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227545 12/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367177 Page 1 of 1 ONE CIVIC SQUARE LENEX STEEL COMPANY CHECK AMOUNT: $20,301.00 CARMEL, INDIANA 46032 250 E 96TH ST SUITE 150 INDIANAPOLIS IN 46240 CHECK NUMBER: 227545 CHECK DATE: 12/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 27133 4 15, 390 . 95 STEEL WORK 902 4460807 27133 5 4 , 910 . 05 STEEL WORK .� �° ocu ant " ® 1992 m. . Application and Certi, Cate for Payment -:TO OWNER: CarmeLRedevelop.Commission PROJECT:, Palladium Steel.Retrofit;' APPLICATION NO:, 4 Distribution to: 30 W.Man'St;,Suite 220 PERIOD TO OWNER ❑ Carmel,LN 46032. 10/31/2013 CONTRACT FOR:. Structural Steel ARCHITECT ❑ FROM CONTRACTOR: VIA ARCHITECT: CONTRACT,DATE:, CONTRACTOR j] Lenex Steel Company: 450 East 96th St. PROJECT NOS.' .561-13 / / FIELD ❑ Suite 100 Indianapolis IN:46240 ,•:OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of.the Contractor's knowledge ;information Application is made for payment,as shown:below,in connection with the Contract. and belief the Work covered by this Application for Payment has been completedAn accordance with the Contract.Documents, that all amounts have been paid by the.Contractor.for Work for AIA Document G703TM;Continuation Sheet,is attached which previous Certificates forPayment were issued and.payments received from the Owner, and 1:ORIGINAL CONTRACT.SUM ....... . $ 82,000.00 that current payment shown he em: now due 2.NET CHANGE BY CHANGE ORDERS $ 16,201.00 CONTRACTOR:Lenex Stee om a y / ( � ..... ... S 98,201.00 By: Date: 1 y 3:CONTRACT SUM TO DATE Line 1 t 2 ... ......... 4:TOTAL COMPLETED&STORED TO DATE(Column G on GM) ...... S 98,201.00 State of: Indiana .5.RETAINAGE: County Of- 0 n a 5.00 %of Completed Work Subscribed and sworn o before �n/^/ (Columns D+E on G703) $ 4,910.05 me this �2o2,L day of (/C/� / c9073 b 5.00 %of Stored Material (Column F on G703) $ 0.00 Notary Public: J r,. rrm stn, � ol - commission expires Co. Total Retainage(Lines 5a+5b,or Total in Column 1 of G703)...... $ 4,910.05 a' •.;; 6:TOTAL EARNED.LESS RETAINAGE $ 93,290.95 CERTIFICATE FOR P CE��T�"'"A (Line 4 minus_Line 5 Total) In accordance with the Contract Documents;based on on-site observations,and the;data comprising . 77,900.00 this application,the Architect certifies to the Owner thaf'to,the�:best of the;Architect's;knowledge, 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT ... $ information and belief the Work has progressed as indicated, the quality of the Work is in: (Line 6 from prior:Certificate) accordance with the.Contract.Documents and the Contractor is entitled to payment of the . 8.CURRENT PAYMENT DUE ..... $ 15,390.95 AMOUNT CERTIFIED ..BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED ............................. ...,.. $ 1-4,390 '9 (Line 3 minus Line 6) $ 4,910.05 (Attach explanation if amount certified.diers from,the amount applied.Initial all fo res on this Application and on the.Continzation Shee11 hat are changed to"con form with the amount certified.) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS T.;�. Total changes approved in rI evious months.by Owner ,$ $ " By; Date: �,�, $,/.3 oral approved this month $ $ TOTAL 96,201.00 $; named hereintlssuancnegotiable.The AMOUNT CERTIFIED is payable only to the Contractor ET CHANGES by Chan e Order $ 16,201.00' the Owner or Contractor u der his Contrat. acceptance of payment are without prejudice fo any rights of 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 G702T -1992.Copyright ©1953:1963,1965,1971;.1978,1983 and 1992 by The American Institute of Archiiects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and international Treaties..Unauthorized reproduction or distribution of this AIA.Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent Possible under the law.Purchasers are permitted.to reproduce.ten(10)copies of this.document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. 61o7 11ACD o.MiN, " ®currten# G3TM -- 1992 Co tinuatlon_Sheet AIA Document G702TM=1992,Application and.Ce.rti ficate,for Payment or-G732TM-2009," : APPLICATION.M 4 Application and Certificate for Payment,Construction Manager as Adviser Edition, 10-23-2013 APPLICATION DATE containing Contractor's signed certification is attached: 10/31/2013 In tabulations below,amounts are ir1 US dollars PERIOD TO:. Use Column I on Contracts where variable retainag'for line,items may apply:.., ARCHITECT'S PROJECT N0: 561-1 13 A g .. E F G: H I WORK COMPLETED - MATERIALS TOTAL BALANCE TO ITEM SCHEDULED ': PRESENTLY COMPLETEDAND %' RETAINAGE DESCRIPTION OF WORK FROM PREVIOUS' FINISH.,.,. NO. " VALUE: STORED STORED TO DATE (G_CJ: (If variable rgte). APPLICATION THIS PERIOD (C G) ( F,) (Not in D D.+ or.E) (D+E+F) ene.raiConditions 6;500.00,_ - 6500.00 6,500.00 10000== 325.00 and 2,500.00 7,5.00.00 7,500.00 100.00 375..00 Mobilization 2,500.0.0 2'500.00 12.500.00 100.00 125.00 etrofit T2 atenal 7,500.00. : 7,500 00 : 7,500.00 100.00 375..00 . Labor- 30-1000.00: 30,000 00,` 30,000.00 100.00 1,500;00 eteofit T3 ateria( 4 000.00 4,000.00! 4,000.00 100.00 200.00 Labor.. : 12 000:00 12;000.00: 12,000,00: 100.00 600..00 Retrofit T4 aterial 3 000.00 3;000.00 3,000.00 100.00 150.00 boy 9,000.00 9;000.00 - 9,000.00 :100.001 450.00 O',#1 16 201.00 16,201.00 16,201.00" 100:00 810.05 Totals: 98,201.00 12',000.00-:: 16,201.00 98,201.00° 100.00, 4,9110.05;'. GRAND TOTAL ' 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 G703�m 1992.Copyright©1963,1965,.1966,1967,1970,1978;1983 and 1992 by The American.lnstitute,of Architects.All rights reserved.WARNING:This AiA�'Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this.AlAlbocument,or any portibn of it,:may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible.under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.,To repon copyright violations of AIA Contract Documents,.e-mail.The American Institute of Architects'legal counsel,copyright @aia.org. :: _ ,mz,oncwa CITY OF CARMEL OCT 2013 TO: Lenex Steel Co. CONTRACT CHANGE ORDER NO.: 250 E.96`h St., Suite 250 DATE: 9.25.2013.13'- Indianapolis,IN 46240 PROJECT NAME: Palladium Steel Retrofit 2013 CITY REQ.NO.: CITY PO NO.: CITY PO DATE: May 2,2013 1. You are directed to make the following changes in this Contract: SCHEDULED ADJUSTMENT ITEM AMOUNT (+)OR(-)DAYS Added scope of work per attached Lenex Change Proposal #2 $16,201.00 N/A Dated 9/19/2013 The changes result in the following adjustment of Contract Price and Contract Time: Contract Price prior to this Change Order $ 82.000.00 Contract Price will be increased/decreased by this Change Order $ 16,201.00 New Contract Price including this Change Order $ 98,201.00 Contract Time Prior to this Change Order SEE CONTRACT was Project Substantial Completion Date Net increased/decreased resulting from this Change Order 0 Days Current Contract Time including this Change Order SEE CONTRACT is Revised Project Substantial Completion Date This Change Order is for full and final settlement of all direct, indirect, impact costs and time extensions incurred at any time resulting from the changes to the Contract. The Above Changes Are The Above Changes Are Recommended: Accepted: Approves}: Shiel Sexton Lenex Steel Construction Manager Contractor William art er President,CRC 902 N.Capitol Ave. 250 E.96`h St.,Suite 250 Address Address Indianapolis.IN 46204 Indianapolis,IN 46240 City/St ip City/State/Zip By: By: Phone: ;17-4?-3- 0151 Phone: 3%7 J ZS--34 7 Date: 5,13 Date: /� Ll I .. 1,. CHANGE PROPOSAL# 2 DATE: 9/19/2013 250 East 96th Street, Suite 250 Indianapolis, IN 46240 Phone: 317-818-1622 Fax: 317-818-1255 ATTENTION: Mike Anderson PROJECT: Palladium Steel Retrofit 2013 REFERENCE: Added Field Work DESCRIPTION OF CHANGE: Mike, 1 The below cost represent additional required field work. i i l 1 I i } S 1 } l it t } TOTAL ADD THIS CHANGE PROPOSAL: $16,201.00 Please sign this change proposal and return to Lenex Steel Company or issue and executed change order for this work. Please call with any questions. ACCEPTED: LENEX STEEL COMPANY (FIRM) BY: (SIGNED) Clint Hutchcraft (PRINTED) PROJECT MANAGER Page 1 of 1 - P.O.BOX 22345 • INDIANAPOLIS,INDIANA 46222 (317)635-8816 FAX(317)635.0898 BERT HUR CONSTRUCTION CO. August 1, 2013 'i'O: Lenex Steel 250 East 96°i Street—Suite 150 Indianapolis,IN 46240 Attn: Clint Hutcheraft Re: Carmel Palladium Out of Scope Man Hours Clint: As you are aware, from the time we quoted this project to Lenex until the work was completed, we encountered a number of unforeseen conditions, as well as scope changes. Below you will find a partial list of things that changed during that period of time: 1.) Mill to bear requirements (.001" was added to each end of the T4 truss resulting in the shims being produced in 3D as well as requiring the shims being frozen to create shrinkage and obtain a full mill to bear condition. 2.) Detailed installation procedures were prepared for each weld type at each location. 3.) Column repairs to existing column flanges that were damaged by others and found during retrofit work. 4.) Due to the types of welds chosen by the Engineer(full &partial penetration welds), and their concern for overheating the existing columns, we were instructed to allow cooling time which resulted in either lost time or relocating workers and equipment to continue working. 5.) While this was a small project in the terms of volume of work, it was extremely more complicated than anticipated(and resulted in 7 RFFs being generated). 6.) The brace conflice at the East end of T3 resulted in additional welds being required to the redesigned retrofit. A1SC CHRTIFIED ADVANCED STEEL ERECTOR +M[s1c� ST. LOUIS - INDIANAPOLIS - CINCINNATI ,ab,,,,,,, LhionConunxtai 7.) An extreme amount of time was required to obtain the fit-up required by the Engineer(in the held). As you can see, these are items that were not discussed when we quoted the work as most could not have been anticipated at bid time. We respectfully request that a change order be issued to us to offset the additional costs listed below: Labor: 215 man hours (cry $74.28/hour $15,970.20 Welding Machines: 3 weeks @$54.00/week $ 162.00 Smoke Eaters: 3 weeks u $ 23.00/week $ 69.00 Total: $16,201.20 Thank you for this opportunity to be of service. Very truly yours, BEN HUR CONSTRUCTION CO PANY ,� .4. Scott A. Bullerdick Vice-President 2 SAIA Document G702 - 1-992 NOU 1i "2013 Application and Certificate for Payment TO OWNER: a eve op. Commission PROJECT: a a lum ee Retrofit APPLICATION N0. 5--- --- Distribution to: 30 W.:Main St., Suite 220 Carmel IN 46032 PERIOD T0: 11/30/2013 OWNER ❑ CONTRACT FOR: Structural Steel ARCHITECT ❑ FROM CONTRACTOR: Lenex Steel Company VIA ARCHITECT: CONTRACT DATE: CONTRACTOR )o 450 East 96th St. PROJECT NOS: 561-13 / / FIELD ❑ Suite 100 Indianapolis IN 46240 OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information Application is made for payment,as shown below,in connection with the Contract. and belief the Work covered by this Application for Payment has been completed in accordance AIA Document G703T"',Continuation Sheet,is attached. 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 received from the Owner, and 1.ORIGINAL CONTRACT SUM .....................:........... ................. $ 82,000.00 that current payment shown herein is now due." 2.NET CHANGE BY CHANGE ORDERS 16,201.00 CONTRACTOR: Lenex Steel Company 3.CONTRACT SUM TO DATE(Liite 1 f 2)5:.. ..... .......................... $ 98,201.00 gy, a-�$ Date: 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) ...... $ State of: Indiana 5.REJPTAGE County of-.Hamilton a. %of Completed Work Subscribed and sworn to before 0(g�olznnns D+Eon G703) $ 0.00 me this day of b. %of Stored Material 0.00 ct'T-�� TAMMY L. AN (Column F on G703) $ Notary Public ' wrreav;� Marion County My commission expires: :^ ' � My Commission Expires Total Retainage(Lines 5a+5b,or Total in Column I of G703)...... $ 0.00 7 �� ,�• ,• 6.TOTAL EARNED LESS RETAINAGE .................................... $ 98,201.00 Affegffft" CERTIFICATE FOR PA`If (Line 4 minus Line 5 Total) In accordance with the Contract Documents, based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT ...................... $ 93,290.95 this application,the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in (Line 6 from prior Certificate) accordance with the Contract Documents, and the Contractor is entitled to payment of the 8.CURRENT PAYMENT DUE ........ ... 0.05 AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED ............................................ $ �9�D. ?�S (Line 3 minus Line 6) $ 0.00 (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and the Continuation Sheet that ar than d to co form with the amount certified.) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONSR&Hf GT/Dic1 M11 �i Total changes approved in previous months by Owner $ $ By: Date: 11#2 Total approved this month $ $ This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor TOTAL 16,201,00 $ named herein, ssuance,'payment and acceptance of payment are without prejudice to any rights of ET CHANGES by Change Order $ 16,201.00 the Owner or Contractor under this Contract. 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 G702W—1992.Copyright @ 1953,1963, 1965,1971,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA® Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent Possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. 010711ACD44 AIA Document G7' 02 — 1992 Instructi ns Application an`d Certificate-for Payment n GENERAL INFORMATION ~ "' i Purpose and Related Documents. AIA Document G702TM Application and Certificate for Paymenf,is to be` used in conjunction with AIA Document G703 TM, Continuation Sheet. These documents are designed to be fused on"a' — Project where a Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA l Document A2`01 TM,General Conditions of the Contract for Construction. Use of Current Documents. Prior to using any AIA Contract Document, users should consult www.aia.ordor a local 1 AIA component to verify the most recent edition. ; 1. Reproductions.This document is a copyrighted work and may n6i be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this document,nor does membership in-The American Institute of Architects confer any further rights to reproduce this document. The AIA her grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for'reproductiomgranted above, except upon written request and receipt of written permission from the AIA. Rights tdrepioduce the document may'vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects' legal counsel,copyright @aia.org. COMPLETING G702 After the Contractor has completed AIA Document G703,Continuation Sheet, summary information should be transferred to AIA Document 6702,Application and Certificate for Payment. The Contractor should sign G702,have it notarized,and submit it,together with G703,to the Architect. The Architect should review G702 and G703 and, if they are acceptable,complete the Architect's Certificate for Payment on G702. The Architect may certify a different amount than that applied for,pursuant to Sections 9.5 and 9.6 of A201. The n Architect should then initial all figures on G702 and G703 that have been changed to conform to the amount certified and attach an explanation. The completed G702 and G703 should be forwarded to the Owner. MAKING PAYMENT The Owner should make payment directly to the Contractor based on the amount certified by the Architect on AIA Document G702,Application and Certificate for Payment. The completed form contains the name and address of the Contractor.,Payment should not be made to any other party unless specifically indicated on G702. EXECUTING THE DOCUMENT Persons executing the document should indicate the capacity in which they are acting(i.e., president,secretary, partner,etc.)and the authority under which they are executing the document. Where appropriate,a copy of the resolution authorizing the individual to act on behalf of the firm or entity should be attached. AIA Document G702TM—1992.Copyright @ 1953,1963,1965, 1971,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved. WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this �� Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. 010711ACD44 '•/�s = �1k Document G703TM - 1992 Continuation Sheet AIA Document G702TM-1992,Application and Certificate for Payment,or G732Tm-2009, APPLICATION NQ: Application and Certificate for payment,Construction Manager as Adviser Edition, 5 APPLICATION DATE: containing Contractor's signed certification is attached. 11-13-2013 In tabulations below amounts are in US dollars. PERIOD TO: 11/30/2013 Use Column 1 on'Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 561-13 A B C D E, F G Rage6 2 of 2 H I WORK COMPLETED MATERIALS TOTAL. BALANCETO ITEM DESCRIPTION OF WORK FROM PREVIOUS FINISH SCHEDULED PRESENTLY COMPLETED AND % RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED STORED TO DATE (G_C) (C_G) (If variable rate) (D+E) (Not in D or E) (D+E+F) eneral Conditions 6,500.00 6,500.00 6,500.00 100.00 . Bond 7,500.00 7,500.00 7,500;.00 100.00 Mobilization 2,500.00 2,500.00 2,500 00 100.00 etr..ofit T2 PlIblerial '' 7,500.00 7,500.00 7,500.00 100.00 Labor 30,000.00 30,000.00 30,000.00 100.00 etrofit T3 Material 4,000.00 4,000.00 4,000.00 100.00 Labor 12,000.00 12,000.00 12,000.00 100.00 Retrofit T4 Material 3,000.00 3,000.00 3,000.00 100.00: Labor 9,000.00 9,000.00 9,000.00 100 00 44 n O#1 16,201.00 16,201.00 16,201,.00 . 100.00 Totals: 98,201.00 98,201.00 98,201,.00 100.00 GRAND TOTAL 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 G703TM—1992.Copyright @ 1963,1965,1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten It 0)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ID1210AOD4 � Document G703 TM- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G703TM,Continuation Sheet,is to be used in conjunction with AIA Document G702TM Application and Certificate for Payment,or AIA Document G732TM,Application and Certificate for Payment,Construction Manager as Adviser Edition.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Documents A201 TM,General Conditions of the Contract for Construction,and A232TM,General Conditions of the Contract for Construction,Construction Manager as Adviser Edition. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consuli,the End User,License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment,or G732TM,Application and Certificate for Payment,Construction Manager as Adviser Edition,whichever is applicable. Columns A,B and C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the-previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which.are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period.) Column C.Enter here the total of columns D,E"and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column L This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project, this is not normally done.Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule.The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 or G732 form,whichever is applicable. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 of AIA Document A201 or Section 7.3 of AIA Document A232. The following es an evample ofa Continuation Sheet for work in progress.Please note that dollar rnnounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A B C D F F G H I WORK COMPLETED MATERIALS TOTAL BALANCE FROM PREVIOUS COMPLETED ITEM SCHEDULED PRESENTLY % TO RETAINeG NO DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (C=C) FINISH (yvarrab(e rare) (D+E) (Vw um,E) TO EIF (C G) (D h'+F) I MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS&MISC.CONC. 5,000 0. 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND TOTAL 105,000 20,000 1 10,000 10,000 40,000 65 000 AIA Document G703TM-1992.Copyright©1963, 1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. 1�fA I//V/ <rI �013 SHIEL. SEXTON CO., INC. ' INAL WAIVER AND RELEASE OF LIENS AND CLAIMS STATE OF Indiana COUNTY OF Hamilton Whereas,_Lenex Steel Company ("Subcontractor")who has furnished certain materials, equipment, services, and/or labor pursuant to a subcontract agreement or purchase order with Shiel Sexton Co., Inc. ("Contractor")for the project known as _Palladium Retrofit ("Project"),which is located at_Carmel, IN (collectively referred to as the"Property'), and is owned by_City of Carmel Redevelopment Commission ("Owner"). Upon receipt of the sum of$ 4.910.05 ("Final Payment"), the Subcontractor waives and releases any and all liens or claims of liens and all claims, demands, actions, causes of action or other rights against the Contractor, Owner and the Property or any right against any labor and/or material payment bond it has or may have through the date of_11/30 , 20_13_("Current Date"). Further, the Subcontractor covenants and agrees to apply sums received as the Final Payment first, and in no event later than 15 days after the receipt of the Final Payment, to pay all employees, laborers, material men, sub-subcontractors and sub-subconsultants employed by the undersigned in connection with the Project and all bills or indebtedness incurred through the Current Date for materials, equipment, services, and/or labor and taxes, furnished by such parties to the undersigned in connection with the execution of the Subcontractor's work on the Project. Subcontractor further agrees to indemnify, defend and hold harmless the Owner and the Contractor for and against any and all liabilities, losses, costs, expenses and fees, including reasonable attorney's fees and court costs by reason of claims or liens for any labor, materials or services furnished for the Project. Upon consideration of the sum of$ 98,201.00 ("Total Contract Amount"),the Company waives and releases any and all claims, demands, actions, causes of action or other rights against the Contractor, Owner and the Property, at law, under a contract, in tort, equity or otherwise, and any and all liens or claims of liens or any right against any labor and/or material payment bond it has, may have had or may have in the future upon the foregoing described Property or in relation to the Subcontractor's performance of work on or the furnishing of equipment, services, and/or labor for the Project. This Waiver and Release applies to all facts, acts, events, circumstances, changes, constructive or actual delays, accelerations, extra work, disruptions, interferences and the like which have occurred, or may be claimed to have occurred prior to the date of this Waiver and Release,whether or not known to the Subcontractor at the time of execution of this Waiver and Release. The Subcontractor acknowledges that this Waiver and Release is in substantial conformity with the requirements of applicable law and shall be binding and conclusive against the Subcontractor for all purposes, subject only to payment in full of the amount set forth above. The undersigned executing this Waiver and Release hereby represents and warrants that he/she has full power and authority to bind the Subcontractor to the terms hereof. Given under hand and seal this t3k day of , 20a. Company: Lenex Steel Company Signed (SEAL) By: Amy Gallo Title Director of Finance SUBSCRIBED AND SWORN TO before me this day of 203. My commission expires -71c9-7 b �,�iEd Z Notary Publi T=41, �.. Niy C 902 N. Cavitol. Indianapolis. IN 46204 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Le/�t✓� ���t?/ �/p,�x/I V Purchase Order No. 450 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 5i q5 .�-C e i work 4 es Total o x I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 (0/p IN SUM OF $ 3f . g�- /jj .1h�1 tlh d►r s '��Zy' CIO ON ACCOUNT OF APPROPRIATION FOR Tj F 1D2,14q 1 O'7 Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 06067 1�39o,gs bill(s) is (are) true and correct and that the 2. f 5 L—NIT 107 4� materials or services itemized thereon for S 446067 W. which charge is made were ordered and received except 2dl> Sign ture Cost distribution ledger classification if Title claim paid motor vehicle highway fund