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HomeMy WebLinkAboutCOMPLETE MASONRY SERVICES, INC. - 1128 - 100,000.00 - 9/2/2010 4„ Document G702/CMaTM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT:PARCEL 7A APPLICATION NO: Distribution to: CARMAEL REDEVELOPMENT commiSSION REGIONAL PERFORMING ARTS CENTER PERIOD TO: 730110 OWNER ❑ ONE CIVIC SQUARE CARMEL,INDIANA CONSTRUCTION MANAGER D CARMEL.IN 46032 FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT El tai:7PLETE.M6SONFtY-sERYIGCs...a. PROJECT NOS: CONTRACTOR ❑ P 0 BOX 235 SHIEL SEXTON CO.,INC. CMS 08-07 YORKTOWN,IN 47396 VIA ARCHITECT: AGREEMENT NO. 2695-4010 FIELD El CONTRACT FCRE:#4010-INTERIOR MASONRY 080 ARCHITECTS INC. _ D CONTRACTOR'S APPLICATION FOR PAYMENT Tit endciSiCnccl (:,„,ta:,,,,, 0ettilic, alit In Lite best of the cnmuactm'F kin vlodge. 'udrrrnaliun acne Application is made for pasmm�l..n ehnu n belrw,m c nnrcGnn With Me Cnut,lei. heiie the Work enured by this AI plutiuon for Payment hat been completed in accordance with the Caulinuadnn Shot AIR floeiim(;n1 C -1„i_5 attached. Conn oc.t Documents that all minim I,i r.been p tlI i by the Cnnnaen r for W'n'A Ibi which previous Certirev4L for Pamela were is a-d ',md p'.ynvnlp temved Irian the Owner. mid Ilia eorrnv 1.ORIGINAL CONTRACT SUM _. ._.._...... __25.34,0©0.00 payment shown hrncin is now due. - 2. Net change by Change Orders _. ____.... ......... 2S_8z..692_Il0.— CONTRACTOR:corfP.TtT€MASONRY SERVICES,-INC.- S.CONTRACT SUM TO DATE ILinc I ±2) P21.682_00 t55 _ �� �. ..... Date:9ZGiet ID 4-TOTAL COMPLETED&STORED TO DATE IC,rlinnn( h„ (;703h Starr uC �� r -- 2;�7-1,2r97=00 INDIANA ERIC J. KELLY,PRESIDENT 5.RETAINAGE: County, t: a. 5 yr OI jI =I t t- HWI T RACT 10 DATE Smhc-lilt d ntP5Aii i .:Hire. A t r 1,-,„ Colmt n D t l or 6103 SS 106,08/1 .60 m this day of / IM h. 0 - I St red M leciel NeLay Public:20th JULY,20';0 /cr40 �'I'''L - .. �r1)-4-'i (Cn({unn I';Hi G707] $ 0.00 Aire Commission czpir.n', g2t28n5 v - -. ''1 f •.` loud Hu-Iimlgc,Linos 5:tr5b or'Anal Vn 6 i,Iwuulc(ET9,i7 i_ S___106,084.60 _ CERTIFICATE FOR PAYMENT . . lir ilsrunakinee.- i]i Ore Gonteat Document., h I lc] HI kill-SAO A 10 n,vanNll Owner e D b lu111111'LiC�. 6.TOTAL EARNED LESS RETAINAGE $ 2105212.40 ,his are h won tae(.i.I)tillchen kl to t I and \r Ititi i i r heir L i ime 4 Les>Line 5 Total) kniAvIci.e, info,mdliedi and belief the Nark ha progressed as indicated.the Elilality of the AFolk is hi 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S 2,005,2'12.40 llceorrlanc'e wit0 the(38aiiiel Documents. 'and the Contrar tor is.tnliaed to paT'mcnt or die AIy4OCNr (Lincb Gi rin pnur(crti Ilene) CERTIFIED. 00 8.CURRENT PAYMENT DUE I S 100,000.00 I AMOUNT CERTIFIED ., . ............. ................... .. S `eel 9.BALANCE TO FINISH,INCLUDING RETAINAGE Iii a:F. rrlr(anud i amount cI1'0flt l tip;m-jt t I rlr Nnrrrilrt upperJ, /t r.rul al 17 'i •,Fill;hi= Apr rtrm Iran.'==n ' Cop) 'n¢anr .`:(1 -hInt rt r,3mr"ri ty rrrrJr.'ul Wulf the(UMW",r •1Fi�red.) I L.inc It Hire ID s 116,48`2 60 CONS UCTION M t II �;f- 73/, �- Dale. 07_ ,fl to Cl lANGE ORIll R SUMMARY ADDITIONS IONS DE OCC PIONS I ARCHI rotel ylianees dpp,o,ed Hi pp'.-iou=nlundt Ly Owilur 1;-526.00 ! $13 83S 00 1 ii k �_ Odle Intel n rro Ithe,,Month n i PI 100 -D.DD `?' 0.00 Ihls C' 161k: ft' k not rim,siDablc. Thu .ANICtI;.T CDI2TII II D n p:pahte Duly to the Cf Midi e 1i)I NI y z .insd h rut Ty yin, pD ern nil mil .tme21l KILL :Ire Noe lucnt li r ihoui prejudice to en I ights 01' 41 2X99 _1_ 8d�4D0� the Own or Centn<t m nr miler Ihr:Coe el vL..1.CHANGES by ch m,e Order -87-.G.9.2,00 ...__-i Director of Redevelopm CAUTION: Youshoyid sign an original AIA 0entreeL Doom„ent on which this te>l appears in REL.An original assures that changes wilt not be obscured. AIA Document G792Cklow 1992.Copyright VI 1 (321- The Arberichr Iasirme m ArcP NLS.All rights reserved. WARMING.Isis Ala° Document is protected by 11.5.Copy:keel Law and-rnalienat'F1cate=_. tVltiul hariaed ni produaton or diotribuffen of a 41.E D e mei t soy pert n a et S.mad result in severe eV(and criminal penalties,and will be proses reed to the maximum skieno possible eider the lart �� Purchases le pe.ri'r=:10_tOte2uce:0a 01 Cokes or ti' iloa-nenl Me Colgil.;eve 1, repot ropy9hl Iril,,,ors of VIA Conlr3tt Docinnenis =ma' e American Ill- ,.ate d Ar,.hteCS legal counsel oprightlr_3aiao,g YYY PAID AUG 1 9 2010 'b Document G703T" — 1992 Continuation Sheet :blab IJucum_;u Ci702.APPLICATION AND CERTIFICATION POR PA1':A11:N.-COMPLETE MASONRY SERVICES INC- APPLICATION NO: 17 comainiug Conuncbrr's-jelled ccrtiticmirm i.auancmd. AGREEMENT#2695-4010 APPLICATION DATE: 07/30/2010 In tabulnl inn-below,amounts:I e laird w the nearest dollar. Ilse C,lunul I on Coarsen.what' tin mine Ict:tine is lit line items may apply. Cr4S JOB NO.08-07 PERIOD TO: 07/30/2010 RETAINAGE 10%UNTIL 50%COMPLETE ARCHITECT'S PROJECT NO: A B I C' 1'- 11 I I -- ! I _--�. 11 1 .. WORK r,'o 1ll TTllt MATER NIATER Ill_`& 'IOTA] 1 l; I =,NUlt PRL.SI NI I I' CONIl l l 11 li It l AI> U I S(IN:Ot,I.CD FROM PREVIOUS .- TO !TEN! DIESCRiI I'11)N UI'% IRE SIIMEI) AND -i(JRLI.t :II A ARIA811: VALUE APPLICAEIO.N IHISbbRICD it eC) FINISH NO, l D OR IN 10 HATE NA'I'In1— i (0+BA 0011157 rU+ti+19 IC-CB -- 1 BOND 20000 1 20000 I 20000 100% 0 2 MOBILIZATION 3000 3000 3000 F100% 0 3 DE-MOBILIZATION 3000 3000 3000 100% 0 4 INS/HAZCOM/SAFETY 12000 12000 12000 100% 0 5 SUBMITTALS ! 15000 I 15000 i 15000 100% 0 6 DAILY CLEAN UP 22000 22000 l 22000 100% 0 7 CLOSE OUT 8000 8000 i 8000 1100% 0 8 FOUNDATION CMU I LABOR 48000 48000 I 48000 1100% 0 MATERIAL 1 ' CMU 5000 I 5000 5000 100% 0 REBAR 3500 3500 1 3500 1100% 0 GROUT 5250 5250 5250 X100% ; 0 SHEET METAL 2000 2000 2000 1100% 0 MORTAR AND SAND 1250 1250 1250 100% 0 ACCESSORIES 4250 4250 4250 1100% 0 9 BASEMENT/PLENIUM CMU LABOR 270000 ! 270000 270000 1 00% 0 MATERIAL t CMU 26500 26500 1 26500 100% 0 REBAR 16650 16650 16650 100% 0 (GROUT 31500 31500 I 31500 I00% 0 1SHEET METAL 10000 10000 I 10000 100% 0 l MORTAR AND SAND 7000 7000 I 7000 100% 1 0 1 ACCESSORIES--— 24000— —24000 ._._. . -- 1--24000- i (SUB-TOTAL 537900 537900 0 0 l 537900 100% 0 t 0 CAUTION: You should sign an original AIA Contract Document.on which this lest appears in RED.An original assures that changes will not be obscured. AlA Document G7U3'1 -1992.Copyright 21;963,t905,1966.1967, 1970, :978, 1993 and 1092 h7 The Amcncan Inst:toe el Architects.All rights reserved.WARNING:This AIA°'Document is protected by U.S.Copyright • Law and International Treaties ttnanthodzed reproduction or distribution of this AlA"Dnewnnnl,or airy portion of it may result in severe civil and criminal penalties.and will be prosecuted to the maximum extent possible tinder the law.Pt^chasers arc cernnisei to reporli re Pan[I L•1 corns ci this document r.r,hen re t rac:ed To recoil ccpyripct viola;ors;.Al:,Contract Documents,a mail The America:,!nature of arch e':Is local counsel.copy:ighae aia.mg. m= , Document G703t" — 1992 Continuation Sheet AIA Document G702. APPLICATION ArNI)CERTIFICATION FOR I'A1 MNNT. APPLICATION NO: cunutining Contractor's signet ccrtilic:diiut I, :niacin:J. COMPLETE MASONRY SERVICES INC. APPLICATION DATE: 17 In tabulation:below,amounts arc doted to dlc nearest dollar. AGREEMENT#2695-4010 07/30/2010 U'c Col uuin I on Contract where variable ielainapc li!r line items may apply.tic. PERIOD TO: ! CMS JOB NO 06-07 ARCHITECT'S PROJECT NO:07/30/2010 RETAI NAG E-10%-U M NTIL-50%-GQPLET E I R C D F _ I P I ('i II I \VORK COMPLETED \L\'I I KL\LS TOT BALANCE PRENENCI,1" ((/AllII REE 6ITAINA(iE SCHEDULED 1RO:M PREVIOUS TO II PM DES('.It III It xt.ORK (!'LIRE!' AND SCI (IhVARIABLE: n• V VLLIG Anti('VI ION I HIS PERIOD t0-Cl FINISH NO. (NOP IN 10 DAIS RAIL; iD.E IC-Ch■ I 10 !ORCHESTRA LOW/HI CMU I ,LABOR 325000 325000 325000 1100% 0 MATERIALS CMU I 30500 I 30500 30500 II00% 0 REBAR 21000 21000 21000 1100% 0 GROUT 32000 32000 32000 100% 0 SHEET METAL 12000 12000 12000 100% 0 ',MORTAR AND SAND 8000 8000 8000 100% 0 1 ACCESSORIES 23000 28000 ; 28000 100% 0 11 BOX TIER CMU LABOR 175000 175000 175000 100% 0 MATERIALS 1 CMU 23500 23500 23500 X100% 0 1 IREBAR 10000 10000 I 10000 000% 0 GROUT 19000 19000 19000 100% 0 SHEET METAL 5500 5500 I 5500 100% 0 MORTAR AND SAND 4500 4500 4500 100% 0 ACCESSORIES I 15600 15600 j 15600 00% 0 12 'BALCONY LOW CMU 1 'LABOR 198000 198000 198000 00% 0 'MATERIALS CMU I 19000 19000 19000 . 100% 0 IREBAR 12000 12000 12000 100% 0 GROUT 19500 19500 19500 100% 0 (SHEET METAL 6000 6000 6000 100% 0 MORTAR AND SAND ''1 5000 5000 I 5000 100% 0 ACCESSORIES--- 11000 1.1000 T-1 1000---1"00°/a— --0 — --- SUB-TOTAL 1518000 1518000 0 _ I 0 ! 1518000 100% 0 0 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. AlA Document G703"•-1992.Copyrights) 1963, 1965.1966,1987.1970, 1978.1983 and 199?py The American Institute et Arol',itesis.All rights reserved.WARNING:This AIA`'Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA'Document.or any portion cl it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible undo,the law.Purchasers are n?nnrted to reproduce on;t0:copes el this(ore neat when c.:npleled To report copyright violations of AIA Contract Documents.a.malt The American Instiluto of Architix]s'legal counsel copyrielnt_nata.cre 1 - _-- -. _ SA]i4 Document 0703TM - 1992 Continuation Sheet AIA Document G7022.APPI.ICAT'ION AND CERTIFICATION FOR I'A\'M NT. APPLICATION NO: containing Cr>rrtr:tette■signed certil'ieation is:uctelled. COMPLETE MASONRY SERVICES INC. APPLICATION DATE: 17 In tabulatir nt.s helm.amounts:are stated to the neares t dr.11ar. AGREEMENT#2695-4010 07/30/2010 Use Column I on Coati acts tenet'van bilk rclainage for line items may appit. PERIOD T0: CMS JOB NO C•8-07 ARCHITECT'S PROJECT NO:07/30/2010 F--`--- 13 C 1- RCTfINAeE-0%-UNTIL-5056-C-OMPLETE— C II I -- WORK COMP(FTIiI) M 'fi fIAI.S ' I BALANCE RES NILY f OMI1 LTI1D RFTAINAOP SCt1 :DtiLhD FROM PREVIOUS is 1O ITEM DI1CRII 1'I(IN OP WORE SiORiil) AND SPORED 1 IF VARIABLE VALUE API'LI(A I ION 1III.S PERIOD' (G d Cr ] FINISH NO NOI IN TODAIT: RV110 (I)-E) DDREI fire-F) W-G! 13 BALCONY HI CMU i I I LABOR 195000 195000 1 195000 1100% I 0 MATERIALS I i100% CMU 17000 17000 17000 0 IREBAR 11000 11000 I I 11000 100% 0 GROUT 18000 18000 I 18000 00% 0 SHEET METAL 6000 6000 6000 00% 0 MORTAR AND SAND 5000 5000 5000 ;100% 0 ACCESSORIES 11000 11000 11000 1100% 0 14 ATTIC CMU LABOR 125000 125000 125000 100% 0 MATERIALS CMU 17000 17000 17000 1100% 0 IREBAR 11000 11000 11000 1100% 0 GROUT 18000 18000 18000 p00% 0 'SHEET METAL 6000 6000 6000 p 00% 0 MORTAR AND SAND 5000 5000 5000 1100% 0 ACCESSORIES 11000 11000 11000 X100% 0 15 ISEALANTS !SUBCONTRACT . 85000 85000 85000 1100% 0 16 IDAMPROOFING 'SUBCONTRACT 20000 20000 20000 , 1100% 0 17 'ALLOWANCE - GENERAL 50000 39605 39605 79% 10395 ALLOWANCE -CAD 5000 5000 5000 1100% 0 18 . #1 1526 1526 1526 X00% 0 19 C.O. #2 -8798 -8798 I -8798 il 00% 0 -20-;C-0'#3--_ - -5036- I. -5036 I -5036 100'%° ------0 '--- � UB-TOTAL 2121692 S 1 2111297 ( 0 1 0- 1 2111297 00/ 10395 106085 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. AIA Document G703'14-1992.Copyright 0 1963. 1905. t 960.196.7, 1970. 197h.1953 ant 1092 by Tye American Ins;i;ute of Architects.All rights reserved.WARNING:This AIA'Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA.Document,or any noriion of it.may result in severe civil and criminal penalties.and will be prosecuted to the maximum intent possible under the low.Purchasers are permillea to reproduce tea 11(6)copes of this Oetume t when compleeted.To r open copyright o.iolations of AIA Contract Documents.a-mail The American Ieslltule e1 Architecs'legal counsel.Woyrign1Ceale erg CV/4 4: Document G703'm - 1992 Continuation Sheet • AIA Document 0702,APPLICATION AND CERT'hICA11ON FOR PAYMENT. APPLICATION NO: containing ConIracleis signed ecnilicat ion i_r at tachttl. COMPLETE MASONRY SERVICES INC. APPLICATION DATE: 17 In 1:lbulations below.amounts aree slated u,the nearest dollar. AGREEMENT#2695-4010 07/30/2010 IJse Colonel 1 on Contracts where variable relainegc for line items may apply. -PERIOD TO: CMS JOB NO. 08-07 ARCHITECTS PROJECT NO:0(/30/2010 ------ RE-TAINAGE-10°1 UNTIL-50%GOMPLETC A B - C I I) F. I P _..... if I I _.. .I i WORK COUPLE LID -fvl A'1'(:hlALS f0'1 1L I �— ..- BALANCE PRESENTLY CO 11 Li rf.D „ REF\INAOE SCI IL'DLILCD I-0tIII lRI4'IOUg Tit ITEM DESCRIPTION OE WORK $IORED I AND ST 111 I7) - I (IF V U21\BIJi A10 VALUE APPLICATION THIS PERIOD (NOT IN TO DATE IC-C) FINISH IiAIL1 IDa Er iC-Gi D OR G7 IU+;r '1 121 CHANGE ORDER NO. 5 100000 100,000 1 100000 0% 0 • I • • I i I i I I I _ TOTAL 1 2221692 2111297 I 100000 . 0 1 2211297 100% 10395 106,084.601 CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will nol be obscured. AIA Document G70373-1992.Copvr iglu(01963.1365, 1966. 1367. 1970, 127S.1 ln3 and 1062 by Tne A:nencan Institute el Arcfute r.. All rights.reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA'Document,or any portion of 0,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.P,rchaseis ate permitted to reproduce ten 1101 cnpfes of this document when completed To report copyright vlolationc of AIA Contract Documents.e-mail Thu American Institute of Archite-tC'regal ' counsel.cnOtiiUt;@aie.org t PAYMENT AFFIDAVIT AND PARTIAL WAIVER OF LIEN State of Indiana County of Delaware Eric J_ Kelly being duly sworn states that he is the President of Complete Masonry Services. Inc. having a contract with City of Carmel, Indiana acting by and through its Redevelopment Commission to furnish certain materials for the following project: Parcel 7A Regional Performing Arts Center. located in Carmel, Indiana and owned by Carmel Redevelopment Commission. One Civic Square, Carmel, Indiana 46032 and does hereby further state on behalf of the aforementioned contractor and that the undersigned is duly authorized to execute this Affidavit and to bind the Company by the statement herein contained: The previous progress payment in the amount of $13,700.00, Pay Application No. 16 the receipt of which is hereby acknowledged. The material, labor, services or equipment furnished are more particularly described in the application and certificate for payment (the "Application") submitted of even date herewith. Every subcontractor, laborer, person, corporation or entity performing labor for or furnishing materials to said Company, in connection with the above mentioned Project has been paid in full for the total amounts due for work performed or materials supplied to the Project by said person or entity through the date of the application and certificate referenced above, less only applicable retainage. The undersigned acknowledges receipt of all funds due for work performed through 03115/2010. The undersigned affirmatively states that the Company has no claim for additional amounts arising from the work completed as of the date of the Application, except those which may have been made by submission of a written claim made in accordance with the contract documents. The Company warrants that it is on schedule and in coordination with all others in the performance of its work under the contract documents. In order to procure one or more payments for services, labor, material or equipment provided in such construction, the Company does hereby warrant title to and waive, release and quit-claim in favor of the Owner of the real estate and the lender or lenders providing funds with which payment of construction costs is or is to be made, and their assigns, all liens or claim or right to liens upon the land or improvements above described which the Company may now have for services, labor, material or equipment furnished in respect of such land or improvements from the commencement of the project to and including the date set forth above, The undersigned warrants that the Company has not and will not assign any claim for payment nor any right to perfect a lien against the real estate. That the Company has not employed or procured material from, or subcontracted with, any person or persons. corporations or entities other than those previously submitted to the Owner, and that the Company has complied with all common wage requirements under applicable law or as may be set forth in the contract documents. Complete Masonry Services, Inc. Eric J. Kelly._Etes df nt Witness by my hand and notary seal this 30th day of July, 2010 My Commission Expires. 02/28/2015 X- }¢ x" ' :1/ Resident of Delaware County, Indiana Diann Jennings t i•