HomeMy WebLinkAbout251607 11/18/15 r Cqq
CITY OF CARMEL, INDIANA VENDOR: 367514
ONE CIVIC SQUARE JBM CONTRACTORS CORP CHECK AMOUNT: $```135,725.00'
CARMEL, INDIANA 46032 ZIONSVILOLEIN04607iT CHECK NUMBER: 251607
CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 32956 3 135,725.00 PALLADIUM LANDSCAPING
Document G732 - 2009
Application and Certificate for Payment,Construction Manager as Adviser Edition
TO(OWNER): qty of Carmel Redevelopment Commission pROIER:Tbc Palladium at the Center for the Performing Arls APPL NO.: 3 DISTRIBUTION TO.
30 West Main Street,Suite 220 Lnndscapc Packige OWNER
Carmel,IN 46032 PERIOD TO: 30/31/2015 CONSTRUCTION MANAGER
CONTRACT DATE: ARCHITECT
FROM(CONTRACTOR): JBM Contractors Corp VIA(CONISTRUCnON MANAGER):Shiel Sexton PROJECT NOS: CONTRACTOR
5299 W.Old 106th Street 902 North Capitol Avenue FIELD
Zionsville,IN 46077 Indianapolis,IN 46204 OTHER
CONTRACT FOR: Landscape Packare VIA(ARCHITECT):CSO Architects
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge.Information
Application Is made for Payment,as shown below,In connection with the Contract and belief the Work covered by this Application for Payment has been completed in accordance
Continuation Sheet,AIA Document(5703,Is attached. with the Contract Documents,that all amoun ve been paid b tractor for Work which
previous Certifications for Payment w :sued. m rc ved from thc.Owrxr,and that
L ORIGINAL CONTRACT SUM—_..._ S 1,243,000 curent payment show In 1• ue.
2.NET CHANGES IN THE WORIC_._ $ 0 CONTRACTOR:
3.CONTRACT SUM TO DATE(Line 1+ZJ......» $ 1,243,000 BY: DATE:
4.TOTAL COMPLETED&STORED TO
(Column G on G703) State of: Indiana
County of. Bowe N g7UE_REOERG
S.RETAINAGE: subscribed and sworn to before fmoi-AE JQ
a. 10.07E of Completed Work meth s � .
(Dolumn D+E on G703) $ 62,150
b. 10.07c ofStorcdMatcriat NotaryPubli public, State of Indiana
(Column F on G703) S 0 any Commrsslon explrr.: — PlOtanf ireS Feb.22,2Q2Q
Total Retainage(Une Sa+5b or Total In Column I of S 62,M CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents,based on on-site observations and the data comprising
G.TOTAL EARNED LESS $ 821,625 this application,the Construction Manager and Architect certify to the Owner that to the best of their
(Une 4 Jess Line S Total) knowledge,Information and belief the Work has progressed as Indicated,the quality of the Work is In
accordance with the Contract Documents,and the Contractor I.entitled to payment of the AMOUNT
7.LESS PREVIOUS CERTIFICATES FOR PAYMENT ....+»__..__...._._... S 685,900 CERTIFIED.
(Une 6 f am prior Certificate)
S.CURRENT PAYMENT DUE_---.«.«._._...__—_—__---------- $ 135,725 AMOUNT CERTIFIED..._...._.»__._......_...._..._..._......._»........._._....„...... � $ 135,725
(Attach explanation if amount certl/led differs from the amount applied for.Initial
9.BALANCE TO FINISH,INCLUDING RETAINAGE oll fgures on this Applicatron and on the Continuation Sheet that are changed to
conform to the amount ccrflfJcd.)
(Unc 3less Linc 6) $ 421,375
CONSTRUCTION MANAGEe Shlel Seaton J t�
BY. /t1
Date:
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS
Total charges approved In ARCHITECT: CSO Architects
previous months by owner S S
Total approved this month $ 0.00 $ By Date:
TOTALS S MOO-$ 0.00 �
NET CHANGES by Change Order $ 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 rights f the owner
or Contractor under the Contract.
AIA DOCUMENT G732-2009(formerly G702 Oma-1992)APPLICATION AND CERTIFICATE FOR PAYMENT•CONSTRUerON MANAGER-ADVISER EDITION
1992 EDITION'1992AIA 1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.,WASHINGTON,
O.C.20065292
Page 2 of 2
CONTINUATION SHEET AIA DOCUMENT G703
AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NO.: 3
Contractor's signed Certification is attached. APPLICATION DATE: 10/31/15
In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 10/31/15
Use Column I on Contracts where variable retainage for line items may apply. PROJECT NO.S: 0
A B C D E F G H I
SCHEDULED WORK MATERIALS TOTAL
VALUE COMPLETED PRESENTLY COMPLETED
FROM PREVIOUS STORED AND STORED BALANCE
ITEM DESCRIPTION OF ESTIMATED APPLICATION (NOT IN TO DATE % TO FINISH 10.0%
NO_ WORK COST (D+E) THIS PERIOD D OR E) (D+E+F) (G:C) (C-G) RETAINAGE
1 Supervision $ 42,000 21,000 10,500 0 31,500 75% 10,500 0
2 Bonds $ 18,100 18,100 0 0 18,100 100% 0 0
3 Contingency Allowance $ 50,000 0 0 0 0 0y. 50,000 0
4 Mobilization $ 1,000 1,000 0 0 1,000 100% 0 0
5 Demobilization $ 1,000 0 0 0 0 0% 1,000 0
6 Insurance/Hazcom/Safety $ 2,500 2,500 0 0 2,500 100% 0 0
7 Submittals $ 7,500 7,500 0 0 7,500 100% 0 0
8 Field Engineering S 10,000 10,000 0 0 10,000 100% 0 0
9 Closeout $ 5,000 0 0 0 0 0% 5,000 0
10 Misc.General Conditions S 30,900 15,450 7,725 0 23,175 759'0 7,725 0
11 Temporary Walk Protection $ 28,000 20,000 0 0 2.0,000 71% 8,000 0
12 Temporary Fence $ 10,ODO 10,000
i3L5s Const ur coon 5 k �x'r�"�' 9�iib..,..;.:i_.,�.:.:.vx.,..�_-.-...w�-Z„�'.a..i.s+rr c.w.�`'��:,s�._..�3.:,,,..�..,q.. .. ti.._... n (.e . ,...5,r.x:-":__'4.�":2_.. .wr�•�7 t,;.'�_T„.:u�,,i:,>:..�.:✓0J,� 0 •wn;;?rfi rw. 1d.,0;.,0s00 2•,.'0�.:0�Y Yj,9�.-�7...:.., _�..........._.�'..9 0
�:i�rJ.••�.;vP(a'.�,�:�u�
0
4'0T' 0.�1: K.
3
$ 15,00 014 Strip Sod ..<.
15,000 0 15,000 100% y 0 0
15 Subsurface Drains S 2S,000 0 25,000 0 25,000 100% 0 0
16 Concrete Foundations $ 165,000 165,000 0 0 165,000 100% 0 0
17 Masonry $ 305,000 260,000 45,000 0 305,000 100% 0 0
18 Metal Fabrications $ 15,000 10,000 0 0 10,000 67% 5,000 0
19 Cast Iron Urns $ 160,000 80,000 0 0 80,000 50% 80,000 0
20 Waterproofing $ 30,000 0 20,000 0 20,000 67% 10,000 0
21 Joint Sealants $ 12,000 0 0 0 0 0% 12,000 0
22 Plant Plumbing System $ 50,000 47,500 2,500 0 50,000 100% 0 0
23 Electrical S 120,000 70,000 10,000 0 80,000 67Y 40,000 0
24 Irrigation $ 40,000 10,000 0 0 10,000 25% 30,000 0
25 Landscaping $ 100,000 0 0 0 0 0% 100,000 0
26 0 0 0 0 #DIV%01 0 0
27
0 0 0 0 #DIV%0! 0 0
�8 0 0 0 0 #DIV/o1 0 0
29
0 D 0 p #DIV%D! 0 0
30 0 0 0 O #DIV/01 0 0
31 0 0 0
32 0 #Dlv101 0 0
33 0 0 0 0 #DIV/0! 0 0
34 0 0 0 0 #DIV/0! 0 0
35 0 0 0 0 #DIV/O! 0 62,150
1,243,000 748,050 135,775 0 983,7751 71.19; 359.225f 62,150
AIA DOCUMENT G702 APPLICATION AND CERTIFICATE FOR PAYMENT 1992 EDITION AIA 1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK
AVENUE,N.W.,WASHINGTON,D.C.20006-5292
G703-1992
AIA DOCUMENT G703 APPLICATION AND CERTIFICATE FOR PAYMENT 1992 EDITION AIA 1992 ,
THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W„WASHINGTON,D.C. 2006-5292 G703-1992
ISiii
IIMM
'10111111,111101 t5
coirav-,roPsccap.
I
! PARTIAL CONDITIONAL WAVER OF LIEN
WHEREAS, JBM Contractors Corp has pursuant to an agreement with City of Carmel
Redevelopment Corrunission furnished certain materials,equipment, services, and/or labor for the project known as
The Palladium at the Center for the Performing Arts Landscape Package located at One
Center Green,Carmel.IN 46032 ;
I
I WHEREAS, the undersigned is duly authorized to execute this Partial Conditional Waiver of Lien for and
on behalf of the subcontractor/supplier;
NOW,THEREFORE, JBM Contractors Corp upon receipt of the sum of $ 135,725 waives
and releases any and all liens or rights of liens, bond claims or statutory rights against the Tenant, Contractor,
Subcontractor,any and all Owners of any title or interest in the real estate upon which the Project is situated(Owner),
the Project and the improvements located thereon or any right against any labor and/or material payment bond it has
ior may have on account of any and all materials,equipment,services,and/or labor furnished for or in connection with
the Project through the date of 10/31/2015 ,represents and warrants to Tenant, Contractor, Subcontractor
and Owner that no other person or party has any right to a lien or claim on account of any materials, equipment,
services, and/or labor furnished on or before the Current Date by, to oi• through the Contractor, and agrees to
indemnify,defend,and hold the Tenant,Contractor,Subcontractor and Owner harmless from and against any and all
liabilities,losses, costs,expenses, including attorney fees, by reason of claims or liens for any materials,equipment,
services, and/or labor furnished for or in connection with the Project prior to the Current Date by, through or to the
i Contractor including but not limited to claims or liens by the Contractor's subcontractors, whatever tier,suppliers,or
equipment lessors.
JBM Contractors Corp acknowledges that this Partial Conditional Waiver of Lien is given to
j induce the payment recited above, and that upon receipt of the Current Payment by the Contractor, this Partial
Conditional Waiver of Lien becomes valid,enforceable and of full effect,and may be recorded.
fBM Contractors Co
Nameof Subc a o
Authorized Representative
Senior Project Manager/Estimator
` Title
11/02/2015
Date
STATE OF Indiana )
COUNTYOF Boone
} Before me,a Notary Public hi and for said County and State,personally appeared Keith Cocha un �vho
acknowledged the execution of the foregoing Partial Conditional Waiver of Lien,and who,having been sworn,stated
that the requirements therein contained are true.
Witness my.hand and Notarial Seal this ��J day of—4veklhe( ,20_1S_
My Conunission Expires:
t d: Michael Stuerenberg
Notary Pu he MICHAEL JOHN STUEREND 0"
SEAL
Notary Public,State of Indiana
I My Commission Expires Feb,22,24.20
I
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City FormNo.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.
II Payee
on+ ' tr0 (0 d Purchase Order No.
5299 � Terms
2 ,1b n s v I N . T, N T 077 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
tq'ihq Work 5, 5.eo
Total 1-35 7Z S°o
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.
ALLOWED 20
3M
M Con+r�c�rS torp IN SUM OF $
52-019
Z 1 o1lS0% ,7-N `x07
$ 135,725.°°
ON ACCOUNT OF APPROPRIATION FOR
(mt 902/ �►�60�07
Board Members
PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
135,72S 0° 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
11- 13- 20/5
Gn4 A YA&A 9 At-"*
Signature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund