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Home My WebLink AboutVERKLER INCORPORATED - 1217 - 73,710.00 - 9/16/2010 CARMEL REDEVELOPMENT COMMISSION 0012 ,17 Verkier Construction Check: 1217 Date: ;9116X.2010 Vendor: VERKLERI Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 8 73,710.00 73,710.00 0.00 0.00 73,710.00; Application 8 73,710.00 73,710.00 0.00 0.00 73,710.00 x-11-`521-TD DomputerEase Forms DIv slon ($77);577-5791`IN506700 APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION ALA DOCUMENT G/O2/CA4a PAGE ONE OF PAGES TO: City of Carmel Comm Develpmnt Corp PROJECT: Village on the Green Officc-Building,No..1._CarmeLIN APPLICATION NO: 08 Distribution To: Third Avenue S.W. n E ra � �� PERIOD TO: 6/30/2010 'DOWNER . . - Carmel, Indiana 46032 IJ I l � PROJECT NOS: 09-010 ❑ CONSTRUCTION JUL 1 9 2010 11 MANAGER FROM: Verkler-Incorpoted __ J CONTRACT DATE: 11/9/2009 ❑ ARCHITECT 7240 Georgetown Road ❑ CONTRACTOR iev Indianapolis, IN 46268 VIA CONSTRUCTION MANAGER-RLI=Gotistivcnon Ll:: — CONTRACT FOR: Bid Item#1 VIA ARCHITECT: Pedcor Design Group LLC CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge. Infor- mation and belief the Work covered by this Application for Payment has been completed in Application is made for payment, as shown below, in connection with the Contract, accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet AIA Document 6703, is attached. Contractor for Work for which previous Certificates for Payment were issued and payments I. ORIGINAL CONTRACT SUM $ $807,500.00 received from the Owner, and that current payment shown herein is now due. 2. Net Change by Change Orders . $ $0.00 3. CONTRACT SUM TO DATE (Line I t 2). . . $ $807,500.00 CONT R: 74. 4. TOTAL COMPLETED&STORED TO DATE . $ $727,101.00 B y: Date: /0 (Column G on G703) 5 RETAINAGE: $ $72 710 10 State o . diana a. 10.00%of Completed Work County of: Marion (Columns D+E on(3703) Subscribed and sworn to before h. 10.00%of Stored Material me this 16th day of July. 2010 (Column F on G703) $ $0.00 Total Retainage(Line 5a+5h or Total in Column I on G703) . S $72,710.10 •7(��•G.�l. �1 / J� /�- 6. TOTAL EARNED LESS RETAINAGE . $ $654,390.9.0 Notary Public: Janeane Arbuckle -r t,{A�C.L[.IZ�/ (Line 4 less Line 5 Total) My commission expires: March 20.2 13 LESS PREVIOUS CERTIFICATE FOR PAYMENT . $ $580,680.90 CERTIFICATE FOR MENT 7. 8. CURRENT PAYMENT DUE $, $73,710.00 In accordance with the Contract Documents, based on on-site observations and the data g. BALANCE TO FINISH INCLUDING RETAINAGE comprising the application, the Construction Manager mid Architect certifies to the Owner that to the best of the their knowledge, information and belief the Work has progressed as (Line 3 less Line 6) - $153,109.10 indicated, the quality of the Work is in accordance with the Contract Documents. and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNTCERTIFIED $ 7?7 ) pp CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if anmwrt certified differs from the amount applied for. Initial all Total changes approved in figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) previous months by Owner CONSTRUCTION MANAGER: By: > Date: 8/� ` /)0 Total approved this Month $0.00 i�� l TOTALS ARCHITECT: p ,Lf, ('� (��p y��{ $0.00 $0.00 This e fib ! b4e! SEI SIUe: NET CHANGES by Change Order $0.00 •on actorfinam d er e osa fl ent and ace is payable only it the 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-1992 EDITION-MA •01992-THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK D lJ r(�L AVENUE,NV,WASHINGTON,DC,20006.5292•Users may obtain validation of this document by requesting a completed AIA Document 0401-Certification of Document's Authenticity from the Licensee. 1 yM° pi46,09(Z r;702JCMa-1992 1. :,ONTINUATION SHEET A/A DOCUMENT G703 PAGE 1 OF 4 PAGES . - AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 08 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: _ - Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 09-010 ARCHITECT'S PROJECT NO: NET CHANGES by Change Order I S0.00 I This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. ALA DOCUMENT 0702•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION•AIA •0I992•THE.AMERICAN INSTITUTE OF ARCHITECTS,1 735 NEW YORK AVENUE,N W.,WASHINGTON,DC 20006-5292'Users may obtain validation of this document by requesting a completed ALA Document D401-Certification of Document's Authenticity from the Licensee. 6702-1992 A B C D E F G H I # Description of Scheduled Previous Work Work Presently Total % Balance to Total Retainage Work Value Complete Completed from Stored Completed& Finish This Period Stored to Date General Conditions 0001 Mobilization $15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 100.00% $0.00 $1,500.00 0002 Performance $10,500.00 $10,500.00 $0.00 $0.00 $10,500.00 100.00% $0.00 $1,050.00 Bond 0003 Safety $4,000.00 $3,600.00 $400.00 $0.00 $4,000.00 100.00% $0.00 $400.00 0004 Project $15,000.00 $13,500.00 $1,500.00 $0.00 $15,000.00 100.00% $0.00 $1,500.00 Superintendent 0005 Staking/Layout $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100.00% $0.00 $300.00 General Subtotal: $47,500.00 $45,600.00 $1,900.00 $0.00 $47,500.00 100.00% $0.00 $4,750.00 Conditions Bid Item#1 . 0006 Earthwork $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 Mobilization 0007 Excavation $20,000.00 $20,000.00 $0.00 $0.00 $20,000.00 100.00% $0.00 $2,000.00 0008 Demolition $7,000.00 $7,000.00 $0.00 $0.00 $7,000.00 100.00% $0.00 $700.00 0009 Build-Up Bldg $14,000.00 $14,000.00 $0.00 $0.00 $14,000.00 100.00% $0.00 $1,400.00 Pad 0010 Excavation for $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 Foundations 0011 Stone @ Bldg $6,000.00 $6,000.00 $0.00 $0.00 $6,000.00 100.00% $0.00 $600.00 Pad 0012 Prep for New $5,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $5,000.00 $0.00 Walks 0013 Spreading of $4,500.00 $0.00 $0.00 $0.00 $0.00 0.00% $4,500.00 $0.00 Topsoil 0014 Remove Auger $17,000.00 $17,000.00 $0.00 $0.00 $17,000.00 100.00% $0.00 $1,700.00 Spoils 0015 Erosion Control $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 0016 Alt.#1 Water $10,000.00 $0.00 $10,000.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 Line 0017 Asphalt Paving- $5,000.00 $5,000.00 $0.00 $0.00 S5,000.00 100.00% $0.00 $500.00 CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 4 PAGES - AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 08 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: - Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 09-010 ARCHITECT'S PROJECT NO: Mobilization 0018 Asphalt Paving- 57,500.00 $7,500.00 $0.00 $0.00 $7,500.00 100.00% $0.00 $750.00 Stone 0019 Asphalt Paving - $13,000.00 $13,000.00 $0.00 $0.00 $13,000.00 100.00% $0.00 $1,300.00 Binder 0020 Asphalt Paving - $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100.00% $0.00 $1,000.00 Finish Coat 0021 Paving Marking $1,100.00 $1,100.00 $0.00 $0.00 $1,100.00 100.00% $0.00 $110.00 0022 Bollards- Marl $700.00 $0.00 $0.00 $0.00 $0.00 0.00% $700.00 $0.00 0023 Piling- $15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 100.00% $0.00 $1,500.00 Mobilization 0024 Piling -Test $15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 100.00% S0.00 $1,500.00 Piles 0025 Pilinq $153,900.00 $153,900.00 $0.00 $0.00 $153,900.00 100.00% $0.00 $15,390.00 0026 Concrete $55,000.00 $55,000.00 $0.00 $0.00 $55,000.00 100.00% $0.00 $5,500.00 Reinforcement- Mat'l 0027 Concrete $25,000.00 $25,000.00 $0.00 $0.00 $25,000.00 100.00% $0.00 $2,500.00 Reinforcement- Labor 0028 Cast In Place- $13,000.00 $13,000.00 $0.00 $0.00 $13,000.00 100.00% $0.00 $1,300.00 Walls-Mat'l 0029 Cast In Place- $40,000.00 $40,000.00 $0.00 $0.00 $40,000.00 100.00% $0.00 $4,000.00 Walls-Labor 0030 Cast In Place- $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $500.00 SOG- Marl 0031 Cast In Place- $17,000.00 $17,000.00 $0.00 $0.00 $17,000.00 100.00% $0.00 $1,700.00 SOG- Labor 0032 Cast In Place- $18,000.00 $18,000.00 $0.00 $0.00 $18,000.00 100.00% $0.00 $1,800.00 Elev Slabs- Mat'l 0033 Cast In Place- $55,000.00 $55,000.00 $0.00 $0.00 $55,000.00 100.00% $0.00 $5,500.00 Elev Slabs- Labor 0034 Misc. Concrete- $35,000.00 $0.00 $35,000.00 $0.00 $35,000.00 100.00% $0.00 $3,500.00 Marl 0035 Misc. Concrete- $35,000.00 $0.00 $35,000.00 $0.00 $35,000.00 100.00% $0.00 $3,500.00 Labor 0036 Site Concrete- $300.00 $0.00 $0.00 $0.00 $0.00 0.00% $300.00 $0.00 Mat'I 0037 Site Concrete- $16,500.00 $0.00 $0.00 $0.00 $0.00 0.00% $16,500.00 $0.00 Labor 0038 Bitiminous $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $500.00 Dampproofinq 0039 Bentonite $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $500.00 Waterproofing CONTINUATION SHEET AIA DOCUMENT G703 PAGE 3 OF 4 PAGES . • AlA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 08 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO . - Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 09-010 ARCHITECT'S PROJECT NO 0040 Pedestrian $30,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $30,000.00 $0.00 Traffic Coating 0041 Joint Sealants $500.00 $0.00 $0.00 $0.00 $0.00 0.00% $500.00 $0.00 Bid Item#1 Subtotal: $690,000.00 $552,500.00 $80,000.00 $0.00 $632,500.00 91.67% $57,500.00 $63,250.00 Allowances 0042 Winter $70,000.00 $47,101.00 $0.00 $0.00 $47,101.00 67.28% $22,899.00 $4,710.10 Conditions Allowance Allowances Subtotal: $70,000.00 $47,101.00 $0.00 $0.00 $47,101.00 67.29% $22,899.00 $4,710.10 GRAND TOTAL $807,500.00 $645,201.00 $81,900.00 $0.00 $727,101.00 90.04% $80,399.00 $72,710.10 APPLICATION FOR PAYMENT PARTIAL WAIVER OF LIEN Contractor Verkler. Inc. Address: 7240 Gr,prgerm.*n Rd . TnAinripnlic, TN L6768 Project Name and Address: Village on the Green Office Building No. I -1 r r;r r--- 11i17 �� 1 ' 1 �5 , Periodto: 6/30/10 di, JUL 1 9 2(110 Ill{ •Job ti: 1-06-1493 fay 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, toots, 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 $ 73, 710.00 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 16th day of July, 2010 Verkler, Inc. Company Nam 4A-0111,X4 BY: � TITLE: CE0/Treasurer • NAME: Fred H. Lusk STATE OF Indiana COUNTY OF Marion Subscribed and sworn to before me,a Notary Public In and for said County and State, this 16th day of July 2010 Mycommission expires March 20, 2013 My county residence is Hamilton Notary 1,'n!W '�4? jZ, jjF tinted Janeane Arbuckle