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Home My WebLink About240374 12/16/14 0�/ CITY OF CARMEL, INDIANA VENDOR: 368941 ONE CIVIC SQUARE MIDWEST CONSTRUCTORS CHECK AMOUNT: $***226,263.40' r i': CARMEL, INDIANA 46032 2916 BLUFF ROAD,SUITE D CHECK NUMBER: 240374 v,;�TON/ INDIANAPOLIS IN 46225 CHECK DATE: 12/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 31784 1 29,930.70 PARCEL 7C-4 & 7C-9 902 4460954 31785 1 196,332.70 NASH STREETSCAPE 4 AIA Type Document Application and Certification for Payment Page 1 of 2 TO(OWNER):30 West Main St. PROJECT.Nash Building Streetscape APPLICATION NO: 1 DISTRIBUTION Ste.,220 30 West Main St. PERIOD Y0:12/15/2014 TO: Carmel, IN 46032 Ste.,220 _OWNER Carmel,IN 46032 _ARCHITECT —CONTRACTOR FROM(CONTRACTOR): Midwest Constructors LLC VIA(ARCHITECT): ARCHITECT'S 2916 Bluff Rd. PROJECT NO: Indianapolis,IN 46225 CONTRACT FOR:Nash Building CONTRACT DATE: 9/23/2014 The Undersigned Contractor certifies that to the best of the Contractor's knowledge,information and CONTRACTOR'S APPLICATION FOR PAYMENT belief the work covered by this application for Payment has been completed in accordance with the Application is made for Payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner,and that 1.ORIGINAL CONTRACT SUM . ...... .. . ... . ... ...$ 203,890.00 current payment shown herein is now due. 2.Net Change by Change Orders .. ... . . .. . .... ..$ 31,926.00 CONTRACTOR: Midwest Constructors LLC 2916 Bluff Rd. Indianapolis, IN 46225 3.CONTRACT SUM TO DATE (Line 1 +2). . . . . .. . . . . $ 235,816.00 4.TOTAL COMPLETED AND STORED TO DATE ..... . $ 206,666.00 , -" By: � ��*.-`.. - Date: I Z- i j I 5.RETAINAGE: Tim13id�n4 / Projec Manager a. 5.00%of Completed Work State of:IN A� �C~c-o hS p $ 10,333.30 County of: Johnson b. 0.00%of Stored Material $ 0.00Da of 0 i Subscribed and Sworn to before me this Total retainage(Line 5a+5b)........ . . ...... .. .. $ 10,333.30 Notary Public: �/��.� G�.� %0 IAN My Commissio xpires: 6.TOTAL EARNED LESS RETAINAGE.. . .. ... .... .. $ 196,332.70 ti (Line 4 less Line 5 Total) A CHITECT'S CERTIFICATE FOR PA E Johnson Counly 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Acco nce with the Contract Documents,based on on-site obse i8q illwo2at5-� Q (Line 6 from prior Certificate prising the ve application, the Architect certifies to owner that to th he Arch' p )..... . ... .. . .. .... . . .$ 0.00 knowledge,info ation and belief the Work has progressed as indicated, L 8.CURRENT PAYMENT DUE ... .. . ... .. ........ ..$ 196,332.70 is in accordance wit a Contract Documents, and the Contractor is entitle rm the 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED. (Line 3 less Line 6) $ 39,483.30 AMOUNT CERTIFIED... . . .. . ... .. . . ..... .. . .. .. ... . $ (Attach explanation if amount certified rs from the amount applied. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and on the Continuation Sheet t are changed to conform to the amount certified.) Total changes approved in ARCHITECT: previous months by Owner 0.00 0.00 By: Date: Total approved this Month 31,926.00 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is yable on to the Contract named herein.Issuance,Payment and acceptance of payment are hout prejudice to any TOTALS 31,926.00 0.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 31,926.00 AIA Type Document Application and Certification for Payment Page 2 of 2 TO(OWNER):30 West Main St. PROJECT. Nash Building Streetscape DIS APPLICATION NO: 1 DISTRIBUTION Ste.,220 30 West Main St. D Carmel,IN 46032 Ste.,220 PERIOD TO:12/15/2014 _OWNER Carmel,IN 46032 _ARCHITECT FROM(CONTRACTOR): Midwest Constructors LLC VIA(ARCHITECT): ARCHITECT'S _CONTRACTOR 2916 Bluff Rd. PROJECT NO: Indianapolis,IN 46225 CONTRACT FOR:Nash Building CONTRACT DATE: 9/23/2014 SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE 1 Mobilization 10,000.00 0.00 10,000.00 0.00 10,000.00 100.00 0.00 500.00 2 Earthwork 59,650.00 0.00 59,650.00 0.00 59,650.00 100.00 0.00 2,982.50 3 Demolition 28,700.00 0.00 28,700.00 0.00 28,700.00 100.00 0.00 1,435.00 4 Site Work Labor 21,900.00 0.00 21,900.00 0.00 21,900.00 100.00 0.00 1,095.00 5 Site Work Material 46,440.00 0.00 46,440.00 0.00 46,440.00 100.00 0.00 2,322.00 6 Landscaping 32,200.00 0.00 8,050.00 0.00 8,050.00 25.00 24,150.00 402.50 7 Demobilization 5,000.00 0.00 0.00 0.00 . 0.00 0.00 5,000.00 0.00 8 Aternate#1 Clay Pavers 31,926.00 0.00 31,926.00 0.00 31,926.00 100.00 0.00 1,596.30 REPORT TOTALS $235,816.00 $0.00 $206,666.00 $0.00 $206,666.00 87.64 $29,150.00 $10,333.30 AIA Type Document Application and Certification for Payment Page 1 of 2 TO(OWNER):30 West Main St. PROJECT.CRC-Mezz Building APPLICATION NO: 1 DISTRIBUTION Ste.,220 30 West Main St. PERIOD TO:12/15/2014 TO: Carmel,IN 46032 Ste.,220 _OWNER Carmel,IN 46032 _ARCHITECT FROM(CONTRACTOR): Midwest Constructors LLC VIA(ARCHITECT): ARCHITECT'S –CONTRACTOR 2916 Bluff Rd. PROJECT NO: Indianapolis, IN 46225 CONTRACT FOR:Mezz Building CONTRACT DATE: 8/8/2014 The Undersigned Contractor certifies that to the best of the Contractor's knowledge, information and CONTRACTOR'S APPLICATION FOR PAYMENT belief the work covered by this application for Payment has been completed in accordance with the Application is made for Payment,as shown below, in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner, and that current payment shown herein is now due. 1.ORIGINAL CONTRACT SUM ........ . ... .. ... .. .$ 236,510.00 2.Net Change by Change Orders . . .. . .. ..... . . . .$ 12,740.00 CONTRACTOR: Midwest Constructors LLC 2916 Bluff�Rd.Indianapolis, IN 46225 3.CONTRACT SUM TO DATE (Line 1 +2).. ... . . . . . . $ 249,250.00 4.TOTAL COMPLETED AND STORED TO DATE . .. .. . $ 31,506.00 By: �.��C � /=,_./_`� Date: Tam-GetdenG 1/ Project Manager 5.RETAINAGE: 6'1 G4 o bS a. 5.00%of Completed Work1,575.30State of:IN P $ I County of: Johnson b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me this 11 Day ofi Total retainage(Line 5a+5b)... . .. .... ... .. .... . $ 1,575.30 Notary Public:gi�z/ " f>/—L f L ZOpIANU My Commission Expires: 6.TOTAL EARNED LESS RETAINAGE...... ........ $ 29,930.70 (Line 4 less Line 5 Total) A HITECiT'S CERTIFICATE FOR PA E pp Jo nson County 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordan ith the Contract Documents,based on on-site obserJ @ ry3EDF1atp2q (Line 6 from prior Certificate prising the above lication, the Architect certifies to owner that to th the Arch' P� )... . . ... . ... .. .. ... . .$ 0.00 t. knowledge,information d belief the Work has progressed as indicated, u �� 8.CURRENT PAYMENT DUE . ... . ` ..... ... . ..... . .$ 29,930.70 is in accordance with the Co ct Documents, and the Contractor is entitled to..paxmeL3ta�the 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED. (Line 3 less Line 6) $ 219,319.30 AMOUNT CERTIFIED... . . . . .. . . ... .... . . .. ... ... . . $ (Attach explanation if amount certified differs from t mount applied. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and on the Continuation Sheet that are chan to conform to the amount�certified.) Total changes approved in ARCHITECT: �I/ previous months by Owner 27,810.00 -15,070.00 By: Date: ` Total approved this Month 0.00 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein.Issuance, Payment and acceptance of payment are without prejudice to any TOTALS 27,810.00 -15,070.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 12,740.00 AIA Type Document Application and Certification for Payment Page 2 of 2 TO(OWNER):30 West Main St. PROJECT: CRC-Mezz Building DIS APPLICATION NO: 1 DISTRIBUTION Ste.,220 30 West Main St. D Carmel, IN 46032 Ste.,220 PERIOD TO:12/15/2014 _OWNER Carmel,IN 46032 _ARCHITECT -CONTRACTOR FROM(CONTRACTOR): Midwest Constructors LLC VIA(ARCHITECT): ARCHITECTS 2916 Bluff Rd. PROJECT NO: Indianapolis, IN 46225 CONTRACT FOR:Mezz Building CONTRACT DATE: 8/8/2014 SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE 1 Mobilization 12,000.00 0.00 6,000.00 0.00 6,000.00 50.00 6,000.00 300.00 50 Earthwork 71,950.00 0.00 0.00 0.00 0.00 0.00 71,950.00 0.00 3 Demolition 31,540.00 0.00 0.00 0.00 0.00 0.00 31,540.00 0.00 4 Site Work Labor 28,170.00 0.00 0.00 0.00 0.00 0.00 28,170.00 0.00 5 Site Work Material 57,300.00 0.00 0.00 0.00 0.00 0.00 57,300.00 0.00 6 Landscaping 30,550.00 0.00 0.00 0.00 0.00 0.00 30,550.00 0.00 7 Demobilization 5,000.00 0.00 0.00 0.00 0.00 0.00 5,000.00 0.00 8 Connection Path to Monon Trail 2,304.00 0.00 0.00 0.00 0.00 0.00 2,304.00 0.00 9 American Way Temporary Dr 25,506.00 0.00 25,506.00 0.00 25,506.00 100.00 0.00 1,275.30 10 Deletion of Water Detail -15,070.00 0.00 0.00 0.00 0.00 0.00 -15,070.00 0.00 REPORT TOTALS $249,250.00 $0.00 $31,506.00 $0.00 $31,505.00 12.64 $217,744.00 $1,575.30 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 MdWoi (cnS�rgJo' �� Purchase Order No. Terms 47225 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 51-Pe i 3(0r, Kork Z IS-ILis e A1930 �0 r Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor— dance with IC 5-11-10-1.6. , 20— Clerk-Treasurer 20Clerk-Treasurer VOUCHER NO. WARRANT NO. 1 I ALLOWED 20 IN SUM OF $ X225' $ 2-1611 ON ACCOUNT OF APPROPRIATION FOR q02/XY Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), 31795 44LO9 5 1 or bill(s) is (are) true and correct and that �n the materials or services itemized thereon for which charge is made were ordered and received except Si na ur Title Cost distribution ledger classification if claim paid motor vehicle highway fund