The URL can be used to link to this page

Home My WebLink AboutDIVERSIFIED PAINTING COMPANY - 1004 - 109,710.00 - 8/2/2010 APc Document G7021G a1M — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition to 3 TO OWNER " " PROJECT: APPLICATION NO 7 Distribution to: armcl Redevelopment Commission . PARCEL 7A;Regional Performing Arts Center - _ • One Civic Syuare> Interior Finish Package Y5 PERIOD TO OWNER ❑ Cannel IN 46032 5115110 Bid Pack Painting CONSTRUCTION MANAGER ❑ FROM CONT erf Painting Company VIA CONSTRUCTION MANAGER: CONTRACT DATE: Febuary 24,2009 ARCHITECT CI xpo lane CEO Architects 2695 Indianapolis,IN 46214 280 E. 96th Street, Suite 100 PROJECT NOS: I CONTRACTOR ❑ VIA ARCHITECT: Indianapolis, IN 46240 FIEF) ❑ Bid Pack 5160,Pa inting CONTRACT FOR: ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undetsignerl Coiraetor certifies that to the heel of the Conn det rr a knowledge. information and Application is made for payment, as shown below,in connection with die Cnnd ucl. belief the Work covered by this Application for Paymmnt hes been completed io ncerirdance with the Continuation Shed, AIA Document 0703.is ellaghed. Contract Docmuenls,that.all amounts have.been paid by the Conn:tclur for Afork for which pn:vion.; CcrtiGcates for Pavmcnt wore issued red payiuonls received form the Owner, and Mai Cuticle 1.ORIGINAL CONTRACT SUM $ 2,1Or,00n n0- payment shown ihnein is now due. 2. Net change by Change Orders $_(55.5s000_ CONTRACTOR: D-P.call 3.CONTRACT SUM TO DATE(Lieu i ±21 S 2,044,450-00 BY: / // znr— Date.. r'" 5f15fP01CI 4,TOTAL COMPLETED&STORED TO DATE (Colman 0 on G703) $ 672,635.00 State of: INDIANA 5. RETAINAGE I ' - COunt)/oi'_ Boone ba a s a 16p✓nYC omp]ctcd Work Subscuhcd and sworn (o'bdu'c 4 Thomas E. Hill a t (Column� 0+E on 6703) 549,113.50 Inc this d 1y.of 1. 511 7, . otary Public State of Indiana 0 h 114°ol Shed Mete,iii Nol:ay 1 ublrc t Thomas E Hill BZffy' Boone County • (Column f on (3703) 18,150-00 My Commission expires: 11IOa/9o17 1 Expires Nov 8, 2017_ 'Fatal Rctainage(Lines 5a+5b01 Total in Col UMI010703)„ S CERTIFICATE FOR PAYMENT e7,26ssa- 6,TOTAL EARNED LESS RETAINAGE €h ac pplien co ,with Co Contract Manager hosed on t ;Ile uitt he Own r M the duly bud of s ten $ 605,37150 this aypLowtun_the Conslmdlan Nlnnagcr ltd Arehilcu ccxlily to Ih�Owner Ihnt to Mc act of lhcrc (Line 4 Less Line 5 Total) knowledge.information and belief tie Work has plilgiesscrl as imlicuied. the quality of the Work is in 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 495661,50 accordance with the Contract Documents,and the Contractor is colitis.] puytnent of the AMOIJN'l _ (Line G Fein prior Ce tilleale) CERTIFIED. �-}r� B. CURRENT PAYMENT DUE $ 109.710,00 AMOUNT CERTIFIED -. S 2 Pi, `tiO� 9.BALANCE TO FINISH, INCLUDING RETAINAGE I, - (A/kw',c-ip/rntafiurr!J amount ere-Mica dlffcu t Farm ' �r r liar npplred. faith l!nil It ilC.r till !Iris Applictita n turd On Cants rall:on She- that e t Iran r rl in Cogf not with the n NNW(ce�riiffed.J (Line 3 less Line 6) r' 1,409,078.50 CONS ;UCTIO M'��W //// h)' y►ter !I' ��-I �' ._._ Dct,: ©cal- i0 CI-IANGE ORDER SUMMARY AUDI I DEDUCTION'S ARCH '� /' Total changes ipptov cdri0`p1Cvi aus months it Owner $ $ Ile. t� — __ . _. Dale: 6 Set'L .J out] approved [his Month $ $ This Cenilicnte is not ni titi tblc_ The AMOIJN''I CER'I'IDI ED is t tale Dols to the Cunitador TOTALS $ • - $ - named heicin. Issn tract{"PIrynant and rice ptancc of p:q wont nil withaun p shin line to mr • rights of NRT'CHANGES by Change Order $ - the Owner Cr COI[I rcinr under this ConnneI- P A I D AUG I - 4 2010 nu CAUTION: You should sign on original AIA Contract Document,on which this text appears in RED.An original assures that changes will t Fie otscured. AIA Document G702/GMaTM-1992.copyright UC 1992 by The American Institute or Architects.All rights reserved.WARNING:This AIA°Document is protected by Its.Copyright Low nod intel'nationnl Treotiee. Uliaulhorized reproduction or distribution of this Ate®Document,or any portion of it,me result in severe civil and criminal penalties,and will be prosecuted lc the nenxinium extent po sibee under the law. Purchaser;are permitted to reproduce ten(10)copies of This cfoci/ment when completed.To report copyright violations of AIA Contract Documents,e.rnoil The American Insulule of Architects'legal counsel,copyrighi,t7aia.erg. .X44 ` Document G 03r� - 1992 page 1 Continuation Sheet -. rlltl LlUOU maul 6702 APPLICATION t\NQ CCKTI P[CAl'ION I�OR I'AYI`91i1A 1 APPLICATION NO t. 4 I anng(=anti u.ni's slgncd cciiirca it 1 is as 41144. APPLICATION DATE: 7 I n n ula N k nu v. rtmouuus me etau.tL to the nearest dollflr, 40313 Use( ol1 111 Inn Conirncts where vxrinhlc itamagc for line items 1101'apply, PERIOD TO ARCHITECT'S PROJECT No srl5rzolo n Li C U Il I . .. r -_-- II -- -- I --'I 1401E K COM III;i'LU NI TI 1AlS 10'I'r11 I \ I I'I'Pb7 17L;SCIt[Y'I'10N UG WORK SCHi DULLU PRP.SI CI Y tOp11 L�'I U PRO.A1 PH h V IUllg 'E n 1 1 6 IiHU A11OIIAI 3 D 111 4A1iA 61 IC NU, YeALUt: APPLIC 111011` 11115 PI3RIOp tCi=t;) Iln i.,tE ill+ P>) lN0!' IN 1Q DA'I'L, iC.-C. HrA'I'I?7 _ 1 OR Ii) (0+0tl'1 I 1 Bonds 73,500.00 73,500.00 73,50000 100°/ 0.00 7,359.00 11 2 Moblilu?anon 5,00000 5,000.00 0.00 5,000,00 100°/ 0-00 500.00 3 Instirance/Hazcwn/Safely 4,000,00 4000.00 4000.00 100% 0.00 400.00 4 Stibinittals - - 4,800.00 4,800.00 4,800.00 100% 0,00 480.00 5 09-72-00; l LI CDVERING Labor 18.750.00 0.00 0% 1875000 0-00 Material 37,000.00 0.00 0% 37000.00 0.00 6 Or 94-00;ACOUS"I'ICAL WALL,PANLI5 Labor 51500.00 - 0.00 0°/ 5150000 0.00 Material 580,000.00 5,800.00 181500,00 187,300.00 32% 392,700.00 18,730.00 7 05 91-D0; PAINTING BASE MECH tabor 36,680.00 35,680.00 0.00 35,680.00 97% 1,000.00 3.568.00 BASEr MECH Materal 9,000.00 8,925.00 0-00 8,925.00 99! 75.00 892.50 BASE ELECT LABOR 10,080,00 10,080.00 0.00 10,080.00 100% 000 1000.00 BASE ICLECT MATER 2,500.00 2,500-00 0 00 2,500.00 100% 0.00 25000 INT CONST BASE;LAB 10,880.00 3,300.00 2,500.00 5,"00.00 53% 5 08000 580.00 IN']CONST BASE MAT 2,500.00 750.00 250.00 1000,00 40% 1,500.00 100.00 PLEM LABOR 8 480.00 5 000,00 0.00 5,000.00 59% 3480.00. 500,00 PLEM MATERAIL 2,500.00 1,25000 0.00 1,250.00 50% 1250.00 125.00 CON HALL N WALL LABOR - `!•, 69,120,00 1,500.00 1,500.00 2% . 67,520,00 150.00 CON HALL N WALL MA'I ERIAL - 12,500,00 500,00 500.00 4% 12.000.00 50.00 CON HALL N DOME LABOR 45,920.00 30,000.00 8,500.00 38,50000 84% 7420.00 3.850.00 CON HALL NDOME'MATERIAL 15,000-00 10,800.00 1,300.00 12,100.00 ' 81% 2,900.00 1210.00 CON HA LL LALY'WALT.LAB 122,240.00 4,000.00 0.00 ,4,00000 3% 118,240.00 400.00 CON HALL E3AbY WALL MAT 24.000-00 2.000.00 0.00 2,00000 8°0 22,000-00 200.00 SLSTOTA1 1''AOE-1- 4-145;9o0:00 207-385=00 14 550'00--181;600-00 403,435,00 12.13 742515.00 40343,!'0 CAUTION;You should sign an original MA Contract Document,on which this text appears in FIED.An origina!assures that changes will not tie rdicvUre[I. AIA Document G7031'"-1992.Copy(Oil 01963. 19"u5, 1996, 1967, 1970, 1978, 1983 and /9213 Tho Aineiioan Inslilute of Architects.All rights reserved. WAR3i!N6: 15 is AIA''III^unient is lr:race: -- - G.C•myrite I Low and inlernalional Treaties.Unauthdri zed reproduction or distribution of this AIAe Document,or any onion t i Ye o 1,may result in severe civil and criminal pena6,ieii,and c will tut!,r nsecsli tut m•l • ': .nn;xl.nt possible under the law.Purchasers era permitted t¢r¢protluce ten(10)copies of Ihla document wheu complele8.To re pod copyright t violallons of AIA Comrael Documents.retail The!'.mencan hsll[utr of F.rcFL^^^s toga' counsel,copyrigM[waia.org, -S75 0 �\ �' Document G7031h1 - 1992 • m _Iv Continuation Sheet page 2 AIA Document G702.APPLICATION-AND CERTIFICATION FOR PAYMENT. APPLICATION NO: containing Coon-actor's-signed-ccitiflcalion is attached. APPLICATION DATE: In tabulations below;.uuounts ate stated to the nearest dollar, Use Column I on Contracts where variable retainagc for line items may apply. PERIOD T0: 7 ARCHITECT'S PROJECT INO: .1 45s/ 5//200 10 A R _C U L: F Ci _ N I WORK CONI I'LE'l'I?I) MATERIALS '10'i:AI. PRESENTLY CONII'LI IED (Al ANr:Ii R ITI'AIN'ACib fI'IiM D_FSCRII'TION OF WORK SCI-IEDI1LED FROM PREVIOUS :�, 'IYI NO. S'fl)REU AND S'I'OIt IiD (U+CI FINISH (II'VAI:I.AIII l? VALUE APPLICATION TIIIS PERIOD (D+li) (VOTIN TO DATE (C1-({) RrnI'F) I)OR E) (D+E+F) CON HALL DOME LABOR 100,260.00 69,500.00 21,000.00 CON H 311,400.00 ALL DOME MATERAIL 35,000.00 24,000.00 7,400.00 3 90% 3,600.00 3,140.00 CON HALLS WALL LABOR 45,120.00 ,400.00 90% 3,600.00 3,140.00 CON HALL S WALL MATERIAL 9,500.00 0.00 0% 45,120.00 0.00 CON HALL S.DOMG LABOR 45,920.00 32,000.00 9,100-00 0.00 0% 9,500.00 0.00 41,100.00 90% 4,820.00 4,110.00 CON HALL'S DOME MATERIAL 15,000.00 10,500.00 3,000.00 13,500.00 90% 1,500.00 1,350.00 N TIER LABOR 28,000.00 14,000.00 14,000.00 50% 14,000.00 1,400.00 N TIER MATERIAL 6,500.00 3,250.00 3,250.00 50% 3,250.00 325.00 'N,ORCH LABOR 28,000.00 0.00 0% 28,000.00 0.00 • N ORCH MATERIAL 6,500.00 0.00 0% 6,500.00 0.00 W 1.01313 LABOR 28,800.00 0.00 0.00 00/ 28,800.00 0.00 W LOBE MATERAIL 6,500.00 0.00 0.00 0% 6,500.00 0.00 W LOBB CEIL LABOR 28,000.00 25,25000 25,250.00 90% 2,750.00 2,525.00 W LOBB CEIL MTERAIL 6,500.00 6,500.00 ' 6,500.00 100% 000 550,00 E LOBBY LABOR 28,000.00 0.00 0% 28,000.00 0.00 E LOBBY MATERIAL 7.000.00 0.00 0% 7,000.00 0.00 E LOBBY CEIL LABOR 38,800.00 0.00 0% 38,800.00 0.00 E LOBBY MATERIAL 9,300.00 0.00 0% 9,300.00 0.00 S LOBB LABOR . . ' 45,000.00 0.00 0% 45,000.00 0.00 S LOBE MATERIAL 11,000.00 0.00 0% 11,000.00 0.00 SW ORCH LOB,STR WALLAH" 48,000.00 3,500.00 0.00 SW ORCH LOB,STR WAL MAT 8,700.00 750.00 0.00 3,750.00 7% 44,500.00 375.00 SE ORCH LOB$'l'R.WAL 3 LAB 48,000.00 3,500.00 0 00 500;00 9% 7,950.00 75.00 ,750.00 7% 44,500.00 375.00 SE ORCH-LOB,STR WAL MAT 8,700.00 750.00 0.00 - 750.00 9% 7,950.00 75.00 SUB_TO TA4PAGE2 _642400"00 144,500:00 89;500:00 0:00- 234;000:00 6:81--408,100:00---23,400.00 CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not ha oh cursd. AIA Document G703,"-1992.Copyright 01963, 1965,1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA"Uuoumani is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIeDocument,or any portion of it,may result In severe civil and criminal penalties,and Mil lie prosecuted to the maximum extent possible under the law.Purchasers a ro permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,o-mail'I he American Institute of Architects'legal counsel,copyright @aia.erg . f1 sif Document G703TI,1 ® 1992 e]I .b yY iY"u C6uW .c. Continuation Sheet page 3 - AIA Document 0702,APPLICA'T'ION AND CERTIFICATION FOR PAYMENT. APPLICATION NO: containing Contractor's Sigilcd:ccniftcalion is attached. APPLICATION DATE: In tabulations below.amounts are stated M the nearest dollar. 7 Use 0)1111oo.1 on Contracts where variable relai nage for line items may apply. PERIOD TO: 40313 ARCHITECT'S PROJECT NO: 5/1512070 A II C U E F- G I I 1 ' WORK CON WITTED MATERIALS '1'0'1'AL I PRESENTLY COMPLETED R:V.A NCI? ITEM DESCRIPTION OF WORK 531EDULED FROM PREVIOUS .Tl,t Rlfl)A lAt;1C N('). Vr\1.UI'. APPLICA'T'ION I'I ITS PERIOD (NOT IN AND S'f61f 1?D (G+Ci FINISH OF VARIABLE (NO'rIN TODA'IS - IfA'Tli) (U+E) I)OR I) 1,1)+12+17) (C-U) F BAL L/H LABOR 28,000.00 - 14,000.00 14,000.00 50% 14,000.00 1,400.00 BAL L/H MATERAIL 6,800.00 3,400.00 3,400.00 50/ 3,400.00 340.00 INT CON ATTIC LABOR 17,000.00 0.00 0% 17,000.00 0.00 INT CON ATTIC MATERIAL 3,500.00 0.00 0% 3,500.00 0.00 8 09-97-23: STAINS,SEALERS' BASEMENT Labor. ' . 7,700.00 5,500.00 0.00 5,500.00 71% 2,200.00 550.00 BASEMENT.Material 5,800.00 5,500.00 0.00 5,500.00 95/ 300.00 550.00 BASE MECFf RM LABOR 2,500.00 1,250.00 0.00 1,250.00 50% 1,250 00 125.00 BASE:MECH RM MATER 1,500.00 750.00 0.00 PLEM LABOR 250.00 50% 250.00 25.00 2,500.00 1,250.00 0.00 7,250.00 50% 1,250.00 125.00 PLEM MATERAIL 1,500.00 750.00 0.00 750.00 500/0 750.00 75.00 CON HALL BALCONY LAB 4,500.00 CON HALL BALCONY MAT 1,500.00 0.00 0% 4,500.00 0.00 ORCH LOB, STR LAB 0.00 0% 1,500.00 0.00 7,500.00 0.00 0% 7,500.00 0.00 ORCH LOB, STR MAT 3,000.00 0.00 0% 3,000.00 0.00 9 DAILY CLEAN UP 15,000.00 500.00 1,000.00 1,500 00 10% 13,500.00 150.00 Il0 GENERAL ALLOWANCE 100,000.00 50,000.00 50,000.00 50% 50,000.00 5,000.00 1 1 SUPPLIES ALLOWANCE 15.000 00 12 LABOR ALLOWANCE 0.00 0°/ 15,000.00 0.00 75,000.00 0.00 00/0 75,000.00 0.00 3 CAD ALLOWANCE 5,000.00 5,000.00 5,000.00 100% 0.00 .-00.00 14 PROGRESS MEETINGS - , 5,200.00 1,100.00 750.00 1,850.00 36% 3,350.00 185.00 IS CLOSE-OUTS 3,450.00 0.00 0% 3,450 00 0.00 . CO 1 DED ALLOWANCE - -55,000.00 -55,000.00 -55,000.00; 100% 0.00 -5,500.00 CO 2 0.00 CO3 0.00 0% 0.00 0.00 `'.`. -550.00 -550.00 _-550.00 100% D.00 -55.00 SIBTOTACPAGE' 256,400.00 16,600.00 18,600.00 0.00 35,200.00 6.62 221,200.00 3,520.00 SUB TOTAL PAGE 1 1,145,950.00 207,385.00 14,550.00 181,500.00 403,435.00 12.13 742.515.00 40,34350 SUB TOTAL PAt4E2 _642.700.00 144,500.00 89;500:00 0.017 234;000:00 -6:81--408;100.00 23,400.00 CAUTION:'P.WP-uTs7-1 an original AIA Cor2104.4,450:00ient,on'368,•485100text app122I6501013.An o1'81r51701ooures that S1/2r63S7dailI not 25.57SLW 1 377,815_00 67,263-50 AIA Document G703TM'-19s2.Copyright 91963, 1965.1966, 1967. 1970, 1970. 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:'this Amenricument is protected by U.S.Copyright Low and International Treaties.Unauthorized reproduction or distribution of this AlAe Document.or any portion of it,may result In severe civil and criminal penallles,emd v44 120 prosecuied 10 the mnxlmmin eztonl possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute 01 Architects legal counsel,copyright @aia.org. D. P. Co. Inc. AFFIDAVIT AND WAIVER OF LIEN Payment# 5 STATE: INDIANA FINAL XX PARTIAL PAYMENT TO FOLLOW COUNTY OF: MARION _kevin M. Blume_Being duly sworn that he is the Secretary of Diversified Painting Co. Inc being in contract with Cannel Redevelopment Commission to furnish certain materials and/or labor as follows: Painting & Wallcovering for a project known as: Parcel 7A; Regional Performing Arts Center located in: Carmel, IN and owned by City of Carmel Redevelopment Commission and does hereby further state on behalf of the aforementioned subcontractor/ supplier: (PARTIAL WAIVER) That there is due from the contractor the sum of: two hundred one thousand six hundred ninty and 00!700 DOLLARS: $201,690.00 XXXX receipt of which is hereby acknowledged or the payment of which has been promised as the sole consideration of the affidavit and Partial Waiver of Lien which is given solely with respect to said amount and which waiver shall be effective only upon receipt of payment thereof by the undersigned. (FINAL WAIVER) That there is due from the contractor the sum of: DOLLARS: $ receipt of which is hereby acknowledged or the payment of which has been promised as the sole consideration of the affidavit and Final Waiver of Lien which is shall become effective upon receipt of such payment. THEREFO the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, in any, and further certified that no other party has any claim or right to lien on account of any work performed or material furnished to undersigned for said project and within the scope of this affidavit and wavier. _Diversified Painting Co, Inc._By President Kevin M'Blume WITNESS MY HAND AND NOTARIAL SEAL THIS: 04115)10 MY COMMISSION EXPIRES: 11-08-2017 COUNTY OF RESIDENCE: Boone fri 4 $.7 NOTARY Thomas E. Hill 4 Thomas E. Hill • Notary Public State of Indiana Boone County Expires Nov 8, 2017 r Prescribed by Same Boord of Acco,mis City Form No.201(Rev,1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. �1 Payee /�brr .1')/N0) 7;4' izg Cc itr, Purchase Order No. 16 5/ L—>;-(ye, L 01 .0 Terms o//,, /t2 422/4" Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/1 51/4d 7 /� /.. A 7 f'7 /0 , 7/6.de) Total 7/ _ I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. , 20 Clerk-Treasurer i. AQ VOUCHER NO WARRANT NO. ALLOWED 20 V�v3 74--"c- 9./rt. ,-, Ca IN SUM OF $ /657 rr-, %!1/ 4' 2/4/ $ /9a 7/62 .Ca ON ACCOUNT OF APPROPRIATION FOR Board Members EPT. INVOICE NO. ACCTMTITLE AMOUNT hereby certify invoice(s),* I hereb certif that the attached invoices , or S'd? 7 0/6 oro7 /e/9,7/a.Cd bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 6 _ z/ 20/O Signature Fs _ Cost distribution ledger classification if claim paid motor vehicle highway fund (.