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MACDOUGAL PIERCE- 001325- 11/18/2010
CARMEL REDEVELOPMENT COMMISSION 001325 MacDougal Pierce Check: 1325 12720 Ford Drive Date: 11/18/2010 Fishers, IN 46038 Vendor: MCDOUG1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 6 115,247.70 115,247.70 0.00 0.00 115,247.70 Work thru 9/30/2010 115,247.70 115,247.70 0.00 0.00 115,247.70 • • .11111111111111111111111THISICHECICHASIATC OLOREDfBACKCaROUNIVANDICONTAINS MUL'•TiIP.LESECURITiYME'ATURES 'SEEIBACK9EORTDETAILS B vOs6! Carmel Redevelo ment'Commission 30 West Main Street p A REGIONS 0 013-2 5 �, Suite 220 20-1421/746 osRME Carmel, IN 46032 - Tmc 1325 DATE AMOUNT -•• • 11/18/2010 **********115,247.70 . PAY THE SUM OF ONE HUNDRED FIFTEEN THOUSAND TWO HUNDRED FORTY SEVEN'.DOLLARS AND 70 CENT TO THE ORDER • OF MacDougal Pierce • 12720 Ford Drive • • Fishers, IN 46038 p • `4REA 000L325" 1:0740L42131: 0087504LLW CARMEL REDEVELOPMENT COMMISSION 001325 MacDougal Pierce Check: 1325 12720 Ford Drive Date: 11/18/2010 Fishers, IN 46038 Vendor: MCDOUG1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 6 115,247.70 115,247.70 0.00 0.00 115,247.70 Work thru 9/30/2010 115,247.70 115,247.70 0.00 0.00 115,247.70 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF PAGES TO OWNER: PROJECT: APPLICATION NO: 6 Distribution to: VILLAGE ON THE GREEN OWNER PERIOD TO: ARCHITECT FROM CONTRACTOR: VIA OWNERS REP: 9/30/2010 CONTRACTOR REI CONSTRUCTION SERVICES MACDOUGALL PIERCE PROJECT NOS: CONTRAC'FOR: CONTRACT DATE: 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 completed Continuation Sheet,AIA Document G703,is attached. in accordance with the Contract Docum- ts7that all amounts have been paid by the Contractor for Work for which previous Certif tes for Pa meat were issued and payments received from the Owner, ._ d that curr-nt •ayment sho - ein is . . - __ 1. ORIGINAL CONTRACT SUM .. 908,425.00 / 2. Net change by Change Orders 74,287.00 CONTRA • : 7?D.ugall Pierc- onstruction.Inc. 3. CONTRACT SUM TO DATE(Line 1 ±2) 982,712.00 / 1' 4. TOTAL COMPLETED&STORED TO DATE 661,150.00 J, • � ��, ' — Dat< 9/27/10 5. RETAINAGE: G ��w.,„1/4 a. 10%%of Completed Work 66,1 15.00 State of: Indiana County e : Hamilt./ (Column D+E on G703) Subscrib d and swop -4 b(this 1 day s en . '110 b. %of Stored Material NOTAR UBLIC: ' $ °J (Column F on G703) My Commissi.- -s.ires: 3/20/16 • Total Retainage(Lines 5a+5b or Total in Column 1 of G703). 66,115.00 OWNER'S REP. CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAIL` 595,035.00 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Owners Rep certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Owner's rep knowledge,information and belief the Work has progressed as indicated,the quality PAYMENT(Line 6 from prior Certificate).. . . 479,787.30 of the Work is in accordance with the Contract Documents,and the Contractor is entitled to 8. CURRENT PAYMENT DUE ''''::::::::::...:-::: ::-E: 1::.15;247:74:;:; payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINA, 387,677.00 (Line 3 less Line 6) AMOUNT CERTIFIED $ 1[5' 2(1'7;20 f 'RDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differes from the amount applied. Initial all figures on this Total changes approved Application and on the Continuation Sheet that are changed to conform to the amount certified) in previous months by Owner $11,675.00 Owners Rep: Total approved this Month $62,612.00 By: - �= -, Date: /c3,4460 TOTALS $74,287.00 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 Ordei $74,287.00 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION AIA .©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE,N.W.,WASHINGTON,DC 20006-5292 _ 4011 PARTIAL LIEN WAIVER AFFIDAVIT WHEREAS, MacDougall Pierce Construction,Inc. ("Contractor") has been heretofore employed by Village On the Green (Company")to furnish certain material, supplies, equipment or labor for or in connection with improvements owned by, Same ("OWNER" and located on Carmel, IN (Hereinafter collectively referred to as the Premises"); and WHEREAS, the undersigned is duly authorized to execute this Partial Waiver of Lien for and on behalf of the Contractor: NOW, THEREFORE, the Contractor, for and in consideration of the receipt of One hundred fifteen thousand two hundred forty seven 70/100 ($ 115,247.70 ) Hereby waives, and releases the Owner of the Premises and the Company from any and all liens, rights of lien or claims of whatsoever kind or character on or against the Premises or the improvements located thereon on account of any and all labor, supplies, equipment or material furnished for, in connection with or incorporated in the Premises by the Contractor on or before the date hereof. This Partial Waiver of Lien is given in order to induce the Company to pay the amount indicated above, and upon receipt of such amount by the Contractor, this release may be recorded, become valid,enforceable and of full effect. MacDou.s. iercV•ns - on, 1n). �B . /4` 11.e7 r at_i off:"."ized Representative Brent Houston Printed Name TITLE Project Manager DATE: 9/27/10 STATE OF INDIANA COUNTY OF Hamilton Before me, a Notary Public in and for said county and State, personally appeared Brent Houston Who acknowledged the execution of the foregoing Partial Waiver of Lien, and who, having been sworn, stated that the representations therein contained are true. Witness my hand and Nota :.I this 407 oay of fe.tember , 201 0 . My Commission expires ! .1 mj A k O 3-20-16 otary Publi• me : Ta1 a Fanelli County of Re - nce Lelaware CONTINUATION SHEET AIA DOCUMENT G703 PAGE OF PAGES AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 6.00 Contractor's signed certification is attached VILLAIit ON I Mt UKttN ANNLICAI IUN UAI E: 23-Sep-10 In tabulations below, amounts are stated to PERIOD TO: 1 23-Sep-10 Use Column I on Contracts where variable retainage for line items may apply. CM'S PROJECT NO: I I I A B C D E F G 1 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) (D+E) (NOT IN TO DATE D OR E) (D+E+F) ENGINEERING $7,500.00 $7,500.00 $7,500.00 100.00% $750.00 BOND PREMIUM $7,500.00 $7,500.00 $7,500.00 100.00% $750.00 GENERAL CONDITIONS (M) $9,205.00 $7,671.00 $767.00 $8,438.00 91.67% $767.00 $843.80 GENERAL CONDITIONS (L) $57,039.00 $47,533.00 $4,753.00 $52,286.00 91.67% $4,753.00 $5,228.60 GFRC COLUMN COVERS (M) $16,763.00 $6,976.00 $9,787.00 $16,763.00 100.00% $1,676.30 GFRC COLUMN COVERS (L) $2,500.00 $500.00 $500.00 20.00%I $2,000.00 $50.00 ROUGH CARPENTRY (M) $6,696.00 $6,696.00 $6,696.00 100.00% I $669.60 ROUGH CARPENTRY (L) $9,988.00 $9,988.00 $9,988.00 100.00% $998.80 FINISH CARPENTRY (M) $7,309.00 $2,193.00 $2,558.00 $4,751.00 65.00% $2,558.00 $475.10 FINISH CARPENTRY (L) $8,936.00 $1,340.00 $1,340.00 $2,680.00 29.99% $6,256.00 $268.00 GFRP FABRICATIONS (M) $67,658.00 $10,149.00 $11,873.00 $22,022.00 32.55% $45,636.00 $2,202.20 GFRP FABRICATIONS (L) $5,930.00 $5,930.00 CABINETRY (M) $13,018.00 $13,018.00 CABINETRY(L) $3,254.00 $3,254.00 FIREPROOFING (M) $9,600.00 $9,600.00 $9,600.00 100.00% $960.00 FIREPROOFING (L) $6,400.00 $6,400.00 $6,400.00 100.00% $640.00 FIRESTOPPING (M) $3,120.00 $1,560.00 $780.00 $2,340.00 75.00% $780.00 $234.00 FIRESTOPPING (L) $4,680.00 $2,340.00 $1,170.00 $3,510.00 75.00% $1,170.00 $351.00 CAULKING (M) $6,000.00 $6,000.00 CAULKING (L) $14,000.00 $14,000.00 EXPANSION JOINT COVERS (M) $5,500.00 $5,500.00 EXPANSION JOINT COVERS (L) $4,000.00 $4,000.00 HOLLOW METALS (M) $12,706.00 $12,706.00 $12,706.00 100.00% $1,270.60 HOLLOW METALS (L) $1,759.00 $1,759.00 $1,759.00 100.00% $175.90 WOOD DOORS (M) $5,933.00 $5,933.00 $5,933.00 100.00% $593.30 WOOD DOORS (L) $2,463.00 $2,463.00 DOOR HARDWARE (M) $28,061.00 $28,061.00 $28,061.00 100.00% $2,806.10 DOOR HARDWARE (L) $3,313.00 $3,313.00 ACCESS DOORS (M) $1,480.00 $1,480.00 • ACCESS DOORS (L) $400.00 $400.00 ROLLING DOORS (M) $5,853.00 $5,853.00 $5,853.00 100.00% $585.30 ❑5FAIA DOCUMENT G703 • CONTINUATION SHEET FOR G702 • 1992 EDITION • AIA • © 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292Il❑05Fn4F3bG703-1992❑ CONTRRNUATION SHEET AIA DOCUMENT G703 PAGE OF PAGES AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 6.00 Contractor's signed certification is attached.'VILLAht UN I Fit LiF(LLN ANI'LICAI ION UAI E: 23-Sep-1U In tabulations below,amounts are stated to PERIOD TO: 23-Sep-10 I Use Column I on Contracts where variable retainage for line items may apply. CM'S PROJECT NO: _ 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) (D+E) (NOT IN TO DATE D OR E) (D+E+F) ROLLING DOORS (L) $1,463.00 $1,463.00 $1,463.00 100.00%' $146.30 GLASS/GLAZING (M) $510.00 $510.00 GLASS/GLAZING (L) $340.00 $340.00 METAL STUD FRAMING (M) $124,357.00 $124,357.00 $124,357.00 100.00% $12,435.70 METAL STUD FRAMING (L) $64,332.00 $64,332.00 _ $64,332.00 100.00% $6,433.20 METAL STUD TRUSSES (M) $7,089.00 $7,089.00 $7,089.00 100.00% $708.90 METAL STUD TRUSSES (L) $12,440.00 $12,440.00 $12,440.00 100.00% $1,244.00 DRYWALL/SHEATHING (M) $27,061.00 $27,061.00 $27,061.00 100.00% $2,706.10 DRYWALL/SHEATHING (L) $70,220.00 $66,709.00 $3,511.00 I $70,220.00 100.00% $7,022.00 !ACOUSTICAL CEILINGS (M) $14,040.00 $14,040.00 ACOUSTICAL CEILINGS (L) I $9,360.00 $9,360.00 TILE (M) $34,431.00 $34,431.00 $34,431.00 100.00% $3,443.10 TILE (L) $24,000.00 $3,600.00 $3,600.00 15.00% $20,400.00 $360.00 RESILIENT FLOORING (M) $12,004.00 $12,004.00 RESILIENT FLOORING (L) $8,002.00 $8,002.00 CARPET(M) $7,541.00 $7,541.00 CARPET (L) $3,232.00 $3,232.00 PAINTING (M) $17,207.00 $17,207.00 PAINTING (L) $11,471.00 $11,471.00 DIRECTORY(M) $2,200.00 $2,200.00 DIRECTORY (L) $300.00 $300.00 SIGNAGE (M) $1,700.00 $1,700.00 SIGNAGE (L) $300.00 $300.00 FIRE EXTINGUISHERS (M) $2,025.00 _ $2,025.00 FIRE EXTINGUISHERS (L) $596.00 $596.00 TOILET PARTITIONS (M) $18,000.00 $18,000.00 TOILET PARTITIONS(L) $4,500.00 $4,500.00 TOILET ACCESSORIES (M) $21,260.00 $21,260.00 TOILET ACCESSORIES (L) $2,590.00 $2,590.00 OH&P $67,290.00 $38,230.00 $6,179.00 $44,409.00 66.00% $22,881.00 $4,440.90 co#1 $11,675.00 $11,675.00 $11,675.00 100.00% $1,167.50 ❑5FAIA DOCUMENT G703 • CONTINUATION SHEET FOR G702 • 1992 EDITION • AIA • © 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-529211 105FEI4F❑bG703-1992❑ CONTINUATION SHEET AIA DOCUMENT G703 PAGE OF PAGES AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 6.0.0 Contractor's signed certification is attached VILLAIit VN I rit lillttN AI'PLICAI ION LJAI L: 23-Sep-1U In tabulations below, amounts are stated to PERIOD TO: 23-Sep-10 Use Column I on Contracts where variable retainage for line items may apply. CM'S PROJECT NO: A B C D E F G 1 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) (D+E) (NOT IN TO DATE D OR E) (D+E+F) CO#2 $5,299.00 $5299.00 _ $5,299.00 100.00% $529.90 CO#3 $57,313.00 $39,488.00 $39,488.00 68.90% $17,825.00 $3,948.80 TOTAL: $982,712.00 $533,097.00 $128,053.00 $661,150.00 67.28% $321,562.00 $66,115.00 1 f I I l 05FAIA DOCUMENT G703 • CONTINUATION SHEET FOR G702 • 1992 EDITION • AIA - © 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292II❑05FE4FL1bG703-1992❑