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HomeMy WebLinkAboutLITHKO CONTRACTING, INC.- 340- 8/11/2011 Lithko Contracting, Inc. Check: 340 PO Box 270 Date: 8/11/2011 Monroe, OH 45050 Vendor: LITHKO1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 11 20,201.26 20,201.26 0.00 0.00 20,201.26 App 11 on theater 20,201.26 20,201.26 0.00 0.00 20,201.26 340 8/11/2011 **********20,201.26 THE SUM OF TWENTY THOUSAND TWO HUNDRED ONE DOLLARS AND 26 CENTS **************** Lithko Contracting, Inc. PO Box 270 Monroe, OH 45050 Lithko Contracting, Inc. Check: 340 PO Box 270 Date: 8/11/2011 Monroe, OH 45050 Vendor: LITHKO1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 11 20,201.26 20,201.26 0.00 0.00 20,201.26 App 11 on theater 20,201.26 20,201.26 0.00 0.00 20,201.26 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENTG702 PAGE ONE OF PAGES TO OWNER: PROJECT: VILLAGE ON THE APPLICATION NO: 11 Distribution to: CARMEL THEATRE DEVELOPMENT COMPANY, L]GREEN THEATRE PERIOD TO: April 30,2011 (OWNER 11711 NORTH PENNSLYVANIA ST., SUITE 200 BLDG. PROJECT NOS: 12012 fARCI-IITECT CARMEL, IN 46032 LCi JOB# L5626 CONTRACTOR FROM CONTRACTOR: CHECK REMITTANCE ADDRESS: I CONTRACT DATE: LITHKO CONTRACTING,INC LITHKO CONTRACTING,INC. P.O. BOX 270 P.O.BOX 270 MONROE, OHiO 45050 MONROE,OHIO 45050 CONTRACT FOR: Place/Finish Concrete VIA ARCHITECT: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,AIA Document G703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $ 1,064,104.00 2. Net change by Change Orders $ 2,253.00 CONTRACTOR: LITHKO CONTRACTING, INC. 3. CONTRACT SUM TO DATE(Line 1 ±2) $ 1,066,357.00 4. TOTAL COMPLETED&STORED TO $ 1,063,669.00 72/Vid _yak �n'1� I DATE (Column G on G703) By: A/ Date: April 28, 2011 5. RETAINAGE: ANDREA GAN1 JV COORDINATOR a. 10% %of Completed Work $ 106,366.90 State of: O,.-•" County of: WARREN (Column D+E on G703) Subscribed and swo?t}•t� 1'e� r it 28 day of April, 2011 b. %of Stored Material $ I� C� y p ' Notary / _, .�: ja: L it,yNjVH - EVVi� (Column F on G703) Nota Public: •�--�,•_y:..",_.--•--•= Total Retainage(Lines 5a+5b or My Commissign exp7•_t: ;, �. • Vr. .'.I, i. _ 11 _ ) Total in Column! of 0703) $ 106,366.90 ARCIIITEC .t ,`. 'FICiAT'EOPORr t j1,, I�IENT� 6. TOTAL EARNED LESS RETAINAGE "•" °"""'o n r $ 957,302.10 In accordance with t-4''' trat;t'bocuments,based on ofl-site observatibns`)the data (Line 4 Less Line 5 Total) comprising the application, the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) $ 937,100.84 the quality of the Work is in accordance with the Contract Documents, and the Contractor 8. CURRENT PAYMENT DUE $ 20,201.26 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE 109,054.90 (Line 3 less Line 6) AMOUNT CERTIFIED $ 2.0-1.0/- 7-..C CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied. Initial all figures on this r Total changes approved Application and onthe Continuation meet that are hanged to conform with the amount certified.)in previous months by Owner $22,792.00 $21,544.00 �C_2iv'-�-Rf' —� Total approved this Month $1,005.00 $0.00 By: ---��� � � Date: 1(///// TOTALS $23,797.00 $21,544.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. issuance,payment and acceptance of payment are without NET CHANGES by Change Order $2,253.00 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702•APPLICATION AND CERTIFICATION FOR PAYMENT-1992 EDITION•AIA •©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,DC 20006-5292 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. Page 1 of 1 JMP92-22-F Effective-1/31/01 C R*N T i L U AT •i SHEET AIA DOCUMENT G703 PAGE OF PAGES AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 11 Contractor's signed certification is attached. APPLICATION DATE: 4/28/2011 . In tabulations below, amounts are stated to the nearest dollar. kithk© PERIOD TO: 4/30/2011 Use Column 1 on Contracts where variable retainage for line items may apply. CONTRACTING,INC. ARCHITECT'S PROJECT NO: 12012 VILLAGE ON THE GREEN THEATRE BLDG. L5626 A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G-C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (NOT IN TO DATE D OR E) • (D+E+F) 103-1000 JOB SETUP&MOBILIZATION 15,000.00 15,000.00 0.00 0.00 15,000.00 100% 0.00 $1,500.00 103-1001 REMOBILIZATION FOR SLABS PKG 5,000.00 5,000.00 0.00 0.00 5,000.00 100% 0.00 $500.00 103-1002 PAYMENT&PERFORMANCE BOND 14,604.00 14,604.00 0.00 0.00 14,604.00 100% 0.00 $1,460.40 103-1003 EARTH RETENTION SYSTEM 55,500.00 55,500.00 0.00 0.00 55,500.00 100% 0.00 $5,550.00 103-1004 EROSION CONTROL SILT FENCE 1,500.00 1,500.00 0.00 0.00 1,500.00 100% 0.00 $150.00 103-1005 CONSTRUCTION ENTRANCE 5,698.00 5,698.00 0.00 0.00 5,698.00 100% 0.00 $569.80 103-1006 CONCRETE WASHOUT&MAINTENANCE 7,998.00 7,518.12 479.88 0.00 7,998.00 100% 0.00 $799.80 103-1007 STORM SEWER LABOR&EQUIPMENT 6,475.00 6,475.00 0.00 0.00 6,475.00 100% 0.00 $647.50 103-1008 STORM SEWER MATERIALS 10,000.00 10,000.00 0.00 0.00 10,000.00 100% 0.00 $1,000.00 103-1009 MASS EXCAVATION OF BASEMENT 57,065.00 57,065.00 0.00 0.00 57,065.00 100% 0.00 $5,706.50 103-1010 FOOTINGS EXCAVATION 40,628.00 40,628.00 0.00 0.00 40,628.00 100% 0.00 $4,062.80 103-1011 UNDERDRAIN LABOR&EQUIPMENT 10,000.00 10,000.00 0.00 0.00 10,000.00 100% 0.00 $1,000.00 103-1012 UNDERDRAIN MATERIALS 13,500.00 13,500.00 0.00 0.00 13,500.00 100% 0.00 $1,350.00 103-1013 BACKFILL LABOR&EQUIPMENT 18,000.00 18,000.00 0.00 0.00 18,000.00 100% 0.00 $1,800.00 103-1014 BACKFILL MATERIALS 48,000.00 48,000.00 0.00 0.00 48,000.00 100% 0.00 $4,800.00 103-1015 CONTINUOUS DEWATERING FOR 6 MONTHS 16,000.00 16,000.00 0.00 0.00 16,000.00 100% 0.00 $1,600.00 103-1016 BITUMINOUS DAMPPROOFING 4,475.00 4,475.00 0.00 0.00 4,475.00 100% 0.00 $447.50 103-1017 BENTONITE WATERPROOFING 29,000.00 29,000.00 0.00 0.00 29,000.00 100% 0.00 $2,900.00 103-1018 FURNISH ANCHOR BOLTS 2,200.00 2,200.00 0.00 0.00 2,200.00 100% 0.00 $220.00 103-1019 FURNISH MISC. EMBED METALS 10,800.00 10,800.00 0.00 0.00 10,800.00 100% 0.00 $1,080.00 103-1020 REINFORCING MATERIALS FOUNDATIONS 22,600.00 22,600.00 0.00 0.00 22,600.00 100% 0.00 $2,260.00 103-1021 REINFORCING MATERIALS FOR WALLS 32,000.00 32,000.00 0.00 0.00 32,000.00 100% 0.00 $3,200.00 103-1022 REINFORCING MATERIALS FOR FLATWORK 11,500.00 11,500.00 0.00 0.00 11,500.00 100% 0.00 $1,150.00 103-1023 BASEMENT FOUNDATIONS LABOR&EQUIP 19,500.00 19,500.00 0.00 0.00 19,500.00 100% 0.00 $1,950.00 103-1024 BASEMENT FOUNDATIONS MATERIALS 30,500.00 30,500.00 0.00 0.00 30,500.00 100% 0.00 $3,050.00 103-1025 BASEMENT WALLS LABOR&EQUIP 72,150.00 72,150.00 0.00 0.00 72,150.00 100% 0.00 $7,215.00 103-1026 BASEMENT WALLS MATERIAL 48,000.00 48,000.00 0.00 0.00 48,000.00 100% 0.00 $4,800.00 Page 1 cf 3 JMl'92-20-F Effective-1/31/01 VILLAGE ON THE GREEN THEATRE BLDG. L5626 A B C D I E F 0 I-I I , ITEM DESCRIPTION OF WORK SCI-IEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS TI-IIS PERIOD PRESENTLY COMPLETED (0-C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (NOT IN TO DATE D OR E) (D+E+F) 103-1027 TRAP RM MAT FNDTN LABOR&EQUIP 3,500.00 3,500.00 0.00 0.00 3,500.00 100% 0.00 $350.00 103-1028 TRAP RM MAT FNDTN MATERIALS 8,500.00 8,500.00 0.00 0.00 8,500.00 100% 0.00 $850.00 103-1029 ORCHESTRA PIT FNDTN LABOR&EQUIP 1,200.00 1,200.00 0.00 0.00 1,200.00 100% 0.00 $120.00 103-1030 ORCHESTRA PIT FNDTN MATERIAL 3,500.00 3,500.00 0.00 0.00 3,500.00 100% 0.00 $350.00 103-1031 ELEVATOR PIT 3,500.00 3,500.00 0.00 0.00 3,500.00 100% 0.00 $350.00 103-1032 NORTHSIDE FOUNDATIONS LABOR&EQUIP 22,500.00 22,500.00 0.00 0.00 22,500.00 100% 0.00 $2,250.00 103-1033 NORTHSIDE FOUNDATIONS MATERIALS 62,000.00 62,000.00 0.00 0.00 62,000.00 100% 0.00 $6,200.00 103-1034 ISOATED PIERS LABOR&EQUIPMENT 2,200.00 2,200.00 0.00 0.00 2,200.00 100% 0.00 $220.00 103-1035 ISOLATED PIERS MATERIALS 1,300.00 1,300.00 0.00 0.00 1,300.00 100% 0.00 $130.00 103-1036 DOCK WALL FOUNDATIONS LABOR&EQUIP 750.00 750.00 0.00 0.00 750.00 100% 0.00 $75.00 103-1037 DOCK WALL FOUNDATIONS MATERIALS 1,000.00 1,000.00 0.00 0.00 1,000.00 100% 0.00 $100.00 103-1038 DOCK WALL LABOR&EQUIPMENT 3,000.00 3,000.00 0.00 0.00 3,000.00 100% 0.00 $300.00 103-1039 DOCK WALL MATERIALS 2,000.00 2,000.00 0.00 0.00 2,000.00 100% 0.00 $200.00 103-1040 DOCK AREA TRENCH DRAIN 1,500.00 1,500.00 0.00 0.00 1,500.00 100% 0.00 $150.00 103-1041 NORTHSIDE STEM WALLS LABOR&EQUIP. 23,600.00 23,600.00 0.00 0.00 23,600.00 100% 0.00 $2,360.00 103-1042 NORTHSIDE STEM WALLS MATERIALS 18,500.00 18,500.00 0.00 0.00 18,500.00 100% 0.00 $1,850.00 103-1043 NORTH INTERIOR TALL WALLS LABOR&EQUIP 38,000.00 38,000.00 0.00 0.00 38,000.00 100% 0.00 $3,800.00 103-1044 NORTH INTERIOR TALL WALLS MATERIALS 25,011.00 25,011.00 0.00 0.00 25,011.00 100% 0.00 $2,501.10 103-1045 INTERIOR CURBS 1,200.00 0.00 1,200.00 0.00 1,200.00 100% 0.00 $120.00 103-1046 STAIRS ON GRADE-RISERS&LANDIGS 5,000.00 5,000.00 0.00 0.00 5,000.00 100% 0.00 $500.00 103-1047 SLAB ON GRADE STONE BASE INSTALLATION 2,500.00 2,375.00 125.00 0.00 2,500.00 100% 0.00 $250.00 103-1048 SLAB ON GRADE STONE BASE MATERIAL 8,700.00 8,265.00 435.00 0.00 8,700.00 100% 0.00 $870.00 103-1049 SLAB ON GRADE LABOR&EQUIPMENT 27,000.00 24,840.00 2,160.00 0.00 27,000.00 100% 0.00 $2,700.00 103-1050 SLAB ON GRADE MATERIALS 35,000.00 32,200.00 2,800.00 0.00 35,000,00 100% 0.00 $3,500.00 103-1051 STADIUM RISERS LABOR&EQUIPMENT 13,000.00 ' 6,500.00 6,500.00 0.00 13,000.00 100% 0.00 $1,300,00 103-1052 STADIUM RISERS MATERIALS 15,000.00 7,500.00 7,500.00 0.00 15,000.00 100% 0.00 $1,500.00 103-1053 SLAB ON METAL DECK LABOR&EQUIP 38,300.00 38,300.00 0.00 0.00 38,300.00 100% 0.00 $3,830.00 103-1054 SLAB ON METAL DECK MATERIALS 15,500.00 15,500.00 0.00 0.00 15,500.00 100% 0.00 $1,550.00 103-1055 TRAP ROOM TOPPING SLAB 750.00 0.00 750.00 0.00 750.00 100% 0.00 $75.00 103-1056 PAN STAIRS LABOR&EQUIPMENT 2,100.00 2,100.00 0.00 0.00 2,100.00 100% 0.00 $210.00 103-1057 PAN STAIRS MATERIAL 900.00 900.00 0.00 0.00 900.00 100% 0.00 $90.00 103-1058 EXTERIOR PAVING STONE BASE INSTALL 800.00 800.00 0.00 0.00 800.00 100% 0.00 $80.00 103-1059 EXTERIOR PAVING STONE BASE MATERIALS 1,300.00 1,300.00 0.00 0.00 1,300.00 100% 0.00 $130.00 Page 2 cf 3 JMP92-20-F Effective-1/31/01 VILLAGE ON THE GREEN THEATRE BLDG. L5626 . A B C D i E F G _ H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G=C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (NOT IN TO DATE D OR E) (D+E+F) 103-1060 EXTERIOR PAVING LABOR&EQUIPMENT 4,400.00 4,400.00 0.00 0.00 4,400.00 100% 0.00 $440.00 103-1061 EXTERIOR PAVING MATERIALS 8,000.00 8,000.00 0.00 0.00 8,000.00 100% 0.00 $800.00 103-1062 EXTERIOR PAVEMENT JOINT SEALANTS 800.00 0.00 0.00 0.00 0.00 0% 800.00 $0.00 103-1063 STOOPS LABOR AND EQUIPMENT 2,200.00 2,200.00 0.00 0.00 2,200.00 100% 0.00 $220.00 103-1064 STOOPS MATERIALS 1,500.00 1,500.00 0.00 0.00 1,500.00 100% 0.00 $150.00 103-1065 DECORATIVE BOLLARDS LABOR&EQUIP 1,500.00 1,500.00 0.00 0.00 1,500.00 100% 0.00 $150.00 103-1066 DECORATIVE BOLLARDS MATERIALS 3,200.00 3,200.00 0.00 0.00 3,200.00 100% 0.00 $320.00 103-1067 SITE CONCRETE 1,200.00 1,200.00 0.00 0.00 1,200.00 100% 0.00 $120.00 103-1068 ALLOWANCE-45000.00 SEE BELOW 0.00 0.00 0.00 0.00 0.00 0% 0.00 $0.00 C0.01 PROOI (16089) 16,089.00 16,089.00 0.00 0.00 16,089.00 100% 0.00 $1,608.90 C0.06 PR003(9735) 9,735.00 9,735.00 0.00 0.00 9,735.00 100% 0.00 $973.50 C0.08 PROO4(504) 504.00 504.00 0.00 0.00 504.00 100% 0.00 $50.40 C0.02-PROO2(13976) 13,976.00 13,976.00 0.00 0.00 13,976.00 100% 0.00 $1,397.60 C0.12-PROO5(1168) 1,168.00 0.00 292.00 0.00 292.00 25% 876.00 $29.20 C0.16-PROO6(ALLOW AUTH 2024) 2,024.00 931.04 80.96 0.00 1,012.00 50% 1,012.00 $101.20 C0.21-PROO7(ALLOW AUTH 0.00) 0.00 0.00 0.00 0.00 0.00 0% 0.00 $0.00 C0.22 UNFORSEEN COND(ALLOW AUTI-I 1504) 1,504.00 1,504.00 0.00 0.00 1,504.00 100% 0.00 $150.40 103-1069 C0.22 UNFORSEEN COND-15,853 15,853.00 15,853.00 0.00 0.00 15,853.00 100% 0.00 $1,585.30 103-1070 CO#24 VOG.7C1.00.24 ELIMINATE BOND -14,604.00 -14,604.00 0.00 0.00 (14,604.00) 100% 0.00 ($1,460.40) 103-1071 C0.27 VOG.7C1.00.27 ELIMINATE STORM SEWER -4,000.00 -4,000.00 , 0.00 0.00 (4,000.00) 100% 0.00 ($400.00) 103-1072 C0.32 VOG.7CIC0.32.ASI.007-ALLEY MODIFICAT 2,900.00 2,900.00 0.00 0.00 2,900.00 100% 0.00 $290.00 103-1073 C0.51 TAX EXEMPT -2,940.00 -2,058.00 -882.00 0.00 (2,940.00) 100% 0.00 ($294.00) 103-1074 C0.70 VOG.7C1-PROO9 4,039.00 4,039.00 0.00 0.00 4,039.00 100% 0.00 $403.90 103-1075 C0.90 VOG.7C1 -PRO23 1,005.00 0.00 1,005.00 0.00 1,005.00 100% 0.00 $100.50 GRAND TOTALS 1,066,357.00 1,041,223.16, 22,445.84 0.00 1,063,669.00 100% 2,688.00 $106,366.90 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity Page 3 of3 JMP92-20-F Effective-1/31/01