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Home My WebLink AboutM.A.B. & ASSOCIATES, INC.- 001353- 11/18/2010 J.0 CARMEL. REDEVELOPMENT COMMISSION 001353 M.A.B. &Associates, Inc. Check: 1353 7648 Camelback Drive Date: 11/18/2010 Indianapolis, IN 46250 Vendor: MAB &Al Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 9 40 28,923.00 28,923.00 0.00 0.00 28,923.00 Application nine 28,923.00 28,923.00 0.00 0.00 28,923.00 1.6' T:HIStCHECKMASTAFCOLORED`BACKGROUNDIAND CONTAINStMULTIRM SECURITYiE.EATURES SEMBACKRFORIDETAILS 6MM Alt,nESiment Commission Carmel Redevelopment REGIONS 00135-3 30 West Main Street A. Suite 220 20-1421/740 OCARMELt Carmel, IN 46032 �STR�L 1353 DATE AMOUNT 11/18/2010 ************28,923.00 PAY THE SUM OF TWENTY EIGHT THOUSAND NINE HUNDRED TWENTY THREE DOLLARS • TO THE _ ORDER OF M.A.B. &Associates, Inc. '7648 Camelback Drive s m Indianapolis, IN 46250 M. 4RFA Tom 1 OO L353" ':0 740 L4 2 L3': 00 ? 5041 L Li" CARMEL REDEVELOPMENT COMMISSION 001353 M.A.B. &Associates, Inc. Check: 1353 7648 Camelback Drive Date: 11/18/2010 Indianapolis, IN 46250 Vendor: MAB&Al Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 9 40 28,923.00 28,923.00 0.00 0.00 28,923.00 Application nine _ 28,923.00 28,923.00 0.00 0.00 28,923.00 u ;,g= Document 702/C aN — 1992 Lip Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: - /� PROJECT: CA/met t�q i�i.4•,r,.'S j1n i`s APPLICATION NO: ,�ji1%r+� Distribution to: CA2 /� L P PERIOD TO: /.1-0/i 4) OWNER ❑ 0•s•( lrv•c. j - C, ewe j, . 44.4 3 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: , VIA C�9NS,TRUCTI( J M GER: CONTRACT DATE: z 1 • ' ARCHITECT ❑ ,4 i1 . Add°�',.a Tsr• C. SW/.t.l�'5A 1C�"w PROJECT NOS: Eby ra el hA 26g Sl 3/2 I CONTRACTOR ❑ �_ l Co VIA ARCHITECT: QSO t��to,1 (TS r,.4;1.A .l•s .... ,4 FIELD 0 CONTRACT FOR: j7--,f 0.44.4.1..7:41 04 .'Or_ ❑ 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 Payment has been completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Document G703,is attached. Certificates .t:Payme1t were issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 2.6-31 guf'Z pa • -nt shown herein is ow due. 2.Net change by Change Orders $ /01'Z 7 S C NTRACTORR: 3.CONTRACT SUM TO DATE(Line I ±2) $ 7j /67 By: - Date: ?/2v f/0 I. 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) $ 2'/3 59 7 State of: 5.RETAINAGE: County of: �tc::.�. a. %of Completed Work Subscribed and sworn to before n � (Column D+Eon 0703) $ me this 2-0 . .f + o ammoa uu r."tt�.;tz moon Ci ty b. %of Stored Material Notary Publi •L' // ;'+».#: My Commission Escpbetc (Column F on G703) $ My Commis ion expires: q 3/, 492015 Total Retainage(Lines 5a+5b or Total in Column I of G703). $ /3 7o7 55— CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ 3ai 3 S�• I 1 this application,the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) 1 ,... knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 20 Z/426, 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 $ Z g 23,co I AMOUNT CERTIFIED $ aa (Attach explanation if amount certified differs 'om t amount applied.Initial all frgures on this 9.BALANCE TO FINISH,INCLUDING RETAINAGE �S Application and 1.. e Continuation eel t t are c anged to conform with the amount certified.) (Line 3 less Line 6) $ � 76 7, CONST• TION BY: J1 T -�� ∎ ' '- — . Date: 7r C7 ADDITIONS T DEDUCTIONS '�,�� CHANGE ORDER SUMMARY _ ARCHITECT Total changes approved in previous months by Owner $ $ By: �� - Date: ��'a• Z� tRe Total approved this Month $ $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable onl to the ontractor TOTALS $ $ 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. 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. AlA Document G702/CMan,–1992.Copyright 01992 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 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. CONTINUATION SHEET Date 9/19/2010 APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NUMBER: eight Contractor's signed Certification is attached. APPLICATION DATE: 9/18/2010 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 9/30/2010 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO. 19/22 A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL '4 BALANCE RETAINAGE NO VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (O/C) TO FINISH APPLICATION STORED AND STORED (C-G) (D+E) (NOT IN TO DATE 7 D ORE) (D+E.F) 0100 Base Contract 0101 Performance&Payment Bond $ 3,870 00 $ 3,870.00 $ 3,870 00 100% $ - 387.00 0102 Detailing&Engineenng $ 16,695 00 $ 16,695.00 $ 16,695 00 100% $ - 1669.50 0103 Matenal MT 1 a rail $ 15,962 00 $ 15,962.00 $ 15,962 00 100% $ - 1596 20 0104 Fabncation MT la 5 68,191 00 $ 68,191.00 $ 68,191 00 100% $ - 681910 0105 Installation $ 15,600 00 $ 7,750.00 $ 6,070.00 $ 13,820.00 88% $ 1,780 00 1382 00 0106 Material MT 1b $ 9,271 00 $ 9,271 00 $ 9,271 00 100% $ - 927 10 0107 Fabncation MT lb $ 28,202 00 $ 14,101 00 $ 12,000.00 $ 26,101 00 95% $ 2,10100 261010 0108 Installation $ 8,700 00 $ 4,35000 $ 4,350 00 50% $ 4,350 00 435 00 0109 Material MT 1c $ 9,528 00 $ 9.528 00 $ 9,528 00 100% $ - 0 00 0110 Fabriation MT1c S 29,952 00 $ 29,952.00 $ 29,952 00 100% $ - 2995 20 Installation $ 7,99000 $ 3,75000 $ 3,75000 46% $ 4,24000 Material 1-line $ 3,724.00 $ 3,724.00 $ 3,724.00 100% $ - Fabrication $ 5,916.00 $ 1,183 00 $ 1,183 00 20% $ 4,733.00 Installation $ 2,183.00 $ 2,183.00 Powder Coat MT 1A $ 11,091.00 $ 11,091.00 $ 11,091.00 100% $ - Powder Coat MT 1B $ 3,482.00 $ 3,482.00 $ 3,482 00 100% Powder Coat MT 1C $ 7,352.00 $ 5,514.00 $ 1,838.00 $ 7,352 00 100% $ - Powder Coat Single line $ 1,173.00 $ 1,173.00 Change Order#1 5 8,460 00 $ 8,460 00 $ 8,460.00 100% $ - Cash Allowance Authorization $5,000 $ 5,000 00 $ 5,000 00 100% $ - Change Order#3 $1,815 $ 1,81500 $ 1,81500 100% $ - TOTAL $ 264,157.00 $ 214,674.00 $ 28,923.00 $ - $ 243,597.00 0% $ 20,560.00 AFFIDAVIT AND WAIVER OF LIEN Final v Partial Payment to follow ST O INDIANA, COUNTY OF �lu.i, "� . SS: ,___.- � � being duly sworn states that he/she is the (title) (supplier or subcontractor) having contracted with ("., K Cr&-t iv,c,k' to furnish certain material I, (contractor) and/or labor as follows: ti i..,-�,, C+� A,N4k�, ,•c ZL ,C (LA ,B,t n��Ck V 1 Z• -, / (desc ripti•n)A_for the prof y kno as_ v 44 .4 1 c located at V 410 - ---� i and awned by 1 _- c_ :,k architect (' Sc:., -� . and does hereby Roger state on behalf of the aforementioned subcontractor/supplier. PARTIAL WAIVER that the balance due from contractor is the sum of , dollars($ /E--e ""/S, 'Y ( treceipt of which is hereby acknowledged; or ( )the payment of which has been promised as the sole consideration for this affidavit and partial Waiver of Lien,which is given to and for said amount, effective upon receipt for such payment; FINAL WAIVER that the final balance due from the contractor is the sum of . dollars($ ) ( )receipt of which is hereby acknowledged: or ( )the payment of which has been promised as the sole consideration for this affidavit and partial Waiver of Lien which shall become effective upon receipt for such payment. THEREFORE,the undersigned waives and releases unto the owner of said premises,any and All lien of claim whatsoever on the above described property improvements thereon on account of labor and materials, or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned fo - _'• •a3magnt,and within the scope of this affidavit and waiver. AA 4 C,C;AIe ,71.c, . , - i \ / (name of claimant) ' authorizelt"representativ-) (title) Witness my hand and notarial seal, this ZO day o A 'l9 Alp My cornmissi empires: y�- zG• ; ,/� / _ (srgnalturc of notary) Residing in a,c L County Printed . ;b, Deborah Dimes Nat Resident 01 W My Commission E 2 K., 5 •