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Home My WebLink AboutRL TURNER- 148- 1/5/2011 RL Turner Check: 148 Date: 1/5/2011 Vendor: RL TURNE Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-13 50,995.84 50,995.84 0.00 0.00 50,995.84 App 13 on VOG 7C5 50,995.84 50,995.84 0.00 0.00 50,995.84 148 1/5/2011 .,,*"*****50,995.84 THE SUM OF FIFTY THOUSAND NINE HUNDRED NINETY FIVE DOLLARS AND 84 CENTS "......"" RL Turner RL Turner Check: 148 Date: 1/5/2011 Vendor: RL TURNE Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-13 50,995.84 50,995.84 0.00 0.00 50,995.84 App 13 on VOG 7C5 50,995.84 50,995.84 0.00 0.00 50,995.84 4kAIiV Document 6702 — 1992 . Application and Certificate for Payment TO OWNER: SIGNATURE CONSTRUCTION PROJECT: 'VILLAGE ON THE GREEN C-5 APPLICATION NO:`= 13 Distribution to: CUST# 0926E ili 720 THIRD AVE SW PERIOD TO II/22/2030 OWNER 0 CONTRACT FOR: I 202o CAfIMEL IN 46072 ARCHITECT ❑ FROM CONTRACTOR: RL TURNER CORPORATION VIA ARCHITECT: CONTRACT DATE: 10/0[12009 CONTRACTOR '.❑ 1000 West Oak Street ' Zionsville,IN 46077 PROJECT NOS: / / HELD ❑ VILLAGE ON THE GREEN C-5 JOB 9' 09-26E • OTHER 0 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;•ALA Document G703,is attached with the Contract Documents, that an amounts have been paid by the Contractor for Work for 604,000.00 which previous Certificates for Payment were issued and payments received from the Owner, and 1.ORIGINAL CONTRACT SUM $ that current paymen shown herein is now due. 2. Net change by Change Orders $ 0.00 CONTRACT.• T truer Corporation, David •Petty, Project Mgr 3.CONTRACT SUM TO DATE Line I`±2 . 604,000.00 ( t ) s By A.s_J� . l �. Lz. 1, 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) $ 603,542.57 State of I diana `_ NOTARY PUBLIC 5 RETAINAGE '"' .t, County of Marion SEAL R.5 5 89 .%of Completed Work Subscribed and sworn to before, STATE OF INDIANA (Column D+E on 6703) $ 35,56L5D me this Commission Expires Feb.19. 2017 22nd day of November, h 00 79 n'of Stored Material = ,(�, (Column F on G703) $ 0.00 Notary Public a B-t,Le. Q . p1.Di-IU , Marjorie A. Leto My Commission expli: 2/19/2017 Total Retalnage(Lines 5a+5b or Total in Column I of 0703) $ 35,561.50 6.TOTAL EARNED LESS RETAINAGE $ 567,931.07 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 Less Line 5 Total) In accordance with the Contract Documents,based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 516,985.23 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 (Line d from prior Certificate} accordance with the Contract Documents, and the Contractor is entitled to payment of the B.CURRENT PAYMENT DUE $ 50 995.84 AMOUNT CERTIFII3D. 9, BALANCE TO FINISH,INCLUDING RETAINAGE '- AMOUNT CERTIFIED $ �� 9%S (4 Cf (I Inca less Line 6) -- _ $ 36,018.93 (4rtack esplananon if 011111f1111 certified daffers froiti the amount applied frtU;ci/all figures on this ' Application and on the Cominuartbn Sheet that are changed to Confimn with the amount ccrlifted ) CHANGE ORDER SUMMARY,' ADDITIONS .DEDUCTIONS RC 4tTE ' as,i'•-2-1— ^'J79 = Total changes ipproved in previous months by Owner $ 0.00 $ ' 0.00 Bv: �j� �_ _ �� Date. /�Z./5 ° Total approved thispMonth g 0.00 $ 0.00 This Certificate is not negoiiahle.'the AMOUNT CFR I lhtED is payable only to the Contractor TOTALS $ ' 090 ' I$ 0.00 named herein. Issuance.payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Chance Order 0.00 J the Owner or Contractor under this Contract CAUTION:'You should sign an original MA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AlA Document 07021-1992.Copyright CU 1953,1963.1965,1971,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe DOCOment 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 t�f/ 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,email The American Institute of Architects'legal IYf/ counsel,copyright @aia.org. ttAIA TM _ Document 6703 1992 . Continuation Sheet Page 1 of 2 - AIA Document G702T^1,Application and Certification for Payment. APPLICATION NO: 13 containing Contractor's signed certification is attached. APPLICATION DATE: 11/22/2010 In tabulations below,amounts are slated to the nearest dollar. 11/22/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT 1418020 A 13 C D I E F G H I WORK COMPLETED MATERIALS TOTAI, BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED TO RETAINAGE NO VALUE APPLICATION THIS PERIOD STORED AND STORED - (D+L') (Nor in Dor E) TO DATE (G=C) FINISH (If variable rate) 0100 Ilowance No. 1 35,000.00 19,121.73 15.420.84 34,542.57 98.69 457.43 0110 •erformance8.: 3,880.00 3,880.00 3,880.00 100.00 'ayment Bond 0120 'roiect 34,005.00 34.005.00 34,005.00 110.00 uperintendent 01 0 to Layout 5,000.00 5,000.00 5,000.00 110.00 01 0 tl ffice Rental 2,500.00 2,500.00 2,500.00 110.00 01 0 bewatering 20,000.00 20,000.00. 20,000.00 110.00 0160 I emporary Fence, 2,000.00 2,000.00 2.000.00 110.00 '.hairs Link Labor 0170 emporary Fence, 2,000.00 2.000.00 2,000.00 110.00 hairs Link Material 0180 orth Gate Labor 2,500.00 2,500.00 2,500.00 110.00 01?0 orth Gate Material 2,500.00 2,500.00 2,500.00 110.00 02 D0 emporary Seeding 3,000.00 3,000.00 3,000.00 1 0.00 0210 oncrete Pavement 8.000.00 8,000.00 8,000.00 1 0.00 laterial 0220 Concrete Pavement 3,009.00 3.009.00 3,009.00 1 0.00 ]labor 0230 Sitraight Curbs 5,000.00 5,000.00 5,000.00 1 0.00 Labor 0240 Straight Curbs 16,022.00 16,022.00 16,022.00 1C0.00 Material 11AGE TOT%1RSI TOTAL 144,416.00 128,537.73 15,420.84 ' .00 1143,958.57 457.43 .00 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 67031"—1992.Copyright 01963, 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 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.org. C =ALA Document 6703" - 1992 Continuation Sheet . Page 2 of 2 AlA Document 0702TM.Applicat ion'and Certification for Payment. APPLICATIONNO: 13 containing Contractor's signed'ccnification is attached- APPLICATION DATE: 11/22/2010 In tabulations below,amounts arc stared to the nearest dollar. 11/22/2010 Use Column I on Contracts where variable retainage For line items may apply. PERIOD T0: • ARCHITECT'S PROJECT 14@P20 A B C U E F G I H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED TO RFTAI"NAGE ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO UATF. (G+-CI FINISH 0 variable rote) (D+E) (N)v in D or L) iP'F-NI) (C-GJ 0250 tilling-Peed 9,500.00 9,500.00 9,500.00 100:00 0260 arthwork Labor 182500.00 182,500.00 182,500.00 110.00 0270 arthwork Material 55.000,00 55,000.00 55.000.00 10.00 0290 i1t Fence 3,200.00 3,200,00 3,200.00 Klp.on 9230 ruck Wash 4,500.00 4,500.00 4,500.00 00.00 03)0 tone Laydown 4.800.00 4,800.00 4,800,00 It-.00 0310 arch Retention 30,000.00 30,000,00 30,000.00 11 .00 abor 0320 arid Retention 64,340,00 64.340.00 64,340.00 I—'.00 aterial 03p0 T nit Pavers Labor 5,500.00 5,500.00 5,500.00 111.00 030 1 nit Pavers Material 35.575.00 35.575,00 35.575.00 11 .00 0350 torm Sewers Labor 15.000.00 15,000.00 15,000.00 1 1.00 0360 torm Sewers 46,269.00 46,269.00 46 269.00 101.00 t arena! 03y0 Sump Pit Labor 1,200.00 1.200.00 1,200.90 10 .00 0380 Sumo Pit Material 2,200.00 2.200.00 2,200.00 10..00 • .1;013'TOTALS ' 604,000.00 552,546.73 50,945.84 . .00. ' 603,542.57 457.43 35.561,50 N GRAD 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 G7D3^"—1992-Copyright 011963, 1965, 1956,1967.1970, 1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA'Document is protected by V.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 AlA Contract Documents,e-mail The American Institute of Architects'legal counsel.cepyright@aia.org. AFFIDAVIT AND WAIVER OF LIEN Final X Partial Payment to Follow State of Indiana, County of Marion, SS: MENDEL G. SMITH, being duly sworn, states that he is the VP OF OPERATIONS of R. L. TURNER CORPORATION having contracted with SIGNATURE CONSTRUCTION to furnish certain materials and/or labor as follows: Per Contract for a project known as VILLAGE ON THE GREEN PARCEL 7C-10 CONTRACT 5 located in CARMEL, IN and owned by THE CITY OF CARMEL REDEVELOPMENT COMMISSION and does hereby further state: (PARTIAL WAIVER) that the balance due from the owner is the sum of: Fifty thousand nine hundred ninety five and 84/100 dollars ($50,995.84) receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration x for this Affidavit and Partial Waiver of Lien is given to and for said amount, effective upon receipt of such payment. (FINAL WAIVER) that the 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 is given to and for said amount, effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or 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 an. r- MARJORIE A. LETO R. L. TURNER CORPORATIO , IN . NOTARY PUBLIC A� W'� M/ ) F SEAL STATE OF INDIANA By __ _ My Commission Expires Feb. 19,2017 MEND G. SMITH, VP F OP RATIONS WITNESS MY HAND AND NOTARIAL SEAL, this 22nd day of November, 2010. Marjorie Leto, Notary Public County of residence: Marion My commission expires: 02/19/2017