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Home My WebLink AboutESCO COMMUNICATIONS, INC.- 183- 3/1/2011 ESCO Communications, Inc. Check: 183 Date: 3/1/2011 Vendor: ESCOCOMM Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4 10,350.00 10,350.00 0.00 0.00 10,350.00 App 4 on Black Box theater 10,350.00 10,350.00 0.00 0.00 10,350.00 183 3/1/2011 **********10,350.00 THE SUM OF TEN THOUSAND THREE HUNDRED FIFTY DOLLARS AND NO CENTS ************`**** ESCO Communications, Inc. ESCO Communications, Inc. Check: 183 Date: 3/1/2011 Vendor: ESCOCOMM Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4 10,350.00 10,350.00 0.00 0.00 10,350.00 App 4 on Black Box theater 10,350.00 10,350.00 0.00 0.00 10,350.00 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 IJ C.L �Q PAGE 1 OF 2 PAGES TO OWNER: PROJECT: APPLICATION ND.: 4 Carmel City Center Community Development Corp, Viilage on the Green PERIOD TO: By /31/2010 Distribution to: Black Box Theater OWNER ❑ Carmel, IN . CONSTRUCT MGFJ FROM CONTRACTOR: VIA ARCHITECT: CONTRACT DATE: 8/30/2010 ARCHITECT ❑ ESCO Communications, Inc. Pedcor Design Group, LW PROJECT NOS.: 10-108 CONTRACTOR ❑ 8940 Vincennes Cr., Indpls.. IN 46258 ESCO INVOICE NUMBER PSI-72118 FIELD ❑ CONTRACT FOR:Sound&Communications Systems Bid Item #4 OTHER ❑ The undersigned Contractor certifies that to the best of the Contractor's knowledge, information CONTRACTORS APPLICATION FOR PAYMENT and belief the Work covered by this Application for Payment has been completed in accordance Application is made for payment,as shown below, in connection with the Contract. Continuation with the Contract Documents,that all amounts have been paid by the Contractor for Work for Sheet,AIA(Document G703, is attached. 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 $453,140.00 2. Net change by Change Orders ($20,570.00) CONTRACTOR: 3. CONTRACT SUM TO DATE (Line 1 ±2) $432,570.00 Sy: �> Date: -/6.- f 4. TOTAL COMPLETED & STORED TO DATE $99,500.00 (Column G on G703) State of: IN 5. RETAINAGE: County or. Marion a. 10% of Completed Work $9,950.00 Subscribed and sworn to before (Columns D + E on 0703) me this 16th day of December 2010 b. 10% of Stored Material $0.00 �// / (Column F an 0703) Notary Public. ,"Pte`s//. ..4--m-= L • ,.'�"�- My Commission expires: May 2,2014 Total Retainage (Line 5a +5b or $9,950.00 CERTIFICATE FOR PAYMENT Total in Column I of 3703) In accordance with the Contract Documents,based on on-site observations and the data comprising this application,the Architect certifies to the Owner that to the best of the Architect's 6. TOTAL EARNED LESS RETAINAGE $89,550.00 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the (Line 4 less Line 5 Total) AMOUNT CERTIFIED. Payment to be mailed to 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ESCO Communications, Inc. PO Box 1243 Indianapolis, IN 46206-1243 6 i. (Line 6 from prior Certificate) $79,200.00 1 AMOUNT CERTIFIED $ / 0/35-0--- S. CURRENT PAYMENT DUE r $10,350.00 i (Attach explanation if amount certified differs from the amount applifed for Initial eft figures on 9, BALANCE TO FINISH, INCLUDING RETAINAGE this Appication and on the Continuation Sheet that are changed to conform to the amount (Line 3 less Line 6) $343,020.00 certified) CONSTRUCTION MANAGER.' j CHANGE ORDER SUMMARY — By. 'r��i- , /��✓ A, Dater iI A /`I ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in Previous Months by Owner $0.00 $20,570.00 3y Cate: 'I Total approved this Month $0.00 $0.00_ This Certificate is not negotiable, the AMOUNT CERTIFIED is payable only to the Contractor U TOTALS $0.00 $20,570.00 named herein Issuance,payment and acceptance of payment are without prejudice to any rights p1� NET CHANGES by Change Order ($20,570.00) of the Owner or Contractor under this Contract. C CONTINUATION SHEET AIA.DOCUMENT 0703 PAGE 2 OF 2 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 4 containing contractor's signed Certification. is attached. APPLICATION DATE: 12/16/2010 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO 12/31/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO.: 10-108 A B C D E F 3 H I WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % BALANCE RETAINAGE NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G _C) TO (IF VARIABLE (D+E) (NOT IN TO DATE FINISH RATE) D OR E (D+E+F) (C-C) 1 Performance Bond 3900.00 3900.00 3900,00 100% 0.00 390.00 2 Startup /Product Submittals 3500.00 3500.00 3500.00 100% 0.00 350.00 3 Engineering/ Drawings 20000.00 20000.00 20000.00 100% 0 00 2000.00 4 Material 322970.00 55747.00 55747.00 17% 267223.00 5574.70 5 Labor- Fabrication 12200.00 0.00 0% 12200.00 0.00 6 Labor- Cable Install 33600.00 8500.00 11500.00 20000.00 60% 12600.00 2000.00 7 Labor - Plates & Devices 44370.00 000 0% 44370.00 0.00 8 Labor - Testing 9100.00 0.00 0% 9100.00 0.00 9 Close Out 3500.00 0.00 0% 3500.00 0.00 10 CO #1 - Tax Exempt -20570.00 -3647,00 -3647.00 18% -16923.00 -364.70 I 432570.00. 88000.00 11500,00 0.00 99500.00 23% 333070.00, 9950.00 • • APPLICATION FOR PAYMENT ] 1/< PARTIAL WAIVER OF LIEN e. ./;/),7 Contractor: ESCO Communications, Inc . ', Address: 8990 Vincennes Circle Indianapolis, IN 46268 �n/// Project Name and Address: Village on the Green/Black Box Theatre Period to: 12/31/10 Job if: 10-108 The Undersigned has been contracted by RE! Construction, LIC as a Contractor in connection with construction of the Project owned by Owner and located as indicated above. The Undersigned, for and in consideration of any and all amounts paid to the Undersigned up to and including the date of execution hereof and other good and valuable consideration, the receipt whereof is hereby acknowledged, waives and.releases any and all liens, notices of liens or of character, against, on or relating to or connected with the above-described Project and improvements located thereon and related thereto, on account of labor or services, materials, equipment, tools, machinery or apparatus furnished or leased, or which may be furnished or leased by, or at the request of, the Undersigned for the Project. The Undersigned hereby warrants that the Project cannot be made subject to any valid lien or claim by anyone who furnished or Leased labor or services, materials, equipment, tools, machinery or apparatus to, or at the request of, the Undersigned for use in the Project. This instrument, and the waiver, release and representations hereunder, are for the benefit of, and may be relied upon by, the Owner, its successors, assigns and mortgagees, the above-named General Contractor or Construction Manager, and any other person by or through whom payments have been made to the Undersigned. The undersigned, for and in consideration of the total payments in the sum of $ 10, 350 00 the receipt of which is hereby acknowledged, does hereby waive, release remise and relinquish any and all right to claim any lien or liens for work done or materials furnished, or any kind or class of lien whatsoever for said building or premises or project Dated this 16th day of December 2010 ESCO Communications , Inc . Company Name c-- BY: TITLE: Project Manager NAME: Chuck Richardson STATE OF IN COUNTY OF Marion Subscribed and sworn to before me, a Notary Public in and for said County and State, this 16th clay of December , 2010 My commission expires May 2, 2014 My county residence is Hamilton rl _ -, Notary Printed Kathryn 2 . Ford Name Rate Total Total Total Cost Hours Cost December Steve Hardy $ 67.00 621 $ 41,630.00_ $ 5,092.00 $ 25,125.00 Chris Bock $ 62.00 278 $ 17,214.00 $ 4,216.00 $ 21,328.00 Um Parsley $ 47.00 300 $ 14,100.00 Total l $ 72,944.00 $ 9,308.00 $ 46,453.00