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Home My WebLink About248976 08/26/15 �,C4NM �;% CITY OF CARMEL, INDIANA VENDOR: 369341 4 ONE CIVIC SQUARE PERFORMANCE CONTRACTING INC CHECK AMOUNT: $ ...""500.00* :._ �� CARMEL, INDIANA 46032 16400 COLLEGE BLVD CHECK NUMBER: 248976 9,,,,roN,�` LENEXA KS 66219 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 106 5023990 38393 1IN0046602 500.00 WILFONG PAVILION PANE C �VE� MPCI Performance Contracting,Inc. c AUG — 6 2015 9810 Mayflower Pk Dr PERFORMANCE Ste 100 BY- Carmel, IN 46032 Phone:317-872-4812 Fax:317-334-5872 Progress Billing Invoice Number: 011N-0046602 Invoice Date Terms CITY OF CARMEL July 24,2015 Net 30(AR) ONE CIVIC SQUARE PCI Branch PCI Project Number Carmel, IN 46032 551 15-07698 PCI Customer No Customer Contract No. 01-104707 Project name Draw Number Period Customers Project No. Purchase Order No. Wilfong Pavilion wall panels 1 07/01/15-07/31/15 38393 Original Contract Amount 3,900.00 Change orders 0 thru 0 0.00 Revised Contract Amount 3,900.00 Previously Billed 0.00 This Period 500.00 Total To-Date 12.821% 500.00 Less Retention 0% ( 0.00) Sub-Total 500.00 Less Previous Invoices ( 0.00) TOTAL AMOUNT DUE THIS INVOICE: 500.00 Remit to: Performance Contracting Group, Inc. Box 872346 Kansas City, MO 64187 j`EFN Performance Contracting,Inc. APPLICATION FOR PAYMENT 9810 Mayflower Pk Dr 111=RMRMANCI" Ste 100 MNTR V-1 INC,NC Carmel,IN 46032 DRAW NUMBER: 1 To: CITY OF CARMEL PROJECT: W ilfong Pavilion wall panels PERIOD TO: 07/31/15 ONE CIVIC SQUARE SCOPE: Carmel, IN 46032 CUSTOMERS PROJECT NO: PO NO: 38393 INVOICE NUMBER: 011N-0046602 INVOICE DATE: 07/24/15 Application is made for payment,as shown below Performance Contracting, Inc.certifies that to the best of our knowledge,information and belief the Work covered by this Application for Payment has been completed in accordance with 1.ORIGINAL CONTRACT SUM............................................... 3,900.00 the Contract Documents,that all amounts have been paid by Performance Contracting,Inc. 2.Net Change By Change Orders.......................................... 0.00 for Work for which previous Certificates for Payment were issued and payments received 3.CONTRACT SUM TO DATE ........................ 3,900.00 1 +/-2 Line from th w ,an hat current payment shown herein is now due. � ) 4.TOTAL COMPLETED&STORED TO DATE 500.00 B Date:7/24/2015 (Column C7 on SOV) State of: jravtq 5.RETAINAGE County of: #am / lo1n a. 0.00 %of Completed Work 0.00 (Columns C4+C5 on SOV) Subscribed and sworn to before me this 24th day of July,2015 ENol:ary .SCHOFIELD b. 0.00 %of Stored Material 0.00 Public•Seat (Column C6 on SOV) of ices a Expires Oct 20,2016 Total Retainage(Line Sa + 5b or Notary Public*eire�:�e/j Total in Column C10 of SOV)............................................ 0.00 My Commissioro,,w 6.TOTAL EARNED LESS RETAINAGE.................................. 500.00 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 less Line 5 Total) In accordance with Contract Documents,based on-site observations and the date comprising 7.LESS PREVIOUS CERTFIFCATES FOR PAYMENT this application,the Architect certifies to the Owner that to the best of the Architect's knowledge, (Line 6 from prior Certificate).......................................................... 0.00 information and belief the Work has progressed as indicated,the quality of the Work is in accordance with the Contract Documents,and the Contract is entitled to payment of the AMOUNT CERTIFIED. 8.CURRENT PAYMENT DUE................................................ r 500.00 AMOUNTCERTIFIED...................................................................................................................$ 9.BALANCE TO FINISH, INCLUDING RETAINAGE............ 3,400.00 (Attach explanation if amount certified differs from the amount applied for:lntiol all figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months 8Y Date: 0.00 0.00 This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to Performance Contracting, Inc..Issuance,payment and acceptance of payment are without prejudice to any right of the Owner or Total approved this Month 0.00 0.00 Contractor under this Contract. TOTALS 0.00 0.00 NET CHANGES by Change Or 0.00 �� Performance Contracting,Inc. Progress Invoice Page 1 of 1 I-FIRFORMANCI= 9810 Mayflower Pk Dr CONIRAu nNG INC. Ste 100 Carmel,IN 46032 Project: Wilfong Pavilion wall panels Invoice Number: 0IIN-0046602 Invoice Date: 07/24/15 Customer: CITY OF CARMEL Draw Number: 1 PCI Project Number: 15-07698 Billing Period: 07/01/15 thru 07/31/15 Customer Project/PO: /38393 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 WORK COMPLETED MATERIALS TOTAL SCHEDULED STORED ON COMPLETED& VALUE From previous This period SITE STORED ON % BALANCE TO Activity ID DESCRIPTION OF WORK application (NOT IN SITE TO DATE (C7/C3) FINISH RETAINAGE NET BILLINGS Billed % C4 OR C5) (C4+C5+C6) (C3-C7) Wall Panels-Material 500.00 0.00 0.0c 0.00°/ 0.00 0.00 0.00% 500.00 0.00 0.00 Wall Panels-Labor 3,400.00 0.00 500.00 14.71°/ 0.00 500.00 14.71% 2,900.00 0.00 500.00 Project Total 3,900.00 0.00 500.011 00.0 12.82°/J1 0.00 500.00 12.82% 3,400.00 0.00 500.00 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. Performance Contracting Group, Inc. Terms Box 872346 Kansas City, MO 64187 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/24/15 11NO046602 Acoustic panels Wlfong 38393 $ 500.00 Total $ 500.00 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, Performance Contracting Group, Inc. Allowed 20 Box 872346 Kansas City, MO 64187 In Sum of$ $ 500.00 ON ACCOUNT OF APPROPRIATION FOR 106 Park Impact Fee POW or Dept# INVOICE NO. CCT#ITITL AMOUNT Board Members 38393 11NO046602 5023990 $ 500.00 1 hereby certify that the attached invoice(s), or 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 August 20, 2015 1pkm"Vn&�) Signature $ 500.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund