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Home My WebLink AboutREI CONSTRUCTION, LLC- 30,467.75- 6/30/2010 is -APPL::ATION AND CERTIFICATION FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION '3 • Ala DOCUMENT G702/Cma PAGE ONE OF 2 PAGES TO OWNER: PROJECT: APPLICATION NO: I Distribution to: RELConstructian.-LLC Village on the Green-Office Building One PERIOD TO: 6/30/10 OWNER 11711 N. Pennsylvania St.,#200 3rd Ave. SW and City Center Dr. PROJECT NOS: 09-123 S CONSTRUCTION Cannel,IN 46032 Cannel, IN 46032 MANAGER FROM CONTRACTOR: CONTRACT DATE: 3/9/10 _ARCHITECT Nu-Tec Roofing Contractors,LLC D I�JUN 5 a (y7 (Z CONTRACTOR 5025 Emco Drive VIA CONSTRUCTION MANAGER: IS CI i5 Ii Indianapolis,IN 46220 VIA ARCHITECT: 2 ZQIQ CONTRACT FOR: Roofing-Sheet Metal Work CONTRACTOR'S APPLICATION FOR PAYMENT By The undersigned Contract certifies that to the best of the Contractors knowledge, Application is made for payment,as shown below,in connection with the Contract. ` 'ork 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 I. ORIGINAL CONTRACT SUM payments received from the Owner,and that current payment shown herein is now due. S 130,100.00 2. Net change by Change Orders S 0.00 CONTRACTOR: Nu-Tec Roofing Contractors,LLC 3. CONTRACT SUM TO DATE(Line 1 ±2) S 130,100.00 4. TOTAL COMPLETED&STORED TO S 110,702.50 DATE (Column G on G703) By pate. 6/24/10 5. RETAINAGE: Otis urdine,Division Manager a. 10 %of Completed Work S 11,070.25 State of: Indiana County of: Marion ( alum%D+E on G703) Material Notary ic: sworn to before tan A. 24th^ day of Jprte,20(0 b. %of Stored Material S 0.00 Notary Public: Jean this Rathsack /.mil-Ct�r) /Ul- TI\/`• 0, (Column F on G703) My Commission expires: 6115/17 Total Retainage(Lines 5a+5b or Total in Column 1 of 6703) s 11,070.25 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE S 99,632.25 In accordance with the Contract Documents,based on on-site observation val) r hfe (Line 4 Lcss Line 5 Total) comprising this application,the Construction Manager and Architect t�Ceii�i 7. LESS PREVIOUS CERTIFICATES FOR that to the best of their knowledge.information and belief the Work IR? •;f'�i� PAYMENT(Line 6 from prior Certificate) S 0.00 indicated,the quality of the Work is in accordance with the Contra >01 4 • ^f. 8. CURRENT PAYMENT DUE S 99,632.25 the Contractor is entitled to payment of the AMOUNT CERTIFIED}�Mit P a¢.0 :4- 9. BALANCE TO FINISH, INCLUDING RETAINAGE L (Line 3 less Line 6) 30,467.75 AMOUNT CERTIFIED : ••. s� p1 (Attach explanation if amount certified differs from the amount appl:Bf:sifts:, r P Application and on the Continuation Sheet that are changed to conforl 4tQi1Anja it • 'ed) CONSTRUCTION MANAGER: 4ejr IVittItta0- , CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved By: Date: 7/2.4 a in previous months by Owner ARCHITECT: Total approved this Month By Date: TOTALS $0.00 $0.00 this Certificate is not negotiable. 'The AMOUNT CERTIFIED is payable only to the NET CHANGES by Change Order S0.00 Contractor named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AM DOCUMENT 6702/CMS APPLICATION AND CERTIFICATION FOR PAYMENT CONSTRUC now MANAGER-ADVISER EDITION THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE,N.W. WASHINGTON,IX 200065292 1991 EDITION AIA •01992 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. PAID AU6 19 2 Ulf i e.. ,ON . INUATION SHEET ALA DOCIIA/I._N'l'(.,703 PACF OF 2 PAGES re:::;),:. -..r AIA Document(1702,APPLICATION AND CGR'PIFICAI ION 1'012 PAYMENT,containing APPLICATION NO: 1 `°"',41:‘ ra. Cwneldnr .igllcJ certification);alhrchmxl. APPLICATION DATE.: 6/24/105`1 lo LIbnnloOous halo\.amount are mated to 0(e nearest dollar PERIOD TO: 6/30/7.0 ;.`'`-�!� r r; Ihie Column I on Contract,\)here tunable Id:Image for line demo mac owl% ARCHITECT'S PROJECT NO 09-12 3 w, sefr r .\ 11 C IO ' 1. _ r G It ( l 11)!\1 DI'SC'RIP'1'IO\'UF\\'(tNA SC'IIF1H'(CI) \\ORI.COUP(I:'l El) \1.\'1'I:RI:US )IAI.ASC'C NET:\1\,\G1; if tfe+e. FRO\I PRI:\lot:S 'II IIS PERIOD PRESENTLY CCM/PLY:EEO (G.: C) TO FINN( OF VARIABLE. t`., 1 PP)IC'1 NO': STORE() AND STORED (C'-O) RATE) I• (0- ).) (NOT IN TO O:\TC 0 o if IC I:) (D-E•F) ,:.s I Bond 11,001 IN) SI)IN) 11(411 4)0 10.00 12.6101(0) 11111,10% 10.00 12(0.1111 �) ,' Y ; 2 Rooting Malmal $72.;30 00 Su 00 172.330(HI SO 00 $72.3311.00 100.10% 11.01 17.2:43.00 cz^<: 3 ROOling 1.4K))' S.-;1.-100 00 $01X) $29.830101 $O OD 129.$30(X) 95.00% 11.57000) $2.943.(K) '3- 4 Shed Mc00 Malued 11610)4)IN1 a $O III $41NN1(IlJ &11111 Sa.INNIIII 25,1X1°O/u $I21NNI,IN1 $.I(N).1ltl 1 Shed Meat Ln(x)r : $Z77t11111 $1i 101 $I.)J2511 11.10{ 11.942.10 25.00°6. $5,827.111 119.111 -�° tS?; 4 c^ litt { T' p GRAND TOTALS $130,II11.00 $0.00 11!0702.50 $O.(H) S110.702.50 85';. 119.39750 11107025_ Users may obtain validation of this document by requesting of the license a completed AIA Document D401 •Certification of Document's Authenticity JJJ ti 1 APPLICATION FOR PAYMENT • PARTIAL WAIVER OF LIEN • /D 444 Contractor Nu-Tec Roofing Contractors, LLC Address: 5025 5mco Dr. 44 Indianapolis. IN 46220 2� �CS � ?OIp Project Name and Address: Village on the Green - Office 'Sul � One 3rd Avenue SW and City Center Drive Carmel, IN 46032 Period to: 6/30/10 Job N: 09-123 The Undersigned has been contracted by REI Construction, LLC as a Contractor in connection with construction of the Project owned by Owner and located as indicated above. The Undersigned, for and in consideration of any and all amounts paid to the Undersigned up to and including the date of execution hereof and other good and valuable consideration, the receipt whereof is hereby acknowledged, waives and releases any and all liens, notices of liens or of character, against, on or relating to or connected with the above-described Project and improvements located thereon and related thereto, on account of labor or services, materials, equipment, tools, machinery or apparatus furnished or leased, or which may be furnished or leased by, or at the request of, the Undersigned for the Project. The Undersigned hereby warrants that the Project cannot be made subject to any valid lien or claim by anyone who furnished or leased labor or services, materials, equipment, tools, machinery or apparatus to, or at the request of, the Undersigned for use in the Project. This instrument, and the waiver, release and representations hereunder, are for the benefit of, and may be relied upon by, the Owner, its successors, assigns and mortgagees, the above-named General Contractor or Construction Manager, and any other person by or through whom payments have been made to the Undersigned. The undersigned,for and in consideration of the total payments in the sum of $99,632.25 the receipt at which is hereby acknowledged, does hereby waive, release remise and relinquish any and all right to claim any lien or liens for work done or materials furnished, or any kind or class of lien whatsoever for said building or premises or project Dated this 24th day of June, 201.0 Nu-Tec Roofing Contractors, LLC Company NNa 8Y: ( l ,I_e� ,-C;22 TITLE: Division Manager NAME , Otis Rnrdinr STATE OF IN COUNTY OF Marion Subscribed and sworn to before me,a Notary Public in and for said County and State,this 24th day of June , 2010 `` llltt Minn, r My commission expires 6/15/17 My county residence is Hamiitory.`��OTARts40� 9a7J y�7 �� rr -� Jf�� 605574 ;�'76 J "=4 MY CO✓rissIO N 1 y� EXPIRES a • 2 Notary Printed Jean A. Rathsack :3; 6-15.2017 �Oi�� 'oUBLIG `; N-N. sI� r/IQt 1i&�,,``