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HomeMy WebLinkAboutCIRCLE B CONSTRUCTION SYSTEMS- 001454- 12/17/2010 CARMELREDEVELOPMENT COMMISSION -0 014 5 4 Circle B Construction Systems Check: 1454 5636 S Meridian St Date: 12/17/2010 • Indianapolis, IN 46217 Vendor CIRCLEB1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 18-2 46 426.72 426.72 0.00 0.00 426.72 Application 18 27 . 39 4,298.72 4,298.72 0.00 0.00 4,298.72 Application 27 4,725.44 4,725.44 0.00 0.00 4,725.44 • lit, Carmel Redevelopment Commission -001.454 30 West Main Street A. REGIONS Suite 220 ' 2C-1421/740 _ `°°"£` Carmely IN 46032 1454 DATE ' AMOUNT ♦♦R*k°♦°..a.. 12/17/2010 . 4,725.44 . PAY THE SUM OF FOUR THOUSAND SEVEN HUNDRED TWENTY FIVE DOLLARS AND 44 CENTS TOTHE . . .ORDER Circle B Construction Systems SEn's •, 6636 S Meridian St • g r Indianapolis, IN 46217 * ..$ . . --"` 9Rfq SO 00011454u' 1:Q 740L42L31: 008 ? 9041LLii' CARMEL REDEVELOPMENT COMMISSION 001454 Check: 1454 Circle B Construction Systems Date: 1 211 7/201 0 5636 S Meridian St Vendor: CIRCLEB1 Indianapolis, IN 46217 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amtt26 i 18-2 46 426.72 426.72 0.00 0.00 Application 18 4,298.7 27 39 4,298.72 4,298.72_ 0.00 Application 27 4,725.44 4,725.44 0.00 0.00 4,725.4 ',Zit _ • __- 0..1 = IA Document G702/CMaTM - 1992 i6gs r eo Application and Certificate for Payment Construction Manager-Adviser Edition - 4 TO OWNER: PROJECT: APPLICATION NO: 1° r Distribution to: CARMEL CIrIC •SQUARE REDEVELOPMENT COMMISSION CARMEL PERFORMING ARTS CENTER PERIOD TO 11;15/2010 OWNER ID CN^c INDIANAPOLIS,IN 46032 CONSTRUCTIONMANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ CIRCLE P. COP.STRUCTIONT SYSTEMS 636 S MERIDIAN em SHIEL SEXTON NY PROJECT NOS: ! . i CONTRACTOR ID INDIANAPOLIS , T": 46217 VIA ARCHITECT: FIELD LI CONTRACT FOR: FIREPROOFING SCO ARCIIITCTS INC. O CONTRACTOR'S APPLICATION FOR PAYMENT The undersibned Contractor certifies that to the hest of the Contractor's 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 auacheA. Contract Documents. that all amounts have been paid by the Contractor for Work for which previous payment for P�nRMj4 re .ssued and O.".TS':�PU�T�ciits•received froth the Owner, and that currem 1.ORIGINAL CONTRACT SUM S?`4S 4 rip payment show ere n t n t c 2. Net change by Change Orders ... .:`.. ..,. ... S 10, 194.96 CONTRAC T (" SYSTEMS 3.CONTRACT SUM TO DATE(Line l _,2) 5 35 8,619.96 By' AM Date'. 11/22/2013 4. . aOTALCOMPfE Completed TED&STORED O DATE(Column 0 on 0703) $ 353,5°U. 43 Stnteo€, L, TA:A � Count},o- r R 0,: anaemic C t. t� . t LANA Subset- and s fin(to h ore NOTARY' :4 C :- (ColumnD+E on G703) $ 17,931..00 meth 22.xr da�pi ' i r Rr n// 1" a a� b. L E R �C/L .. fv ;CE.11 Fo, x t:• of Stored Material Noun Public: M;€ L �1 •t r. (Column F on G703) $ My Commissio i r£ s, rn' i:= i Total.Retainage(Lines 5a+sb or Total in Column IofG703),, $ 17,931.00 CERTIFICATE FOR PAYMENT -` c'�"`(/;S 6.TOTAL EARNED LESS RETAINAGE ............. 335,649.40 kns applic' ,thC information and cti Construction the Documents, e Work Lass c itect erti nt i th ik tF t tfihn r Less ............................ S this a licaliun,the Construction R1ana�er and Architect cerld'v to Ihct3i T ptetfie be �f their (Line Total) 335 ,222.68 accordance with the Contract Documents,and the Contractor is entitled to ay'CfWI IcP1he AMOUNT 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT ........,,._..._.._ S "` '1O GO � p ,' ' T (Line 6 from prior Certificate) CERTIFIED. It 8.CURRENT PAYMENT DUE $ 426. 72 AMOUNT CERTIFIED B.BALANCE TO KNISH,INCLUDING RETAINAGE (Attach explanation if amount cenifled differs) r the.amount applied. Initial all figures on this AppGranon and flrr Corrrmumm�Sheet fh tar changed iii conform trnh the anrnnnt rerzlfred_) (Line 3 less Line 6) $ 22,970.56 CONS RUCTIO N• •ER. "' By tea., %�La A — Date 1//fl/Jo CHANGE ORDER SUMMARY ADDITIONS I DEDUCTIONS ARCH .191'F ( Total changes approvedin previous ous months by Owner $ $ By' ,;�fll - Date: j Witer Total approved this Month $ S This Ccniftcatc is not negotiable The AMOUNT CERTIFIED is payable o ly to the Contractor TOTALS $ S named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner or Contractor under this Contract. 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 G702ICMatu-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 AIAe Document,or any portion of it,may result in severe crvil 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. e T ® �� Q'nin Document G703" - 1992 ivib9.5: 53-eo Continuation Sheet AEA Document G702.APPLICATION AND CERTIFICATION FOR PAYMENT. APPLICATION NO: containing Contractor's signed certification is attached, APPLICATION DATE: 18 in tabulations below.amounts are stated to the neatest dollar. PERIOD TO: 11/22/2010 Use Column Ion Contracts where variable retainage for lino items may apply_ ARCHITECT'S PROJECT N0: II/22/2010 A B C D P F 0 H T WORK COMPLETED MATERIALS TOTAL BALANCE ITEM PRESENTLY COMPLETED „� RETAINAGE DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS TO STORED AND STORED (IF VARIABLE NO VALUE APPLICATION THIS PERIOD TN TO DATE (O-C) FINISH [C GJ RATE) (D FA DORE) (D+E+F) 700 MOBILIZATION/DEMOBL 7,500.00 7.500.00 7.500.00 100,00 701 BOND PREMIUM 6.000.00 6,000.00 6,000.00 10090 702 FIREPROOF TESTING 5,500.00 5,500.00 5.500,00 100.00 703 1ST H.F/P LABOR 32,993,00 32,993.00 32,993,00 100.00 704 1ST FL F/P MATERIAL 49,490.00 49,490.00 49,490.00 100.00 705 2ND FL F/P LABOR 31,556.00 31,856.00 31,856.00 10090 706 2ND FL F/P MATERIAL 47.783.00 47,783.00 47,753.00 100.00 707 BALCONY F/P LABOR 26,167.00 26,167.00 26.167.00 100,00 708 BALCONY F/P MATERIAL 39,251.00 39.251.00 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 34,131.00 100.00 800 CONTRACT ALLOWANCE 45.00000 39,533.72 426.72 39,960.44 88.80 5,03956 k00A ALLOWANCE DEDUCTION -29.000.00 -29,000.00 -29.000.00 100.00 ook VOID LINE ITEM SCOA 29,000.00 29,000.00 29,000.00 100.00 801 CHANGE ORDER 41 4.825.00 4,825.00 4,825.00 100.00 802 CHANGE ORDER#2 -5.007.00 -5,007.00 -5,007.00 100.00 803 CHANGE ORDER 43 -5,000 00 -5.000.00 -5.000.00 100.00 804 CHANGE ORDER#4 15,376.96 15376.96 15,376.96 100.00 —JOB TOT-Al S . 358.61996 353359-68 426.72 .00 353,58040 5-039.76 17,931.00 C- AUTION! You should sign an original MA Contract Document,on which this text appears in RED, An original assures that changes will not be obscured. AIR Document 6703TM-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 US.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,copyright*aia.org. • ' AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TO FOLLOW 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: FIREPROOFING FOR A PROJECT KNOWN AS: CARMEL PERFORMING ARTS CENTER AND OWNED BY: CARMEL REDEVELOPMENT COMMISSION DOES HEREBY FURTHER STATE OF BE]-HALF OF THE AFOItEMENPIONED 5 U BCONTRACTOR/SUPPLIER: PARTIAL WAIVE-_R) THAT THE BALANCE DUE FROM THE CONTRACTOR IS THE SUM OF :6335,322.68 XX RECIUVr OF WHICH IS HEREBY ACKNOWLEDGED: OR 1 H PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND PARTIAL WAIVER OF LIEN, WHICH IS GIVEN TO AND FOR SAID AMOUNT,EFFECTIVE UPON RECEIPT OF PAYMENT; (FINAL WAIVER)TI-IATTHIL FINAL BALANCE DUE IS THE SUM OF: RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED:OK THE PAYMENT OF WHICH HAS BEEN PROMISED AS THIS SOLE CONSIDERATION FOR THIS AFFIDAVIT AND WAIVER OF LIEN WHICH SHALL BECOME EFFECTIVE UPON RECEIPT OF SUCH PAYMENT. THEREFORE THE UNDERSIGNED WAIVES AND RELEASES UNTO THE OWNER OF SAID PREMISED, ANY AND ALL LIEN OF 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 PARTY HAS ANY CLAIM OR RIGHT TO A LIEN ON ACCOUNT OF WORK PERFORMED OR MATERIAL FURNISHED TO THE UNDERSIGNED FOR SAID PROJECT AND WITHIN THE SCOPE OF 'IH]S AFFIDAVIT AND WAIVER. / CIRCLE. B CONSTR. SYSTEMS, LLC BY: /v TET{�,ld"' �'1'fFyVT Ry., W T : `S 1 HAS A . NOT'. I-AL SEAL THIS 22'v" DAY 01' EM 2U10;r_ r 41/i WI:: ,�•'I�f� f7; MY COMMIS,ION I:,'PIRI;S: 02/01/2017 /... ;. RESIDENT OF JOHNSON COUNTY °„c<r �.,..,..�n.�no„'`� 1 1 e RCLE B Construction Systems OWNER: CARMEL REDEVELOPMENT COMMISSION 11/22/2010 CM: SHIEL SEXTON COMPANY PROJECT: CARMEL PERFORMING ARTS PROJECT NO. 2695-3060 FIREPROOFING PAYMENT VERIFICATION AFFIDAVIT: THE FOLLOWING PAYMENTS HAVE BEEN RECEIVED: APPLICATION NO. AMOUNT PAID #1 $ 29,560.72 #2 $ 7,423.47 #3 $ 12,619.94 #4 $ 23,371.15 #5 $ 13,669.42 #6 $ 139,459.42 #7 $ 25,845.02 #8 $ 990.00 #9 $ 1,485.00 #10 $ 7,994.44 #11 $ 6,318.80 #12 $ 2,943.82 #13 $ 27,632.76 #14 $ 3,306.00 #15 $ 1,375.00 #16 $ 30,801.00 #17 $ 426.72 TOTAL PAID TO DATE: $ 335,222.68 CIRCL : CONSTRUCTION SYSTEMS, A/ A i .1 H M. • :BOTT, PRESIDENT i (317)787-5746 fax(317)780-2654 5636 South Meridian Street Indianapolis, Indiana 46217 Equal Opportunity Employer ii , , TT TM 9s= go�io - a— Document G702/CMa - 1992 9 ' t Application and Certificate for Payment Construction Manager-Adviser Edition • TO OWNER: PROJECT: APPLICATION NO: 27 Distribution to: CARMEL REDEVELOPMENT COMMISSION CARMEL PERFORMING ARTS CENTER PERIOD TO: 11/22/2010 OWNER ❑ ONE CIVIC SQUARE: - CARMEL, IN CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ CIRCLE B CONSTRUCITON SYSTEMS SHIEL SEXTON COMPANY PROJECT NOS: / / CONTRACTOR ❑ 5636 S. MERIDIAN ST. INDIANAPOLIS, IN 46217 VIAARCHITECT: FIELD ID CONTRACT FOR: INTERIOR FINISHES CSO ARCHITECTS ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's 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 G703, is attached. Contract Documents, that all ' counts have been paid by the Contractor for Work for which previous Certificates for Payment w a is ed and payments received from the Owner. and that current 1.ORIGINAL CONTRACT SUM - $ 6,394,500.OQayment shown her' /s dui. 2. Net change by Change Orders $ 60,727.00 CONTRACTOR: ItC I CONSTRUCTION SYSTEMS 3.CONTRACT SUM TO DATE(Line 1 ±2)- $ 6,455,227.0 @y: /// .Aille Date: 1.14Z-T2:At 010 4.TOTAL COMPLETED 8 STORED TO DATE(Column G on 0703) $ 6,451,801 .7.tatc of: I D 'NA / ,,,,o`O"NO r RLrhF,, 5.RETAINAGE: County of: R. IN •..••~~ ' A5' a. %of Completed Work 1 ' DER••• G AG P Subscribed a sw r to b ore &T OF IN 318,746.55 . N(7T • -•• e. iii ' (ColumnD+E on G703) $ me this _ d t • VEM R, 10 / re-6Q SO 4! b. _%of Stored Material Notary Pub ic: �G� �AY CO IL` ON o �`,' 1, brn (Column F on 6703) $ My Commissio xK: C� Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ 318,746.55 CERTIFICATE FOR AYM NT `%;:�� p....—, 6.TOTAL EARNED LESS RETAINAGE $ 6, 133,055. 17 In accordance with the Contract Documents, based on on-site observations'. ,,•.�I�Ip, ,pAlnprising this application. the Construction Manager and Architect certify to the Owner that tote hest of their (Line 4 Less Line 5'Total) knowledge, information and belief the Work has progressed as indicated-the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 6,128,756.45 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 S 4,298. 72 AMOUNT CERTIFIED S 4 L�nQ`��' 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified dif rum the amount applied. Initial all figures oa dti,r Application and*m, the Camrinua«aa tee re changed to conform with the amount certified.) (Line 3 less Line 6) $ 322,171 .83 CONS ■ CTIO YY N•//y: / By: �•fl�i! 4!!''= Date: ll/ �(JO CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH v Total changes approved previous months by Owner $ $ By: 11/1 I / Date: I li 130 `uer Total approved this Month $ $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable on t to the Contractor TOTALS $ $ named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner or Contractor under this Contract. 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 G792/CMam—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 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 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,erg. 6A.th =i°fllfl Document G703'" - 1992 Continuation Sheet AIA Document 0702,APPLICATION AND CERTIFICATION FUR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached_ APPLICATION DATE: 27 _ Lt tabulations below.amounts are stated to the nearest dollar. PERIOD TO: 1 112 2/20 10 Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 11122/2010 A B C U E F G II I WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED BALANCE RETAINAGE ITEM LD4 DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS `"O TO VALUE (NOTED AND STORED (IE VARIABLY. NO (t;_ FINISH APPLICATION THIS PERIOD (NOT IN TO DATE RATE) (D+E) D OR El (D+ECP) (G-U) • I00 BASEMENT FRAME MAIL 107,259.00 1072519.00 107,259.00 100.00 101 BASEMENT FRAME LABOR 8.51 992.00 85.992 00 85.992.00 100.00 102 BASEMENT HANG MAIi. 125,006.00 125,006,00 125,006.00 100.00 103 BASEMENT HANG LABOR 133,158.00 133.158.00 133.158.00 100-00 104 ORCI-IESTRA FRAME MATL 118,670 00 118,670.00 118,670.00 100.00 105 ORCHESTRA FRAME LAB 100,713.00 100.713.00 100.713.00 100.00 106 ORCHESTRA HANG MATL 124,796.00 124.796.00 124,796.00 100.00 107 ORCHESTRA HANG LAB 141,631.00 141.631.00 141,631.00 100.00 108 BALCONY FRAME MATL 108,051.00 108,051.00 108.051.00 100.00 109 BALCONY FRAME LABOR 92,419.00 92,419.00 92,419.00 100.00 110 BALCONY HANG MAIL 115,731.00 115.731_00 115.731.00 100.00 111 BALCONY HANG LABOR 129,223.00 129.223.00 129 223.00 100.00 112 BOX TIER FRAME MATL 135,1 71.00 135,171.00 135.171.00 100.00 113 BOX TIER FRAME LABOR 113.521.00 113.521.00 113,521.00 100.00 114 BOX TIER HANG MAT], 140,350.00 . 140,350.00 140,350,00 100.00 115 BOX TIER HANG LABOR 178,584 00 178.584.00 178,584.00 100.00 116 ATTIC FRAME MATL 102,176.00 102.176.00 102.176.00 100.00 • 117 ATTIC FRAME LABOR 87,922.00 87.922.00 87,922,00 100.00 118 A 1T1C HANG MATT 90 226.00 90.226.00 90,226.00 100.00 119 ATTIC HANG LABOR 110,889.00 1 10.889.00 110,889.00 100.00 120 ACOUS CEILING MATL 52,941.00 52,941.00 52,941.00 100.00 PAGE TOTALS : 2,394,429.00 2,394,429.00 .00 .00 2,394,429.00 .00 -00 CAUTION: You should sign an original AMA Contract Document,on which this text appears in RED. An original assures that changes will not be obscured. AMA Document 07031"-1992.Copyright®1963,1965, 1966 1967,1970,1978,1983 and 1992 by The American Institute et Architects-All rights reserved,WARNING:This AIM 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,copyright @aia-org. thth e --i gs-- 69() . : AIA Document G703" - 1992 Continuation Sheet AIA Document(1702.APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's si zned certification is attached. APPLICATION DATE: 27 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 11/22/2010 Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: ( (/22/2010 A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS 8(' TO NO. - STORED AND STORED (IF VARIABLE VALUE APPLICATION THIS PERIOD (C'-C) FINISH (NOT IN '1'O DATE (C G) RATE) (D+E) DORE) (D+E+F) 121 ACOUS CEILING LABOR 40,759.00 40,759.00 40.759.00 100.00 122 INSULATION MATL 82,670.00 82,670.00 52,670.00 100.00 123 INSULATION LABOR 117.330.00 117,330.00 117.330.00 100.00 200 N/S ELIP CLG METAL M 51,33100 51,331.00 51.331.00 100.00 201 N/S ELIP CLG METAL L 201,384.00 201,384.00 201.384.00 100.00 202 N/S ELIP CLG PLASM 74,360.00 74,360.00 74,360.00 100.00 203 N/S ELIP CLG PLAS L 438.153.00 438.153.00 438.153.00 100.00 204 MAIN ELIP CLG ME I.M 52.412.00 52,412.00 52.412.00 100.00 205 MAIN FLIP CLG METL L 168.703.00 168,70 3.00 168.703.00 100.00 206 MAIN ELIP CLG PLAS M 71,273.00 71,273.00 71.273.00 100.00 207 MAIN FLIP CLG PLAS L 430.314.00 430.314.00 430,314.00 100.00 208 UP/LOW BALCNY ,MET(.Ni 15.304.00 15.304.00 15.304.00 100.00 209 UP/LOW BALCNY METL L 143,518.00 143,518.00 143,518.00 100.00 210 UP/LOW BALCNY PLAS M 37,975.00 37.975.00 37,975.00 100.00 211 UP/LOW BALCNY PLAS L 633,522.00 633522.00 633,522.00 100.00 212 BOX TIER/COL METAL NI 10.245.00 10,245.00 10,245.00 100.00 213 130X TIER/COL METAL L 118,363.00 118,363.00 118,363.00 100.00 214 BOX TIER/COL PLAS M 70,300.00 70,300.00 70,300.00 100.00 215 BOX TIER/COL PLAS L 319,455.00 319,455.00 319,455.00 100.00 216 ORCH H/L METAL M 5.317.00 5.317.00 5,317.00 100.00 217 ORCH H/L METAL L 112,967.00 112,967.00 112,967.00 100.00 218 ORCH H/L PLASM 15,260.00 15,260.00 15,260.00 100.00 PAGE TOTALS : 3.210.915.00 3.210,915.00 .00 .00 3.210.915.00 .00 .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 G703T"-1992.Copyright o 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 AIM 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. A- AIA0 CO 6if itag5- C g U Document G703" - 1992 -- Continuation Sheet ALA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: 27 . In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 1 1/22/2010 Use Column Ion Contracts where variable retainagc for line items may apply. ARCHITECT'S PROJECT NO: 1 1/22/2010 A B C D E F G I I I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM PRESENTLY COMPLETED 9' RETAINAGE DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS 10 STORED AND STORED ill/VARIABLE NO VALUE APPLICATION THIS PERIOD (6+0 FINISH (NOT IN TO DATE C G) RATE) (D+E) DORE) (D+E+F) 219 ORCH 11/1. PLAS L 315.844.00 315,844.00 315,844.00 100.00 220 4090A GEN. ALLOWANCE 225,000.00 225,000.00 225.000.00 100.00 221 40900 CAD ALLOWANCE 5,000.00 5,000.00 5.000.00 100.00 222 4100A GEN ALLOWANCE 175,000.00 175,000.00 175.000.00 100.00 223 4100B CAD ALLOWANCE 5,000.00 5,000.00 5.000.00 100.00 224 A DDITONA L 4090 ALLOW 29.000.00 29,000.00 29,000.00 100.00 224A DELETE LINE 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 60,100.00 60.100.00 100.00 302 C.0.#2/CCR#1011 27,970.00 27,970.00 27.970.00 100.00 303 C.O. #3/CCR #1012 1.200.00 1,200.00 1,200.00 100.00 304 C.O.#4/CCR #1014 19,800.00 19.800.00 19,800.00 100.00 305 C.O. #5/CCR#1015 31.680.00 31.680.00 31.680.00 100.00 306 C.O. #6/CCR #;1016 27,720.00 27,720.00 27,720.00 100.00 308 CO #8/PAC0061C07 0) 20,490.00 20,490.00 20,490.00 100.00 309 CO 9/ALLOWANCE ADJ -226.269.00 -226,269.00 -226,269.00 100.00 310 CO #11/HIGH RAILING 17,740.00 17,740.00 17.740.00 100.00 311 C.O.#12 'DOME STEEL' 48,000.00 48,000.00 48,000.00 100.00 312 CO#13 -RCP "030" 2,296.00 2,296.00 2,296.00 100.00 313 CO#14 ALLOW 4100A 30.000.00 22,276.00 4.298.72 26.574.72 88.58 3.425.28 JOIFTOTAI:S-: 6:45.'S23-.130 6.447,503-00 4,298 772- .Ot) 6.45-1780 1772 3,423.28 3tS.746.35 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 G703T"-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.Copydght 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 will he 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 TO FOLLOW STATE OF INDIANA COUNTY OF MARION SS: JOHN NI. 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: INTERIOR FINISHES FOR A PROJECT KNOWN AS: CARMEL PERFORMING ARTS CENTER AND 0\VNED BY: CARMEL REDEVELOPMENT COMMISSION DOES HEREBY FURTHER STATE OF BEHALF OF THE AFOREMENTIONED SUBCONTRACTOILSUPPLIER: PARTIAL WAIVER)THAT THE BALANCE DUE FROM THE CONTRACTOR IS THE SUM OF $6,087.85029 XX RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED: OR THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND PARTIAL WAIVER OF LIEN, WHICH IS GIVEN TO AND FOR SAID AMOUNT, EFFECTIVE UPON RECEIPT OF PAYMENT; (FINAL WAIVER)THAT TI-IIE 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 THIS AFFIDAVIT AND WAIVER OF LIEN WHICH SHALL BECOME EFFECTIVE UPON RECEIPT OF SUCH PAYMENT. THEREFORE THE UNDERSIGNED \VAIVES AND RELEASES UNTO THE OWNER OF SAID PREMISED, ANY AND ALL LIEN OF 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 NC) OTHER PARTY HAS ANY CLAIM OR RIGHT TO A LIEN ON ACCOUNT OF WORK PERFORMED OR MATERIAL FURNISHED TO THE UNDERSIGNED FOR SAID PRO ?C 'AND WITHIN THE SCOPE OF THIS AFFIDAVIT AND WAIVER. , / CIRCLE B comm. SYSTEMS, LLC 13 ': TITLE: PRESIDENT Hit D t ) NO'IAIL AL SEAL"a115 '' 4Y OF NOVEMBER , 2010 A '• r'. 'i .',' O tY PUBLIC 1. r G M ' COMMI.SIOi EXPIRES: 02/01/2017 =COI • RESIDENT OF JOHNSON COUNTY =DV: ' 4 A :n= r. `'',,, AND I P o4'mmnm„ot0 `CIRCLE B Construction Systems OWNER: G74d` alb/0 CARMEL REDEVELOPMENT COMMISSION CM: SHIEL SEXTON COMPANY PROJECT: CARMEL PERFORMING ARTS PROJECT NO. 2695-4090 DRYWALL PAYMENT VERIFICATION AFFIDAVIT: THE FOLLOWING PAYMENTS HAVE BEEN 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 #20 $ 226,649.20 #21 $ 124,747.88 #22 $ 282,108.48 #23 $ 48,000.00 #24 $ 191,157.86 #25 $ 115,754.99 TOTAL PAID TO DATE $ 6,087,850.29 CIRC r" ' ti NSTRUCTION SYSTEMS 1• N . A: :OTT, PRESIDENT (317)787-5746 fax(317)780-2654 5633 South Meridian Street Indianapolis, Indiana 46217 Equal Opporlunity Employer