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Home My WebLink AboutVERKLER CONSTRUCTION- 187- 3/16/2011 • Verkier Construction Check: 187 7240 Georgetown Road Date: 3/16/2011 Indianapolis, IN 46268 Vendor: VERKLER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 5 30,801.15 30,801.15 0.00 0.00 30,801.15 App 5 on black box finishes 30,801.15 30,801.15 0.00 0.00 30,801.15 187 3/16/2011 "`"*"""30,801.15 THE SUM OF THIRTY THOUSAND EIGHT HUNDRED ONE DOLLARS AND 15 CENTS """`""""""""'"`" Verkler Construction 7240 Georgetown Road Indianapolis, IN 46268 Verkler Construction Check: 187 7240 Georgetown Road Date: 3116/2011 Indianapolis, IN 46268 Vendor: VERKLER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 5 30,801.15 30,801.15 0.00 0.00 30,801.15 App 5 on black box finishes 30,801.15 30,801.15 0.00 0.00 30,801.15 ' AV LIUA I TUN ANU UtK I II-IUA I t F-UK PAY MEN I CONSTRUCTION MANAGER-ADVISER EDITION ALA DOCUMENT G702/CMa PAGE ONE OF PAGES TO: City of Carmel Community Development PROJECT: Village on the Green Office Building Black 13ox Corporation . Theater- Bid Item#2, Finishes APPLICATION NO: 05 Distribution To: _ 803 3rd Avenue SW and City Center Drive PERIOD TO: 1/31/2011 DOWNER Cannel, IN 46032 PROJECT NOS: 10-006 ❑ CONSTRUCTION MANAGER FROM: 'erklerintorporatcdj CONTRACT DATE: 8/30/2010 ❑ ARCI-IITECT 7240 Georgetown Road ❑ CONTRACTOR Indianapolis, IN 46268 VIA CONSTRUCTION MANAGER: REI Construction, LLC CONTRACT FOR: Bid Item#2 VIA ARCHITECT: Pedcor Design Group LLC CONTRACTOR'S APPLICATION FOR.PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Infor- mation and belief the Work covered'by this Application for Payment has been completed in Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, ALA Document G703, is attached. accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments 1. ORIGINAL CONTRACT SUM $ $192,385.00 received from the Owner,and that current payment shown herein is now due. 2. Net Change by Change Orders . $ $22,677.34 3. CONTRACT SUM TO DATE (Line 1 ±2 CONTRA�ryie': / i ( ) $ $215,062.34 4. TOTAL COMPLETED &STORED TO DATE . $ $188,025.50 / 4 A /(Column G on G703) By / Date:/L) �r 5 RETAINAGE: State of: Indiana a. 10.00%of Completed Work $ $18,802.55 County of: Marion (Columns D+E on G703) Subscribed and sworn to before b. 10.00%of Stored Material me this 25th day of January,2011 (Column F G703) $ $0.00 Total Retainage(Line e 5a Sb or Total in Column I on G703) . $ $18,802.55 (ha"' 6. TOTAL EARNED LESS RETAINAGE . $ $169,222.95 Notary Public: Jancane Arbuckle (Line 4 less Line 5 Total) My commission expires:March 20 13 7 LESS PREVIOUS CERTIFICATE FOR PAYMENT . $ $138,421.80 CERTIFICATE FO AYMENT 8. CURRENT PAYMENT DUE $ $30,801.15 I In accordance with the Contract Documents. based on on-site observations and the data g. BALANCE TO FINISH INCLUDING RETAINAGE comprising the application, the Construction Manager and Architect certifies to the Owner that to the best of the their knowledge, information and belief the Work has progressed as (Line 3 less Line 6) $45,839.39 indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED p CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS $ J C7 C' o /. /5 (Attach explanation if amount certified differs from the amount applied for. Initial all Total changes approved in figures on this Application and on the Continuation Sheet that are changed to conform to the amount certfed. previous months by Owner f CONSTRUIn�T.I. N MANAGER: c�j (� Total approved this Month $22,677.34 By: ,� � Date: 2--A / p'I' TOTALS ARCHITECT: $22,677.34 50.00 By: Date: NET CHANGES by Change Order $22,677.34 This Certificate is not negotiable The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702/CMa•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION'AIA '01992•THE AMERICAN INSTITUTE OF ARCHITF.Crs.1735 NEW YORK AVENUE.N.W.,WASHINGTON,DC 20006-5292.Users may obtain validation of this document by requesting a completed AIA Document D401-Certification of Document's Authenticity from the Licensee. ran,/CMa-1 QQ7 . •, CONTINUATION SHEET AIA DOCUMENT G703 PAGE 1 OF 3 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 05 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 10-006 • ARCHITECT'S PROJECT NO: NET CHANGES by Change Order • 1 $22,677.34 1 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT 6702•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION•AIA •01992•THE AMERICAN INSTITUTE OF ARCHITECTS.1135 NEW YORK AVENUE.N.W.,WASHINGTON,DC 200065292•Users may obtain validation of this document by requesting a completed AIA Document D001-Certification of Document's Authenticity from the Licensee. G702-1992 A B C D E F G H I # Description of Scheduled Previous Work Work Presently Total % Balance to Total Retainage Work Value Complete Completed from Stored Completed & Finish This Period Stored to Date General Conditions 0001 Supervision, $7,990.00 $6,392.00 $1,198.50 $0.00 $7,590.50 95.00% $399.50 $759.05 Clean up, Etc. General Subtotal: $7,990.00 $6,392.00 $1,198.50 $0.00 $7,590.50 95.00% $399.50 $759.05 Conditions Bid Item#1 0002 Architectural $7,500.00 $3,750.00 $3,750.00 $0.00 $7,500.00 100.00% $0.00 $750.00 Woodwork- Mat'l 0003 Architectural $2,600.00 $260.00 $0.00 $0.00 $260.00 10.00% $2,340.00 $26.00 Woodwork- Labor 0004 Flooring and $28,500.00 $21,375.00 $7,125.00 $0.00 $28,500.00 100.00% $0.00 $2,850.00 Base- Mat'l 0004 Flooring and $7,000.00 $350.00 $6,650.00 $0.00 $7,000.00 100.00% $0.00 $700.00 Base - Labor 0006 Painting and $28,000.00 $28,000.00 $0.00 $0.00 $28,000.00 100.00% $0.00 $2,800.00 Wall Covering - Mat'I • 0007 Painting and $15,000.00 $13,500.00 $1,500.00 $0.00 $15,000.00 . 100.00% $0.00 $1,500.00 Wall Covering- Labor 0008 Sound $22,000.00 $11,000.00 $11,000.00 $0.00 $22,000.00 100.00% $0.00 $2,200.00 Absorbing Wall Units- Marl 0009 Sound $8,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $8,000.00 $0.00 Absorbing Wall Units-Labor 0010 Stage Curtains $38,000.00 $38,000.00 $0.00 $0.00 $38,000.00 100.00% $0.00 $3,800.00 and Acoustical Draperies- Mat'I . CONTINUATION SHEET A/A DOCUMENT G703 PAGE 2 OF 3 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 05 Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 10-006 ARCHITECT'S PROJECT NO: 0011 Stage Curtains $8,000.00 $6,800.00 $0.00 S0.00 $6,800.00 85.00% $1,200.00 $680.00 and Acoustical Draperies- Labor 0012 Black Out $8,000.00 $8,000.00 $0.00 $0.00 $8,000.00 100.00% $0.00 $800.00 Blinds- Mat'l 0013 Black Out $2,295.00 $0.00 $0.00 $0.00 $0.00 0.00% $2,295.00 $0.00 Blinds- Labor 0014 Joint Sealants, $2,500.00 $1,875.00 $625.00 $0.00 $2,500.00 100.00% $0.00 $250.00 Concrete Sealer . - Mat'l 0015 Joint Sealants, $2,000.00 $1,500.00 $500.00 $0.00 $2,000.00 100.00% $0.00 $200.00 Concrete Sealer - Labor 0016 Masonite Floor $1,500.00 $0.00 $825.00 $0.00 $825.00 55.00% $675.00 $82.50 Protection- Mat'l 0017 Masonite Floor $3,500.00 $0.00 $1,050.00 $0.00 $1,050.00 30.00% $2,450.00 $105.00 Protection - Labor Bid Item#1 Subtotal: $184,395.00 $134,410.00 $33,025.00 $0.00 $167,435.00 90.80% $16,960.00 $16,743.50 CO#1 -Add for PR#5 001 Add for PR#5 $22,677.34 $13,000.00 $0.00 $0.00 $13,000.00 57.32% $9,677.34 $1,300.00 CO#1 -Add for Subtotal: $22,677.34 $13,000.00 $0.00 $0.00 $13,000.00 57.33% $9,677.34 $1,300.00 PR#5 GRAND TOTAL $215,062.34 $153,802.00 $34,223.50 $0.00 $188,025.50 87.43% $27,036.84 $18,802.55