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Home My WebLink AboutVERKLER CONSTRUCTION- 163- 1/5/2011 Verkler Construction Check: 163 • 7240 Georgetown Road Date: 1/5/2011 Indianapolis, IN 46268 Vendor: VERKLER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention _Discount Amt. Paid 3 40,935.15 40,935.15 0.00 0.00 40,935.15 App 3 on P7C-7 40,935.15 40,935.15 0.00 0.00 40,935.15 163 1/5/2011 "******""40,935.15 THE SUM OF FORTY THOUSAND NINE HUNDRED THIRTY FIVE DOLLARS AND 15 CENTS ".."' Verkler Construction 7240 Georgetown Road Indianapolis, IN 46268 Verkler Construction Check: 163 7240 Georgetown Road Date: 1/5/2011 Indianapolis, IN 46268 Vendor VERKLER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3 40,935.15 40,935.15 0.00 0.00 40,935.15 App 3 on P7C-7 40,935.15 40,935.15 0.00 0.00 40,935.15 APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION - A/f) DOCUMENT G702/CMa PAGE ONE OF PAGES TO: City of Carmel Community Development PROJECT: Village on the Green Office Building Black Box Corporation Theater-Bid Item#2, Finishes APPLICATION NO: 03 Distribution To: 803 3rd Avenue SW and City Center Drive PERIOD TO: 11/30/2010 DOWNER Carmel, IN 46032 D T (.1 n W kt PROJECT NOS: 10-006 ❑ CONSTRUCTION\-:�6 1 1f MANAGER FROM: VetkIe_r_ t I icorporat d NOV 2 3 2.610 11 CONTRACT DATE: 8/30/2010 ❑ ARCHITECT 7240 Georgetown Road ❑ CONTRACTOR Indianapolis, IN 46268 VIA CONSTRUCTION MANAGE': REI Construction, LLC. CONTRACT FOR: Bid Item#2 VIA ARCHITECT: Pedcor Design grotip_LLC�- - - CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,Infor- Application is made for payment, as shown below, in connection with the Contract. mation and belief the Work covered by this Application for Payment has been completed in Continuation Sheet, AIA Document 6703, 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 I. 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 I ±2) . 5 $215,062.34 CON -TOR: 1 )f 4. TOTAL COMPLETED &STORED TO DATE . $ $86,178.50 By: Date: 11'u"2110 (Column G on G703) 5 RETAINAGE: State of: Indiana a. 10.00%of Completed Work $ $8,617.85 County of Marion (Columns D+E on G703) Subscribed and sworn to before b. 10_00%of Stored Material me this 22nd day of November,2010 (Column F on G703) $ $0.00 Total Retainage(Line 5a+56 or Total in Column 1 on G703) $ $8,617.85 i,:�i. ,'IL L' , (,LLL - 6. TOTAL EARNED LESS RETAINAGE . $ $77,560.65 Notary Public: Fannie Arbuckle- (Line 4 less Line 5 Total) My commission expires: March 20 20 3 LESS PREVIOUS CERTIFICATE FOR PAYMENT CERTIFICATE FOR. $ 536,625.50 AYMENT 7. 8. CURRENT PAYMENT DUE $I 540,935.15 In accordance with the Contract Documents, based on on-site observations and the data 9. 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) $137,501.69 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 $ ''a `)a".5-: /5 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (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 previous months by Owner the amount certified.) p CONSTRUCTION MANAGER: • Total approved this Month $22,677.34 By:- Date: / 2.—/3/2 c TOTALS $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 N L Contractor named herein. Issuance, payment and acceptance of payment are without pre'udice to any rights of the Owner or Contractor under this Contract. 1 I ( AIA DOCUMENT G702/CMa•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION-AIA -01992•THE.AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK �J 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. . CONTINUATION SHEET AIA DOCUMENT G703 PAGE 1 OF 3 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 03 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 ARCHITECTS PROJECT NO: NET CHANGES by Change Order I 522.677 34 I 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•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION-AIA -01992•THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVENUE N.W.,WASHINGTON.DC 20006-5292•Users may obtain validation of this document by requesting a completed AIA Document 0401-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 $3,995.00 $1,198.50 $0.00 $5,193.50 65.00% $2,796.50 ' $519.35 Clean up, Etc. General Subtotal: $7,990.00 $3,995.00 $1,198.50 $0.00 $5,193.50 65.00% $2,796.50 $519.35 Conditions Bid Item#1 0002 Architectural $7,500.00 $750.00 $3,000.00 $0.00 $3,750.00 50.00% $3,750.00 $375.00 Woodwork- Mat'l 0003 Architectural $2,600.00 $0.00 $260.00 $0.00 $260.00 10.00% $2,340.00 $26.00 Woodwork- Labor 0004 Flooring and $28,500.00 $2,850.00 $4,275.00 $0.00 $7,125.00 25.00% $21,375.00 $712.50 Base - Mat'l 0004 Flooring and $7,000.00 $0.00 $350.00 $0.00 $350.00 5.00% $6,650.00 $35.00 Base- Labor 0006 Painting and $28,000.00 $5,600.00 $15,400.00 $0.00 $21,000.00 75.00% $7,000.00 $2,100.00 Wall Covering- Mat'l 0007 Painting and $15,000.00 $1,500.00 $6,000.00 $0.00 $7,500.00 50.00% $7,500.00 $750.00 Wall Covering- Labor 0008 Sound $22,000.00 $2,200.00 $0.00 $0.00 $2,200.00 10.00% $19,800.00 $220.00 Absorbing Wall Units-Mat'I 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 $19,000.00 $0.00 $0.00 $19,000.00 50.00% $19,000.00 $1,900.00 and Acoustical Draperies-Mel CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 3 PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 03 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 $4,000.00 $2,000.00 $0.00 $6,000.00 75.00% $2,000.00 $600.00 and Acoustical Draperies- Labor 0012 Black Out $8,000.00 $800.00 $0.00 $0.00 S800.00 10.00% $7,200.00 $80.00 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 $0.00 $0.00 $0.00 $0.00 0.00% $2,500.00 $0.00 Concrete Sealer -Mat'I 0015 Joint Sealants, $2,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $2,000.00 $0.00 Concrete Sealer - Labor 0016 Masonite Floor $1,500.00 $0.00 50.00 $0.00 $0.00 0.00% $1,500.00 $0.00 Protection - Mat'l 0017 Masonite Floor $3,500.00 $0.00 $0.00 $0.00 $0.00 0.00% $3,500.00 $0.00 Protection- Labor Bid Item#1 Subtotal: $184,395.00 $36,700.00 $31,285.00 $0.00 S67,985.00 36.87% $116,410.00 $6,798.50 CO#1 -Add for PR#5 001 Add for PR#5 $22,677.34 $0.00 $13,000.00 $0.00 $13,000.00 57.32% $9,677.34 $1,300.00 CO#1 -Add for Subtotal: $22,677.34 $0.00 $13,000.00 $0.00 $13,000.00 57.33% $9,677.34 $1,300.00 PR#5 GRAND TOTAL $215,062.34 $40,695.00 $45,483.50 $0.00 $86,178.50 40.07% $128,883.84 $8,617.85 1 •