HomeMy WebLinkAbout248371 08/12/15 �0!..4�gls
,• CITY OF CARMEL, INDIANA VENDOR: 365624
® �;• ONE CIVIC SQUARE HIS CONSTRUCTORS INC CHECK AMOUNT: $****88,596.00*
,. =a CARMEL, INDIANA 46032 5150 E 65TH STREET SUITE B CHECK NUMBER: 248371
+y�TON�°� INDIANAPOLIS IN 46220-4817 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4470299 32905 1 88,596.00 KEYSTONE BRIDGE REPAI
CITY OF CARMEL
P.O. 32805
PROJECT NO. 15-01 (INS) q z 0 - Wq�o2q j
Keystone Parkway Bridge Beam Repairs - 106th, 116th and 126th Streets
Progress Estimate Summary Sheet Et Signature Page
Progress Estimate No 1
Partial
Final x
Earned to date $ 88,596.00
Previous payments $ -
Earnings this estimate $ 88,596.00
Retainage $ -
Amount due Contractor $ 88,596.00
CONTRACTOR: DATE: , -71,11
HIS Constructors, Inc. Phone: (317) 284-1195
5150 East 65th Street, Suite B Fax: (317) 284-1185
Indianapolis, IN 46220
CONSULTANT: DATE: -7 12-
American
2American Structurepoint, Inc. Phone: (317) 547-5580
7260 Shadeland Station Fax: (317) 543-0270
Indianapolis, Indiana 46256-3957
APPROVED BY: DATE: I rj
CI F RMEL
Invoice#150012-01
HIS Constructors,Inc. Date: 6/15/2015
5150 E 65th Street,Suite B
Indianapolis,IN 46220
(317)284-1195 ext 214 Period To: 6/5/2015
(317)284-1185(F)
Project:Keystone Parkway Bridge Beam Repairs
126th Street, 116th Street,and 106th Street
P.O.32905;920-4470299
Contract Description Estimated Unit of Unit Scheduled Completed and Stored
Item No. Quantity Measure Price Value To Date
Quantity Amount
1 Mobilization&Demobilization 1 LS $3,600.00 $3,600.00 1.00 $3,600.00
2 Maintenance of Traffic 1 LS $48,500.00 $48,500.00 1.00 $48,500.00
- 3 Concrete Patching 33 1 _ SFT 1 $425.00 1 $14,025-.001 33.00 $14,025.00
4 Fiber Wrap65 SFT $180.00 $11,700.00 110.95 $19,971.00
5 Restoration 1 LS $2,500.00 $2,500.00 1.00 $2,500.00
Total $80,325.00 $88,596.00
L
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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
HIS Constructors, LLC Purchase Order No.
5150 East 65th Street, Suite B Terms
Indianapolis, IN 46220 Date Due
Invoice Invoice Description
Date Number, (or note attached invoice(s)or bill(s) Amount
7/1/2015 .1 Keystone Parkway Bridge Beam Repairs $ 88,596.00
Total $ 88,596.00
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.
HIS Constructors, LLC ALLOWED 20
5150 East 65th Street, Suite B IN SUM OF $
Indianapolis, IN 46220
$ 88,596.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
32905 1 920-4470299 $ 88,596.00 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
i
I
_ 8/7/2015
Ignature
City Engineer
Cost Distribution ledger classification if Title:
claim paid motor vehicle highway fund