HomeMy WebLinkAbout241187 1 /13/2015 Cqq
a^
CITY OF CARMEL, INDIANA VENDOR: 356231
® l ONE CIVIC SQUARE YARDBERRY LANDSCAPING & EXCAVAMtUK AMOUNT: S"'"21,398.20'
CARMEL, INDIANA 46032 9940 SOUTH 100 WEST CHECK NUMBER: 241 187
( ANDERSON IN 46017 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 7025AA 21,398.20 OTHER EXPENSES
f Yardberry Landscape Excavating Invoice
9940 South 1000 West
Date Invoice#
11/10/2014 7025-AA
Bill To
CITY OF CARMEL-CARMEL UTILITIES
30 WEST MAIN STREET, STE 220
CARMEL,IN 46032
P.O. No. Terms Project
Quantity Description Rate Amount
I RETAINAGE 21,398.20 21,398.20
COOL CREEK BANK STABILIZATION PROJECT
Phone# Fax# E-mail Total $21,398.20
765-378-5783 765-378-0376 tyarb@aol.com aol.com
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF I of 2 PAGES
TO OWNER, PROJECT. APPLICATION NO: Distribution to:
City of Carmel Cool Creek Bank =OWNER
30 West Main Street,Ste.220 Stabilization Project ARCHITECT
Carmel,IN 46032 PERIOD TO: =CONTRACTOR
PERIOD T0: =CONTRACTOR
FROM CONTRACTOR: IVIA ARCHITEC_-_F
Yardberry Lanscape Excavating United Consulting
9940 S 1000 W 1625 N. Post Road PROJECT NOS:
Anderson, Indiana 46017 Indianapolis,IN 46219-1995
CONTRACT FOR: CONTRACT DATE:
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been
Continuation Sheet,AIA Document G703,is attached. completed in accordance 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 that current payment shown herein is now due.
1. ORIGINAL CONTRACT SUM $ 253,822.00
2. Net change by Change Orders $ 2,676.50 CONTRACTOR:
3. CONTRACT SUM TO DATE(Line 1 t 2) $ 256,498.50
4. TOTAL COMPLETED&STORED TO $ 256,498.50 I I II
DATE (Column G on G703) By: Date:
5. RETAINAGE:
a. 10 %of Completed Work $ 21398.20 _ State of: II'"1��C(�� County of: (f
(Column D+E on G703) Subscribed and swyo be ore n tis ` day of
b. 0 %of Stored Material $ 0 Notary Public: /
(Column F on G703) My Commission e,p es:
Total Retainage(Lines 5a+5b or
Total in Column I of G703) $ 21,398.20 ARGHITECTS CERTIFICATE FOR PAYMENT
6. -TOTAL EARNED LESS RETAINAGE $ 235,100.30 In accordance with the Contract Documents,based on on-site observations and the data
(Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the
7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief the Work has progressed as indicated,
PAYMENT(Line 6 from prior Certificate) $ 235,100.30 the quality of the Work is in accordance with the Contract Documents,and the Contractor
8. CURRENT PAYMENT DUE $ :::;:21139,&20," is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCETO FINISH,INCLUDING RETAINAGE $ 0.00
(Line 3 less Line 6) AMOUNT CERTIFIED....... ....$ 2-1, 39
ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs front the amount applied.Initial all figures on this
Total changes approved $0.00 $0.00 Application and onthe Continuation Sheet that are changed to conform with the amount certified.)
in previous months by Owner A4�
Total approved this Month $28,416.50 $25,740.00 By: Date: /L2—C,/('f
TOTALS $28,416.50 1 $25,740.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
NET CHANGES by Change Order $2,676.50 Contractor named herein.Issuance,payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor,under this Contract.
AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION AIA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,DC 20006-5292
Note: Items in RED FONT are automatically calculated from the G703 form or from items within this G702 Form. Do NOT hand enter these items on this sheet.
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
356231
YARDBERRY LANDSCAPE EXCAVATING Purchase Order No.
9940 SOUTH 1000 WEST Terms
ANDERSON, in 46017 Due Date 12/29/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201, 7025AA $21,398.20
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
/11.///�/
Dateicer
r
VOUCHER # 146380 WARRANT # ALLOWED
IN SUM OF $
356231
YARDBERRY LANDSCAPE EXCAVATIP
9940 SOUTH 1000 WEST
ANDERSON, in 46017
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7025AA 02-1050-36 $21,398.20
Depreciation
� v
Voucher Total $21,398.20
Cost distribution ledger classification if
claim paid under vehicle highway fund
■