Loading...
HomeMy WebLinkAboutLAFEVER ELECTRIC, INC. - 1211 - 55,215.00 - 9/16/2010 CARMEL REDEVELOPMENT COMMISSION C) 1211 L , . 1211 131 N Raingelictricne RoadInc Date:Check: 9/16/2010 Carmel, IN Ele 46032 Vendor: LAFEVER1 Prior Invoice P.O. Num. {nvoice Amt Balance Retention Discount Amt. Paid n 55,215,00 55,215.00 Applicatio 6 0.00 0.00 55,215 00 55,215.00 55;215.00 0.00 0.00 55,215 00 k X 1#a 52LTD ComputetEase Forms Division 1877;577'5791 iN506700 ' ® ar r � s= Document 6702/CMa' - 1992 JUL 2 8 znlo Application and Certificate for Payment Construction Manager-Adviser Edition Po} TO OWNER: PROJECT: Village on the Green APPLICATION NO: 6 Distribution to: Cannel.City Center Community Office Building One PERIOD T0: 7/31/2010 OWNER El Development Corporation 3rd Ave. SW and City Ctr. Dr. Carmel, Indiana 46032 Cannel, Indiana 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 11/18/2009 ARCHITECT ❑ LaFever Electric, Inc. REI Construction, LLC PROJECT NOS; 1707 / 1 CONTRACTOR X7 131 N. Rangeline Road Carmel, Indiana 46032 VIA ARCHITECT: FIELD ❑ CONTRACT FOR: Pedcor Design Group CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the hest of the Contractor's knowledge, information and Application is made for payment,as shown below,in connection with the Coutntet_ belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet, for Document G7(S3,is attached. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner. and that current 1.ORIGINAL CONTRACT SUM $348,000.00 payment shown herein is now due 2.Net change by Change Orders S 3,826.00 CONTRACTOR: aF ter Ztric, Inc. °. 3.CONTRACT SUM TO DATE(Line I *2) $351,826.00 gy Date: 7/2712010 4.TOTAL COMPLETED&STOREDTO DATE(Column G on 0703) .. . .....$204,586.40 Stare of: Indiana Michael A. LaFever,Vice-President 5.RETAINAGE: ... County oL Hamilton - a,oliu nlwnor.. a. 10 %oI Completed Work Subscribed and sworn to h ot. s\„ !'Y t7 '&� 10 513.64 27th ui 2010 (Column D+r on G7o3) s , me this .day of y� J c, CFiIleen S. Marvel b. 10:%of Stored Material Notary Public: - (Column P on C7D3) $ 9,945.00 My Commission expire : 9 rid 11 20 j.A I . Total Rerainage(Lines 5a+Sb or Total in Column I of 0703). s 20,458.64 CERTIFICATE F R PAYMEf - - 6.TOTAL EARNED LESS RETAINAGE S 184,12716 En accordance with the Contract Documents. t sedon on-site oL_servit ns and the data comprising this application, the Construction Manager and tttxhittkt,�r:il if}iti(ut�cc�wner that to the best of their (Line 4 Less Line 5 Total) - - 128 912.76 knowledge, information and belief the Work has pr`(fir i'nr tl,-iMiAted,the quality at'the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT ... $ accordance with the Contract Documents.and the Contn?I'f 'ts entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. ac• 8.CURRENT PAYMENT DUE $ 55,215.00 AMOUNT CERTIFIED $SS:213`-s 9.BALANCE TO FINISH,INCLUDING RETAINAGE ': (Attach erp&tivehm if mnuunt certifier)diffeeS.1e(rm the nmoioti applied. initial all figures on this Application and an the Continuation Sheet that are changesl to crmforie with the ahtount c enr)fed,) Line 3 Iess Line 6) 167,698.24 / ( ) - $ CONSTRUCTION MANAGER: /� • By: Date: l Ib • CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner $ 0 $ 0 By: .E. . Date: Total approved this Month 5 3,826.00 S 0 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable onty to the Contractor - TOTALS 826,00 $ 0 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order S the Owner or Contractor under this Contract 3.823.00 P CAUTION: You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured, f L QIG AIA Document G7021CMaTa—1992,Copyright ®1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAo Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,nay result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies at this document when completed.To report copyright violations of AIA Contract Documents,email The American Institute of Architects' octal counsel,copyright @aia.urg. 4N/o69 t i/0c/4 44 ti JOB NAME Village on The Green Office Building 1 APPLICATION DATE 712712010 PAGE NUMBER 1 APPLICATION NUMBER 6 PERIOD TO 701!2010 I A - B C I Cl I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE FE fAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G-C) TO FINISH APPLICATION STORED AND STORED (C-G} (D•E) (NOT IN TO DATE D OR E) (D+E'F) 1.00 Switch Gear M 6',000.00 3,250.00 6,500.00 48,750.00 58,500.00 90 6,500.00 5,850.00 - L 14,000.00 700.30 1,403.00 2,100.00 15 11,909.00 210.00 2 00 L ,gins Fixtures M Si.,300-00 4,000.00 4,000.00 16,000.00 24,00000 30 56,000.00 2,400.00 - - L 1!i,000.00 750.00 750.00 1,500.00 10 13,500.00 150.00 3.00 Conduit M 10,000.00 5,000.00 2000.00 3,000.00 10,000.00 100 - 1,000.00 - - L 50,000.00 25,000.00 10,000.00 35,000.00 70 15,000.00 3,500.00 4.00 Wire M 38,000.00 - 11,400.00 26,600.00 38,000.00 100 - 3,800.00 - - L 30,000.00 - 9,000.00 9,000.00 30 21,000.00 900.00 5.00 Basic Electrical Materials M 13,000.00 4,000.00 1,000.00 3,000.00 8,000.00 80 2,000.00 800.00 - L 5,000.00 2,000.00 500.00 2,500.00 50 2,500.00 250.00 6.00 Fire Alarm M 14,000,00 - - 2,100.00 2,100,00 15 11,900.00 210.00 - L 6.000 00 - - - 6,000.00 - 7 00 Trenching 4,000.00 3,600.00 - 3,600.00 90 400.00 360.00 8.00 Submittals 4,000.00 4,000.00 - 4,000.00 100 - 400.00 9.00 Bond 3,000.00 3,000.00 - 3,000.00 100 - 300,00 10.0 C,0, for ASL003 2,698.00 2,158.40 - 2,158.40 60 539.60 215.84 11.0 C.O. for4"Conduit 1,128,00 1,12800 - 1,128.00 100 - 112.80 - - L M - - - _ L - - - - M - - - - L - M - - - - L - - 351,825.00 58,586.40 46,550,00 99,450.00 204,586.40 147,239.60 20,458.64 APPLICATION FOR PAYMENT °J [� f P �� PARTIAL WAIVER OF LIEN �'! JUL, 2 10 2 -it LJ Contractor L31 N. Electric, Road Address: 131 N. 13ane;eline Road Carmel, Indiana 46051 Project Name and Address: Village on the Green -Office Building One 3rd Avenue SW and City Center Drive,Cannel,Indiana 46032 Period to: 07/31/2010 Job #: 1707 • The Undersigned has been contracted by RE' 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 ttcluding 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, 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. The undersigned,for and in oonsideration of the total payments in tho own of $ 80,420.00 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 materiels furnished, or any kind or class of lien whatsoever for said building or pramisAS or project Dated this 27th day of July, 2010 LaFever Electric,Inc. Company Name BY: _ 411.1 � ' TITLE: Vice-President NAME: Michael A. LaFever STATE OF Indiana COUNTY OF Hamilton Subscribed and sworn to before me,a Notary Pub(ilc/ti,qrrirl tor said County and State, this 27th day of July _ MIK SOY , i"' My commission expires April 11, 2018 MyMy county.rebidence is adison\� Notary minted' Cvll-a:n S. Marvel