HomeMy WebLinkAboutPROFESSIONAL AUDIO DESIGN, IN- 200- 3/16/2011 Professional Audio Designs, In Check: 200
117078 W Dearborn Ave Date: 3/16/2011
Wauwatosa, WI 53226 Vendor; PROFAUD1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
1 90,646.20 90,646.20 0.00 0.00 90,646.20
App1 on P7C1 Theater Bldg
90,646.20 90,646.20 0.00 0.00 90,646.20
200
3/16(2011 *****"'90,646.20
THE SUM OF NINETY THOUSAND SIX HUNDRED FORTY SIX DOLLARS AND 20 CENTS ************
Professional Audio Designs, In
11707B W Dearborn Ave
Wauwatosa, WI 53226
Professional Audio Designs, In Check: 200
11707B W Dearborn Ave Date: 3/16/2011
Wauwatosa, WI 53226 Vendor: PROFAUD1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
1 90,646.20 90,646.20 0.00 0.00 90,646.20
App1 on P7C1 Theater Bldg
90,646.20 90,646.20 0.00 0.00 90,646.20
•
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT 6702 PAGE ONE OF I PAGES
TO OWNER: Cannel Theater Development Corp.,LLC PROJECT: Village on the Green APPLICATION NO I Distribution to:
11711 N.Pennsylvania St.Suite 200 Parcel 7C1 Theater Bldg BP4 OWNER -
Cannel, IN 46032 Cannel, Indiana 46032
ARCHITECT
PERIOD TO: 1/18/2011 CONTRACTOR
FROM CONTRACTOR: Professional Audio Designs, In VIA ENGINEER: Signature Construction, LLC
1170713 W. Dearboum Ave 720 Third Avenue,SW
Wauwatosa,WI 53226 Cannel, Indiana 46032 PROJECT NO: 7C1
CONTRACT DATE:
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been
Continuation Sheet,AIA Document G703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by
the Contractor for Work for which previous Ceniticates for Payment were issued and
payments received from the Owner,and that current payment shown herein is now due.
I. ORIGINAL yChange Orders $ 691,340.00 /
2. Net change by Change Ordes $ 0.00 CONTRACTOR:
3. CONTRACT SUM TO DATE(Line I+2) $ 691,347.00 `����"At
4. TOTAL COMPLETED&STORED TO DATE $ 100,718.00 1 'J P I.
By: Scott Leonard Ft vagr rat ";ar Date: (/17/2011
5. RETAINAGE: 3
a. 10%of Completed Woik $ 10,072 Subscribed and sif om hefore) s 1 • 4 day of _January,2011
(Column D+E on G703) .1 * n * ?, - -
h. %of Stored Material $ 0y LEO■ • -D % ///���
(Column F on G703) %y4/
'Total Retainage(Lines 5a+56 or S /
Total in Column I of 0703) $ 10,071.80 EN. •' R -, (,�`y��' .
. Q TE FOR PAYMENT
}Wm 6. TOTAL EARNED LESS RETAINAGE $ 90,646.20 In accordance with the C ••Ins,based on on-site observations and the data
(Line 4 Less Line 5'Total) comprising the application,the Engineer certifies to the Owner that to the best of the
7. LESS PREVIOUS CERTIFICATES FOR Engineer's knowledge,information and belief the Work has progressed as indicated,
PAYMENT(Line 6 from prior Certificate) $ 0.00 the quality of the Work is in accordance with the Contract Documents,and the Contractor
8. CURRENT PAYMENT DUE $ 90,646.20 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH,INCLUDING RETAINAGE S 600,700.80
(Line 3 less Line 6) AMOUNT CERTIFIED S lc (Ale,w
CHANGE ORDER SUMMARY ADDITIONS DE'DUC 'IONS (Attach explanation ifamaunt certified differs from the amount applied.Initial of.figures on this
Total changes approved Application and owl - ••'mention.hen that are changed to coal nit pit h amount certified.
in previous Change Orders $0.00 S0.00 6?C.L,w,.M:
'total approved this Change Order $0.00 $0.00 By: , Date: \1`Z_5 f _
TOTALS $0.00 $0.00 This Cenif - to is •of negotiable. The AMOUNT CERTIFIED is payable my to e
Contractor nor ne em.Issuance,payment ann acceptance or payment are without
NET CHANGES by Change Order 50.00 prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION AIA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS,1715 NEW YORK AVE.,N,W.,WASHINGTON.DC 2050&5292
Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee.
CONTINUATION SHEET A/A DOCUMENT 0703
AIA document G702,APPLICATION AND C-,Ex'11F1G1't'E FOx PAT/WENT, Ga,mcl'F[water Development Cbrp.,LLC APPLICATION NO.: 1
containing Conuumrs signed Certification,is attached. 11711 N.Pennsylvania St.Suite 200 PERIOD TO: V1 7/2011
In tabulations below,amounts are stated to the nearest dollar. Cannel,IN ARCHITECT'S PROJECT NO.: 12012 -
Use column Ion Contracts where variable tetainage For lute iteret:may apply.
A l3 C 1) E F G 1.1 T
WORK COMPI.IS 1ED MATERIALS TOTAL
FROM PRESENTLY COMPLETED ARL4NCE
SCHEDULED STORED AND STORED
ITEM NO. DESCRIPTION OF WORK VALUE PREVIOUS THIS PERIOD (N07'IM1i 70 DATE G. TO FINISH RETAINAGE
APPLICATION l (D+E+ ( _� 1C-C'1
D ORE F}
BP4F Prod Sound, Video and
Comm Systems
127-1000 Mixing Console&Accessories 58,197 $0 S0 $0 $0 0% 58,107 SO
127-1001 Playback &Record 2,812 $0 $0 $0 $0 0% 2,812 50
127-1002 Performance Spkr Optimization $9,067 $0 $0 $9,067 $9,067 100% $0 $907
127-1003 Power Amplifiers $3,658 $0 $0 $3,658 $3,658 100% SO $366
127-1004 Suspended Center Cluster $16,383 SO $0 $0 $0 0% $16,383 SO
127-1005 Mounted L/R Main Speakers $11,850 $0 $0 $0 $0 0% $11,850 $0
127-1006 Ground Stacked Speakers $10,261 $0 $0 $0 $0 0% $10,261 SO
127-1007 Fill & Surround Speakers $11,645 50 $0 $0 $0 0% $11,645 $0
127-1008 Sound System Optimization $3,222 $0 $0 $0 SO 0% $3,222 $0
127-1009 Assitive Listening System $3,161 $0 $0 $0 $0 0% $3,161 $0
127-1010 MultiCables, Trunks and Harnesses $7,548 SO $0 $0 $0 0% $7,548 $0
127-1011 Communications Systems $3,060 $0 $O $0 $0 0% $3,060 $0
127-1012 Audio Program & Paging $27,502 $0 $0 $0 $0 0% $27,502 $0
127-1013 House Managers Panel $1,493 SO $643 $0 $643 43% $850 $64
127-1014 Production Intercom System $28,594 SO $0 $0 $0 0% $28,594 $0
127-1015 Stage Managers Pendent $2,852 SO SO $0 SO 0% $2,852 $0
127-1016 Stage Managers Console $5,802 $0 $0 SO SO 0% $5,802 $0
127-1017 Prod. Video Equipment-Fixed $17,708 $0 $0 $0 SO 0% $17,708 $0
127-1018 Prod. Video Equipment-Portable $4,883 $0 SO 50 $0 0% 54,883 $0
127-1019 General Equipment-Fixed $31,068 $0 SO $9 $0 0% $31,068 SO
127-1020 Equipment Racks $14,960 $0 SO $13,013 $13,013 87% $1,947 £1,301
127-1021 Receptacle Panels $21,532 $0 SO $0 50 0% $21,532 SO
127-1022 Power Equipment $1,505 SO $0 $0 $0 0% $1,505 $0
127-1023 Cable Infrastructure 5100,133 $0 $0 $66,475 $66,475 66% $33,658 56,648
127-1024 Installation Labor $181,983 $0 $0 $7,861 57,861 4% $174,122 $786
127-1025 General Conditions $53,315 SO SO 50 $0 0% $53,315 $0
127-1026 Performance Bond £7,242 $0 SO $.0 $0 0% $7,242 $0
127-1027 Allowance per spec 550,000 $0 $0 $0 $0 0% $50,000 $0
TOTALS 691,347 - 643 100,079 $100,718 15% 540,630 $10,071
PRIME CONTRACTOR'S UNCONDITIONAL PROGRESSIVE WAIVER OF LIEN
Scott Leonard, Being duly sworn upon his/her oath disposes and says that:
L He/she is Vice President, inserting sole proprietor, partner or corporate office held, as the case maybe), of
Professional Audio Designs, Inc,,_hereafter called the "Prime Contractor". He/she is over the age of twenty-one.
He/she is authorized to make this affidavit on behalf of Prime Contractor.
2. Prime Contractor is the AN Prime Contractor for the construction of the Village on the Green—Parcel 7C1 —
Theater Building development, located Cannel (City), Indiana (state), hereafter referred to as the "Development",
pursuant to the contract between the Prime Contractor and Carmel Theater Development Corporation,LLC, the
Owner.
3. Prime Contractor hereby waives and releases any and dl liens and rights to claim a lion to which Prime
Contractor is or may be entitled for services, labor, andlor materials furnished for the Development for work
covered by and through the date of the Prime Contractor's Application and Certification for Payment number I
dated January 17,2011
4. There are no bills, charges, costs or expenses for services, labor, andlor material which could now or hereafter
result in lien being filed, or a right to claim a lien, against the Development or a claim being asserted against the
Owner for this work.
5. Prime Contractor has been paid in full, exclusive of retainage, for all services,labor,and materials furnished to,
provided for, or used in connection with, the Development through the period noted above and acknowledges the
receipt of$100,075.00 to date.
IN WITNESS WHERE OF, affiant has signed this document on half of the P: ntractor thi- i° day of
January, 2011,
CI.
(Au lorized epresentative of P ime Contractor, Title)
County of I,t�L. ,--.J
State at' W 't
Subscribed nvpwlklpefore me, • Notary Public in and for said County and State,This \ IA-LB-ay of
a° eC,
4 LEONARD s} A • a E..7 _ ' C-0-17
.G1
+ (Notary Public)
9 MpF wlsese
My Commission Expires: a/'9.3 f/2f. (Printed Name) k2 `� wly
NOTARY SEAL MUST APPEAR ON THIS FORM.
. l
: DELIVERY NOTE Ir �llllf �Iltl
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'713✓�',Mlshawnka lIE.
�"- Phone1,In7[1na 46517
.... Phone L5741294 H09D
Delivery No. 81482279
Customer No. 102231
Sold To : Ship To :
PROFESSIONAL AUDIO DESIGN, INC. PROFESSIONAL AUDIO DESIGN, INC.
'11707B W.DEARBOURN AVE 117073 W.DEARBOURN AVE
WAUWATOSA WI 53226 WAUWATOSA WI 53226
Phone : 414-476-7011 Phone : 414-476-1011
Ship Via incoterms I Terms
UPS GROUND FOB Elkhart, Cust Add 4% 30 NET 31 DAYS
Ship Date Order Date . I SO# I PO#
12;23/2010 12/2312010 1021392 1 1224VGC
Order Curr UWM I Pint SLoc f Wt.
Qty Ship I KG (tern No. Item Description
4 4 , : EA 0301 • SLFG::I 40.000 NOSH 000 1 051 1 000 AMP `PKG '
i 1 I 1 EA 0301 SLFG I 19.500 GCTS8200A ICTS8200A LC AMP 120V "PKG'
•
•
Print Date 12,23:2010 Total Weight 59.500 KG -
T' Print Time _ 14:28:44 Total Volume 0.301 M3
Pale # 1
Created By I CPYriNBTCHAD
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( Packing List- �'
PROFESSIONAL AUDIO DESIGN, INC.
11707B W. DEARBOURN AVE plit any t�
WAUWATOSA WI 53226 81483806 / EDURAN / 12/28/10
R t-s e C2zls4
1223 VGC
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1021417 / 12/23/10
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102231
li arg rnr details
Cariitiazs
Shipping conditions : UPS / Fed Ex / Small
Terms of delivery : PPD Sandy, UT
t'b is (grcEs/r t) - blutz - LUd sg
Gross weight : 15 . 0 LB
Net weight : 14 . 0 LB Volume : 0 . 027 M3
Item P1 texi al Cty P 3ht
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0100 BSSBLU120 1 EA 14 . 0 LB
BLU120 SIGNAL PROCESSOR
Serial no . : ( 1002431
Containing these Components :
ELU120 SLULINK CORE 1
BSSBLU Analog Output Card 2
BSSBLU Digital Output Card 2
AC Pwr Cord US/JA 1
-BI L y-USDA-' SJL 'TD-1c81
its i +k b.r.
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Harman Music Group sousuomosiosi
Packing Lists t< ^ ,,.
PROFESSIONAL AUDIO DESIGN, INC.
11707E W. DEARBOURN AVE _C1drgIi,t.Alt1.lar/ Ete
WAUWATOSA WI 53226 81483802 / EDURAN / 12/28/10
RmitseadEalte
1223VGC
SAES�r�/Llte
1021417 / 12/23/10
CirtoterN.tiE
102231
Transport details
c ditims
Shipping conditions : UPS / Fed Ex / Small
Terms of delivery : PRE; Sandy, UT
P.is its (gxcss/rrt) - \olum - IRrlairj
Gross weight : 15 . 0 LB
Net weight : 14 . 0 L8 Volume : 0 . 027 M3
Item i9terial
aniptjUl
0060 BSSBLU120 1 EA 14 . 0 LB
8LU120 SIGNAL PROCESSOR
Serial no . : ( 1002424 )
Containing these Components :
BLU120 BLULINK CORE 1
BSSBLU Analog Output Card 4
AC Pwr Cord US/JA 1
-8D]St7t>7 ltrksy-III - E8169E-731)-t$c87Lsii3732
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Packing List",
PROFESSIONAL AUDIO DESIGN, INC.
117078 W. DEARBOURN AVE adcirs4LJ �Y1
^1AUWATCSA NI 53226 81483754 / TGREBNWOOD / 12/28/10
tadaltPte
1223 VGC
s7e;p j
1021417 / 12/23/10
Gamer Untir
102231
liarsi..srt details
cb-diticrs
Shipping conditions : UPS / Fed Ex / Small
Terms of delivery: PPD Sandy, UT
Weights (gross/ret) - V lure - NPricim
Gross weight : 15 . 0 LB
Net weight : 14 . 0 LB Volume : 0 . 027 M3
Iten Nate_rial Qty Height
E t±iptim
0010 BSSBLU800 1 EA 14 . 0 LB
BLU800 SIGNAL PROCESSOR N/DSP & COBRANET
Serial no . ( 3001792 )
Containing these Components :
BLU800 DSP &. CM-1 & BLULINit CORE 1
BSSBLU Analog Input Card 2
BSSBLU Digital Input Card 2
AC Pwr Cord US/JA 1
BROAD-EceDafhaa '- MD- 8L4S -)2t81-913:533
trnN?irldle iktl.tntic Products, Inc.
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SHIPMENT NOTIFICATION
t ,; Oka§ €rC istrep # I225VGC
PROFESS1ONALAUDIO DESIGNS PROFESSIONAL AUDIO DESIGNS tiShll)!Fromk.i;
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hip:U�a, . UPS Ground
und Comercial
117078 WEST DEARBOURN fiSbippedreal 12129■10
WAU WATOSA W! 53226 WAUWATOSA Vol 53226 y Oii_OXBSFI 1
PACKING LIST
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, N PART N. 1413 ESCRIFSTION Si -r U iR % 'rato�
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M-2X201G 20A BAS !NPR DEL DPL ISOGD
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11707B WEST DEARBOURN IShip�Vla `? N ITRnNSFER•,I/Slii. .id; `tr., 12129/16
WAUWATOSA WI 53226 WAUWATOSA WI 53226 #of Bozes'& 26
PACKING LIST
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SPECIAL PRICING PER MARK TRACY/BOB NEWHUIS
3 FD-44 44SP SOLID FRONTDR, UNIV, EA 3 3 V
SPECIAL PRICING PER MARK TRACY/BOB NEWHUIS
4 MW VT MRK/WRK VENT TOP OPTIONIU EA 6 6 .J
5 SPN-44-312 PR BLK 44SP SDS FOR 31-32. EA 1 1
6 VFD-44 44SP VENT.FR,DCOR,UNIV.BL EA 6 6
7 M-201G 20A BASIC MPR MOD,ISO GND EA 25 25 /
8 MPR-9 MPR RACEWAY,ACCEPTS 9 MOD EA 6 6i
9 WL-60 MAGNETIC WORK LIGHT EA 6 6
10 D4 4SP ANODIZED DRAWER EA 7 7
--11 HP500 500PC 10-32 SCREW W/CAPT. EA 3 3
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MILWAUKEE, WI 1111111111111111111IHI11111111
� � 650 S. 108TH ST.
.4 i ,'
> ,1/`4 vim(_® WEST ALLIS WI 53214 Phone:414 / 607-7700
Fax:414 / 778-1873
Scheduled Ship Date: 01/11/2011 Customer : 118809 PRO AUDIO/VILLAGE ON THE GREEN
Date Ordered: 12/23/2010
Ref , Doc#: 333603113 Date:01/12/2011
Packing List Central Time:13:21:23
Customer PO : 1222VCC
Ship To: Hill To:
PRO AUDIO/VILLAGE ON THE GREEN PROFESSIONAL AUDIO DESIGN
ATTN: KIM LEANORD, 414-476-1011 11707B W DEARBOURN AVE
11707E W DEARBOURN AVE WAUWATOSA WI 53226
WAUWATOSA WI 53226
Delivery # 843377557
Signed
Print name Route; GRAYBAR COUNTER
Bart and Q u a n t i t y Other
Description Ordered Shipped Backordered Shipments
A2100068 2 EA 2 sA
UNIVERS PATCH PANEL BLACK Math: 97127839
•
AX101729 6 EA 6 EA
12MM BK 6LC/DPLX ADPT STP Mat#: 22127982
A2103115 4 EA 4 EA
KEYCONNECT PATCH PANL 48PORT Mat#: 25195212
2U BK EMPTY
TOTAL NUMBER OF: Boxes Pieces Bundles Coils Reels Pallets
IN THIS SHIPMENT
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