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HomeMy WebLinkAbout253712 01/22/16 %' "''F. CITY OF CARMEL, INDIANA VENDOR: 368941 t ONE CIVIC SQUARE MIDWEST CONSTRUCTORS CHECK AMOUNT: $****59,306.18" �9. ?�; CARMEL, INDIANA 46032 600 KENTUCKY AVE#100 CHECK NUMBER: 253712 M�roN�. INDIANAPOLIS IN 46225 CHECK DATE: 01/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 R4460807 31784 5 17,106.01 PARCEL 7C-4 & 7C-9 902 4460807 33140 5 15,832.28 CNG ORD MEZZ SITE CON 902 4460807 33140 6 26,367.89 CNG ORD MEZZ SITE CON VOUCHER NO. WARRANT NO. ALLOWED 20 MIDWEST CONSTRUCTORS 600 KENTUCKY AVE#100 IN SUM OF$ INDIANAPOLIS, IN 46225 $59,306.18 ON ACCOUNT OF APPROPRIATION FOR Redevelopment Commission PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 33140 5 44-608.07 $15,832.28 1 hereby certify that the attached invoice(s), or 902 902 Prior Year 31784 5 44-608.07 $17,106.01 bill(s) is (are)true and correct and that the 902 Encumbered 902 Prior Year 33140 6 44-608.07 $26,367.89 materials or services itemized thereon for 902 902 Prior Year which charge is made were ordered and received except Thursday, January 14, 2016 rm,'4-�j ouog'r Cost distribution ledger classification if claim paid motor vehicle highway fund AIA Type Document Application and Certification for Payment Page 1 of 2 TO(OWNER):30 West Main St. PROJECT:CRC-Mezz'Building APPLICATION NO: 5 DISTRIBUTION Ste.,220 30 West Main St. TO: Carmel,IN 46032 Ste.,220 PERIOD TO:10/31/2015 _OWNER Carmel, IN 46032 _ARCHITECT —CONTRACTOR FROM(CONTRACTOR):Midwest Constructors LLC VIA(ARCHITECT): ARCHITECT'S, 600 S.Kentucky.Ave. PROJECT NO: Ste. 100 Indianapolis,IN 46225 CONTRACT FOR:Mezz Building CONTRACT DATE: 8/8/2014 The Undersigned Contractor certifies that to the best of the Contractor's knowledge,information and CONTRACTOR'S APPLICATION FOR PAYMENT belief the work covered by this application for Payment has been completed in accordance with the Application is made for Payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner,and that current payment shown herein is now due. 1.ORIGINAL CONTRACT SUM . .. ....... . .. . ... . .. .S 236,510.00 2.Net Change by Change Orders .... ... ..... ....S 42,200.17 CONTRACTOR: Midwest Constructors LLC 600 S.Kentucky Ave.Ste.100 3.CONTRACT SUM TO DATE (Line 1 +2),_.. ,..,, ., S 278,710.17 Indianapolis 1 2�25� y�,J 4.TOTAL COMPLETED AND STORED TO DATE .... $ 265,623.45 By: y� � l/'✓��'�� Date: !/�'/I() Michael Jacobs (�/Project Manager 5.RETAINAGE: State of:IN a. 5.00%of Completed Work $ 13,281.17 County of: Johnson b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before ethis_ !N ' Day of/`� % /�0 l,S Total retainage(Line 5a+5b)........ ....... ..... $ 13,281.17 Notary Public: My Commission Expires: 6.TOTAL EARNED LESS RETAINAGE.. .... ... ..... $ 252,342.28 (Line 4-less Line 5Total) ARCHITECT'S CERTIFICATE FOR PA 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents,based on on-site obse ati ns�hi8` p (Line 6 from prior Certificate)..... .... .. . .. .. .... . Ccs aye .S prising the above application, the Architect certifies to owner that to�t 219,403.99 knowledge,information and belief the Work has progressed as indicatedwtra it 8.CURRENT PAYMENT DUE ..... ... .... .. .......$ 32,938.29 is in accordance with the Contract Documents, and the Contractor is enthe AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Line 3 less Line 6) S 26,367.89 AMOUNT CERTIFIED.. .. .... ......... . ...... . . ... . . S (Attach explanation if amount certified differs from the amount applied:Initial alt figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and on the Continuation Sheet that are changed to conform to the amount certified.) Total changes approved in ARCHITECT: previous months by Owner 29,514.17 -15,070.00 By: Date: Total approved this Month 27,756.00 .0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor. named-here in..lssuance,Payment and acceptance of payment are without prejudice to any TOTALS 57,270.1.7 15,070.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 42,200.17 c I AIA Type Document Application and Certification for Payment Page 1 of 2 TO(OWNER):30 West Main St. PROJECT.CRC-Metz Building APPLICATION NO: 6 DISTRIBUTION Ste.,220 30 West Main St. TO: Carmel,IN 46032 Ste.,220 PERIOD TO:12/31/2015 _OWNER Carmel, IN 46032 _ARCHITECT —CONTRACTOR FROM'(CONTRACTOR): Midwest Constructors LLC VIA(ARCHITECT): ARCHITECT'S 600 S.Kentucky Ave. PROJECT NO: Ste. 100 Indianapolis,IN 46225 CONTRACT FOR:Mezz Building CONTRACT DATE: 8/8/2014 CONTRACTOR'S APPLICATION FOR PAYMENT The Undersigned Contractor certifies that to the best of the Contractor's knowledge,information and belief the work covered by"this application for Payment has been completed in accordance with the Application is made for Payment,as shown below,in connection With the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner,and that current payment shown herein is now due. 1.ORIGINAL CONTRACT SUM ..... .... .. .. ..:....$ 236,510.00 2.Net Change b Change Orders $ 42,200.17 CONTRACTOR: Midwest Constructors LLC g Y g 600 S.Kentucky Ave.Ste. 100 3.CONTRACT SUM TO DATE (Line 1 +2).. . ...... .. $ 278,710.17 Indianapolis, I -46225 r / 9 4.TOTAL COMPLETED AND STORED TO DATE ... ...$ 278,710:1.7 By: �/ fj /�a Date: Michael Jacobs' / ect Manager 5.RETAINAGE: a. 0.00%of Completed Work $ 0.00 State of:IN County of. Johnson b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me is._ Day of ��� ��� . , Total retainage Line 5a+5b Notary Public: F.y 0.00 �=''�Y 'Ci •,�,� My Commission Ex ires: 6.TOTAL EARNED LESS RETAINAGE. .. .. ... ...... S 278,710.17 •' \•^ (Line 4 less Line 5 Total) ARCHITECTS CERTIFICATE FOR PA InNT 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In-prising PP date ddta�co (Line 6 from prior Certificate)..........:........ ..$ 252,342.28 knowledge,information and tbel beliefthethe Work has progressed as indica dot �u h�Ar�hS. `r'1' nsm the above application; the Architect certifies to owner that to the b st dfit �Iity b$7e�rork;+ 8.CURRENT PAYMENT DUE . ... .. .. . .... . ..... .$. 26,367.89 is in accordance with the-Contract Documents, and the Contractor is egKoayment of<tJae' 9.BALANCE TO FINISH,.INCLUDING RETAINAGE AMOUNT CERTIFIED. (Line 3 less Line 6) $ . 0.00 . AMOUNT CERTIFIED............. ... .. .:.......... . S (Attach explanation if amount certified differs from the amount applied.Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and.on the Continuation Sheet that are changed to conform to the amount certified.) Total changes approved in ARCHITECT: previous months by Owner 57,270.17 15,070:00 By: Date: Total approved this Month 0.00 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 TOTALS 57,270.17 -15,070.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 42,200.17