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HomeMy WebLinkAboutCIRCLE B CONSTRUCTION SYSTEMS - 1003 - 226,649.20 - 8/2/2010 = AIA Document G702/CMaTM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition • 39 TO OWNER: PROJECT: APPLICATION NO: 20 Distribution to: CARMEL REDEVELOPMENT 'COMMISSION CARMEL PERFORMING ARTS CENTER ONE CIVIC SQUARE PERIOD TO 5/15/2010 OWNER ❑ CARMEL, IN 46032 CONSTRUCTION MANAGER El FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 4/77/08 ARCHITECT ❑ CIRCLE B CONSTRUCTION SYSTEMS SHIEL SEXTON COMPANY 5636 S, ;MERIDIAN ST. PROJECT NOS: CONTRACTOR El INDIANAPOLIS, IN 46217 VIA ARCHITECT: 2695-4090 FIELD ❑ CONTRACT FOR: INTERIOR FINISHES CSC ARCHITECTS ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the hest 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 Continuation is Sheet,AIA Document G703,is attached. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates For r t t re issued and payments received from the Owner, and that. current 1.ORIGINAL CONTRACT SUM _ 5 5,394,500.00 payment sho i . -: •r iv due ii 2. Net change by Change Orders S (19,569 .00) CONT• • OR B CONSTRUCTION SYSTEMS 3.CONTRACT SUETODATERaueI ±2) 56,374, 931.00 BY: / /i�� Date. . �j�ao/C DATE Column G on 0703 - State of: r r 1111 • l $ 5,644,827 .63 / DAN, 5.RETAINAGE County o-. 1ARION a %of Completed Work Subsu-- cd d swot bef^Ye �,/n CATHVAGINCER (Column D+Eon G703) $ 31$ ,746 .55 meths �� ,7 0 RAMC STATE OF INDIANA JOHNSON COIJFF$1 2017 h To of Stored Material Notary public: f�l ir, �� COMAAlSSION (Column F on G703) S My Commission pr c.: , Total Reiainamrc (Lines 5a+513 or Total in Column I of 6703)_. $ 318,746. 55 CERTIFICATE FOR PAYMENT fi.TOTAL EARNED LESS RETAINAGE $ 5 32 In accordance with the Contract Documents, based on on-site observations and the data comprising 6 r 081. 08 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 $ 5,099,431...88 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. (Line 6 from prior Certificate) L} �� 8.CURRENT PAYMENT DUE I S 226_,649 70 AMOUNT CERTIFIED ._p. ........., $ 2 2 4' X04 (Atrach ctpiauanon rfernauut ecrlified differ,fr n Ord atnatnt applied. Initial all figures on this 9.BALANCE TO FINISH,INCLUDING RETAINAGE,,, r Applicann and on t Continuation Sh a that 'ten 011ged to conform with titer flaunt certrfred.) (Line 3 less Line 0) $ 1 ,045,849 ,92 CONST TION MA E:• By N' J�%w — = Date 0 l/f7 CHANGE ORDER SUMMARY ADDETTONS DEDUCTIONS ARCHIT :'�`` h`, „ '- / Total changes approved in previous months by Owner $ $ By r�! Date: 5 �2'� 1 p Total approved this Month $ $ This Certificate is not ncgotizble. The AMOUNT CERTIFIED is payable only to the Contractor -TOTAf.S $ $ 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. _ AIA Document G702VCMaTe-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 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,a-mail The American Institute of Architects'legal counsel,copyright @aia.org. =AIAT Document G7021CM1 - 1992 Instructions Application and Certificate for Payment Construction Manager-Adviser Edition A.General Information AIA Document G7021CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition, is to be used in conjunction with AIA Document 6703, Continuation Sheet.These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A2011CMa,General Conditions of the Contract for Construction,Construction Manager-Adviser Edition,1992 Edition. B.Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G7021CMa,but only for use in connection with a particular project.The AfA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright©aia.org. C.Completing the G702/CMa Form Atter the Contractor has completed ANA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G7021CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor should sign G702ICMa,have it notarized and submit it,together with 6703, to the Construction Manager and Architect. The Construction Manager and Architect should review G702/CMa and 6703 and,if they are acceptable,complete the Certificate for Payment on G702JCMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A201/CMa.They should then initial all figures on G702JCMa and G703 that have been changed to conform to the amount certified and attach an explanation.The completed G702/CMa and G703 should be forwarded to the Owner. D.Completing the G703 Form Heading:This information should be completed to be consistent with similar information on AIA Document 6702/CMa,Application and Certificate for Payment, Construction Manager-Adviser Edition. Columns A,B&C:These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Projector as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. Column D: Enter in this column the amount of completed work covered by the previous application(columns D 8 E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period). Column G:Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own G703 farm o(@t.fhe end of the basic schedule.The amount of the original contract adjusted by Change Orders is to he entered in the appropriate location on the G702(CMa form*. Construction Change Directives:Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201ICMa, E.Making Payment �,z The Owner should make payment directly to the Contractor based on the amount certified bythe Construction Manager and Architect on AIA Document G7021CMa, c.• , Application and Certificate for Payment,Construction Manager-Adviser Edition.The completdrm contains the name and address of the Contractor.Payment should not be made to any other party unless specifically indicated on G702ICMa. 3 G AIA Document G702ICMai°—1992.Copyright ®1992 by The American Institute of Architect.Alit rights reserved.WARNING:This Ale Document is protected by U-5. 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 violarions of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. tAIA Document .G703" - 1992 Continuation Sheet AIA Document 6702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing.Contractor's signed certification is attadrcd_ APPLICATION DATE: 20 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 05/25/2010 • Use Column Ion Contracts whore variable retainage tor line items may apply_ ARCHITECTS PROJECT NO: 05/25/2010 A H C D Ii F G H I WORK COMPLETED MATERIALS TOTAL BALANCE DESCRIPTION OF WORK PRESENTLY COMPLETED RETA RAGE ITEM SCHEDULED FROM PREVIOUS �" TO S TORED AND STORED (IF VARIABLE NO' VALUE (O=C) FINISH APPLICATION TIIIS PERIOD (NOT IN TO DATE RATE) (0+F) D OR L') (D+E+F) (C-G) 100 BASEMENT FRAME MATL 107.259,00 107,259.00 107,259.00 100.00 101 BASEMENT FRAME LABOR 85.992.00 85,992.00 55.992.00 100.00 102 BASEMENT HANG MAT, 125.006.00 125,006.00 125,006.00 100.00 103 BASEMENT HANG LABOR 133,158 00 133,158.00 133.158,00 10000 104 ORCHESTRA FRAME MATL 118.670.00 118,670.00 118,670.00 100.00 105 ORCHESTRA FRAME LAB 100.71.00 95,677.35 95.677.35 95.00 5,035.65 106 ORCHESTRA HANG MAIL 124,796.00 124.796.00 124.796.00 100.00 107 ORCHESTRA HANG LAB 141.631.00 10622325 14,163.10 120,38635 85.00 21,244.65 108 BALCONY FRAME MATL 108,051.00 108,051.00 108,051,00 100.00 109 BALCONY FRAME LABOR 92.419.00 78,556.15 78,556.15 85.00 13,862.85 110 BALCONY HANG MAT, 115.731 00 115,731.00 1 6,731.00 100.00 111 BALCONY HANG LABOR 129,223.00 64,611.50 64,611,50 50.00 64,611.50 112 BOX TIER FRAME MAIL 135,171.00 135,171.00 135,17100 100.00 113 BOX TIER FRAME LABOR 113.521,00 1 13,521.00 1 13,521.00 100.00 114 BOX TIER HANG MATE 14440,350.00 140,350.00 140,350.00 100.00 115 BOX TIER HANG LABOR 178,584.00 133,938.00 8,929.20 142,867.20 80.00 35.716.80 116 ATTIC FRAME MAT, 102,176.00 102,176.00 102,176.00 100.00 117 ATTIC FRAME LABOR 87,922.00 87.922,00 87,922.00 100.00 118 ATTIC HANG MAIL 90,226.00 90.226 00 90 226.00 100.00 119 ATTIC HANG LABOR 1 10,889.00 110.889,00 110,889.00 100.00 120 ACOUS CEILING MAIL 52,941,00 39,705.75 39,705.75 75.00 13335.25 PAGE TOTALS : 2,394,429.00 2,177,924.25 62,798.05 _00 2,240,722.30 153,706.70 .00 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 G703'"-1992.Copyright 01963.1965,1966 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:Thls 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. 4g . Document G7031M - 1992 Instructions Continuation Sheet GENERAL IN1 ORMATION Purpose and-Relaled Documents. AIA Document G702,Application and Certificate for Payment,is to be used in conjunction with AIA Document 0703. Continuation Sheet.These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA.Document A201.General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition Reproductions.This document is,a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproducethis document, nor does membership in The American Institute of Architects confer any further rights to reproduce this • document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement(EULA),To report copyright violations of AIA Contract Documents,e-mail The American Institute ol Architects'legal counsel, copyrig pt@aia.org. ' COMPLETING THE G703 FORM . • Heading:This information should be.completed in a manner consistent with similar information on AIA Document 6702,Application and Certificate for Payment, Columns A,B,A8 C:These columns should,be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the-commencement ol the Project or as subsequently adjusted.The breakdown may be by sections at the Work or by Subcontractors,and should remain consistent throughout the Project. Multiple pages should be used when required. Colimn C should be subtotaled at the bottom-,When more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may he adjusted,by Change Orders during the Project. . Column D:,Enter in this column the amount of completed Work covered by the previous application(columns 0 8 E from the previous application).Values from column F(Materials Presently Storedfirom the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under-Materials Presently Stored(column F). Column F: Enter here theValue of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay . period.This value covers both mateeials newly stored for which payment is sought and materials previously stared which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted fromthis column and incorporated into column E(Work Completed-This Period). Column G:Enter here the total of columns(YE and F Calculate the percentage completed by dividing column G by column C. Column,H: Enter here the difierence.between column.C'(Scheduled Value)and the column G (Total Completed and Stored to Date). ColumnmI This column is normally used only for contracts where variable retalnage is permitted on a line-item basis. It need not be completed on projects where a constant retaltai nage is withheld from thebderall contract amount. Change'Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not .normally.dbne.Usually, ChengeOrdersare listed separately,either an the awn 0703 form or at the end of the basic schedule. The amount of the original contract adjusted-by Change Orders is tinge entered in the appropriate location of the G702 farm. Construction Change Directives:Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more ' Change-Orders:Amounts remaining indispute should be dealt with according to Section 7.3 in A201. The following is an exampVe ol a Continuation Sheet[Or work in progress_Please note that dollar amounts shown are for illustrative purposes only,and are nod Intended to reflect actjal construction oasis. - - A 1 n C D I E F !' rl WORK COM1-I FT14n MATERIALA II1'I'OI. p%L NCE Ursa1 sciruoULED PROM Pi/FAR/am co tlLElii, % '1U kERLLA,AOE No, UESCRI r•r14S OF WORK - VALDE FRENIODS cr)Rltu A', 01311) [0-0) FINISH aYANL1NI F.HE Ael'I.]CATIO]' I IIIS PFNI(In 6LII IN 'NI)ATE RATE/ in h.If] u Ilk ii (nH+4+1 fl}Cd 1 b10eILIasWIOn 5.000 5.000 0 54100 100 0 2 S1 LIMP REMOVAL 5400 5000 0 5.000 100 3 EAR1H WHRS 15.000 10.000 5.090 15.000 100 0 4 '60,+i3 RETAINING WALL: 10000 0 5:0(X0 5�0 50 5„00 5 , 5 MISC..CONC, 5,0(10 0 0 0 0 5,000 5 PAYING.UPPER PRAM : 20.000 0 0 0 0 20000 7 ' TAYING.LOmE9.OLIVE 20.000 0 0 0 0 20.000 a 19.1/E115 200'00 0 0 100.00 10400 00 10.000 LAHCK WORK 5DW 0 0 0 0 5.000 .0 .1 IO95A0 &WU ,U.J01 151. 00 0OW 910.94V I MA Document 0703113-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects,All rights reserved.WARNING: This AMA®Document is protected by U.S.Copyright law and International Treaties.Unauthorized reproduction or distribution on 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(1n)copies 0I this document when completed_To report copyright violations of AIA Contract Documents,e-mail The American Institute el Architects'legal counsel,copyrighfCciaia.erlg. r_ ,*A . IA Document G703"1 - 1992 Continuation Sheet AlA Document G702.APPLICATION AND CERTIFICATION FOR PAYMENT. APPLICATION NO: containing Contractor's signed certification is attached_ APPLICATION DATE: 20 In tabulations helmv_amounts are stated to the nearest dollar. PERIOD TO: 05/25/2010 Use Column I on Contracts where variable retainatre for tine items may apply. ARCHITECT'S PROJECT NO; 05/25/2010 A B C D I E F 0 H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM PRESENTLY COMPLETED RETAINAGE DESCRTP'f-ION'OF WORK SCHEDULED FROM PREVIOUS `"' TO YO. Y:N I,E STORED AND STORED (O_CI FINISH (IF VARIABLE APPLICAT]OV THIS PERIOD (NO'I'IN TO DATE RATE) (D+E) DORE) (DtE+F) (C-G) 121 ACOIJS CEII.,ING LABOR 40,759.00 8.151.30 8.151.80 20.00 32,607_20 122 INSULATION MAIL 82.670.00 82,670.00 82.670.00 100.00 123 INSULATION LABOR 117,330.00 105,597.00 105,597.00 90.00 11.733.00 200 N/S ELIP CLG METAL NI 51,331.00 51,331.00 51331.00 100.00 201 N/S ELIP CLG METAL L 201.354.00 201,384.00 201.384.00 100.00 202 N/s ELIP CLG PLAS M 74,360.00 74,360.00 74.360.00 100.00 203 N/S ELIP CLG PLAS L 438.153.00 438,]53.00 438.153.00 100.00 204 MAIN ELIP Ow METL M 52.412.00 52,412.00 .52.412.00 100.00 205 MAIN ELIP CLG METL I. 168,703.00 168,703.00 168.703.00 100.00 206 MAIN ELI!' CLG PLAS M 71,273.00 71,273.00 71.273.00 100.00 207 MAIN BLIP CLG PLAS 11 430,314.00 430,314.00 430.314.00 100.00 203 UP/LOW BAI.CNV METL M 0204.00 15,304.00 15.304 00 100.00 209 UP/LOW BALCNY METL L 143.518.00 143,518-00 143,518 00 100.00 210 UP/LOW BALCNY PLAS M 37,975.00 37,975.00 37.975.00 100.00 211 UP/LOW BALCNY PLAS L 633522.00 538,493.70 31__676.10 570.169.80 90.00 63.35220 212 BOX TIER/COL METAL M 10.245,00 10,245.00 10245.00 100.00 213 BOX TIER/COL METAL L 118,363.00 118363.00 118.363.00 100,00 214 BOX TIER/COI. PLASM 70,300.00 70,300.00 70.300.00 10000 215 BOY TIER/COL PLAS L 319.455.00 223.61850 31.945,50 255.564.00 80.00 63.891.00 216 ORCH H/L METAL M 5.317.00 5.317.00 5-317.00 100.00 217 ORCH 341E METAL ], 112.967.00 112.967.00 112,967.00 100.00 218 ORCH H/L PLAS N4 15,260.00 15,260 00 15,260.00 100.00 PAGE TOTALS : 3,210,915 00 2.967.558.20 71,773.40 1 00 3.039.331.60 171583.40 .00 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 G7O3TM-1992.Copyright 0 1963, 1965, 1965 1967,1970, 1978, 1983 and 1992 by The American Institute of Architects,All rights reserved.WARNING:This AIM Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIM 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 len 110}copies of this document when completed.To roped copyright violations of AlA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. -AIA Document G7031M - 1992 Instructions Continuation Sheet GENERAL INFORMATION 1Purposeand Related Documents. MA Document 0702,Application and Certificate for Payment,is to be used in conjunction with AEA Document 0703, Continuation Sheet.These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AlA Document A201,General Conditions of the Contract for Construction. Use of Current Documents. Prior tousing any AIR Contract Document, users should consult www.aia.org or a local AlA component to verify the most recent edition Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission toreproduce this.document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed 0703,but only far use in connection with a,particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the'AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AEA software users should consult the End User " Uicnnse Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel, copyrightaaia.org.. , COMPLETING THE G703 FORM• ; Heading:This infohMation should be completed in a manner consistent with similar information an AIA Document G702,Application and Certificate for Payment. Columns A,9, & et/These columns should be completed by identifying the various portions et the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should(remain consistent throughout the Project. Multiple pages should be used when required. Column C should.be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C maybe adjusted:by Change Orders during the Project. Column.Os Enter in this column the amount of completed Work covered by the previous application (columns D& E from the previous application).Values from column F(Matarials'Pfesenily Stored)-irorn the previous application should not be entered in this column. Column E:Enter here'the value of-Work completed at the time of this application,including the value of materials incorporated in the project that were listed on th'eprevious applicationiunder Materials Presently Stored(column F). Column F: Enter heredhe"value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay . period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Ddirier,for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from•this column and incorporated into column E(Work Completed-This Period). Column a Enter here the total of columns OA and F.Calculate the percentage completed by dividing column G by column C. Column H: Enter here the difference between column C'(Scheduled Value)and the column G (Total Completed and Stored to Date). . Column•l -This-column is normally used bnly for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from th 'oSerall contract amount. -Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually7-0hnge'Orders are listed separately,either on the own G733 form or at the end of the basic schedule.The amount of the original contract adjusted by Change Orders is 1b-be entered in the appropriate location of the 0702 form. Construction Change.Directives:Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more • Change-Orders:Amounts remaining indisputa should be dealt with according to Section 7.3 in A201. The following is an example o/a'Conlinuafion Sheet work in progress.Please role.That clutter amounts shown are for illustrative,nurpoaea only,and are nor intended to reflect actual construction costs, A - n ... C D l E F Ci H I I u' ■KK COMPLLTED MuERIAIS IOPAL ITe'1 Y '- SOIII001.1I1) FRI]1 FRrSrvr C NALAU:r: nESCRII 11155 III WORK ANDTI RED si RFlARIAB;e. Nrr' `c. A,llAlt PEI V10L5 l'HIS PI,RIOD S 0.011.1 A 10IDNI t1U IG�=_0) 1111 s'll IfF VVRIARI F', 1. Ael'IAr:AIIOM1' STIR 'I1)Il Ste N11'N] _ (D+Ei 0oR0 ❑0.11013 (c.al 1 M0EILIZATION 5.000 5.000 0 5.000 00 0 - 2 5701-111 RSMOYAL V 5.000 5.000 0 5000 '00 0 5 EAR'ia AUK 1 15000 10000 5.000 15.000 100 0 LOIJER eoTaININ0 NaLLI 10.000 5.000 5000 50 5.000 . 5 CURES d MISC.cater. 5000 0 0 0 5.000 evlNG.utPEe DRIVE 20.000 0 0 0 20,000 7 rAYRIG.LOSER DRIVE ' 20.000 0 O 0 20n00 C 1E8E S 20_000 0 10.600 10.000 50 10.000 0 ezlp¢veer, 5.000 0 0 0 0 91000 10 ,I —0O p— a) 00 ,022,00 20..00 AIA Document G703TR-1992.Copyright 01963.1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved,WARNING: This ALP Document is protected by U.S.Copyright law and International Treaties,Unauthorized reproduction or distribution on this AIA'Document,or any portion of it,may result in severe civil and criminal penalties,and will he prosecuted to the maximum extent possible under the lees Purchasers are permitted to reproduce ten 110)copies of this document when completed.To'sport copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright©aia orig. *ALV Document G703M - 1992 Continuation Sheet AIA Document G702,APPI,(CATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached APPLICATION DATE: 20 In tabulations below_amounts are stated to the nearest dollar. PERIOD TO: 05!25/2010 Use Column Ion Contracts where variable rctainagc for line items may apply. ARCHITECT'S PROJECT NO. 05!25/2010 A B C 0 H F G H I WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED BALANCE RE'I'A INAGE EM TO DESCRIPTION OP WORK SCHEDULED FROM PREVIOUS STORED AN'D STORED (IF\JAM-ARLE NO VALUE (G-C) FINISH APPLICATION THIS PERIOD (NOT IN TO DATE RATE) ID-E) DORE) (D+E+F) (C-G) 219 ORC11 Il/L. I'LAS L 315.344.00 110.545.40 47.376.60 157.922.00 50.00 157.922.00 220 4090A DEN. ALLOWANCE, 225.000.00 154.03040 4._503,35 158.534,25 70.46 66.465.75 221 40908 CAD ALLOWANCE 5,000 00 5.000.00 3.000.00 100.00 722 4lO0AGENALLOWANCE 175,000.00 90.025.18 15,109.30 105.134.48 60.08 69.365.52 223 410013 CAD ALLOWANCE 5,000.00 5.000.00 5.000.00 i00.00 300 BOND PREMIUM 63312.00 63,312.00 63312.00 100.00 301 .0 O. #1/CC2 #1 DOS 60,100.00 30,050-00 12.020.00 42.070,00 70.00 18.030,00 302 C.0.#21CCR #101 1 27,970.00 27,970.00 303 C.O.�r3/CCR#1012 I-200.00 1200.00 304 C.0.#4/CCR #1014 19.800.00 3.960.00 3,960.00 20.00 15.840.00 305 0.0, #51CCR #1015 51.680.00 6.336.00 6336.00 20.00 25.314.00 306 C.O. #61CCR #1016 27.720.00 2,772-00 2.772.00 5.544.00 20.00 22,176.00 308 CO 48/PA0006(C07 0) 20,490.00 20,49000 20,490.00 100.00 309 CO 9/ALLOWANCE ADJ -236.269.00 -226,269.00 -226.269.00 100.00 310 CO#111141G11 RAILING 17.740.00 17,740.00 17.740.00 100.00 JOB '11)1 41 S • 6 ;74041 OH S Iliad 724' "22r 649 70 00 S.G44,8.2.7.65— 730,10137 3L8,746.55 CAUTION: You should sign an original MA Contract Document,on which this text appears in RED. An original assures that changes will not be obscured. 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 AlA'°Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe 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 at AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyrightetaia,erg. C tg • Document G703 1992 Instructions • Continuation Sheet GENERAL INFORMATION Purpose-and:Related Documents. AIA Document 0702,Application and Certificate for Payment, is to he used in conjunction with AIA Document 0703, Continuation Sheet.These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201, General Conditions of the Contract for Construction. Use'of Current Documents. Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition Reproductions. This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce thistdocument,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.'The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed 0703.but only for use in connection with • a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written pe•mission.from the'AIA_Rights to reproduce the document may vary for users of AIA software,Licensed AIA software users should consult the End User • License Agreement (EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel, .- copyright®aia.org. COMPLETING THE G703 FORM: Heading:This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Cofumris A,B, &C:IThese columns should.be completed by identifying the various portions m the Project and their scheduled values consistent with the schedule • of values submitted.to the�Architect.atthe•commencement of the Project or as subsequently adjusted-The breakdown may be by sections of the Work or by Subcontractors and sheuld'remain consistent throughout the Project.Multiple pages should be used when required. Column C shouldbe subtotaled at the bottom&hen more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum.The total•of column C may,he adjusted,by Change Orders during the Project. Column D:•Enter in.this column the amount of,completed Work covered by the previous application(columns D & E front the previous application).Values from column F(Materials Presently Stored) from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under,Materials Presently Stored(column F). Column F: Enter here-the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay ._ period.This value covers both materiels newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted frorri•this column and incorporated into column,E(Work Completed-This Period). Column G:Enter here the total of columns D;E and'F.Calculate the percentage completed by dividing column G by column C. CaiumnH:Enter here the ditference.between column.C'(Scheduled Value)and the column G (Total Completed and Stored to Date). Column•l:This column is normally,used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the o(erall contract amount. Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally•done. Usually,Change•Orders are listed separately,either on the own G703 form or at the end of the basic schedule.The amount of the original contract adjusted-by.Chande Orders is td-be entered in the appropriate location of the G702 form. - Construction Change,Direclives:Amounts.not in dispute that have been included in Construction Change Directives should be incorporated into one or more • Change Orders,Amounts remaining indispute should be dealt with according to Section 7.3 in A201. The following is an example of a'Conlinuarron Sheet for work in progress.Please note that dollar animals shown are for illustrative purposes only,and are nor Threaded la • reflect actual cdnstwcrion costs. A • 'E3 C Ir l 8 I P G H 1v(1es CUMI'Lkilt) shereeIAI7 e OiA.. BALANCE ' ITEM 5(11EU41.RD IRUM Pe E115011I" CVV1PLEIHO % TO RETAIN/WE No, UESCWI'I ION OP WORK cmfUlf PREVIOUS Vu➢r¢1 AND]ATO THISPERIOD V IG-CJ eIVIGH nrvAV1E1 ,_rrc ...El f tr El To nnrr xAZCr IU-L'I pUR El tlALaT N':-l�1 ucSILIZATION." 5,500 55100 5.000 100 0 2 STu.UF 3EN.01'AL 5.000 5.000 5.000 100 0 3 EN:1H WORK 169U0 10700 L- 00 10000 100 0 4 LOsTR RETHHI;IG 11t4L'• 10,000 0 5. v0 5,000 SO 5,900 5 09055 0 MISC.CONC. 5.000 0 0 0 0000 I'ArII2G.unecin DRIVE 20000 0 0 0 20000 7 PAVIN6.L01/ER nRNE,S' 4,9,900 0 0 0 20000 fl FAVECS 20�k1 0 10. 00 10.000 50 10000 a [101011 WORK 5.000 0 0 0 5000 10 ?>0'..L'— . ?r ,''0 00 rix LJV O>.Ji,4i AIA Document G7031°-1992.Copyright©1963.1965,1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIM Document Is protected by U.S.Copyright law and International Treaties.Unauthorized reproduction or distribution on 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©aiaorig_ • AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TO FOLLOW STATE OF INDIANA COUNTY OF MARION SS: JOHN M. ABBOT.] BEING DULY SWORN TI-IAT HE 15 THE PRESIDENT OF CIRCLE II CONSTR. SYSTEMS, LL.0 HAVING CONTRACTED WITH CARMEL REDEVELOPMENT COMMISSION TO FURNISH CERTAIN MATERIALS AND/OR LABOR AS FOLLOWS: INTERIOR FINISHES FOR A PROJECT KNOWN AS: CARMEL PERFORMING ARTS CENTER AND OWNED BY: ARMEL REDEVELOPMENT COMMISSION DOES HEREBY FURTHER STATE OF BEHALF OF THE AFOREMENTIONED SUBCONTRACTOR/SUPPLIER: PARTIAL WAIVER) THAT THE BALANCE DUE,FROM THE CONTRACTOR IS THE SUM OF FOUR MILLION FOUR HUNREID NIENTY FOUR THOUSAND SEVEN HUNDRED ElOT-]TEEEN AND 13/100 ($4,494,7]8.13) RECEIPT OF WI-]ICI-I IS HEREBY ACKNOWLEDGED: OR XX THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND PARTIAL WAIVER OF LIEN, WHICH 1S GIVEN TO AND FOR SAID AMOUNT, EFFECTIVE UPON RECEIPT OF PAYMENT, (FINAL WAIVER)THAT TIME FINAL BALANCE DUE IS THE SUM OF: RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED: OR THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR TI-1]S AFFIDAVIT AND SVAIVER OF LIEN WI-IICI-I SHALE BECOME EFFECTIVE UPON RECEIPT OF SUCI-I PAYMENT. THEREFOR]?THE UNDERSIGNED WAIVES AND RELEASES UNTO THE OWNER OF SAID • PREMISED, ANY AND ALL LIEN OF CLAIM WHATSOEVER ON THE ABOVE DESCRIBED PROPER'T'Y AND IMPROVEMENTS ON ACCOUNT OF LABOR OR MATERIAL OR BOTFI, FURNISI-]ED 13 Y TT-IE UNDERSIGNED ll-IIIRIETO, AND FURTHER THAT NO OTHER PARTY HAS ANY CLAIM OR RIGHT TO A LIEN ON ACCOUNT OF WORK PERFORMED OR MATERIAL FURNISHED TO THE UNDERSIGNED FOR�tOJECT AND WITHIN THE SCOPE OF ZZ :TZLC ' :/ ♦i TITLE: PRESIDENT " "I IF ANYH IL fi TD NOT RI/ L SEAL THIS I7th DAY OF MAY ,2010 • Cr :`fir/ i i■ . 1 1 FARM PU ,IC MY COMM SSION EXPIRES: 02/01/2017 RESIDENT OF.101-INSON COUNTY • OWNER: 05/17/2010 CARMEL REDEVELOPMENT COMMISSION CM: SHIEL SEXTON COMPANY PROJECT: CARMEL PERFORMING ARTS PROJECT NO. 2695-4090 DRYWALL PAYMENT VERIFICATION AFFIDAVIT: THE FOLLOWING PAYMENTS HAVE BEEN RECEIVED: APPLICATION NO. AMOUNT PAID #1 $ 56,980.80 #2 $ 8,369.42 #3 $ 16,209.00 #4 $ 44,810.04 #5 $ 57,634.11 46 $ 76,202.64 #7 $ 201,168.08 #8 $ 169,090.74 #9 $ 280,896.48 #10 $ 35,997.80 #11 $ 8,465.60 #12 $ 437,984.92 #13 $ 514,933.22 #14 $ 357,219.33 #15 $ 546,768.67 #16 $ 621,587.91 #17 $ 522,044.57 #18 $ 438,354.80 TOTAL PAID TO DATE $ 4,494,718.13 C.:,y� - TRUCTION SYSTEMS r ' J• 'N 68OTT, PRESIDENT Prescribed by State Board al Accouoe9 City Form No.201 (Rem 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Cr r(-/r 6 Cows/rcfc- Sy ale 6.95 Purchase Order No. 5-6 3 6 59 v/4 r"li- e-4 l .ff crf Terms by/C7.7 � �1� /iv /GZ/ 7 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/2s�e c o tea atiG �oG% /U �/r 127 7 YYZOD • Total >, 772-00 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 t3C' f f 55/-,fr rr f- o3s r�� �y IN SUM OF $ 56" 5c,744 /14-/- Sfr,cteL �i c/79 s/U/s. / `/G 217 $ 7,72-0"0"- ON ACCOUNT OF APPROPRIATION FOR UZ fvvao8- 17 Board Members Pon or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify ( ) DEPT. I hereb cerii that the attached invoices , or 4392 Co8axgtU&.- 5174 cEe 7 7772.a' bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except G - 4' 20 /c Signature fUactnr of RPrievelnmm�nt Cost distribution ledger classification If Title claim paid motor vehicle highway fund