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HomeMy WebLinkAboutHORNING ROOFING & SHEET METAL - 1009 - 279,370.00 - 8/2/2010 CARMEL REDEVELOPMENT COMMISSION 001009 Horning Roofing & Sheet Metal Check: 1009 1340 Enterprise Park Place Date: ;812/2010 Suite A Vendor: HORNIN1 Indianapolis, IN 46218 Prior Invoice P.. .O. Num. Invoice Amt. Balance Retention Discount Amt, Paid 12 52 279,370.00 279,370.00 0.00 0.00 279,370.00 Application 12 279,370.00 279,370 00 0.00 0.00 279,370.00 X-11 '52L1D! DemputerEose Fonns Division (877}'577.5791 111506700 • - =AIA Document G702/CMa" — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition 5 Z. TOOWNEI: �,I�, PROJECT: 2R` APPLICATION NO: /Z- Distribution to: `� 40)01 It)s PERIOD TO: 9--/1-70 OWNER ❑ Ono 0.rt2I In ' 'y� " ' ►/ CONSTRUCTION MANAGER ❑ FROM CO RACTOR: i VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ t 1 `a "ire �J'�f'� t 11* 1/4.9*11 PROJECT NOS: 43 91 / CONTRACTOR ❑ T,�,t r AL / VIA ARCHITECT: FIELD ❑ CONT T FOR: ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors knowledge, information and Application 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 Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Document G703.is attached. Certificates for Payment were is:.-d and payments received from the Owner, and that.current 1.ORIGINAL CONTRACT SUM - $/,4J3j41).W payment shown herein ' du 2. Net change by Change Orders S3/_ Gega, ) CONTRA ••': /� (� ,(� 3.CONTRACT SUM TO DATE(Line I ±2) $48 . ' '#.W By:CONTRA go,/ C d' Date: cl-,e io 4.TOTAL COMPLETED 8 STORED TO DATE(Colunm G on 6703) y • / p .) State or: J i e. C 5.RETAINAGE: County of: Mit) a. /Q %of Completed Work Q� Subscribed an sworn to before (Column D+Eon G703) $ h2 9/y t me this , day of Maki) /Q/° b. %of Stored Material /�� Notary Public: ,,, +� (Column F on G703) $ 0.00 My Commission expires: Total Retainage(Lines 5a+5b or Total in Column I of G703). $ , 9J9_ CERTIFICATE FOR PAYMENT - . ``//pp ''//��..// In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE S0�'lO�f(/j this application, the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge, information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $968 .� accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) l CERTIFIED. �r'1 8.CURRENT PAYMENT DUE 5���, l�c� AMOUNT CERTIFIED $L r3Z•w 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the aniount.applied. Initial all figures on this �/ Application m Ion the Cr ntinuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) S_ �D�_t... ) CONSTRU If N MA` •Gt "+ _ By: 4 a._ Date: S . 2 $ " 2-O(0 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT Vr t1 • Total changes approved in previous months by Owner ?M/1.� $ ' - Q �!5'3, �,C/ / •Q7 By: //. . Date: S'Z,ct' Total approved this Month $ $ This Certificate is not.negotiable. The AMOUNT CERTIFIED is payable only to th�ntractor _- TOTALS $ named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CI-IANGES by Change Order $ irjj CO the Owner or Contractor under this tact. I D AUG - 4 2010 CAUTION:You should sign an original MA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AlA Document G702/CMar"—1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may 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 of this document when completed.To report copyright violations of MA Contract Documents,email The American Institute of Architects'legal counsel,copyright o aia.org. 5. CONTINUATION.SHEET. AIA DOCUMENT G703 _ Page 1 of 1 a.— Application No 26 Application Date: 04/21/2010 JOB NAME CARMEL-R PAC CONSTRUCTION Period To: 05/01/2010 HORNING JOB # 8-2408 Architect's Project No: A B C D E F G H I Work Completed Materials Total Balance Retainage From Previous Presently Completed & to Finish Application Stored Stored to Date (G/C) Item# Description of Work Scheduled Value (D+E) This Period (Not in D or E) (D+E+F) 1 Roofing Labor $107,140.00 $97,290.00 $9,850.00 $107,140.00 $0.00 $7,290.00 2 Roofing Material $166,980.00 $166,980.00 $166,980.00 $0.00 $16,698.00 3 Nailbase Material $105,300.00 $105,300.00 $105,300.00 $0.00 $10,530.00 4 Nailbase Labor $38,180.00 $38,180.00 $38,180.00 $0.00 $3,818.00 5 Sheet Metal Labor $57,350.00 $30,070.00 $18,670.00 $48,740.00 $8,610.00 $3,007.00 6 Sheet Metal Material $146,390.00 $146,390.00 $146,390.00 $0.00 $14,639.00 7 Tile Dome Material $112,000.00 $112,000.00 $112,000.00 $0.00 $11,200.00 8 Tile Dome Labor $39,800.00 $0.00 $29,850.00 $29,850.00 $9,950.00 $0.00 9 Tile Balance Material $168,000.00 $101,000.00 $67,000.00 $168,000.00 $0.00 $10,100.00 10 Tile Balance Labor $59,700.00 $15,000.00 $29,000.00 $44,000.00 $15,700.00 $1,500.00 11 Paver Material $56,700.00 $0.00 $0.00 $56,700.00 $0.00 12 Paver Labor $18,900.00 $0.00 $0.00 $18,900.00 $0.00 13 Bond $15,010.00 $15,010.00 $15,010.00 $0.00 $1,501.00 14 Subcontractor $250,000.00 $2,100.00 $125,000.00 $127,100.00 $122,900.00 $210.00 15 Submittals $5,000.00 $5,000.00 $5,000.00 $0.00 $500.00 16 Safety/Start-up $7,500.00 $3,000.00 $3,000.00 $4,500.00 S300.00 17 Clean-up/Closeout $7,500.00 $0.00 $0.00 $7,500.00 $0.00 18 Change Order#1 ($1,430.00) ($1,430.00) ($1,430.00) $0.00 ($143.00) 19 Change Order#2 $419,400.00 $190,000.00 $190,000.00 $229,400.00 $6,377.50 20 Allowance $5,000.00 $0.00 $0.00 $5,000.00 $0.00 21 Change Order#4 $33,870.00 $33,870.00 $33,870.00 $0.00 $3,387.00 $1,818,290.00 $1,059,760.00 $279,370.00 $0.00 $1,339,130.00 $479,160.00 $90,914.50 4:, HORNING ROOFING & SHEET METAL CO, LLC AFFIDAVIT AND WAIVER OF LIEN INVOICE # 12 STATE; INDIANA FINAL PARTIAL X PAYMENT TO FOLLOW COUNTY OF: MARION _RON PHELPS II_ Being duly sworn that he is the President of_Horning Roofing& Sheet Metal Company, LLC contract with -Carmel Redevelopment Commission to furnish certain materials and/or labor as follows: As Per Contract for a project known a:as: Carmel Regional Performing Arts Center located in: Carmel and owned by and does hereby further state on behalf of the aforementioned subcontractor!supplier: (PARTIAL WAIVER) That there is due from the contractor the sum of: DOLLARS: $83,481.50 X 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. THEREFORE, 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 .id project and within the scope of this affidavit and wavier. _Horning Roofing&Sheet Metal Co.,LLC_Sy, . President Ron Phelps II WITNESS MY HAND AND NOTARIAL SEAL THIS: 05125110 MY COMMISSION EXPIRES: 02-02-11 COUNTY OF RESIDENCE: Morgan NOTARY Kevin L. Moore 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 O r47 ,9 o ;15 `f S6PPf�r°A•/ Purchase Order No. 231/4) is/Py'"A /4'l N, Terms /kV/Q.7374a/,s) �/U 1/6 2/6' Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) -/5/o /2 /"c7%b2 /2 27937o,ao Total &z72 37o.DO I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance A with IC 5-11-10-1.6. , 20 't Clerk-Treasurer VOUCHER NO. WARRANT NO. /� � ALLOWED 20 b1ovn/a7 /`aa�i;� 9 5`li IN SUM OF $ 23y6 L#/-yt 4,2 X/ / 'z' 0/.1 //J 952%6. $ 279, 37&-Go ON ACCOUNT OF APPROPRIATION FOR 9o2/HVGo8 7 Board Members PO#m INVOICE NO. ACCT#/TITLE AMOUNT oePT.a I hereby certify that the attached invoice(s), or 282 /2 4'4'k o7 2?y37oW 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 4 - -/ 20 /p Signature Director of Redevelopment Cost distribution ledger classification if Title claim paid motor vehicle highway fund