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Home My WebLink About305170 11/14/16 0'�l �, CITY OF CARMEL, INDIANA VENDOR: 368798 ® �; ONE CIVIC SQUARE HARDING MATERIAL INC CHECK AMOUNT: $***224,737.72* :. �_� CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK NUMBER: 305170 ,,y�roN INDIANAPOLIS IN 46256 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 11990 25.87 BITUMINOUS MATERIALS 2201 4236300 12002 100.00 BITUMINOUS MATERIALS 2201 4236300 12175 74.13 BITUMINOUS MATERIALS 2201 4236300 12257 110.45 BITUMINOUS MATERIALS 2201 4236300, 12313 49.75 BITUMINOUS MATERIALS 2201 4236300 12351 25.37 BITUMINOUS MATERIALS 2201 4350200 55284 75,544.00 STREET REPAVING 2201 4350200 33509 55284 148,808.15 2016 PAVING PROJECT VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) HARDING MATERIAL INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF$ CITY OF CARMEL 10151 HAGUE ROAD 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. $125.87 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 11990 42-363.00 $25.87 1 hereby certify that the attached invoice(s),or 10/18/16 11990 $25.87 2201 201 2201 201 12002 42-363.00 $100.00 bill(s)is(are)true and correct and that the 10/19/16 12002 $100.00 2201 1 1 201 1 materials or services itemized thereon for 2201 201 which charge is made were ordered and received except Tuesday, November 01,2016 Dave Huffman Director 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 HARDING MATERIALS INC. -- ------ ----- -- 10151 Hague Road INVOICE# Indianapolis,Indiana 46256 12002 1-844-HARDING -----_-_------ -- Fax: (317)570-4317 INVOICE DATE HardingGroup.com 10/19/2016 BILL TO: SHIP TO: CAR210 CARMEL STREET DEPARTMENT 3400 W 131 st Street CARMEL,IN 46074 (317)733-2001 ' ORDER DATE: 10/19/2016 TERMS:Net 30 TAX JURIS:EX 5-5-16 Street Patching 2016 ITEM# ORDERED SHIPPED DESCRIPTION UNIT EXT. PRICE 3325N 2.01TN 2.01TN 9.5MM SURFACE 49.75 100.00 -rte , r Sales Tax Deposit Total 100.00 0.00 0.00 100.00 A FINANCE CHARGE OF 1 1n%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL PLEASE REMIT 10151 HAGUE RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL TO: ROAD BE LIABLE FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING MATERIALS,INC.TO ENFORE THE TERMS OF COLLECTION.IF PAYING BY INDIANAPOLIS, CREDIT CARD A 3%PROCESSING FEE WILL BE ADDED TO THE TOTAL AMOUNT IN 46256 BEING PAID AT TIME OF PAYMENT. HARDING MATERIALS INC. - --------___._--- --- 10151 Hague Road INVOICE# Indianapolis,Indiana 46256 11990 1-844-HARDING Fax: (317)570-4317 INVOICE DATE HardingGroup.com 10/18/2016 BILL TO: SHIP TO: CAR210 CARMEL STREET DEPARTMENT 3400 W 131st Street CARMEL,IN 46074 (317)733-2001 ORDER DATE: 10/18/2016 TERMS:Net 30 TAX JURIS: EX 5/5/2016 Street Patching 2016 ITEM# ORDERED SHIPPED DESCRIPTION UNIT EXT. PRICE 3325N 0.52TN 0.52TN 9.5MM SURFACE 49.75 25.87 • ¢ t t k c Sales Tax Deposit Total 25.87 0.00 0.00 25.87 A FINANCE CHARGE OF 1 i2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL PLEASE REMIT 10151 HAGUE RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL TO: ROAD ,BE LIABLE FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING MATERIALS,INC.TO ENFORE THE TERMS OF COLLECTION.IF PAYING BY INDIANAPOLIS, CREDIT CARD A 3%PROCESSING FEE WILL BE ADDED TO THE TOTAL AMOUNT IN 46256 BEING PAID AT TIME OF PAYMENT. Harding Materials , Inc . 1 0 1 5 1 Hague Road Indianapolis , IN 46256 ( 31 7 ) 846 - 740.1 O ( 317 ) 849 - 9666 Date: 10/18/16 - Ticket #: N339722 Time: 09:18 Plant: 100 *** Silo 1 Loadout *** Customer: CAR210 Job: 5-5-16 City of Carmel'Street Department Street Patching 2016 3400 W 131st Street Westfield, IN 46074 , 317-733-2001 P:0.#: Carrier: 1 OUTSIDE CARRIER Phase: 1 Truck: SA License: Crew: Product: 3325N 9.5mm Surface JMF: (Daily) Loads: 87 Amount: 111.73 TN 101.36 Mg (To-Date) Loads: 87 Amount: 111.73 TN 101.36 Mg Gross: 6.39 TN 12780 lb 5.80 Mg Tare: 5.87 TN 11740 lb 5.33 Mg Net: 0.52 TN 1040 lb 0.47 Mg Received By:-- y - Weighmaster: SHAWN Harding - Materials , Inc . 10151 Hague Road Indianapolis , IN 46256 ( 31 7 ) 84. 6 - 7401 O ( 317 ) 849 - 9666 Date: 10/19/16 Ticket #: N339810 Time: 09:15 Plant: 100 *** Silo 1 Loadout *** Customer: CAR210 Job: 5-5-16 City of Carmel Street Department Street Patching 2016 3400 W 131st Street Westfield, IN 46074 , 317-733-2001 P.O.#: Carrier: 1 OUTSIDE CARRIER Phase: 1 Truck: SA License: Crew: Product: 3325N 9.5mm Surface JMF: (Daily) Loads: 88 Amount: 113.74 TN 103.18 Mg (To-Date) Loads: 88 Amount: 113.74 TN 103.18 Mg Gross: 8.28 TN 16560 lb 7.51 Mg Tare: 6.27 TN 12540 lb 5.69 Mg Net: 2.01 TN 4020 lb 1.82 Mg Received By: ~ A'A- 44 � Weighmaster: SHAWN 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. $148,808.15 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 55284 43-502.00 $148,808.15 1 hereby certify that the attached invoice(s),or 11/8/16 55284 $148,808.15 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 Tuesday, November 08,2016 _ Dave Huffman Director 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 APPLICATION AND CERTIFICATE FOR PAYMENT To(OWNER): Project: CITY OF CARMEL CARMEL CITY STREETS 2016 Application No:6 ATTN: STREET DEPARTMENT VARIOUS STREET 3400 W. 131 ST STREET CARME,IN 46074 Invoice No: 55284 CARMEL,IN 46074 From: Via(Architect): Period To: 10/31/2016 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 3,754,376.30 Totals 0.00 0.00 5)Retainage 0.00 Net change by change order 0.00 6)Total Earned less Retainage 3,754,376.30 7) Less Previous Certificates for Payment 3,530,024.15 8) Current Payment Due 224,352.15 9)Balance to Finish, including Retainage -75,544.00 The undersigned Contractor certifies that to the best of the Contractor's State Of �- �. County Of. Y Y'1 J J►v �_ knowledge,information and belief the Work covered by this Application for Subscribed and sworn to before me this t- day ofC 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: ,,t ` I Certificates for Payment were issued and payments received from the Owner,and My Commission Expires:1� that current payment shown herein is now due. D 3 =Expires ITH S'gn e D e te of Indiana ounty s Nov 15,2023 ITEM SCHEDULED STORED NO. DESCRIPTION VALUE PREVIOUS THIS PERIOD MATERIALS TOTAL % BALANCE RETAINAGE 01 AET OR AE,150 TAC 92,400.00 101,587.04 0.00 0.00 101,587.04 110 -9,187.04 0.00 02 905 TYPE B SURFACE 2,286,680.24 2,323,250.06 0.00 0.00 2,323,250.06 102 -36,569.82 0.00 03 TYPE C SURFACE 29,735.00 0.00 0.00 0.00 0.00 0 29,735.00 0.00 04 BAD SPOTS CUT/REMOVED- 97,500.00 32,500.00 52,087.50 0.00 84,587.50 87 12,912.50 0.00 MILLING 05 MILLING/PERIMETER MILLIG 321,350.25 350,435.75 0.00 0.00 350,435.75 109 -29,085.50 0.00 06 BLUE REFLECTORS 27,380.00 8,260.00 19,120.00 0.00 27;380.00 100 0.00 0.00 07 4"YELLOW CROSSSTITCH 94.25 0.00 94.25 0.00 94.25 100 0.00 0.00 08 8"SOLID YELOW 2,212.70 2,212.70 0.00 0.00 2,212.70 100 0.00 0.00 09 4"SOLID YELLOW&4"SKIP 9,680.88 7,830.00 1,850.88 0.00 9,680.88 100 0.00 0.00 YELLOW 10 12"YELLOW CROSSSTITCH 680.20 680.20 0.00 0.00 680.20 100 0.00 0.00 11. 4"SOLID/BROKEN WHITE LINE 5,200.02 2,600.00 2,600.02 0.00 5,200.02 100 0.00 0.00 12 SHARK TEETH 2,080.00 0.00 2,080.00 0.00 2,080.00 100 0.00 0.00 13 6"WHITE CROSSWALK 976.80 460.00 516.80 0.00 976.80 100 0.00 0.00 14 24"WHITE STOPBARS 9,177.00 4,500.00 4,677.00 0.00 9,177.00 100 0.00 0.00 15 LANE INDICATOR ARROWS 2,573.00 1,250.00 1,323.00 0.00 2,573.00 100 0.00 0.00 16. 11ONLY'S" 5,650.00 0.00 5,650.00 0.00 5,650.00 100 0.00 0.00 17 24"WHITE PIANO KEYS 6,380.20 2,800.00 - 3,580.20 0.00 6,380.20 100 0.00 0.00 18 ROUNDABOUT ARROWS 1,494.00 1,200.00 294.00 0.00 1,494.00 100 0.00 0.00 19 8"SOLID WHITE LINE 304.50 0.00 304.50 0.00 304.50 100 0.00 0.00 20 6 SOLID WHITE LINE 1,197.90 600.00 597.50 0.00 1,197.50 100 0.40 0.00 21 8"YELLOW CROSSHATCH 89.90 0.00 89.90 0.00 89.90 100 0.00 0.00 22 12"WHITE CROSSHATCH 173.80 0.00 173.80 0.00 173.80 100 0.00 0.00 23 COMBINATION ARROW 996.00 0.00 996.00 0.00 996.00 100 0.00 0.00 24 4'X T WHITE DASH 200.00 0.00 200.00 0.00 200.00 100 0.00 0.00 25 6'X T WHITE DASH 250.00 0.00 250.00 0.00 250.00 100 0.00 0.00 26 4"WHITE PARKING"T" 732.00 0.00 732.00 0.00 732.00 100 0.00 0.00 27 BIKE PATH ARROW 520.00 0.00 520.00 0.00 520.00 100 0.00 0.00 28 BIKE PATH SYMBOL 850.00 0.00 850.00 0.00 850.00 100 0.00 0.00 29 COMPACTED AGGREGATE 18,949.50 0.00 0.00 0.00 0.00 0 18,949.50 0.00 BASE 30 LOOPS 1,394.76 0.00 1,394.46 0.00 1,394.46 100 0.30 0.00 31 CONCRETE CURB 315,780.00 508,108.81 18,980.64 0.00 527,089.45 167 -211,309.45 0.00 REPACEMENT 32 CHAIRBACK CURB 109,480.00 0.00 38,810.66 0.00 38,810.66 35 70,669.34 0.00 33 STREET PANELS 106,110.00 0.00 0.00 0.00 0.00 0 106,110.00 0.00 34 ADA RAMP 15,789.50. 60,284.24 15,505.36 0.00 75,789.60 480 -60,000.10 0.00 35 4"WIDE SIDEWALK 5,474.00 39,465.35 7,309.98 0.00 46,775.33 855 -41,301.33 0.00 36 GREATER THAN 4'WIDE 578.90 0.00 0.00 0.00 0.00 0 578.90 0.00 SIDEWALK 37 ARTS DISTRICT BRICK 130,200.00 82,000.00 43,763.70 0.00 125,763.70 97 4,436.30 1 0.00 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 3,530,024.15 224,352.15 0.00 3,754,376.30 102 -75,544.000.00 AFFIDAVIT AND WAIVER OF LIEN [] FINAL [X] PARTIAL [X] PAYMENT TO FOLLOW STATE OF INDIANA COUNTY OF HAMILTON Adam Morehouse 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 behalfof the*aforementioned subcontractor/supplier: (PARTIAL WAIVER)that there is due from the contractor the sum:TWO HUNDRED TWENTY FOUR THOUSAND,THREE HUNDRED FIFTY TWO DOLLARS AND FIFTEEN CENTS$2242352.15 []receipt of which is hereby acknowledged;or [X]payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount,and.which waiver shall Be effective only upon receipt of payment thereof by the undersigned: (FINAL WAIVER)that final balance due from the contractor is the sum of: []receipt of which is hereby acknowledged;of the payment of which has been promised as the sole consideration of this Affidavit and. Final:Waiver of Lien which is given solely with respect to said amount,and which shall Become.Effective upon receipt of payment thereof by the undersigned: THEREFORE,the undersigned waives and releases unto the Owner of said premises,any and all lien or claim whatsoever onthe above described property and improvements thereon on account of Labor or material or both,furnished by the undersigned thereto,subject to limitations or conditions expressed herein, if any;and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project,and within the scope of this affidavit and waiver. HARDING GROUP WITNESS MY HAND AND NOTARIAL SEAL,th152 Day of 11 1' ,2016 1 LG My Commission Expire •`, �! �\: � Y I , 1't' County of Residence: LISA M SMITH Seal Notary Public-State of Indiana Hamilton County My Commission Expires Nov 15,200 23 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) HARDING MATERIAL INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 10151 HAGUE ROAD IN SUM OF$ 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. $75,803.70 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 12175 42-363.00 $74.13 1 hereby certify that the attached invoice(s),or 10/24/16 12175 $74.13 2201 201 2201 201 12257 42-363.00 $110.45 bill(s)is(are)true and correct and that the 10/27/16 12257 $110.45 2201 201 materials or services itemized thereon for 2201 201 12313 42-363.00 $49.75 10/28/16 12313 $49.75 2201 201 which charge is made were ordered and 2201 201 12351 42-363.00 $25.37 received except 10/31/16 12351 $25.37 2201 201 2201 201 55284 43-502.00 $75,544.00 11/8/16 55284 $75,544.00 2201 201 2201 201 Tuesday, November 08,2016 Dave Huffman Director 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 HARDING MATERIALS INC. - -- ----_—_- 10151 Hague Road INVOICE# Indianapolis,Indiana 46256 12175 1-844-HARDING --- - -- ---- Fax: (317) 570-4317 INVOICE DATE HardingGroup.com 10/24/2016 BILL TO: SHIP TO: CAR210 CARMEL STREET DEPARTMENT 3400 W 131 st Street CARMEL,IN 46074 (317)733-2001 ORDER DATE: 10/24/2016 TERMS:-Net 30 TAX JURIS:EX- - 5/5/2016 Street Patching 2016 ITEM# ORDERED SHIPPED DESCRIPTION UNIT EXT. PRICE 3325N 1.49TN 1.49TN 9.5MM SURFACE 49.75 74.13 L f,t - i Sales Tax Deposit Total 74.13 0.00 0.00 74.13 A FINANCE CHARGE OF 1111%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL PLEASE REMIT 10151 HAGUE RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL TO: ROAD BE LIABLE FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING MATERIALS,INC.TO ENFORE THE TERMS OF COLLECTION.IF PAYING BY INDIANAPOLIS, CREDIT CARD A 3%PROCESSING FEE WILL BE ADDED TO THE TOTAL AMOUNT IN 46256 BEING PAID AT TIME OF PAYMENT. HARDING MATERIALS INC. - -- - 10151 Hague Road INVOICE# Indianapolis,Indiana 46256 12257 1-844-HARDING -MEW —- Fax: (317)570-4317 INVOICE DATE HardingGroup.com 10/27/2016 BILL TO: SHIP TO: CAR210 CARMEL STREET DEPARTMENT 3400 W 131 st Street CARMEL,IN 46074 (317)733-2001 ORDER DATE: 10/27/2016 TERMS:Net 30 TAX JURIS:EX 5/5/2016 , Street Patching 2016 ITEM# ORDERED SHIPPED DESCRIPTION UNIT EXT. PRICE 3325N 2.22TN 2.22TN 9.5MM SURFACE 49.75 110.45 l ,l • r Sales Tax Deposit Total 110.45 0.00 0.00 110.45 A FINANCE CHARGE OF 1 u2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL PLEASE REMIT 10151 HAGUE RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNT'S.CUSTOMER SHALL TO: ROAD BE LIABLE FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING MATERIALS,INC.TO ENFORE THE TERMS OF COLLECTION.IF PAYING BY INDIANAPOLIS, CREDIT CARD A 3%PROCESSING FEE WILL BE ADDED TO THE TOTAL AMOUNT IN 46256 BEING PAID AT TIME OF PAYMENT. HARDING MATERIALS INC. -- - —- - - --- MEW10151 Hague Road INVOICE# Indianapolis,Indiana 46256 12313 1-844-E ARDING Fax: (317)570-4317 INVOICE DATF HardingGroup.com 10/28/2016 BILL TO: SHIP TO: CAR210 CARMEL STREET DEPARTMENT 3400 W 131st Street CARMEL,IN 46074 (317)733-2001 ORDER DATE: 10/28/2016 TERMS:Net 30 TAX JURIS:EX 5-5-16 Street Patching 2016 ITEM# ORDERED SHIPPED DESCRIPTION UNIT EXT. PRICE 33t5N 1TN ITN 9.5MM SURFACE 49.75 49.75 r f _ 9 Sales Tax Deposit Total 49.75 0.00 0.00 49.75 A FINANCE CHARGE OF 1"%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL PLEASE REMIT 10151 HAGUE RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL TO: ROAD BE LIABLE FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING MATERIALS,INC.TO ENFORE THE TERMS OF COLLECTION.IF PAYING BY INDIANAPOLIS, CREDIT CARD A 3%PROCESSING FEE WILL BE ADDED TO THE TOTAL AMOUNT IN 46256 BEING PAID AT TIME OF PAYMENT. HARDING MATERIALS INC. — - - Imw10151 Hague Road INVOICE# Indianapolis,Indiana 46256 12351 1-844-HARDING Fax: (317)570-4317 INVOICE DATF HardingGroup.com 10/31/2016 BILL TO: SHIP TO: CAR210 CARMEL STREET DEPARTMENT 3400 W 131st Street CARMEL,IN 46074 (317)733-2001 ORDER DATE: 10/31/2016 TERMS:Net 30 TAX JURIS: EX 5-5-16 Street Patching 2016 ITEM# ORDERED SHIPPED DESCRIPTION UNIT EXT. PRICE 3325N 0.51TN 0.51TN 9.5MM SURFACE 49.75 25.37 1 •� Sales Tax Deposit Total 25.37 0.00 0.00 25.37 A FINANCE CHARGE OF 1 u2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL PLEASE REMIT 10151 HAGUE RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL TO: ROAD BE LIABLE FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING MATERIALS,INC.TO ENFORE THE TERMS OF COLLECTION.IF PAYING BY INDIANAPOLIS, CREDIT CARD A 3%PROCESSING FEE WILL BE ADDED TO THE TOTAL AMOUNT IN 46256 BEING PAID AT TIME OF PAYMENT. APPLICATION AND CERTIFICATE FOR PAYMENT To(OWNER): Project: CITY OF CARMEL CARMEL CITY STREETS 2016 Application No:6 ATTN: STREET DEPARTMENT VARIOUS STREET 3400 W. 131 ST STREET CARME,IN 46074 Invoice No: 55284 CARMEL,IN 46074 From: Via(Architect): Period To: 10/31/2016 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 3,754,376.30 Totals 0.00 0.00 5)Retainage 0.00 Net change by change order 0.00 6)Total Earned less Retainage 3,754,376.30 7)Less Previous Certificates for Payment 3,530,024.15 8) Current Payment Due 224,352.15 9)Balance to Finish,including Retainage -75,544.00 The undersigned Contractor certifies that to the best of the Contractor's State Of County Of: knowledge,information and belief the Work covered by this Application for Subscribed and sworn to before me this D S day of Payment has been completed in accordance with the Contract Documents,that �1 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:;� ` I` that current payment shown herein is now due. ( � • LISA M SMITH 4e t D aye Seal a Notary Public-State of Indiana. Hamilton County My Commission Expires Nov 15,2023 ITEM SCHEDULED STORED NO. DESCRIPTION VALUE PREVIOUS THIS PERIOD MATERIALS TOTAL % BALANCE RETAINAGE 01 AET OR AE 150 TAC 92,400.00 101,587.04 0.00 0.00 101,587.04 110 -9,187.04 0.00 02 905 TYPE B SURFACE 2,286,680.24 2,323,250.06 0.00 0.00 2,323,250.06 102 -36,569.82 0.00 03 TYPE C SURFACE 29,735.00 0.00 0.00 0.00 0.00 0 29,735.00 0.00 04 BAD SPOTS'CUT/REMOVED- 97,500.00 32,500.00 52,087.50 0.00 84,587.50 87 12,912.50 0.00 MILLING 05 MILLINGIPERIMETER MILLIG 321,350.25. 350,435.75 0.00 0.00 350,435.75 109 -29,085.50 0.00 06 BLUE REFLECTORS 27,380.00 8,260.00 19,120.00 0.00 27,380.00 100 0.00 0.00 07 4"YELLOW CROSSSTITCH 94.25 0.00 94.25 0.00 94.25 100 0.00 0.00 08 8"SOLID YELOW 2,212.70 2,212.70 0.00 0.00 2,212.70 100 0.00 0.00 09 4"SOLID YELLOW&4"SKIP 9,680.88 7,830.00 1,850.88 0.00 9,680.88 100 0.00 0.00 YELLOW 10 12"YELLOW CROSSSTITCH .680.20 680.20 0.00 0.00 680.20 100 0.00 0.00 11. 4"SOLIDBROKEN WHITE LINE 5,200.02 21600.00 2,600.02 0.00 5,200.02 100 0.00 0.00 12 SHARK TEETH 2,080.00 0.00 2,080.00 0.00 2,080.00 100 0.00 0.00 13 6"WHITE CROSSWALK 976.80 460.00 516.80 0.00 976.80 100 0.00 0.00 14 24"WHITE STOPBARS 9,177.00 4,500.00 4,677.00 0.00 9,177.00 100 0.00' 0.00 15 LANE INDICATOR ARROWS 2,573.00 1,250.00 1,323.00 0.00 2,573.00 100 0.00 0.00 16 11ONLY'S" 5,650.00 0.00 5,650.00 0.00 5,650.00 100 0.00 0.00 17 24"WHITE PIANO KEYS 6,380.20 2,800.00 3,580.20 0.00 6,380.20 100 0.06 0.00 18 ROUNDABOUT ARROWS 1,494.00 1,200.00 294.00 0.00 1,494.00 100 0.00 0.00 19 8"SOLID WHITE LINE 304.50 0.00 304.50 0.00 304.50 100 0.00 0.00 20 6"SOLID WHITE LINE 1,197.90 600.00 597.50 0.00 1,197.50 100 0.40 0.00 21 8"YELLOW CROSSHATCH 89.90 0.00 89.90 0.00 89.90 100 0.00 0.00 22 12"WHITE CROSSHATCH 173.80 0.00 173.80 0.00 173.80 100 0.00 0.00 23 COMBINATION ARROW 996.00 0.00 996.00 0.00 996.00 100 0.00 0.00 24 4'X T WHITE DASH 200.00 0.00 200.00 0.00 200.00 100 0.00 0.00 25 6'X T WHITE DASH 250.00 0.00 250.00 0.00 250.00 100 0.00 0.00 26 4"WHITE PARKING"T" 732.00 0.00 732.00 0.00 732.00 100 0.00 0.00 27 BIKE PATH ARROW 520.00 0.00 520.00 0.00 520.00 100 0.00 0.00 28 BIKE PATH SYMBOL 850.00 0.00 850.00 0.00 850.00 100 0.00 0.00 29 COMPACTED AGGREGATE- BASE 18,949.50 0.00 0.00 0.00 0.00 0 18,949.50 0.00 30 LOOPS 1,394.76 0.00 1,394.46 0.00 1,394.46 100 0.30 0.00 31 CONCRETE CURB 315,780.00 508,108.81 18,980.64 0.00 527,089.45 167 -211,309.45 0.00 REPACEMENT 32 CHAIRBACK CURB 109,480.00 0.00 38,810.66 0.00 38,810.66 35 70,669.34 0.00 33 STREET PANELS 106,110.00 0.00 0.00 0.00 0.00 0 106,110.00 0.00 34 ADA RAMP 15,789.50 60,284.24 15,505.36 0.00 75,789.60 480 -60,000.10 0.00 35 4"WIDE SIDEWALK 5,474.00 39,465.35 7,309.98 0.00 46,775.33 855 -41,301.33 0.00 36 GREATER THAN 4'WIDE 578.90 0.00 0.00 0.00 0.00 0 578.90 0.00 SIDEWALK 37 ARTS DISTRICT BRICK 130,200.00 82;000.00 43,763.70 0.00 125,763.70 97 4,436.30 0.00 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 3,530,024.15 224,352.15 0.00 1 3,754,376.30 102 1 -75,544.00 1 0.00 AFFIDAVIT AND WAIVER OF LIEN [] FINAL [X] PARTIAL [X] PAYMENT TO FOLLOW STATE OF INDIANA COUNTY OF HAMILTON Adam Morehouse being duly sworn states that he is the Officer of Harding Group having contracted with CITY OF CARMEL to furnish certain materials and/or laboras 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:TWO HUNDRED TWENTY FOUR THOUSAND,THREE HUNDRED FIFTY TWO DOLLARS AND FIFTEEN CENTS$2241352.15 []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 of- []receipt of which is hereby acknowledged;of Q 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 onthe 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 GROUP WITNESS MY HAND AND NOTARIAL SEAL,this Day of II ,2016 My Commission Expire : t� -S� "! K` County. 1 Coun of Residence. r , LISA M SMITH Sear Notary Public-State of Indiana Hamilton County My Commission Expires.Nov 15.2023 Harding Materials , Inc _ . 10151 Hague Road Indianapolis , IN 46256 ( 317 ) 846 - 7401 O ( 317 ) 849 - 9666 Date: 10/27/16 Ticket #: N340686 Time: 14:12 Plant: 100 *** Silo 2 Loadout *** Customer: CAR210 Job: 5-5-16 City of Carmel Street Department Street Patching 2016 3400 W 131st Street Westfield, IN 46074 317=733-2001 P.O.#: Carrier: 1 OUTSIDE CARRIER Phase: 1 Truck: SA License: Crew: Product: 3325N 9.5mm Surface JMF: (Daily) Loads: 93 Amount: 126.57 TN 114.82 Mg (To-Date) Loads: 93 Amount: 126.57 TN 114.82 Mg Gross: 11.03 TN 22060 ib 10.01 Mg Tare: 8.81 TN 17620 lb 7.99 Mg Net: 2.22 TN 4440 lb 2.01 Mg Received By: Weighmaster: SHAWN Harding M-a t e r i a l s , I n c 1 0 1 51-_.,.,.,.Hague Road Indianapolis , IN 46256 ( 317 ) 846 - 7401 O ( 317 ) 849 - 9666 Date: 10/28/16 Ticket #: N340748 Time: 09:08 Plant: 100 *** Silo 2 Loadout *** Customer: CAR210 Job: 5-5-16 City of Carmel Street Department Street Patching 2016 3400 W 131st Street Westfield, IN 46074 317-733-2001 P.O.#: Carrier: 1 OUTSIDE CARRIER Phase: 1 Truck: SA License: Crew: Product: 3325N 9.5mm Surface JMF: (Daily) Loads: 94 Amount: 127.57 TN 115.73 Mg (To-Date) Loads: 94 Amount: 127.57 TN 115.73 Mg Gross: 9.92 TN 19840 lb 9.00 Mg Tare: 8.92 TN 17840 lb 8.09 Mg Net: 1.00 TN 2000 lb 0.91 Mg i Received By':'Z:�4 Weighmaster: SHAWN Harding Materials , Inc . 10151 Hague Road Indianapolis , IN 46256 ( 3 1 7 ) 846 - 7401 O ( 317 ) 849 - 9666 Date: 10/31/16 Ticket #: N340940 Time: 09:51 Plant: 100 *** Silo 1 Loadout *** Customer: CAR210 Job: 5-5-16 City of Carmel Street Department Street Patching 2016 3400 W 131st Street Westfield, IN 46074 317-733-2001 P.O.#: Carrier: 1 OUTSIDE CARRIER Phase: 1 Truck: SA License: Crew: Product: 3325N 9.5mm Surface JMF: (Daily) Loads: 95 Amount: 128.08 TN 116.19 Mg (To-Date) Loads: 95 Amount: 128.08 TN 116.19 Mg Gross: 5.95 TN 11900 lb 5.40 Mg Tare: 5.44 TN 10880 lb 4.94 Mg Net: 0.51 TN 1020 lb 0.46 Mg 69!f R : Y eceived B ✓ Weighmaster: SHAWN Harding Materials , Inc . 10151 Hague Road Indianapolis , IN 46256 ( 3 1 7 ) 846 - 7401 O ( 317 ) 849 - 9666 Date: 10/24/16 Ticket #: N340084 Time: 09:26 Plant: 100 *** Silo 1 Loadout *** Customer: CAR210 Job: 5-5-16 City of Carmel Street Department Street Patching 2016 3400 W 131st Street Westfield, IN 46074 , 317-733-2001 P.O.#: Carrier: 1 OUTSIDE CARRIER Phase: 1 Truck: SA License: Crew: Product: 3325N 9.5mm Surface JMF: (Daily) Loads: 89 Amount: 115.23 TN 104.54 Mg (To-Date) Loads: 89 Amount: 115.23 TN 104.54 Mg Gross: 7.73 TN 15460 lb 7.01 Mg Tare: 6.24 TN 12480 lb 5.66 Mg Net: 1.49 TN 2980 lb 1.35 Mg Received By: _ &s . r X23 Weighmaster: SHAWN