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Home My WebLink AboutGIBRALTAR CONSTRUCTION CORP- 336,475.80- 1/18/2010 - NO CHECK WRITTEN BY CRC �1 - e • AP: Document G ®b!C 'lriaTN ® 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: city °e carnet, carmet: PROJECT: ca vet city cpdr- P111 water- APPLICATION NO: 002 Distribution to: Redevelopment Caatieaio Proofing and Paving Components 05/19/10 PERIOD TO: OWNER 01 101 City Center Drive camel,IN 46032. CONSTRUCTION MANAGER 0 FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ni/1a/lo ARCHITECT ❑ Gibraltar Construction Corp PROJECT NOS: ! / CONTRACTOR ❑ 293?. N. 'Webster Ave. Indianapolis, CR 46219 VIA ARCHITECT: Pedcor Design Group. LLC FIELD ❑ CONTRACT FOR: Waterproofing a'Tappins slabs it 0 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contr etorccnifics that to th best or the Cantractor's knowledge.information and Application is made tor payment.as shown below,in connection with the Contract. belief the Work covered by this Application Payment has been completed in accordance with the Continuation Sheet. AIA Document shown low,i attached. Contract Documents;that:dl amount.'I ave en paid by the Contractor fore Work for which previous 1,469,aa7.o0 Certificates for Payment were 'su. and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM S payment shown herein is luny d, i. 2. Net change by Change Orders ..__........._........................................5 .9.r „„_ CONTRACTOR. ' I rue t n Corp 3.CONTRACT SUM TO DATE(Line I ±2 I_...._...,..-.._...............................S t.459.971 no By: ei Dale: ,5-2/—/O 4.TOTAL COMPLETED&STORED TO DATE(Column G on 070 3 State.or: ,,jryJ / V I )............5 4ol,los.00 l�-vim.," 1p ..-. _� BRIAN Res. MCBRIDE 3.RETAINAGE: County o[: .f e, a R.s. Hancock County a, ';�nFQtmnlcicd Work Subscribed and 5 n m hcl' t� �P * EAL ° EXD. 11-29-2017 (Column D+Eon 0703) I F 40.110.60 1110 this �i day of / J " �4J �t, Y Commission fir''+511862 h. Se of Stored Material Notary Public: - (Column F an 07031 $ My Comm ..' 'in expires: j---- -9+/? Total Retaitiace(Lines Sit+5b or Total in Column 1 of G703). 5 CERTIFICATE FOR PAYMENT 360,99S-00 In accordance with the Coetrdct Documents, based on on-site observations and the data comprising 8.TOTAL EARNED LESS RETAINAGE............................................. S this upplicution.theiConstruction.Manacer and Architect certify to the Owner than In the best of their (Line 4 Less Line 5 Toad) 21.519.50 knwledge,in fornuition and had the Work has progressed as indicated.the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S accordance with the Contract Documents,and the Contrtclnr is entitled to payment of the AMOUNT (Line 6 From pour Certificate) CERTIFIED 8.CURRENT PAYMENT DUE $ „6 ,,., ea 1 AMOUNT CERTIFIED S 334,4-zr o 9.BALANCE TO FINISH,INCLUDING RETAINAGE GUrrteis euphonium ium If nnunu:t terrified rhf/art fimu rite amount applied,Midair all fig tire'an this Appficrrrinrt and 011.fire Gaits Sheer Thal are tlaau,Qerl to enof lent Ida,the nnta,nv.certified.) 1,0913,925.60 (Line 3 less Linc6) S CONSTRUCTI° MANAG R: By. i/ Date- S laVern CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT /�/7� - Total changes approved in previous months by Owner S s $ � e . S to can no By: /e e ---~. Date:5 72-7 frj Total approved this Month S 32.52 $ 00 This Certificate is not ncentiable. The AMOUNT CERTIFIED is malt only to the Contractor TOTALS S. 9 ryv .5 named Herein. Issuance; payment end acceptance of.payment are without prejudice to any rights of te.4on.oa NET CHANCE'S by Change Order. $ -a 9 966 — the Owner Or Comrtctor under tins Coniricl.. 1 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 G7o2/Crta m—1992.Copyright at 1992 by The Amencen institute at Architects.All rights reserved.WARNING-Thls AIA° Document is protected by US.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlAe.Docuineni or any portion of it,may result in severe civil and crlinirial Fe-Wiliest and will be prosecuted to the maximum extent passable tinder the law. Purchasers are permitted to reproduce len(10)copies oI this document when completed.Ta report copyright violations at ALA Contract Documents,a mad The American Institute al Architects'legal counsel,eopyrighi@aia.arg. CONTINUATION SHEET MA DOCUMENT G703 (lnstruCLiOns on reverse side) PAGE erg. cc PAC ti AEA Docurncnt G702„APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 002 conuiioing CnetrnnnPs signed Gerrificuich, is 3mlched. APPLICATION DATE: 135/Tg/13 in Inbulations below.amounts arc staled to the.nearest dollort PERIOD TO: 05/19/10 Use Column I on Contracts where \unable mraidage for line items may apply, ARCHITECT'S PROJECT NO.: A 13 C D E F C. if I 1 WORK COMPLETED MATERIALS TOTAL. ITEM SCHEDULED - PRESEN TLy COMPLETED ©ALANCL RETAINAGE DESCRIPTION OF WDRK VALUE FROM PREVIOUS STORED NO. AND STORED G TO (1F VARIABLE). APPLICATION TIi ES PERIOD (NOT IN TO DATE (. _ C) FINISH RATE) (D 4. L) 0 O E) (DA.E.!-F) IC-G) 0001 Allowance 25,000.00 .00 .00 .00 .00 .00 24,000.00 .0D 0002 Supervision 47,500.00 .00 4,750.00 .00 4,750.00 10.00 42,750.00 475.00 3003 Bonds. 25,294.00 25,249,00 .00 .00 25,244.00 100.00 .00 2,524.90 0004 nobilixaticn/Demobilization 2.000.00 .00 1,000.00 .OD 1,000:00 50.00 1,000.00 100.00 0005 Submittals 20,000.00 2,000.00 17,000.00 .00 19,000.00 95.00 1,000.00 1,900.00 0005 nide General- Conditions 30,000.00 .00 4,500.30 .00 4,500.00 15.00 25,500.00 450.00 OD07 ereavaeien at North Ramp 4,643.00 .00 .00 .00 .00 3n 4,643.00 .00 0000 Sterm Canting Material 79,000.00 .00 .00 .00 .00 .00 79,000.00 .00 0009 Storm Canting Labor 11,000.00 .00 .00 .00 .00 .00 11,000.00 .00 0010 Trench Drain material 59,000.00 .00 .00 59,000.00 59,000.00 100.00 .00 5, ■00.03 0011. Trench Drain i,nbor 15.000,30 .00 .00 .00 .00 .00 15,000.00 .00 0012 Oenolition Labor 35,000.00 .00 22,750.00 . .00 23,750.00 65.00 12,250.00 2,215.00 0013 topping Slabs I. CLSbs Material 170,000.33 .00 .00 40,000.00 90.000.00 13.53 130,000.00 4,000.30 0014 Topping Slabs 6 curbs Labor 164,900.00 .00 .00 .00 .00 .00 169,900.00 .00 0015 Rebar Material 15;000.00 .00 16;000.00 .00 15,000.00 100.00 .00 1.500.00 0016 Masonry 3,000.00 .00 .00 .00 .00 .00 3,000.00 .00 0017 Metal Fabrications 1,200.00 .00 .00 1.000.00 1,000.00 03.33 200.00 100.00 0016 Waterproofing I._Exp Seines 792,000.00 .00 .00 200,000,00 200,000.00 26.95 542,000.00 L0,000.00 0019 Joint Sealants 200.00 .00 .00 .00 .00 .00 200.00 .00 0020 nutting 19,403.00 .00 1,000.00 .00 2,690:00 20.00 14,120.00 309.00 0021 Electrical 1,000.00 .00 .00 .00 -.00 .00 1.000.00 .00 0022 Change Order 1 10,430.00- .00 .00 .00 ;no .00 18,400.00- .00 0023 Change order 02 5,102.00 .00 5.102.00 .00 5,152.00 100.00 .00 510.20 0024 Change Order 53 3,252,00 .00 .00 .00 .00 .00 3,252'.00 :00 Dan .00 .00 .00 .00 .00 .00 .00 .00 ��yRp�n AIA DOCUMENT 0703 •CONTINUATION SI IEET FOR 6302 • 1992 EDITION • ALA' • ©1092 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK yp•I., AVENUE,NW..1131SkIINGTON,1]C.20006.5292•WADNING:Unlicensed plOtoonpying violates U.S.copyright laws and will cubie<t the violator to legal p.OsecUtlon, •1 G703-1992 IViket .. CAUTION:You should use an original AIA document which has this caution printed in red. An original assures that changes will not.be obscured as may occur when documents are EeprOduced.