The URL can be used to link to this page

Home My WebLink About260297 06/28/16 r Lqq'- CITY OF CARMEL, INDIANA VENDOR: 370263 ONE CIVIC SQUARE REITH-RILEY CHECK AMOUNT: $'" 130,440.00` CARMEL, INDIANA 46032 1751 W MINNESOTA STREET CHECK NUMBER: 260297 INDIANAPOLIS IN 46221 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350200 33490 32002866 130,440.00 CRACK SEALING KEYSTON VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER REITH-RILEY 1751 W MINNESOTA STREET IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46221 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $130,440.00 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 33490 32002866 43-502.00 $130,440.00 1 hereby certify that the attached invoice(s), or 5/28/16 32002866 $130,440.00 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 Tuesd ,June 14 201 Street Commissloner 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 1E EY CONSTRUCTION CO. INC. 100% Qualify • 100% Employee Owned • Over 100 Years P O Box 2Z6,.lndiar►apol�s,_IN 46206 �-� Tel (317)634-5561;,Fax`,(317)631;6423 Progress Estimate No.: 1 Sold To: City of Carmel Customer No.: _ 470 6: City Hall Job Number: ;3200607 1 Civic Square Invoice Number: '::32002866 Carmel, IN 46032 Date: 52s/16 Period Covered: 7.'-V1116.=,5128/16 Terms: Due Upori Receipt Job: P.O. #33490/ Keystone Crack Sealing CONTRACTOR'S INVOICE 1 Original Contract Sum $130,440.00 2 Net change by Change Orders $0.00 3 Contract Sum to Date (line 1 +line 2) $130,440.00 4 Total Contract Completed to Date $130,440.00 5 Deductions: 0.00 % Retainage: $0.00 6 Total Earned Less Deductions (line 4-line 5) $130,440.00 7 Less Previous Billings $0.00 8 Invoice Amount Due (line 6-line 7) $130,440.00 A service charge of 1-112%per month(18%annual rate)will be made on all account balances not paid,according to the terms stated. Office Use Only(Current Estimate Totals): Chanue order summary Total Estimate $130,440.00 Change Orders approved on previous estimates by Owner $0.00 Retainage $0.00 Approved this Estimate '$0.00 Current Payment Due $130,440.00 Total Net Change by Change Orders $0.00 V 789'®� �� T2ECENE� � JUh 2016 CARMEL � �,9 CIN ENGINEE[2 �� l ((!METHL( LEY CONSTRUCTION Co. , INC. \%1W 100% Quality • 100% Employee Owned • Over 100 Years P.O.Box 276,Indianapolis,IN 46206 Tel.:(317)634-5561 Fax:(317)631-6423 Sold To: City of Carmel Progress Estimate#: 1 City Hall Customer#: 194706 1 Civic Square Invoice#: 32002866 Carmel,IN 46032 Date: 5/28/16 \' 1 \ ETH -W LEY Period Covered. 5/1/16-5/28/16 �\ Job: P.O.#33490/Keystone Crack Sealing This Estimate Job to Date: ;Original Plan Change Order Item No. Item Descnpt'ion ; '; Quantity. Quantity. Total,Quantity: Units• :` $per Unit Enter Units , Total$ Units to Date $to Date' P.O.#33490/Keystone Crack Sealing 0.000 0.000 0.000 0.000 0.00 0.000 0.00 0.000 0.00 1 Ke sotne Crack Sealing 1.000 0.000 1.000 LSUM 130,440.00 1.000 130 440.00 1.000 130,440.00 Total: 130,440.00 130,440.00 Deductions: 0.00 0.00 Balance: 130,440.00 130,440.00 EXHIBIT B Invoice Date: May 28, 2016 Nance of Company: Rieth-Riley Construction Co. , Inc. Address &Zip: 1751 W. Minnesota Street, Indianapolis, IN 46221 Telephone No.: 317-634-5561 Fax No.: 317-631-6423 Project Name: Keystone Crack Sealing Invoice No. 32002866 Purchase Order No: 33490 Goods Services Person Providing Date Goods/Services Provided Cost Per Hourly Total Goods/Services Goods/ (Describe each good/service Item Rate/ Service separately and in detail) Hours Provided Worked Rieth-Riley Construction Co., Inc. 5/28/16 Keystone Crack Sealing $130,440.00 1 $130,440.00 GRAND TOTAL $130,440.00 1 $130,444.00 Signature Kevin A. Tussey Printed Name AFFIDAVIT AND WAIVER OF LIEN (X ) Final ( ) Partial ( X ) Payment to Follow State of Indiana, County of Marion, SS: Kevin A. Tussey being duly sworn, states that he is the Area Office Manager of Rieth-Riley Construction Co., Inc. havingcontracted with City of Carmel , to furnish certain material, and/or labor as follows:, Asphalt Paving and Related Items for a project known as: Keystone Crack Sealing / PO#33490 and owned by City of Carmel and does hereby further state on behalf of the aforementioned contractor. (Partial Waiver) That the balance due from the Contractor is the sum of Dollars ( ) Receipt of which is hereby acknowledged; or ( ) The payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien, which is given to and for said amount, effective upon receipt of such payment. (Final Waiver) That the final balance due from the Contractor in the sum of One Hundred Thirty Thousand Four Hundred Forty 00/100 Dollars ($130,440.00 ). ( ) Receipt of which is hereby acknowledged; or (X ) The payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien,which is given to and for said amount, effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, 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, and further certified 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. Rieth-Riley Construction Co., Inc. By: Kevin A-Tussey, Area Office Manager ,-U1 9-NES&-P4 I-fAN8-Ai4f" SEAL, this Yrday of June 2016 Erin B.Newlin Notary Public Sea) (Notary Public) State of Indiana Printed Name: Erin B. Newlin I4amilton County My c0F1Qfq1 R&P -(117017 EasWe-nLa-.—Haff+lton