ - $ - $ 13,700.00 100% S - 15 Branch Conduit Installation-Labor $ 43.938 5 43,938.00 $ - $ - S 43,938.00 100% $ - 16 Branch Conduit Installation•Material $ 10.381 5 10,381.00 $ - $ - $ 10,361.00 100% $ - 17 Feeder Wire and Cable Installation-Labor $ 10,847 $ 10,847.00 5 - 5 - 5 10,847.00 100% S - 18 Feeder Wire and Cable Installation-Material $ 33,721 5 33,721.00 $ - 5 • 5 33,721.00 100% $ 19 Branch Wire and Cable Inslallalion-Labor $ 13,582 5 12,950.00 5 632.00 $ - 5 13,582.00 100% 5 - 20 Branch Wire and Cable Installation-Material 5 7,318 $ 6,941.00 $ 377.00 5 - S 7,318.00 100% $ - 21 Wiring Device-Labor $ 3,087 5 1,550.00 $ 1,537.00 S - $ 3,087,00 100% 5 - 22 Wiring Device-Material $ 1,632 $ 820.00 $ 812.00 $ - $ 1,632.00 100% $ - 23 Security/Fire Alarm Equipment-Labor $ 1.000 $ 750.03 $ 250.00 5 • S 1,000.00 100% $ - 24 Security/Fire Alarm Equipment-Material $ 23.700 $ 18,870.00 $ 4.830,00 5 - 5 23,700.00 100% $ - 25 Tele/Data Cabling-Labor $ 1,800 5 - 5 1.800.00 $ - $ 1,800.00 100% $ - 26 Tele/Data Cabling-Material 5 1,800 $ - S 1,800.00 $ - $ 1,800.00 100% $ - 27 Allowance 5 35,000 $ 35,000.00 $ - 5 - $ 35,000.00 100% $ - Original Contract Totals S 465,900.00 $ 453,402 5 12,038.00 S - $ 465,440.00 100% 5 460.00 Change Orders: CO 401 $ (5.640) 5 - $ - $ - $ - 0% 5 (5.640) CO#02 $ 69,202 5 69,202.00 $ - $ - $ 69,202.00 100% $ - PR#019 $ 7,236 5 - 5 6,875.00 $ - 5 6,875.00 95% $ 361 PR#022 $ 31,437 $ - S 28,295.00 $ • $ 28,295.00 90% 5 3,142 Totes for Chance Orders $ 102.235.00 $ 69.20200 5 35,170.00 $ - 5 104,372.00 5 (2,137.00) PROJECT TOTALS $ 568.13500I $ 522,604,00 S 47,208.00 $ - $ 569,812.00 100% S (1,677.00) Pending Change Orders: PROJECT TOTALS $ 568,13500 $ 522,604 5 47.208.00 5 - S 569.812,00 100% $ (1,67700) VILLAGE-CREEN•GARAGE PARKING7 •3•APP5.In CONTRACTORS APPLICATION FOR PAYMENT DETAIL GARAGE/PARKING STRUCTURE Page #3 CONTRACTOR: SIDNEY ELECTRIC CO City Contract Number 4980913 OWNER'S NAME: SIGNATURE CONSTRUCTION Signature Construction Contract Number 12011 PROJECT NAME: VILLAGE ON THE GREEN-GARAGE/PARKING STRUCTURE PARCEL 7C-3 Application Number 6 Application Date: 11/20/2010 A g Application Period: C D J E G H Work Completed Item Description of Work Scheduled Previous This Stored Total % Balance No Value Application Period This Period Completed (F/C) To Finish Sidney Electric Company AIA Application And Certificate for Payment Information Original Contract Sum $ 465,900.00 Net Change by Change Orders $ 102,235.00 Contract Sum to Date $ 568,135.00 Total Labor&Material $ 569,812.00 Total Stored Material $ Total Completed To Date $ 569,812.00 Retainage @ 10% $ 56,981.20 Total Retainage $ 56,981.20 Total Earned Less Retainage $ 512,830.80 Less Previous Certificates for Payment $ 470,343.60 Current Payment Due $ 42,487.20 Balance to Finish Including Retainage $ 55,304.20 VRLAGE-GREEN-GARAGE PARKING-EC-3-APPS Max • WAIVER OF LIEN KNOW ALL MEN BY THESE PRESENTS, that the undersigned being duly authorized by Sidney Electric Co. for and in consideration of$42,487.20 to be paid to the undersigned, does hereby waive,release and surrender any and all lien or claim or right of lien to the date of this waiver, for labor, material and/or services furnished upon the premises described as follows. VILLAGE ON THE GREEN GENERAL SITE ENGINEERING 7C-10 John S. Frantz President November 21, 2010 State of Ohio County of Shelby Subscribed and acknowledged in my presence at Sidney, Ohio on the 21 day of November, 2010 .L\,RY,Mf..p. Susan R. Maier-) /'t// l / :'r.,<:a is ": SUSAN R. MAIER Ilt Nei .:.-- ,� 1�� I<' :1 'My,' .? i Notary Public,State of Ohio - .“try fi• ' My Commission Expires June 4,2011