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GERNERL PIPING, INC- 211498- 10/25/2011
E. enle �,� Bank NBR TRUST SERVICES AN AFFILIATE OF.MERCANTILE BANCORP.INC. 70-53 'No :2114 98 Date 10/25/11 812 73910000 CRC/General Piping, Inc { 2 Pay: Eighty Thousand Dollars &00/1:00 To the General Piping, Inc $80,000.00 Order Q of: /FA c/A./.44"-C)..„___. Hs 2 1 L I,cup° 'ma 1200•S 3 1I; 10. 100006 5n8 �vnti�e All AFFItIAIE OF NERCMITIIE 9NICORP.MC Date 10/25/11 Transaction Number 2037070 General Piping,Inc Distribution Retainage 73910000 CRC/General Piping,Inc Teresa Kuchling Principal $80,000.00 WLCK8511IC MARLON BUSINESS FORMS 21722416761 FAX 217.2247675 PRINTED IN U.S.A. • • CARMEL REDEVELOPMENT COMMISSION 002415 General Piping, Inc. Check: 2415 PO Box 34367 Date: 10/20/2011 Indianapolis, IN 46234 Vendor: GENERPIP Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 8 44 314,820.18 100,000.00 0.00 0.00 80,000.00 Application 8 33-2 44 1,035.00 1,035.00 0.00 0.00 1,035.00 Application 33 315,855.18 101,035.00 0.00 0.00 81,035.00 l_; T'E VO 0 0 0 MO ACTIVATED TiERDPEINT o ADDITIONAL gMl1GIEV3038AlffOAD og'@IK r o1p° of '' �sd°ESA Carmel Redevelopment Commission PA �.a 30 West Main`Street` Redevelopment AREGIONS 002415 PB � 1 Suite 220 2o-ia2v�ao CARMEL o ,�� Carmel. IN 46032 2415 DATE " AMOUNT 10/20/2011 **********81,035.00 PAY THE,SUM-OF,EIGHTY-"0 THO SA D THI TY IVE D LABS AND NO CENTS ********************* TO THE ORDER OF General Piping, Inc. PO Box 34367 /�� �sENS, l Indianapolis, IN 46234 tea- :�i �`� V.r Fs, 11'0024L50 1:0740L42L31: 00B7504LLLH° ENDORSE HERE: _ DO NOT WRITE,STAMP OR SIGN BELOW THIS LINE RESERVED FOR FINANCIAL INSTITUTION USE. „.. _ • • • 1 The security features listed below exceed industry guidelines. Colored Background Colored pattern protects against alteration. ti Heat Sensitive Icon-Responds to heal.Icon will fade when rubbed It it I briskly. LJ Chemical Reactive Paper-Paper reacts to chemical alteration leaving a visible stain on the paper. Warning Border-Alerts financial institutions and criminals that fraud deterrent I ti features are present. ; Fluorescent Fibers-Only visible tinder ultraviolot Micro Printing-Border and Backer contain micrcprinting,magnify to verify. ti When copier!,appears as a dotted line, Security Backer-Back pattern prevents cutting and pasting of the document. .1 it *FEDERAL RESERVE BOARD OF GOVERNORS REG.CC Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER 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 Purchase Order No. 3 7 Terms ���2p. � ��Z Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9'/q/// 3.3 3 0-77 / 7 ; D3S; O 10 Total �S�O I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I hay- -. r 's- "r i cordance with IC 5-11-10-1.6. ID`tet , 20 '``?usurer VOUCHER NO. WARRANT NO. ALLOWED 20 �� t 127-(.cr - IN SUM OF $ 3 Y ;7 4023 $ 3S 0 ON ACCOUNT OF APPROPRIATION FOR 2C2. Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 3 3 4`4/6G(ro 7 7;035;d6 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except /C-// 20 /7 Signature Exectitjee Director Cost distribution ledger classification if claim paid motor vehicle highway fund Carmel Redevelopment Commission CARMEL REDEVELOPMENT COMMISSION 002415 General Piping, Inc. Check: 2415 PO Box 34367 Date: 10/20/2011 Indianapolis, IN 46234 Vendor: GENERPIP Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 8 44 314,820.18 100,000.00 0.00 0.00 80,000.00 Application 8 33-2 44 1,035.00 1,035.00 0.00 0.00 1,035.00 Application 33 315,855.18 101,035.00 0.00 0.00 81,035.00 THE KEY TO,DOCUMENT SECURITY•HEAT ACTIVATED;THUMB PRINT•ADDITIONAL SECURITY FEATURES INCLUDED.,SEE BACK FOR DETAILS pc�S&,DES.c. Carmel Redevelopment Commission A REGIONS 002415 �,� 30 West Main Street ( Suite 220 zo-1a2ii740 CnRMEL Carmel, IN 46032 citSTRic 2415' DATE AMOUNT 10/20/2011 **********81,035.00 PAY THE.SUM.OF EIGHTY`O THO SA D THI TY IVE D LARS AND NO CENTS ********************* TO THE ORDER OF. General Piping; Inc. PO Box 34367 SENgr P f Indianapolis, IN 46234 _ �. ' !�� N 00024L511' 1:0740042L31: 0087504LLLII' Cleveland, Don H From: Lee, Mike E Sent: Friday, October 21, 2011 2:32 PM To: Cleveland, Don H Subject: General Piping check 2415 Don, It looks like General Piping's check for$81,035 that you wrote last week may have to be split up. $80,000 is retention, and therefore needs to be paid out of their Escrow account. The other$1,035 should still be paid by us. I apologize for not realizing that earlier. Can you set that up so that they are paid with the Escrow account? Thanks Michael Lee Assistant Finance Manager Carmel Redevelopment Commission (p) (317) 571-2796 (f) (317) 571-2789 mlee@carmel.in.gov i MN 4 Document G732' - 2009 Application and Certificate for Payment, Construction Manager as Adviser Edition Lig TO OWNER: City of Carmel PROJECT: CPAC 84% APPLICATION NO:032 DISTRIBUTION TO: OWNER PERIOD TO:June 30,2011 CONSTRUCTION MANAGER FROM General Piping,Inc. VIA CONSTRUCTION Shiel Sexton CONTRACT DATE:June 11,2008 ARCHITECT CONTRACTOR: P.O.Box 34367 MANAGER: PROJECT NOS:NA/2829/NA CONTRACTOR Indianapolis,IN 46234 FIELD CONTRACT FOR: General Construction VIA ARCHITECT: CSO Architects OTHER CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and belief the Work covered by this Application for Payment has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract Contract Documents,that all amounts have been paid by the Contractor for Work for which previous AlA Document G703TM,Continuation Sheet,is attached. Certificates for Payment were issued and payments received from the Owner,and that current payment 1. ORIGINAL CONTRACT SUM $ 3,492,504.00 shown herein is now due. 2. NET CHANGES IN THE WORK $ 191,209.00 CONTRACTOR:i 3. CONTRACT SUM TO DATE(Line I±2) $ 3,683,713.00 By: �f Date: "'/1311 4. TOTAL COMPLETED AND STORED TO DATE(Column G on G703)....$ 3,631,974.46 State of:Ind 5. RETAINAGE: County of:Hendricks a. 100 %of Completed Work Subscribed and sworn to before (Column D+Eon G703) $ 100,000.00 me this 2 3 day of , t t 24{( / b. 0 %of Stored Material Notary Public:Luke Roseboom (Column Far G703) S 0.00 My Commission expires:July 07,2012 Total Retainage(Lines Sa+Sb,or Total in Column Ion G703) $ 100,000.00 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 3,531,974.46 In accordance with the Contract Documents,based on evaluations of the Work and the data comprising (Line 4 minus Line S Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 3,499,540.46 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in (Line 6from prior Certificate) CERTIFIED. with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 8. CURRENT PAYMENT DUE I$ 32,434.04 AMOUNT CERTIFIED ` S 32,434.00 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation ifamount certified differs from t .amount applied.Initial all figures on this Application and on the ontinu. 'on Sheet at are ged to conform with the amount certified.) (Line 3 minus Line 6) $ 151,738.54 CONS UCTION ,..4.: , •'+1': �. D� 11 By. *■li .;,�� �ir :e: Date: SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS �'(NO #'�liple Prime Contractors are responsible for performi g pork s of the Project,t e ' it: ' Certification is not required) Total changes approved in previous months by Owner$ 331,444.60.$ 140,235.60 B Date: 7 plc Total approved this month including Construction Change Directives $ 0'00$ 0.00 This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor named TOTALS $ 331,444.60$ 140,235.60 herein.Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner NET CHANGES IN THE WORK $ 191,209 00 or Contractor under this Contract. NA Document 0732m—2009(formerly 0702"C Nra—1!192).Copyright 01992 and 2009 by The American Institute of Architects.MI rights reserved.WARNING:This MAe Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of ft,may result In severe civil and criminal penalties,and will be prosecuted to 1 the maximum extent possible under the law.This document was produced byAlA software at 19:53:37 on 06123/2011 under Order No.0689551328 1 which expires on 05113/2012,and is not for resale. User Notes: (1683107640) A . :sli,/ - Document G732' — 2009 Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: City of Carmel PROJECT: CPAC 84% APPLICATION NO:033 DISTRIBUTION TO: OWNER PERIOD TO:September 30,2011 CONSTRUCTION MANAGER FROM General Piping,Inc. ViA CONSTRUCTION Shiel Sexton CONTRACT DATE:June 11,2008 ARCHITECT CONTRACTOR: P.O.Box 34367 MANAGER: PROJECT NOS:NA/2829/NA CONTRACTOR Indianapolis,iN 46234 FIELD CONTRACT FOR: General Construction VIA ARCHITECT: CSO Architects OTHER CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and belief the Work covered by this Application for Payment has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous AIA Document G703T14,Continuation Sheet,is attached. Certificates for Payment were issued and payments received from the Owner,and that current payment 1. ORy BNAL CONTRACT SUM $ 3,492,504.00 shown herein is now due. 2 NET CHANGES IN THE WORK $ 191,209.00 CONTRACTOF� , (�.-3. CONTRACT SUM TO DATE(Line 1±2) $ 3,683,713.00 By: lf-t�w/"° I , Date: October 03,2011 4. TOTAL COMPLETED AND STORED TO DATE(Column G on G703)....$ 3,633,009.46 State of:Indiana 5. RETAINAGE: County of:Hendricks a. 100 %of Completed Work Subscribed and sworn to before (Column D+E on G703) $ 20,000.00 me this 3 day of ad. . 26(( / b. 0 %of Stored Material Notary Public:Luke Roseboom (Column F on G703) $ 0.00 My Commission expires:July 07,2012 Total Retainage(Lines Sa+5b,or Total in Column Ion G703) $ 20,000.00 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 3,613,009.46 In accordance with the Contract Documents,based on evaluations of the Work and the data comprising (Line 4 minus Line S Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 3,531,974.46 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in (Line 6 from prior Certificate) accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 8. CURRENT PAYMENT DUE $ 81,035.00 AMOUNT CERTWIED $ 81,035.00 9. BALANCE TO FINISH, iNCLUDING RETAINAGE (Attach explanation; , •mrt certified differs from e• •I, nt applied.Initial all figures on this Application and• 44 ontinuation Sh at ar: Chang ' to conform with the amount certified.) (Line 3 minus Line 6) $ 70,703.54 Cu...: I•' r i-`- ',1 m �■) By 14 . I' :'a. v Date: d __ A' '! 4 • P" ltiple Prime Contractors are responsible for perform po ions of the SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS i , . Project, t t:`. ertification is not required) Total changes approved in previous months by Owner$ 331,444.60$ 140,235.60 By. v' V` Date: 1� 3 lc-is. ef Total approved this month including Construction Change Directives $ 0.00$ 0.00 This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor named TOTALS $ 331,444.60$ 140,235.60 herein.Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. NET CHANGES IN THE WORK $ 191,209.00 NA Document 6732"-2009 Permed,6702°C91s-1992).Copyright®1992 and 2009 by The Amerman institute of Architects.NI rights reserved.WARNING:This AIA®Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 1 the maximum extent possible under the law.This document was produced by AIA software at 10:03:23 on 10/03/2011 under Order No.0889551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1330923892) elUI Cleveland, Don H From: Cleveland, Don H Sent: Monday, October 24, 2011 7:29 AM To: 'Kuchling, Teresa' Cc: Lee, Mike E; Jim.Higgins @LWGcpa.com Subject: Retainage due General Piping Attachments: General Piping Retainage.pdf I have attached the required paperwork for you to send a check out of escrow account 73910000 to General Piping, Inc. in the amount of$80,000.00. Please send ASAP, and send me a copy of the check. If you look at the two invoices, you can see that the Retainage drops by$80,000. We failed here to make that distinction, so I have attached a copy of the check that was voided in order to pay it out of the escrow account. Thanks for your help. Don Cleveland, Finance Manager Carmel Redevelopment Commission 30 West Main Street, Suite 220 Carmel, IN 46032 dcleveland(a�carmel.in.00v 317-571-2795 to desk 317-571-2789 fax 317-796-9061 cell 1 ,.ANIVICL r1CLJGVtLUrMtN I IAJIVIIVIIS,IIJIV 002415 General Piping, Inc. Check: 2415 PO Box 34367 Date: 10/20/2011 Indianapolis, IN 46234 Vendor: GENERPIP Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 8 44 314,820.18 100,000.00 0.00 0.00 80,000.00 Application 8 33-2 44 1,035.00 1,035.00 0.00 0.00 1,035.00 Application 33 315,855.18 101,035.00 0.00 0.00 81,035.00 r THEjKEY TO DOCUMENT SECURITY ZHEAT ACTI A:TED;THUMBPRINT%"ADDITIONAL"L SE@URITY FEATURES WCLUD'-ED°�'tSEE+EIACR FORjDETAILS P915 PES% Carmel Redevelopment Commission 30 West Main`Street A REGIONS 0024:15 (al Suite 220 20-1421/740 c rR1L�aec Carmel, IN 46032 ��ST ( 2415 DATE AMOUNT 10/20/2011 **********81,035.00 PAY THE SUM OF EIGHTY ONE THOUSAND THIRTY FIVE DOLLARS AND NO CENTS ********************* TO THE ORDER OF General Piping, Inc. PO Box 34367 sE„sr Indianapolis, IN 46234 kr one` 00024L5” 1:0740L42131: 008 ? SO4 LLLo CARMEL REDEVELOPMENT COMMISSION 002415 General Piping, Inc. Check: 2415 PO Box 34367 Date: 10/20/2011 Indianapolis, IN 46234 Vendor: GENERPIP Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 8 44 314,820.18 100,000.00 0.00 0.00 80,000.00 Application 8 33-2 44 1,035.00 1,035.00 0.00 0.00 1,035.00 Application 33 315,855.18 101,035.00 0.00 0.00 81,035.00 -11-52 COMPUTEREASE FORMS DIVISION(877)577.5791 T-37228 /111 CARMEL REDEVELOPMENT COMMISSION 002421 General Piping, Inc. Check: 2421 PO Box 34367 Date: 10/25/2011 Indianapolis, IN 46234 Vendor: GENERPIP Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 33-2 44 1,035.00 1,035.00 0.00 0.00 1,035.00 Application 33 1,035.00 1,035.00 0.00 0.00 1,035.00 THE`KEY To DOCUMENT SECUPITYill EAtACTIVATED{THUMEI PRINT y`ADDITIO N4C SEC R TYu FEATUREStINCLUDEU SEE TACK FOR1DETAILS '- Alt 46 °Et• Carmel Redevelopment Commission REGIONS �30 West Main'Street 0 0 2 4 21 20-1421/740 + Suite 220 O/STRK `ATZcL 4 Carmel, IN 46032 2421 DATE AMOUNT 10/25/2011 ***********1,035.00 PAY THE SUM OF ONE THOUSAND THIRTY FIVE DOLLARS AND NO CENTS*"`**********"*************** TO THE ORDER OF General;Piping, Inc_, .PO Box 34367 �z SENs% Indianapolis, IN 46234 hP r OFS v N' ""'00242L0 1:0740L42L31: 0087504LLL0 CARMEL REDEVELOPMENT COMMISSION 002421 General Piping, Inc. C Date: 10//22 e: 20 PO Box 34367 Dat5/2011 Vendor: GENERPIP Indianapolis, IN 46234 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 33-2 44 1,035.00 1,035.00 0.00 0.00 1,035.00 Application 33 1,035.00 1,035.00 0.00 0.00 1,035.00 (-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-37228 CARMEL REDEVELOPMENT COMMISSION 002415 General Piping, Inc. Check: 2415 PO Box 34367 • Date: 10/20/2011 Indianapolis, IN 46234 Vendor: GENERPIP Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 8 • 44 - 314,820.18 100,000.00 0..00 0.00 80,000.00 Application 8 . 33-2 • 44 1,035.00 • 1,035.00 0.00, 0.00 . 1,035.00 • - Application 33 - - 315,855.18 101,035.00 • 0.00 " 0.00 8'1,035.00.; KEY TQ DOCUMENT o.HEATAETIVATED 11 iiD'- PRINTO:ADDITIONAL SECURITY_ INCLUDED 4 -g BACKgrn DETAILS ' �a�§ %. Carmel Redevelopment Commission • in treet REGIONS- Y 0 0 2 4.1�5 30 West Ma S G. 20=1421/740 l► Suite 220` r. ; - CARMEL- Carmel IN 46032 - oI DATE AMOUNT . - 10/2012011- 81,035:00 - ' PAY S THE HEUMtOF-EIGHTY 0 -THO SA• D THI TY ,IVE D LARS°`AND NO CENTS ********************* T/l TUC ,I �i j AIA Document 6732 — 2009 Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: City of Carmel PROJECT: CPAC 84% APPLICATION NO:033 DISTRIBUTION TO: OWNER PERIOD TO:September 30,2011 CONSTRUCTION MANAGER FROM General Piping,Inc. VIA CONSTRUCTION Shiel Sexton CONTRACT DATE:June 11,2008 ARCHITECT CONTRACTOR: P.O.Box 34367 MANAGER: PROJECT NOS:NA/2829/NA CONTRACTOR Indianapolis,IN 46234 FIELD CONTRACT FOR: General Construction VIA ARCHITECT: CSO Architects OTHER CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and belief the Work covered by this Application for Payment has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous AIA Document G703TM Continuation Sheet,is attached. Certificates for Payment were issued and payments received from the Owner,and that current payment 1. ORIGINAL CONTRACT SUM $ 3,492,504.00 shown herein is now due. 2. NET CHANGES IN THE WORK $ 191,209.00 CONTRACTOR tN, 3. CONTRACT SUM TO DATE(Line I±2) $ 3,683,713.00 By: 1 Date: October 03,2011 4. TOTAL COMPLETED AND STORED TO DATE(Column G on G703)....$ 3,633,009.46 State of:Indiana 5. RETAINAGE: County of:Hendricks a. 100 %of Completed Work Subscribed and sworn to before (Column D+Eon G703) $ 20,000.00 me this 3 day of ae,t . 261( b. 0 %of Stored Material Notary Public:Luke Roseboom (Column F on G703) $ 0.00 My Commission expires:July 07,2012 Total Retainage(Lines Sa+Sb,or Total in Column Ion G703) $ 20,000.00 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 3,613,009.46 In accordance with the Contract Documents,based on evaluations of the Work and the data comprising (Line 4 minus Line S Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 3,531,974.46 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in (Line 6from prior Certificate) accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 8. CURRENT PAYMENT DUE $ 81,035.00 AMOUNT CERTIFIED $ 81,035.00 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation: #mount certified differs from e am(unt applied.Initial all figures on this Application and o 44 ontinuation She- -at ar, chang•d to conform with the amount certified) (Line 3 minus Line 6) $ 70,703.54 CON' \•UCTION ER: �'''r�/ - /0/0 311 By: ':./i!wa.i Date: AR ' TEC r •T ' ultiple Prime Contractors are responsible for perform g po ions of the SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS Y'` Project, a P,'t:? t.,. ertification is not required) ,/ Total changes approved in previous months by Owner$ 331,444.60.$ 140,235.60 By: `-'- Date: 1'o/ l'�+ �l Total approved this month including Construction Change Directives $ 0.00$ 0.00 This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor named TOTALS $ 331,444.60$ 140,235.60 herein.Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. NET CHANGES IN THE WORK $ 191,209.00 AIA Document G732°—2009(formerly G702TMCMa—1992).Copyright @ 1992 and 2009 by The American Institute of Architects.All rights reserved.WARNING:This AlA®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 civil and criminal penalties,and will be prosecuted to 1 the maximum extent possible under the law.This document was produced by AIA software at 10:03:23 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1330923892) '11ID� I ,k„,,,,,A T.....„: IA Document G7O3TM - 1992 Continuation Sheet AIA Document, G702TM-1992,Application and Certification for Payment, or G730-2009, APPLICATION NO:033 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE:09/27/2011 containing Contractor's signed certification is attached. In tabulations below,amounts are in US dollars. PERIOD TO: 09/30/2011 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:NA A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /e NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G±C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 1 Bond 27,350.00 27,350.00 0.00 0.00 27,350.00 100.00% 0.00 0.00 Supervision/PM/Gen. 2 Cond. 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 3 Labor 181,855.00 181,855.00 0.00 0.00 181,855.00 100.00% 0.00 0.00 4 Material 72,013.00 72,013.00 0.00 0.00 72,013.00 100.00% 0.00 0.00 5 Submittals 21,869.00 21,869.00 0.00 0.00 21,869.00 100.00% 0.00 0.00 6 Punchlist 12,000.00 12,000.00 0.00 0.00 12,000.00 100.00% 0.00 0.00 7 Closeout 6,000.00 0.00 0.00 0.00 0.00 0.00% 6,000.00 0.00 3D 8 CAD/Coordination 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 9 Labor 34,726.00 34,726.00 0.00 0.00 34,726.00 100.00% 0.00 0.00 10 Material 64,200.00 64,200.00 0.00 0.00 64,200.00 100.00% 0.00 0.00 11 Daily Clean-up 15,000.00 15,000.00 0.00 0.00 15,000.00 100.00% 0.00 0.00 AW#8-Plumbing 12 (4290A) 15,113.00 0.00 0.00 0.00 0.00 0.00% 15,1 13.00 0.00 AW#9-Water/Gas 13 (4290B) 17,214.54 0.00 0.00 0.00 0.00 0.00% 17,214.54 0.00 AW#10 Hyd. 14 (4300A) 1,926.00 0.00 0.00 0.00 0.00 0.00% 1,926.00 0.00 15 AW#16 CAD(4290) 450.00 0.00 0.00 0.00 0.00 0.00% 450.00 0.00 16 AW#16 CAD(4300) 10,000.00 0.00 0.00 0.00 0.00 0.00% 10,000.00 0.00 17 Mechanical ID 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 18 Labor 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 0.00 19 Material 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 0.00 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 Ale 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 I the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o/o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY PREVIOUS THIS PERIOD STORED AND STORED TO DATE (G_C) FINISH (IF VARIABLE NO. WORK VALUE APPLICATION (NOT IN D OR E) (C-G) RATE) (D+E) (D+E+F) 20 Firestopping 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 21 Labor 5,350.00 5,350.00 0.00 0.00 5,350.00 100.00% 0.00 0.00 22 Material 5,939.00 5,939.00 0.00 . 0.00 5,939.00 100.00% 0.00 0.00 23 Housekeeping Pads 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 24 Labor 1,41 1.00 1,411.00 0.00 0.00 1,41 1.00 100.00% 0.00 0.00 25 Material 2,676.00 2,676.00 0.00 0.00 2,676.00 100.00% 0.00 0.00 26 Painting 3,000.00 3,000.00 0.00 0.00 3,000.00 100.00% 0.00 0.00 Sleeves/Core Drill 27 Holes 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 28 Labor 19,200.00 19,200.00 0.00 0.00 19,200.00 100.00% 0.00 0.00 29 Material 31,800.00 31,800.00 0.00 0.00 31,800.00 100.00% 0.00 0.00 30 Grease Interceptor 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 . 0.00 31 Labor 3,360.00 3,360.00 0.00 0.00 3,360.00 100.00% 0.00 0.00 32 Material 16,830.00 16,830.00 0.00 0.00 16,830.00 100.00% 0.00 0.00 33 Cranes and Lifts 24,000.00 24,000.00 0.00 0.00 24,000.00 100.00% 0.00 0.00 34 Underground WN 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 35 Labor 28,186.00 28,186.00 0.00 0.00 28,186.00 100.00% 0.00 0.00 36 Material 35,120.00 35,120.00 0.00 0.00 35,120.00 100.00% 0.00 0.00 37 Underground Storm 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 38 Labor 6,303.00 6,303.00 0.00 0.00 6,303.00 100.00% 0.00 0.00 39 Material 10,637.00 10,637.00 0.00 0.00 10,637.00 100.00% 0.00 0.00 40 Underslab Drainage 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 41 Labor 9,500.00 9,500.00 0.00 0.00 9,500.00 100.00% 0.00 0.00 42 Material 1,714.00 1,714.00 0.00 0.00 1,714.00 100.00% 0.00 0.00 Aboveground WN 43 (M) 165,426.00 165,426.00 0.00 0.00 165,426.00 100.00% 0.00 0.00 Aboveground WN 44 (L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 45 Basement 33,050.00 33,050.00 0.00 0.00 33,050.00 100.00% 0.00 0.00 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 AlA® 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 2 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o/a BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G_C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 46 Plenum 17,879.00 17,879.00 0.00 0.00 17,879.00 100.00% 0.00 0.00 47 Orchestra 22,368.00 22,368.00 0.00 0.00 22,368.00 100.00% 0.00 0.00 48 Box Tier 18,144.00 18,144.00 0.00 0.00 18,144.00 100.00% 0.00 0.00 49 Balcony 18,409.00 18,409.00 0.00 0.00 18,409.00 100.00% 0.00 0.00 50 Attic 7,121.00 7,121.00 0.00 0.00 7,121.00 100.00% 0.00 0.00 Aboveground Storm 51 (M) 67,165.00 67,165.00 0.00 0.00 67,165.00 100.00% 0.00 0.00 Aboveground WN (L) Aboveground Storm 52 (L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 53 Basement 6,120.00 6,120.00 0.00 0.00 6,120.00 100.00% 0.00 0.00 54 Plenum 365.00 365.00 0.00 0.00 365.00 100.00% 0.00 0.00 55 Orchestra 7,856.00 7,856.00 0.00 0.00 7,856.00 100.00% 0.00 0.00 56 Box Tier 3,665.00 3,665.00 0.00 0.00 3,665.00 100.00% 0.00 0.00 57 Balcony 15,976.00 15,976.00 0.00 0.00 15,976.00 100.00% 0.00 0.00 58 Attic 9,667.00 9,667.00 0.00 0.00 9,667.00 100.00% 0.00 0.00 59 Force Main 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 60 Labor 7,546.00 7,546.00 0.00 0.00 7,546.00 100.00% 0.00 0.00 61 Material 27,882.00 27,882.00 0.00 0.00 27,882.00 100.00% 0.00 0.00 68 Domestic Water(M) 184,831.00 184,831.00 0.00 0.00 184,831.00 100.00% 0.00 20,000.00 69 Domestic Water(L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 70 Basement 85,091.00 85,091.00 0.00 0.00 85,091.00 100.00% 0.00 0.00 71 Plenum 19,393.00 19,393.00 0.00 0.00 19,393.00 100.00% 0.00 0.00 72 Orchestra 26,728.00 26,728.00 0.00 0.00 26,728.00 100.00% 0.00 0.00 73 Box Tier 18,955.00 18,955.00 0.00 0.00 18,955.00 100.00% 0.00 0.00 74 Balcony 17,692.00 17,692.00 0.00 0.00 17,692.00 100.00% 0.00 0.00 75 Attic 823.00 823.00 0.00 0.00 823.00 100.00% 0.00 0.00 76 Incoming Dom. 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 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 Ale Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 3 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) Water Service 77 Labor 6,864.00 6,864.00 0.00 0.00 6,864.00 100.00% 0.00 0.00 78 Material 7,163.00 7,163.00 0.00 0.00 7,163.00 100.00% 0.00 0.00 79 Drains/Cleanouts(M) 25,175.00 25,175.00 0.00 0.00 25,175.00 100.00% 0.00 0.00 80 Drains/Cleanouts(L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 81 Basement 21,076.00 21,076.00 0.00 0.00 21,076.00 100.00% 0.00 0.00 82 Plenum 1,920.00 1,920.00 0.00 0.00 1,920.00 100.00% 0.00 0.00 83 Orchestra 1,320.00 1,320.00 0.00 0.00 1,320.00 100.00% 0.00 0.00 84 Box Tier 3,120.00 3,120.00 0.00 0.00 3,120.00 100.00% 0.00 0.00 85 Balcony 2,400.00 2,400.00 0.00 0.00 2,400.00 100.00% 0.00 0.00 86 Attic 3,720.00 3,720.00 0.00 0.00 3,720.00 100.00% 0.00 0.00 87 Carriers(M) 12,347.00 12,347.00 0.00 0.00 12,347.00 100.00% 0.00 0.00 88 Carriers(L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 89 Basement 1,200.00 1,200.00 0.00 0.00 1,200.00 100.00% 0.00 0.00 90 Plenum 6,750.00 6,750.00 0.00 0.00 6,750.00 100.00% 0.00 0.00 91 Orchestra 2,100.00 2,100.00 0.00 0.00 2,100.00 100.00% 0.00 0.00 92 Box Tier 4,500.00 4,500.00 0.00 0.00 4,500.00 100.00% 0.00 0.00 93 Balcony 3,000.00 3,000.00 0.00 0.00 3,000.00 100.00% 0.00 0.00 94 Attic 300.00 300.00 0.00 0.00 300.00 100.00% 0.00 0.00 Gas Pressure 95 Regulator 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 96 Labor 480.00 480.00 0.00 0.00 480.00 100.00% 0.00 0.00 97 Material 277.00 277.00 0.00 0.00 277.00 100.00% 0.00 0.00 98 Gas Piping 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 99 Labor 2,858.00 2,858.00 0.00 0.00 2,858.00 100.00% 0.00 0.00 100 Material 1,220.00 1,220.00 0.00 0.00 1,220.00 100.00% 0.00 0.00 101 Kitchen Connections 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 0.00 108 Water Softener 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 AIA Document G703TM-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. 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 4 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /e NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G±C) (NOT IN D OR E) (C G) RATE) (D+ E) (D+E+F) 109 Labor 2,400.00 2,400.00 0.00 0.00 2,400.00 100.00% 0.00 0.00 110 Material 1,453.00 1,453.00 0.00 0.00 1,453.00 100.00% 0.00 0.00 Thermostatic Mixing 1 1 1 Valves 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 112 Labor 840.00 840.00 0.00 0.00 840.00 100.00% 0.00 0.00 113 Material 1,159.00 1,159.00 0.00 0.00 1,159.00 100.00% 0.00 0.00 114 Backflow Preventers 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 115 Labor 1,920.00 1,920.00 0.00 0.00 1,920.00 100.00% 0.00 0.00 116 Material 4,337.00 4,337.00 0.00 0.00 4,337.00 100.00% 0.00 0.00 117 Vibration Isolation 29,532.00 29,532.00 0.00 0.00 29,532.00 100.00% 0.00 0.00 Condensate Piping 118 (M) 1,608.00 1,608.00 0.00 0.00 1,608.00 100.00% 0.00 0.00 Condensate Piping 119 (L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 120 Basement 8,592.00 8,592.00 0.00 0.00 8,592.00 100.00% 0.00 0.00 121 Orchestra 928.00 928.00 0.00 0.00 928.00 100.00% 0.00 0.00 122 Box Tier 353.00 353.00 0.00 0.00 353.00 100.00% 0.00 0.00 123 Hydronic Piping(M) 197,044.00 197,044.00 0.00 0.00 197,044.00 100.00% 0.00 0.00 124 Hydronic Piping(L) 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 125 Basement 90,564.00 90,564.00 0.00 0.00 90,564.00 100.00% 0.00 0.00 126 Plenum 14,180.00 14,180.00 0.00 0.00 14,180.00 100.00% 0.00 0.00 127 Orchestra 26,716.00 26,716.00 0.00 0.00 26,716.00 100.00% 0.00 0.00 128 Box Tier 25,375.00 25,375.00 0.00 0.00 25,375.00 100.00% 0.00 0.00 129 Balcony 43,190.00 43,190.00 0.00 0.00 43,190.00 100.00% 0.00 0.00 130 Attic 13,309.00 13,309.00 0.00 0.00 13,309.00 100.00% 0.00 0.00 131 Anchors and Guides 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 132 Labor 2,880.00 2,880.00 0.00 0.00 2,880.00 100.00% 0.00 0.00 133 Material 1,834.00 1,834.00 0.00 0.00 1,834.00 100.00% 0.00 0.00 134 Miscellaneous 79,294.00 79,294.00 0.00 0.00 79,294.00 100.00% 0.00 0.00 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 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 5 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o/o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS STORED AND STORED TO (G C) FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) Supports 135 Hydronic Specialties 77,660.00 77,660.00 0.00 0.00 77,660.00 100.00% 0.00 0.00 139 Water Treatment 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 140 Labor 600.00 600.00 0.00 0.00 600.00 100.00% 0.00 0.00 141 Material 3,132.00 3,132.00 0.00 0.00 3,132.00 100.00% 0.00 0.00 Riggin/Offloading 143 HVAC Equipment 3,840.00 3,840.00 0.00 0.00 3,840.00 100.00% 0.00 0.00 144 AHU Connections 55,320.00 55,320.00 0.00 0.00 55,320.00 100.00% 0.00 0.00 Duct Heating Coil 145 Connections 1,260.001 1,260.00 0.00 0.00 1,260.00 100.00% 0.00 0.00 VAV Connections- 146 Basement 8,285.00' 8,285.00 0.00 0.00 8,285.00 100.00% 0.00 0.00 VAV Connections- 147 Plenum 1,763.00 1,763.00 0.00 0.00 1,763.00 100.00% 0.00 0.00 VAV Connections- 148 Orchestra 1,586.00 1,586.00 0.00 0.00 1,586.00 100.00% 0.00 0.00 VAV Connections- 149 Box Tier 4,231.00 4,231.00 0.00 0.00 4,231.00 100.00% 0.00 0.00 VAV Connections- 150 Balcony 3,173.00 3,173.00 0.00 0.00 3,173.00 100.00% 0.00 0.00 VAV Connections- 151 Attic 2,820.00 2,820.00 0.00 0.00 2,820.00 100.00% 0.00 0.00 Unit Heater Connections- 152 Basement 428.00 428.00 0.00 0.00 428.00 100.00% 0.00 0.00 Unit Heater Connections- 154 Orchestra 215.00 215.00 0.00 0.00 215.00 100.00% 0.00 0.00 Unit Heater Connections-Box 155 Tier 107.00 107.00 0.00 0.00 107.00 100.00% 0.00 0.00 . 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 AlA® Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 6 the maximum extent possible under the law.This document was produced by AIA software at 09:59•56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o/o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) FCU Connections- 156 Basement 2,057.00 2,057.00 0.00 0.00 2,057.00 100.00% 0.00 0.00 FCU Connections- 157 Orchestra 1,028.00 1,028.00 0.00 0.00 1,028.00 100.00% 0.00 0.00 FCU Connections- 158 Box Tier 515.00 515.00 0.00 0.00 515.00 100.00% 0.00 0.00 159 Radiant Floor System 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 160 Labor 20,483.00 20,483.00 0.00 0.00 20,483.00 100.00% 0.00 0.00 161 Material 11,816.00 11,816.00 0.00 0.00 11,816.00 100.00% 0.00 0.00 Humidifier 162 Connections 15,360.00 15,360.00 0.00 0.00 15,360.00 100.00% 0.00 0.00 FTR Connections- 163 Basement 664.00 664.00 0.00 0.00 664.00 100.00% 0.00 0.00 FTR Connections- 164 Plenum 2,656.00 2,656.00 0.00 0.00 2,656.00 100.00% 0.00 0.00 FTR Connections- 165 Orchestra 14,605.00 14,605.00 0.00 0.00 14,605.00 100.00% 0.00 0.00 FTR Connections- 166 Box Tier 6,307.00 6,307.00 0.00 0.00 6,307.00 100.00% 0.00 0.00 FTR Connections- 167 Balcony 9,958.00 9,958.00 0.00 0.00 9,958.00 100.00% 0.00 0.00 FTR Connections- 168 Attic 1,992.00 1,992.00 0.00 0.00 1,992.00 100.00% 0.00 0.00 169 Insulation -Basement 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 170 Labor 31,937.00 31,937.00 0.00 0.00 31,937.00 100.00% 0.00 0.00 171 Material 27,208.00 27,208.00 0.00 0.00 27,208.00 100.00% 0.00 0.00 172 Insulation-Plenum 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 173 Labor 18,103.00 18,103.00 0.00 0.00 18,103.00 100.00% 0.00 0.00 174 Material 15,423.00 15,423.00 0.00 0.00 15,423.00 100.00% 0.00 0.00 175 Insulation-Orchestra 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 176 Labor 14,914.00 14,914.00 0.00 0.00 14,914.00 100.00% 0.00 0.00 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 AlA 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 7 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS FROM COMPLETED o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /o NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G_C) (C -G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 177 Material 12,706.00 12,706.00 0.00 0.00 12,706.00 100.00% 0.00 0.00 178 Insulation-Box Tier 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 179 Labor 13,835.00 13,835.00 0.00 0.00 13,835.00 100.00% 0.00 0.00 180 Material 11,786.00 11,786.00 0.00 0.00 11,786.00 100.00% 0.00 0.00 181 Insulation-Balcony 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 182 Labor 13,835.00 13,835.00 0.00 0.00 13,835.00 100.00% 0.00 0.00 183 Material 11,786.00 11,786.00 0.00 0.00 11,786.00 100.00% 0.00 0.00 184 Insulation -Attic 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 185 Labor 13,835.00 13,835.00 0.00 0.00 13,835.00 100.00% 0.00 0.00 186 Material 11,786.00 11,786.00 0.00 0.00 11,786.00 100.00% 0.00 0.00 Temp. Controls- 187 Engineering 64,446.00 64,446.00 0.00 0.00 64,446.00 100.00% 0.00 0.00 Temp.Controls- 188 Basement 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 189 Labor 83,003.00 83,003.00 0.00 0.00 83,003.00 100.00% 0.00 0.00 190 Material 151,376.00 151,376.00 0.00 0.00 151,376.00 100.00% 0.00 0.00 Temp.Controls- 191 Plenum 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 192 Labor 51,877.00 51,877.00 0.00 0.00 51,877.00 100.00% 0.00 0.00 193 Material 78,178.00 78,178.00 0.00 0.00 78,178.00 100.00% 0.00 Temp.Controls- 194 Orchestra 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 195 Labor 15,563.00 15,563.00 0.00 0.00 15,563.00 100.00% 0.00 0.00 196 Material 25,508.00 25,508.00 0.00 0.00 25,508.00 100.00% 0.00 0.00 Temp.Controls-Box 197 Tier 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 198 Labor 15,563.00 15,563.00 0.00 0.00 15,563.00 100.00% 0.00 0.00 199 Material 25,508.00 25,508.00 0.00 0.00 25,508.00 100.00% 0.00 0.00 200 Temp. Controls- 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 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 AlA® 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 8 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) Balcony 201 Labor 15,563.00 15,563.00 0.00 0.00 15,563.00 100.00% 0.00 0.00 202 Material 22,701.00 22,701.00 0.00 0.00 22,701.00 100.00% 0.00 0.00 Temp. Controls- 203 Attic 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 204 Labor 15,563.00 15,563.00 0.00 0.00 15,563.00 100.00% 0.00 0.00 205 Material 16,170.00 16,170.00 0.00 0.00 16,170.00 100.00% 0.00 0.00 206 Test and Balance 19,474.00 19,474.00 0.00 0.00 19,474.00 100.00% 0.00 0.00 CO#1 -GPI#2- 207 Leach/Russel -24,090.00 -24,090.00 0.00 0.00 -24,090.00 100.00% 0.00 0.00 CO#2-GPI#3-ASI 208 #18 1,776.00 1,776.00 0.00 0.00 1,776.00 100.00% 0.00 0.00 GPI#6-Triplex 209 Sump Basin 61,694.00 61,694.00 0.00 0.00 61,694.00 100.00% 0.00 0.00 GPI#7A-Basement 210 Kitchen Revisions 17,328.00 17,328.00 0.00 0.00 17,328.00 100.00% 0.00 0.00 GPI#10-Box Tier 211 Catering Kitchen 85,312.00 85,312.00 0.00 0.00 85,312.00 100.00% 0.00 0.00 AW 4300A-001 - 213 F#15 7,277.00 7,277.00 0.00 0.00 7,277.00 100.00% 0.00 0.00 AW 4300A-002- 214 F#18 8,605.00 8,605.00 0.00 0.00 8,605.00 100.00% 0.00 0.00 215 AW 4290A-001 -F#5 1,392.00 1,392.00 0.00 0.00 1,392.00 100.00% 0.00 0.00 216 AW 4290A-003-F#8 1,372.00 1,372.00 0.00 0.00 1,372.00 100.00% 0.00 0.00 217 AW 4290A-002-F#9 1,845.00 1,845.00 0.00 0.00 1,845.00 100.00% 0.00 0.00 AW 4290B-001 - 218 F#19 8,044.00 8,044.00 0.00 0.00 8,044.00 100.00% 0.00 0.00 AW 4290A-004- 219 F#23A 5,361.00 5,361.00 0.00 0.00 5,361.00 100.00% 0.00 0.00 AW 4290B- 220 Water/Sewer Bills 22,218.46 22,218.46 0.00 0.00 22,218.46 100.00% 0.00 0.00 AIA Document G703".-1992.Copyright 01963,1965,1966,1967,1970,1978,1983 and 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 9 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /o NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) AW 4300A-005 - 221 F#27 21,740.00 21,740.00 0.00 0.00 21,740.00 1 00.00% 0.00 0.00 AW 4300A-003 - 222 F#24 5,023.00 5,023.00 0.00 0.00 5,023.00 100.00% 0.00 0.00 AW 4290A-005 - 223 F#28 6,928.00 6,928.00 0.00 0.00 6,928.00 100.00% 0.00 0.00 AW 4300A-006- 224 F#25 10,104.00 10,104.00 0.00 0.00 10,104.00 100.00% 0.00 0.00 GPI#22-Crossover 225 Bridge 17,533.00 17,533.00 0.00 0.00 17,533.00 100.00% 0.00 0.00 226 AW 4300A-11 -F#45 579.00 579.00 0.00 0.00 579.00 100.00% 0.00 0.00 227 AW 4300A-10-F#43 6,563.00 6,563.00 0.00 0.00 6,563.00 100.00% 0.00 0.00 AW 4290A-008- 228 F#41 5,933.00 5,933.00 0.00 0.00 5,933.00 100.00% 0.00 0.00 CO#8-GPI#30- 229 Lift Station Slab 7,946.00 7,946.00 0.00 0.00 7,946.00 100.00% 0.00 0.00 AW 4300A-013 - 230 F#58 4,521.00 4,521.00 0.00 0.00 4,521.00 100.00% 0.00 0.00 AW 4300A-012- 231 F#48 2,937.00 2,937.00 0.00 0.00 2,937.00 100.00% 0.00 0.00 AW 4290A-009- 232 F#57 -1,105.00 -1,105.00 0.00 0.00 -1,105.00 100.00% 0.00 0.00 AW 4290A-007- 233 F#36 1,653.00 1,653.00 0.00 0.00 1,653.00 100.00% 0.00 0.00 AW 4300A-009- 234 F#17 2,376.00 2,376.00 0.00 0.00 2,376.00 100.00% 0.00 0.00 CO#10-GPI#50- 235 ASI 104 40,550.00 40,550.00 0.00 0.00 40,550.00 100.00% 0.00 0.00 AW 4300A-014- 236 F#66 3,304.00 3,304.00 0.00 0.00 3,304.00 100.00% 0.00 0.00 AW 4300A-015- 237 F#65 2,995.00 2,995.00 0.00 0.00 2,995.00 100.00% 0.00 0.00 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 AlA°Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 10 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED nee BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE APPLICATION DATE THIS PERIOD (G_C) (D+E) (NOT IN D OR E) (D+E+F) (C-G) RATE) D+E+F AW 4290A-012- 238 F#82 4,791.00 4,791.00 0.00 0.00 4,791.00 100.00% 0.00 0.00 AW 4290A-011 - 239 F#13 182.00 182.00 0.00 0.00 182.00 100.00% 0.00 0.00 AW 4300A-019- 240 F#47 1,761.00 1,761.00 0.00 0.00 1,761.00 100.00% 0.00 0.00 AW 4290B-013 - 241 F#91 4,132.00 4,132.00 0.00 0.00 4,132.00 100.00% 0.00 0.00 AW 4290B-014- 242 F#93 12,460.00 12,460.00 0.00 0.00 12,460.00 100.00% 0.00 0.00 AW 4290B-015 - 243 F#101 3,759.00 3,759.00 0.00 0.00 3,759.00 100.00% 0.00 0.00 AW 4300A-025 - 244 F#59 1,594.00 1,594.00 0.00 0.00 1,594.00 100.00% 0.00 0.00 AW 4300A-026- 245 F#102 450.00 450.00 0.00 0.00 450.00 100.00% 0.00 0.00 AW 4290A-017- 246 F#67 5,500.00 5,500.00 0.00 0.00 5,500.00 100.00% 0.00 0.00 247 AW-4290A 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 CO#6-Reduce 248 AW429A $50,000 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 CO#9-Reduce 249 AW429B$20,000 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 CO#11 -Reduce 250 AW4290B$50,000 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 251 CO#12-Settlement 90,000.00 90,000.00 0.00 0.00 90,000.00 100.00% 0.00 0.00 AW 4290A-013- 252 F#100(Ddct from B) 1,873.00 1,873.00 0.00 0.00 1,873.00 100.00% 0.00 0.00 AW 4290A-016- F#96(Deduct from 253 B) 1,603.00 1,603.00 0.00 0.00 1,603.00 100.00% 0.00 0.00 254 AW 4290A-018- 13,587.00 13,587.00 0.00 0.00 13,587.00 100.00% 0.00 0.00 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. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 11 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) A B C D E F G H I WORK COMPLETED TOTAL FROM /o MATERIALS COMPLETED o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C -G) RATE) _ (D+E) (NOT IN D OR E) (D+E+F) F#86, 87(Ddct fiat B) AW 4290A-019- F#14(Deduct from 255 B) 1,304.00 1,304.00 0.00 0.00 1,304.00 100.00% 0.00 0.00 AW 4300A-008- 256 F#44 770.00 770.00 0.00 0.00 770.00 100.00% 0.00 0.00 AW 4300A-010- 257 F#43 -58.00 -58.00 0.00 0.00 -58.00 100.00% 0.00 0.00 AW 4290C-001 - 258 F#42 2,345.00 2,345.00 0.00 0.00 2,345.00 100.00% 0.00 0.00 AW 4290C-002 - 259 F#54 7,205.00 7,205.00 0.00 0.00 7,205.00 100.00% 0.00 0.00 AW 4290A-014- 260 F#98(Ddct from B) 2,672.00 2,672.00 0.00 0.00 2,672.00 100.00% 0.00 0.00 AW 4290A-015- 261 F#89(Ddct from B) 1,133.00 1,133.00 0.00 0.00 1,133.00 100.00% 0.00 0.00 AW 4290A-020- 262 F#108 1,035.00 1,035.00 0.00 1,035.00 100.00% 0.00 0.00 GRAND TOTAL $3,683,713.00 $3,631,974.46 $1,035.00 $0.00 $3,633,009.46 98.62% $50,703.54 $20,000.00 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. ` 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 .12 the maximum extent possible under the law.This document was produced by AIA software at 09:59:56 on 10/03/2011 under Order No.0689551328_1 which expires on 05/13/2012,and is not for resale. User Notes: (1162753866) CARMEL REDEVELOPMENT COMMISSION 0 0 2052 The Huntington National Bank Check: 2052 Corporate Trust Dept-EA4E63 Date: 6/30/2011 7 Easton Oval Vendor: HUNTBK1 Columbus, OH 43219 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 050611 487,076.50 487,076.50 0.00 0.00 487,076.50 Interest due 6/11/2011 487,076.50 487,076.50 0.00 0.00 487,076.50 ,... E J t c�, pia a �:r�e., - 6 )IN ac> k t ,_. .do.A--'yam" ? -THEFKEYTO COMODUK12011A 00iMI2 ri" " %, P" 46 'sio�, Carmel Redevi / 30 West Main , . 1 002052 • Suite 220Zi o .c Carmer, IN 46032i „ 3�- _�'i YLe ems( 2052 AMOUNT f 1 I ********487/'076:50 PAY r THE SUM OF FOUR F 50 CENTS************* I TO THE `ORDER OF < f�,Th`e`Huntin�ton Nat �i �' g ( 6 3 ) 3G2 -30 G� ^ ,�Corporate;Trust Del �� _ sE„s 7 Easton Oval L ` Columbus, OH 43219 0002052” 1:0740042L31: 0087504LLL0 ENDORSE HERE: . _ _ . — „ - DO NOT WRITE,STAMP OR SIGN BELOW THIS LINE RESERVED FOR FINANCIAL INSTITUTION USE. - • • • - - _ • . -• . . The security features listed below exceed industry guidelines. Colored Background Colored pattern protests against alteration Heat Sensitive Icon-Responds to heat.Icon will fade when rubbed ; -- briskly. Chemical Reactive Paper-Paper reacts to chemical alteration!saving a visible stain on the paper. Warning Border-Alerts financial institutions and criminals that fraud deterrent i features are present. 0.) Fluorescent Fibers-Only visible ender ultiovionat Micro Printing-Border and Backer eortai.-,rricroprint n n-agnify is vr,rif; • When copied,appears as a dotted line. Security Backer Back pattern prevents cutting and pasiing of the document *FEDERAL RESERVE BOARD OF GOVERNORS REG.CC