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HomeMy WebLinkAboutMAXWELL ELECTRIC- 336- 8/11/2011 Maxwell Electric Check: 336 2601 N Arlington Ave Date: 8/11/2011 Indianapolis, IN 46218 Vendor: MAXWELL Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 10 208,286.69 208,286.69 0.00 0.00 208,286.69 App 10 on Theater 208,286.69 208,286.69 0.00 0.00 208,286.69 336 8/11/2011 ********208,286.69 THE SUM OF TWO HUNDRED EIGHT THOUSAND TWO HUNDRED EIGHTY SIX DOLLARS AND 69 CENTS******** Maxwell Electric 2601 N Arlington Ave Indianapolis, IN 46218 Maxwell Electric Check: 336 2601 N Arlington Ave Date: 8/11/2011 Indianapolis, IN 46218 Vendor: MAXWELL Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 10 208,286.69 208,286.69 0.00 0.00 208,286.69 App 10 on Theater 208,286.69 208,286.69 0.00 0.00 208,286.69 1r ® 0-Y:k4:- Document 6732 ® 2009 Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: Carmel Theater Development PROJECT: Village On The Green APPLICATION NO:010 DISTRIBUTION TO: Corporation LLC 3rd Ave SW OWNER 11711 North Pennsylvania Carmel In 46032 PERIOD TO:May 12,2011 CONSTRUCTION MANAGER Street Suite 200 ARCHITECT Carmel In 46032 FROM Maxwell Electric VIA CONSTRUCTION Signature Construction LLC CONTRACT DATE:.June 23,2010 CONTRACTOR 2601 N Arlington Ave FIELD CONTRACTOR: � MANAGER: PROJECT NOS: /12012/ OTHER Indianapolis In 46218 CONTRACT FOR: General Construction VIA ARCHITECT: Pedcor Design Group,LLC CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and belief the Work covered by this Application for Payment has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Document that all amounts h ve been paid by the Contractor for Work for which previous AIA Document G703TM' Continuation Sheet,is attached. Certificates for Payment were issued.a pays ents received from the Owner,and that current payment 1. ORIGINAL CONTRACT SUM $ 1,429,142.00 shown herein is"now due. 2. NET CHANGES IN THE WORK $ 260,774.92 CONTRACTO)2Y 3. CONTRACT SUM TO DATE(Line 1±2) $ 1,689,916.92 By: �V )(7! Date: AO/7 4. TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $ 1,305,915.83 State of:Indiana 5. RETAINAGE: County of:Marion a. 10 %of Completed Work Subscribed.atd sworn to befdr r (Column D+ Eon G703) $ 130,591.58 me this / day of j''y' / f ,*'''. s • b. 0 %of Stored Material Notary Pub ic:Jacki Hong r < . z?'r (Column Fon G703) $ 0.00 My Commission expires:March 21,2012 -/ ( ` � Qt " ' /Total Retainage(Lines 5a+ 5b,or Total in Colman l on G703) $ 130,591.58 CERTIFICATE FOR PAYMENT 14E4,-- F ;'^g' 6. TOTAL EARNED LESS RETAINAGE $ 1,175,324.25 In accordance with the Contract Documents,ba ed on evaluations of the Work and th41 : t.e`. Igo-4 (Line 4 minus Line 5 Total) this application,the Construction Manager and Architect certify to the Owner that to the ,::,,:oN cid' 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 967,037.55 knowledge,information and belief the Work ha rogre-ssed as indicated,the quality of the' ' ' '6'in (Line 6from prior Certificate) accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 8. CURRENT PAYMENT DUE $ 208,286.69 AMOUNT CERTIFIED $ 208,286.69 A '1 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 minus Line 6) $ 514,592.67 CONSTRUCTION.MANAGER:- By: Date: SUMMARY OF CHANGES IN TI HE WORK ADDITIONS DEDUCTIONS �T.Ij le i nt actor Pe responsible for perfornnating portions of the Project, the Architect's Certification 's not requir Total changes approved in previous months by Owner$ 311,103.30$ 50,328.38 By: /,� �r�'t2' 6/i/ Date: Total approved this month including Construction Change Directives $ 0.00$ 0.00 This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor named TOTALS $ 31 1,103.30$ 50,328.38 herein.Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner NET CHANGES IN THE WORK $ 260,774.92 or Contractor under this Contract. AIA Document G732T""—2009(formerly G702T"CMa—1992).Copyright©1992 and 2009 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 1 the maximum extent possible under the law.This document was produced by AIA software at 15:51:42 on 05/16/2011 under Order No.4660459791_1 which expires on 01/19/2012,and is not for resale. User Notes: (2054449203) '��O Document 7M �; t 6703 - 1992 Continuation Sheet MA Document, G702TM-1992,Application and Certification for Payment, or 0736T"1-2009, APPLICATION NO: 010 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE: 05/12/2011 containing Contractor's signed certification is attached. In tabulations below,amounts are in US dollars. PERIOD TO: 05/15/2011 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 12012 A B C D E F G H I ■WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (D+E) (NOT IN D OR E) (D+E+F) (C-G) RATE) 1 126-1000 Bonding 19,200.00 19,200.00 0.00 0.00 19,200.00 100.00% 0.00 0.00 2 126-1001 Submittals 6,800.00 6,674.00 126.00 0.00 6,800.00 100.00% 0.00 0.00 126-1002 Switch 3 Gear Mateial 216,800.00 212,464.00 4,336.00 0.00 216,800.00 100.00% 0.00 0.00 126-1003 Switch 4 Gear Installation 98,555.00 96,583.90 1,971.10 0.00 98,555.00 100.00% 0.00 0.00 126-1004 Lighting 5 Protection Material 18,685.00 16,816.50 0.00 0.00 16,816.50 90.00% 1,868.50 0.00 126-1005 Lighting Protection 6 Installation 9,400.00 4,230.00 2,170.00 0.00 6,400.00 68.09% 3,000.00 0.00 126-1006 Light Fixtures Material 1st 7 Floor 128,000.00 87,040.00 5,300.00 0.00 92,340.00 72.14% 35,660.00 0.00 126-1007 Light Fixtures Material 2nd 8 Floor 78,400.00 50,962.00 11,943.00 0.00 62,905.00 80.24% 15,495.00 0.00 126-1008 Light Fixtures Material 3rd 9 Floor 20,177.00 13,116.05 3,100.00 0.00 16,216.05 80.37% 3,960.95 0.00 126-1009 Light Fixtures Installation 10 1st Floor 42,000.00 9,240.00 7,560.00 0.00 16,800.00 40.00% 25,200.00 0.00 126-1010 Light Fixtures Installaton 11 2nd Floor 50,990.00_ 11,217.80 24,500.00 0.00 35,717.80 70.05% 15,272.20 0.00 AIA Document G703'M-1992.Copyright m 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAe Document is protected by U.S. Copyright Law and international Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 1 the maximum extent possible under the law.This document was produced by AMA software at 15:52:58 on 05/16/2011 under Order No.4660459791 1 which expires on 01/19/2012,and is not for resale. User Notes: (1949657433) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS FROM COMPLETED o BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /o NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (G C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 126-1011 Light Fixtures Installation 12 3rd Floor 97,000.00 21,340.00 46,560.00 0.00 67,900.00 70.00% 29,100.00 0.00 126-1012 Lighting 13 Hoist Material 98,660.00 98,660.00 0.00 0.00 98,660.00 100.00% 0.00 0.00 126-1013 Lighting 14 Hoist Installation 25,600.00 25,088.00 512.00 0.00 25,600.00 100.00% 0.00 0.00 126-1014 Fire Alarm 15 Material 1st Floor 29,880.00 16,434.00 6,872.40 0.00 23,306.40 78.00% 6,573.60 0.00 126-1015 Fire Alarm 16 Material 2nd Floor 8,724.00 4,798.20 2,006.50 0.00 6,804.70 78.00% 1,919.30 0.00 126-1016 Fire Alarm 17 Material 3rd Floor 8,251.00 4,538.05 1,898.00 0.00 6,436.05 78.00% 1,814.95 0.00 126-1017 Fire Alarm 18 Installation 1st Floor 17,440.00 8,371.20 349,00 0.00 8,720.20 50.00% 8,719.80 0.00 126-1018 Fire Alarm 19 Installation 2nd Floor 9,880.00 3,952.00 3,458.00 0.00 7,410.00 75.00% 2,470.00 0.00 126-1019 Fire Alarm 20 Installation 3rd Floor 9,570.00 3,828.00 2,871.00 0.00 6,699.00 70.00% 2,871.00 0.00 126-1020 HAVC 21 Material 18,800.00 17,860.00 0.00 0.00 17,860.00 95.00% 940.00 0.00 126-1021 HAVC 22 Installation 26,979.00 25,630.05 0.00 0.00 25,630.05 95.00% 1,348.95 0.00 126-1022 General Rough Material 1st 23 Floor 46,410.00 34,807.50 1,392.00 0.00 36,199.50 78.00% 10,210.50 0.00 126-1023 General Rough Material 2nd 24 Floor 27,600.00 20,700.00 830.00 0.00 21,530.00 78.01 % 6,070.00 0.00 126-1024 General Rough Material 3rd 25 Floor 29,491.00 22,118.25 885.00 0.00 23,003.25 78.00% 6,487.75 0.00 AIA Document G703""-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAx Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA5 Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to 2 the maximum extent possible under the law.This document was produced by AIA software at 15:52:58 on 05/16/2011 under Order No.4660459791_1 which expires on 01/19/2012,and is not for resale. User Notes: (1949657433) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS FROM COMPLETED a BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY /° NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G-C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 126-1025 General Rough Installation 1st 26 Floor 68,690.00 51,517.50 2,060.00 0.00 53,577.50 78.00% 15,112.50 0.00 126-1026 General Rough Installation 27 2nd Floor 27,000.00 20,250.00 810.00 0.00 21,060.00 78.00% 5,940.00 0.00 126-1027 General Rough Installation 28 3rd Floor 45,510.00 34,132.50 1,365.30 0.00 35,497.80 78.00% 10,012.20 0.00 126-1028 General Finish Material 1st 29 Floor J 10,400.00 0.00 1,040.00 0.00 1,040.00 10.00% 9,360.00 0.00 126-1029 General Finish Material 2nd 30 Floor 5,200.00 0.00 2,080.00 0.00 2,080.00 40.00% 3,120.00 0.00 126-1030 General Finish Material 3rd 31 Floor 3,200.00 0.00 1,280.00 0.00 1,280.00 40.00% 1,920.00 0.00 126-1031 General Finish Installation 1st 32 Floor 38,500.00 0.00 3,850.00 0.00 3,850.00 10.00% 34,650.00 0.00 126-1032 General Finish Installation 33 2nd Floor 17,300.00 0.00 6,920.00 0.00 6,920.00 40.00% 10,380.00 0.00 126-1033 General Finish Installation 3rd 34 Floor 10,050.00 0.00 4,020.00 0.00 4,020.00 40.00% 6,030.00 0.00 35 126-1034 Allowance 60,000.00 35,576.20 0.00 0.00 35,576.20 59.29% 24,423.80 0.00 126-1035 CO.031 39 V.E -12,166.00 -12,166.00 0.00 0.00 -12,166.00 100.00% 0.00 0.00 126-1036 7C1.CO 48 40 Tax Exempt -33,288.00 -33,288.00 0.00 0.00 -33,288.00 100.00% 0.00 0.00 AIA Document G703""-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AEA`Document is protected by U.B. 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 3 the maximum extent possible under the law.This document was produced by AIA software at 15:52:58 on 05/16/2011 under Order No.4660459791 1 which expires on 01/19/2012,and is not for resale. User Notes: (1949657433) A B C D E F G H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED nee BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS STORED AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD DATE (G±C) (D+E) (NOT IN D OR E) (D+E+F) (C G) RATE) 26-1037 41 CO-91-PR.25 7,596.40 7,596.40 0.00 0.00 7,596.40 100.00% 0.00 0.00 126-1038 42 CO-76-PR.09 62,391.30 42,326.08 12,578.26 0.00 54,904.34 88.00% 7,486.96 0.00 126-1039 Garage 43 Light 3,699.30 3,699.30 0.00 0.00 3,699.30 100.00% 0.00 0.00 126-1040 44 CO-96-PR.24 -4,874.38 -4,874.38 0.00 0.00 -4,874.38 100.00% 0.00 0.00 126-1041 45 CO-111-PR.26 188,623.68 84,893.55 60,347.00 0.00 145,240.55 77.00% 43,383.13 0.00 126-1042 CO-104 46 Garage Heat 6,439.10 0.00 6,439.10 0.00 6,439.10 100.00% 0.00 0.00 126-1043 CO.121 Schedule 47 Acceleration 8,600.00 4,300.00 0.00 0.00 4,300.00 50.00% 4,300.00 0.00 124-1044 CO.129 Architectural 48 Dimming 28,900.00 0.00 0.00 0.00 0.00 0.00% 28,900.00 0.00 126-1045 CO.135 49 PR.40&41 4,853.52 4,853.52 0.00 0.00 4,853.52 100.00% 0.00 0.00 GRAND TOTAL $1,689,916.92 $1,074,486.17_ $231,429.66 $0.00 $1,305,915.83 77.28% $384,001.09 $0.00 - AIA Document G703T"-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 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 Ale Document,or any portion of it.may result in severe civil and criminal penalties,and will be prosecuted to 4 the maximum extent possible under the law.This document was produced by AIA software at 15:52:58 on 05/16/2011 under Order No.4660459791 1 which expires on 01/19/2012,and is not for resale. User Notes: - (1949657433) • G703 CONTINUATION SHEET Page 2 of 2 To( From( Project: Application No. ( 10 Carmel Theater Development Corporation,LLC Maxwell Electric Village on the Creen Application Date( 5/15/11 11711 North Pennsylvania St,Suite 200 Parcel 7C1-Theater Period To 5/15/11 Carmel,IN 46032 Carmel,IN 46032 Engineers Project No. ( 12012 A B C D I E F G H I Work Completed Materials Total Presently Completed Balance Retainage Item Scheduled From Previous Stored and Stored % To If # Description of Work Value Application This Period (Not in TO Date (G/C) Finish Variable _ D or E) (DrE+F) (C-G) 126-1034 Allowance $60,000 VOG.7C1.CO.029 - Phone Conduits 2,120.00 2,120.00 0.00 0.00 2,120.00 100% 0.00 0.00 VOG.7C1.00.030 - AT&T Conduits 5,068.84 5,068.84 0.00 0.00 5,068.84 100% 0.00 0.00 VOR.7C1.00.38-PR.012 141.30 141.30 0.00 0.00 141.30 100% 0.00 0.00 C0.59 Phone Conduits #2 1,453.84 1,453.84 0.00 1,453.84 100% 0.00 CO.67-PR.20 (1,365.12) (1,365.12) 0.00 (1,365.12) 100% 0.00 C0.76-PR09 52,581.14 21,836.96 6,320.38 28,157.34 59% 24,423.80 0.00 0.00 60,000.00 29,255.82 6,320.38 0.00 35,576.20 59% 24,423.80 0.00 F PRIME CONTRACTOR'S UNCONDITIONAL PROGRESSIVE WAIVER OF LIEN ' Being duly sworn upon his/her oath disposes and says that: 1. He/she is NI ,- I ' serting sole proprietor, partner or corporate office held, as the case maybe), of E i M - i hereafter called the "Prime Contractor". He/she is over the age of twenty-one.He/s e is authorized to make this affidavit on behalf of Prime Contractor. 2. Prime Contractor is the FACLC__S-/ Prime Contractor for the construction of the Village on the Green - Parcel 7C1 - Theater Building development, located Carmel (City), Indiana (state), hereafter referred to as the "Development", pursuant to the contract between the Prime Contractor and Carmel Theater Development Corporation,LLC,the Owner. 3. Prime Contractor hereby waives and releases any and all liens and rights to claim a lien to which Prime Contractor is or may be entitled for services, labor, and/or materials furnished for the Development for work covere by and through the date of the Prime Contractor's Application and Certification for Payment number Jo dated 1//t14/ 4. There are no bills, charges, costs or expenses for services, labor, and/or material which could now or hereafter result in lien being filed, or a right to claim a lien, against the Development or a claim being asserted against the Owner for this work. 5. Prime Contractor has been paid in full, exclusive of retainage, for all services, labor, and materials furnished to, provided for:, or used in confection with, the Development through the period noted above and acknowledges the receipt of ` O3'Mo date. i - IN WITNESS WHERE OF,affiant has signed this document o be2110alifof th;Prime, Contractor this I d) day of �M ljA�^\ :�� l ////:‘,f// ' ;C fV__Lee. pi,,,ak.j07.„,,.. (Authorized Representative of Prime Contractor, Title) County of) VAJ State of A il 1 .4, Subscribed and sworn to before me,a Notary Public in and for said County and State,This / . Day of c,;,‘ --- _ / 20 1 /2 c____).i d tc 1(Notary' kc �/f ls' f x `xr x 1 •My Commission Expires: J J2///2 (r s q,. '6'(''' 4hig4 - NOTARY SEAL MUST APPEAR ON TH �'' Lii . I. PRIME CONTRACTOR'S SWORN STATEMENT OF ` INDEBTNESS &WAIVER OF LIEN STATE OF Indiana COUNTY O Hamilton L4)( G*,, Id FJ46A,' A_L Being duly sworn upon his/her oath disposes and says that: ,n 1. He/she is 1 u V 1 $ , -rting sole proprietor, partner or corporate office held, as the case maybe), of Maxwell Electrci Inc. hereafter called the "Prime Contractor". He/she is over the age of twenty-one. He/she is authorize to make t is affidavit on behalf of Prime Contractor. 2. Prime Contractor is the ' " ) Prime Contractor for the construction of the development known as VILLAGE ON THE GREEN — PARCEL 7C1 — THEATER BUILDING located in CARMEL (City), INDIANA (state), 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. .upplier.Lisp(Ad. 'st if.a-ee.sary. 1. Amount Owed 2 3 rar agrl.Ui?llr EMMrs%il PA #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. iz___-__ IN W THE HERE OF, affiant has signed this docum t on3behalf of the Pr,jme Contractor this dayo U , 20 (( . c / �V ✓(� t 1J'l(Authorized Rep esentative of Prime Contractor, Title) County of Q,f C/\ ) State of'M / fit— ) Subscribed and sworn to,c:. .e me, a Notary Public in and for said County and State, rJ ' This Day`z Glaze M -------- , 20 ( / i , �l A , •'',, / st .4 ,, >� (Nota�,y Publ c.y r` 6 ,A_ 4.(i (Printed Name) J My Commission Expires: NOTARY SEAL MUST APPEAR ON THIS FORM. 1 INVOICE 4: 4 31,1(4 ' ELL, 0,1 .Co ® '-' • MASONRY CONTRACTORS 2115 ANDREW J. BROWN AVE. • INDIANAPOLIS, INDIANA 46202 21 757 ph. (317) 925-4261 fax (317) 925-4263 Signature Const. LLC. Date 05-31-2011 One Pedcor Square TO: 720 3rd Avenue SW 210056 Carmel, IN 46032 Job No. P.O. No. RE: Village on the Green 7-C ESTIMATE NO: 8 Labor, material, equipment and accessory appurtenances in place or stored to date at the above referenced project: 881,569.00 Less 10 % retained 88,156.90 Total earned less retainer 793,412.10 Less Previous applications 773,356.32 TOTAL DUE THIS ESTIMAT O: 8 20,055.78