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Home My WebLink AboutPOYNTER SHEET METAL- 002704- 2/16/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 2 7 0 �t Poynter Sheet Metal Check: 2704 '+ PO Box 427 Date: 2/16/2012 Bloomington, IN 47402 Vendor: POYNTER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid See Transmittal Sheet for check detail. 538,208.00 15,000.00 0.00 0.00 15,000.00 THE-KEY TO DOCUMENT SECURITY•'HEATACTIVATED THUMB PRINT•ADDITIONAL SECURITY FEATURES INCLUDED•SEE BACK FOR DETAILS r.4y6OE% Carmel Redeveloprrient Commission 30 West Main Street REGIONS 0 0 2 7 0 4 Suite 220 "" 20 laifnaD `"" / Carmel; IN 46032 • • 2704 DATE AMOUNT 2/16/2012 15,00000 PAY THE SUM OF FIFTEEN THOUSAND DOLLARS AND NO CENTS TO THE ORDER OF Poynter Sheet Metal PO Box 427 • • Bloomington, IN 47402 ,. Wri-1� 11'00270411' 1:0740LI, 2L31: 0087SOL / 11' CARMEL REDEVELOPMENT COMMISSION 0 0 2 7 0 4 Poynter Sheet Metal Check: 2704 PO Box 427 Date: 2/16/2012 Bloomington, IN 47402 Vendor: POYNTER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid See Transmittal Sheet for check detail. 538,208.00 15,000.00 0.00 0.00 15,000.00 -11-52 COMPUTEREASE FORMS DIVISION(817)577-5791 T37229 JAN • Transmittal Sheet Page 1 Carmel Redevelopment Comm Poynter Sheet Metal Check: 2704 PO Box 427 Date: 2/16/2012 Bloomington, IN 47402 Vendor: POYNTER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 11 41 161,475.00 10,580.35 0.00 0.00 10,580.35 Application 11 12 41 258,262.00 1,958.70 0.00 0.00 1,958.70 Application 12 13 41 40,964.00 960.95 0.00 0.00 960.95 Application 13 21B 41 77,507.00 1,500.00 0.00 0.00 1,500.00 Application 21 B 538,208.00 15,000.00 0.00 0.00 15,000.00 . y/ . APPLICATION AND CERTIFICATION FOR PAYMENT ALA DOCUMENT G702 PAGE ONE OF 1 PAGES 4 TO OWNER: PROJECT: Parcel 7A,Reeional Performing APPLICATION NO:2.8f1 3d B Distribution to: Cannel Redevelopment Commission Arts Center nOWNER One Civic Square PERIOD TO: 31-Jan-I1 D.ARCHITECT Cannel,IN 46032 FROM CONTRACTOR: VIA CONSTRUCTION MANAGER:Shiel-Sexton Co.,Inc PROJECT NO: 2695-4310 nCONFRACTOR Poynter Sheet Metal,Inc. An:Lynda Weaver PSM#: 14065 0 8768 N.SR 37 902 N.Capital Avenue Bloomington,IN 47404 Indianapolis,IN 46204 CONTRACT DATE: 18-Apr-08 CONTRACT FOR t8163-1570-00-00133 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor=nines that to the best of the Contactor's knowledge, Application is made for payment,as shown below,in connection with the Coon-act information and belief the Work covered by this Application for Pavmett has been Continuation Sheet,AIA Document 0703,is attached. completed in accordance with the Contact Documents,that all amours have been paid by the Contractor for Work for which previous Catilicates for Payment were issued and payment received from the Owner,and that current p:- - wu u.l cw Sr RRI7EVIIDWELL I. ORIGINAL CONTRACT SUM s 2,340,500 Residing in Monroe County 2. Net change by Change Orders S (12.519) CONTRACTOR:Poynter Sheet Metal My Commission Expires 3. CONTRACT SUM TO DATE(Line I t 2) S 2,527,981 •4 ;�' August 29,2014 , 4. TOTAL COMPLETED&STORED TO S 2,527,981 /1 DATE (Column G on G703) By. Dice: O /a3/// 5. RETATNAGE: Joseph erns Press an 1 a. 5 %of Completed Work S o state of I¢di County of: M o f ree (Column D+Eon 070 at Subscribed end. tore me al day of S �F 1 b� a0/f b. %of Stored Material S o Notary Public K/�iC-�'!{A_ (Cr(-Uf_'nXf/// I _ (Column F on 0703) My Commission expues- TotalRetalnAge(Lints 5a+5bor oe a9 ro/'/ Total in Column I of G703) $ o ARCHITECT'S ERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETALNAGE S 2,327,981 In accordance with the Contract Documents,based on on-site obsentons and the data (Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) 5 2,312,981 the quality of the Work is in accordant with the Contract Documents,and the Contractor S. CURRENT PAYMENT DUE $ 15,000 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE S 0 (Line 3 less Line 6) AMOUNT CERTIFIED S 1 S l2C2 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if-amount cenufied dicers from the amount applied Initial all figures on this Total changes approved Application and onthe Cortin:atior.Sheet that are changed to conform with dm amount cernfied) us in previo months by Owner ' $162,481 5175,000 ARCHIT- . 11,Total approved this Month SO SO By: ea/SS Date: 49;4101G 1 - TOTALS 3162,481 5175,000 This Ccrt9YCare is r. neeotieb . The AMOUNT CERTIFIED is payable only to rh • Contra nem-• erem.tssu:.,ce,pay•. •t and acceptant of payment are wtmout NET CHANGES by Change Order ($12,519) preiudi •• a,y rights of the or Contractor under this Cont-act. ALA 0.TLMQR 072-APPnfwnON AND ceRPPCATON FOR PAYMENT.¶902 EDIbOR•ALA.0:932 AVeRJUAINSTT?OF ARC-GEGTS,1735 N. 'ORK AV_..N.W..WASMNOTOV,DC 20001.5292■_ t - /01) Si i.. ri�Q� Or Wi1 �- 02/oe)/Z/ � PI CONTINUATION SHEET ALI DOCUMENT G703 2 PAGE OF PAGES 4 AIA Document 0707,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 303 Contractors signed certification is attached. APPLICATION DATE: 9/23/2011 In tabulations below,amounts arc stated to the nearest dollar. PSM JOB#: 14065 PERIOD TO: 9/30/2011 Use Column Ion Contracts where variable rctaina2e for line items may apply. NAME: Carmel PAC CONTRACT NO: 2 695-4310 A B C D I E F G H 1 LINE DESCRIPTION OF WORK SCHEDULED WORK CONTYLE:E1) MATERIALS TOTAL % BALANCE RETAL:AGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) TO FLA1SH CF VARIABLE APPLICATION STORED AND STORED (C-0) RATE) • (D r E) (NOT IN TO DATE D OR E) (D-E-F) 1 GENERAL CONDITIONS 200,000.00 $200,000 $0 $0 5200,000 100% 2 BOND&INSURANCE, 45,000.00 545,000 SO 50 $45,000 100% 3 MOBILIZATION 15,000.00 $15,000 $0 SO 515,000 100% 4 ALLOWANCE NO 11 BP 4310 651.00 $651 SO SO $651 100% 5 ALLOWANCE NO 16 CAD AS-BUILTS 10,000.00 510,000 50 SO $10,000 100% 6 DRAWINGS/COORDINATION 80,00000 $80,000 - 50 50 380,000 100% 7 MECH BASEMENT LEVEL 8 MATERIAL 48,000.00 548,000 50 50 518,000 100% 9 LABOR 50,700.00 $50,700 $0 SO 550,700 100% 10 LAGGING 7,000.00 $7,000 SO SO 57,000 100% II BACKHOUSE 12 MATERIAL 56,000.00 $56,000 $0 SO 556,000 100% II LABOR 59,000.00 S59,000 SO SO 559,000 100% 14 KITCHEN HOOD&DUCT 15 MATERIAL 15,400.00 515,400 SO SO $15,400 100% 16 LABOR 10,800.00 $10,800 SO $0 510,800 100% 17 INSULATION 10,100.00 $10,100 co 50 $10,100 100% 18 MECH RM 1 19 MATERIAL 50,400.00 550,400 50 SD $50,400 100% 20 LABOR 56,300.00 $56,300 SO SO 556,300 100% 2I INSULATION 15,800.00 S16,800 $0 $0 $16,800 100% 22MECHRM2 • 23 MATERIAL 77,000.00 577,000 SO SO $77,000 100% 24 LABOR 93,900.00 593,900 SO 50 593,900 100% 25 INSULATION 16,800.00 $16,800 SO 50 516.300 100% ' • 26 MECH RM 3 27 MATERIAL 84,900.00 584,900 SO SO $8=900 100% 28 LABOR 94,500.00 594,500 50 $0 $94,500 100% 29 INSULATION 16,800.00 $16,800 SO SO $16.800 100% 30 PLENUM LEVEL 31 MATERIAL 49,100.00 $49,100 SO SO $49,100 100% 32 LABOR 75,000.00 575,000 50 30 575.000 100% 33 LAGGING 13,000.00 513,000 $0 SO $13.000 100% CONTINUATION SHEET AL4 DOCUMENT G703 3 PAGE OF PAGES 4 AlA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 305 Contractor's signed certification is attached. APPLICATION DATE: 9/23/2011 In tabulations below,amounts are stated to the nearest dollar. PSM JOB#: 14065 PERIOD TO: 9/30/2011 Use Column Ion Contracts where variable retainage for line items may apply. NAME: Camel PAC CONTRACT NO: 2 693-4310 A B C D I E F G H I LLNE DESCRIPTION OF WORK SCHEDULED WORK COhELt,ti MATERIALS TOTAL '/. BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLE iw (G+C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT B.: TO DATE D ORE) (D+E-F) 34 ORCHESTRA HIGH LEVEL 35 MATERIAL 34,500.00 534,600 SO 50 534,600 100% 36 LABOR 35,400.00 535,400 SO $0 535,400 100% 37 ORCHESTRA LOW LEVEL 38 MATERIAL 49,400.00 $49,400 SO SO $49,400 100% 39 LABOR 62,600.00 $62.600 SO SO 562,600 100% 40 BOX TIER LEVEL 41 MATERIAL 70,000.00 $70,000 SO SO $70,000 100% 42 LABOR 100,30000 5100,300 SO SO $100,300 100% 43 LOW BALCONY LEVEL 44 MATERIAL 94,100.00 594,100 SO SO $94.100 I00% 45 LABOR 55,300.00 585,300 SO SO $83,300 100% 46 HIGH BALCONY LEVEL - I 47 MATERIAL 38,400.00 $38,400 SO SO $38,400 100% 48 LABOR 50,200.00 $50100 SO $0 550,200 100% 49 ATTIC LEVEL+50 50 MATERIAL 41,600.00 $41,600 SO $0 $41,600 100% 51 LABOR 44,700.00 544,700 SO S0 $44,700 100% 52 ATTIC LEVEL+51 53 MATERIAL 16,800.00 $16,800 50 SO 516,300 100% 54 LABOR 16,300.00 $15,300 SO SO $16,300 100% 55 ATTIC LEVEL+56 - 56 MATERIAL 39,500.00 539.500 $0 SO $39,500 100% 57 LABOR 37,900.00 $37.900 $0 SO 537900 100% 53 AT i IC LEVEL+79-5 59 MATERIAL 6,700.00 $6,700 SO SO 56,700 100% 60 LABOR 5,200.00 $5,200 SO SO $5,200 100% 4-A ALLOWANCE NO.11 BP 4310(ASI-031) 7,322.00 $7,322 SO SO S7,322 100% 4-B ALLOWANCE NO 11 BP 4310A-002 10,000.00 510,000 SO SO 510,000 100% 4-C ALLOWANCE NO 11 BP 43108-002 4,798.00 54,798 SO SO 54,796 100% 4-D ALLOWANCE NO 11 BP 4310B-003 1,534.00 $1,534 SO SO 51.534 100% 4-E ALLOWANCE NO 11 BP 4310B-004 27,142.00 $27,142 SO 50 527.142 100% 4-F ALLOWANCE NO 11 BP 43108-005 9.625.00 $9,625 50 SO 59,625 100% CONTINUATION SHEET .4TA DOCUMENT G703 4 PAC? OF PAGES 4 AW Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT-containing APPLICATION NO: 300 Contractor's signed certification is attached. APPLICATION DATE: 9/23/2011 In tabulations below,amounts are stated to the nearest dollar. PSM JOB#: 14065 PERIOD TO: 9/30/2011 Use Column I on Contracts where variable retainage for line items may apply. NAIVE: Cannel PAC CONTRACT NO: 2595-4310 A B C I D I E F G H I LINE DESCRIPTION OF WORK SCI'DDULED WORK COn1P1£TFD MATERIALS TOTAL % BALANCE RErAZNA-GE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (0+C) TO FINISH (IF VARLABLE APPLICATION STORED AND STORED (C-0) RATE) (I)-E) (NOT IN TO DATE DORE) (D1-E-P) 4-G ALLOWANCE NO 11 BP 43100-006 175,000.00 5175,000 SO SO 5175,000 100% 4-H ALLOWANCE NO 11 BP 43106-007 54600 $546 SO SO 5546 100% 4-I ALLOWANCE NO 11 BP 431013-008 10,93300 510,933 SO SO 510,933 100% 4-1 ALLOWANCE NO 11 BP 43108-009 12,449.00 512,449 SO SO 512,449 100% 4-K ALLOWANCE NO 11 BP 4310B-010 530K 4-L ALLOWANCE NO 11 BP 4310B-01I 5,001.00 SO 50 50 SO 0% 4-NI ALLOWANCE NO 11 BP 4310 13-012 3,021.00 50 SO SO SO 0% — 4-N ALLOWANCE NO 11 BP4310B-013 6,103.00 50 SO SO 50 0% 4-0 ALLOWANCE NO 11 BP 4310B-014 5,979.00 50 $0 SO SO 0% - 4-P ALLOWANCE NO 11 BP 43108-015 1,806.00 50 50 SO 50 0% 4-Q ALLOWANCE NO 11 BP 43108-016 2,480.00 SO SO 50 50 0% 4-R ALLOWANCE NO 11 BP 4310B-017 2,334.00 SO SO SO SO 0% 4-S ALLOWANCE NO 11 BP 4310B-018 3,254.00 50 50 50 50 0% Café' 5,006.00 SO SO SO SO 0% SO SO SO SO 900 PENDING CHANGE ORDERS 901 CHANGE ORDER#1 38,542.00 538,542 50 SO 538,542 100% 902 CHANGE ORDER#2(RCP-10) 19,219.00 $19,219 SO $0 S19,219 100% 903 CHANGE ORDER#3 BP 43106005 -175,000.00 (5175,000) SO 50 (5175,000) 100% 904 905 CHANGE ORDER#5 30,000.00 S30,000 SO 50 530,000 100% 906 CHANGE ORDER#6 24,720.00 524,720 CO SO 524,7720 100% _ 907 CHANGE ORDER#7 50,000.00 $50,000 SO SO 550,000 100% 52,327,981 2,327,981 1 0 0 2,327,981 100% 0 50 - r' : kr SHEET METAL '' CI POYNTER SHEET METAL,INC. CONTRACTOR'S AFFIDAVIT AND WAIVER OF LIEN PARTIAL () FINAL ( X) We, the undersigned, having been employed by CARMEL THEATER DEVELOPMENT CO LLC furnish labor and materials to do construction work on the premises known as PARCEL 7A,CARMEL REGIONAL PERFORMING ARTS CENTER hereby warrant that the premises of the above named job cannot be made subject to any valid lien by anyone who furnished material, supplies, labor or services to the undersigned for use in the above named i project for any labor, materials or supplies furnished or services performed through 09/30/11 to i the extent that the undersigned has been paid as set forth herein. This waiver is given in order to induce payment in the amount of$15,000.00 and upon receipt of the amount due by the undersigned, this waiver as to the amount due becomes valid,enforceable and of full effect. Upon attachment of the canceled cheek and the legal description of the project, this waiver may be recorded by the Owner or mortgage holder(s) of the project. This Contractor's Affidavit and Waiver of l..ien only applies to the extent paid, and does not apply to or cover retention, unresolved claims or unresolved changes, change orders or change requests. Given under our hand and seal this 23R" day of SEPTEMBER,2011 POYNTER SIIEE'I' METAL, INC. 11,0 1114 Signatu a o$ 1 rized Representative Joseph I . 1 , sell PRESIDENT 'title of Authorized Representative STATE OF: Indiana ) COUNTY OF: Monroe ) Subscribed and sworn to before me this 23"day of SEPTEMBER, 2011 (Notary Public) Commission Expires: August 29,2014 County of Residence: Monroe ,�t�nn,p ELAINE KIDWELL I�A Residing Co In Moon E County My Commission Expires wirsOir August 29,2014 Pr,RCribctl by Slam Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.2011Nw.1995 CITY OF CARMEL • An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Po7i7i4r 51 crt-/4' /c./( /17e' Purchase Order No. 976 . /v. 54' 37 Terms /4U 4'7y0`7 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3c a 0, A 7 Cc�i3OD c d Total /5;cet&.. CG I hereby certify that the attached invoice(s), or bill(s), is (are) true and corr- and . + same in accor dance with IC 5-11-10-1.6. / e2—/� , 20 /3— [ G. Oterk`freasurer