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HomeMy WebLinkAboutHAGERMAN CONSTRUCTION CORP- 001259- 10/21/2010 CARMEL REDEVELOPMENT COMMISSION 0012 5 9 Hagerman Construction Corp Check: 1259 10315 Allisonville Road Date: 10/21/2010 Fishers, IN 46038-2016 Vendor: HAGEERM1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 18 59 52,420.00 52,420.00 0.00 0.00 52,420.00 Application 18 52,420.00 52,420.00 0.00 0.00 52,420.00 B T.HISICHECICHASIATOIEORED IBACKGROUND,AND CONTAINS MULTIPLEM ECURITX ZEEATUREMSEEIBACK!FORIDETAIL'SI NNII CEs,ti Carme l'Redevelopment Commission • 0 012 5 9 30 West Main Street REGIONS Suite 220 20-1421/740 E c Carmel, IN 46032 1�• 1259 DATE AMOUNT 10/21/2010 ***********`52,420.00 PAY THE SUM OF FIFTY TWO THOUSAND FOUR HUNDRED TWENTY DOLLARS TO THE ORDER OF Hagerman Construction Corp 10315 Allisonville Road "' gENS,-m Fishers, IN 46038-2016 _ P � NP•9RE4TO�e _ III OOL259ii' 1:0740L42131: 0087504LLiao CARMEL REDEVELOPMENT COMMISSION 001259 Hagerman Construction Corp Check: 1259 10315 Allisonville Road Date: 10/21/2010 Fishers, IN 46038-2016 Vendor: HAGEERM1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paic 18 59 52,420.00 52,420.00 0.00 0.00 52,420.0C Application 18 52,420.00 52,420.00 0.00 0.00 52,420.0C 9&AIA TMDocument G702/CMa - 1992 59 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: CARMEL REDEVELOPMENT COM1VbJECT: Carmel Regional Performing Art APPLICATION NO: APP##:00018 Distribution to: 211 City Center Drive Carmel. IN 46032 PERIOD TO: 7/30/2010 OWNER ❑X • CONSTRUCTION MANAGER ❑X FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 1/30/2008 ARCHITECT ❑X Hagerman Construction Corp vase rower P.O. Box 10690 Shiel Sexton PROJECT NOS: 08-2619-1/ / CONTRACTOR ❑ Fort Wayne, IN 46853-0690 VIA ARCHITECT: l3randon Bogan INVOICE NO: 9855 FIELD ❑ CSO Architects Inc CONTRACT FOR: Masonry ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Document G703,is attached. Certificates for Payment were issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 6;126;000.00 payment shown herein is now due. 2. Net change by Change Orders $ 939.2 2223.15 CONTRACTOR: 1-lagen»an oast yctton Corp 3.CONTRACT SUM TO DATE(Line 1 ±2 $ 7,065.223.15 By: >C�(�J�1 Jul 12, 2010 ( ) y: — . .. Date: July 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 7;030,923.15 State of Indiana Ric and E. Sutoriu5,'Secr;;•:.,,• ,, 5.RETAINAGE: County of: Allen '� P4�� �! °F • 5.02 p 1 ` �,,..-: ••,4 Ff4iiti t . a. %of Completed Work 2 Subscribedla���worn to befo. � 10 �, o•�i.� rr *�s�� (Column D+Eon G703) $ 353._61.16 me this v of r' t Y e b. %of Stored Material Notary ublic: —1 s4 7 ,,. Y David C. comas • f_F L;��(�• •• (Column F on G703) $ My Commission expires: 12-H-201-5 _: "•^ � a 7� Total Retainage(Lines 5a+Sb or Total in Column I of G703).. $ 353,261.16 CERTIFICATE FOR PAYMENT ','; ' 'S In accordance with the Contract Documents, based on on-site �Sp � rata comprising 6.TOTAL EARNED LESS RETAINAGE $ 6.677.661.99 this application,the Construction Manager and Architect certifyweiet• o'-the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indica , � a of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 6,625,241.99 accordance with the Contract Documents,and the Contractor is entitled=to=payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE $ 52,420•(0 AMOUNT CERTIFIED $ 52,420.00 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation 'beet tl ire changed to conform with the amount certified.) (Line 3 less Line 6) $ 387.561.16 CONS RUCTIO Itiiii.N.GG : Dav,rew hicl Sexton BY: l I!f>s%�71,.a� . A �r Date: 97/2-4 8 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHIT r ■., 3i i.c,n 13ogln-- =AicTttccts Inc• 939,223.I Total changes approved in previous months by Owner $ `� By ,s Date: *tie Total approved this Month $ $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ 939,223.I i; named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ 939;223.15 the Owner or Contractor under this Contract. / Director of Redevelop e CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G702/CMaTM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S.Copyright Law and Inter - onal 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 the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. \\ ',/4 == == Document G702/CMaTM - 19 92 Instru ctions Application and Certificate for Payment Construction Manager-Adviser Edition A.General Information AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition,is to be used in conjunction with AIA Document G703, Continuation Sheet.These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A201/CMa,General Conditions of the Contract for Construction,Construction Manager-Adviser Edition,1992 Edition. B.Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702/CMa,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. C.Completing the G702/CMa Form After the Contractor has completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor should sign G702/CMa,have it notarized and submit it,together with G703,to the Construction Manager and Architect. The Construction Manager and Architect should review G702/CMa and G703 and,if they are acceptable,complete the Certificate for Payment on G702/CMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A201/CMa.They should then initial all figures on G702/CMa and G703 that have been changed to conform to the amount certified and attach an explanation.The completed G702/CMa and G703 should be forwarded to the Owner. D.Completing the G703 Form Heading:This information should be completed to be consistent with similar information on AIA Document G702/CMa,Application and Certificate for Payment, Construction Manager-Adviser Edition. Columns A,B&C:These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. Column D:Enter in this column the amount of completed work covered by the previous application(columns D&E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period). Column G:Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the difference between column C(Scheduled Value)and column1G(Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. ••l.. •->v.0,d Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own G703 form or at thesend.of the basic schedule.The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702./CMa-form'' .. - Construction Change Directives:Amounts not in dispute that have been included.in,Co s ruction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7:3 in'A201:/CMa.'1 "' E.Making Payment ,Jy4✓M1� 'DP The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager and Architect on AIA Document G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completed forrrcontains the name and address of the Contractor.Payment should not be made to any other party unless specifically indicated on G702/CMa. AIA Document G702/CMa TM-1992.Copyright ©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 the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed. To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. CONTINUATION SHEET AIA DOCUMENT 0703 PAGE I OF 2 PAGES AMA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 00018 containing Contractor's signed Certification,is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 7/30/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECTS PROJECT NO.: 082619A A B C D E F G H 1 WORK COMPLETED MATERIALS TOTAL BALANCE ITEM SCHEDULED PRESENTLY COMPLETED o� R)ARIAB E DESCRIPTION OF WORK FROM I RI;VIOUS TO i F VARIABLE) NO. VALUE APPLICATION THIS PERIOD S'1'ORIN AND DATE FINISH RATE (NOT IN TO DATE (G=L) (C_(1) (I)±E) D OR E) (D+E+F) 00000 $0.00 S0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 000000 0000010 GENERAL CONDITION 0000020 Bonding& Insurance $56,000.00 $56,000.00 $0.00 $0.00 $56,000.00 100.000 $0.00 $0.00 0000030 Submittals $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.000 S0.00 $0.00 0000040 Project Meetings $10,000.00 $9,900.00 $100.00 $0.00 $10,000.00 100.000 $0.00 $0.00 0000050 Mobilization $28,000.00 $28,000.00 $0.00 $0.00 $28,000.00 100.000 $0.00 $0.00 0000060 Demobilization $25,000.00 $12,500.00 $10,000.00 $0.00 $22,500.00 90.000 $2,500.00 $0.00 0000070 Contract Close Out $6,000.00 $0.00 $0.00 $0.00 $0.00 0 $6,000.00 $0.00 0000080 Allowance#4-As-builts $5.000.00 $0.00 $0.00 $0.00 $0.00 0 $5,000.00 $0.00 0000100 EXTERIOR MASONRY 0000110 CMU North Labor $30,000.00 $30,000.00 $0.00 50.00 $30,000.00 100.000 $0.00 $0.00 0000120 CMU East Labor $25.000.00 $25,000.00 $0.00 $0.00 $25,000.00 100.000 $0.00 S0.00 0000130 CMU South Labor $37.000.00 $37,000.00 $0.00 $0.00 $37,000.00 100.000 $0.00 $0.00 0000140 CMU West Labor $25,000.00 $25,000.00' $0.00 $0.00 $25,000.00 100.000 50.00 $0.00 0000150 CMU Drum Labor $39.000.00 $39,000.00 $0 A0 S0.00 $39,000.00 100.000 $0.00 $0.00 0000160 CMU North Materials $9,000.00 $9,000.00 $0.00 $0.00 $9,000.00 100.000 $0.00 $0.00 0000170 CMU East Materials $7,000.00 $7,000.001 $0.00 S0.00 $7,000.00 100.000 $0.00 S0.00 0000180 CMU South Materials S10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.000 $0.00 S0.00 0000190 CMU West Materials $7,000.00 $7,000.00 $0.00 $0.00 $7,000.00 100.000 $0.00 $0.00 0000200 CMU Drum Materials $12.000.00 S12,000.00 $0.00 S0.00 $12,000.00 100.000 $0.00 $0.00 0000210 Vapor Barrier Labor $162,000.00 $162,000.00 $0.00 $0.00 $162,000.00 100.000 $0.00 $0.00 0000220 Vapor Barrier Materials $98.000.00 S98,000.00 $0.00 $0.00 $98,000.00 100.000 $0.00 $0.00 0000240 EXTERIOR VENEER 0000250 Granite Labor $205,000.00 $205,000.00 $0.00 $0.00 $205,000.00 100.000 $0.00 $0.00 0000260 Granite Materials $504,000.00 $504,000.00 $0.00 $0.00 $504.000.00 100.000 $0.00 $0.00 0000270 Limestone North Labor $878,000.00 $878,000.00 $0.00 $0.00 $878,000.00 100.000 $0.00 $0.00 0000280 Limestone North Materials $126,000.00 $126,000.00 $0.00 $0.00 $126,000.00 100.000 $0.00 $0.00 0000290 Limestone East Labor $734,000.00 $734,000.00 $0.00 $0.00 $734,000.00 100.000 $0.00 $0.00 0000300 Limestone East Materials $107,000.01) $107,000.00 $0.00 $0.00 $107,000.00 100.000 $0.00 $0.00 0000310 Limestone South Labor $890,000.00 $881,100.00 $0.00 $0.00 $881,100.00 99.000 $8,900.00 $0.00 0000320 Limestone South Materials S132,000.00 $130,680.00 $0.00 $0.00 $130,680.00 99.000 $1,320.00 $0.00 AIA DOCUMENT G703•APPLICATION AND CERTIFICATE FOR PAYMENT • 1992 EDITION • AIA®• 42,1992 • -HIE AMERICAN INSTITUTE OF ARCHITECTS,1735 Nti\V YORE. G703-1992 AVENUE,N.W.,WASFIINGT(iN,D.C. 20006-5292 • WARNING: Unlicensed photocopying violates U.S.copyright laws and will subject the violator to legal prosecution. 'Iris dp:omen,000 Dann,epmd■ce•d pl.chnnrghP with,nn pmmL einn of The Am^6con Inc■U,te at Arcn,rors lodF 1110,a,97ri13 ie 0,mma•+eu,Systn,rs.'or Reproduction If r,k non,mnnl,Nlroul p'ojensper Nr u,rn•mntion is nrl;ermllnd 00,0,11110 nm,.;ha.1 Uub,.5 Architects t9 vc,,hy the Cunpn:,,015i11,oE;his Corumonl and'lI.flGn slntuS" CONTINUATION SHEET AIA DOCUMENT (1703 PAGE 2 OF 2 PAGES AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 00018 containing Contractor's signed Certification, is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 7/30/2010 Use Column I on Contracts where variable retainagc for line items may apply- ARCHITECT'S PROJECT NO.: 082619A A B C D E F G H I V','ORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED Ri;TA1T,IGI'_ ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS e/ TO STORED AND STORED 1F VARLAI3LE) NO. VALUE APPLICATION THIS PERIOD FINISH RATE? (NOT IN TO DATE (G.=C) (C_(i) (D±L) D OR E) (D-1E+F) 0000330 Limestone West Labor S734,000.00 S734,000.00 $0.00 $0.00 $734,000.00 100.000 $0.00 $0.00 0000340 Limestone West Materials $107,000.00 $107,000.00 $0.00 $0.00 $107,000.00 100.000 $0.00 $0.00 0000350 Cast Stone Drum Labor $249.000.00 $249,000.00 $0.00 $0.00 $249,000.00 100.000 $0.00 $0.00 0000360 Cast Stone Drum Materials $330,000.00 $330,000.00 $0.00 $0.00 $330,000.00 100.000 $0-00 $0.00 0000370 Cleaning&Caulking Labor S288,000.00 $259,200.00 $23,040.00 $0.00 $282,240.00 98.000 $5,760.00 $0.00 0000380 Cleaning&Caulking Materials $241,000.00 $216,900.00 $19,280.00 S0.00 $236,180.00 98.000 $4,820.00 $0.00 0000400 CHANGE ORDERS 0000410 CO#1 -Limestone Field Stone 0000420 Limestone Field Labor $480,000.00 $480,000.00 $0.00 $0.00 $480,000.00 100.000 $0.00 $0.00 0000430 Limestone Field Material $250,000.00 $250,000.00 $0.00 $0.00 $250,000.00 100.000 $0.00 $0.00 0000450 CO#2-Drum Veneer 0000460 Drum Veneer Labor $110,000.00 $110,000.00 $0.00 $0.00 $110,000.00 100.000 $0.00 $0.00 0000470 Drum Veneer Materials $90,000.00 $90,000.00 $0.00 $0.00 $90,000.00 100.000 $0.00 $0.00 0000490 CO#3-PAC 0251 -Granite Jointing 0000500 Granite Labor S492.14 $492.14 $0.00 $0.00 $492.14 100.000 $0.00 $0.00 0000510 Granite Material $7,150.00 $7,150.00 $0.00 $0.00 $7,150.00 100.000 $0.00 $0.00 0000530 CO#4-Granite Door Jamb 0000540 Granite Labor $41.01 $41.01 $0.00 $0.00 $41.01 100.000 $0.00 $0.00 0000550 Granite tvlatelial $1,540.00 $1,540.00 $0.00 S0.00_ $1,540.00 100.000 $0.00 S0.00 $7.065,223.15 $6.978,503.15 $52,420.00 $0.00 $7,030,923.15 99.51% $34,300.00 $0.00 AIA DOCUMENT G703•,\PPLI(A rIoN AND CERTIFICATE loll PAYMENT • 1992 EDITION • AIM I,• 01092 • THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK. G703-1992 AVENUE.N W.,WASHINGTON.D.C. 20006-5292 • WARNING: Unlicensed photocopying violates U.S.copyright laws and will subject the violator to legal prosecution. "thi9 ticrument 009 noon top roducgd P achoncelly,vtln,the p9rroi,slo,of The Aonerlcnn I nslituty of Atchitecls uryler Lconne 07003 to P i^.nvn'n Gyslor,,Inc Poorotioetton of II,;s d ottnto 01 wilM1nul piofect,rnnrt;"tot motion lb not Pntmllnd Cootort 1t,.,Am0nco,Insttltlt.nl Aothltools In 00010 l."?000iOnt 00(5170 of this 0t._ttment 000 license sta.US. • PAYROLL CERTIFICATION • PROJECT NO. HCC Job #2619 - #2695 I CERTIFY THAT THE PAYROLL RECORDS FOR - Haberman Construction Corporation (Contractor) PAY PERIOD FROM 5/94/0 TO O/_p Jg) ARETRUE AND CORRECT, TO THE BEST OF MY KNOWLEDGE AND BELIFF AND THE WAGE SCALE AS REQUIRED BY I.C. 5-16-7-1 HAS BEEN ADHERED TO. STATE OF Indiana ) ) SS: COUNTY OF Allen ) BEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC, PERSONALLY APPEARED ga)-1-A-1.7)-V--. WHO .. (Name) (Title) ACKNOWLEDGED EXECUTION OF THE ABOVE CERTIFICATION THIS /,2DAY OF °°� � F➢/Q F� A" .ilia i rs 4 `� NOTARY PUBLIC (Signature) • SFAL A/fit' ....t' navid C Thomas NAME (Printed) t . MY COMMISSION EXPIRES: RESIDING IN Allen COUNTY 12/16/15- REV 2/98 S.OBC-7