HomeMy WebLinkAbout259637 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 370664
ONE CIVIC SQUARE MILLER-EADS CO, INC. CHECK AMOUNT: $****33,300.00*
?q CARMEL, INDIANA 46032 4125 N.KEYSTONE AVE CHECK NUMBER: 259637
INDIANAPOLIS IN 46205 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
659 5023990 1 33,300.00 OTHER EXPENSES
VOUCHER # 165463 WARRANT# ALLOWED
370664 IN SUM OF $
MILLER EADS CO INC
4125 N KEYSTONE AVE
INDIANAPOLIS, IN 46205
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1 07-1050-93 $33,300.00
Voucher Total $33,300.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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PAYMENT APPLICATION Page 1
TO: CITY OF CARMEL PROJECT 2016C107 APPLICATION# 1 Distribution to:
BOARD OF PUBLIC WORKS&SAFETY ONE CIVICS NAME AND 106TH ST P.S.CONTROLS,CONTRACT 80A PERIOD THRU: 05/31/2016
LOCATION: OWNER
CARMEL,IN 46032 BOARD OF PUBLIC WORKS&SAFETY ONE PROJECT#s:
Attn:Jones&Henry Engineers Ltd CARMEL,IN 46032 ❑ARCHITECT
FROM: MILLER-EADS CO.,INC. ARCHITECT. DATE OF CONTRACT: 03/16/2016 ❑CONTRACTOR
4125 N.KEYSTONE AVENUE ❑
INDIANAPOLIS,IN 46205 ❑
FOR: ELECTRICAL
CONTRACTOR'S SUMMARY OF WORK Contractor's signature below is his assurance to Owner,concerning the payment herein applied for,
that:(1)the Work has been performed as required in the Contract Documents,(2)all sums previously
Application is made for payment as shown below. paid to Contractor under the Contract have been used to pay Contractor's costs for labor,materials
Continuation Page is attached. and other obligations under the Contract for Work previously paid for,and(3)Contractor is legally
entitled to this payment.
1: CONTRACT AMOUNT $152,720.00 CONTRACTOR: MILLER-EADSCO.,INC. a6opeooaoeco�o
�%
By:
2. SUM OF ALL CHANGE ORDERS; $0.00 •.W Y
`T � o�a`1�..-B
3. CURRENT CONTRACT AMOUNT! (Line 1+1- 2) $152,720.00 0��.' �� ,T•''a••d%�
State of: INDIANA
4. TOTAL COMPLETED AND STORED $37,000.00 Z Z; QIP !v o
(Column G on Continuation Page) County of: MARION d Q � 0 0 ' z
Subscribed and sworn to before
5. RETAINAGE:
a. 10.00% of Completed Work $3,700.00 me this 12th day of May 2016 'o° °°.,,••. ,.•' �e
(Columns D+E on Continuation Page) • S'T ,OF a
b. 0.00% of Material Stored $0.00 . � �`• a AeEeepe°c�
Notary Public: Catheri S. yco
(Column F on Continuation Page)
Total Retainage(Line 5a+5b or. I My Commission Expires: 08/16/23
Column I on Continuation Page) $3,700.00 ARCHITECT'S CERTIFICATION
6. TOTAL COMPLETED AND STORED LESS RETAINAGE $33,300.00 Architect's signature below is his assurance to Owner,concerning the payment herein applied for,
(Line 4 minus Line 5 Total) that:(1)Architect has inspected the Work represented by this Application,(2)such Work has been
7. LESS PREVIOUS PAYMENT APPLICATIONS $0.00 completed to the extent indicated in this Application,and.the quality of workmanship and materials
conforms with the Contract Documents,(3)this Application for Payment accurately states the amount
of Work completed and payment due therefor,and(4)Architect knows of no reason why payment
8. PAYMENT DUE $33,300.00 should not be made.
9. BALANCE TO COMPLETION CERTIFIED AMOUNT.........................................................................._.............
(Line 3 minus Line 6) $119,420.00 (If the certified amount is different from the payment due,.you should attach an explanation.Initial all
the figures that are changed to match the certrFed amount.)
SUMMARY OF CHANGE ORDERS ADDITIONS DEDUCTIONS i
Total changes approved in ARCHITECT•
previous months $0.00 $0.00
By ����
: Date: /
Total approved this month $0.00 $0.00
TOTALS 1 .$0.00 $0.00 Neither this Alp' tion nor payment applied for herein is assignable or negotiable.Payment shall be
made only to Contractor,and is without prejudice to any rights of Owner or Contractor under the
NET CHANGES $0.00 Contract Documents or otherwise.
PAYMENT APPLICATION Quantum Software Solutions,Inc.Document
CONTINUATION PAGE Page 2 of 2
PROJECT: 2016C107 APPLICATION#. 1
106TH ST P.S.CONTROLS,CONTRACT 80A DATE OF APPLICATION: 05/12/2016
Payment Application containing Contractor's signature is attached. PERIOD THRU: 05/31/2016
PROJECT#s:
A B C D E F G H
COMPLETED WORK STORED TOTAL % BALANCE
SCHEDULED RETAINAGE
ITEM# WORK DESCRIPTION AMOUNT AMOUNT MATERIALS COMPLETED AND COMP. TO
AMOUNT PREVIOUS THIS PERIOD (NOT IN D OR E) STORED (G/C) COMPLETION (If Variable)
PERIODS (D+E.+F) (C-G)
101 MOBILIZATION,PRE-CON AND
102 SUBMITTALS $15,000:00 $0.00 $7,000.00 $0.00 $7,000.00 47% $8,000.00
201 CONTROL LOGIC PLC:
202 SYSTEM
203 MATERIAL&EQUIPMENT $76,036.00 $0.00 '$30,000.00 $0.00 $30;000.00 39% $46,036.00
204 INSTALLATIONMATERIAL ' $5,750.00 $0.00 $0.00 $0.00 $0.00 0%; $5,750.00
205 INSTALLATION LABOR $30,584:00 $0.00. $0.00 $0.00 $0.00 0% $30,584.00
206 PROGRAM&COMMISSION $25,350.00 $0.00 $0.00 $0.00 $0.00 0% $25,350.00
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TOTALS $152,720.00 $0.00 $37,000.00 $0.00 $37,000.00 24% $115,720.00
CONTINUATION PAGE Quantum Software Solutions,Inc.Document