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Home My WebLink AboutESCO COMMUNICATIONS, INC.- 166- 1/5/2011 ESCO Communications, Inc. Check: 166 Date: 1/5/2011 Vendor: ESCOCOMM Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3 12,150.00 12,150.00 0.00 0.00 12,150.00 App 3 on Black Box Theater 12,150.00 12,150.00 0.00 0.00 12,150.00 166 1/5/2011 **********12,150.00 THE SUM OF TWELVE THOUSAND ONE HUNDRED FIFTY DOLLARS AND NO CENTS *************** ESCO Communications, Inc. ESCO Communications, Inc. Check: 166 Date: 1/5/2011 Vendor: ESCOCOMM Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3 12,150.00 12,150.00 0.00 0.00 12,150.00 App 3 on Black Box Theater 12,150.00 12,150.00 0.00 0.00 12,150.00 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 I I NOV 19 20IQ i PAGE 1 OF 2 PAGES TO OWNER: PROJECT: APPLICATION NO.: I 3 Carmel City Center Community Development Corp. Village on the Green PERIOD TO: 1By J 1/30/2010 Distribution to: Black Box Theater OWNER ❑ Carmel, IN CONSTRUCT MGFEI FROM CONTRACTOR: VIA ARCHITECT: CONTRACT DATE: 8/30/2010 ARCHITECT ❑ ESCO Communications, Inc. Pedcor Design Group, LLC PROJECT NOS.: 10-108 CONTRACTOR ❑ 8940 Vincennes Cr., Indpls., IN 46268 ESCO INVOICE NUMBER PSI-71715 FIELD ❑ CONTRACT FOR:Sound & Communications Systems Bid Item#4 OTHER ❑ CONTRACTORS APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors knowledge,information 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 6703, 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 By: a //� Date: E iI V r7 ` I c� 4. TOTAL COMPLETED & STORED TO DATE $88,000.00 (Column G on G703) State of IN 5. RETAINAGE: County of: Marion a. 10% of Completed Work $8,800.00 Subscribed and sworn to before (Columns O+Eon G703) me this 17th day of November 2010 b. 10% of Stored Material $0.00 (Column F on G703) Notary Public: 2`4fi-k - tti2 C. , h4 My Commission expires: May 2, 2014 Total Retainage (Line 5a+ 5b or $8,800.00 CERTIFICATE FOR PAYMENT Total in Column I of G703) 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 $79,200.00 knowledge,information and belief the Work has progressed as indicated,the quality of the Work (Line 4 less Line 5 Total) is in accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. Payment to be mailed to 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ESCO Communications,Inc. PO Box 1243 Indianapolis,IN 46206-1243 (Line 6 from prior Certificate) $67,050.00 AMOUNT CERTIFIED p $ /�--/SCa--- 8. CURRENT PAYMENT DUE $12,150.00 1 (Attach explanation if amount certified differs from the amount appfifed for Initial all figures on 9. BALANCE TO FINISH, INCLUDING RETAINAGE this Application and on the Continuation Shery that are changed to confomr to the amount (Line 3 less Line 6) $353,370.00 certified.) CONSTRUCTION MANAG -:• CHANGE ORDER SUMMARY By:/J0-5 -- oate: --'-/ Z�IC7 ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in Previous Months by Owner $0.00 $0.00 By, Date: Total approved this Month ($20,570.00) .$0.00 This Certificate is not negotiable. the AMOUNT CERTIFIED is payable only to the Contractor TOTALS ($20,570.00) $0.00 named herein Issuance,payment and acceptance of payment are without prejudice to any rights NET CHANGES by Change Order ($20,570.00) _ of the Owner or Contractor under this Contract. CONTINUATION SHEET NA DOCUMENT G703 PAGE 2 OF 2 PAGES AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT, 3 APPLICATION NO.: c • ontaining contractor's signed Certification, is attached, APPLICATION DATE: 11/17/2010 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 11/30/2010 Use Column I an Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO.: 10-108 A B G 0 E F G 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- G1 1 Performance Bond 3900.00 3900.00' 3900.00 100% 0.00 39000 2 Startup/Product Submittals 3500.00 3500.00 3500.00 100% 0.00 350.00 3 Engineering/ Drawings 20000.00 15000.00 5000.00 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 8500.00 25% 25100.00 850.00 7 Labor- Plates & Devices 44370.00 0.00 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 432570.00 74500.00, 13500.00 0.00 88000.00 20% 344570.00 8800.00 • � . APPLICATION FOR PAYMENT �2 PARTIAL WAIVER OF LIEN 9:3\1 19 ZQt� Contractor: ESCO Communications , Inc . ��tt � Address: 8940 Vincennes Circle y� Indianapolis, IN 46268 Project Name and Address: Village on the Green/Black Box Theatre Period to: 11/30/10 job 4: 10-108 The Undersigned has been contracted by RE! Construction, LLC 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 !eased 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 $ 12 . 15 0 - 0 0 the receipt of which is hereby acknowledged, does hereby waive, release remise and relinquish any and ail 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 17th day of November 2010 ESCO Communications , Inc . Company Name BY: TITLE: Project Manager NAME: Chuck Richardson STATE OF IN COUNTY OF Marion Subscribed and sworn to betorefnre, a Notary Public in and for said County and Slate, this / / 1 day of A jlt?—ia 2LeA-- , 2010 My commission expires May 2 , 2014 My county residence is Hamilton �tt £ 14_2 Notary Printed Kathryn E . Ford Name Rate Total Total Total Cost Hours Cost November Steve Hardy $ 67.00 621 $ 41,630.00 $ 5,494.00 $ 20,033.00 Chris Bock $ 62.00 278 $ 17,214.00 $ 4,960.00 $ 17,112,00 Total $ 58,844.00 $ 10,454.00 $ 37,145.00