HomeMy WebLinkAbout302376 08/25/16 a°''
CITY OF CARMEL, INDIANA VENDOR: 367514
'l ONE CIVIC SQUARE JBM CONTRACTORS CORP CHECK AMOUNT: $*""87,350.00'
��qb
?� CARMEL, INDIANA 46032 5299 w OLD 106TH ST CHECK NUMBER: 302376
9,�,_l ZIONSVILLE IN 46077 CHECK DATE: 08/25/16
ITON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 33144 9 87,350.00 ALT 1 PALLADIUM LANDS
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
JBM CONTRACTORS CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
5299 W OLD 106TH ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ZIONSVILLE, IN 46077 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$87,350.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Redevelopment Commission 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
33144 9 44-608.07 $87,350.00 1 hereby certify that the attached invoice(s),or 6/30/16 9 Palladium landscaping $87,350.00
902 902 902 902
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday,August 17,2016
Come Meyer
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Document G732 -2009
Application and CertifJcate for Payment;Construction,Manager as Adviser Eftba .
m(OWNER)1 GtyofCatmtlRedcVelcptnentC°mI tTOR PROJECT._MmFoUmfUinAtthe CenWfor the FterfmnlnaArte 'APPLNOa 9 DISTRIBUTION•T0.
9D WezL MalnStrte4 Sdte 270 IandimPe Poelosge._ OWNER
tirmaT IN 46032 PEHtoD,Tgf. gt-d . CatMUCIIONMANAGER
'ODNTRACFD76
ATF_s Al(Qi1TECF
MOM(ODNTRACTOR): JamprtsamCnrp VIA JCC STRUCR0NMANA(IN:SWSax0m PRI)=NOS. CONTRACTOR
55799W.Did MthSLla_et - '902NartH[epiCclAvenue. HELD-.. .
2Jo'M41Ue,IN4WT7 .. ' - Ir�lanapollblN:46204, ..
.. 'OTHER
CONTRACT FORT Lmndsape Padar -VIA WRGDTECT7,CSCI ArchIM h '
CONTRACTOWs,APPLICATION FOR-PAYMENT thewWgrsk WbonbuWmWmtfntt fl bc:t �
fth°Cont %IQaw"e..TnWmedon
ApplkaUrnbmadef°rPe�nart,uah°wnbelbu4MmnnedbnwlththeCentnKt. andhdhftheWakmreredbythbApplkaBwrymmt
frxPahasbemwmpletedineomrdanen' .
CrnUnwUonSheet AIA DW=antG703,hatiodW. - %ft the CaMaatDoeum�+!ts.t}iat,aRam°unbhavebeenpatdby.theContract°rfarWorkwhich
pmoim.CmtR dcri-for Paytnentwe -lau t!and payrnenta mehed from the owner,and that
L ORIGmALCOMAACTSUM—..................-.— S. ..J. ,000., .eurreatpsYiR shcwnheminbirovdue.'.
NEFCHA INTHE
3. TO1af1THUne 1+RL—r S 355,000' CONTRACTOR
2; :$.
DATE- G
4.TOTALCOMPL0ED&SWRWTODAtt --�-• S 1SSfL 000: "
(Ootumn0anG7m)
state IN&6 ,. -
m°°tYof. aeo° MICHAELAdlif STUERENBERG,
S.MJUNAGE- ..sVWos [W and sworn to b'ra'n• -
a 5071 of Completed work me th[t ay o l
'"mn DtE an GM) $ 77,00 Notary , , .i••-I fab;:22',:20 ,0, ,
b. s.o% of d;s mitaNat.ryvue (y)ycommisafon Exp,reR
(CotumnFonGm) 9 -D 'exv + .•• 'L r. .. -
Total Retubvips(Una Sat-Sb orToW In CAM I GIG703)._..--. -.-.. S 77.1100 CERTIF1ChTE:FOR;PAYMENT
In iamdanoe wM the Contract Dccrm is,bawd onan-alte ob;,eMUM MW the data mmpri ft
6.TTJTALEARNED LESSRETAINAGE_ ... S SAN0.7D0 thbappllwtloi U; Constnr mMan?ierardAieldeedcritltytotheOvner,thsttothebestofthelr
(Uhe 4las flne57bro1) IarowledQe;hffarrcratlon and,bene[fltr:Work haa,pto¢r'essed as lndk+trrd,the..4uiflty of the Wok b.la
aowtdatce withthe 0onttact Doeoments and tha tciitraetarts eriUtleil to pajriNentof thm AMOUNT
7.LESS PREtWUSCERTIFICATESFORPAYMENT...:..... 1992.750 CE_R41ED., - -
(Une6fromprhx�rt(fJmtrJ "
!L CURRENTPAYMENTDUE...... .. ..... ..... .. $ - 37,350 AMOUNTCERTIFlW -. --- ..� $ 87.850
- (Attaeh egbrnNon if OMO t otrtpd doWxfmm thit°moeint appued(or.InR/ol
9.SAUINCETOFINISH,INCLUDING RETAINAGE °IljlpmonMAWbution°°donthefarftuatf°nSMatdmtmdwapdto
;mnlorrtitod(e,omouiRarrt�Ied.)
(t6restmLMed) S 127,488
COUCftONMAf ° Sht Sexton
Date- .!-'i•�. Y
BYN��G7�' -
CHANGE ORDER SUMMARY ADDITIONS' DEOUCnOPB '
Totalus rges mnrontJn the W ed In
owner
21
7 Z.S Totala Date:
hsh
.
TOTALS '365000.08 S' 0.00} .• - -
NETt]I1lNGE5 Chi e0rdv 365,000.00 ThlsCertlflwtelinotnegowWTheAMOUNfCERTIRED.hpayableardyitothe Canttactotnsrmd
here]n;lssoanca,payment and acseptarwe of p6yrnent are without prejtidlta to ary ryhta f tho Owner
a?ContraetmmdarNieeonhaet.
AIAOGCUMENTG732-2009(fomlmiy.G702CBm=L992)APPUCATIONAND.MWOyEFORPAYMBIT.'CCNSiRLJ MMANAGER=ADVMEDMON.
3992 EDITION'2992"NA 1992THE AMERICAN INSMUTE OP ARCIMCT5;1785 NEW YORK AVENUE,'N.W,,WASHINGTON.
D.C.200b5292 - - .
Page 1 of 1
CONTINUATION SHEET AIA DOCUMENT 6703
AIA Document 6702,APPLICATION AND CERTIFICATE FOR PAYMENT;contalriing APPLICATION 140.1 9
Contractor's signed.CertiRcation Is attached. APPLICATION DATE: 6/30/16
In tabulations below,amounts are stated to the nearest dollar. PERIODTO: 6/30/16
Use Column I on Contracts where variable retainage for line Items may apply. PROJECT NOS. 0
A B C D E F G H I
SCHEDULED WORK MATERIALS TOTAL
VALUE OOMPLETED PRESENTLY COMPLETED
FROM PREVIOUS STORED AND STORED BALANCE
ITEM DacRiPTION OF ESTIMATED APPLICATION (NOT IN TO DATE % TO FINISH 5.0%
NO. WORK COST PE). THIS PERIOD D OR O+E+FI G. (GG) RETAINAGE
1 Supervision $ 42,000 42,000 0 0 42,000 100% 0 2,100
2 Bonds $ 18,100 18,100 0 0 1%100 100%, 0 905
3 Contingency Allowance $ 50,000 0 0 0. 0 0% 50,000 0,
4 Mobilization S 1,000; 1000 D 0 1,000 .100% 0 50
5 Demobilization $ 1000' 0 1,000. 0 1;000 SOD% 0 50
6 Irssurance/Flazco n/Safety S 2,500 2,500 0 0 2,500 100% 0 125
7 Submittals $ 7,500 7500 0 0 7,500 1OD% 0 375
8 Field Engineering $ 10,000 101000. 0 0 1110130 100% 0 500
9 Ctmout $ 5,000 4,000 1,000 0_ 5,000 1OD% 0 250
10 Mist General Conditions $ 30,900' SOM 0. 0 3OX0 100% D 1.545
11 Temporary Walk Protection $ 28,000 28,000 0 0 28,000 100% . 0 1;400
12 Temporary Fence $ 10,000, 10,000. 0 0:- 10,000 100% , .0 500
n 0
14 Strip Sod $ 15,000. 15,000 0 0 15,000"'10D% 0 750
15 Subsurface Drains S 25,0130 2510D0• 0 0 25,000 100% 0 1,250
16 Concrete Foundadoms $ 165,000, 165,000; 0 0 165,000 100% .0 8,750
17Masonry $ 305,ODU 305,000 0 0 305,000 10096 0 15,750
18 Metal Fabrications $ 15,000. 15,000. 0 0 15,000: 100%- 0 750
19 Cast Iran Ums S 160,000- 160,000 0 0 .160,001) 100% 0 8,000
20 Waterproofing $ 30,000 30,0M 0 0 30,000 100% D 1400
21 Joint Sealants S 12,000 12,000 0 0 12,000 100% 0 600
22 Plant Plumbing System $ 50,000 SCA00 0- U SUN 100% 0 2,500
23 Electrtcal $ 120,000 120,000 0 0, 120,000 100% 0 6,000
24 Irrigation, $ 40,CMr 40,0011, 0 C 40,000 1009L 0 2,000
25 Landscaping $ 100,000 97,950 2,050 0 100,01M 100%. 0 5,000
26 Change Order 1=1-AddilonalAmu S 365,000 277,103 87,697 0 365,000 10096 0 18,250
27 0 0 0 0 NDIV/01 0 0
28 0 0 0 - 0 'ADIV/01 D 0
29 0 0 '0 0 RDN/0i 0 O
30 0 0. 0 0 RDN/01 O 0
31 0 0• .0 0 RDIV/01 0 0
82 0 0 0 0 ADN/01 0 D
33 _ b. 0 0 . D 4017/01_
34 0 0 0 0,ODIV/01 0 0
35
1,60000 1,466,053 "71 01 1,558,000 96996 1 50,000 77,900
AIA DOCUMENT 6702 APPLICATION AND CERTIFICATE FOR PAYMENT-4992 EDR'ION'AIA 199ZTHE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK
AVENUE;%W.,WASHINGTON,D.C.20006-5292
G703-1992
ALA DOCUMENT 6703 APPLICATIONAND CERTIFICATE FOR PAYMENT 1992 EDITION AIA 1992
M„7 1IN\1
falai
_ ijB,
iz%+tCRAr3QCtSCCi?D
PARn CONDITIONAL WAMR OF LIEN
W13E:lEtEAS;__ JBM Coatractors.Oom has;pursuant to:an agreement zv iii_ K Y of sanet
tedevelormegt Cbzuiaission punished bi taun matenaLs,.equtgiuent,seryicss,and/or labor,for the protect own as
���,.,�
The Palladium at the Center fortem A* Laadscane Paakag� locteci et_ aria
Center Oreeza:.CsritteL.IN 46Q3�
Wim,the-underopo is duly-authorized to.execute this Partial ConditionalWaidar of Igen=for and
on behalfof the sulicdritractor%supplier;
NOW]THBREFQRE,. M&C aniraztors Gore" upon receipt o£the sum of S 9735&0[
waives releases say and all hens or ng}is bf liens,bond gWins,or statgtory rights the Tenant, tracfar
Subcontractor,any and all t?wners of any title or interest in the real estate upon which the-Pipject xs situate (Owner),
the ct and tfirovements ocazed
e impl ;thereaai or,any right against any l
Proteabor and/or mateiii1 payment nd xt hes.
of uaay have on account.of any andall materiels,equipment;services,andJor;labor finiarshed for or m conn on
with
tEie Project through the date of 64012016 re1.pLubaumand w&,n_, nts to,Tenant,Contractor,Suls�eontractot
and 4wber thatno other person or party 3aas any right to a:,hen of claim on account,of suy materials, ent,
services, andlor labor fiir►atshed on or,before the Current Date by,,to' or`through.the Contractox, and agrees to
indemnify,defend,and h6ld4he Tenant,Contractor,Subcontractor and Owaer harmless from and aka—mi` and all.
laabilattes,losses,,costs,expenses,inoludmg attorney fees,by reason of claims or'Iiens for:any:materials,`equipment,
services;andh labor furnished for.or as cginnei ttion with tlie,Project poor to the.Current Date byy,thro 'or ta.the
.,
Cantres,Kor mchadiong,but::not liuiibed to claims or liens by the Gontractar's subcontractors,whatever tier,sWphers,or
equipment lessors: .
JBM C:ontiactors com. acttnowledges that,Ws Partial Conditional Waiver of Lien given to
induce.the,payment recited above, and that upon receipi of the.Current Payment by the Contractor, I r'"Partial
1
Conditional°Waiver afLiezx-becomes valid;:cnfdreeable;and.of full effect;and�may be recoixied.
• �� _ i
JwContractors Q=.'-
` -
N=649f Sulicbnt�iracto%i /
Authorized Riegresenti&e
Vice President
Title
Date
STAT$OF Indiana. _}
} SS:
COUNTY(7F Boone -
,Before me,a Notary Public in and for said County and State,personally appeared Drew Walters who
ealmowledged the execration of the foregoing Partial Conditional Waiver ofLien,and who,having been sworn,stated
that the requirements therein contained are tine.
Witness my hand and Notarial Seal this_ 300' day of sane 2016
My Commission s: 212. 022
fmly
HAEL JOHN$TUEREN�� Michael Staereanbera
Notary Public SEAL
Notary Public,State of Indiana
Gonsralssion.Expires Feb.22,2020
i