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IDEAL HEATING, INC.- 001511- 12/15/2010
fCAFMEIL REDEVELOPMENT COMMISSION 001511 Ideal Heating, Inc. Check: 1511 1417 N Harding Street Date: 12/15/2010 Indianapolis, IN 46202 Vendor: IDEAL1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Ant. Paid 10 22,086.00 22,086.00 0.00 0.00 22,086.0C App 10 on Office Bldg One 22,086.00 22,086.00 0.00 0.00 22,086.00 VIEMISMNINIMTHISICHECKIIASWCOVOREDIBACKGROUNDTANDICONTAINVIMULTIFAIMECURTIMEEATURESN SEEOACK:EORTDETAIL•°5 8 0556'DE Carmel Redevelopment Commission A v, 30 West Main Street A REGIONS 001511 'F �'� 20-14211740 Suite 220. 'CARMEL'I / °,simet Carmel, IN 46032 1511 DATE AMOUNT 12/15/2010 ************22,086.00 PAY THE SUM OF TWENTY TWO THOUSAND EIGHTY SIX DOLLARS TO THE ORDER OF Ideal Heating, Inc. 1417 N Harding Street , SENs,, Indianapolis, IN 46202 ,i ' M. 9EA TO' V0015L11111 1:0740042131: 008 7 504 1 1LEI' CARMEL REDEVELOPMENT COMMISSION 001511 Ideal Heating, Inc. Check: 1511 1417 N Harding Street Date: 12/15/2010 Indianapolis, IN 46202 Vendor: IDEAL1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 10 22,086.00 22,086.00 0.00 0.00 22,086.00 App 10 on Office Bldg One 22,086.00 22,086.00 0.00 0.00 22,086.00 4. WA TM * . -- . AIA Document G702 - 1992 OCT. 15 2010 Application and Certificate for Payment By T�Qiiction Services TiffeTon the Green Off.Bldg APPLICATION N0�0%31/2010 Distribution to: 11711 North Pennsylvania St. 3rd Ave. SW& Cit y OWNER El Dr. PERIOD.TO:.. Suite Carmel, ION 46032-4559 Carmel, IN 46xxx HVAC CONTRACT FOR: ARCHITECT T ❑ FROM CONTRACTOR: Raffr Wn Group 10/30/2009 Ideal Heating inc. CONTRACT DATE: CONTRACTOR ❑ 1417 N. Harding St. 355 City Center Drive PROJECT NOS: 091111 / Indianapolis, IN 46202 Carmel, IN 46032 INVOICE NO: 4022 FIELD ❑ OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information Application is made for payment,as shown below,in connection with the Contract. and 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 AIA Document G703Tm,Continuation Sheet,is attached. 968,500.00 which previous Certificates for Payment were issued and payments received from the Owner,and 1.ORIGINAL CONTRACT SUM $ that r-i ,,w due. 19,213.00 c • p. 2. NET CHANGE BY CHANGE ORDERS $ C!,l ■TO• i 3.CONTRACT SUM TO DATE(Line 1±2) $ 987,713.00 ( ) 943,719.00 —Ill/Aft'--�f Date: / (i aka o, o 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ State of: H endricks 5.RET.1AGE: County of: a. %of Completed Work g4 371.90 Subscribed and sworn to before ,,ys ,may Pah 1 r.'.i!-'.N if. ROBERTS tplumns D+Eon G703) $ me this r a '.day;of Oct, afl/0 .• *°may e' ' '3 fl r!Cks County ,. b. %of Stored Material y` My Corhinission Expires (Column F on G703) $ 0.00 Notary Public: Regan Roberts 141)101' S= 29, 2016 94,371.90 My commission expires: 9/29/2016 op 410" Total Retainage(Lines 5a+5b, or Total in Column I of G703) $ �./ -* 6.TOTAL EARNED LESS RETAINAGE $` 849,347.10 ARCHITECT'S CERTIFICATE FO PAYMENT (Line 4 minus Line 5 Total) 827 261.10 In accordance with the Contract Documents,based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ this application,the Architect certifies to the Owner that to the best of the Architect's 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 22,086.00 AMOUNT CERTIFIED. 8.CURRENT PAYMENT DUE $ 9.BALANCE TO FINISH,INCLUDING RETA1NAGE 138,365.90 AMOUNT CERTIFIED $ 22, OSC (Line 3 minus Line 6) $ (Attach explanation if amount certified differs from the amount applied.Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) CHANGE ORDER SUMMARY ;t,! 2.!ulc• ! _iv.: ii NS ARC--I TCCT: 'C71' h Total changes approved in previous months by Owner '. I I I $ a a a By: � Date: /J/6 /9 Total approved this month $ C•a 0 Tel • .. This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor TOTAL $ $ named herein:Issuance,payment and acceptance of payment are without prejudice to any rights of NET CHANGES b Chan•e Order $ ",213.4: •• - the Owner or Contractor under this Contract. a - 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 G702TM-1992.Copyright ©1953,1963,1965,1971,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S.Copyright Law N- _ 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 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. =-. .11.41[A Document G7O2TM— 1992 Instructions Application and Certificate for Payment GENERAL INFORMATION Purpose and Related Documents.AIA Document G702,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703TM,Continuation Sheet. These documents are designed to be used on a Project where a Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition. 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, but only for use in connection with a particular project. The ALA 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 ALA 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. COMPLETING G702 After the Contractor has completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702,Application and Certificate for Payment. The Contractor should sign G702,have it notarized, and submit it,together with G703,to the Architect. The Architect should review G702 and G703 and, if they are acceptable,complete the Architect's Certificate for Payment on G702. The Architect may certify a different amount than that applied for,pursuant to Sections 9.5 and 9.6 of A201. The Architect should then initial all figures on G702 and G703 that have been changed to conform to the amount certified and attach an explanation. The completed G702 and G703 should be forwarded to the Owner. MAKING PAYMENT The Owner should make payment directly to the Contractor based on the amount certified by the Architect on AIA Document G702,Application and Certificate for Payment. The completed form contains the name and address of the • Contractor. Payment should not be made to any other party unless specifically indicated on G702. - EXECUTING THE DOCUMENT Persohs executing the document should indicate the capacity in which they are acting(i.e.,president,secretary, partner,etc.)and the authority under which they are executing the document. Where appropriate,a copy of the resolution authorizing the individual to act on behalf of the firm or entity should be attached. • AIA Document G702TM—1992.Copyright©1953,1963,1965,1971,1978,-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 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. - #tAIiV za. Document G703 TM 1992 Continuation Sheet Page 2 AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 10 containing Contractor's signed certification is attached. APPLICATION DATE: 10/12/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. • PERIOD TO: 10/31/2010 • ARCHITECT'S PROJECT NO: 091111 A B C D E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G=C) FINISH (If variable rate) NO. (D+E) (Not inDorE) TO DATE (C G) C01 Add-Chilled & Hot Wtr 5,854 5,854 0 0 5,854 100 0 585 CO2 Add-Relocate Roof Hydrant 1,750 1,750 0 0 1,750 100 0 175 CO3 Add -ASI 5R 5,700 5,700 0 0 5,700 100 0 570 C05 Add - Roof Hydrant 917 917 0 0 917 100 0 92 C06 Add - Gas piping 6,057 6,057 0 0 6,057 100 0 606 C07 Deduct-Hole Patch -1,065 -1,065 0 0 -1,065 100 0 -107 EQL Equipment Labor 14,000 14,000 0 0 14,000 100 0 1,400 EQ Equipment Material 245,870 245,870 0 0 245,870 100 0 24,587 SML Sheet Metal Labor 71,000 67,450 2,130 0 69,580 98 1,420 6,958 SM Sheet Metal Material 62,000 62,000 0 0 62,000 100 0 6,200 RGDL Regs., Grlls, Fans Labor 12,000 11,400 360 0 11,760 98 240 1,176 RGD Regs., Grilles, Fans Mat. 16,026 16,026 0 0 16,026 100 0 1,603 SL B1 Hydronic Piping 344,000 337,120 0 0 337,120 98 6,880 33,712 SLB2 Temperature Controls 147,000 117,600 22,050 0 139,650 95 7,350 13,965 St.B3 Air Balancing 13,104 0 0 0 0 0 13,104 0 SL B4 Crane/Lifts 13,000 13,000 0 0 13,000 100 0 1,300 TMP Temp Heat 15,000 0 0 0 0 0 15,000 0 ACD AutoCAD Drawings 2,000 2,000 0 0 2,000 100 0 200 PER Permits/Bonding ' ' 13,500 13,500 0 0 13,500 100 0 1,350 • 987,713 919,179 24,540 0 943,719 96 43,994 94,372 GRAND TOTAL `" 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 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 AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent S. 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. t �� f 'r= Document G703 TM- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner.Procedures for their use are covered in AIA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. 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 G703,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 ALA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values 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 in the project that 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 column G(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. 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 the end 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 form. Construction Change Directives.Amounts not in dispute that have been included in Construction 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. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A B C D I B F G I I I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED ITEM SCHEDULED FROM PREVIOUS PRESENTLY ^/, TO RETAINAGE NO DESCRIPTION OF WORT: VALUE APPLICATION THIS PERIOD STORED AND STORED TO DATE TO FINISH (lfvanable rare) (D E) (Mx)n Der 67 (D+e+F.1 (C-G) 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS&MISC.CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND TOTAL 105,000 20,000 10,000 10,000 40.000 65,000 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 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 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. APPLICATION FOR PAYMENT D i PARTIAL WAIVER OF LIEN OCT 15 2010 Contractor: deal �o o^ BY Address: / . . /4 oe417 - " i Project Name and Address: v r//a O7 iv l- c` e jIi%/Uir ' -- ' 'five, SW av>'ac, y , le-1,-4)r ioe Period to: 1 0r..3 f j a 0 i O Job#: 09"`la3 The Undersigned has been contracted by REI Construction, LLC as a Contractor in connection with construction 1 of the Project owned by Owner and located as indicated above. The Undersigned, for and in consideration of any and all amounts paid to the Undersigned up to and including the date of execution hereof and other good and valuable consideration, the receipt whereof is hereby acknowledged, waives and releases any and all liens, notices of liens or of character, against, on or relating to or connected with the above-described Project and improvements located thereon and related thereto, on account of labor or services, materials, equipment, tools, machinery or apparatus furnished or leased, or which may be furnished or leased by, or at the request of, the Undersigned for the Project. The Undersigned hereby warrants that the Project cannot be made subject to any valid lien or claim by anyone who furnished or leased labor or services, materials, equipment, tools, machinery or apparatus to, or at the request of, the Undersigned for use in the Project. This instrument, and the waiver, release and representations hereunder, are for the benefit of, and may be relied upon by, the Owner, its successors, assigns and mortgagees, the above-named General Contractor or Construction Manager, and any other person by or through whom payments have been made to the Undersigned. The undersigned, for and in consideration of the total payments in the sum of $ c� c�/ O 8 the , the receipt of which is hereby acknowledged, does hereby waive, release remise and relinquish any and all right to claim any lien or liens for work done or materials furnished, or any kind or class of lien whatsoever for said building or premises or project Dated this / 02' 1 day of Oat/ Q01 CD d llea v . C O M i BY: AIL // 14 TITLE: Vi P, NAME: 76Orot 'g /a c2-K STATE OF fAj /IANA COUNTY OF /LAIONJ t�- Subscribed and sworn to before me, a Notary Public in and for said County and State, this / ' V/ day of Ol'_ ,pBtct7/ 0 My commission expires My county residence is ,, 9202 ?7a0/G. / st",r e s Poi, RE(A.N A ROBERTS r N07AAY " H9flr ri cks County Notary Printed _4 = * ; * My Commission Expires . —e- k----- �iVp/ANA 5 p. 29, 2016