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Home My WebLink AboutBROADY-CAMPBELL, INC.- 158- 1/5/2011 Broady-Campbell, Inc. Check: 158 2115 Dr. A.J. Brown Ave. Date: 1/5/2011 Indianapolis, IN 46202 Vendor: BROADY- Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2 208,361.61 208,361.61 0.00 0.00 208,361.61 App 2 on P7C-3 208,361.61 208,361.61 0.00 0.00 208,361.61 158 115/2011 "*******208,361.61 THE SUM OF TWO HUNDRED EIGHT THOUSAND THREE HUNDRED SIXTY ONE DOLLARS AND 61 CENTS ****** Broady-Campbell, Inc. 2115 Dr, A.J. Brown Ave. Indianapolis, IN 46202 Broady-Campbell, Inc. Check: 158 2115 Dr. A.J. Brown Ave. Date: 1/5/2011 Indianapolis, IN 46202 Vendor: BROADY- Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2 208,361.61 208,361.61 0.00 0.00 208,361.61 App 2 on P7C-3 208,361.61 208,361.61 0.00 0.00 208,361.61 Application and Certificate for Payment TO OWNER: CARMEL THEATER DEVELOeMwOJECT: VILLAGE ON THE GREEN,-C APPLICATION NO: 2 Distribution to: GUST a CAR4 11711 N.PENN s'r- PERIOD TO: 1 1/30!2010 OWNER 1:1 surl'E200 12012 CARMEL IN 46032 CONTRACT FOR: ARCHITECT ❑ FROM CONTRACTOR: EROADY-CAM'EEELL, INC. VIA ARCHITECT: CONTRACT DATE: 06/2312010 2115 Dr A.L Brown Ave CONTRACTOR ❑ PEDCOR DESIGN GROUP PROJECT NOS: 12012 FIELD ❑ Indianapolis.IN 46202 'VILLAGE ON THE GREEN 1-c. JOSi 210056 OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors 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, is attached. with the Contract Documents, that all amounts have been paid by the Contractor for Work fir 593,000.00 which previous Certificates for Payment were issued and payments received from the Owner, and f.ORIGINAL CONTRACT SUM ..................... . .. ._. ......... ............ $ -»got al that current payment shown herein is now due- 2.Net change by Change Orders. . $ sro, ;,.u0 CONTRACTOR: Broady—Campbell, Inc. 3.CONTRACT SUM TO DATE (Line 1 =2) $ B i3 11-30-2010 242,112.90 Y Date: 4, TOTAL COMPLETED& STORED TO DATE (Column G on 603LS1).... $ State of: Indiana 5. RETAINAGE: County of: Marion a. %of Completed Work 9,151 89 Subscribed and sworn to before umn D+Eon 603 L S] ��$a ) $ me this 30th day of November 2010 b. % of Stored Material 15,059.40 (Column F on 603LS1) $ Notary Public: p� F f3�, 4n- 24 211 29 My Commission expires: 5_5_9 016 e.0 Total Retainage(Lines 5a+5b or Total in Column 1 of 603LS1) ... 3 _ 6. TOTAL EARNED LESS RETAINAGE $ 211,901 61 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 Less Line 5'fn[al) In accordance with the Contract Documents,based on on-site observations and the data comprising 9-540-00 this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ information and belief the Work has progressed as indicated, the quality of the Work is in (Line 6 from prior Certificate) accordance with the Contract Documents, and the Contractor is entitled to payment of the 8.CURRENT PAYMENT DUE -. $ "43 i/ 1/451 1 AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE 660293 39 AMOUNT CERTIFIED $ 20g1, 6 1 (Line 3 less Line 6) $ (Attach explanation if amount certified differs from the amount applied. Initial all figures on this .Application and on the Continuation Sheet that are changed to conform with the amount certified. I CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCIIITE/�P�'.�Clw—r- r'°f' i iii) Iotal changes approved in previous months by Owner $ $ ' Dale. 60 13,363.60 By Total approved this Month $ $ . TOTALS $S 0,00 $ ig,e03.o& This Certificate is not negotiable. The.AMOUNT CERTIFIED is payable only to the Contractor NET CHANGES by Change Order y 0,'91 Eye 8 named herein.Issuance,payment and acceptance of payment are without prejudice to any rights of 6 _ the Owner or Contractor under this Contract. REORDER FORM NO Bo4LS] AV/ Continuation Sheet AIA Document G703-1992 (Instructions on reverse side.) Page 1 of 2 ALA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 2 containing Contractor's signed Certification, is attached. APPLICATION DATE: 11/1712010 Irk tabulations below,amounts are stated to the nearest dollar. Use Column E or.Contracts where variable retainage for line items may apply. PERIOD TO: 11/30/2010 ARCHITECT'S PROJECT NO: 12012 A B C D E F G It I WORK COMPLETED MATERIALS TOTAL BALANCE I ITEM SCHEDULED PRESENTLY COMPLETED qy RETAINAGE NO DESCRIPTION OF WORK VALUE FROM PREVIOUS STORED AND STORED (0+ Cr TO HE VARIABLE) APPLICATION THIS PERIOD (NOT IN TO DATE (C-C) RATE) (D + E) D OR E) (D+E+F) (C-07 01 104-4100 GENERAL 26.000.00 2,600 00 2,600.00 10.00 23,400.00 260.00 CONDITIONS 02 104-4101 BOND 8,000,00 8,000.00 8.000.00 100.00 SO0.00 03 104-4102 BLOCK LABOR 9,400 00 2.350.00 2,350.00 25.00 7.050.00 235.00 04 104-4103 BLOCK 2.700.00 67500 135.00 810.00 30.00 1,890.00 81 AO MATERIAL 05 104-4104 EAST FACE 121,430.00 21,857.40 21,85740 18.00 99,573.60 2,185,74 BRICK LABOR 06 104-4105 EAST BRICK 56,400.00 10.152.00 5,640,00 15,792.00 28.00 40,608.00 1,579.20 MATERIAL 07 104-4106 SOUTH FACE 104,560.00 104,560 00 BRICK 08 104-4107 SOUTH BRICK 48,600.00 5,346.00 5.346.00 11.00 43,254.00 534.60 MATERIAL 09 104-4108 WEST FACE 115,100.00 115.100,00 BRICK LABOR 10 104-4109 WEST BRICK 53.500.00 5.885.00 5,385.00 11.00 47.615.00 588.50 MATERIAL 11 104-4110 WEST 6,500.00 6,500.00 LIMESTONE LABOR 12 104-4111 WEST 24500.00 20580.00 20,580.00 84.00 3,920,00 2,058.00 LIMESTONE MATERIAL 13 104-4112 WEST 34,800.00 14.800,00 PAGE TOTALS : 591.490,00 10,600.00 35,034.40 37586.00 83,220,40 508,269,60 8,322.04 G703-1992 Continuation Sheet AIA Document G703-1992 (Instructions on reverse side.) Pa 2 of 2 MA Document G702, APPLICATION AND CERTIFICATE,FOR PAYMENT, APPLICATION NO.: 2 containing Contractor's signed Certification, is attached. APPLICATION DATE 11/17/2010 In tabulations below, amounts are stated to the nearest dollar, Use Column I on Contracts where variable retalnage for line items may apply. PERIOD TO: II/3012010 ARCHITECTS PROJECT NO: 12012 A A C U I E P G H I WORK COMPLETED ,MATERIALS TOTAL BALANCE ITEM SCHEDULED PRESENTLY COMPLETED 0i) TO (G a C) FINISH NO. VALUE STORED AND STORED TO DESCRIPTION OF WORK FROM PREVIOUS CIF VARIABLE) APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (0 +E) 0 OR E) (D+E+E) (C-G) GRANITE LABOR 14 104-4113 WEST 60,720.00 60,720.00 60.720.00 100.00 6,072.00 GRANITE MATERIAL 15 104-4114 NORTH FACE 80,550.00 2,416,50 2.416.50 3.00 78,133 50 241.65 BRICK LABOR 16 104-4115 NORTH BRICK 37,500.00 1.125.00 16,125.00 17250.00 46.00 20250.00 1,725.00 MATERIAL 17 104-4116 NORTH 10,900.00 4,033.00 4,033.00 37,00 6,867.00 403.30 LIMESTONE LABOR 18 104-4117 NORTH 41500.00 15,355,00 21,995.00 37.350.00 90.00 4,150.00 3,735.00 LIMESTONE MATERIAL 19 104-4118 NORTH 9,860.00 6,409.00 6,409.00 65.00 3.451.00 640.90 GRANITE LABOR 20 104-4119 NORTH 40.480.00 26,312.00 14.168.00 40,480.00 100.00 4,048.00 GRANITE MATERIAL 21 104-4120 ALLOWANCE 25.000.00 10.039.00 10,039.00 40,16 14,961.00 1.003.90 22 104-4121 CO# 52 TAX -19,805.00 -19,805.00 -19.805.00 100.00 -1980.50 EXEMPTION JOB TOTALS : 878,195.00 10,600.00 80.918.90 150.594.00 242.112.90 27 636,082.10 24,21 L29 G703-1992 CONTINUATION SHEET Alf) DOCL A/EATG703 PAGE OF PAGES AIA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT.containing APPLICATION NO, 2 Contractor's signed certification is attached. APPLICATION DATE: 11/30/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 12012 A B C D I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MAILiRIALS TOTAL % BALANCE R ETA IN'AGE NO- VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH OF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+P) I CO#63 BRICK ANCHORS 510.059.00 510.039 00 510,059 00 10000% $0-00 $0,00 $0.00 50.00 $0.00 $0.00 $000 50.00 • GRAND TOTALS 510,039.00 $0.00 $10.039.00 50.00 510,03900 51 00 $0.00 $0.00 Users may obtain validation of this document by requesting of the license a completed AIA Document 0401 -Certification of Documents Authenticity AIA DOCUMENT$705-CONTINUATION SHEET FOR G702-'1692 EDITION AIA-®1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NE'WYORK AVENUE.N.V.'.WASHINGTON,D C. 2000E-5232 0703-1992 INVOICE BROADY-CAMPBELL, INC, OM SE COMB S MASONRY CONTRACTORS 2115 ANDREW J. BROWN AVE. • INDIANAPOLIS, INDIANA 46202 21503 ph. (317) 925-4261 tax (317) 925-4263 lJ Carmel Theatr Development Date 11-30-2010 TO: 11711 N. Penn St 210056 Suite 200 Job No. Carmel, IN 46032 P.O. No. 12012 RE: Village on The Green 7-C ESTIMATE NO 2 Labor, material, equipment and accessory appurtenances in place or stored to date at the above referenced project: 042,112.90 Less 10 % retained 24,211.29 Total earned less retainer '17,901.61 Less Previous applications 9,540.00 TOTAL DUE THIS ESTIMATE NO 2 -08,361.61