HomeMy WebLinkAboutREI CONSTRUCTION, LLC - 1214 - 5,348.25 - 9/16/2010 paid to Nu-Tec Roofing CARMEL REDEVELOPMENT COMMISSION
Nu-Tec Rooting Contractors,
LL Check: 1214
5025 Emco Drive Date. 9/1612010
Indianapolis, IN 46220 Vendor: NU1TECROO
Prior
invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
2 5,348.25 5,348.25 0.00 0.00 5,348 25;,
Application 2
5,348.25 5,348.25 0 00 0.00 5,348.25
X-11=252LTD "Cornpu?erEase Forme Division (877)577-5791 IN506700
CARMEL REDEVELOPMENT COMMISSION , 001092
Nu-Tec Roofing Contractors, LL Check: 1092
5025 Emco Drive Date: 8/19/2010
Indianapolis, IN 46220
Vendor: NUTECROO
Prior
Invoice P.U. Num' Invoice Amt Balance Retention Discount Amt. Paid
1 73 110,702:'50 11'0,702.50 11,07.0.25 0.00 99,632,25
Application 1
110;702 50 110,702.50 1;1,070.25 0.00 99,632 25
X-11 SZLTD Computer Ea e Forms Division (877)577-5791 1N506700
Altil:A I IUN ANU l;tR I U-ICA I ION FUR PAYMtN I CONSTRUCTION MANAGER-ADVISER EDITION
AM DOCUMENT G702/CMG
PAGE ONE OF 2 PAGES •
TO OWNER: PROJECT: APPLICATION NO: 2 Distribution to:
RELCohstruction-6Ll Village on the Green -Office Building One PERIOD TO: 7/31/10 OWNER •
11711 N. Pennsylvania St., #200 3rd Ave. SW and City Center Dr. PROJECT NOS: 09-123 CONSTRUCTION
Carmel, IN 46032 Carmel, IN 46032 �{{ (� 2 MANAGER
FROM CONTRACTOR: U L5 L07 - U u +— CONTRACT DATE: 3/9/10 ARCHITECT
Nu-Tec Roofing Contractors, LLC r� JUL 1 2010 IJ II CONTRACTOR
5025 Emco Drive VIA CONSTRUCTION MANAGER:
Indianapolis,IN 46220 VIA ARCHITECT: 1v IA
CONTRACT FOR: Roofing-Sheet Metal Work BV 1— __
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
Continuation Sheet,AlA 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
payments received from the Owner, and that current payment shown herein is now due.
1. ORIGINAL CONTRACT SUM $ 130,100.00
2. Net change by Change Orders $ 0.00 CON'T'RACTOR: Nu-Tec Roofing Contractors,LLC
3. CONTRACT SUM TO DATE(Line 1 ±2) $ 130,100.00
4. TOTAL COMPLETED�Y STORED TO $ 1 16,645.00
DATE (Column G on G703) By: _ Date: 7/19/10
5. RETAINAGE: Otis Burdine, Division Manager
a. 10 %of Completed Work S 11,664.50 State of: Indiana County of: Marion
(Column D+Eon G703) Subscribed and sworn to before me this 19th day of J I_v, 2010
b. %of Stored Material $ 0.00 Notary Public: Jean A. Rathsack /) /n/j.,t,
(Column F on G703) My Commission expires: 6/15/17 20177 �" l t
Total Retainage(Lines 5a+5b or r`\vt B A Ty fff S
Total in Columnl of G703) $ 11,664.50 CERTIFICATE FOR PAYMENT .�` P' od '%
6. TOTAL EARNED LESS RETAINAGE c'D %C�eAR y••.' '
$ 104,980.50 In accordance with the Contract Documents. based on on-site observa 1E.r ttte 04 S
(Line 4 Less Line 5 Total) comprising this application,the Construction Manager and ArchitecExetl Jfy p tONg Elrot4;QI
7. LESS PREVIOUS CERTIFICATES FOR that to the best of their knowledge. information and belief the Work has p}�rf ES :Z_
PAYMENT(Line 6 from prior Certificate) $ 99,632.25 indicated,the quality of the Work is in accordance with the Conlradp�Otnents+;-0hU n O •Q�
8. CURRENT PAYMENT DUE $ 5,348.25 the Contractor is entitled to payment of the AMOUNT CERTIFIED. '71/2: 6-15-2 l0 ,e
9. BALANCE TO FINISH, INCLUDING RETAINAGE %*5 •. PUB\-YG'`��,
. (Line 3 less Line 6) 25.119.50 AMOUNT CERTIFIED ✓sr(9N•••a
(Attach explanation if amount certified differs from the amount applied Millar ti'If flora n this
Application and on the Continuation Sheet that are changed to conform with the amount certified)
CONSTRUCTION MANAGER: �// J
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS -�^:� VL.--. / /
Total changes approved By:
Dale: 2/ f 0
in previous months by Owner ARCHITECT:
PAID SEP 1iali0
Total approved this Month By:
TOTALS 50.00 50.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
NET CHANGES by Change Order $0.00 Contractor named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702/CMa-APPLICATION AND CERTIFICATION FOR PAYMENT'CONSTRUCTION MANAGER.ADVISER EDITION THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,N.W,WASHINGTON,DC 2000E-5292
1992 EDITION AIA •CI992
Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee.
44 CI°Qtr/OC 4Pesf9.2
CONTINUATION SHEET AL4 DOCUMENT G703 PACE OF 2 =AGE-II . ..
AIA Doctunent 0702,APPLICATION AND CERTIFICATION FOIL PAY-MEN ,containing APPLICATION NO: 2
Ceatrartor's siened certification is attached. APPLICATION DATE 7/19/10
In tabulations below,amounts are:toted to the nearest dollar. PERIOD TO 7/31/10 .
Ilse Column I nn Contracts where variable retainage for line Stems'nit?, apply. ARCHITECT'S PROJECT NO 09-123
A H C D I D F G H I
ITEM DESCRIPTION or ■ •RA SCHEDULED WORK CO,b1PLE;rED MATERIALS TOTAL .0 BALANCE RETAINAGE:
No 1'A].UE FROM PRECIOUS THIS PERIOD PRESENTLY COMPLEI ED (C:,C) TO FINISH (C};VARIABLE
APPLICATION S CORED AND STORED (C-C) RA'Z'E)
(D=E} (NOT IN TO DATE
_ D OR E) (D-E I F)
I Bond $2.600.00 52,5000n $0.00 SD 0c) $2 10.O.) 100,D0%
$a( ) $tea 00
2 Roofing Material $72,330.00 $72,330.00 $0.00 50,00 5722.30 00 100.00% $0.00 17,233451
3 Rooting tabor $31,400.00 $29,330.00 $0.00 $0.00 $29,8;3.00 95.00% $],570,00 S2.9R3.00
4 Sheet Meta] Material S16,0)3.00 $4,000.(10 $'4000,00 $0.00 $8,0[1)-00 50.00% 5)),4100 CA/ $SCo 00
5 Sheet MetalLahor 57,770.00 $1,94250 $1.94250 50.00 33,355,00 50.00% $3,59300 1355.50
GRAND TOTALS _ $130.100.00 $110702.50 $594250 50770 S116643_00 90% $]3,455.00 31166450
Users may obtain validation of this document by requesting of the license a completed AIA Document 0401 -Certification of Document's Authenticity
APPLICATION FOR PAYMENT
PARTIAL WAIVER OF LIEN 5 I`.<
I.
Contractor: Nu-Tec Roofing Contractors, !L .3 C /a
Address: 5025 apo is, Y` \ ��
lndianavol. .s, IN 46220
Project Name and Address: Village on the Green - Office Building One
3rd Avenue SW and City Center Drive
Cannel , IN 46032
Period to: 7/31/10
Job q: 09-i23
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 hens, 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 4 5,348. '45
the receipt of 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 19th day of July, 2010
Nu-Tec Roofing Contractors, LLC
Company Name
BY. TITLE: Division Manager
NAME: Or Rnrdinc
STATE OF IN
COUNTY OF Marion
Subscribed and sworn to before me, a Notary Public in and for said County and State, this 19th _
day of Jul v 2010 ``e`a�'�ORARr F,
My commission expires 6/15/17 My county residence is Hamilton P�
s •
# 606574
0.d„121. e MYCPIRIE5ION e¢r
Notary Printed Jean A. Rathsack C-15-20i7z�
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