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MACDOUGAL PIERCE - 1091 - 112,368.60 - 8/19/2010
CARMEL REDEVELOPMENT COMMISSION MacDougal Pierce Check: 1091 12720 Ford Drive Date: 8/19/2010 Fishers, IN 46038 Vendor: MCDOUG1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3 74 124,854.00 124,854.00 12,485.40 0.00 112,368.60 Application 3 124,854.00 124,854.00 12,485.40 0.00 112,368.60 X- 1,+ S52LTD Damputerkase Forms Division (877)::577-5781:IN5C+6760 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE°NEDF PAGES -71 TO OWNER: PROJECT: APPLICATION NO: 3 Distribution to: VILLAGE ON THE GREEN f IOWNER PERIOD TO: ARCHITECT FROM CONTRACTOR: VIA OWNERS REP: 6/30/10 CONTRACTOR REI CONSTRUCTION SERVICES 1MACDOUGAtCP11~RCE3 PROJECT NOS: CONTRAC FOR: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT TheundersgnedContractorcemfesthattothebe stoftheContractor'sknowledge, 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 completed Continuation Sheet,AIA Document G703,is attached. in accordance with the Contract Documents,that all amounts have been paid by the Contactor for Work for which previous Certificates for Payment were,ja5oed and payments received from the O+ r,and that wean payment shown herclnit'mow due. 1. ORIGINAL CONTRACT SUM.. 908,425.00 * ,,t 2. Net change by Change Orders 11,675-00 CONT.t '0• fit`' �.... ieroe Genstruction,Inc, 3. CONTRACT SUM TO DATE(Line I*2) 920,100.011 / ` ^T f 4. TOTAL COMPLETED&STORED TO DATE.. 435,112,00 at ' 5. RETAINAGE: ,s• s= �;�, '! Daft 7/1110 war a. 10% %of Completed Work 43,511.20 State of: I..iana 1 C woe amilton (Column D+Eon G703) Su. - o . .-this Is - 2010 b._%of Stored Material N. ARY PUBLIC. �� 1 (Column F on G703) My nmmissinn expo : 0'16 Total Retairage(Lines 5a+5b ar - Total in Column lofG703). 43,511.20 OWNER'S REP. TIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAIi• 391,600.80 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Owners Rep certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Owners rep knowledge,information and belief the Work has progressed as indicated,the quality PAYMENT(Line 6 from prior Certificate).... 279,232.20 of the Work is in accordance with the Contract Documents,and the Contractor is entitled to 8. CURRENT PAYMENT DUE.. . .. - !. I I2. 68:S0! payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINA• 528,499.20 (Line 3 less Line 6) AMOUNT CERTIFIED S // Z, 3 61,3. 6- 'RDERSUMMARY ADDITIONS DEDUCTIONS Munch explanation if amount cen(fleddlffer erfrom the mnount applied.Initial all figurer onm& Total changes approved Application and on the Continuation Sheet That are changed to conform to the amount certified) in previous months by Owner 511,675.00 Owners Rep: Total approved this Month $0.00 By: Date: .2/2-14 b TOTALS 511,675.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the contractor named herein.Issuance,payment and acceptance of payment are without NET CHANGES by Change Ordc 511,675.00 prejudice to any rights of the Owner or Contractor under this Contract. AN DOCUMENT 0702 APPJCADDW AND CERTIFICADON FOR PAYMENT-1992 ETON-AN•01Q92 1145 AMERICAN NS MOE OF ARCNR EMS.1735 NEw YORK AVE.,N,W.,WASNPIOTON.DC 2008,5292 PAID AV6 1 9 101 PARTIAL LIEN WAIVER AFFIDAVIT WHEREAS, MacDougall Pierce Construction,Inc. ("Contractor")has been heretofore employed by Village on the Green(Company")to furnish certain material, supplies,equipment or labor for or in connection with improvements owned by, Same ("OWNER"and located on Carmel, IN (Hereinafter collectively referred to as the Premises"); and WHEREAS, the undersigned is duly authorized to execute this Partial Waiver of Lien for and on behalf of the Contractor: NOW,THEREFORE,the Contractor, for and in consideration of the receipt of One hundred twelve thousand three hundred sixty eight-60/100 ($ 112,368.60 ) Hereby waives, and releases the Owner of the Premises and the Company from any and all liens, rights of lien or claims of whatsoever kind or character on or against the Premises or the improvements located thereon on account of any and all labor, supplies, equipment or material furnished for, in connection with or incorporated in the Premises by the Contractor on or before the date hereof. This Partial Waiver of Lien is given in order to induce the Company to pay the amount indicated above, and upon receipt of such amount by the Contractor,this release may be recorded,become valid,enforceable and of full effect. ,earilr,„ ra y BY: / . 'f�J��/ rAuton . tative Brent Houston Printed Name LLILE Project Manager DATE: 7/1/10 STATE OF INDIANA COUNTY OF Hamilton Before me,a Notary Public in and for said county and State,personally appeared Brent Houston Who acknowledged the execution of the foregoing Partial Waiver of Lien,and who,having been sworn, stated that the representations therein contained are true. Witness my hand and No . ': -al this d ul , 201 0 My Commission expires lVSatya. 3-20-16 • ry Fritbli am :Tanya Fanelli County e- •ence Delaware CONTINUATION SHEET 11 i A IA DOCUMENT G703 1 I 1 PAGE OF PAGES AIA Document OT02,APPLICATION AND CERTIFICATION FOR PAYMENT,containing I APPLICATION NO: I 3.00E I Contract6rs srgried cartlflcatibn iS`a6a"ThW j VILL :tue-uN'-tHtUfittN- API'L3CAFIUN DAIS--`- - 1-29=3179=101 ---.--------- In'aliulatie sbjow,amounts are stated to the 1_� - ----- -----. :— ----_ _--- - _i_ PERIODTO '-'—` -30--lun-l0r---" Gse dolvmn Yon COntracts'4NSere variable ieuinage foi line Items may apply. - -- -'-"--' ?CM'S'PROJECT-Nr -- - ---- _..- A B C D E F G H I IT M 0 SCROD ICAN OF WORK SCHEDULED _ _WORK COMPLETELY -VIAL I rAL _ % BALANCE — FtE ANAGE NO2 _ —" VALUE FHUM PREY OUS THIS PE'IOD PRESFMLY COMPLETED (G+CC TO-FINISH- Iii.VANA&e — ___ _ - _ A_ PP[ICATION` .` STORED AND ST-RED . ." --(C O Y _. enre -- —(O+E) _ "-"`MTh— TO-DATE` . — — _.._ �_ GIN i $7,500' 75001 TA :_ � ��._ 7500 - - ENGINEERING ..___ _.____ 10(1.00°/O _ 750 I;BOND PREMIUM -$7,500 75001 7500 100.00% 1 750 _ IGENERALCONDITIONS(M) I _ $9,205! _ 30681 _15341 _ _ 46021__49.99%1 4.603.00; 460.2 _- I -- — __� _-_IGENERAL CONDITIONS(L) _ $57,03.,9` 190141—_ _� 95061 285201 50._0.0_%! 28,518.00 2.852 �GFRC COLUMN COVERS(M) $16.7631 ! j 16,763.00 IGFRC COLUMN COVERS(L) - _$2,500! 1 ! 1 J. 2,500.00 - !ROUGH CARPENTRY(M) -i $6,696! 16741 5022' 1 6696r jROUGH 100,00% _ 6fi9.b CARPENTRY(L) 1 ..__� $9,9881 14981--- 6992] 84901 8500%!--- .. ----- . 1._49600 1 --- 849 IFINISH CARPENTRY(L) --- $7,3091 - I_ -- - �(---- - -�---- 7,309.001 --- - FINISH CARPENTRY M) _- ` ( $6,936! _ _ f .—_ 1 8,936.001 ---IGFRP FABRICATIONS(M]_-^_ -- $67,6581 3333 __ ---_- I- -- _ 33331 4.93% 64.325.00': 333.3 IGFRP FABRICATIONS(L) I $5,930 J _ - 1 - . 5.930_.00 .CABINETRY(M) - -L $13,018 E 13.018.00f CABINETRY(L) $3,254 1 3,254.00! !FIREPROOFING(M) I $9,600, _ 9600, 9600! 100.00% .. ., _ ._ - '---- ---- ! _-___-. 960 FIREPROOFING(`) E $6,4001 6400: 6400! 100.00%' 1 640 ---IFIRESTOPPING(M).--- --- ._ " ._._ - $3,120: - 3 -` ---_-- ! 3,120.00 _.. IFIRESTOPPING(L) __ $4,680( --�"i ____ _ - ! 4,680-001 - ECAULKING(M) ---. _� -----$6,000 - -- --- i-- - 1 I -- - ---6,000.00! -- --- {ICAULKING(L)_..__. - $14,000; ---_`1 - i 14 000.00 _ IEXPANSION JOINTCOVERS(M) _ _ $5,500 1 I- � i 554600 ]EXPANSION JOINT COVERS(LI ! $4,000; 1 -� ._l 1_4,060.00 !HOLLOW METALS(M) J.. 512,7061-- 7109 55971 12706 100.00%1 _ 1270.6 _;HOLLOW METALS(L) � $1,759° 467.00 1,292.001 - - 1759 100.00% __ 1T5.9 WOOD DOORS(M) $5,9331I 5.933.00 WOOD DOORS(L) $2,4631_ E k_- _2,463.00 DOOR HARDWARE(M)_- -T - $2_8.061 l _ I __ ___ I _ 28,061.00; —JOOOR HARDWARE(L)___ $3,3131 ! 3,313-OOI JACCESS DOORS(M) �I - --- -$1,480 - -~-- - 1 _____ _.- -- F __ —�-_ I 1.460.60 ;ACCESS DOORS L —;` _ ._`_. 1 I - ------ _ ( )__.___ 3 __ $400 I i__� _ _400.06 I ROLLING DOORS(10-) --_ 1 -- —$5,853) - - -- -( -_I 5,853.00 -- •SFAIA DOCUMENT G703 • CONTINUATION SHEET FOR G702 • 1992 EDITION • AIA• © 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N,W., WASHINGTON, DC 20006.529211 05F 4F bG703-1992 ' ' CONTINUATION SHEET 1 (AIA DOCUMENT G703 I I I PAGE Of PAGES AIA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing I (APPLICATION NO I 3.001 Contractor's signe�rtifidation is�la�c ed:�VILLAGt[JN-1 Flt G-KttN-_ '"�.._-_. - (f- ;APPLIUA'IIUNUAfE: -;_lr3=Jun-1 In IatiNatians below,amounts are stated to the -'- I -""---_ -- ;PER1OD TO: I -_ f 30-Jun-1 0 —� Use Column I on Contracts where variable retainage for line items may apply. ---i` (CM'S PROJECTNOP -- - ---- -' I- T - -' 1 __.-- __l-....--- A B C 0 j E F G ! H 1 T)tM bE CHIP IIUN OF WORK SCREW tD WORKCOMPLE to MA ERIALS 101AL % BALANCE _ a.TCIAGE NO. "_— VALUE—� FNS,IM PREVIOUS 1 HIS PERIOD ' PRESENTt.Y- -MAPLE-TED- -70.+C) .tO'NNISH 1°vAPUaI.E _-_-.-�__. APL{CAtbta "_ -&TORED- _-AN6S70REb_- -.--(C-G ' mm' IDhE) -__ -(NOT IN ".`..TOITATE- 1 ,., --- Dblt'E) Ill eF) T'--- - �ROLLING DOORS(L) _ -$1,463! ---- ------------ _^_--- --- ---'-- -------°-. ------- ----- -------m I I 1,463 00 GLASS/GLAZING(M) I $510, 510.40 _(GLASS/GLAZING(L) I $340 I I 340.00 (METAL STUD FRAMING(M) --_1 $124,3571 87,050.001 37,307.00( 124357 100.00% 12435.7 __'METAL STUD FRAMING(L) I _ $84,3321 38,599.00 25,733.00; 64332 100.00%? 6433 .2 ?METAL STUD TRUSSES(M) --_-.I $7,0891 7,089.001 _ _ LL I --_ 7089[ 100.00%1 —L 708.9 _ (METAL STUD TRUSSES(L) i $12,4401 350.001 12090.001 I 124401 100-00% I _ 1244 �DRYWALLUSHEATHING(M) I $27,06 27,061.001 1 I 27061' 100.00%1 I - 2706,1 DRYWALLlSHEATHIN G(L)— _ __$70,2201 49,154.001 10,533.0.01 _-_ � 596_871 85.00% 10,533.00' 5968.7 (ACOUSTICAL CEILINGS(M) $14,0401 I _ I I ' ----I-- -- ! 1 14,040.001 ACOUSTICAL CE IL IN GS(L) 1 $9,36 0 1- —---_.. __ --- ` l 9,360.001 — —Lf J $34,431 1 34.431.00 .TILE L 1 — 24.000S RESIL EN7 FLOORING (M) $12,004 12,004.001 RESILIENT FLOORING (L) _1 $8,002 8,002.00 I'CARPET(M) $7,541 7_941.001 —_— ---�— ICARPET(L) I $3,232 �I — 1 — I 3,232.00 I IPAINTING(M) ---- -T_ $17,207! --- --I I__ I I 17,207=001 _ (PAINTING(L) $11,471 1 - -I -�------ h- 11,471.1X1 i- �_. I $2,200 ( (DIRECTORY M)IDIRECTORY(L)-- $3001 ! 1 -- I---- i 2.300.001. TISIGNAGE(M) — — $1,7001 I —I- -- I 1.700.001 -- -- _ SIGNAGE(L) -.� _ --- ----- --- $3001 -- 1 i---- I - : 300.001 .-..._---- I FIRE EXTINGUISHERS(M)-_ - --- $2,0251 - --- 1 - I I--- 2,025.001 FIRE EXTINGUISHERS(L) $5961 _ 596.001 TOILET PARTITIONS(M) ----- _-- - $18,000; --- ----I--- ---- I _ 1 _ 18,000.00'__ TOILET PARTITIONS(L) 1 $4,500? i--- ! 4,500.00-111 TOILET ACCESSORIES(M) I $21,2601 � 2.1,260.00 (TOILET ACCESSORIES(L) I _$2,5901 I 1 ---'-_� --1 I— 2,590.00—._..___. 01-I&P I 567,2901 22.117.00 9,248.001 1 31365 46.61%I 35,925.00 3136.5 Iro#1 -- ;-- $11,6751 11,675.00 -r 11675100.00°/al 1 1167.5• 5FAIA DOCUMENT G703 - CONTINUATION SHEET FOR G702 - 1992 EDITION • AIA • D 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-529211 05F 4F bG703-1992 CONTINUATION SHEET i .AIA DOCUMENT G703 I P,OF OF RAGES AIA Docuwent G702.APPLICATION AND CERTIFICATION FOR PAYMENT,containing —� [APPLICATION NO: I 3.00 l�onfaGtofssigned c`rtfIIcatroe isattach l-IlnyLZAGEVN-IFIC'GKCtn I �" iAI'PL1CATtON HON E-2YJUn=701 '_ 1_"-"- In C3bulelions below,amounts are stated h the l"----`- __I I jPER100TO:^! _ _ i 31-1- 1.4-1-1017- ` _Use Column Column I on Contracts where vaiiAble reiainage tor line items may apply.-- j ]CATS PRWECT NO: T- E fl —" r 1 I - I- A B C 0 !I E F G I H I r EM DESCNIPr ION OF WORK SCHLOU K C LED WORK MA eRI&LS TOTAL % BALANCE RETkNA E NOT _ —" —_ '-- — VALuE-- FROM PREVIOU 'L PERIOD —PRESENTLY -"OMA ETEB (V+C)— —TO-FINISH pvi,nuetF APPLICATION— STORED AND-STORED —�-- —7C-Gj RMF) __--_.__ fD�E} (NOTIN TO-DATE '— 13 Oft EY b-t+Fj !TOTAL: Wu i $920,10O 310,258.001 124,854.001 1 435,112.00! 47.29%n 484.988.00! 43511.2 I I I -- - - _ _._I- .. I_ I - _ -� i -- - .-. - - - - -- - --- _ 1 1 i - i I --_- - -- - - I I _ 1I .. I — _l- _ --- I I -_ -i I 1 -------- - ----------- -- — I I I I SFAIA DOCUMENT G703- CONTINUATION SHEET FOR G702 - 1992 EDITION • AIR- © 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W WASHINGTON, DC 20006-52921105F 4F bG703-1992