HomeMy WebLinkAboutPOINTER SHEET METAL - 1011 - 26,422.00 - 8/2/2010 CA.RIVIEL'REDEVELOPMENT COMMISSION.
001011
Poynter Sheet Metal Check: 1011
8768 N State Rd 37 Date: 8/2/2010
Bloomington, IN 47404
Vendor POYNTERI
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
22B 41 26,422 00 26;422.00 0.00 0:00 26,422.00
Application 228
26,422.00 26,422.00 0.00 0.00 26,422.00
x,„11--52LTQ Forms Division (877)577-5791 1N506700
APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION
AIADOtTLIid ENT G702/C:Vla - PAGE OMEOP 4 PAGES 41
TO OWNER: PROJECT: I'2lreel 7.4. Rog:iotaf Performing APPLICATION NO: 22R Distribution to
Cannel R.tleveIoptncnt Commission Arts Comer ft',
One Civic Square E 'as: - PERIOD TO: 5/3I/10 CONSTRUCTION
Cannel. IN 46032 2 MANAGER
PROJLCFNO. 69�-4310 MANAGER
f �
FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: Shier-Sexton C n a. . (PSM#14065) ARCHITECT
POYNTER SHEET MEd AL ATTN:Lyoda Weaver.902_N. Capital Avenue. Indium Iis. IN 4%114 CONTRACT DATE: 04/18/08 nICONTRACTOR
8768 N. STATE RD. 3. VIA ARCHITECT: r\--":"‘'s �Q /
B1 OOMiNGTON,IN 47464 ',yv.
CONTRACT FOR: Bid Package kd310- HVAC Sheet Metal ;`„�% ���
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that so the best of the Contractors knowledge,
Application is made for payment,as shown below,in connection with the Contract information and'beliel the Work covered by this Application for Payment has been
Continuation Sheet, AlA Document 6703, is attached, completed in accordance with the Contract Documents,that all amounts have been paid
be the Contractor for Work Oar which previous Certificates for Payment were issued and
payments received loan the Owner,and that current payment shown herein is now due.
I. ORIGINAL CONTRACT SUM S 2.340500,00
2. Net change by Change Orders S (87.239.00) CONTRACTOR:
3. CONTRACT SLIM TO DATE (Line 13 2) 5 2,1»,26 I OU
4_ TOTAL COMI'LETED& STORED TO DATE 5 2.i99.931,00 �1 ►QN� ������
(Column G on 6703) Bv: Date:
5. RETATNAGE: 5%of Contract Total Joseph Lt 1- , resident
a_ 5 %of Ctsp4etedierk S I12,66300 State on h )IA County ot: IONROE
n Twin I Twin D+ I:on(1703) Subscribed at . - fo
a bere me h's y of & 020/0�0
T
h. %of Stored Material S 0.00 Notary Public:
TC7fum pi
n F on C7037 My Commissio mares: c ug st_9.2 I
Total Retainage(Lines 5a 4.Sb or
Total in Column I of G703) S 1 12,663.00 ZERTIFICA
6. 'I't)TAI. EARNED I.f SS k IETAINAGE 2,087.268 01) in accordance with the Contract Documents_based on on-site observations and the data
(Line 4 less Line a-I oral) S comprising this application,the Construction Manager and Architect certify to the
7, LESS PREVIOUS CER El FICA T IES FOR Owner that to the best of'their knowledge,information and belief the Work has
PAYMENT(Line 6 from prior Certihcatel 5 2060.346.00 progressed as indicated.the quality of the Work is in accordance with the Contract
8 CURRENT PAYMENT DUE S 26.422_OU Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIER
9. BALANCE TO FINISH_ INCLUDfNG RETAIASACT S 165,993.00 q��
(I ine , less Linc 6) AMOUNT CI:RI IFIIED S '2t5, 47-12--
LHANt)L ORDER SUMMAR) AUDI I IONS Dk;DUC I IONS (.dnach e.rphmpl+ort rJ'rmrourtr err! ed rh//Ea`orrt f to arx)anr nppIf�//re hone,!all
I plat ahangcs approved JIgures nn tins: if/ration and on the en twrin,r .beet Char clrongad to c:nnJia rn to the
in previous months by Owner 557.761.:(0:511((:).:137, $17500200 &Rrlhrt cerr007ar
Cot SIRE 7.1 —. :, 3 R.
Total approved this Month 50. 50.00 By: ►i.•'4:cyrri�a. Dale: �7 4r��
TOTALS 587,761 5175.000,00 6y: �FflLr_ I Date: d cif co
NET CHANGES by Change Order 239.00) This Ccrt'Hlcut'e IS not negotiable. The AMOUNT CFRTlFIFD is payahlc only to the
Contractor named herein. Issuance,payment and acceptance of payment are without
preindice to any rights of the Owner or Contractor trader this Contract
/ME ILEA WEE I u glut.Ma-ANFUCn I!UN nNU VEr<IiE,LniiuN Nk NAr'MON I Cc)NSI HEILIWN M.9NnlaEH-rnvlaeH EUI1 keg runs EUU ION NN •el..N7 bIpO6TTh-r5.2
THE AMERICAN INSTITUTE OF ARCHITECTS,1745 NEW YORK WE N!f.'..WASHINGTON.DC 20005-5202
Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity
P A I D AUG - 4 2010
Poyn- $1e P"I et. ) al.cQ&9 - 4/3/0
CONTINUATION SHEET -4/A DOCUMENT 703 2 PAGE OF PAGES 4
AIA Ducunlcnt 07702.APPLICATION AND CERTIFICALION FOR PAYMENT,containing APPLICATION NO, 22R
Coot icter's signed rerlificatirn is atwohed_ APPLTCA LION DATE'. 5/14/2010
In tabulations below,amounts are stated to the nearest dollar PS Al JOHP 14065 PERIOD 10'. 9/3 /7010
Use Column i 911 Contract;where snriahle wan noise Lu line items may appic_ NAME Carmel PAC CON 1 RACT NO 2699-4310
A B C I) I E P Cl H I I
LINE DESCRIPTIONOEWORK SCHF.D1i4ED WORK COMP7Ji'I'ED MATERIALS TOTAL 14 HAI.ANCE RETAINAGE
NO- V,V13E FROM PREVIOUS TINS PERIOD PRESENTIV COMPLETED 113-C) ID FINISH (IF VARIABLE
APPLICATION STORED AND STORED IC-['J IIATEI
II)-141 (NOT IN TO DAR
I)OIl El I D-F-FI :°S.,
I GENERAL CONDITIONS 200,000.00 5300.000 co $'0 5200.000 000% 510.000
2 BOND & INSURANCE 45,000.00 544.000 SO SO 545.000 100% 52 250
3 MOBILIZATION 15,000.00 SI5,000 SO SO 513.000 100/ $750
4 ALLOWANCE NO 11 BP 4310 651.00 SO 50 SO 30 Oct', $631 SO
5 ALLOWANCE NO 16 CAD AS-BUILTS 10,000.00 S0 55,000 SO 55.000 50% 35,000 5250
6 DRAWINGSICOORDINATiON 80,000.00 S$0.000 50 S0 S30A00 100% 54.000
7 MECH BASEMENT LEVEL
3 MATERIAL 48,000.00 54.000 $0 SO 345.000 100% 51,400
9 LABOR 50,700.00 550193 50 SO 350.193 9a% 5907 32.510
ID LAGGING 7,000.00 37.000 $1 S0 57.000 10o% 5350
II BACKHOUSE
12 MATERIAL 56,000.00 556.000 80 50 3365100 100% 52 goo
IS LABOR 59,000.00 559.000 $0 So 499000 100% 32.950
14 KITCHEN HOOD&DUCT
15 MATERIAL 15,400.00 515.400 SO 50 5154011 100% 3770
Ir LABOR 10,800.00 510.260 5540 50 510.800 100% 55-O
I7 INSULATION 10,100.00 SSoso 52,020 50 510100 100s, $505
IS MECH RM 1
19 MATERIAL 50,400-00 550400 50 50 350,100 100% 522.520
20 LABOR 56,300 00 556.300 5o So 55■,300 100% 52.515
21 INSULATION 16,800.00 516.300 SO Si) 510500 100% 5540
22 MECH RM 2
23 MATERIAL 77000,00 577.000 50 50 $77,000 100% 53.530
24 LABOR 93,900.00 593,90u SC 50 593.,900 1001% 54.695
25 INSULATION 16,800.00 .53,350 53.360 Si 56,770 40% 510050 5336
26 MECH RM 3
27 MATERIAL 84.900,00 524900 SO 50 534,900 00% S-1.2-15
23 LABOR 94,500.00 5145110 30 SO 594,500 109% 54.725
29 INSULATION 16,800.00 Sk S0O SO So $16,50 100% SR40
30 PLENUM LEVEL
31 MATERIAL 45,100.00 $44,100 30 SO 549.100 11111% 51 1.155
32 LABOR 75,000.00 $75,000 SO $0 575.000 100% 53.750
33 LAGGING 13,000.00 $13.000 50 40 513000 100% 5690
34 ORCHESTRA HIGH LEVEL
35 MATERIAL 34,800-00 $346011 SC 50 534,6011 100% 51730
16 LABOR 35,400.00 333630 50 SO 533.630 113% 55 770 SI.o32
37 ORCHESTRA LOW LEVEL
35 MATERIAL 49,400.00 542400 50 SO 514400 100.4/ 51.470
39 LABOR 62,600.00 559,470 50 SO 554-70 95! 53.130 32 974
Pay n*r Shaf Me 'bCZ9s- Y3/0
CONTINUATION SHEET ,a/,A DOCUMENT G703 3 PAGE OF PAGES 4
AR Document 0702-API'LOCATIOiN AND CERTIFICATION FOR PAYMENT.containing APPLICATION NO 225
Contractors sicned eertit scat ion is attached. APPLICATION DALE, 5114;2010
In mbulotiens below,amounts urn sm @d lu 0mc nearest dollar_ I'Sv1 I0R9. 14065 I'EP.ION 1 0: 5/31/2010
Um Column 1 on Contracts where∎anublc relainase 1'or Ilnc Arms may apply. NAME : Carmel PAC CON FRACF NU, 2695-4 771.0
A B C P I F V 0 II I
I.INC DESCRIPTION 0}609R3. )CHFt)1)41Th 9;OR006irl,ETF15 MATERIAL TOTAL ,o PALANCE RhiAINAGti
NO VAI,IJP, FROM PREVIOUS THIS PERIOb PRESENTLY COMPLETED IG+C) TO FINISH HF VARIARI,E
APPIJGXTION STORED AND STORED IC-CO RATIO
II]-F,) NOT IN TO DATE
IS OR L: 1D-F-FJ 3%
40 BOX TIER LEVEL
41 MATERIAL 70,000 0E1 570000 50 SO 570.000 10019 53.500
42 LABOR 100,300-00 S95,2115 50 50 595.255 95% 55915 52.764
43 LOW BALCONY LEVEL
44 MATERIAL 94,100.00 $94,100 56 SO 594.100 100% P.705
45 LABOR 55,300-00 581,035 50 50 551.055 95% 54.265 54.0522
46 HIGH BALCONY LEVEL
47 MATERIAL 35,400-00 $36AOO 50 SO 535.400 i 00% 51920
43 LABOR 50,200 00 $47,690 50 SO 547.690 95% 52.5 I0 52.395
49 ATTIC LEVEL +50
50 MATERIAL 41,600-00 $41,600 S0 $0 541600 100% 52.050
51 LABOR 44,700.00 542,463 So 50 542-165 95% 52.235 52.123
52 ATTIC LEVEL +61
53 MATERIAL 15,800.00 $L6,300 SO SO 516,300 100% 5540
54 LABOR 15,300.00 513,533 $1,630 SO 515035 95% 5313 3774
55 ATTIC LEVEL+65
36 MATERIAL 39,500.00 539,900 S0 50 539.500 100% 51,915
57 LABOR 37,900.00 526.930 59,475 50 536.005 93% S1.995 $1,800
58 ATTIC LEVEL.79-6
59 MATERIAL 6,700.60 56.700 50 S0 36.700 100% 5333
60 LABOR 5.200.00 55143 SO $0 55.147 99% 558 5257
4-A ALLOWANCE NC. 11 BP 4310(ASI-031) 7,322.00 57,521_ $0 $0 57,322 100% 5366
4-13 ALLOWANCE NO 11 BP 4310A-002 10.000.00 57.518 S0 $0 57.515 75% 51.452 575
4-C ALLOWANCE NO 11 BP 43108-002 4.798.00 54.793 50 50 S-4795 100% 5240
4-1) ALLOWANCE NO 11 BP 43105-003 1.534.00 51,324 30 S0 51.554 100% S77
4-E ALLOWANCE NO 11 BP 43105-004 27,142 00 527,142 50 SO 527,141 100% 31.357
4-F ALLOWANCE NO 11 BP 43105-005 9.625.00 59.625 50 50 579,625 100'4 $481
4-0 ALLOWANCE NO 11 BP 4310B-006 175,000.00 $175000 so SCi $175,000 100% 33.30
4-11 ALLOWANCE NO 11 BP 4310B-007 5413 00 5546 Si SO 5.546 300% 527
4-1 ALLOWANCE NO 11 BP 43108-008 10,933.00 5165 933 SO SO $10933 100% 5547
4-1 ALLOWANCE NO 11 BP 43105-009 12,449,00 512446 SO SO 512419 100% 5622
4-K ALLOWANCE NO 11 BP 4310B-010 530K 50 50 SO S0 0% 30
4-1_ ALLOWANCE NO 11 BP 43103-011 5,001,00 50 50 SO 50 0% SO
4-51 ALLOWANCE NO 11 BP 4310B-012 5'0 50 50 50 0% $0
+O ALLOWANCE NO 11 BP 43108-013 6,103.00 $0 $0 50 50 0'% 50
4-P ALLOWANCE NO 11 BP 43106-014 5,979.00 50 50 SO 50 0% 50
. CONTINUATION SHEET A1. DOCUMENTG7O3 4 PAGE OF PAGES 4
AIA Document(1702,APPLICATION AND CERTIFICATION FOR PAYMENT,containine APPLICATION NO: 22B
Contractor's signed certification is attached. APPLICATION DATE: 5;14/2010
In tabulations below_amounts are stated to the nearest dollar. I'SM JO10: 14065 PERIOD 10: 5/3 1/2010
Use Column l on Contracts whew variable retainace for line items may apply. NAME: Carmel PAC CONTRACT NO: 2695-4 310
A H C D F. P _ G El I
LIME DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL .o BALANCE RETAINAGIE
NO. VAI.DE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED IC,-Ci TO FINISH OF VARIABLE
APPLICATION STORED AND STORED 10-GI RATE)
ID-El i NOT IN TO DATE
D OR El 1 D-E+Fi _
900 PENDING CHANGE ORDERS
901 CHANGE ORDER#1 38,542.00 538.542 SO SO $35,541 100% 51,927
902 CHANGE ORDER#2(RCP-10) 19,219.00 S1 y219 SO SO $19,219 100% S961
903 CHANGE ORDER#3 BP 43108-005 -175,000.00 ISI75.000■ SO SO (5175,0001 100% (55,7501
904 $0 e0 50 $0 SO
905 CHANGE ORDER#5 530.000 512.656 $4,397 $0 $17.053 575l, S12.917 5554
$'_.253,261 2,173.509 26,422 0 1,199.931 95% 53.330 112663
til t n e ,fir„,
" SHEET METAL
1
•
POYNTER SIIEE"1' METAL, INC.
CONTRACTOR'S AFFIDAVIT AND WAIVER OF LIEN
PARTIAL ( X) FINAL ( )
We, the undersigned, having been employed by CARMEL REDEVELOPMENT
COMMISSION furnish labor and materials to do construction work on the premises known as
PARCEL 7A, CARMEL REGIONAL PERFORMING ARTS CENTER hereby warrant that
the premises of the above named job cannot he made subject to any valid lien by anyone who
furnished material. supplies. labor or services to the undersigned fur use in the above named
project for any labor. materials or supplies furnished or services performed through 05/31/111 to
the extent that the undersigned has been paid as set forth herein.
This waiver is given in order to induce payment in the amount of$26,422.00 and upon receipt of
the amount due by the undersigned. this waiver as to the amount due becomes valid. enforceable
and of full effect. Upon attachment of the canceled check and the legal description of the
project. this waiver may he recorded by the Owner or mortgage holder(s) of the project.
This Contractor's Affidavit and Waiver of Lien only applies to the extent paid. and does not
apply to or cover retention. unresolved claims or unresolved changes, change orders or change
requests.
Given under our hand and seal this 24111 day of MAY, 211111
POYNTER SHEET METAL, INC.
Signat e *3orized Representative
Joseph II
PRESIDENT
Title of Authorized Representative
STATE OF: Indiana 1
COUNTY OF: Monroe )
Subscribed and sworn to hefbre me this 24111 day of MAY, 211111
idLeef
(Notary Public)
Commission Expires: August 29, 2014
County of Residence: Morgan
Proscribed by State Board of Accounts 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.
Payee
t
PoY�/P° .54e-r-71 frro %/ Purchase Order No.
276 y N- 5474, /f0„/ 37 Terms
+✓�oo.+/in�/G//, /ti �/��/Ui' Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
519"//u 22.6 ,%,c/rqf oh 22e F7 2(, y22 .OD
Total ,26/a2 0�
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
VOUCHER NO. WARRANT NO.
/40) '',i42/ ALLOWED 20
,�j,�r/ IN SUM OF $ •
J//�6 r� /✓. 54/- /�04- 5 7
!J/c '?iHSfon, //1/ '5'7yo r
$ 2O/y.2.2 OC
ON ACCOUNT OF APPROPRIATION FOR
992/W7, ?o7
Board Members
PO4 or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice(s),
DEPT.u I hereb certi that the attached invoices , or
*402 22 6 i'/ o8o7 26y22 6o 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
G—y 20/6
Signature
Director of Redevelopment
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund