250474 10/07/15 0I
�;� CITY OF CARMEL, INDIANA VENDOR: 356231
® ONE CIVIC SQUARE YARDBERRY LANDSCAPING & EXCAVAgWK AMOUNT: S""64,240.56'
�'. ,:
CARMEL, INDIANA 46032 9940 SOUTH 100 WEST CHECK NUMBER: 250474
�Mi uN`o, ANDERSON IN 46017 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2S0 4350900 32925 1 64,240.56 DRAINAGE-108TH/COOL C
CONSTRUCTION PROJECT INVOICE
P.D. 32 0125
2 S o - H 3 5 0 n O O DATE: September 23, 2015
COMPANY NAME: Yarberry Landscape Excavating
AND ADDRESS 9940 S 1000 W
Anderson, Indiana 46017
TELEPHONE NO.: (765) 378-5783
FAX NO.: (765) 378-0376
PROJECT NAME: Miscellaneous Drainage: 3740 W. 106th Street
Drainage Improvements Project and Cool Creek Pond Outlet Rehabilitation
PROJECT NO.: Project No. 15-06
INVOICE NO.: 1
TOTAL EARNINGS TO DATE: $ 71,378.40
MINUS 10% RETAINAGE: $ 7,137.84
TOTAL EARNED MINUS RETAINAGE: $ 64,240.56
MINUS PREVIOUS PAYMENTS: $ 0.00
TOTAL AMOUNT DUE: $ 64,240.56
Jeremy Kashman
City Engineer
City of Carmel
IJ
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF I of 2 PAGES
TO OWNER: PROJEC"I': APPLICATION NO: Distribution to:
City of Carmel blisc.Drainage 3740 W-106th St Impry&Cool Crk fond =OWNER
I Civic Square =ARCHITECT
Carmel,IN 46032 PERIOD T0: =CONTRACTOR
PERIOD"I'0: =CONTRACTOR
FROM CONT'RACT'OR: IVIA ARCI-Ifl'ECI':
Vardberry Lanscape Excavating
9940 S 1000 W PROJECT NOS:
Anderson,Indiana 46017
CONTRACT FOR: CONTRACT DA"f E:
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors 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 $ 73,059.00
2. Net change by Change Orders $ 0.00 CONTRACTOR:
3. CONTRACT SUM TO DATE(Line 1 t 2) $ 73,059.00
4. TOTAL COMPLETED&STORED TO $ 71,378.40 9/ a/
� �/l
DATE (Column G on G703) By: Date: —1 /
5. RETAINAGE:
a. 10 %of Completed Work $ 7137.84 State of: I 1 IAA&-mo, County of.. p1 r�I�OJ 30"�
(Column D+E on G703) Subscribed and sworn to befor me thi a day of Seew ' "�� 00 ('S
b. 0 %of Stored Material $ 0 Notary Public:
(Column F on G703) My Commission expires:
Total Retainage(Lines 5a+5b or
Total in Column I of G703) $ 7,137.84 ARCHITECT'S CERTIFICATE FOR PAYMENT
6. "TOTAL•EARNED LESS RETAINAGE $ 64,240.56 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) $ 0.00 the quality of the Work is in accordance with the Contract Documents,and the Contractor
8. CURRENT PAYMENT DUE $ 64,240.56 is entitled to payment of the AMOUNTCERTIFIED.
9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 7,137.84
(Linc 3 less Line 6) AMOUNT CERTIHED........ ...$
ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied.Initial all figures on this
Total changes approved Application and onthe Continuation Sheet that are changed to conform with the amount certified.)
in previous months by Owner $0.00 $0.00 ARCHITECT:
Total approved this Month $0.00 $0.00 By: Date:
TOTALS $0.00 $0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
C ontractor named herein. Issuance,payment and acceptance of payment are without
NET CHANGES by Change Order $0.00 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.
CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES
AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO:
Contractor's signed cenification is attached. APPLICATION DATE:
the Renrest da kw PERIOD TO:
Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:
A B C D E F G H I
WORK COMPLETED MATERIALS TOTAL %
ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED BALANCE RETAINAGE
NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G+C) TO FINISH (IF VARIABLE
(D+E) (NOT IN TO DATE (C-G) RATE)
D OR E) (D+E+F)
I Mobilization/Demobilization $2,00000 $0.00 $2,000.00 $0.00 $2,000.00 100.00% $0.00 $20000
2 Maintenance of Traffic $2,500.00 $0.00 $2,500.00 $0.00 $2,500.00 100.00% $000 $250.00
3 Clearing Right of Way $3,000.00 $0.00 $3,000.00 $0.00 $3,000.00 100.00% $0.00 $300.00
4 Pipe Removal $1,500.00 $0.00 $1,500.00 $0.00 $1,500.00 100.00% $0.00 $150.00
5 Linear Ditch Grading $5,800.00 $0.00 $5,800.00 $0.00 $5,800.00 100.00% $0.00 $580.00
6 12"RCP $2,160.00 $0.00 $1,440.00 $0.00 $1,440.00 66.67% $0.00 $144.00
7 6"F1DPE $1,500.00 $0.00 $1,500.00 $000 $1,500.00 100.00% $0.00 $150.00
8 42"RCP $13,500.00 $0.00 $10,800.00 $0.00 $10,800.00 80.00% $0.00 $1,080.00
9 12"Concrete Pipe End Section $2,400.00 $0.00 $2,400.00 $0.00 $2,400.00 100.00% $0.00 $240.00
10 HDPE End Treatment $1,000.00 $0.00 $1,000.00 $0.00 $1,000.00 100.00% $0.00 $100.00
11 42"Concrete Pipe End Section $5,000.00 $0.00 $5,000.00 $0.00 $5,000.00 100.00% $0.00 $500.00
12 End Section Debris Guard $2,500.00 $0.00 $2,500.00 $0.00 $2,500.00 100.00% $0.00 $250.00
13 CIP Structure $8,000.00 $0.00 $8,000.00 $0.00 $8,000.00 100.00% $0.00 $800.00
14 HMA Surface,Type A,9.5 mm $750.00 $0.00 $1,200.00 $0.00 $1,200.00 160.00% $0.00 $120.00
15 HMA Intermediate,Type A, 19.0 mm $875.00 $0.00 $750.00 $0.00 $750.00 85.71% $0.00 $75.00
16 Concrete Patch,Class A,7 1/2 IN. $400.00 $0.00 $300.00 $0.00 $300.00 75.00% $0.00 $30.00
17 Compacted Agg.No.53,Base(Undistributed) $800.00 $0.00 $448.40 $0.00 $448.40 56.05% $0.00 $44.84
18 Mulched Seeding(Undistributed) $4,000.00 $0.00 $760.00 $0.00 $760.00 19.00% $0.00 $76.00
19 Erosion Control Blanket $1,224.00 $0.00 $7,140.00 $0.00 $7,14000 583.33% $0.00 $714.00
20 Erosion Control Measures $1,500.00 $0.00 $1,500.00 $0.00 $1,500.00 100.00% $0.00 $150.00
21 Fence Reset(undistributed) $1,850.00 $0.00 $1,850.00 $0.00 $1,850.00 100.00% $0.00 $185.00
22 Topsoil(Undistributed) $10,800.00 $0.00 $9,990.00 $0.00 $9,990.00 92.50% $0.00 1 $999.00
GRAND TOTALS $73,059.00 $0.00 $71,378.40 $0.00 $71,37840
:f' l $0.00 $7,137.84
AIA DOCUMENT G703 CONTINUATION SHEET FOR G702 1992 EDITION AIA01992
THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W WASHINGTON,D.C.20006-5232 G703-1992
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
Yardberry Landscape Excavating Purchase Order No.
9940 South 1000 West Terms
Anderson, IN 46017 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
9/23/2015 1 Misc. Drainage-Cool Creek Pond Rehab $ 64,240.56
Total $ 64,240.56
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
I
VOUCHER NO WARRANT NO.
Yardberry Landscape Excavating ALLOWED 20
9940 South 1000 West IN SUM OF$
Anderson, IN 46017
$ 64,240.56
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
32925 1 250-4350900 $. 64,240.56 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
10/5/2015
Signa ure
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund