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Home My WebLink AboutGIBRALTAR CONSTRUCTION CORP - 19,000.00- 5/31/2012 NO CHECK WRITTEN BY CRC il = r,v. ®= Document G702/CMaTM — 1 992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: City of Carmel PROJECT: Carmel Lofts Streetscape-Parcel 47 APPLICATION NO: 12 Distribution to: One Civic Square PERIOD TO: 5131/12 OWNER ❑ Carmel, IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction CorpVIA CONSTRUCTION MANAGER: :CONTRACT DATE: 2/4111 ARCHITECT 0 2932 N.Webster Ave. PROJECT NOS: I I CONTRACTOR 0 Indianapolis,IN 46219 VIA ARCHITECT: 'LD CSO Architects,Inc. 0 CONTRACT FOR: Parcel 47-Carmel Lofts Streetseape 0 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor Certiti s that to the best of the Contractors Enosdedee. infotmalon and Appticarolt is made for payment,as shown belo,v,in connection with the Contract, belief the Wotk coveeed by this.4t r ca lion rot Payment has been completed in accordant with the Continuation Sheet, ;41A Document G70 s, is attached_ Contract Documents. Mot all r• u.t- have been paid by the Contractor for Work tot .,htch previous Ce,tilcates tar Payme-it ,vc'r/ ss _t and 1m ymeits received from the Owner, and L t current 1.ORIGINAL CONTRACT SUM S 1,373,700.00 payment shown herein h may t�. 2. Net change by Change Orders 7 246,999.00 CONTRACTOR. Gibraltar .n ction Corp DATE 2 1,620,699.00 ti .-.c 3.CONTRACT SUM TO DAL (Lute`I ±_)_ g gyp. Date p��/ 4,TOTAL COMPLETED F. STORED TO DATE (Colnnan Gun 0703) ...,__...S 1,620,699.00 State of. , - 5,RETAINAGE: County oc:�t/f�, 4 ,��+ 'JeG SHHAN R. MCBRIDE a %ofCorripleted Work Subscribed and swot /o ti -c Sr * 'RES. Cs Hancock County 1,000.00 (Column inn D+E on G703) S me this ys ' yo" /�+rj a7.2. My Lamm. J. 3S-29-2��7 b. _9'2 otStored Material Notary Pu IDi$lY Commission # 611S62 (Column F on G703) $ My._commission expires: J--;•j_./ ' Total Reminage(Lines sa+Slit or Total in Column I of 0703).. s CERTIFICATE FOR PAYMENT 1,619,69900 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE if this application, the Construction Manager and Architect certify to the Owner that to the test of their (Line 4 Less Line 5 Total) knowledge, information and belief the Work has prestressed as indicated,the quality of the Work is in 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT S 1,600,099.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. S.CURRENT PAYMENT DUE . ....................... . . S 19,000.00 AMOUNT CERTIFIED S 9 BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount cenihed differs from the,amonrtapplied Initial ail figures on'sic 1,090.00 Applica:ion and a• the -m;int no Jeer that ate changed to conform with the amount centf*.ed.) (Line 3 less Line bj $ CONSTR. e 9,iER' it By, r�1%>rI Date _ / 7'? 'CHANGE ORDER SUMMARY ADDITIONS I DEDUCTIONS ARCHIT f • P ul Total changes approved previous months by Owner 5 IS [iv: Sr r _ Date: Total approved't is Mouth S I $ This Cert.tint: is nog•ucgouabie The AMOUNT CERTIFIED is payable a ly to is Contractor TOTA S S I .S I named herein_ Issuance:payment and acceptance of payment arc without prejudice to any now of NET 0-LANGES by Change Order 1 $ the Owner or Contactor under this Contract. CAUTION: You should sign an original AMA Contract Document. on which this text appears in RED. An original assures that changes will not be obscured, AIA Document G702tCMaTt-1992, Copyright 1952 by The American Institute of Architects.All rights reserved.WARNING:This Ate Document is protected by U.s. Copyright Law and International Treaties. CONTINUATION SHEET Page2of4 APPLICATION NO. : 12 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION DATE: 5/31/2012 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 5/31/2012 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE N0. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) FINISH (IF VARIABLE (D+E) DORE) (D+E+F) (C-G) RATE) 1 Allowance No. 1 -Base Bid Contingency $5,000.00 $5,000.00 $5,000.00 100% - 2 Allowance No. 2 -Winter Conditions $30,000.00 $30,000.00 $30,000.00 100% - 3 Allowance No. 3-Alternate 1 Contingency $5,000.00 $5,000.00 $5,000.00 100% - 4 Allowance No. 4-Alternate 2 Contingency $5,000.00 $5,000.00 $5,000.00 100% - 5 Allowance No. 5 -Alternate 3 Contingency $5,000.00_ $5,000.00 $5,000.00 100% - 6 Allowance No. 6 -Alternate 4 Contingency $5,000.00 $5,000.00 $5,000.00 100% - 7 Bond $18,500.00 $18,500.00 $18,500.00 100% - 8 General Conditions $86,000.00 $86,000.00 $86,000.00 100% - 9 Site Clearing/Selective Site Demo $29,200.00 $29,200.00_ $29,200.00 100% - 10 Earthwork $114,500.00 $114,500.00 $114,500.00 100% - 1,000.00 11 Stuctural Soil $7,800.00 $7,800.00 $7,800.00 100% - 12 Erosion/Sedimentation Control $500.00 $500.00 $500.00 100% - 13 Water Distribution $48,200.00_ $48,200.00__ $48,200.00 100% - 14_ Storm Drainage $139,700.00 $139,700.00 $139,700.00 100% - 15 Asphalt Paving $16,900.00_ $16,900.00 $16,900.00 100% - 16 Cast-in-Place Concrete-Mt'I $7,750.00 $7,750.00 $7,750.00 100% - 17 Cast-in-Place Concrete-Labor $6,350.00_ $6,350.00 $6,350.00 100% - 18 Trench Drains- Mt'l $7,500.00 $7,500.00 $7,500.00 100% - _ 19 Trench Drains- Labor $2,300.00 $2,300.00 $2,300.00 100% - 20 Concrete Paving $156,454.00 $156,454.00 $156,454.00 100% - 21 Concrete Footing and Walls $43,900.00 $43,900.00 $43,900.00 100% - 22 Paving Joint Sealants $3,700.00_ $3,700.00 $3,700.00 100% - - 23 Unit Paver-Concrete $79,000.00 $79,000.00 $79,000.00 100% - 24 Permeable Unit Paving System - Concrete $65,000.00 $65,000.00 $65,000.00 100% - 25 Segmental Rataining Wall $25,000.00 $25,000.00 $25,000.00 100% - CONTINUATION SHEET Page 3 of 4 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO. : 12 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE 5/3 1!2012 variable retainage for line items may apply. PERIOD TO: 5/31/2012 ARCHITECTS PROJECT NO. : 3 A B C D I E F G H I WORK COMPLETED MATERIALS ITEM FROM PREVIOUS PRESENTLY TOTAL COMPLETED % BALANCE TO RETAINAGE N0. DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH APPLICATION THIS PERIOD STORED(NOT IN DATE(0+E+F) (010) IC 6) DE VARIABLE RATE) (D+E) DORRE) 26 Bollards-Mt'I y $5,050.00 $5,050.00 $5,050.00 100% - 27 Bollards- Labor $800.00 $800.00 $800.00 100% - 28 Masonry $9,000.00 $9,000.00 $9,000.00 100% - 29 Brick Masonry $7,000.00 $7,000.00 $7,000.00 100% - 30 Cast Stone $7,000.00 $7,000.00 $7,000.03 100% - 31 Pipe&Tube Railings-Steel $49,500.00 $49,500.00 $49,500.00 100% - 32 Water Repellants $700.00_ $700,00 $700.00 100% - 33 Thermoplastic Membrane Waterproofing $76,000.00 $76,000.00 $76,000.00 100% - 34 High Performance Pond Coatings- Mti $1,000.00 $1,000.00 $1,000.00 100% - 35 High Performance Pond Coatings- Labor $1,000.00 $1,000.00 $1,000.00 100% - 36 Post &Panel Signs $5,300 5,300 $5,300.00_ 100% - 37 Fountain Structure-Mil $28,100 28,100 $28,100.00 100% - 38 Fountain Structure- Labor $806 800 $800.00 100% - 39 Fountain Plumbing- Mt'I $12,000 12,000 $12,000.00 100% - 40 Fountain Plumbing -Labor $3,000 3,000 $3,000.00 100% - 41 Electrical $223,000 223,000 _ $223,000.00_ 100% - 42 Exterior Plants $8,200 8,200 $8,200.00 100% - 43 Tree Gates- Mt'I $9,846 9,846 $9,846.00 100% - 44 Tree Gates - Labor $1,400_ 1,400 $1,400.00 100% - 45 Bike Racks - Mt'l $900 900 900 100% - 46 Bike Racks- Labor $600 600 600 100% - 47 Planters-Mt'l $9,500 9,500 9,500 100% - 48 Planters- Labor $750 750 750 100% - 49 Change Order#1 $35,000 35,000 35,000 100% - 50 Change Order#2 $116,941 116,941 116,941 100% - • CONTINUATION SHEET Page4of4 APPLICATION NO. : 12 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION DATE: 5131/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 5/31/2012 ARCHITECT'S PROJECT NO. : 3 A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE N0. DESCRIPTION OF WORK VALUE FINISH APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) (IF VARIABLE RATE) (D+E) DORE) (D+E+F) (C-G) 51 Change Order#3 -$20,000 (20,000) (20,000) 100% - 52 Change Order#4 $32,386 32,386 32,386 100% 53 Change Order#5 $59,972 59,972 59,972 100% - 54 Change Order#6 $0 _ - 55 Change Order#7 $8,960 8,960 8,960 100% - 56 Change Order#8 $6,571 6,571 6,571 100% - 57 Change Order#9 -$10,600 (10,600)__ (10,600) 100% - 58 Change Order#10 $17,769 17,769 17,769 100% - 59 60 62 — 63 _ 64 65 66 67 68 69 --- 70 71 72 73 74 75 $1,620,699 $1,620,699 $0 $0 $1,620,699 100% $0 $1,000 ISA Form # 1-402 A1IJk AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL N PARTIAL ® PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and /or labor for a project known as Carmel Arts District Lofts Streetscape, Parcel 47 and owned by City of Carmel, Indiana. and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER) that there is due from the Owner the sum of Nineteen Thousand and No/100 Dollars ($19,000.00) n receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the Owner is the sum of Dollars ( ) ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THERFORE, the undersigned waives and releases unto th: Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereo • -ccount of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions -xp -ssed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work p-do ed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. I Gibraltar Construction Corp By jfk i Title President 4 1 WITNESS MY HAND AND NOTORIAL SEAL, this ' +1`1y •,June, 2012. / (Notary Public) w `.'—'4. BRIAN R. MCBRIDE o 1979 INDIANA SWICONTR•CTOAS •SSOCIATION INCORYOAATfo +SEAL Res. of Hancock Courtly Re• ,an ' ^°""°"'"°°""�" "°"'°"'° My Comm. Exp. 11-29-2017 f Commission # 611862