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W R DUNKIN & SON, INC- 001439- 12/2/2010
I Z` ' CARREL L REDEVELOPMENT COMMISSION 001439 W R Durikin & Son, Inc. Check: 1439 PO Box 2247 Date: 12/2/2010 Anderson, IN 46018 Vendor: DUNKINW1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-2 68 2,800.00 2,800.00 0.00 0.00 2,800.00 Application 2 20 2 51 143,299.00 143,299.00 0.00 0.00 143,299.00 Application 20 31A 35 269,541.00 269,541.00 575.80 0.00 268,965.20 Application 31A 415,640.00 415,640.00 575.80 0.00 415,064.20 • Pp &13 Carmel Redevelopment Commission 001439 30 West Main Street REGIONS 220-1421(740 Suite 220 •\STP CS Carmel, IN 46032 . 1439 DATE AMOUNT 12/2/2010 415,064.20 PAY THE SUM OF FOUR HUNDRED FIFTEEN THOUSAND SIXTY FOUR DOLLARS AND 20 CENTS TO THE ORDER OF W R Dunkin & Son, Inc. PO Box 2247 ,'5E14,, Anderson, IN 46018 " m. u'OOL43900 1:0740 ).42L31: 0087504LLL" CARMEL REDEVELOPMENT COMMISSION 001439 W R Dunkin & Son, Inc. Check: 1439 PO Box 2247 Date: 12/2/2010 Anderson, IN 46018 Vendor: DUNKINW1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-2 68 2,800.00 2,800.00 0.00 0.00 2,800.0C Application 2 20 2 51 143,299.00 143,299.00 - 0.00- 0.00 143,299.0C Application 20 31A 35 269,541.00 269,541.00 575.80 0.00 268,965.2C Application 31A 415,640.00 415,640.00 575.80 0.00 415,064.2C :"" t.4„ a ��I October 27,2010 Brandon Bogan CSO Architects 280 E. 96th Street, Suite 200 Indianapolis, IN 46240 RE: Carmel City Center— Parcel 7C Carmel Energy Center Phase II Expansion Payment Application #08 Mr. Bogan, Shiel Sexton has reviewed the attached Prime Contractor AR payment applications and requests payment of the amounts indicated. Also attached for review and approval are the Construction Management Services/ Reimbursables and Construction Management Fee payment applications. Below is a Payment Request Summary. Upon review and approval, please forward to Les Olds for approval and payment. Shiel Sexton requests a copy of the Prime Contractor payment checks for the project files. Payment Request Summary 1000: Leach and Russell Mechanical Contractors, Inc. (Mechanical) $ 0.00 2000: W.R. Dunkin & Son, Inc. (General Trades) $ 2,800.00 Sincerely, 1 �41111/4 David C. Burchard Construction Manager . k,, #AIA Document G702ICMa TM — 1992 Log Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment PROJECT: PARCEL 7C.41000 CARMEL APPLICATION NO:002 Distribution to: Commission PERFORMING ART'S OWNER: One Civic Square 777 3RD AVE S.W. CONSTRUCTION MANAGER: , 7 CARMEL IN 4GOs_ PERIOD TO:October 31,_010 Carmel,IN 46032 ARCHITECT: FROM Wit.Dunkin K Son, Inc. VIA CONSTRUCTION Slid Sexton Co.. Inc. CONTRACT DATE:January 04,2010 CONTRACTOR: CONTRACTOR: PO Box 2247 MANAGER: PROJECT NOS: / / FIELD: Anderson,IN 46018 CONTRACT FOR: General Construction VIA ARCHITECT: CSO Architects OTHER', CONTRACTOR'S APPLICATION FOR PAYMENT The undersimurd Contractor certifies that to the best of the Contractor's knowledge,information and belief the Work covered by this Application fr •-; lent has been completed in accordance with the Application is made for payment.as shown below,in connection with the Contract, Contract Documents_that • mounts have/ by the Contractor for Work for which previous Continuation Sheet,A]A Document(3703,is attached. Certificates for Pa . etc iss - a afrpayn .nts received from the Owner. and that current 1.ORIGINAL CONTRACT SUM $ 56.00000 pays_ 9r1n '_' ow dui if 2. NET CHANGE BY CHANGE ORDERS .......................................................... $ 6 D -'ONTRAC 1 n• W�'rn.,;., • ,. Op' , INC. 3.CONTRACT SUM TO DATE(Line I a 2) $ 56.000.00 'By: �re, S Date. October 18,2010 &TOTAL COMPLETED&STORED TO DATE(Column 0 on 0703) $ 56,1x10,00 Sta o : Indiana ,P o't` oe� MARTHA A.CARPENTER 5. RETAINAGE: County of:Madi-- - NOTARY PUBLIC a. 5 %of Completed Work Subscribed and sworn to before STATE OF INDIANA (Column D+Eon G703) $ 2,_80000 the this 18th davof October, 2010 �c?a ,9,My Cahmission Ores 1-5-17 b. 0 %of Stored Material ' !e e-A-' Notary Public:Martha A. Carpenter f� . ^L_ L (Column F on 0703) $ 0.00 My Commission expires:JatutarvO ,2017 of Total Rctainagc(Lines 5a+5b or Total in Column I of 0703) $ 2.800 00 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 53.200.00 In accordance with the Contract Documents, based on on-site observations and the data comprising (Line 4 Less Line 5 Total) this application_the Construction Manager and Architect cernly to the Owner that to the best of their 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 50 408 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 AMOUNT (Line 6 from prior Certificate) CERTIFIED. CO 8.CURRENT PAYMENT DUE $ 2,800.001 AMOUNT CERTIFIED $ Zibrai 4.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation Ifarnwtnt certified differs fir e amount applied Initial all figures on this Application and on the Continuation Sheet the ranged to conform with the amount certiiied) (Line 3 less Line 6) 5 2.800.01) CON TRUCTION NAG..•: yr /. io 20 lie CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARC OT i _ _ (L,` II([ Total changes approved in previous months by Owner $ 0,00$ 0.00 Be. �_ ' . c — Date: I Total approved this Month 5 0.00 $ 0 00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ 0.00 $ 0,00 named herein. Issuance, patment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. NET CI fANGES by Change Order $ 0.00 AIA Document G702/CMa n•—1992.copyright C 1952 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.This document was produced by AlA software at 11:38:16 on 10/22/2010 under Order No.01634 2 07 39_1 which expires on 05/10/2011,and is not for resale. User Notes: (1885432929) 0 V AIA Document G703t" - 1992 Continuation Sheet AIA Document G702Ty-1992,Application and Certification for Payment, or 07361°'2009, APPLICATION NO: 002 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE: 10!18(2010 containing Contractor's signed certification is attached. in tabulations below,amounts are in US dollars. PERIOD TO; 10/31/2010 Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D F F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (0 C) FINISH OF VARIABLE APPLICATION (NOT IN D ORE DATE (C-G) RATE) ( (D+E) (D+E+F) PERFORMANCE 01010 BOND 1,200.00 1,200.00 0.00 0.00 1,200.00 ]00.00% 0.00 0.00 MOBILIZE( 01020 DEMOBILIZE 1,000.00 1,000.00 0.00 0.00 1,000.00 100.00 % 0.00 0.00 SUPERVISION! 01030 COORDINATION 6,800.00 6,800.00 0.00 0.00 6,800.00 100.00% 0.00 0.00 GENERAL 01040 CONDITIONS - M 3.000,00 3,000.00 0.00 0.00 3.000.00 100.00% 0.00 0.00 GENERAL 01050 CONDITIONS - I, 5,000.00 5,000.00 0.00 0.00 5.000.00 100.00% 0.00 0.00 GENERAL CLEAN 01 510 UP- M 500.00 500.00 0.00 0.00 500.00 100.00% 0.00 0.00 GENERAL CLEAN 01520 UP-L 1,000.00 1,000.00 0.00 0.00 1,000.00 100.00% 0.00 0.00 FINAL CLEANING 01530 Gums TNBP5010) 1,000.00 0.00 1,000.00 0.00 1,00000 100.00% 0.00 0.00 02010 DEMOLITION -M 3,500.00 3,500.00 0.00 0.00 3,500.00 100.00% 0,00 0.00 02020 DEMOLITION-I. 6,000,00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 0.00 04010 MASONRY 2,800.00 2,800.00 0.00 0.00 2,800.00 100.00% 0.00 0.00 06210 CARPENTRY -M 4,600.00 4,600.00 0.00 0.00 4,600.00 100.00% 0.00 0.00 06220 CARPENTRY- L 4,600.00 4,600.00 0.00 0.00 4,600.00 100.00% 0.00_ 0.00 09010 FINISHES 8,200.00 8,200.00 0.00 0.00 8,200.00 100.00% 0.00 0.00 10010 SPECIALTIES 6,800.00 5,000.00 1,800.00 0.00 6,800.00 100.00% 0.00 0.00 I 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIA Document G703 TM-1992.Copyright®1963, 1955,1956,1967.1970.1978,1983 and 1992 by The American Institute of Architects,All rights reserved.WARNING'This AlA° 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 i prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 11:39'.29 on 10/22/2010 under Order No.0168420739_1 which expires on 05(10/2011,and is not for resale. User Notes: (928535933) A 13 C D I E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAIN.AGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS STORED AND STORED TO I 1 (G- FINISH (IF VARIABLE ' THIS PERIOD DATE ( C) (C-G) RATE) A LIGATION (NOT IN D OR E) (D+E) (D+E+F) GRAND TOTAL $56,000.00 $53,200.00 $2,800.00 $0.00 556.000.00 100.00% $0.00 $0.00 AIA Document G703"—1992.Copyrighl6)1963,1965,1966,1967.1970,1978,1983 and 1992 by The American Institute of Architects.NI rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be 2 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 11:34:29 on 10/22/2010 under Order No.0168420739 1 which expires on 05/10/2011,and is not for resale. User Notes: (928538933) o. Ml V Document G702ICMaT" - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition 3 s TO OWNER: Cannel Redevelopment PROJECT: Panel 72,#4050 Cannel APPLICATION NO:030A Distribution to Commission Performing Arts OWNER:X One Civic Square 777 ;rd Ave. S.W. PERIOD TO:October 31, 2010 CONSTRUCTION MANAGER: X Carmel IN 46012 Carmel, IN 46032 ARCHITECT:X FROM A Dunkin&Son,Inc. VIA CONSTRUCTION Slue]Sexton Co.,Mc CONTRACT DATE:May O8.2008 CONTRACTOR:X CONTRACTOR: PO Box 2247 MANAGER: PROJECT NOS:2531012695-4050/2695 FIELD, Andersen, IN 46018 OTHER CONTRACT FOR: NP-#4050 General Trades VIA ARCHITECT: CSO Architects CONTRACTOR'S APPLICATION FOR PAYMENT 1.1e undersigned Contractor certifies that to the 1 of the Contractor's knowledge, information and belief the Work covered by this Application tort amcnt has been completed in accordance with the Application is made for payment-as shown helow,in connection with the Contract. Contract Documents,that all amounts tr he paid he Contractor tor Work for which prev ions Continuation Sheet. AI A Document 0703 is attached, Certificates for Payment • issue. t aym- received from the Owner and that current 1.ORIGINAL CONTRACT SUM $ 9.966 30090 payme• `-„rte' nue_ / 2. NET CHANGE BY CHANGE ORDERS _, ..._._. . ...., .$ -60,864.6 Cc TRAC r. t ysr.? • '0 INC. 3,CONTRACT SUM TO DATE(Line 1 ±2) $ 9,905,436.00 By- ✓r at Date: (ctnher 23,20]0 4.TOTAL COMPLETED&STORED TO GATE(Column G on 0703) S 9,143,390,00 St of Indiana r -or a�a""oer MARTHA A CARPENTER 5.RETAINAGE: County el Madison NOTARY PUBLIC z a. 5 %of'Completed Work Subscribed and snort to before OF INDIANA (Column D+E on G703) $ 491,833.80 me this 22nd day of October,, 2010 rCOmmf5glon Fnylr951-8-t7 S. 0 %of Stored Material Notary Public.:Martha A. Carpenter 7/Q�f✓(_ i A "" (Column F on 0703) $ 0.00 My Commission expires:January 08,2017 / Total Retainage(Lines 5a+5b or Total in Column I of 0703)..__.._,.....$ _ 491.833.80 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 8651.516.20 In accordaraee.ii•itlt the Contract Documents, Eased on on-site observations and the data comprising {ISne 4]ASS Line 5 Total) this application,the Construction Manager and Architect coifs to the Owner that to the best of their 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 8.38299FACt knowledge information and belief the Work has progressed as indicated the yuaiityof the Work is in accordance with the Contract Dcuments, and the Contractor is entitled to payment of the AMOIJN'I (Line 6 from prior Certificate) CERTIFIED. Zier 8, CURRENT PAYMENT DUE $ 268.96510 AMOUNT CERTIFIED ..................... $ Vf78%1 � 9, BALANCE TO FINISH,INCLUDING RETAINAGE (4nach explanation ifainotun certified d ersfir r the c nw/rnr applied.Mara?oil figures an this -1/>)tlicatiwi and on die Contimralfon She= vet! ire charged to cotfornl It the airman/cerliled) (Line 3 less Line 6) $ 1.2539t9.K0 CON TRUCTIO^ M• AGER: r��� By: s..v... ___.,_�1 ate.✓ Date: (0/2010 CHANGE ORDER SUMMARY ADD'•1'IONS DEDUCTIONS ARCHI Total changes approved in previous mouths by Owner $ 687,950.00$ 76,330.00 gy. _� -- ^ Date: 4s2'1zC111 iiii fatal a pp roved this Month $ 1 1.516.00$ 0,00 This Lent icy e snot negotiable. "lire AMOUNT CER'fIFIECJ is payable only to the Contractor "10'I Al S S 699,466-00$ 760,330.00 named herein. Issuance, payment and acceptance of payment are without pre(udicc to any rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order $ -60.864.X1 MA Document G702/CMafe-1992.Copyright®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 AA' Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible 1 - under the law,This document was produced by AR software at 13:47.23 on 10122/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (1097296195) v -AIA Document 6703'" - 1992 Continuation Sheet AIA Document, G702rm-1992, Application and Certification for Payment, or G7301-2009, APPLICATION NO: 031 A Project Application and Project Certificate for Payment, Construction Manager as Adviser Edition, APPLICATION DATE: t0/I8/2010 containing Contractor's signed certification is attached. ]n tabulations below, amounts are in US dollars- PERIOD TO: 10/31/2010 Use Column I on Contracts where variable retainage for line items may apply_ ARCHITECT'S PROJECT NO:25310 A B C D E F C; H 1 WORK COMPLETED TOTAL MA'fL'RIALS COMPLETED TO RET.AINA(3E ITEM DESCRIPTION'OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G +O) FINISH (IF VARIABLE APPLICATION (NOT IN 0 OR E) DATE (C-C} RATE} (D+E) (D+E+F) PERFORMANCE 01010 BOND 106.000.00 106,000.00 0.00 0.00 106.000.00 100.00% 0.00 10,600.00_ MOBILIZE/DEMOB 01015 ILIZE 29.000.00 18,300.00_ 3,700,00 0.00 22,000.00 75.86% 7,000.00 1,500.00 SUPERVISION/CO 01020 ORDINATION 361,000.00 352,800.00 4,100.00 0.00 356,900.00 98.86% 4,100.00_ 28,480.00 GENERAL 01025 CONDITIONS-M 380,000.00 372.200,00 5,800,00 0.00 378,000,00 99.47% 2,000.00 27,000.00 • GENERAL 01026 CONDITIONS-L 98,000,00 96,500.00 1,000.00 0.00 97,500.00 99.49% 500.00 7,000.00 GENERAL 0!027 CONDITIONS-0 262,990.00 254,300.00 7500.00 0.00 261,800.00 99.55 % 1,190,00_ 0.00 ALLOWANCE- STONE 140.A0 WALKWAY 8,500.00 0.00 0.00 0.00 0.00 0.00% 8,500.00 1 1 0.00 ALLOWANCE- TEMPORARY 140130 HANDRAIL _ 38,000.00 36,727.00 312.00 0.00 37,039.00 97.47% 961.00 2,776.90 ALLOWANCE- TEMPORARY DOORS/FRAMES/H 14000 ARDWARE 10,000.00 5,972.00 0.00 0.00 5,972.00 59,72 % 4,028.00 0.00 140D0 ALLOWANCE-ICE 13,500.00 2,943.00 0.00 0.00 2,943.00 2180 % 10,557.00 207.10 ALLOWANCE- 140E0 SECURITY 31.000.00 32,215.00 12.971.00 0.00 45,186.00 145.76% -14.186.00 0-00 )40F0 ALLOWANCE- 191,700,00 107.064.00 3,240.00 0.00 110.304.00 57.54% 81,396.00 _ 3,987.90 AIA Document G703"•-1992.Copyright c 1963.1965.1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA Document is protected by U.S.Copyright Law and International Treaties,Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be 1 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13 49.25 on 10/22/2010 under Order No.0166420739_1 which expires on 05110/2011,and is not for resale. _ User Notes: (875651923) A B C D F F 0 Ihl I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY °' NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G.e C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C - G) RATE) (D+E) (D+E+F) DUMPSTERS _ ALLOWANCE- TRAILER 14000 CONNECTOR 34,000.00 33.446.00 36.00 0.00 33,482.00 98.48% 518.00 2,200.90 ALLOWANCE- TRAILER 140H0 CLEANING 19,169.00 15.720.00 0.00 0.00 15,720.00 82.01 % 3,449.00 1,06610 ALLOWANCE-SITE 14010 SIGNAGE/SAFETY 22,000.00 11.623.00 0.00 0.00 11,623.00 52.83 % 10,377.00 1,055.90 ALLO WANCE- 14010 GENERAL LABOR. 320,000.00 321,844.00 0,00 0.00 321,844.00 I00.58 % -1,844.00 594.40 AL 10 WANCE- TEMPORARY FENCE 140 K0 MODIFICATIONS 5,000.00 4,008.00 0.00 0.00 4,008.00 80.16% 992.00 400.80 ,ALLOWANCE-42 140L0 OR#53 STONE 37,900.00 18,856.00 29,370.00 0.00 48,226.00 12725% -10,326,00 1,885.60 ALLOWANCE- WAREHOUSE 140M LEAS FILM'DOWN 0 /PARKING 500,000.00 500.000.00 0.00 0.00 500.000.00 100.00% 0.00 942.70 ALLOWANCE- PARKING LOT ]NSTALL/MAINTAI ]40N1 N 100.000.00 80.324.00 0.00 0.00 80,324.00 80.32% 19,676.00 5.53240 ALLOWANCE- MAINT.-OFF SITE STAGING/PARKIN 140N2 G 35,000.00 21552.00 768.00 0.00 22,520.00 63.77% 12.680.00 685.50 ALLOWANCE- PARKING LOT REMOVE/REFURBI 14000 SH 100,000.00 2,745.00 0.00 0.00, 2,745.00 2.75 % 97,255.00 274.50 AIA Document G703're-1992.Copyright 91963, 1965,1966.1957,1970.1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAt Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAt Document,or any portion of it,may result in severe civil and criminal penalties.and will be 2 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:49:25 on 10/22/2010 under Order No.0168420739_1 which expires on 05/10/2011.and is not for resale. . User Notes: (8756519231 A B C D E F G H 1 WORK COMPLETED 'TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO FINISH (IF VARIABLE APPLICATION DATE (G +CI) (C-G) RATE) (D+F) (NOT IN D OR F.) (D+E+F) ALLOWANCE- HAUL/DISPOSE UNSUITABLE 140P0 MATERIAL 25,000.00 14,794,00 0.00 0.00 14;794.00 59.18% 10,206.00 1,479.40 ALLOWANCE-6 OZ. GEOTECH 1400,1 FABRIC 4,.700.00 0.00 0.00 0.00 0.00 0.00% 4,700.00 320.70 ALLOWANCE- I40Q2 TENSAR GEOGRID 8.500.00 8,126.00 0.00 0.00 8,1 26.00 95.60% 374.00 0.00 ALLOWANCE-42 140R0 STONE 26.200.00 23.580.00 0.00 0.00 23,580.00 90.00% 2.620.00 1,027.50 ALLOWANCE CABLE PASS- 14050 T111W(FMB 6,456.00 6.456.00 0.00 0.00 6,456,00 100.00% 0.00 0.00 ALLOWANCE- CABLE PASS- 140T0 THRU(BOLT) 5,165.00 5,165.00 0.00 0.00 5,165.00 100.00% 0.00 0.00 ALLOWANCE- 140U CABLE PASS- O THRU(FLOOR) 17,217.00 17,217.00 0.00 0.00 17,217.00 100.00% 0.00 0.00 ALLOWANCE- TEMPORARY ELEVATOR 140V0 USAGE 200,000.00 121,507.00 14,932.00 0.00 136,439.00 6822% 63,561,00 0.00 ALLOWANCE- 140W DONOR 0 RECOGNITION 100,000.00 100,000.00 0.00 0.00 100,000.00 100.00% 0.00 0.00 GENERAL 140X0 ALLOWANCE 400,000.00 364,502.00 36,346.00 0.00 400,848.00 100.21 % -848.00 598.00 ALLOWANCE-AS- 140Y0 BUILD/CAD 5.000.00 4,242.00 0.00 000 4,242.00 84.84 % 758.00 0.00 FIELD 01501 OFFICE/STORAGE 16,400.00 16,400.00 0.00 0.00 16,400.00 100.00 % 0.00 1,320.00 AIA Document G7031°-1992.Copyright 1963,1965,1966,1967,1970, 1978.1983 and 1992 by The American Irmlitute of Architects.All rights reserved.WARNING:This A1Ae Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be 3 prosecuted to the maximum extent possible under the law,This document was produced by AIA software at 13:49:25 on 10/22/2010 under Order No.0168420239_1 which expires 00 05/1012011,and is not for resale_ User Notes: (915651923) A B C D E F G H I WORK COMPLETED TOTAL M,4TERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY" °'e NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO FINISH (]F VARIABLE APPLICATION DATE (G-C) (C- G) RATE) (D+F) (NOT IN D OR E) (D+E+F) TRAILER-M FIELD OFFICE/STORAGE 01502 TRAILER-L 5.500.00 5_,500.00 0.00 0.00 5,500.00 100.00% 0.00 405.00 TEMPORARY TOILETS/WASHIN 01503 G STAT1ONS-M 43.800.00 41.000.00 800.00 0.00 41,800.00 100.00% 0.00 2,860.00 TEMPORARY TOILETS/WASHIN 01504 G STAT1ONS-L 7.600.00 7,425.00 175.00_ 0.00 7.600.00 100.00% 0.00 555.00 FIRE PROTECTION/ENE 01505 RG.STA.TIONS-M 19.300.00 19,300.00 0.00 0.00 ]9,300.00 100.00% 0.00 1,930.00 FIRE PROTECTION/EME 01506 RG.STATIONS-L 4.000.00 4,000.00 0.00 0.00 4,000.00 100.00% 0.00 310.00 FU RN IS HIM A INTA 01507 IN TRASH CANS-M 6.000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 600.00 FURNISH/M Al NTA 01 508 IN TRASH CANS-4 40.000.00 40,000.00 0.00 0.00 40,000.00 100.00 % 0.00 2,350.00 TEMPORARY ROAD/MAINTENA 01510 NCE 148,000.00 148,000.00 0.00 0.00 148,000.00 100.00% 0.00 12,220.00 TEMPORARY FENCING- REMOVE/RELOCA 01520 TF 15.800.00 15,800.00 0.00 0.00 15,800.00 100.00% 000 1,580.00 TEMPORARY 01521 FENCING-GATES 6.500.00 6,500.00 0.00 0.00 6,500.00 100.00% 0.00 650.00 TEMPORARY FENCING- 01522 SCREENING 8.744.00 8,744.00 0.00 0.00 8,744.00 100.00% 0.00 874.40 AIA Document G703r"-1992.Copyright®1963.1965.1966,1967,1970.1978,1983 and 1992 by The American Institute of Architects.NI rights reserved.WARNING:This AlA5 Document 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 4 e prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13149:25 on 1O/2Z1201 0 under Order No.01634207391 which expires on 05110/2011,and is not for resale. User Notes; (?75S51923) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO- WORK VALUE PREVIOUS 'FH1S PERIOD STORED AND STORED TO FINISH (IF VARIABLE APPLICATION DATE (0 -C) (C-G) RATE) (D+E) (NOT IN (D+E+F) TEMPORARY 01523 BARRIERS-M 6,800.00 6,800.00 0.00 0.00 6,800.00_ 100.00% 0.00 680.00 TEMPORARY 01524 BARRIERS-L 7.500.00 7,500.00 0.00 0.00 7,500.00 100.00% 0.00 750.00 TEMPORARY 01530 ENCLOSURES-M 10,800.00 10,800.00 0.00 0.00 10,800.00 100.00% 0.00 1,050.00 TEMPORARY 01531 ENCLOSURES-L 14,000.00 14.000.00 0.00 0.00 14,000.00 100,00% 0.00 1,360.00 SC AFFOLDIP 1G- SET UP/CONSUMABLE 01540 S 398,000,00 398,000.00 0.00 0.00 398,000.00 100.00% 0.00 37,620.00 SCAFFOLDING- MONTHLY RENTAL/INSPECT] 0154] ONS 228,000.00 228.000.00 0.00 0.00 228,000.00 100.00% 0.00 10,450.00 SCAFFOLDING- DISMANTLE/REM 01542 OVE 55,000.00 55,000.00 0.00 0.00 55,000.00 100.00% 0,00 0.00 STAIR TOWERS- 01543 SETUP 54,000,00 18,000.00 36,000.00 0.00 54,000.00 100.00% 0.00 1,800.00 STAIR TOWERS- MONTHLY 01544 RENTAL 28,500.00 9,500.00 19,000.00 0.00 28.500.00 100.00% 0.00 350.00 STAIR TOWERS- 01545 DISMANTLE 6.700,00 2,200.00 4,500.00 0.00 6.700,00 100.00% 0.00 0.00 HOIST-EXTERIOR- 1546.] SET UP 14,300.00 0.00 0.00 0.00 0.00 0.00% 14,300.00 0.00_ HOIST-EXTERIOR- RENTAL/OPERATI 1546.2 ON 139,040.00 0.00 0.00 0.00 0.00 0.00% 139,040.00 0.00 HOIST-EXTERIOR- 1546.3 DISMANTLE 8,000.00 0.00 0.00 0.00 0.00 0.00% 8,000.00 0.00 AIA Document G703 iM■1392.Copyright d?1963, 1965.1966.1967.1970.1976,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAe Document 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 possible under the law.This document was produced by AIA software at 13:49:25 on 10(22)2010 under Order No,0168420739_1 which expires on 05110!2011,and is not for resale_ User Notes: (875651923) A B C D E F G H ] WORK COMPLETED IDEAL MATERIALS COMPLETED B,AL,,AINICE"LO RETAIN.AGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (O_L) FINISH OF VARIABLE APPLICATION DATE (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+L) HOIST-STA]R2-SET 1547.] UP I4,300.00 0.00 0.00 0.00 0.00 0.00% I4300.00 0.00 HOIST-STAIR 2- RENTAL/OPERATI 1547.2 ON 139,040.00 0.00 0.00 0.00 0.00 0.00% 139_,040.00 0.00 HOIST-STAIR 2- 1547.3 DISMANTLE 8,000.00 0.00 0.00 0.00 0.00 0.00% 8.000.00 0.00 HOIST-ROOM 100- 1548.1 SETUP 95.000.00 95,000.00 0.00 0.00 95,000.00 100.00% 0.00 9,500.00 HOIST-ROOM 100- RENTAL/OPERATI 1548.2 ON 211.000,00 211,000.00 0.00 0.00 211,000.00 100.00% 0.00 ]6,975.00 HOIST-ROOM 100- ]548.3 DISMANTLE 2,500-00 2,500.00 0.00 0.00 2,500.00 100.00% 0.00 0.00 HOTS T- ALLO W ANCE-S ET 1549.1 UP 9,830.00 0.00 0.00 0.00 0.00 0.00% 9.830.00 0.00 HOT ST- ALLO W ANCE- REN'1'AL/OPERATI 1549.2 ON 97,500.00 20,971.00 0.00 0.00 20,971.00 21.51 % 76,529.00 0.00 HOIST- ALLOWANCE- 1 549.3 DISMANTLE 2,500.00 0.00 0.00 0.00 0.00 0.00% 2,500.00 0.00 01556 TRASE-I CHUTES-M 52,000.00 52,000.00 0.00 0.00 52,000.00 100.00% 0.00 4,490.00 01557 TRASH CHUTES-L 58,000.00 58,000.00 0.00 0.00 58,000.00 100.00% 0.00 2,500.00 GENERA!.CLEAN 01560 UP-M 5,000.00 4,740.00 200.00 0.00 4,940.00 98.80% 60.00 314.00 GENERAL CLEAN 01561 UP-L 60,000.00 57,800.00 1,800.00 0.00 59,600.00 99.33% 400.00 3,560.00 01562 FINAL CLEANING 65,000.00 2,000.00 48,750.00 0.00 50,750.00 78.08% 14,250.00 0.00 02110 EXCAVATION/BA 12,019.00 12,019.00 0.00 0.00 12,019.001 100.00% 0.00 1,201.90 AIA Document G703 '-1992.Copyright®1963, 1965,1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA°Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA° Document.or any portion of it,may result in severe civil and criminal penalties,and will be 6 prosecuted to the maximum extent possible under the law.This document was produced by AlA software at 13:49:25 on 10/2222010 under Order No.0168420739_1 which expires on 05/1012011,and is not for resale. - User Notes: (87 56 5192 3) • A B C D I E F G H I I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RET.AI,'AGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK PREVIOUS AND STORED TO FINISH (IF VARIABLE NO. AA ORK VALUE THIS PERIOD STORED (G+C) APPLICATION (NOT IN D OR E) DA'Z'E (C -CO RATE) (D+E) (D+E+F) CKFILL-SUMPS-M EXCAVATION/BA CKFILL-SUMPS-L 021 1 1 EQ 25.000.00 25,000.00 0.00 0.00 25,000.00 100.00% 0.00 2,500.00 02240 SHORING _ 209.800.00 209,800.00 0.00 0.00 209,800.00 100.00% 0.00 20,980.00 CAST IN PLACE 03301 CONCRETE-M 1 2.000.00 12.000.00 0.00 0.00 12,000.00 100.00% 0.00 1,000.00 CAST IN PLACE 03 302 CONCETE-L 40.000.00 40.000.00 0.00 0.00_ 40,000.00 100.00% 0.00 3,500.00 PRECAST PLANKS-12" 03410 HOLLOW COKE 161,000.00 161,000.00 0.00 0.00 161,000.00 100.00% 0.00 16,100.00 PRECAST PLANKS-12" 03411 SOLID 898,000.00 898,000.00 0.00 0.00 898,000.00 100.00% 0.00 89,800.00 PRECAST 03412 PLANKS-6" SOLID 107,000.00 107,000.00 0.00 0.00 107,000.00 100.00% 0.00 10,700.00 PRECAST 03413 TRUCKING _ 82,000.00 82,000.00 0.00 0.00 82,000.00 100.00% 0.00 8,200.00 PRECAST 03414 ERECTION �: 186.000.00 186,000.00 0.00 0.00 186,000.00 100.00% 0.00 18,600.00 INTERIOR METAL FABRICATIONS- 05504 SUBMITTALS 102.000.00 102,000.00 0.00 0.00 102,000.00 100.00% 0.00 10,200.00 STEEL STAIRS .05505 WITH RAIL-M 179,000.00 179,000.00 0.00 0.00 179,000.00 100.00% 0.00 14,857.00 STEEL STAIRS 05506 WITH RAIL-L 80,000.00 80,000.00 0.00 0.00 80,000.00 100.00% _ 0.00 __ 6,600.00 05507 LADDERS-NI 26,000.00 26,000.00 0.00 0.00 26,000.00 100.00% 0.00 2.600.00 05508 LADDERS-L 12,500.00 12.500.00 0.00 0.00 12,500.00 100.00% 0.00 1,220.00 --- CATWALK - - - - - - - 05509 FRAMING-M 63,000.00 63,000.00 0.00 0.00 63,000.00 100.00% 0.00 6,300.00 AIA Document G703r'-1992.Copyright 01963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA° Document 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 7 ._ prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:49:25 on 10/22/2010 under Order No.0168420739 1 which expires on 05/10/2011,and is not for resale. - User Notes: (875651923) A B C D E F C H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETA]NAGE ITEM DESCRIPTIONIOF SCHEDULED FROM PRESENTLY D OR AND STORED TO FINISH (IF VARIABLE NO. WORK VALUE PREVIOUS THIS PERIOD STORED DATE (G C) APPLICATION (NOT I (C G) RATE)EN F..) (D+ E) (D+E+F) CATWALK 05510 FRAM1NG-L 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00 % 0.00 1,710.00 MISCELLANEOUS 05511 METALS-M 441.000.00 441,000.00 0.00 0.00 441_,000.00 100,00% 0.00 13,615.00 MISCELLANEOUS 05512 METALS-L 275,000.00 275,000.00 0.00 0.00 275,000.00 100.00% 0.00 8,094.30 INTERIOR ROUGH 06100 CARPENTRY-NI 31,000.00 31.000.00 0,00 0.00 31,000.00 100.00% 0.00 372.00 INTERIOR ROUGH 06101 CARPENTRY-L 44,000.00 44.000.00 0.00 0.00 44,000.00 100.00% 0.00 484.00 FOUNDATION WATERPROOFING 07110 -M 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00 % 0.00 510.00 FOUNDATION WATERPROOFING 07111 -L 6,600.00 6,600.00 0.00 0.00 6,600.00 100.00% 0.00 660.00 07210 DUCT LINERS-M 97,000.00 97,000.00 0,00 0.00 97,000.00 100.00% 0.00 9,700.00 0721 1 DUCT LINERS-I. 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 1,120.00 07810 FIRESTOPP1NG-M 24,000.00 24,000,00 0.00 0.00 24,000_00 100.00% 0.00 1,680.00 07811 FIRES'TOPPTNG-L 16,000.00 16,000.00 0.00 0.00 16,000.00 100.00% 0.00 1,220.00 JOINT SEALANTS- 07910 M 35,000,00 23,000.00 5,000.00 0.00 28,000.00 80.00 % 7,000.00 0.00 JOINT SEALANTS- 0791 I L 80,000.00 52,000.00 12,000.00 0,00 64,000.00 80,00% 16,000.00 0.00 STEEL DOORS& 08110 FRAMES-M 0.00 0,00 0.00 0.00 0.00% 0.00 STEEL DOORS& 0811 I FRAMES-L 0.00 0.00 0.00 0.00 0.00% 0.00 FLUSH WOOD 08140 DOORS-M 0.00 0.00 0.00 0.00 0.00% 0.00 FLUSH WOOD 08141 DOORS-L 0.00 0.00 0.00 0.00 0.00% 0.00 AIA Document G703"'-1992.Copyright©1963,1985,1966,1967,1970.1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document Is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this AlA5 Document,or any portion of it,may result in severe civil and criminal penalties,and will be a • prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:49:25 on 10/22/2010 under Order No0168420739 1 which expires on 05110!2011,and is not for resale. - User Notes: (875551923) A 13 C D I E F Cr H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE 1T) RF.T.4INAGE ITEM DESCRIPTION OF SCHEDULED FROM • PRESENTLY NO. WORK VALUE PREVIOUS AND 5'I'ORED TO (G . C) FINISH (IF VARIABLE APPLICATION THIS PERIOD (NOT DATE (NOT IN D OR E) (C-CO RATE) (D+E) (D+E+F} STILE&RAIL 08143 WOOD DOORS-N1 0.00 0.00 0.00 0.00 0.00% 0.00 STILE&RAIL 08144 WOOD DOORS-L 0.00 0.00 0.00 0.00 0.00% 0.00 SOUND CONTROL DOORS& 08347 WINDOWS-NI 0.00 0.00 0.00 0.00 0.00% 0.00 SOUND CONTROL DOORS& 08348 WINDOWS-L 0.00 0.00 0.00 0.00 0.00% 0.00 OVER COILING 08355 DOORS-t\4 0.00 0.00 0.00 0.00 0.00% 0.00 - OVERHEAR 08356 COILING DOORS-L 0.00 0.00 0.00 0.00 0.00% 0.00 A LUM.FRAMED ENTRANCES/STOR 08410 EFRONTS-M 0.00 0.00 0.00 0.00 0.00% 0.00 ALUM.FRAMED ENTRANCES/5'FOR 08411 EFRONS-L 0.00 0.00 0.00 0.00 0.00% 0.00 INTERIOR ALUM. DOORS& 08413 FRAMES-M 0.00 0.00 0.00 0.00 0.00% 0.00 INTERIOR ALUM. DOORS & 08414 FRAMES-L 0.00 0.00 0.00 0.00 0.00% 0.00 REVOLVING DOOR 08423 ENTRANCES-114 0.00 0.00 0.00 0.00 090% 0.00 REVOLV/NG DOOR 08424 ENTRANCES-L 0.00 0.00 0.00 0.00 0.00 % 0.00 08440 GLAZED AEU,. 325,000.00 321,300.00 3.700.00 0.00 325,000.00 100.00% 0.00 11,375.00 AIA Document G703"-1992.Copyright Cr 1963, 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 9 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:49:25 on 10/22/2010 under Order No.0188420739_1 which expires on 05/10/2011,and is not for resale, - User Notes: (875551923) r A B C I) I E F G H I WORK COMPLETED TOTAL MATERIALS COM1IPLE"I'@D BALANCE TO RETAINAGE %ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (C,_C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D+E) (D+E+F) CURTAIN WALLS- 1 M11 GLAED ALUM. CURTAIN WALLS- 08441 L 148,000.00 143,600.00 2,400.00 0.00 146,000.00 98.65% 2,000.00 0.00 08710 HARDWARE 525,000.00 525,000.00 0.00 0.00 525,000.00' 100.00% 0.00 18.800.00 INTERIOR 08810 GLAZING-M 1 1,000.00 11.000.00 0.00 0.00 1 1,000.00 100.00% 0.00 22.00 INTERIOR 08811 GLAZING-L 8.000.00 8,000.00 0.00 0.00 8.000.00 100.00% 0.00 0.00 FIRE PROTECTION 10440 SPECIALTIES-NI 7,580.00 7,580.00 0.00 0.00 7,580.00 100.00% 0.00 0.00 FIRE PROTECTION 10441 SPECIALTIES-L 1,800.00 1.400.00 0.00 0.00 1.400.00 77.78% 400.00 0.00 10450 KNOX BOX 650.00 650.00 0.00 0.00 650.00 100.00% 0.00 0.00 LOADING DOCK 11130 EQUIPMENT-M 18,500.00 16,475.00 2,025.00 0.00 18,500.00_ 100.00% 0.00 1,647.50 LOADING DOCK 11 131 EQUIPMENT-L 3,800.00 2200.00 1,600.00 0.00 3,800.00 100.00% 0.00 220.00 ELEC.TRACTION ELEVATORS- 14210 ENGINEERING 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 ELEC.TRACTION ELEVATORS- MATERIAL/EQUIP 14211 MENT 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 ELEC.TRACTION 14212 ELEVATORS-L 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 HYDRAULIC ELEVATOR- 14241 ENGINEERING 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 14242 HYDRAULIC 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIR Document G703"'-1992.Copyright m 1963, 1965,1966,1967,1970.1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be 10 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:49:25 on 10/22/2010 under Order No.0168420739_1 which expires on 0511012011,and is not for resale. User Notes: (875651923) ri . A B C D E _ F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS IN D OR E)AND STORED TO (G G+C) FINISH (IF VARIABLE APPLICATION r THIS PERIOD (NOT IN DATE (C-G) RATE) (D+ E) (D+E+F) ELEVATOR- MATERIAL/EQUIP MENT HYDRAULIC ELEVATOR- 14243 LABOR 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 WHEELCHAIR LIFT- MATERIAL/EQUIP 14421 MENT 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 WHEELCHAIR 14422 LIFT-PERMITS 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 WHEELCHAIR 14423 LIFT-LABOR 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 CHANGE ORDER 17001 NO.01 228,000.00 228,000.00 0.00 0.00 228,000.00 100.00% 0.00 450.00 CHANGE ORDER 17002 NO. 02 9,031.00 9,031.00 0.00 0.00 9,031.00 100.00% 0.00 0.00 CHANGE ORDER 17003 NO. 03 2,196.00 2,196.00 0.00 0.00 2,196.00 100.00% 0.00 30.00 17000 CHANGE ORDER 4 NO. 04 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 17000 CHANGE ORDER 5 NO. 05 98,741.00 98,741.00 0.00 0.00 98,741.00 100.00% 0.00 9,874.10 17000 CHANGE ORDER 6 NO. 06 17.527.00 17,527.00 0.00 0.00 17.527.00 100.00% 0.00 1,400.00 17000 CHANGE ORDER 7 NO. 07 11,292.00 11,292.00 0.00 0.00 11,292.00 100.00% 0.00 1.12920 17000 CHANGE ORDER 8 NO. 08 44,936.00 44,936.00 0.00 0.00 44,936.00 100.00% 0.00 4,493.60 17000 CHANGE ORDER 9 NO. 09 14,683.00 14,683.00 0.00 0.00 14,683.00 100.00% 0.00 0.00 AIA Document G7031"-1992.Copyright m 1963, 1965,1966,1967.1970.1978.1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAe Document 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 i1 • prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:49:25 on 10/22/2010 under Order No.016 84 2 07 3 9_1 which expires on 05/10/2011,and is not for resale. r User Notes: (875651923) oe - A 13 C D E F G H . 1 WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESEN'T'LY COMPLETED % BALANCE TO RETAINAGE I AND STORED"F0 FINISH (IF VARIABLE NO. WORK VALUE PREY IOUS THIS PERIOD STORED DA'I E (G_C) (C-G) RATE) APPLICATION LIC.1TION (NOT IN D OR E) (D+E+F) (D+E) 17001 CHANGE ORDER 0 NO. 10 -760.330.00 -750.573.00 0.00 0.00 -750.573.00 98.72% -9,757.00 -38,016.50 17001 CHANGE ORDER 2 NO. 12 49.062.00 49.062.00 0.00 0.00 49.062.00 100.00% 0.00 2,453.10 17001 CHANGE ORDER 3 NO. 13 3.801.00 3,801.00 0.00 0.00 3,801.00 100.00% 0.00 190.05 17001 CHANGE ORDER 4 NO. 14 787.00 787.00 0.00 0.00 787.00 100.00% 0.00 39.35 17001 CHANGE ORDER 5 NO. 15 34.158.00 34.158.00 0.00 0.00 34,158.00 100.00% 0.00 1,707.90 17001 CHANGE ORDER 6 NO. 16 7.529.00 7529.00 0.00 0.00 7.529.00 100.00% 0.00 376.45 1700E CHANGE ORDER 7 NO. 17 7,083.00 7,083.00 0.00 0.00 7.083.00 100.00% 0.00 354.15 17001 CHANGE ORDER 8 NO. 18 22591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00 1,129.55 17001 CHANGE ORDER 9 NO. 19 22,591.00 22.591.00 0.00 0.00 22,591.00 100.00% 0.00 1,12955 17002 CHANGE ORDER 0 NO. 20 22.591.00 22,591.00 0.00 0.00 22,591.00 100.00% 0.00_ 1,129.55 17002 CHANGE ORDER 1 NO. 21 22.591.00 22.591.00 0.00 0.00 22,591.00 100.00% 0.00 1,129.55 17002 CHANGE ORDER 2 NO. 22 68.760.00 68.760.00 0.00 0.00 68,760.00 100.00% 0.00 0.00 17002 CHANGE ORDER 3 NO. 23 4,562.00 0.00 4,562.00 0.00 4,562.00 100.00% 0.00 228.10 17002 CHANGE ORDER 4 NO. 24 6.954.00 0.00 6.954.00 0.00 6,954.00 100.00% 0.00 347.70 GRAND TOTAL $9,905.436.00 58,873.809.00 5269.541.00 $0.00 $9,143,350.00 92.31 % $762,086.00 $491,833.80 A/A Document G703^'-1992.Copyright O 1963, 1965.1966,1967.1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document 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 12 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 13:49:25 on 10/22/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. User Notes: (875651923) AFFIDAVIT AND WAIVER OF LIEN [ [FINAL [X] PARTIAL [X ] PAYMENT TO FOLLOW State of Indiana.County of Madison. SS Bradley Teier . being duly sworn states that he is the Project Manager of W. R. Dunkin & Son. Inc. having contracted with City of Carmel Redevelopment Commission to furnish certain materials and/or labor as follows: Bid Package 4050-General Trades for a project known as Parcel 7A, Carmel Regional Performing Arts Center located at Carmel, Indiana and owned by City of Carmel and does hereby further state on behalf of the aforementioned Contractor. Payment for Application # 3 IA for work performed through 10/31/10 , of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned. (PARTIAL WAIVER)that there is due front the contractor the sum of Two hundred Sixty-eight Thousand Nine Hundred Sixty-five dollars and 20/cents ( S 268,96520 ) Payment for Application # 30B for work performed through 10131/10 , of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount,and which waiver shall be effective only upon receipt of payment thereof by the undersigned. (PARTIAL WAl VER)that there is due from the contractor the sum of Seventy-seven Thousand Seven hundred Twenty dollars and 00/cents ($ 77,720.00 ) Application for Payment # has been received for work performed through (FINAL WAIVER)that the final balance due from the Owner is the sum of dollars and 00/cents(S 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, subject to limitations or conditions expressed her/e'n. if any; and further certifies that no other party has any claim or right to a lien on account of any work pe ?tor or n t•- ial famished to the undersigned for said project,and within the scope )fthire . v ;dyer. W. R. Dunkin& Son, Inc. By AltarAlet � Title: Project Manages. air WITNESS MY HAND AND NOTARIAL EAL,this 2218 day of October .2010 • '27 % ( f 6 (Notary Public) f My Commission Expires:January 08, 2017 Printed Martha A. Carpenter Residing in Madison County I "Y`� MARTHA A. CARPENTER NOTARY PUBLIC 0'F STATE OF INDIANA ‘.%*Ate My ComnESeien Expires 1-8.17 y • CT/ I TM Document G702/CMa — 1992 as . Application and Certificate for Payment Construction Manager-Adviser Edition 5l TO OWNER: Cannel Redevelopment PROJECT: Parcel 74,#5010 Carmel APPLICATION NO:020 Distribution to: Commission Performing Arts OWNER: X One Civic Square 777 3rd Ave S.W. PERIOD TO:October 31,2010 CONSTRUCTION MANAGER:X Carmel. IN 46032 Carmel. IN 46032 ARCHITECT:X FROM W.R. Dunkin& Son.Inc. VIA CONSTRUCTION Shiel Sexton Co.; Inc. CONTRACT DATE: February 23.2009 CONTRACTOR: X CONTRACTOR: I'O Box 2247 MANAGER: PROJECT NOS:2531011/2695/5 01 0/2 695 FIELD: Anderson,IN 46018 CONTRACT FOR: Rid Pkg#5010 VIA ARCHITECT: CSO Architects OTHER: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the '•' .- e Contractor's knowledge, information and belief the Work covered by this splice• lc)." ayme has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Documents,that all• i. nits av n paid y the Contractor for Work for which previous Continuation Sheet,AIA Document G703. is attached. Certificates for Pas 1 r issu d to ayme s received front the Owner. and that current 1.ORIGINAL CONTRACT SUM $ 1.480.000.00 pay netttshnl cm is . 1'due. 2.NET CHANGE BY CHANGE ORDERS $ -81.040.00 CO )1 :1 t'KI & S• INC. ,Ill ► 3.CONTRACT SUM TO DATE(Line I +2) $ 1,398.960.00 Iiy. e ____� Date: October 22,2010 4.TOTAL COMPLETED 8 STORED TO DATE(Column G on G703) $ 1.282,047.00 State Indiana , �i`ee MgRTHq A.CgppENTER 5.RETAINAGE: Co my of:Madison a ... n NOTARY PUBLIC a. 5 %of Completed Work Subscribed and sworn to before �'SY STATE OP INDIANA ((olumn D+li on G703) $ 69.948.00 me this 22nd day of Oc tob� e�ri,y�r 2010_ ^ MYCom '""�l'e31-8-17 b. 0 %of Stored Material Notary Public:Martha A. Carpentery/// - W. , (Column Eon 0703) $ 0.00 My Commission expires:January 08.2017 Total Retainage(Lines 5a+5b or Total in Column l of 0703) $ 69.948.00 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE S 1.2 12,099.00 In accordance with the Contract Documents,based on on-site observations and the data comprising (Line 4 Less Line 5 Total) this application, the Construction Manager and Architect certify to the Owner that to the best of their 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,068.800.00 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 AMOUNT (Line 6 from prior Certificate) CERTIFIED. _ 8.CURRENT PAYMENT DUE $ 143.299.00 AMOUNT CERTIFIED $ I4 1.1 9 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation ifrnount certified differs from d Qum applied. Initial all figures on this Application and on the Continuation Sheet that are changed to coataria with the amount certified) (Line 3 less Line 6) $ 186,861.00 CONSTRUCTION M• •��' By: Via-' /. Date: lD "Q/C//to CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH �r ��{ Total changes approved in previous months by Owner $ 0.00$ 81,040.00 By: �,���' - Date: 0 tn. W Total approved this Month $ 0.00 $ 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ 0.00$ 81.040.00 named herein. Issuance, pannent and acceptance of paynent are without prejudice to any rights of - the Owner or Contractor under this Contract. NET CHANGES by Change Order $ -81,040.00 . - AIA Document G7021CMar"-1992.Copyright®1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA ment 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 1 under the law.This document was produced by AIA software at 11:49.11 on 10/22/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for resale. (,t User Notes: (1350204016) pg A. we,/ IA Document G7O3TM - 1992 Continuation Sheet AIA Document. G702Tm-1992,Application and Certification for Payment,or G736T31-2009. APPLICATION NO: 020 Project Application and Project Certificate for Payment, Construction Manager as Adviser Edition, APPLICATION DATE: 10/18/2010 containing Contractor's signed certification is attached. In tabulations below,amounts are in US dollars. PERIOD TO: 10/31/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECTS PROJECT NO: 25310H A B C D E F G H 1 WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS (C-G) RATE) THIS PERIOD STORED AND STORED TO (0 G_C) FINISH (IF VARIABLE APPLICATION (NOT IN D OR E) DATE (D+ E) (D+E+P) 01010 Performance Bond 26,400.00 26,400.00 0.00 0.00 26,400.00 100.00% 0.00 2,640.00 Mobilize/ 01015 Demobilize 8.000.00 4.800.00 1,200.00 0.00 6,000.00 75.00% 2,000.00 400.00 Supervision/ 01020 Coordination 87,000.00 78.000.00 4,500.00 0.00 82,500.00 94.83 % 4,500.00 6,600.00 General Conditions- 01025 M 30.000.00 27,400.00 1,300.00 0.00 28,700.00 95.67% 1.300.00 2,440.00 General Conditions- 01026 I. 34,000.00 29.600.00 2,200.00 0.00 31,800.00 93.53 % 2200.00 2,520.00 1400A Organ Facade Pipes 200.000.00 165,070.00 34,930.00 0.00 200,000.00 100.00% 0.00 8,672.00 Carpentry Labor 1400B Hours 32.000.00 32,000.00 0.00 0.00 32,000.00 100.00% 0.00 3,200.00 Provide Tie-Off 1400C Points at Balconies 25.000.00 895.00 5.793.00 0.00 6.688.00 26.75% 18,312.00 0.00 Vertical Partition System & Backfold 1400D Doors 15,000.00 15,000.00 0.00 0.00 15,000.00 100.00% 0.00 1.500.00 16'X16' Temporary 1400E Overhead Door 6,000.00 6.000.00 0.00 0.00 6,000.00 100.00% 0.00 600.00 Temporary 01 ID Enclosure and 1400E Insulation 10,000.00 1,644.00 0.00 0.00 1.644.00 . 16.44% 8.356.00 164.40 1000 SY of BX 1200 1400G Tensar Geogrid 17,000.00 4.1 17.00 0.00 0.00 4.1 17.00 24.22% 12.883.00 411.70 1400H 350 CY of 42 Stone 18,200.00 5.718.00 0.00 0.00 5,718.00 31.42% 12,482.00 571.80 AIA Document G703`"-1992.Copyright o 1963,1965,1966,1967,1970,1978,1983 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 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.This document was produced by AlA software at 11:59:31 on 10/22/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for Ctresale. User Notes: (928673901) A 13 C D I E F 0 H 1 WORK COMPLETED TOTAL MAl'L'RIALS COMPLETED 13ALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY °6 NO. WORK VALUE PREVIOUS THIS PERIOD STORED AND STORED TO (G-C) FINISH (IF VARIABLE APPLICATION OT IN D ORE DATE (C-G) RATE) (D+ E) ) (D+E+F) 1400J 200 CY of#53 Stone 10.000.00 1,746.00 0.00 0.00 1,746.00 17.46% 8,254.00 174.60 1400K General Allowance 75,000.00 51.988.00 20,876.00 0.00 72,864.00 97.15 % 2,136.00 5,000.00 CAD As-Built 1400L Allowance 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 500.00 General Clean Up- 01560 M 4,000.00 2,000.00 1,800.00 0.00 3,800.00 95.00% 200.00 140.00 01561 IGeneralClean Up-L 25,000.00 16.300.00 7,700.00 0.00 24,000.00 96.00% 1.000.00 1,130.001 Final Cleaning(Items 01562 in BP 5010 10,000.00 0.00 7.500.00 0.00 7,500.00 75.00% 2.500.00 0.00 Dewatering for 9 02110 Months-M-Eq 18.500.00 18,500.00 0.00 0.00 18.500.00 100.00% 0.00 1,850.00, Dewaterine for 9 021 1 1 Months- L-Eq 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 2,800.00 Piping from Tri-Plex 02240 to Lift Station 21,000.00 21,000.00 0.00 0.00 21,000.00 100.00% 0.00 2,100.00 Interior Metal Fabrications- 05504 Submittals 6,200.00 6.200.00 0.00 0.00 6,200.00 100.00% 0.00 620.00 Interior Metal Fabrications- 05505 Materials 86,500.00 86.500.00 0.00 0.00 86,500.00 100.00% 0.00 8,650.00 Interior Metal 05506 Fabrications-Erection 24.000.00 24.000.00 0.00 0.00 24,000.00 100.00% 0.00 2,400.00 Miscellaneous Metals 05511 - M 5.640.00 5,640.00 0.00 0.00 5,640.00 100.00% 0.00 564.00 Miscellaneous Metals 05512 - L 2.500.00 2.500.00 0.00 0.00 2,500.00 100.00% 0.00 250.00 Interior Rough 06100 Carpentry-M 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 2.660.00 Interior Rough 06101 (Carpentry- L 36,500.00 36.500.00 0.00 0.00 36,500.00 100.00% 0.00 3,199.50 07810 Skylight Shade-M 62,000.00 62,000.00 0.00 0.00 62,000.00 100.00% 0.00 6,200.00 AIA Document G703"-1992.Copyright(0 1963, 1965,1966.1967.1970,1978.1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be 2 • prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 11:5931 on 10/22/2010 under Order No.0168420739 1 which expires on 05/10/2011,and is not for tresale. User Notes: (928673901) A B C D B F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY NO. WORK VALUE PREVIOUS AND STORED"1'O (G G-C) FINISH (IF VARIABLE. APPLICATION THIS PERIOD STORED DATE (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) Skylight Shade- 0781 1 Installation 29,500.00 29500.00 0.00 0.00 29,500.00 100.00% 0.00 2,950.00 07910 Joint Sealants-M 48,000.00 32,000.00 14,000.00 0.00 46,000.00 95.83% 2,000.00 760.00 07911 Joint Sealants-L 24,500.00 16,330.00 7,500.00 0.00 23,830.00 97.27% 670.00 420.00 08810 Interior Glazing 42.000.00 4.340.00 0.00 0.00 4,340.00 1033% 37.660.00 84.00 09610 Access Flooring 19.500.00 19,500.00 0.00 0.00 19.500.00 100.00% 0.00 0.00 09710 I'RP Wall Panels-M 1,000.00 1,000.00 0.00 0.00 1.000.00 100.00% 0.00 0.00 09711 FRP Wall Panels- L 2,000.00 2._000.00 0.00 0.00 2.000.00 100.00% 0.00 0.00 Acoustic Fabric 09712 Wrapped Panels 42,500.00 42,500.00 0.00 0.00 42,500.00 100.00% 0.00 1,000.00 10210 Toilet Compartments 44,000.00 36.000.00 8,000.00 0.00 44,000.00 100.00% 0.00 0.00 Back fold Door 10220 Tracks- M 5.000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 500.00 Backfold Door 10221 Tracks- L 4.560.00 4560.00 0.00 0.00 4.560.00 100.00% 0.00 456.00 10222 Operable Partition 21.000.00 21,000.00 0.00 0.00 21.000.00 100.00% 0.00 320.00 10223 Wire Mesh Partitions 9.500.00 9,500.00 0.00 0.00 9,500.00 100.00% 0.00 0.00 Toilet Accessories- 10224 M 34.000.00 34,000.00 0.00 0.00 34,000.00 100.00% 0.00 3,400.00 Toilet Accessories- 10225 L 28,000.00 21.000.00 7.000.00 0.00 28,000.00 100.00% 0.00 100.00 10510 Metal Lockers 16,500.00 14.500.00 2,000.00 0.00 16,500.00 100.00% 0.00 0.00 10520 Phenolic Lockers- M 110,000.00 104,000.00 6,000.00 0.00 110,000.00 100.00% 0.00 0.00 10521 Phenolic Lockers- L 29,000.00 20,000.00 9.000.00 0.00 29,000.00 100.00% 0.00 0.00 10610 Corner Guards-M 9,500.00 9,500.00 0.00 0.00 9,500.00 100.00% 0.00 0.00 10611 Corner Guards-L 3500.00_ 0.00 2.000.00 0.00 2.000.00 57.14% 1,500.00 0.00 17001 Changr Order No. 01 -81.040.00 -80,000.00 0.00 0.00 -80,000.00 98.72% -1,040.00 -8,000.00 GRAND TOTAL $1,398,960.00 $1,138,748.00 $143,299.00 $0.00 $1,282,047.00 91.64% $116,913.00 $69,948.00 AIA Document G703"'-1992.Copyright®1963.1965,1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA° Document,or any portion of it,may result in severe civil and criminal penalties,and will be 3 prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 11.59:31 on 10/22/2010 under Order No.0168420739_1 which expires on 05/10/2011,and is not for zr resale. User Notes: (928673901) AFFIDAVIT AND WAIVER OF LIEN [ ]FINAL [ A ] PARTIAL [ ] PAYMENT TO FOLLOW State of Indiana, County of Madison. SS Bradley Tyler , being duly sworn states that he is the Project Manager of W. R. Dunkin & Son, Inc. having contracted with City of Carmel Redevelopment Commission to furnish certain materials and/or labor as follows: Bid Package 5010-Interior Finishes for a project known as Parcel 7A, Carmel Regional Performintt Arts Center located at Carmel, Indiana and owned by City of Carmel and does hereby further state on behalf of the aforementioned Contractor. Application for Payment # 16 has been received for work performed through 06/30/10. (PARTIAL WAIVER)that there is due from the contractor the sum of Twenty-six Thousand Seven Hundred Seventy_dollars and 50/cents ($ 26,770.50) Application for Payment # has been received for work performed through . (FINAL WAIVER)that the final balance due from the Owner is the sum of dollars and 00/cents(S 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, subject to limitations or conditions e'cpressed herein, if any; and further certifies that no other party has any claim or right -1 lien on aces it o'my 1y'cork performed or material furnished to the undersigned for said proj t an 100. ,cope o' i• , 'tda t • d waiver. W. R. Dunkin R. Son, Inca Title: Project Manager i WITNESS MY HAND AND NOTARIAL SEAL,this 22nd day of October , 2010 ,ll :J (Notary P tlhlic) My Commission Expires: January 08.2017 Printed Martha A. Carpenter Residing in Madison County as �, NOTARY A.CR NOTAA PUBLIC RY ,a STATE OF INDIANA • My Commission Expires 1-8-17 " S