HomeMy WebLinkAbout260198 06/28/16 �; �qp\ . CITY OF CARMEL, INDIANA VENDOR: 368798
;;_ ONE CIVIC SQUARE HARDING MATERIAL INC CHECK AMOUNT: $***528,018.64*
?� CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK NUMBER: 260198
'M,�TON�o. INDIANAPOLIS IN 46256 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350200 33509 54054 528,018.64 2016 PAVING PROJECT
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
HARDING MATERIAL INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
10151 HAGUE ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46256 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$528,018.64 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
33509 54054 43-502.00 $528,018.64 1 hereby certify that the attached invoice(s),or 6/21/16 54054 $528,018.64
2201 201 2201 201
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
Tu day, June 1,2 1
o i'f'�✓�4
Street Commissioner
I 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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
APPLICATION AND CERTIFICATE FOR PAYMENT
To(O WNER): Proj ect:
CITY OF CARMEL CARMEL CITY STREETS 2016 Application No: 1
ATTN: STREET DEPARTMENT VARIOUS STREET
3400 W. 131 ST STREET CARME,IN 46074 Invoice No: 54054
CARMEL,IN 46074
From: Via(Architect): Period To: 6/30/2016 $�
HARDING GROUP Project No: 16-0463
10151 HAGUE ROAD
INDIANAPOLIS,IN 46256
Contract Date:
CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for Payment, as shown below, in connection
with the Contract.
Change Order Summary Additions Deductions
1) Original Contract Sum 3,678,832.30
Approved previous months 0.00 0.00 2)Net change by Change Orders 0.00
Approved this month 0.00 0.00 3) Contract Sum to Date 3,678,832.30
4) Completed and Stored to Date 528,018.64
Totals 0.00 0.00 5) Retainage 0.00
Net change by change order 0.00 6) Total Earned less Retainage 528,018.64
7) Less Previous Certificates for Payment 0.00
8) Current Payment Due 528,018.64
9) Balance to Finish, including Retainage 3,150,813.66
The undersigned Contractor certifies that to the best of the Contractor's State Of:� � County Of-
knowledge,
fknowledge, information and belief the Work covered by this Application for Subscribed and sworn to before me this ay of
Payment has been completed in accordance with the Contract Documents,that
all amounts have been paid by the Contractor for Work for which previous Notary Public:
Certificates for Payment were issued and payments received from the Owner,and My Commission Expires:
that current payment shown herein is now due.
O1'�• SARAH L. HALE
E
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��^otagy ,,�Notary Public, State of Indiana
Hamiunty
. '*= Commission #on 0676042
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ITEM SCHEDULED STORED '
NO. DESCRIPTION VALUE PREVIOUS THIS PERIOD MATERIALS TOTAL % BALANCE RETAINAGE
SIDEWALK REPAIR
38 GRAND/OLD MERIDIAN BRICK 68,517.00 0.00 0.00 0.00 0.00 0 68,517.00 0.00
STREET PAVER
3,678,832.30 0.00 528,018.64 0.00 528,018.64 14 3,150,813.66 0.00
AFFIDAVIT AND WAIVER OF LIEN
[X] FINAL' [] PARTIAL [X] PAYMENT TO FOLLOW
STATE OF INDIANA
COUNTY OF HAMILTON
Trent Wargel being duly sworn states that he is the Officer of Harding Group having contracted with CITY
OF CARMEL to furnish certain materials and/or labor as follows: Asphalt work/Concrete project known
as CARMEL CITY STREETS 2016 does hereby further state on behalf of the aforementioned
subcontractor/supplier:
(PARTIAL WAIVER)that there is due from the contractor the sum:
[]receipt of which is hereby acknowledged;or
[X]payment of which has been promised as the sole consideration of this Affidavit and Partial
Waiver of Lien which is given solely with respect to said amount,and which waiver shall
Be effective only upon receipt of payment thereof by the undersigned:
(FINAL WAIVER)that final balance due from the contractor is the sum o£FOUR THOUSAND,TWO
HUNDRED NINETY DOLLARS AND NO CENTS$4,290.00
[]receipt of which is hereby acknowledged;of
[]the payment of which has been promised as the sole consideration of this Affidavit and.
Final Waiver of Lien which is given solely with respect to said amount,and which shall
Become Effective upon receipt of payment thereof by the undersigned:
THEREFORE,the undersigned waives and releases unto the Owner of said premises,any and all lien or
claim whatsoever on the above described property and improvements thereon on account of Labor or
material or both,furnished by the undersigned thereto,subject to limitations or conditions expressed herein,
if any;and further certifies that no other party has any claim or right to a lien on account of any work
performed or material furnished to the undersigned for said project,and within the scope of this affidavit
and waiver.
HARDING,GUWP
WITNESS MY HAND AND NOTARIAL SEAL,this 16Day of qU4Q— ,2016
My Commission Expires:
County of Residence: �G
SARAH L. HALE
Notary Public, State of Indiana
^O1ARY' Hamilton Count
Y
SEAL = Commission #676042
my Commission Expires
"D,;;;O November 30, 2023