HomeMy WebLinkAboutIDEAL HEATING, INC.- 164- 1/5/2011 Ideal Heating, Inc. Check: 164 1417 N Harding Street Date: 1/5/2011 Indianapolis, IN 46202 Vendor: IDEAL1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-6 2,139.30 2,139.30 0.00 0.00 2,139.30 App 6 on Black Box Theater 2,139.30 2,139.30 0.00 0.00 2,139.30 164 1/5/2011 ***********2,139.30 THE SUM OF TWO THOUSAND ONE HUNDRED THIRTY NINE DOLLARS AND 30 CENTS ************ Ideal Heating, Inc. 1417 N Harding Street Indianapolis, IN 46202 Ideal Heating, Inc. Check: 164 1417 N Harding Street Date: 1/5/2011 Indianapolis, IN 46202 Vendor: IDEAL1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-6 2,139.30 2,139.30 0.00 0.00 2,139.30 App 6 on Black Box Theater 2,139.30 2,139.30 0.00 0.00 2,139.30 ® NVI s � ; Document G702 TM 199 NOV i� qq ii t` fVV 1. 3 2010 Application and Certificate for Payment B TIYEI'Ctlnscrtiction Services V 9 - Tack Box Theater APPLICATION N( Distribution to: 11711 North Pennsylvania St. PERIOD TO: 11/30/2010 OWNER ❑ Suite 200 3rd Ave SW& City Center Dr. Carmel, IN 46032-4559 Carmel, IN 46032 CONTRACT FOR:HVAC ARCHITECT ❑ FROM CONTRACTOR: VIA ARCHITECT: CONTRACT DAT /11/2010 CONTRACTOR ❑ Ideal,Heating Inc. Pedcor Design, LLC 1417 N. Harding St. 355 City Center Drive PROJECT NOS: 100502 / / FIELD ❑ Indianapolis, IN 46202 Carmel, IN 46032 INVOICE NO: 4153 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. which pr-vious Certificates for Payment were issued and payments received from the Owner, and 1.ORIGINAL CONTRACT SUM $ 189,400.00 that c. rent •ayment show, herer' is now due. 5,620.00 Ideal Heat "Inc. 2. NET CHANGE BY CHANGE ORDERS $ CO �;,, .T0R: 195,020.00 'n l 3.CONTRACT SUM TO DATE(Line I f 2) $ By �DC Q ' ' I , Date: ////d1/d . . 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 18b,801.35 Stat N 5.RETAINAGE: County ot1endricks . a. iu %of Completed Work Subscribed and sworn to before . pp, REG�'.N A. ROBERTS �olumns D+E on G703 $ 18,680.14 me this day of i. atrrnas e' Hendricks.COunt)I b. ( %of Stored Material a , �/� seal. * My Commission Expires (Column F on G703) $ 0.00 Notary Public: Regan Roberts ' �Dts. ^S4;l). 29, 2016 18,680.14 My commission expires: 9/29/2016 Total Retainage(Lines 5a+5b, or Total in Column I of G703) $ 6.TOTAL EARNED LESS RETAINAGE - $ 168,121.21 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 minus Line 5 Total) In accordance with the Contract Documents,based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 165,981.91 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 8.CURRENT PAYMENT DUE $ 2,139.30 AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED $ 2-J 31.. 3-C. 26,898.79 (Line 3 minus Line 6) $ (Attach ex p lanation if certified di ff ers f rom the amount applied.Initial all figures on this Application and on the Continuation Sheet th t are changed to conform with the amount certified.) CHANGE ORDER SUMMARY T� U UU DEDLJ,C6hONS �J;.�"Jy`'« '.' Total changes approved in previous months by Owner $ bLll uU $ UU till By: /I/1 e, ,f Date: / 3/l C Total approved this month $ U.UU $ U.OU This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor TOTAL $ 5,b2U.UU -$ U.UU named herein..Issuance,payment and acceptance of payment are without prejudice to any rights of $ 5,b20.00 the Owner or Contractor under this Contract. NET CHANGES by Change Order 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 G702T"'—1992.Copyright ©1953,1963,1965,1971,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA® Document is protected by U.S.Copyright Law �(I/ 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. ■ 07-1* -..-- AI I ® Document 6703 - 1992 Continuation Sheet Page 2 AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 6 containing Contractor's signed certification is attached. APPLICATION DATE: 11/12/2010 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: 11/30/2010 ARCHITECT'S PROJECT NO: 100502 A B C D E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED (G-C) FINISH (If variable rate) (D+E) (NotmDorE) TO DATE (D+E+F) (C-G) CO1 Add -ASI #5 Changes 5,620 5,620 0 0 5,620 100 0 562 EQL Equipment Labor 5,500 5,500 0 0 5,500 100 0 550 EQ Equipment 42,000 42,000 0 0 42,000 100 0 4,200 SML Sheet Metal Labor 52,400 49,780 1,572 0 51,352 98 1,048 5,135 SM Sheet Metal 28,679 28,679 0 0 28,679 100 0 2,868 R •DL Regs.,Grilles,Difs.& Fan 6,500 4,875 325 0 5,200 80 1,300 520 Labor RGD Regs.,Grilles,Difs.& Fans 13,500 13,500 0 0 13,500 100 0 1,350 SLB1 White 16,000 15,200 480 0 15,680 98 320 1,568 River-Hydonics/Plumb. SLB2 Simplex Grinnel-Controls 22,671 19,270 0 0 19,270 85 3,401 1,927 SLB3 Johnson Controls-Air Bal. 2,150 0 0 0 0 0 2,150 0 • GRAND TOTAL 195,020 184,424 2,377 0 186,801 96 8,219 18,680 • 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 G7031"-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 ( t M. L'1 PARTIAL WAIVER OF LIEN it NOV 1 32010 Contractor: By Address: /, /H S?`, —__ d.: o Project Name and Address: VOC3. ° i3/61Ci'r 60x. 7e 7 4'- Period to: .jf/ a/I Job #: l(;)—/O S The Undersigned has been contracted by REI Construction, LLC as a Contractor in connection with construction 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. 11 Q The undersigned, for and in consideration of the total payments in the sum of $ o� f'J� (e 3 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 � day of i'C/�G/, .-d eel Heatd, Compan game BY 1110# "< TITLE: v , NAME: G3�Gf STATE OF /,2d A -i ef COUNTY OF /0ow.f`1 Subscribed and sworn to before me, a Notary Public in and for said County and State, this day of 711/4 ,/, - p/O My commission expires My county residence is V /a�,�C /A— > '_�" Pp ROBERTS . Or l�i�`1' Nora�° :'"ennricks County * My Commission Expires 44)10s S 29. 2016 Notary Printed A