HomeMy WebLinkAboutLITTLE CONSTRUCTION CO., INC. - 1212 - 47,005.55 - 9/16/2010 CARMEL REDEVELOPMENT COMMISSION
Little Construction Co., Inc. Check .1212
104 South Harrison Street Date 9/16/2010
Greenfield, IN 46140 Vendor: LITTLE
invoice PRC. Num. Invoice Amt Balance Retention Discount Amt: Paid
3 47,005.55 47,005.55 0.00 0.00 47,005 55
Application 3
47,005.55 47,005.55 0.00 0.00 47,005,55
>( L11=52LTD ,Compu arEasa Forms Division (877)577-5791>1N50670G
PIIICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMFNT 0 70 2 (lneir[Icnons <„ I „crsc side) iI:.:v, oft i;? 1•:l6t,
1 /r0 CIWNIU1: REI Construction Services pROJEC-IVILLAGE ON THE GREEN APw-ICA.I'ION NO$ Di9lrihw krii to
11711 N. PENNSYLVANIA STREET VILLAGE ON THE GREEN-OFFICE BLDG, PERIOD T0. 7/30/2010 0 Owinai •
SUITE 200
Carmel, In 46032 PROJECT NOS. 09-123 C] •.RCrlrrr:r i
1,1 rtor,vi'ItnCToit
FROM CON7ItACT-Olt: s,1:•the-Constructfor%Co.,-I�. V!A ARCHITECT CONTRACT DsrL1 1/24/2009 El
104 South Harrison Street L I
Greenfield, In 46140 EIFS
C ONTRAC'h volt: EIFS
1 ite. undersigned Contractor certifies[hat to the best of Mc Contr.ln ,:'s lull r biter, tabor
CONTRACTOR'S APPLICATION FOR PAYMENT 1112101)and belief the Wolk careered by this Applicadem for Payment hasbee il nmplei.e.I
• Application 15 made f e payment, d5 shower below, La connection with the Contract. in accoManee with the Contract DOCPnlen6, that illl amount- bate hr a heal he the
Continu-uian Slater, AIA Document 0703, is attached. Cnn[c;lrinr[iii sorb for which previous Cr:nj]ical« he Ed V ti kei u ei:i,e i.--n.rI .iii.I n. '..
I. ORIGINAL CONTRACT SUM . . . . . . 243,083.00 Incurs received (tarn the O.vnel, and I ha[ r,ntneet paynl ear sh-,yr hrrein i n c; chic
A (Torn ltAC'f O isle Construction Ca_, Inc.
. 2 , Net change by Change Orders A
0.00
243,083.00 Erie . ►IIn Datr: 7/14/2010
3 . CONTRACT SUM TO DATE (Line I ,h 2). _ . . . . .A -.-.
4. TOTAL COMPLETED & STORED TO DATE $ 112,920.92 State of: in , ._
(Column G on 0703) Counry of: Hancock - - - _
5 . RET4 GEr Subscribed hind sworn to before �� -
a. __'/, of Completed whit( S 1-1,292.10 me this 144 clay or Su I Q - _
(Columns D + E on 0703) d 1� I� � ❑❑ - -
b, (Column ul Siored
0701)Material $ 0:00_ Yi WnTib r�- - - ' -
(C�l�mn P on G7Ca3) Notary Public: ly kkkk�����''"^"����� -- _- -
.1'otal Re[ainage (Line 50' -r Sb or My Commission c _Ares:
'Iota! in Column € of 0703) $ 11,292.10 7/08120.15 _...-
0. TOTAL EARNED LESS HETAINAGE . . . . , . , , . , . ,F 101,626.82 ARCHITECT'S CERTIFICATE FOR PAYMENT
(!.Inc 4 lass Line 5 Tool)
: . LESS PREVIOUS CERTIFICATES FOR PAYMENT hi accordance with the Conuact Documents, based on onsitr.obsrrr tattoo) ,Ind dii:din
(Line 6 from prier Certificate) . . . . . . . . . • . . . .. 54.62327 comprising[ l<nowkdgc ai inti, ETC Al hiitect terrines 10 the Owner that to the best ill the
d belief the Work has progressed is indicated, the
8- CURRENT PAYMENT DUE d 47,005.55 quality of the work is in accordance with the Contract Dcicunlcnts, lind !hit Cnutrl,tor
is entitled to payment of the AMOUNT CER'1'INFO.
9. EALANCE TO FINISH, INCLUDING RETAINAGE r
(I.inc 3 Icss Line 6) Y. __141,454--1$- AMOUNT CERTIFIED . 7'®0 ,5..5
_ - (Arac6 explanation ycl)>re Litt ter!fiat d Wei s from one :Moor - 11),i' 1 lve +vtl,nl
CHANCE ORDER SUMMARY ADDITIONS DEDUCTIONS all figurei CO this Application acrd on the Continneiieiort Sheet (ter are elnurged ;o
!b[al Cl)inges approved In conform to the ampeocr cerr,fied.)
previous months bl Owner 0.00 0.00 01-'14-41"- / � J1
loud approved this Month D.UI 1 0.0._ 8y: -��`_ - - Dour -"LPL !
TOTALS_ 0.00 COO__ This Certificate is not negoirrable. 'f he AMOUNT-CERT 1 1 1 1 3) 5 payable only to the i_on-
VPI CIItNG G.ti by Chimp_ Order_ 000 Victor namecl herein Issuance, p'b.nunl :1nt1 acceprincr. oI pay me nl are efiihQUl
_— - - _.. prejudice a) any rlghls of the Owner nt Crm[elclnr under this i.onlrrr;[. .
AIA OOCUM<_NT 0/0e -. :AI'I.111_A Ir)N AND Ch pr II9C,A1 l: i-C)I1 I'ci tI-NI 1992 [nr1ION • AIM' • Gi99 • '111E AMliiill:.AN INS rill I i Of !ARAN I lit 13', I. .i Ni,.a.' 1'OIih
ee il t- 7•!c'_ )v,,511rNrllt hi, I)I J iNl '9t • .)ARMING. Unlicensed photocopying vloialcs U.S. copyrigbl 10ees arid will subleel the vlolnlor [a Iegnl prosecullnn. r„, C702-11-192 p1D
' Nyee,(2/oc/( o;f.� P t 11010
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APPLICATION FOR PAYMENT
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PARTIAL WAIVER OF LIEN
Cortractor: Li4ie. t -i-r • ;a Tic.
rklcress: 0 , r' al 1.
.retain irld r- y It0
Project Name and Address: c , o
4-ti gees - • ice ex;; K k n j _
3r= ' u x ue- SW and Ci-kk Cen-ter 1b. riuc
Period to: �/i30!
Job #: f C
the Undersigned has been contracted by REI Construction, LLC as a Contractor in connection with construction
ol'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
d :te 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
subjr:ct 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. n C
/The undersigned, for and in consideration of the total payments in the sum of $ 9 7/ 00 ; S.s
the receipt of which h 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 l y day of 60 I L aQ 1D
LL.` 1e � iDI� ✓1C• ,
Company Name /
BY: l/ V, P.
11^^ TITLE:
NAME: rOY) Li4-4-It
STATE OF illna;aock._
COUNTY OF 40.,1x0
Subscribed and sworn to before me, a Notary Public in and for said County and State, this I 1
day of 5U 11 2009-
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x010 {
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My commission expires f''
My county residence isRytCpLIC
���rS .
7
Notary
.
9ra
Printed �� no,� Lk-V.-ken
LITTLE CONSTRUCTION CO., INC. \• •
•104 South Harrison Street \•-,7 GREENFIELD, INDIANA 461401 N V �iC E . 12886 t.
(317) 462-9700
Fax (317) 462-9780
REl Construction Services 7-14-It) 10-009
TO
DATE JOB NO.
1 171 1 N. Pennsylvania St., Ste. 200 Village on the Green Office
JOB NAME
Carmel, IN 46032 E Work
JOB LOCATION E1FS
TERMS Net upon receipt: 2% interest per month after 30 days
t52. ;i,ity," r'::sw 3r1?vim'°= i n-.:f!;i+n J.L" :s''DESCRIPTION63t'.L.._ i.`; ` . F. .._.ris:1,.+".' `-F,: RRICE'..,,54.. 5,351MOUNT,.w k
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Original Contract $243,083.00
Current Billing To Date $1 12,920.92
Less Retainagc $ 11,292.10
Less Previous Certificates $ 54,623.27
Amount Due This Invoice $ 47 005.55
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THANK.YOU