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HomeMy WebLinkAboutIDEAL HEATING, INC.- 188- 3/16/2011 Ideal Heating, Inc. Check: 188 1417 N Harding Street Date: 3/16/2011 Indianapolis, IN 46202 Vendor: IDEAL1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-8 774.00 774.00 0.00 0.00 774.00 App 8 on black Box 774.00 774.00 0.00 0.00 774.00 188 3/16/2011 *************774.00 THE SUM OF SEVEN HUNDRED SEVENTY FOUR DOLLARS AND NO CENTS ************************** Ideal Heating, Inc. 1417 N Harding Street Indianapolis, IN 46202 Ideal Heating, Inc. Check: 188 1417 N Harding Street Date: 3/16/2011 Indianapolis, IN 46202 Vendor: IDEAL1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-8 774.00 774.00 0.00 0.00 774.00 App 8 on black Box 774.00 774.00 0.00 0.00 774.00 • ® i---) r ft- I �� �J r�r;��nr I) :i.7 77 .. \��4�"'/ TM :t...: Document G702 ® 1992 AN 1 3 Z0,1 .. By Application and Certificate for Payment TOEOI'lEN€iibction Services. inP3Tack Box Theater APPLICATION NO Distribution to: 11711 North Pennsylvania st. PERIOD T0: 1/31/2011 OWNER ❑ Suite 200 3rd Ave SW& City Center Dr. Carmel,IN 46032-4559 Carmel, IN 46032 CONTRACT FOR:HVAC ARCHITECT ❑ FRIiC1-RVZ I iK: 04tigifi5E r, LLC CONTRACT DATE 5/11/2010 CONTRACTOR ❑ 1417 N. Harding St. 355 City Center Drive PROJECT NOS: 100502 / / FIELD ❑ Indianapolis, IN 46202 Carmel, IN 46032 INVOICE NO: 4374 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 AIA Document G703TM,Continuation Sheet,is attached. with the Contract Documents, that all amounts have been paid by the Contractor for Work for 189,400.00 which previous Certificates for P yment were issued and payments received from the Owner, and 1.ORIGINAL CONTRACT SUM $ that cur-- .yn nt I wn ,,erii is now due. 8,420.00 eat i- -..,In, nc. 2.NET CHANGE BY CHANGE ORDERS $ 197,820.00 CON 1:,:, ..z- . 0•: 4 / �' 3.CONTRACT SUM TO DATE(Line 1±2) $ By: , `��k► Date: //P i/4 197,G05.00 State o : RI 4.TOTAL COMPLETED&STORED TO DATE(Column C on G703) $ Hendricks 5.RE AGE: County of: ..." :'' ,. '.Q;...,. ;: ,,,.;- ., ': .._ ' .. Tp�N % ,, Y poe RE( i'C` ROBERTS "' a. .l U- /o of Completed Work Subscribed and sworn to before 0'� r„ 19,760.50 NOTARY t'i rl'1YiCkS Coun ((olumns D+Eon G703) $ me this /�4 day of ,�„l,� 'a p// ,� T4.41,. sse�i. My Commission Expires b• %of Stored Material ' '�nratt4 (Column F on G703) S 0.00 Notary Public: Regan Roberts S?. . 29, 2016 19 760.50 My commission expires: 9/29/2016 Total Retainage(Lines 5a+5b, or Total in Column I of G703) $ .-- 1--t 6.TOTAL EARNED LESS RETAINAGE $ 177,844.50 ARCHITECT'S CERTIFICATE FOR P'AYNIENT (Line 4 minus Line 5 Total) 177,070.50 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 front prior Certificate) • accordance with the Contract Documents, and the Contractor is entitled to payment of the 774.00 AMOUNT CERTIFIED. 8.CURRENT PAYMENT DUE $ �]u > 19,975.50 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED $7 / L (Line 3 minus Line 6) $ (Attach explanation if amorn7t certified d fifers fi om.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 A ► L NUS DED A I,iiIINS -A&C4E6�r°Li'A"-^"' ''y Total changes approved in previous months by Owner By: - - Date: 2-/q// flimmitakaml . .yC Total approved this month 11 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 by Change Order $ 8,420.00 the Owner or Contractor under this Contract. 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. 0/ TM' AIA Document G7O2TM—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 9,\V 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 C` 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. 01,...... . .. 4 :„.„,.. Document G7031M ® 1992 • Continuation Sheet Page 2 AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 8 containing Contractor's signed:certification is attached. APPLICATION DATE: 1/11/2011 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: Use Column I on Contracts where variable retainage for line items may apply. 1/31/2011 ARCHITECT'S PROJECT NO: 100502 A B C- D E F G H I WORK COMPLETED TOTAL • MATERIALS COMPLETED BALANCE CO ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY AND STORED % TO RETAINAGE G-C) FINISH (If variable rate NO. VALUE APPLICATION THIS PERIOD STORED TO DATE ( (f rate) (D+E) (Noi m D or E) (D+F.+F) (C G) CO1 Add-ASI #5 Changes 5,620 5,620 0 0 5,620 , 100 0 562 CO2 Add-Drywall access doors 2,800 2,800 0 0 2,800 100 0 280 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 52,400 0 0 52,400 100 0 5,240 SM Sheet Metal 28,679 28,679 0 0 28,679 100 0 2,868 RGDL Regs.,Grilles,Difs.& Fan 6,500 6,500 0 0 6,500 100 0 650 Labor RGD Regs.,Grilles,Difs.& Fans 13,500 13,500 0 0 13,500 100 0 , 1,350 SLB1 White 16,000 16,000 0 0 16,000 100 0 1,600 R iver-Hydonics/Plumb. SLB2 Simplex Grinnel-Controls 22,671 22,671 0 0 22,671 100 0 2,267 SLB3 Johnson Controls-Air-Bal. 2,150 1,075 860 0 1,935 90 215 194 • • GRAND TOTAL 197,820 196,745 860 ' 0 197,605 100 215 19,761 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 G7O3TM-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 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 pGi i!; re `�'�--ig_ PARTIAL WAIVER OF LIEN �;,j - L i� )! ;v/ J - / ,I tea/ I --fi 1i i'i Contractor: +�* L .4 / `i',? Address: J. a Ai" ,H- St, Ti Project Name and Address: VO& - 4/ac(box 7e7 -s'- Period to:`/AL/4 Job #: /0.--/OS 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. Q The undersigned, for and in consideration of the total payments in the sum of $ � ° 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;�, .R°// 0 1a� 41 Hem 0 �' Como cny ► . /• BY: -�G - i /7 ,i'� �. TITLE: //-P NAME: 7. ---did ,/'C-/' STATE OF kr//q4,1 4 COUNTY OF X4,,,,A ,Ieo c'1 Subscribed and sworn to before me, a Notary Public in and for said County and State, this // day of t/ :67i-7 tc av y ,20,f My commission expire My county residence is /4/c��r vC/6s' « _ expire c)/(/, /C� �i Pae �aE � .:_.. s. ROBERTS '2oNOTANY V. Hendricks County seta. * My Commission Expires Notary _.�..--printed /(96,...„. rADIAN� S-.�. 29, 2016 ® � Worksheet Page 1 Ideal Heating Inc. 1212711010:32 ' t � 12/27/201 O � ,...� Company:LO Job 100502 -VOG-Black Box Theater Schedule 100502 Contract Previously Cumul. Stored Materials Completed Work complete Percent Materials 'hase Description amount completed percent Previous Current and stored this period complete used CO1 Add-ASI#5 Changes 5,620.00 5,620.00 100.00% 0.00 _ 5,620.00 CO2 Add-Drywall access doors 2,800.00 2,800.00 100.00% 0.00 _ 2,800.00 _ EQL Equipment Labor 5,500.00 5,500.00 100.00% 0.00 _ 5,500.00 EQ Equipment 42,000.00 42,000.00 100.00% 0.00 42,000.00 SML Sheet Metal Labor 52,400.00 52,400.00 100.00% 0.00 52,400.00 SM Sheet Metal 28,679.00 28,679.00 100.00% 0.00 28,679.00 RGDL Regs.,Grilles,Difs.&Fan Labor 6,500.00 6,500.00 100.00% 0.00 6,500.00 RGD Regs.,Grilles,Difs.&Fans 13,500.00 13,500.00 100.00% 0.00 13,500.00 SUB1 White River-Hydonics/Plumb. 16,000.00 16,000.00 100.00% 0.00 16,000.00 _ SUB2 Simplex Grinnel-Controls 22,671.00 22,671.00 100.00% 0.00 22,671.00 SUB3 Johnson Controls-Air Bal. 2,150.00 1,075.00 >&)0'6%qo 0.00 1,075.00 197,820.00 196,745.00 0.00 196,745.00