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HomeMy WebLinkAboutINDIANAPOLIS STAGE SALES & REN- 343- 8/11/2011 Indianapolis Stage Sales & Ren Check: 343 Date: 8/11/2011 Vendor: INDSTAG1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-2 89,416.80 89,416.80 0.00 0.00 89,416.80 App 2 on the Tarkington 89,416.80 89,416.80 0.00 0.00 89,416.80 343 8/11/2011 **********89,416.80 THE SUM OF EIGHTY NINE THOUSAND FOUR HUNDRED SIXTEEN DOLLARS AND 80 CENTS ***** Indianapolis Stage Sales & Ren Indianapolis Stage Sales & Ren Check: 343 Date: 8/11/2011 Vendor: INDSTAG1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-2 89,416.80 89,416.80 0.00 0.00 89,416.80 App 2 on the Tarkington 89,416.80 89,416.80 0.00 0.00 89,416.80 / •.- r ® TM �� I1)CU heat 7i.�t2/C \fla ®. 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: APPLICATION NO: 2 Distribution to: Carmel Theatre Development Corp. LLC Parcel 7-C-1 PERIOD TO: OWNER ❑ May 28, 2011 1016 3rd Ave. SW, Suite 200 Village on the Green -Tarkington Theatre CONSTRUCTION MANAGER ❑ FROM C C IMIC J 46032 VIA CONSTRUCTION MANAGER: CONTRACT DATE: January 17, 2011 ARCHITECT ❑ Indianapolis Stage Signature Construction, LLC PROJECT NOS: 12012/ / CONTRACTOR ❑ 905 Massachusetts Ave. VIA ARCHITECT: FIELD ❑ Indianapolis, IN 46202 Pedcor Design Group CONTRACT FOR: Prnrlurtinn lighting cyctPmc CI CONTRACTOR'S APPLICATION FOR PAYMENT The undersi`_ned 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 'the Contractor for Work fir which previous Continuation Sheet.AIA Document G703.is attached. Certificates for a ment were iss ed and i t ie •eceived from the Owner. and that current 686 260.00 p` 1.ORIGINAL CONTRACT SUM, S r payment shop� her in is no ue. 2. Net change by Change Orders S 0.00 CONTRACT'R: � �/ i 3.CONTRACT SUM TO DATE(Line I ±2) S 686,260.00 By: -� •=i�� `, s -/ / AIL Date: 7 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) S 183,352.00 State of: / N 0/A-1...; • 5.RETAINAGE: County o /rl A72/("\..) a. 10%of Completed Work Subscribed and sworn to beh re (Column D+E on G703) S 18,335.20 me this /'7 ah day Of MR aIi// 6 KAREN R. O'W- b. io of Stored Material ��� � Et Notary Public t V,-;43'� ( / r. a States x_ (Column F on G703) S \My Commission ex ne l/ec COMPAIlISl091 Spa=AM a®..amo Total Retainage(Lines 5a+Sb or Total in Column I of G703). S 18,335.20 CERTIFICATE OR PAYMENT & -.p ..- -. - , ' As- 6.TOTAL EARNED LESS RETAINAGE S 165,016.80 In accordance with the Contract Documents. based on on-site observations and the data comprising 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 S 75,600.00 accordance with the Contract Documents. and the Contractor is entitled to payment of the AMOUNT (Litre 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE S 89,416.80 AMOUNT CERTIFIED 5 f f //�, G u (Attach etplanatinn if amount certified diffc'rc(ram the amount a r plied. Initial all.figures on this 9.BALANCE TO FINISH,INCLUDING RETAINAGE !1 \ Application and on the Continuation Sheet that clrc han,ge!to conform with the amount certified.) (Line 3 less Line 6) S 521,243.20 : -0-1"-'1"--"r• c BY: .----- 7—' Date: C/1)/// CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner S S By: Date: Total approved this Month S S This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS S 0.00 s 0.00 named herein. Issuance. payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order S O (1Q 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. AIA Document G702/CMan,-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA® 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. II{�I /� ® � Document G703 1992 0 o,a.e ° Continuation Sheet AIA Document 0702.APPLICATION AND CERTIFICATION FOR PAYMENT. APPLICATION NO: 2 containin_Contract,or's signed certification is attached. APPLICATION DATE: 5/2S2oi1 In tabulations below.amounts are stated to the nearest dollar. PERIOD TO: 5/2312011 Use Column I on Contracts where variable rewinage for line items may apply. ARCHITECT'S PROJECT NO: 12012 13 I C 1 D I E I F I G 1 I-I 1 1 WORK COMpLEl ED MATERIALS TOTAL BALANCE R1TAINAGE PRESENTLY C'0��11 I_I�I'L'D ��;. "I"0 SCH DUI_ED FROM PREVIOUS STORED AND STORED (IF:VARIABLE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD (G_Ci FINISH RATE.) NO (NOT IN TO DATE IC-C.i) 1)4- DOR El (D+E+F) 126-2000 Mobilization&Submittals 40,000.00 28,000.00 28,000.00 70% 12,000.00 126-2001 Shipment of back boxes&racks 124,500.00 12,000.00 99,352.00 111,352.00 89% 13,148.00 126-2002 Shipment of Electronic Gear 127,400.00 127,400.00 126-2003 Shipment of Fixtures 335,000.00 44,000.00 44,000 00 13% 291,000.00 126-2004 Installation of light fixtures 12,000.00 - 12,000.00 126-2005 System energization 16,360.00 - 16,360.00 126-2006 Training&Completion 6,000.00 6,000.00 126-2007 Allowance 25,000.00 25,000.00 I 686,260.00 84,000.00 99,352.00 - 183,352.00 502,908.00 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. PRIME CONTRACTOR'S SWORN STATEMENT OF INDEBTNESS &WAIVER OF LIEN STATE OF Indiana COUNTY OF Marion James R Hermsdorfer being duly sworn upon his oath disposes and says that: 1. He is President of Indianapolis Stage Sales and Rental, Inc. hereafter called the "Prime Contractor". He is over the age of twenty-one. He is authorized to make this affidavit on behalf of Prime Contractor. 2. Prime Contractor is the Performance Lighting Prime Contractor for the construction of the development known as VILLAGE ON THE GREEN — PARCEL 7C1 — THEATER BUILDING located in CARMEL, INDIANA, hereafter referred to as the "Development", pursuant to the contract between the Prime Contractor and CARMEL THEATER DEVELOPMENT CORPORATION, LLC., the Owner. 3. This affidavit is made for the express purpose of inducing and CARMEL THEATER DEVELOPMENT CORPORATION, LLC., to make payment to Prime Contractor of the invoice submitted herewith for labor and materials furnished pursuant to said Contractor. Upon receipt of said payment the Prime Contractor hereby waives any lien rights to which Prime Contractor is entitled for labor or materials furnished for the development to the date hereof. 4. Listed below are all suppliers or other persons who either has furnished or might furnish the Prime Contractor with materials, appliances, machinery, fixtures or furnishing placed upon or installed on the development. Mark (X) in the appropriate column for EACH supplier listed. Place an (X) in column: 1) If a waiver of lien by supplier conditioned by payment of a specified amount is attached hereto. (In this case also show the amount owed the supplier). 2.) If a FULL (final) lien release has been signed and delivered to the Owner. 3.) If the initial delivery has not been made. Supplier 1. Amount Owed 2. 3. Ocean Optics -0- ETC -0- #1 and 2 correspond to the same numbered choices on the waiver format. CARMEL THEATER DEVELOPMENT CORPORATION, LLC.is hereby authorized to make payment to each such unpaid creditor either directly or by check jointly payable to Prime Contractor and such creditor, as CARMEL THEATER DEVELOPMENT CORPORATION, LLC. shall determine. 5. There are no bills, charges, costs or expenses for labor or material which could now or hereafter result in lien being filed against the Development or a claim being asserted against the Owner except the persons or businesses named in Paragraph 4 above. IN WITNESS WHERE OF, affiant has signe. document on •-half of the P - Contractor this 17th day of May, 2011. VIP A—?A L James R. Herms•orfer, Presi.it County of fl1c [p)1& ) State of /r-2'(a g_ ) Subscribed and sworn to before me, a Notary Public in and for said County and State, This 7 Day of /�7Cc y_20 / -i (Nota y Public) x` EN R. O'CON6 O /� Notary • Beal i ir/Yl �( . A r\pl, State of Indiana (Printed Name) ,) Commission Snakes Jan 28,2016 ..,_,. My Commission Expires: / )1,6