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HomeMy WebLinkAboutINDIANAPOLIS STAGE SALES & REN- 190- 3/16/2011 Indianapolis Stage Sales & Ren Check: 190 Date: 3/16/2011 Vendor: INDSTAG1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-1 32,535.00 32,535.00 0.00 0.00 32,535.00 App 1 on Black Box theater 32,535.00 32,535.00 0.00 0.00 32,535.00 190 3/16/2011 **********32,535.00 THE SUM OF THIRTY TWO THOUSAND FIVE HUNDRED THIRTY FIVE DOLLARS AND NO CENTS * Indianapolis Stage Sales & Ren • Indianapolis Stage Sales & Ren Check: 190 Date: 3/16/2011 Vendor: INDSTAG1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-1 32,535.00 32,535.00 0.00 0.00 32,535.00 App 1 on Black Box theater 32,535.00 32,535.00 0.00 0.00 32,535.00 • ... 1:11.t:A_I A Document G702/CMa ® 1992 :-_ Application and Certificate for Payment Construction Manager-Adviser Edition . TO OWNER: PROJECT: APPLICATION NO: ' 1 Distribution to: Carmel Cty Ctr,Comm Development Corp. Parcel 7-C-7 PERIOD TO: • January 25, 2011 OWNER ❑ 330W._Main Street Suite 220 Village on the Green - Black Box Theatre CONSTRUCTION MANAGER ❑ FROM CO f 1&R 6032 VIA CONSTRUCTION MANAGER: CONTRACT DATE: August 30, 2010 ARCHITECT ❑ Indianapolis Stage REI Construction, LLC PROJECT NOS: 10-10,B / CONTRACTOR ❑ 905 Massachusetts Ave. VIA ARCHITECT: FIELD ❑ Indianapolis, IN 46202 Pedcor Design Group CONTRACT FOR: Prnrlurtinn l-iejlting Cyctamc ❑ 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 Payme has been completed in accordance with the Continuation Sheet,AIA Document G703,is attached. Contract • that all amounts have been paid . the Contractor for Work for which previous Certificates es for for 'ay ,ent were issu-i and payme •eceived from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 177,500.00 payment sho her •n is now .I- 2. Net change by Change Orders $ 0.00 CONTRACT -: /'fir 3.CONTRACT SUM TO DATE(Line 1 ±.2) $ 177,500.00 BY: 4/� !1 I A�1a.„!�4 Date: - Z y ' 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 36,150.00 State of: yola,-r 5.RETAINAGE: County of: /Y\ r(2 ,1\., KAHN R• O C®tdt a. 10%of Completed Work Subscribed Notary c- tool l ubscribed and sworn to before Moto of Indiana (Colitron D+Eon G703) $ 3,615.00 me this fk day-of p/ptlG7 r� .�'// kW Comma Expires 28.2016 ) b• %of Stored Material Notary Public: C=:j / �i ,' �l (Column F on G703) $ My Commission expire.: V.„; Total Retainage(Lines 5a+5b or Total in Column I of 6703).. $ 3,615.00 CERTIFICATE FOR PAYMENT 32 535.00 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application,the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 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 $ 32,535.00 AMOUNT CERTIFIED $32 ,S3 , 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 Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ 144,965.00 CONSTRUCTION MANAGER: / By: Date: 2/1// CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved-in previous months by Owner $ $ By: .. Date: Total approved this Month $ $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor - TOTALS $ 0.00 . $ 0.00 named herein. Issuance;payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner or Contractor under this Contract. n-nn 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. \�U 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 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. • r (� e,..�,1 document G703 TM ® 1992 Continuation Sheet • AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 1 containing Contractor's signed certification is attached. APPLICATION DATE: 1/25/2011 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: 1/25/2011 ARCHITECT'S PROJECT NO: 10-108 A WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED BALANCE RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS % TO VALUE APPLICATION THIS PERIOD STORED AND STORED (IF VARIABLE NO. (G_C) FINISH(NOT IN TO DATE RATE) (D+E) D OR E) (D+E+F) (C-G) 1 Mobilization&Submittals 10,650.00 10,650.00 10,650.00 100% - 2 Shipment of back boxes&racks 25,500.00 25,500.00 25,500.00 100% - 3 Shipment of Electronic Components 53,750.00 - 53,750.00 4 Shipment of Fixtures 44,375.00 - 44,375.00 5 Installation of light fixtures&equipment 28,350.00 - 28,350.00 6 System energization 10,425.00 - 10,425.00 7 Training&Completion 4,450.00 - 4,450.00 • 177,500.00 - 36,150.00 - 36,150.00 141,350.00 38,401.70 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 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 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.