HomeMy WebLinkAbout237138 09/16/14 0,� CITY OF CARMEL, INDIANA VENDOR: 366790
;g ® ONE CIVIC SQUARE GERIG OTTENWELLER CONTRACTING LC,3ECK AMOUNT: $`'"*1,975.00•
:. ;� CARMEL, INDIANA 46032 3010 INDEPENDENCE WAY CHECK NUMBER: 237138
9M��ON�` FT WAYNE IN 46808 CHECK DATE: 09/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 R4462300 25266 0 1,975.00 NASH BLDG UTILITY REL
i
16 g�efig-Ottenwefler
? CONTRA CTI N0LL&
3010 Independence Dr. Fort Wayne, IN 46808
Date: March 25, 2013
To: City of Carmel
Attn: Gary Duncan
Project: River Road Culvert Replacement
2 S2(a(p - 21 1- 44U 27 o-D
Work Directive Change No. 1
Description of Work: Add 320 lineal feet of Coir Logs while deleting the 475 lineal feet of silt fence on page C
401. When the digging begins for the structure the coir logs will be move to the east side of the project and
stacked on top of each other for sediment control for the duration of the project.
Gerig-Ottenweller is asking that an addition of$ 1,975.00 be added to the contract to perform the changes
outlined in Work Directive Change No. 1.
Submitted By: Justin Broshear
Accepted By: Garry Duncan
Phone(260)484-9183 Fax(260)484-9187
CITY OF CARMEL
TO: WORK DIRECTIVE' CHANGE NO. I
DATE: 02122/2013
PROJECT NAME: River Road Culvert Replacement Over
Elizabeth Warner Drain
PROJECTN 1 0.: 11-07
Specification Reference TS 9 and TS 50
Dra
wingtReference: Replace Sheets C401, C402 and C-401in their.entirety
DESCRIPTION OF WORK COVERED BY THIS DIR E'=Wt CHANGE:
Remove Silt Fence previous illustrated on the C401 h dsheet and rmlace,wit;h Cour Log or-approved.
e'I I 11 -11 :and -replace
product in locations as defined on the St C401., Also:updated.Details on Shept. -C403 and
Notes on Sheet-C462. Please notifyI is this Workwill,be an ADD, DEDUCT, or UNCHANGE-.prior-
'to perfami ing,apymoiX.
REASON FORTHISORDER,. Requested by local Soil:and Water-Review
AUTHOR1ZATIOM.
THIS WORK DIRECTIVE -CHANGE AUTHORIZES THE WORK 'TO BE COMPLETED As,
OUTLINED. A Contract Change Order in the amount of 111-7 5-f will be issued to:you yin
the near future.to cover this Work Directive Oh6nge.
PROSECT C. MPLETION DATE: ADD/DEDUCT/UNCHANGED Q DAYS.
Approved By:
Owner's
CITY OF CARMEL
BOARD:OF PUBLIC
WORKS AND SAFETY
BY:.
James Brainard, Mayor
BY:
Maty_ Ann Burke;Member
By.
-Lori Watson, Member
-DATE.
ATTEST:
Date.
.Diana.L. Cord-ray', Clerk-Tre a.surer
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
liAn 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
Gerig-Ottenweller Contracting, LLC Purchase Order No.
3010 Independence Drive Terms
Fort Wayne, IN 46808 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
9/12/2014 0 River Road Culvert Replacement $ 1,975.00
Total $ 1,975.00
1 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.
Gerig-Ottenweller Contracting, LLC ALLOWED 20
3010 Independence Drive IN SUM OF$
Fort Wayne, IN 46808
$ 1,975.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
oeaT# I hereby certify that the attached invoice(s), or
25266 0 2114462300 $ 1,975.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
9/15/2014
Signa ure
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
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