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CIRLCE B CONSTRUCTION SYSTEMS- 001249- 10/21/2010 . CARMEL REDEVELOPMENT COMMISSION 001249 Circle B Construction Systems Check: 1249 5636 S Meridian St Date: 10/21/2010 Indianapolis, IN 46217 Vendor: CIRCLEB1 Prior Invoice J .O. Num. Invoice Amt Balance Retention Discount , Amt. Paid 2*2 70 i1 61,760.00 61,760.00 6,176.00 0.00 55,584.00 Plaster app 2 ✓ 16-2. 46 30,801.00 • 30,801.00 0.00 0.00 30,801.00 Application 16 on 3060 22 • 39 282,108.48 • 282,108.48 0.00 .. 0.00 . 282,108.48- , Application 22 • . 374,669.48 374,669.48 6,176.00 0.00 368,493.48 Iry V Carmel Redevelopment Commission . 0 012 4:9 • 30 West Mam Street A REGIONS Suite 220 20.1421040 OA,CARMEL Carmel, IN 46032 - . -.TIM . 1249 DATE . . ' AMOUNT 10/21/2010 - 368,493.48 Tblft SUM OF THREE HUNDRED SIXTY EIGHT THOUSAND FOUR HUNDRED NINETY THREE DOLLARS AND 48.CENT TO THE oaoER ' .••• 0!:. Circle B Construction Systems , 5636 S Meridian St P`5e"s . • Indianapolis, IN 46217 v R __ 4q(q�l 11'00L24911' 1:071,0L42L3r: 0017504 & LL11° CARMEL REDEVELOPMENT COMMISSION 001249 .Circle B Construction Systems Check' 1249 5636 S Meridian St Date: 10/21/2010 Indianapolis, IN 46217 Vendor: CIRCLEB1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid • 2*2 70 61,760.00 61,760.00 6,176.00 0.00 55,584.00 Piaster app 2 16-2 46 30,801.00 30,801.00 _ 0.00 .0.00 30,801.00 Application 16 on 3060 22 , 39 282,108.48 282,108.48 0.00 0.00 282,108.48 Application 22 _ . 374,669.48 374,669.48 6,176.00 0.00 368,493.48 ca.__ _ _ _.. ® Document G702/CNIa' - 1992 ' Application and Certificate for Payment Construction Manager-Adviser Edition 70 TO OWNER .: PROJECT APPLICATION NO CARMEL REDEVELOPMENT COMMISSION 2 ,I Distribution to: CARMEL PERFORMING ARTS CENTER PERIOD TO i_ /C7 OWNER ❑ ONE CIVIC SQUARE - . .,•, CARMEL IN "46032 - - - CONSTRUCTION MANAGER FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: . ARCHITECT ❑ CIRCLE B CONSTRUCTION SYSTEMS SHIEL SEXTON COMPANY - PROJECT NOS: / / CONTRACTOR ❑ 5636 S. MERIDIAN ST. INDIANAPOLIS, IN 46217 VIA ARCHITECT: 112695/3090 FIELD ❑ CONTRACT FOR PLASTER - CSO ARCHITECHS - ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies the t to the nest of the Contractors knowledge. information and Application is made for payment,as shown below,in connection with the Contract belief the Work covered by this Application for Payment has been completed in accordance with the. Continuation Sheet,AIA Document 0703,is:utached. Contract Documents,that all unmans have been paid by the Contractor for Work for which previous Certificates for Payni it sue issued and payments received from the Owner, and that current 1 ORIGINAL CONTRACT SUM $ 137.860_,9.0 payment sh rere /s m•due -= 2.Net change by Change Orders - 1"s`muwlrThru 9 Y g 5 CONT•• .jt E B NSTRUCTION S\ ARje"V—" 3 CONTRACT SUM TO DATE(Line 1 2) - S I 37,860.00 By'� a aS' `,'r...IT3u`'� -. CYO_ 4,TOTAL COMPLETED&STORED TO DATE(Column G on 0703) $ 80,920.00 Slutc of , t•w/A` v - . ' al .7 tin _ � . 5.RETAINAGE - County ' RIO - r•'V ,, t _ a. c$of Completed Wort $nose 0. J two 1 o fo (Column D+F un G703) s 8,092 00 met is a pt ( / �' $� A( NDER y / L 'tnT40TARYP - CSTEOFINDNNH h. ' cb of Stored Material Nonr Public / oteysp kr%, 44FXXPP FEB.1.2017 (Colunm f on 0703) S :My Commission cAptreo: 'p,¢Yy(V°t Total Retainage(Lines5a+5bor Total in Column Iof0703).. 58,090 00 CERTIFICATE FOR PAYMENT b.TOTAL EARNED LESS RETAINAGE $ 72,828.00 In accordance with the Contract Documents, based on on site observations and the data comprising ._ this application the Construction Manager and Architect certify to the Owner drat to the best of their (Line 4 Less Line 5 Tola1) - knowledge,information and belief the Work has progressed as indicated the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S 17,244 00 accordance with the Contract Documents,:md the Contractor is entitled to payment of the,AMOUNT (Line 6 frotn pour Certificate) CERTIFIED. Q�/as 8.CURRENT PAYMENT DUE S 55. 58.,00 AMOUNT CERTIFIED - $ SS II` 9 BALANCE T O FINISH INCLUDING RETAINAGE " (A'or/i raplamrian it amount certified cliff;cs r mnoune«applied Initial all figures on fors Application and or, Cenrinummn S!, r th 'hanged to conforin with the c men nt certified.) (Lit 3 less Line 6) „ _ S 65,032.00 CONS ' CTIO / - I ��? , , _ Date: D7/710/ ,C) i CHANGEORDFR SUMMARY ADDI'RONS DL°DIiCTION5 ARCH!lir �� Total ehangec approved in previous months by Owner S S -. — Al I / Date: 0-717/251 to BY Total approved this Month c$ $ , This Ceruticate is not negotiable. The AMOUNT CU.HUI:D is papable only to the Contracor TOTALS I S S named Herein. Issuance;'payment and acceptance of payment are without prejudice to any rights of NET Ci IANGES by Change Order I S I the Owner or Contractor under this Contract. of d.Redevelopment rs� CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes I e obscured AIA Document G702I Chian,-1992.Copyright C'1992 by The Amehean In ace 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 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 Ic reproduce:en(10)copies_cf tors document when ccrnpleted.To resut copyright violations of AIA Contract Documents,o-msit The American Institute of Architects'legal counsel,copyrighigaia.or) . ,,(o( ,k\V(4 AI =`V:(= - Document G703" 1992 Continuation Sheet AIA Document 6702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 2 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 07/15/2010 Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 07/15!2010 A R C D I E I F G I II 1 WORK COMPLETED MATERIALS TOTAL BALANCE DESCRIPTION OF WORK PRESENTLY COMPLETED RIdI'AINAGE ITEM SCHEDULED FROM PREVIOUS STORED AND STORED TO (IF VARIABLE NO. VALUE (G<C) FINISH APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (DeE) DORE) (D+E<F) (C-G) • 100 MATERIAL 15.160.00 7.580.00 7,580.00 15.160.00 100.00 1,516.00 101 CARPENTER LABOR 57.900.00 11.580.00 34,740.00 46320.00 80.00 11.580.00 4,632.00 102 PLASTERER LABOR. 64.800.00 19.440.00 19,440.00 30.00 45.360.00 1,944.00 • I .1oRz COT.\Ls4 1-37160.00 1.9-16 .. . • .00 —R0192{)n0— - 16;940.700 1 5,0 _. 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 G703i,-1992.Copyright 61953,1955,1966 1967,1970,1978,1983 and 1952 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 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 AIA Contract Documents.e-mail The American Institute of Architects'legal counsel,cooyright@aia.org. • . —iDocument G702/CMa - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition• TO OWNER: -. PROJECT. .APPLICATION NO -...22- . - - Distribution to CARMEL REOFVELOPMENT 'COMMISSION CARMEL .TERFORMTNG ARTS CENTER PERIOD TO: 7/15/2010 OWNER 0. ONE CIVIC SQUARE CONSTRUCTION MANAGER G CARMEL, ` IN'. 46032- FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE 4/22/08 ARCHITECT 0 CIRCLE B CONSTRUCTION SYSTEMS SHIEL SEXTON COMPANY PROJECT NOS: - / I CONTRACTOR 0 5636 S. MERIDIAN ST. INDIANAFOTIS, IN 46217 VIA ARCHITECT: • 2695-4090 FIELD ❑ • CONTRACT FOR: INT./EXT FINISHES CSO ARCHITECTS En CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the be.sl of the Contractor's knowledge,information and Application a made for payment,as shown below,in connection with the Contract. hehef the Work covered by ails,Application for Pay luemm has been completed in accordance with the Continuation Shoe[, or Document G703,is attached_ Contract Documents,that all amounts have been paid by the Contractor for Work for which previous 2. NM ORIGINAL CONTRACT by Tge Orders $ {6,394,500.0 l)(C in ent sit for Pan +s were Issued and payments ec rued from the Owner. and that cunen. 1. Con lent sho< e is now due B CONSTRUCTION SYSTEMS • /7 /_ 3.CONTRACT SUM TO DATE(l.ine'+I +2J ..,..5 6,374,931.00 I7y: .� �st)tyrnureianri,,, Date: / l /oi/ CJ 4 TOTAL COMPLETED&STORED TO DATE(Colonel G on 6707] ..._.S 6,051,68'3.99E, ate nt- : INDIANA t OTAR 0,s ' 5.RETAINAGE Cool of h NT r�........„ti1 "Ow: . •a n of Cnrnikted Rork Su crib d a w nn t f)e i G THY A.CINDER •flollmnD P:on WU3 S 318,746.55 Sa this /� .d v i _ ,t OTAA BLIC STATE OF IN'CiANA Public' . Is� V�.." _, IIT SSON FEB COUFb ? Sr,of Stored MarenaE \otar) Pubh_ !i L/L/-= [X�f SSION EXP. EB S,2017 (Column F on G703) - S _._ My Corunuasioi t s �� 1.dti f eE . . 111 h ..---t� . Total xelaina�d(T_inessa+sbor Total incQmmtlefG7o3).. 31s,7�46.5s CERTIFICATE FOR PAYMENT I'VPip es. .. In accordance with the Contract Pocnments rba�L•L&. observations and the.dal comprising 6.TOTAL EARNED LESS RETAINAGE s5, 732,937.44 this applicarton the Constnmtion Manager-and�rirlll°a cullfy to the Owner that to the beat of[heir (Line 4 Les:Line 5 Total) • knowledge,infortnarionvand belief Ilse Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT g5,450,826.96 accordance with the Contract Documents.and the Contractor is entitled to payment of the AMOUNT f Liue 6 lien prior Certificate) —'- CL"RT IFIED. - - _ 4l ii �i .� 8.CURRENT PAYMENT DUE i $ 282,108.48 f AMOUNT CERTIFIED S 2821«`+ 9:BALANCE TO FINISH,INCLUDING RETAINAGE (hr[ach'hop lanarion if anronnr cer Jted dier<fr i t e,antounrappiied Initial at'figures on rlus AppUrmton and on li Cmtrinamuon S er the are llpttged to conform ioh/i the anmuru certified) (Liner less Lute 6) - s_6 4 I ,993_56 CONS -UCTIO A 7y `' -f y 1 BY" �5. A� X42/ALA. a. 1 Date: ©7/3Ojto CI ANG}•ORDER SUMMARY { ADDITIONS i DFDLJCTIO 'S ARCH i t Total eh nges apprne d iii pier lot months by Oetic $ $ I /� 0' I By: ���y� Dare: fQ 30f 11 Total appioacd this Month - S $ This Certificate is nut ncgoll able. The ANIOUVt' CERTIFIED is payable only to the Contractor '1()1 ALS 5 I S roamed herein. Issir:nce'Jr rynlenl-nml acceptance of payment are wi dtout prejudice to any*ielda of rite Owner or Contractor under this Contract. NET CIiANCi1.�S ha'Chan^e Order $ _ Director Oi Redo •pment CAUTION: You should sign an original AlA Contract Document, on which this text appears in RED.An original assures that changes will not be obscur•1. AMA Document G7a2/C3.9af"-1990 Copyright Cr 1992 by Tha American Institute of Architects.All rights reserved.'HAMMING:This AIA5 Document is protected ty U.S.Copyrig La and International Treaties. Unauthorized reproduction or distribution of this CIAv Document,or any portion off[,may result in severe civil and criminal penalties,and will be prosecuted to the renwmum extent possible under the lour. Purchasers a:e permitted to reproduce ten(1 g)codes el his ho:Vme:a when completed.Te report copyi igta violations of ALA Contract Doeuclrrts.a-mail The Americas Icst,ane of Architects'legal counsel,copylight(q@eia.erg. OP e Document G703" - 1992 Continuation Sheet ALA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached APPLICATION DATE: 22 In tabulations below,amounts Elie stated to the nearrestdo1lar_ PERIOD TO: 07/70)2010 Use Column 1 on Contracts where variable retainage for line items may apply. AA CHRECT'S PROJECT NO: 07/30/2070 A D C U ` E F - G H 1 WORK COMPLETED - MATERIALS - TOTAL BALANCE PRESENTLY COMPLETHD RECAD:AGE ITEM DESCRIPTION OF WORK SC1HEDULED FROM PREVIOUS TO NO VALUE STORED AND STORED (G_C) FINISH (IF VARIARL.E APVLiC9TION THIS PER cr‘IOT IN TO DATE RATE) (D-E) - BORE) (D.Et F) (C-G) 100 BASEMENT FRAME MATL 107,259.00 107.259.00 - 107,259.00 100.00 101 BASEMENT FRAME LABOR 35.992.00 'I 25.992-00 33.99200 300.00 102 BASEMENT RANG MATE 125.006.00 125.00600 125,006.00 100.00 103 BASEMENT HANG LABOR 133.158.00 333.158,00 133,158-00 100.03 104 ORCHESTRA FRAME MATE 116.670 00 118.670.00 118,670.00 100.00 105 ORCHESTRA FRAME LAB 100.713.00 98.693.74 - 93,698,74 98.00 2.011.26 106 ORCHESTRA HANG MATL 124,796.00 124.796.00 124,796.00 10000 107 ORCHESTRA HANG LAB 141,631.00 127 467.90 127.'167.90 90,00 34.163.10 108 BALCONY FRAME MATh 108,051.00 108,051 00 105.051.00 100.00 I09 1L [COj'4Y FRAME LABOR 92,419.00 81,328.72 6,46953 57795.05 9 .00 x,(20.95 110 BALCONY HANG MATE 115.731.00 . 115.731.00 115.731.00 1 100.00 111 HALCONY HANG LABOR 129 223.00 71.072.65 25,544.60 96,917.25 7;00 32305.75 112 BOX TIER FRAME MATE. 135,171.00 135,171.00 135,171.00 100.00 113 BOX TIER FRAME LABOR 113521.00 113.521 00 11532100 10000 114 BOX TIER HANG MATE 140,350.90 140,350.00 140.350.00 100.00 115 BOX TIER HANG LABOR 178,534.00 151.796.40 26.787.60 178.584.00 100.00 116 ATTIC FRAME MATL 102,176.90 102,176.00 102.176 00 100.00 117 I ATTIC FRAME LABOR 87,922.00 87.922.00 87.922.00 100.00 118 i ATTIC HANG MATE. 90,226.00 90.226.01 90.226.00 100.00 1 119 ATTIC HANG LABOR 110,339.00 110,889.00 110.589.00 100.00 1120 ACOIJS CEILING MATL 52,94 I,00 39,70'5,75 17.233 23 32,941.00 100.00 I LPAGE TOTALS : 2,294.429.00 2.263.93816 72.336-78 .00 2.311.324.94 53,10^ 06 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 G7031M-1992.Copyright*len.1965,1966 1967, 1970, 1975, 1953 and 1892 by The American Inetute et Architects.All rights reserved-WARNING:This Alit"Document is protected by 11.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA"Document,or any portion of h,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permined to reproduce ten(10)copies of this document when completed.To report copyright violations.of AIA Conrad Documents.e-mail TnePmerocan Institute ci Ardlilects'legal counsel.copyriehtKaia.erg K =-`=- Document G703" - 1992 Continuation Sheet A!A Document 0702,APPLICATION AND CERTIFICATION FOR PAYNIF.NT, APPLICATION NO containing Contractor's signed certification is attached. . APPLICATION DATE: 22 In Tabulations below,amounts are stated to the nearest dollar. PERIOD TO: (21330/2010 Use Column 1 on Contracts where variable Marriage for line items may apply. ARCHITECT'S PROJECT NO: 07/30/2010 A i 6 C D I - It ` F G II 1 WORK COMPLETED MATER[AIS . TOTAL BALANCE ITEM PRESENTLY COMPLETED RETALNAGE DESCRIPTIONOF WORK SCHEDULED PROM pp.MOOS TO r KO STORED AND STORED (EF VARIABLE VALUE APPLIGYI'ION 'CRIB PERIOD (C'+r'1 FINISH (NOT 9'O E+FL CC-C) RATE] I21 ACOUS CEILING LABOR 40,759.00 5',151.80 22,417 45 30,569 25 75.00 10.189.75 122 INSULATION MAIL 82,670.00 32,670.00 • 82,670.00 100.00 123 INSULATION LABOR 117,330.00 105,597.00 5,866.50 111,463 50 95.00 5,86650 200 I NIS ELIP CLG METAL M .51 331.00 51,331.00 51,331 00 100.00 201 NIS ELIP CLG METAL L 201.384.00 201.384.00 201,384,00 100.00 202 INIS CLIP CLG PLAS M 74.360.00 74.360.00 74,360.00 100.00 203 N/S BLIP CLG PLAS I. 438,153.00 438.153.00 438.153.00 100.00 204 MAT; ELIP CLG METL hI 52.412.00 52,412.00 52,412 00 100.00 205 MAIN ELIP CLG METL L 168,703.00 168.703.00 1(18.703.00 100.00 206 MAIN ELIP CLG PLASM 71.273.00 71.273.00 7!,273.00 100.00 207 MAIN ELIP CLG PLAS L 430.314.00 430.314.00 430.314 00 100.00 208 UP/LOW BALCNY METLM 15.304.00 15,304.00 'r - 15,304.00 100 00 209 UN,LOW BALCNY METL L 143.518.00 143,:18.00 143,518-00 100.00 210 I UPIE_O'n.! BALCNY PLASM 3797;.00 37,975.00 37.975.00 100.00 211 UP/LOW BALCNY PLAS L 633.522.00 601,845.90 31,676.10 633,522.00 100.00 212 BOX TIE! /COL META]_M 10,245.00 10,245.00 10,245.00 100.00 213 BOX TIER/COL META I.,I. 118'63.00 113,363.00 118,363.00 100.00 214 BOX TIER COL PLAS N7 70,500 00 70,300.00 70.300.00 100.00 215 BOX 1'12k/CO1.,PI,AS 1_ 319 45.00 271,536.75 47,91E 25 319.455.00 100.00 236 ORCH Hi METAL M 5,317.00 5,317 00 5,317.00 100.00 217 . ORCH NIL METAL L 1 12,967.00 1 12,967.00 117.967.00 100.00 218 i ORCH NIL PLASM 15:260.00 15,26090 15,260.00 100.00 l 1 PAGE'I'OTAl S . 1 3.210.'[5.00 1 3,086.980.45 101.878.30 .00 3,194,858.75 16.056.25 .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. Al A Document G703`^-1S92.Copyright©1563,t 99135. 1965 1907,1970,1974,1983 and 1992 by The American Institule of Architects.All rights reserved.YfARNING:This AIA°Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or dIstrlbution 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(101 copies of This doccmentwhen completed.To report copyright violations or AIA Contract Do uments,or mail The American Institute of Architects'legal counsel,copyright @aia.org. =' Document G7014 - 1992 Continuation Sheet AIA Document 6702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached.• APPLICATION DATE: •2 In tabulations below,amounts are stated to the nearest dollar. - PERIOD TO: 07/3012010 Use Column ion Contracts whete variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 07/30/2010 A 0 C U It F - 0 . H 1 \VORK COMPLE1 ' MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED PREVIOUS PRESENTLY COMPLETED yr TO RETAINAGF. NO. FROM PREVIOUS STORED AND STORED CO C) FINISH (IF VARIABLE VALUE APPLICATION THIS PERIOD (NOT IN TODATT' (C G) RAI'F.) (D:.E) D OR El (1)+E+10 I - 219 ORCH HiL PLAS L 315.844.00 157,922.00 3)584.40 189,506.40 60.00 126,337.60 220 4090A GEN.ALLOWANCE 225.000.00 160,419.37 42,757.00 203.176.57 90.30 21,57.3.13 221 40908 CAD ALLOWANCE 5.000.00 - 5;000.00 5,000.00 100.00 222 4100A GEN ALLOWANCE 175.000.00 120.152.03 lOSS200 !;11,734.03 74.71 44,265.97 223 410013 CAD ALLOWANCE 5.000.00 5,000.00 5.000.00 100.00 224 ADDITONAL 4090 ALLOW 29.000.00 29,000.00 29.000.00 100.00 24A DELETE LINT.224 -29.000.00 -29,000.00 -29,000-00 100.00 300 BOND PREMIUM 63,312.00 63.312.00 63,312.00 100.00 301 C.O. #1/CCR#1008 60,100.00 42,070.00 12,020.00 54,090.00 90.00 6,010.00 , 302 C.O.#2/CCR 41011 27,970.00 27.970.00 27.970.00 1 100.00 303 C.O. #3/CCR ill 012 1.200.00 1,200.00 304 C.0.1141CCR#1014 19,800.00 4950.00 4,950.00 9,900.00 50.00 9.900.00 305 C.O. #5/CCR#1015 31.650.00 7,920.00 7,920.00 25.00 23,760.00 306 C.0. #6/CCR 111016 - 27,720.00 6.930.00 6,930.00 25.00 20,790.00 308 CO 8/PAC006(C07 0) 20.490.00 20,490.00 20,490.00 100.00 309 CO 9/ALLOWANCE ADI -226,269.00 -226,269.00 -226,269.00 100.00 310 CO/111/HIGH RAILING 17,740.00 17,740.00 17.740.00 100.00 • I -JOI;TOTALS-: 6,374;9=1 O 5.69-5 : 22-105:44- ,00--6,051,683:99 3?3-24?-01--?1$346.5; l � — 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 G703'm-1992.Copyright Cr 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 InternatIonat 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 AIA Contract Documents,e-mail The American Institute of Architects'legal counsel.copyright @aia.org. AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TOFOLLOW STATE OF INDIANA COUNTY OF MARION SS: JOHN M. ABBOTT BEING DULY SWORN THAT HE IS THE PRESIDENT OF CIRCLE B CONSTR. SYSTEMS, LLC HAVING CONTRACTED WITH CARMEL REDEVELOPMENT COMMISSION TO FURNISH CERTAIN MATERIALS AND/OR LABOR AS FOLLOWS: IN"1/EXT FINISHES FOR A PROJECT KNOWN AS: CARMEL PERFORMING ARTS CENTER AND OWNED BY: CARMEL REDEVELOPME 1T COMMISSION DOES HEREBY FURTHER STATE OF BEHALF OF THE AFOREMENTIONED SUBCONTIUVCTO]JSUPI'LIER: PARTIAL WAIVER)THAT THE BALANCE DUE FROM THE CONTRACTOR IS THE SUM OF FIVE MILLION NINETY NINE THOUSAND FOUR HUNDRED THIRTY ONE & SSl100 (55,099.431-Ssj XX RECEIPT OF WI-IICI-I IS HEREBY ACKNOWLEDGED: OK THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND PARTIAL_WAIVER OF LIEN, AVHICI-I IS GIVEN TO AND FOR SAID AMOUNT, EFFECT]VE UPON RECEIPT OF PAYMENT; FINAL WAIVER)THAT I-IUE FINAL BALANCE DUE IS THE SUM OF: RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED: OR THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR TI-I]S AFFIDAV]TAND WAIVER OF LIEN WHICH SHALL EILCOIVIE EFFECTIVE UPON RECEIPT OF SUCH PAYMENT. THEREFORE THE UNDERSIGNED WAIVES AND RELEASES UNTO THE OWNER OF SAID PREMISED,ANY AND ALL LIEN OP CLAIM WHATSOEVER ON THE ABOVE DESCRIBED PROPERTY AND IMPROVEMENTS ON ACCOUNT OF LABOR OR MATERIAL OR BOTH, FURNISHED BY THE UNDERSIGNED THERETO. AND FURTHER THAT NO OTHER ]'ARTY HAS ANY CLAIM OR RIGHT TO A LIEN ON ' .OUNT OF WORK PERFORMED OR MATERIAL FURNISHED TO THE UNDERSIGNED F0 SAW it .CI' AND W1TI-TIN THE SCOPE OF THIS AFFIDAVIT AND WA I VE_R_ // CIRCLE B CONSTR. SYSTEMS, LLC r,4 TITLE: PRESIDENT I /„0 111111f1111pp11 1 I [' S : 1' H �l DNR) ARIA r ® v, DAYOF IUL.I' , 7010 A c l )G ,NOTAR B. /1(9,4k , G MY COMMISSION I]XP I R]ES: CPA RESIDENT OF JOHNSON COUNTY ITV% y rg RCLE B Construction Systems OWNER: 07/23/2010 CARMEL REDEVELOPMENT COMMISSION CM: SHIEL SEXTON COMPANY PROJECT: CARMEL PERFORMING ARTS PROJECT NO. 2695-4090 DRYWALL PAYMENT VERIFICATION AFFIDAVIT: • THE FOLLOWING PAYMENTS HAVE SEEN RECEIVED: APPLICATION NO. AMOUNT PAID #1 $ 56,980.80 #2 $ 8,369.42 #3 $ 16,209.00 #4 $ 44,810.04 #5 $ 57,634.11 #6 $ 76,202.64 #7 $ 201,168.08 #8 $ 169,090.74 #9 $ 280,896.48 #10 $ 35,997.80 #11 $ 8,465.60 #12 $ 437,984.92 #13 $ 514,933.22 #14 $ 357,219.33 #15 $ 546,768.67 #16 $ 621,587.91 #17 $ 622,044.57 #18 $ 438,354.80 #19 $604,713.75 • TOTAL PAID TO DATE $ 5,099,431.88 CIRCLE B CONSTRUCTION SYSTEMS JOHN M.ABBOTT, PRESIDENT (317)787-5746 fax(317)780-2654 5636 South Meridian Street Indianapolis, Indiana 46217 Equal Opportunity Employer SAIAII 1� • DocumentG702/CMa -- 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: .. " ': - PROJECT: ' - APPLICATION NO •16•7: - Distribution to CARMEL REDEVELOPP:Eh]TC011 ISSION CARMEL PERFORMING ARTS PERIOD TO 7/15/2010 OWNER ❑ ONE CIVIC SQUARE TN➢IANPPOLIS, IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE ARCHITECT D CIRCLE B CONSTRUCTION SYSTEMS SHIFT, :SEXTON COMPANY PROJECT NOS ._,. I : I CONTRACTOR ❑ 5636 S. MERIDIAN ST. INDIANAPOLIS, IN 46217 . VIA ARCHITECT: 2595/3060. FIELD ❑ CONTRACT FOR: FIREPROOFING 500 ARCHITECTS, INC. ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The ttndersiancd.Cont-actor certifies that to the best of the Contractor's knowledge, information and Applica¢on is mods for payment,as shown below,in connection with the Contract belief the Work covered by this Application for Payment has been completed in accordance with the Continuation made AIA payment,as G703, is attached. Contract Documents,,that II amounts have been paid by the Contractor for Work for which previous ( Certificates - y �n/ozre issued and payments recennut Gom'th Owner, and that Current 1.ORIGINAL CONTRACT SUM _ 5 148,425.CO p yment sit ton�g�7-now doe. -. I tttitrtpdmuubur 2.Net change by Change Orders S 10, 194.96 CONTR,et it% r al. CONSTRDCTIOae`�'1 S Itia9xr l � ,, , .I 3.CONTRACT SUA,TO DATE Lint. € ) S 358,619.96 13y: s 1.)�A_4 4 0/� 4 TOTAL COMPLETED 8 STORED TO DATE(Coln rei G .-in G703) S 352, 726.96 State of N IIAN A:. 'e e•SRETAINAGE - v coup-. of: }.?ARION/1 i Ck �l.GINDER a 5c pf Completed Work Su_serthed d savor 7 to b fo n "Ii, Q 1 M P HNC�N C.OUN'TYIN9UWA (()easel D+ Pon G7031 s 17,931.00 Inc this r � n / MV IS N EI(P.REB.1,2617 •b of Spored Material Ninbor Public.: ([�//{{;; ww�� (Column F on 0703) S My Commission .. ire s: IAt�Pct .•.unonn.•r" Total Retainagc(Lines 5a+5h or Total in Column I of0703).. $ 17,931.00 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE S 334,795.96, this application,the Construction Manager and Architect certify to the Ohsncr that to the bast of their. (Line a Less Line 5 Total) - knowledge: information and bdicf the Work lies progressed as indicated.the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S 303, 994:96 ,tecorttance with the Contract Documents, the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate] - CERTIFIED. 00 B.CURRENT PAYMENT DUE . __.- ...... ............_. S 30,801.00 AMOUNT CERTIFIED -- $ t�t Vw/1 9.BALANCE TO FINISH INCLUDING RETAINAGE", (Ar Mach explanation rf amount:enrp d deers rr .n.oun:.applied !natal ail fight es on this Applfration and an the C ontrnuanon HEU th, hanged to conform wim the mrmrre!cc,:Vied.) (t i-n 3 less Line 6) S 23 824.0O CON' RUCTION#.0# " y 3t: ► r ■ ,.>! /t_ —�_...__ Date: G I��01/40 CHARGE OROLR SUMMARY I ADDITIONS I DEDUCt'IOlvS I ARCHI i' 'L� Total changer alrproi%ed.in previous months by 0.vner 15 S .3 A.1 7 - Date.�to ILt. Total approves this Month , S This Certificate is uoi neotiable. Thu AMOUNT ('ERT1F€FD is payable only to the.Contractor TUT:1LS IS S named herein fssilalte payment and reel of pay°mcnt are without prejudice to any rights of 1 NET CHANGES by Change Order I S the Owner or Con actor under this Contract. Q Director of RedevelopmP :J y CAUTION:You should sign an original AM Contract Document.on which this teat appears in AED. An original assures that changes will not be obscured. \ - AR Document G702:Ctda'"-1992,Copyright its1 7992 by Tim American Instatse ci Architects.All rights reserved.WARRING:This AIA°Document is protected by U_5.Copyright Lastand I emotional Treaties. Unnuthoriaed reproduction or distribution of this AIA'a 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 ale permitted to reproduce tan 11D)copies el tic document'Mien CC ciplettd.To report ccoye:Fa violations of AIA Contract Documents,email The American Institute of Arthhecw'legal counsel,tapyrigl;t aic,na. � 3 Document G703 - 1992 Continuation Sheet AlA Document G702.APPLICATION AND CERTIFICAr1ON FOR PAYMENT, APPLICATION NO: eontaitting Contractor's signed certification is attached. APPLICATION DATE: - 16 In tabulations below,amounts are stated to the nearent dollar. PERIOD TO: 07,12912010 Use Column 1 nu Contracts where variable tetainage for line items may apply. 07129/3010 ARCHITECT'S PROJECT NO: A 11 C U I E ' " F I G� ___ I H WOKE COtMI'LEFEI) MATERIALS 1'O'1'AL BALANCE ITEM PRESENTLY COMPLETED RETAINAGE OISCRI}PION OE WORK SCHEDULED FROM PREVIOUS TO (P VARIABLE NO STORED AND STORED (6+C) FINISH I VALUE APPLICATION 17{15 PERIOD (NOT lift '1'O llAl'E {C-Gl RATP.) F_+ (D°E) I DORE) (O+ F) 700 MOBILIZATION/DEMOBL 7500.00 7.50000 7.500.00 100.00 701 BOND PREMIUM 6.000.00 6.000.00 6.000.00 100.00 702 FIREPROOFTESTING 5500.00 5,500-00 5,500.00 300.00 703 1ST FL FIP LABOR 32.993.00 32.993.00 32,993.00 100.00 704 1ST FL F/P MATERIAL 49.490,00 49,49000 49,490.00 100.00 703 2ND FL PA'LABOR 31.556 00 31356-00 31,556.00 100.00 706 2ND FL FT MATERIAL 47.753.00 47 753.00 47,733.00 100-00 707 BALCONY ET LABOR 26.147-00 26.167.00 26.167,00 100.00 708 BALCONY F/F MATERIAL 39.251-00 39.25!.00 39.251 00 100.00 709 ATTIC F/P LABOR 22,754-00 22,754.00 22.754,00 100.00 710 _ ATTIC F,'P MATERIAL 34,131.00 34,131.00 34-131.00 100.00 300 CONTRACT ALLOWANCE 45.000.00 8,306.0 30,301-00 39,107-00 26.90 5.593.00 810A ALLOWANCE,DEDUCTION -29.000.00 -29.000.00 -29,000.00 100.00 SOOB VOID LINE ITEM 800A 29.000.00 29,000.00 29.000 00 100-00 801 CHANGE ORDER fit - 4.'25.00 4,82590 4,825-00 100.00 802 CHANGE ORDER ill -5,007.00 -5,007.00 -5,007.00 300-00 80: CHANGE ORDER 43 -5,000.00 -5,000-00 -5,000.00 100.00 204 CHANGE ORDER 44 1537696 ' 15,376-96 15,376 96 130.00 30134,0'FP:LS- .__- -;F i-3". ms'=3.9 8,033.00 _-40 35 .i.36r9( 57293-430 34-43 4-00 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 G703"4-1992.Copyright A tees, lees,1966 1657, 1570,197i1,1983 and 1992 be 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 AIM Document,or any portion of it,may result in severe civil and criminal penalties,and wilt be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce!en{IC)copies of this document when completed,To ninon cepynyht violations of ALA Contract Documents,e-mail The erratum)Institute of Architects'legal counsel,oopydght@aia cry