HomeMy WebLinkAboutGIBRALTAR CONSTRUCTION CORP- 24,519.60- 2/28/2010 - See Check 3260 in 2012 claims - "4"e'All IC Document G702/CMal' — 1992
•Application and Certificate for Payment Construction Manager-Adviser Edition
.TO OWNER:- city of ca=mel, Cannel PROJECT: Carmel city mer- Pill water- APPLICATION ND: ern Distribution to;
nedevel°p¢eat'Cemmissis 02/20/co
Proofing and Paving Components '
PERIOD TO: OWNER ❑
101 city Center Drive
ca net,I4
46032 CONSTRUCTION MANAGER El
FROM CONTRACTOR: VIA,CONSTRUCTION MANAGER: CONTRACT DATE: o1/1e/x0 ARCHITECT ❑
Gibraltar Gbnecruction Corp PROJECT NOS: I I CONTRACTOR ❑
2932 N. aebster Ave.
Indianapolis,. IN 46219 VIA ARCHITECT: Pedcor Design Group, Lae FIELD ❑
CONTRACT FOR: Waterproofing & Topping Slabs 0
CONTRACTOR'S APPLICATION FOR PAYMENT The end !a knowledge. information and
belie(tli /} impleted in accordance with the
April icaltmrismade for payment av shown he low, hi connection with the Contract. C011Irat L r C 7 CrJlr ep or rr iet Work For 1r-high previous
Continuation Sheet,AIA DVeulne id 0703,is attached. I y - r
1,469,089.00 Certifii, I'the Owner, and thm current
1:ORIGINAL,CONTRACT SUM...........__....-_-.............................,.•.....,.......S payment C 0O
2:Net change by Change Orders s CONTR./ ?J LI/
3.CONTRACT SUM TO DATE(Line I ±?)............................._..................S1 45' 499 ea By: I .n r! ,„ -.,P, —/t3
4.TOTAL COMPLETED 8 STORED TO DATE(Column G on C703) ,......•....$ 27,244.00 State of.?
5.RETAINAGE: County FRIAN R. IVICBRIDB
a. _SoufCompleted\York Suhscril Ies. of Hancock County
(Column D+Eon 07031 $ 2.724.40 tnc this) IComm. Exp. 11-29-2017
b. _'.'°of Stored Material Notary I IOfS1fT11SSbd 511 662
- (Column Fun 0703) S My Coy -
Total Retaitnlge(Lines ih+513 or Total in Column I of 0703). S CER1
24,519.60 In accni Irani nits and the data 8011110151 11i!
6.TOTAL EARNED LESS RETAINAGE S th I
is wpb e Owner than to the best or 111th
(Line 4 Less Line 5 Total) 00 knowiec led,the quality III the Work is in
7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S accordal �_d to payment of the AMOUNT
(Line G from prior Cenificale) CERT€3
8.CURRENT PAYMENT DUE I S ,e s,e cn AMOUN ICEK I rFIEIi - $2kicie, lea
9:BALANCE TO FINISH,INCLUDING RETAINAGE (Aucrett 0.11NNunr,oi,ifnimnruf ccrrifred difficr firm the iNlifam:applied. Initial all figures un rhts
Application 0mi on lilt'Cuntuuiriiiim Sheer Arta are duntged to confer i trait rate oakum$rfifred)
1,426,369.40
(Line 3 less Line(i) $ CONSTRUCTION MANAGER:
By: Dote:
ADDITIONS DEDUCTIONS °6r nee "cu '�L'"
CHANGE ORDER SUMMARY I I ARCHITECT: ! 11'i�
Total clan•es approved in previous months by Owner $ S. Z'Y:S/tO
nn on RY: Dare:
Total approved thisMonth $ nn 1 SIR Ann nn This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Conlractor
. TOTALS `5 g5 I STa 4nn no
named-herein. Issuance, payment and acceptance of pavilion( arc without prejudice to any rights of
NET CHANGES by ChWtge Order the the.Owner or-Contractor under this Contract..
10.400,00-
CAUTION:You should sign an.original MA Contract Document,,on which this text appeaisin RED. An origtnel assures,that changes wilt not he obscured.
MA Document G7021CMaTe—1992:Copyright ti 1992 by The American Institute of Architects.All rights reserved.WAfNING:This AFAa Document is protected by U.S.Copyright Law and Inlernolonal Treaties.
Unauthorized reproduction or dishlbulion or This AIA°Document;or any portion of It.may result in severaclvll and criminafpeu5111es,and will be prosecuted to the maximum extent possible-under the law.
Purc■e5er5 are irermined to reproduce len(t0).copies of ail;docunleni when completed-To report copyright violations cl MA Contract Docomehis,a-mail The American Institute at Arehitoe15'legal counsel,COpyright@aiaarg. '
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