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HomeMy WebLinkAboutREAL MECHANICAL- 184- 3/16/2011 Real Mechanical Check: 184 Date: 3/16/2011 Vendor: REALMEC1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 15 3,806.85 3,806.85 0.00 0.00 3,806.85 App 15 on Garage Parking 3,806.85 3,806.85 0.00 0.00 3,806.85 184 3/16/2011 ***********3,806.85 THE SUM OF THREE THOUSAND EIGHT HUNDRED SIX DOLLARS AND 85 CENTS ******************* Real Mechanical Real Mechanical Check: 184 Date: 3/16/2011 Vendor: REALMEC1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 15 3,806.85 3,806.85 0.00 0.00 3,806.85 App 15 on Garage Parking 3,806.85 3,806.85 0.00 0.00 3,806.85 .APPLICATION AND CERTIFICATION FOR PAYMENT Ala DOCUMENT G702, TO: Carmel Garage Development Cc PROJECT: Village On The Green Base Bid APPLICATION NO'. 15 Distribution to: 11711 N Pennsylvania St., STE 200 Garage Parking Structure OWNER Carmel, IN 46032 290412 PERIOD TO: 12-30-10 ARCHITECT FROM CONTRACTOR: VIA ARCHITECT: CONTRACTOR Real Mechanical, Inc. Parcel 7C-3 475 Gradle Drive PROJECT NOS: Signature 12011 Carmel, IN 46032 Carmel#4460913 CONTRACT FOR: Plumbing/HVAC - 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 Certificates for Payment were issued and payments received from the Owner,and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $ 539,000.00 2. Net change by Change Orders $ 52,803.00 CONTRACTOR:Real Mechanical,Inc. 3. CONTRACT SUM TO DATE(Line 1±2) $ 591,803.00 4. TOTAL COMPLETED&STORED TO $ 580,452.00 _ DATE (Column G on G703) By: �\\O��q�4K.D Iji,yd' Y Date: 12 09-1<-, \K. Ab�/C>a�r� 5. RETAINAGE: Thomas E. -ine,CFO , 00Mlv1tgS° �. a. 5 %of Completed Work $ 29,022.60 State of: Indiana County� Hami Ion �� June S /0�`9�� (Column D+Eon G703) Subscribed and sworn to before me tit's 9th da 6f'Dece ber 2:.� qO��'9 M b. 5 %of Stored Material $ 0.00 Notary Public:K.Dawn Carter / : DoT °® (Column F on G703) My Commission expires: 6- 5-15 "4,1%64 q9� Total Retainage(Lines 5a+5b or C I �/�I ° j� SFq( ;`�c Total in Column I of G703) $ 29,022.60 ARCHITECT'S C TI CATE FOR PAYMEN �Fsa °°°\Pe\s '' 6. TOTAL EARNED LESS RETAINAGE $ 551,429.40 In accordance with the Contract Documents,based on on-site observations and the aatal/,OF l0.0,‘.% t t 5' (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) $ 547,622.55 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $: :::::....::::::.3;806:851: is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 40,373.60 a (Line 3 less Line 6) AMOUNT CERTIFIED $ 3 g06 ,0 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Total changes approved Application and onthe Continuation Sheet that are changed to conform with the amount certified.) in previous months by Owner $52,803.00 $0.00 PzI 7°P Cali A✓v_a^ /.e,p Total approved this Month $0.00 $0.00 By: ,e_.,41. Date: 9 1 /)/ TOTALS $52,803.00 $0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance,payment and acceptance ot payment are without NET CHANGES by Change Order 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,1735 NEW YORK AVE.,N.W.,WASHINGTON,DC 20006-5292 /2- I �� eV • CC �R Page 1 of 2 AT N UATION SHEET AIA DOCUMENT G703 Village On The Green Base Bid-290412 PAGE OF THREE PAGES ALA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 15 Contractor's signed certification is attached. Parcel 7C-3 APPLICATION DATE: 12-0 9-10 In tabulations below,amounts are stated to the nearest dollar. Cannel#4460913 PERIOD TO: 12-31-10 Use Column 1 on Contracts where variable retainage for line items may apply. Signature#12011 ARCHITECT'S PROJECT NO: Garage Parking Structure A B C D I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G_C) TO FINISH APPLICATION STORED AND STORED (C-G) (D+-E) (NOT IN TO DATE D OR E) (D+E+F) Plumbing 1 Storm/Sanitary-Material $64,850.00 $64,850.00 $64,850.00 100.00% $3,242.50 Labor $37,900.00 $37,900.00 $37,900.00 100.00% $1,895.00 2 Domestic Water-Material $700.00 $700.00 $700.00 100.00% $35.00 Labor $1,000.00 $1;000.00 $1,000.00 100.00% $50.00 3 Drains&Cleanouts-Material $8,500.00 $8,500.00 $8,500.00 100.00% $425.00 Labor $5,100.00 $5,100.00 $5,100.00 100.00% $255.00 4 Hydrants&Backflows-Material $800.00 $800.00 $800.00 100.00% $40.00 Labor $650.00 $650.00 $650.00 100.00% $32.50 5 Excavation/Backfill $32,000.00 $32,000.00 $32,000.00 100.00% $1,600.00 6 Fire Protection-Material. $125,500.00 $125,500.00 $125,500.00 100.00% $6,275.00 Labor $83,500.00 $83,500.00 $83,500.00 100.00% $4,175.00 7 Design Drawings $25,000.00 $25,000.00 $25,000.00 100.00% $1,250.00 HVAC 8 Electric Unit Heaters-Material $5,400.00 $5,400.00 $5,400.00 100.00% $270.00 Labor $1,500.00 $1,500.00 $1,500.00 100.00% $75.00 9 Fans&Louvers-Material $28,400.00 $28,400.00 $28,400.00 100.00% $1,420.00 Labor $3,500.00 $3,500.00 $3,500.00 100.00% $175.00 AIA DOCUMENT G703-CONTINUATION SHEET FOR G702 1992 EDITION-AIA ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N .WASHINGTON,0.C. 20006-5232 6703-1992 111��� Page 2 of 2 C CAN'To N UATI O N SHEET AIA DOCUMENT G703 Village On The Green Base Bid-290412 PAGE OF THREE PAGES AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 15 Contractor's signed certification is attached. Parcel 7C-3 APPLICATION DATE: 12-0 9-10 In tabulations below,amounts are stated to the nearest dollar. Carmel#4460913 PERIOD TO: 12-31-10 Use Column I on Contracts where variable retainage for line items may apply. Signature#12011 ARCHITECT'S PROJECT NO: Garage Parking Structure A B C D I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G_C) TO FINISH APPLICATION STORED AND STORED (C-G) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 10 Ductwork-Material $12,300.00 $12,300.00 $12,300.00 100.00% $615.00 Labor $7,100.00 $7,100.00 $7,100.00 100.00% $355.00 11 Controls-Material $10,300.00 $10,300.00 $10,300.00 100.00% $515.00 Labor $5,500.00 $5,500.00 $5,500.00 100.00% $275.00 12 Test& Balance $1,500.00 $1,500.00 $1,500.00 100.00% $75.00 13 Submittals/Detailing $8,500.00 $8,500.00 $8,500.00 100.00% $425.00 14 Bond $11,500.00 $11,500.00 $11,500.00 100.00% - $575.00 15 Mobilization $3,000.00 $3,000.00 $3,000.00 100.00% $150.00 16 General Conditions $28,000.00 $28,000.00 $28,000.00 100.00% $1,400.00 17 Allowance $25,000.00 $13,298.00 $1,351.00 $14,649.00 58.60% $10,351.00 $732.45 18 Closeout/Record Drawings $2,000.00 $1,000.00 $1,000.00 50.00% $1,000.00 $50.00 19 CO 5 $3,048.00 $3,048.00 $3,048.00 100.00% $152.40 20 CO 10 $32,400.00 $32,400.00 $32,400.00 . 100.00% $1,620.00 21 CO 11 $16,499.00 $16,499.00 $16,499.00 100.00% $824.95 22 CO 13 $856.00 $856.00 $856.00 100.00% $42.80 GRAND TOTALS $591,803.00 $578,101.00 $2,351.00 $580,452.00 98.08% $11,351.00 $29,022.60 AIA DOCUMENT G703 CONTINUATION SHEET FOR G702 1992 EDITION AIA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N .WASHINGTON,D . 20006-5232 G703-1992 • Subcontractor REAL MECHANICAL, INC. Project and Location Payroll # 60 Address 475 GRADLE DR. VILLAGE ON GREEN BASE Week Ending 11/28/2010 CARMEL, IN 46032 Page# 1 < Day and Date > Employee Information Mon Tue Wed Thu Fri Sat Sun Total Pay 11/22 11/23 11/24 11/25 11/26 11/27 11/28 Hours Rate Work Classification MILLIS, DAVID XXX-XX-1376 M 3 1.50 1.50 31.000 Unknown Craft Code Job Earn: 46.50 FICA: 64.50 FIT: 35.95 State: 23.70 Local/SDI: 17.79 Oth Deds: 256.04 Adj Net: 0.00 Tot Earn: 992.00 Tot Deds: 397.98 Un Vac: 0.00 Benefits: 0.00 Un Misc: 0.00 Un Dues: 0.00 Net Pay: 594.02 Insuranc 122.00 Dent/Vis 19.45 AFLAC 7.43 401k 59.52 Gas-C 9.00 401k Loa 38.64 PICKETT, KEITH XXX-XX-5228 M 0 6.00 4.00 10.00 31.500 Unknown Craft Code Job Earn: 315.00 FICA: 98.80 FIT: 150.73 State: 43.91 Local/SDI: 12.92 Oth Deds: 74.99 Adj Net: 0.00 Tot Earn: 1,354.50 Tot Deds: 381.35 Un Vac: 0.00 Benefits: 0.00 Un Misc: 0.00 Un Dues: 0.00 Net Pay: 973.15 Insuranc 47.00 Dent/Vis 6.00 AFLAC 9.99 Gas-C 12.00 Emp. Count Job Hours Job Gross FICA Taxes FIT State Taxes Total Deduct Total Gross Adjustments Net -? 2 11.50 361.50 163.30 f 186.68 67.61 779.33 2,346.50 0.00 1,567.17 Date 11/28/2010 (4) That (a) Where fringe benefits are paid to approved plans,funds,or programs 1, In addition to the basic hourly wage rates paid to each laborer or mechanic do hereby state: listed in the above referenced payroll,payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees,except as noted in Section 4(c)below. (1) That 1 pay or supervise the payment of the persons employed by (b) Where fringe benefits are paid in Cash REAL MECHANICAL,INC. on the VILLAGE ON GREEN BAS , Each laborer or mechanic listed in the above referenced payroll has been that during the payroll period commencing on the 22 day of November 2010 paid as indicated on the payroll,an amount not less than the sum and ending the 28 day of November 2010 ,all persons employed of the applicable basic hourly wage rate plus the amount of the on said project have been paid the full weekly wages earned,that no rebates have been required fringe benefits as listed in the contract,except as noted in or will be made either directly or indirectly to or on behalf of said Section 4(c)below. REAL MECHANICAL,INC. from the full weekly wages earned (c) Exceptions by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Exception(Craft) Explanation Regulations,Part 3(29 CFR Subtitle A)issued by the Secretary of Labor under the Copeland Act,as amended(48 Stat.948-.63 Stat. 108,72 Stat.967,76 Stat.357:40 U.S.C.276c),and described below: Remarks (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete:that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract:that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training,United States Department of Labor,or if no such recognized agency exists in a State,are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. (Signature) • (Name and Title) The willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution. See Section 1001 of Title 18 and Section 231 of Title 31 of the United States Code. Subcontractor REAL MECHANICAL, INC. Project and Location Payroll # 59 Address 475 GRADLE DR. VILLAGE ON GREEN BASE Week Ending 11/21/2010 CARMEL, IN 46032 Page# 1 < Day and Date > Employee Information Mon Tue Wed Thu Fri Sat Sun Total Pay 11/15 11/16 11/17 11/18 11/19 11/20 11/21 Hours Rate Work Classification MILLIS, DAVID XXX-XX-1376 M 3 1.00 1.00 31.000 Unknown Craft Code Job Earn: 31.00 FICA: 81.10 FIT: 66.55 State: 30.64 Local/SDI: 22.42 Oth Deds: 275.06 Adj Net: 0.00 Tot Earn: 1,209.00 Tot Deds: 475.77 Un Vac: 0.00 Benefits: 0.00 Un Misc: 0.00 Un Dues: 0.00 Net Pay: 733.23 Insuranc 122.00 Dent/Vjs 19.45 AFLAC 7.43 401k 72.54 Gas-C 15.00 401k Loa 38.64 • Emp.Count Job Hours Job Gross FICA Taxes FIT State Taxes Total Deduct Total Gross Adjustments Net I 5 1.00 31.00 81.10 66.55 30.64 475.77 1,209.00 0.00 733.23 Date 11/21/2010 (4) That (a) Where fringe benefits are paid to approved plans,funds,or programs In addition to the basic hourly wage rates paid to each laborer or mechanic do hereby state: listed in the above referenced payroll,payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees,except as noted in Section 4(c)below. (1) That I pay or supervise the payment of the persons employed by (b) Where fringe benefits are paid in Cash REAL MECHANICAL,INC. on the VILLAGE ON GREEN BAS Each laborer or mechanic listed in the above referenced payroll has been that during the payroll period commencing on the 15 day of November 2010 paid,as indicated on the payroll,an amount not less than the sum and ending the 21 day of November , 2010 ,all persons employed of the applicable basic hourly wage rate plus the amount of the on said project have been paid the full weekly wages earned,that no rebates have been required fringe benefits as listed in the contract,except as noted in or will be made either directly or indirectly to or on behalf of said Section 4(c)below. REAL MECHANICAL,INC. from the full weekly wages earned (c) Exceptions by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Exception(Craft) Explanation Regulations,Part 3(29 CFR Subtitle A)issued by the Secretary of Labor under the Copeland Act,as amended(48 Stat.948,63 Stat. 108,72 Stat.967:76 Stat.357;40 U.S.C.276c),and described below: Remarks (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete;that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract;that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training,United States Department of Labor,or if no such recognized agency exists in a State,are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. • (Signature) (Name and Title) The willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution. See Section 1001 of Title 18 and Section 231 of Title 31 of the United States Code. AFFIDAVIT AND WAIVER OF LIEN ❑ Final ® Partial ® Payment to Follow State of Indiana, County of Hamilton, SS: Thomas E. Fine being duly sworn states that he is the CFO of Real Mechanical, Inc. having contracted with Carmel Garage Development Co to furnish certain materials and/or labor as follows: HVAC for a project known as Village on the Green Garage Parking Structure - 4460913 Signature 12011 located at Parking Garage West, Parcel 7C-3, Carmel, IN 46033 and owned by and does hereby further state on behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the contractor the sum of: Three Thousand Eight Hundred Six Dollars & 85/100 ($ 3,806.85 ) receipt of which is hereby acknowledge; or ® the payment 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; (FINAL WAIVER) that the final balance due from the contractor is the sum of: ($ ❑ receipt of which is hereby acknowledge; or n the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. 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 to condition or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work performed on material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Real Mechanical, Inc. BY Title CFO �;`��a,iC II i P P P iP1 '114/ WITNESS MY HAND AND NOTARIAL SEAL, this 9th Da of De ember 10 `:� ° ° q9T�>,o " VISS/ON° ��ri / • . �e5 d� �� 2��f . s n• it(l o NOTARY SEAT ll (Notar Publi0 A , ()Duo. 4.4,;u STATE STATE0F �O°`�� My Commission Expires: June 5, 2015 Printed: K. Dawn Carter '°dioi;Pijlacd��0' Residing in Boone County