HomeMy WebLinkAbout260261 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 357217
® a� ONE CIVIC SQUARE MUNICIPAL & CONTRACTORS SEALIN,( K AMOUNT: $""*.1,400.00'
CARMEL, INDIANA 46032 7740 REINHOLD DRIVE CHECK NUMBER: 260261
CINCINNATI OH 45237 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 R4350900 33467 12142015 1,400.00 STORMWATER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
C' y
ffiJAiCCV a.� �pi�-�� ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1-fw�r
IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
GENERALFUND T rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,400.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering
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
33467 0 43-509.00 $1,400.00 I hereby certify that the attached invoice(s),or 6/6/160 ;Municipal&Contras ors S-ealing-Pro�ducts—"-9 $1,400.00
2200 Encumbered 250 2200 250 7740 Rein-old-Dr.Cincinnati-45237 -1
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
\ which charge is made were ordered and •1
received except
Thursday,June 16,2016
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
CITY OF CARMEL
TO: CONTRACT CHANGE ORDER NO.: 1
Drew O'Connor DATE: - December 18, 2015
Municipal&Contractors PROJECT NAME: Carmel Culvert 101 Pipe Liner Proj.
Sealing Products CITY REQ.NO.: 250-4350900
7740 Reinhold Drive CITY PO NO.: 32911
Cincinnati, Ohio 45237 CITY PO DATE: 10/15/2015
dc's
I. You are directed to make the following changes in this Contract:
This change order compensates the contractor for the additional soil stabilization
application (gallons) over the original quoted amount. MCSP used 15 gallons resulting in a 14
gallon overrun at$100/gal or$1,400.00.
SCHEDULED ADJUSTMENT
ITEM AMOUNT-- ffl.OR(-)DAYS
Soil Stab. Application(Addtl) $1,400.00 0
H. The following referenced Documents further describe the changes outlined in Paragraph I,and
are to be considered a part of this Change Order: R.F.P.: W.D.C. No.:
Other:
The changes result in the following adjustment of Contract Price and Contract Time:
Contract Price prior to this Change Order $ 47,100.00
Contract Price will be increased/decreased by this Change Order $ 1,400.00
New Contract Price including this Change Order $ 48,500.00
Contract Time Prior to this Change Order Days Completion Date
Net increased/decreased resulting from this Change Order Days
Current Contract Time including this Change Order Days Completion Date
This Change Order is for full and final settlement of all direct, indirect, impact costs and time
extensions incurred at any time resulting from the performance of the changed work.
The Above Changes Are The Above Changes Are Approved:
` Recommended Accepted:
H W C GV3C-1P)6erAtr46 MUNICIPAL&CONTRACTORS SEALING PRODUCTS
ENGINEER CONTRACTOR J Brd,=Mr
[51 til. DG LA WASE S�'. $Oc 7740 REINHOLD DRIVE
Address Address Mary Burke.,,Member
IN�(A NAP oI.I s, W -WU4 4 CINCINNATI,OHIO 45237
City/S /Z' n� City/State ip L � is- ,Me er
By: 14e g� By
(�/C,. T7
Phone: 3/T� a�'-2 2/Z- Phone: (513)482-3300
61.
,Clerk-Tres Jer
Date: 1���- za6 Date: 01/04/2016 Date:_ �/�/�/� � ��e
J y,I ashman,City
Engineer
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Municipal&Contractors Invoice
Sealing Products
7740 Reinhold Drive 250 — 12,+-6 S O R 00
Cincinnati,Ohio 45237 Date Invoice#
1-800-537-5800-ToII Free 12/14/2015 15-10275
1-513-482-3300-Phone
1-513-482-3309-Fax
Bill To Ship To
CITY OF CARMEL DEPARTMENT OF ENGINEERING
JULIA LITCHFORD ONE CIVIC SQUARE
One Civic Square CARMEL,IN 46032
Carmel,IN 46032
S.O. No. P.O. No. Terms Project
INVOICE 32911 250-4350900 Net 30 15-067 CARMEL D...
Item Description Orde... Prev. In... Back... Invoic... U/M Rate Amount
SERVICE... PermaCast PL8000 application on 1 38,000.00 38000.00T
60'X 72"CMP Pipe
SERVICE... By-Pass for lining 60'X 72"CMP 1 9,000.00 9,000.00T
Pipe
SERVICE... Soil Stabilization application with 15 100.00 1,500.00T
AZON 552(price per gallon)
JOB#: 15-067 CARMEL
CULVERT
CITY OF CARMEL
PO:250-4350900
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Subtotal $48,500.00
Sales Tax (0.0%) $0.00
Balance due upon receipt.
20%Restocking fee applied to all returned goods.All returns must be in"NEW"condition Total $48,500.00
to be acceptable.
Payments/Credits $0.00
J
Balance Due $48,500.00
Phone# Fax# E-mail Web Site
1-800-537-5800 513-482-3309 Mcsp7740@gmail.com www.mcspinc.com