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HomeMy WebLinkAboutMAXWELL ELECTRIC- 178,464.12- 1/15/2011 - NO CHECK WRITTEN BY CRC AA REC= Ei �rED ttiV =11 Document G702'M — 1992 JAN 1 9 2011 Application and Certificate for Payment Per TO OWNER; Carmel Theater Development PROJECT: Village On The Green APPLICATION NO: 6 Distribution to: Corporation LLC 3rd Ave S0.' PERIOD TO:January 15,2011 GINNER 11711 North Pennsylvania Street Suite Carmel In 46032 200 ARCHITECT: Cannel In 46032 CONTRACT FOR:General Construction CONTRACTOR FROM •LMaxwelFElectric VIA Pedmr Design Group,LLC CONTRACT DATE:June 23,2010 FIELD CONTRACTOR: 2601-N Arlington Ave ARCHITECT: 355 City Center Drive PROJECT NOS: / 12012/ Indianapolis In 46218 Carmel In 46032 OTHER CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and A lication is made for payment,as shown below,in connection with the Contract belief the Work covered by this Application for Payment has been completed in accordance with the PP P ym Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,ALA Document G703,is attached. Certificates for Payment were issued and payments received from the Owner, and that current 1. ORIGINAL CONTRACT SUM S 1,429,14100 payment sbo' herein is now due. 2. NET CHANGE BY CHANGE ORDERS S -45,454.00 CO ' •p6 3. CONTRACT SUM TO DATE(Line 1 t 2) S 1,383,688.00 By: /ur / / //J ;Date: January 14,2011 4. TOTAL COMPLETED 8, STORED TO DATE(Column Ti on 0703)........... $ 552,214.29 State of:Indiana S RETAINAGE: County of:Marion '.' a. 10 %of Completed Work Subscribed and sw.rn to bet. e �// . (Collura).D+E on G703) $ 55,235.51 me this / day o // �, J b. 0 %of Stored Material _ . 74" , *. ���L 2—# (Column F on(1703) $ 0.00 Notary Pubad: �• , I I ' ' Total Retainage(Lines 5a+5b or Total in Column I of G703) $ 55,235.51 My Commission expires:March 1,201.1 toe/ 6. TOTAL EARNED LESS RETAINAGE s 496,97879 ARCHIT'E� CT'S CERTIFICATE FOR PAYMENT (Line 4 lass Line 5 Total) In accordant. jthae Conner Documents,based on on-site observations and the data comprising T. LESS PREVIOUS CERTIFICATES FOR PAYMENT S 318,514.67 this application,the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated,the quality of the Work is in accordance (Line 6 from prior Certificate) , the Contract Documents, and the Contractor is entitled to payment of the AMOUNT 8. CURRENT PAYMENT DUE $ 178,464.17 Do CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE AMOUNT CERTIFIED..........._...._......................_................-.._................_ $ 178,464.12 (Line 3 less Line 6) S 886,709.22 (Attach explanation if amarau certified deers from the amount applied.Initial all figures on this Application and on the inuafio Sheet that are changed i con for •th the amount certified) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: 7 Total changes approved in previous months by Owner $ 0-01 S 45,454.0 By: C Date: ) S 41 Total approved this Month 5 0.01 S o. TOTALS $ 0.0 S 45,454.0 This Cen1W.t negotiable.The AMOUNT CEP1U•ILD is payable only o lire Contractor named berein. %uance,payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ -45,454 the Owner or Contractor under this Contract. MA Document GT02T"—1992.Copyright m 1953,1963,1965,1971.1978,1983 and 1992 by The Amonran Institute of Architects.All rights reserved.WARNING:This Mg Document Is protected by U.B. Copyright Law and International Trestles.Unaothoazed reproduction or distribution of this AlA'Document or any portion of II,may result in severe civil and criminal penalties,and will be prosecuted to the mazbnum extent possible under the law.This document was produced by AIA sotware at 14:45:U on 01/17/2011 under Order No.2364 2 280 3 3_1 which expires on 04/14/2011,and is not for resale. lists Notes: (1715828067) -.---ATA Document G703' - 1992 Continuation Sheet AIA Document,07021M-1992,Application and Certification for Payment,or G730-2009, APPLICATION NO:006 Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE:011 14/2011 containing Contractor's signed certification is attached. In tabulations below,amounts are in US dollars. PERIOD TO:01/15/2011 Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COIefP1.E"CED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY "/o NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G+C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+Ei-F) 1 126-1000 Bonding 19,200.00 19,200.00 0.00 0.00 19,200.00 100.00% 0.00 0.00 2 126-1001 Submittals 6,800.00 6,120.00 0.00 0.00 6,120.00 90.00% 680.00 0.00 126-1002 Switch 3 Guar Mateial 216,800.00 104,064.00 43,360.00 0.00 147,424.00 68.00% 69,376.00 0.00 126-1003 Switch 4 Gear Installation 98,555.00 25,624.30 28,580.95 0.00 54,205.25 55.00% 44,349.75 0.00 126-1004 Lighting 5 Protection Material 18,685.00 4,671.25 0.00 0.00 4,671.25 25.00% 14,013.75 0.00 126-1005 Lighting Protection 6 Installation 9,400.00 940.00 (100 0.00 940.00 10.00% 8,460.00 0.00 126-1006 Light Fixtures Material 1st 7 Floor 128,000.00 51,200.00 5,120.00 0.00 56,320.00 44.00% 71,680.00 0.00 126-1007 Light Fixtures Material 2nd 8 Floor 78,400.00 25,872.00 7,056.00 0.00 32,928.00 42.00% 45,472.00 0.00 126-1008 Light Fixtures Material 3rd 9 floor 20,177.00 6,456.64 2,017.70 0.00 8,474.34 42.00% 11,702.66 0.00 126-1009 Light Fixtures Installation 10 1st Floor 42,000.00 5,040.00 0.00 0.00 5,040.00 12.00% 36,960.00 0.00 126-1010 Light Fixtures Installaton 11 2nd Floor 50,990.00 5,099.00 0.00 0.00 5,099.00 10.00% 45,891.00 0.00 AIA Document 0703'"-1992.Copyright 01963,1965,1968,1967,1970,1978,1983 and 1992 by The American Institute of Arrtilecls.All rights reserved.WARNING:This AIA'Document la protected by U.S. Copyright taw and international Treaties.Unauthorized reproduction or distribution of this NA'Document,or any portion of it,may msun in severe civil and criminal penalties,and will be prosecuted to I the maximum extant possible under the law.ills docunom was produced by ALA software at 14:44:20 on 01117/2011 under Order No.2064228023 1 which expires on 04/1412011,and is not for resrio. User Notes: (1196187981) A B C D I E F O H I WORK COMPLETED TOTAL MATERIALS ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED % BALANCE TO RETAINAGE NO. WORK VALUE PREVIOUS T is PERIOD STORED AND STORED TO (G+C) FINISH OF VARIABLE APPLICATION (NOT IN D OR E) DATE (C-G) RATE) (D 4-E) (D+F=F) 126-1011 Light Fixtures Installation 12 3rd Floor 97,000.00 3,880.00 0.00 0.00 3,880.00 4.00% 93,120.00 0.00 126-1012 Lighting 13 Hoist Material 98,660.00 0.00 93,727.00 0.00 93,727.00 95.00% 4,933.00 0,00 126-1013 Lighting 14 Hoist installation 25,600.00 0.00 2,560.00 0.00 2,560.00 10.00% 23,040.00 0.00 126-1014 Fire Alarm 15 Material 1st Floor 29,880.00 8,366.40 1,494,00 0.00 9,860.40 33.00% 20,019.60 0.00 126-1015 Fire Alarm 16 Material 2nd Floor 8,724.00 2,093.76 0.00 0.00 2,093.76 24.00% 6,630.24 0.00 126-1016 Fire Alarm 17 Material 3rd Floor 8,251.00 1,815.22 577.57 0.00 2,392.79 29.00% 5,858.21 0.00 126-1017 Fire Alarm 18 Installation 1st Floor 17,440.00 3,313.60 1,395.20 0.00 4,708.80 27.00% 12,731.20 0.00 1 126-1018 Fire Alarm 19 Installation 2nd Floor 9,880.00 1,580.80 790.40 0.00 2,371.20 24.00% 7,508,80 0.00 126-1019 Fire Alarm 20 Installation 3rd Floor 9,570.00 1,531.20 574.20 0.00 2,105.40 22.00% 7,464.60 0.00 126-1020 HAVC 21 Material 18,800.00 9,024.00 0.00 0.00 9,024.00 48.00% 9,776.00 0.00 126-1021 HAVC 22 Installation 26,979.00 8,633.28 0.00 0.00 8,633.28 32.00% 18,345.72 0.00 126-1022 General Rough Material 1st 23 Floor 46,410.00 22,276.80 1,856.40 0.00 24,133.20 52.00% 22,276.80 0.00 126-1023 General Rough Material 2nd 24 Floor 27,600.00 10,488.00 0.00 0.00 10,488.00 38.00% 17,112.00 0.00 126-1024 General Rough Material 3rd 25 Floor 29,491.00 11,206.58 1,769.46 0.00 12,976.04 44.00% 16,514.96 0.00 AMA Document G7031°-1992.Copyright 0 1963.1966,1966,1967,1970,1978,1983 and 1992 by The American lnstihdo of Architects.All rights reserved,WARNING:This MAC Document is protected by U.S. Copyright Law and International Trestles.Unauthorized reproduction or distribution of this Ate Document,or any portion of it,may result in severe civil and srantnel minable.,and will be prosecuted to 2 the maximum extant possible under the law.This document was produced by AIA soeware of 14:4420 on 01/17/2011 under Order No.2084228033_i which expires on 04114/2011,and Is not for resale. User Notes: (1198187901) A B C D E P G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED FROM PRESET:rLY NO. WORK VALUE PREVIOUS STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (CI_C) (C-G) RATE) (D+E) (NOT IN D OR E) (D+E+F) 126-1025 General Rough Installation 1st 26 Floor 68,690.00_ 28,849.80 3,434.50 0.00 32,284.30 47.00% 36,405.70 0.00 126-1026 General Rough Installation 27 2nd Floor 27,000.00 10,260.00 810.00 0.00 11,070.00 41.00% 15,930.00 0.00 126-1027 General Rough Installation 28 3rd Floor 45,510.00 14,563.20 3,185.70 0.00 17,748.90 39.00% 27,761.10 0.00 126-1028 General Finish Material 1st 29 Floor 10,400.00 0.00 0.00 0.00 0.00 0.00% 10,400.00 0.00 X126-1029 General Finish Material 2nd 30 Floor 5,200.00 0.00 0.00 0.00 0.00 0.00% 5,200.00 0.00 126-1030 General Finish Material 3rd 31 Floor 3,200.00 0.00 0.00 0.00 0.00 0.00% 3,200.00 0.00 126-1031 General Finish Installation 1st 32 Floor 38,500.00 0.00 0.00 0.00 0.00 0.00% 38,500.00 0.00 126-1032 General Finish Installation 33 2nd Floor 17,300.00 0.00 0.00 0.00 0.00 0.00% 17,300.00 0.00 126-1033 General Finish Installation 3rd 34 Floor 10,050.00 0.00 0.00 0.00_ 0.00 0.00% 10,050.00 0.00 35 126-1034 Allowance 60,000.00 7,330.14 0.00 0.00 7,330.14_ 12.22% 52,669.86 0.00 126-1035 C0.031 39 V.E -12,166.00 -12,166.00 0.00 0.00 -12,166.00 100.00% 0.00 0.00 126-1036 7C1.CO 48 40 Tax Exempt -33,288.00 -33,288.00 0.00 0.00 -33,288.00 100.00% 0,00 0.00 AIA Document G703 -1992.Copyn9hl 01963.1065,1966.1967,1970,1976 1983 and 1992 by The American Institute of Architects All rights rassrved.WARNING:This AIAe Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Agit Document,or any portion of It,may result in seven civil and criminal penalties,and will be prosecuted to 3 the maximum extant possible under tho law.Iris docancnl was produced by AIA software at 14:44:20 on 01/17/2011 under Order No.2004228033 1 which expires en 0411412011,and is not for resale. User Notes: (1186187981) A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED e BALANCE TO RETAINAGE ITEM DESCRIPTION OF SCHEDULED PRESENTLY NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED DATE (G C) (C-G) RATE) (13 f E) (NOT IN D OR E) (D+E+F) GRAND TOTAL $1,383,688.00 $354,045.97 $198,309.08 $0.00 $552,355.05 39.92% S831,332.95 $0.00 • AIA Document G703°—1902.Capydght©1983,1965,1968,1987,1970.1978,1983 and 1992 by The American Institute alArchitects.All lights reserved.WARNING:This Ale Document is protected by U.S. Into/national law and lnteational Treaties.Unauthorized reproduction ordisbibution of this AlA Document,or any portion of it,may result in sevens civil and criminal penalties,and will be prosecuted to 4 the maximum extent possible under the law.This docunent was produced by AIA software at 14:44:20 on 01117/2011 udder Order No2084228033 1 which expires on 04/14/2011,and is not for resale. User Notes: (1196167981) PRIME CONTRACTOR'S UNCONDITIONAL PROGRESSIVE WAIVER OF LIEN Paul Hood Being duly sworn upon his/her oath disposes and says that: I. lie/she isVice President (inserting sole proprietor, partner or corporate office held, as the case maybe), of Maxwell Electric , hereafter called the"Prime Contractor". He/she is over the age of twenty-one.He/she is authorized to make this affidavit on behalf of Prime Contractor. 2. Prime Contractor is theElectrical Prime Contractor for the construction of the Village on the Green — Parcel 70 — Theater Building development, located Carmel (City), Indiana (state), hereafter referred to as the "Development", pursuant to the contract between the Prime Contractor and Carmel Theater Development Corporation,LLC,the Owner. 3.Prime Contractor hereby waives and releases any and all liens and rights to claim a lien to which Prime Contractor is or may be entitled for services, labor, and/or materials furnished for the Development for rock covered by and through the date of the Prime Contractor's Application and Certification for Payment number (p dated 1-17-14 4. There are no bills, charges, costs or expenses for services, labor, and/or material which could now or hereafter result in lien being filed, or a right to claim a lien, against the Development or a claim being asserted against the Owner for this work. 5. Prime Contractor has been paid in full, exclusive of retainage, for all services, labor,and materials furnished to, provided for, or u ed fin connection with, the Development through the period noted above and acknowledges the receipt of S177) q.a- to date. IN W1TN E '.'/Wt�H��E�RE F,affiant has signed this doe - ent on behalf of the Prime Contractor this // day of 2() . / ' / .E (Authorized Representative of Prime Contractor, Title) Countyof Marion State of Indiana J/�L Subscribed and s• om to before me,a Notary Public in and for said County and State,This / / Day of ALL ,20 1«' tF4. =at 1441 a l Wir gat My Commission Expires: ./a.11l (Printed Name) NOTARY SEAL MUST APPEAR ON Tills FORM.