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313134 6/28/2017 �� ��'''� CITY OF CARMEL, INDIANA VENDOR: 00350511 4 4 ONE CIVIC SQUARE SMOCK FANSLER CORP CHECK AMOUNT: $****30,999.33* ;�+° CARMEL, INDIANA 46032 910W MINNESOTA S 1 CHECK NUMBER: 313134 ,, roe CHECK DATE: 06/28/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 2531 5,732.75 OTHER CONT SERVICES 2201 4350900 2532 8,314.55 OTHER CONT SERVICES 2201 4350900 2533 16,952.03 OTHER CONT SERVICES / # Z k ID O2 7ok § \ k§ O \ \ n 2-v Cn \0 / me { 2 E En- k/ k ƒ Lyl ~ m CD q /z /§ § k #§ q \ (D � k f a V -0 @ § § � / 3 3 / § / \ § § § 5 3 S 8 S ^ # 3 C � / z 2 ( $ \ $ > -n O / \ § \ / Q m | \ §S § $ S 2 > z \ § m k \ CD & ƒ 7 o m CD © . 0 2 ; _ \ A \ ¥ G I ' $ ®CD k ; 2 $ t< [ 7 \ \ 3 y % 3 CL \ J o G E / ) m = k / [ ƒ & S. E m g / § ,4 & { J k \ R § [ k/ � Q q0 ` «a R § 2 $ S $ CL w j _ CL J - cr q - - - q m _ - CD CD CL a) J $$ . 0 k� ) \ � t 2 � <0 _ 2 9 m z 2 O [ C" % [ / / \ / § S 2 m J \ k C: o ; 0 $ _� ( / } N %k k E } cr� - f� CD §/ k - g c a� D \ � M / - 0 f n 0j E CD \ \ r O E / _ z E ] \ C _ C % CD , R $ / k p \ u , \ } / / ƒ \ ] § 0 0 \ CD $ \ $ C \ > w § . / ¥ \ CD § G S ) ¥ \ Smock Fansler Corporation INVOICE 2910 W. Minnesota Street Indianapolis IN 46241- Invoice No:2531 (317) 248-8371 Date:6/15/2017 Bill To: Due Date:7/15/2017 CARMEL STREET DEPARTMENT 3400 W. 131 ST STREET Job No:17043 Description:96TH & SPRINGMILL ROUNDABOUT CARMEL IN 46074 PO #: Quantity Description Unit Price Extended Price 96TH & SPRINGMILL ROUNDABOUT REPAIR 1.00 TOTALAMOUNT DUE 5,732.75 5,732.75 Thank You For Your Business! Amount Now Due: 5,732.75 Terms:NET 30 DAYS INDIANA EXEMPT 0.00 Smock Fansler Corporation 2910 W. Minnesota Street INVOICE Indianapolis IN 46241- Invoice No:2532 (317) 248-8371 Date:6/15/2017 Bill To: Due Date:7/15/2017 CARMEL STREET DEPARTMENT 3400 W. 131 ST STREET Job No:17007 Description: 131 ST & SHELBOURNE R.A.B. REP. CARMEL IN 46074 PO #: Quantity Description Unit Price Extended Price 131ST & SHELBOURNE ROUNDABOUT REPAIR REPLACE DETERIORATED CAST STONE END BLOCKS IN ROUNDABOUT 1.00 TOTALAMOUNT DUE 8,314.55 8,314.55 Thank You For Your Business! Amount Now Due: 8,314.55 Terms:NET 30 DAYS INDIANA EXEMPT 0.00 Smock Fansler Corporation 2910 W. Minnesota Street INVOICE Indianapolis IN 46241- Invoice No:2533 (317) 248-8371 Date:6/15/2017 Bill To: Due Date:7/15/2017 CARMEL STREET DEPARTMENT 3400 W. 131 ST STREET Job No:17007 Description: 131ST & SHELBOURNE R.A.B. REP. CARMEL IN 46074 PO #: Quantity Description Unit Price Extended Price 131ST & SHELBOURNE ROUNDABOUT REPAIR REPAIR DAMAGED LIMESTONE BLOCK WALL IN ROUNDABOUT 1.00 TOTALAMOUNT DUE 16,952.03 16,952.03 Thank You For Your Business! Amount Now Due: 16,952.03 Terms:NET 30 DAYS INDIANA EXEMPT 0.00 9 F Dc 2910 West Minnesota Street Indianapolis,IN 46241.4541 317.248.8371 Tel Smock Fansler 317.244.4507 Fax C'OR POR A'1 10N Cicncral c��u nn..s.►inbitxvrs♦C'unstruniwt Mattay,en Quotation DATE: 2/3/2017 Quote# B17-0011 B TO: Lynette Hobbs, Carmel Street Department FROM: Joe Davee REGARDING: Limestone wall repair inside roundabout at 131st& Shelbourne, Carmel, IN We Propose to Provide the following Scope of Work: Replace deteriorated Cast Stone End Blocks in Roundabout Base Bid: $ 8,314.55 INCLUDES: Remove and replace 2 EA deteriorated cast stone end blocks wall blocks. New end blocks to be solid limestone. Work includes replacing damaged stainless steel end pins replacing and compacting stone base subgrade, removing and replacing all joint sealants in joints between wall blocks using road plates to minimize damage to surrounding landscaping EXCLUDES: Bonds, Permits or Related Fees Premium Time for shift work weekends or holidays. Replacement or restoration of plant materials and planter beds and/or irrigation. SALES TAX No INCLUDES ADDENDA n/a THROUGH n/a NOTES: Please call if you have any questions. Thanks For The Opportunity To Serve You! QUOTE- End Blocks 131st& Shelbourne z AFFIDAVIT AND WAIVER OF LIEN [X] Final [ ] Partial [ ] Payment to Follow State of Indiana County of Marion T.M. Fansler , being duly sworn states that he is the CEO of SMOCK FANSLER CORP. having contracted with: Carmel Street Department to furnish certain labor, materials, and/or services as follows: Misc. Construction for a project known as: SFC#17-007 131' & Shelbourne Roundabout Rep. located at Carmel,IN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the owner the sum of: $( 0_00) [ ] receipt of which is hereby acknowledged; or [ ] the 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 the final balance due from the owner is the sum of $8 314.55 Eight Thousand Three Hundred Fourteen Dollars and 55/100 [ ] receipt of which is hereby acknowledged; or [X] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. 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, Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. SMOCK FANSLER CORP. By / CEO T.M.Fansler WITNESS MY HAND AND NOTARIAL SEAL,this 151h day of June ,2017. 4,i?lzy Melissa J. Laue Notary Public _ My commission expires_October 23, 2024 Residing in Morgan County ^r^f- DF(C 2910 West Minnesota Street w Indianapolis,IN 46241.4541 317.248.8371 Tel Smock IFansler 317.244.4507 Fax ('<�R P 0 1 I()N GrixrniCwnra.or+�(ngirecrs�('n, ru1:n Mana�cra Quotation DATE: 4/21/2017 r Quote# B17-0048 TO: Lynette Hobbs, Carmel Street Department FROM: Joe Davee REGARDING: Limestone wall repair inside roundabout at 96th & Springmill-2017 accident We Propose to Provide the following Scope of Work: Replace damaged End Block and reinstall one wall block in Roundabout Base Bid: $ 5,732.75 INCLUDES: Remove and replace 1 EA damaged limestone end block and reinstall 1 EA wall block shifted be vehicular impact. Work includes replacing damaged stainless steel pins and plates replacing and compacting stone base subgrade, removing and replacing all joint sealants in joints between wall blocks using road plates to minimize damage to surrounding landscaping EXCLUDES: Bonds, Permits or Related Fees Premium Time for shift work weekends or holidays. Replacement or restoration of plant materials and planter beds and/or irrigation. SALES TAX No INCLUDES ADDENDA n/a THROUGH n/a NOTES: Please call if you have any questions Thanks For The Opportunity To Serve You! QUOTE- End Block 96th &Springmill 2017 AFFIDAVIT AND WAIVER OF LIEN [X] Final [ ] Partial [ ] Payment to Follow State of Indiana County of Marion T.M. Fansler ,, being duly sworn states that he is the CEO of SMOCK FANSLER CORP.having contracted with: Carmel Street Department to furnish certain labor, materials, and/or services as follows: Mise. Construction for a project known as: SFC#17-043 96" & Springmill Roundabout located at Carmel,IN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the owner the sum of: $( 0.00) [ ] receipt of which is hereby acknowledged; or [ ] the 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 the final balance due from the owner is the sum of($5,732.75) Five Thousand Seven Hundred Thirty Two Dollars and 75/100 [ ] receipt of which is hereby acknowledged;or [X] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. 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, Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. �� SMOCK FANSLER CORP. By rtle CEO T.M. Fansler WITNESS MY HAND AND NOTARIAL SEAL,this 15`h day of June,2017. Melissa J. Laue Notary Public My commission expires October 23, 2024 Residing in Morgan County (aFD(C 2910 West Minnesota Street Indianapolis,IN 46241.4541 317.248.8371 Tel SmockFansler 317.244.4507 Fax C O R F O R AT I O N Generalt'rnrracrxs♦E:ny;iraer �Crnsvuctkxr Maiay'•.n Quotation DATE: 2/3/2017 Quote# B17-0011 TO: Lynette Hobbs, Carmel Street Department FROM: Joe Davee REGARDING: Limestone wall repair inside roundabout at 131st& Shelbourne, Carmel, IN We Propose to Provide the following Scope of Work: Repair Damaged Limestone Block Wall in Roundabout Base Bid: $16,952.03 INCLUDES: Remove and replace 4 EA damaged limestone wall blocks. Remove and reinstall 2 EA adjacent wall blocks. Work includes replacing damaged stainless steel end pins replacing and compacting stone base subgrade, removing and replacing all joint sealants in joints between wall blocks using road plates to minimize damage to surrounding landscaping EXCLUDES: Bonds, Permits or Related Fees Premium Time for shift work weekends or holidays. Replacement or restoration of plant materials and planter beds and/or irrigation. SALES TAX No INCLUDES ADDENDA n/a THROUGH n/a NOTES: Please call if you have any questions Thanks For The Opportunity To Serve You! QUOTE- (LUMP SUM) 131st& Shelbourne AFFIDAVIT AND WAIVER OF LIEN [X] Final [ ] Partial [ ] Payment to Follow State of Indiana County of Marion T.M. Fansler , being duly sworn states that he is the CEO of SMOCK FANSLER CORP.having contracted with: Carmel Street Department to furnish certain labor, materials, and/or services as follows: Misc. Construction for a project known as: SFC#17-007 1315 & Shelbourne Roundabout Rep• located at Carmel,IN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the owner the sum of: $( 0.00) [ ] receipt of which is hereby acknowledged; or [ ] the 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 the final balance due from the owner is the sum of($16,952.03) Sixteen Thousand Nine Hundred Fifty Two Dollars and 03/100 [ ] receipt of which is hereby acknowledged;or [X] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. 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, Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. SMOCK FANSLER CORP. By Title CEO T. .Fansler WITNESS MY HAND AND NOTARIAL SEAL,this 15"' day of June,2017. Melissa J. Laue Notary Public My commission expires_October 23, 2024 Residing in Morgan County Smock Fansler Corporation 2910 W. Minnesota Street INVOICE Indianapolis IN 46241- Invoice No:2533 (317) 248-8371 Date:6/15/2017 Bill To: Due Date:7/15/2017 CARMEL STREET DEPARTMENT 3400 W. 131 ST STREET Job No:17007 Description: 131ST & SHELBOURNE R.A.B. REP. CARMEL IN 46074 PO #: Quantity Description Unit Price Extended Price 131ST & SHELBOURNE ROUNDABOUT REPAIR REPAIR DAMAGED LIMESTONE BLOCK WALL IN ROUNDABOUT 1.00 TOTALAMOUNT DUE 16,952.03 16,952.03 Thank You For Your Business! Amount Now Due: 16,952.03 Terms:NET 30 DAYS INDIANA EXEMPT 0.00 9 F Dc 2910 West Minnesota Street Indianapolis,IN 46241.4541 317.248.8371 Tel Smock Fansler 317.244.4507 Fax C'OR POR A'1 10N Cicncral c��u nn..s.►inbitxvrs♦C'unstruniwt Mattay,en Quotation DATE: 2/3/2017 Quote# B17-0011 B TO: Lynette Hobbs, Carmel Street Department FROM: Joe Davee REGARDING: Limestone wall repair inside roundabout at 131st& Shelbourne, Carmel, IN We Propose to Provide the following Scope of Work: Replace deteriorated Cast Stone End Blocks in Roundabout Base Bid: $ 8,314.55 INCLUDES: Remove and replace 2 EA deteriorated cast stone end blocks wall blocks. New end blocks to be solid limestone. Work includes replacing damaged stainless steel end pins replacing and compacting stone base subgrade, removing and replacing all joint sealants in joints between wall blocks using road plates to minimize damage to surrounding landscaping EXCLUDES: Bonds, Permits or Related Fees Premium Time for shift work weekends or holidays. Replacement or restoration of plant materials and planter beds and/or irrigation. SALES TAX No INCLUDES ADDENDA n/a THROUGH n/a NOTES: Please call if you have any questions. Thanks For The Opportunity To Serve You! QUOTE- End Blocks 131st& Shelbourne z AFFIDAVIT AND WAIVER OF LIEN [X] Final [ ] Partial [ ] Payment to Follow State of Indiana County of Marion T.M. Fansler , being duly sworn states that he is the CEO of SMOCK FANSLER CORP. having contracted with: Carmel Street Department to furnish certain labor, materials, and/or services as follows: Misc. Construction for a project known as: SFC#17-007 131' & Shelbourne Roundabout Rep. located at Carmel,IN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the owner the sum of: $( 0_00) [ ] receipt of which is hereby acknowledged; or [ ] the 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 the final balance due from the owner is the sum of $8 314.55 Eight Thousand Three Hundred Fourteen Dollars and 55/100 [ ] receipt of which is hereby acknowledged; or [X] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. 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, Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. SMOCK FANSLER CORP. By / CEO T.M.Fansler WITNESS MY HAND AND NOTARIAL SEAL,this 151h day of June ,2017. 4,i?lzy Melissa J. Laue Notary Public _ My commission expires_October 23, 2024 Residing in Morgan County ^r^f- DF(C 2910 West Minnesota Street w Indianapolis,IN 46241.4541 317.248.8371 Tel Smock IFansler 317.244.4507 Fax ('<�R P 0 1 I()N GrixrniCwnra.or+�(ngirecrs�('n, ru1:n Mana�cra Quotation DATE: 4/21/2017 r Quote# B17-0048 TO: Lynette Hobbs, Carmel Street Department FROM: Joe Davee REGARDING: Limestone wall repair inside roundabout at 96th & Springmill-2017 accident We Propose to Provide the following Scope of Work: Replace damaged End Block and reinstall one wall block in Roundabout Base Bid: $ 5,732.75 INCLUDES: Remove and replace 1 EA damaged limestone end block and reinstall 1 EA wall block shifted be vehicular impact. Work includes replacing damaged stainless steel pins and plates replacing and compacting stone base subgrade, removing and replacing all joint sealants in joints between wall blocks using road plates to minimize damage to surrounding landscaping EXCLUDES: Bonds, Permits or Related Fees Premium Time for shift work weekends or holidays. Replacement or restoration of plant materials and planter beds and/or irrigation. SALES TAX No INCLUDES ADDENDA n/a THROUGH n/a NOTES: Please call if you have any questions Thanks For The Opportunity To Serve You! QUOTE- End Block 96th &Springmill 2017 AFFIDAVIT AND WAIVER OF LIEN [X] Final [ ] Partial [ ] Payment to Follow State of Indiana County of Marion T.M. Fansler ,, being duly sworn states that he is the CEO of SMOCK FANSLER CORP.having contracted with: Carmel Street Department to furnish certain labor, materials, and/or services as follows: Mise. Construction for a project known as: SFC#17-043 96" & Springmill Roundabout located at Carmel,IN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the owner the sum of: $( 0.00) [ ] receipt of which is hereby acknowledged; or [ ] the 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 the final balance due from the owner is the sum of($5,732.75) Five Thousand Seven Hundred Thirty Two Dollars and 75/100 [ ] receipt of which is hereby acknowledged;or [X] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. 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, Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. �� SMOCK FANSLER CORP. By rtle CEO T.M. Fansler WITNESS MY HAND AND NOTARIAL SEAL,this 15`h day of June,2017. Melissa J. Laue Notary Public My commission expires October 23, 2024 Residing in Morgan County (aFD(C 2910 West Minnesota Street Indianapolis,IN 46241.4541 317.248.8371 Tel SmockFansler 317.244.4507 Fax C O R F O R AT I O N Generalt'rnrracrxs♦E:ny;iraer �Crnsvuctkxr Maiay'•.n Quotation DATE: 2/3/2017 Quote# B17-0011 TO: Lynette Hobbs, Carmel Street Department FROM: Joe Davee REGARDING: Limestone wall repair inside roundabout at 131st& Shelbourne, Carmel, IN We Propose to Provide the following Scope of Work: Repair Damaged Limestone Block Wall in Roundabout Base Bid: $16,952.03 INCLUDES: Remove and replace 4 EA damaged limestone wall blocks. Remove and reinstall 2 EA adjacent wall blocks. Work includes replacing damaged stainless steel end pins replacing and compacting stone base subgrade, removing and replacing all joint sealants in joints between wall blocks using road plates to minimize damage to surrounding landscaping EXCLUDES: Bonds, Permits or Related Fees Premium Time for shift work weekends or holidays. Replacement or restoration of plant materials and planter beds and/or irrigation. SALES TAX No INCLUDES ADDENDA n/a THROUGH n/a NOTES: Please call if you have any questions Thanks For The Opportunity To Serve You! QUOTE- (LUMP SUM) 131st& Shelbourne AFFIDAVIT AND WAIVER OF LIEN [X] Final [ ] Partial [ ] Payment to Follow State of Indiana County of Marion T.M. Fansler , being duly sworn states that he is the CEO of SMOCK FANSLER CORP.having contracted with: Carmel Street Department to furnish certain labor, materials, and/or services as follows: Misc. Construction for a project known as: SFC#17-007 1315 & Shelbourne Roundabout Rep• located at Carmel,IN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the owner the sum of: $( 0.00) [ ] receipt of which is hereby acknowledged; or [ ] the 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 the final balance due from the owner is the sum of($16,952.03) Sixteen Thousand Nine Hundred Fifty Two Dollars and 03/100 [ ] receipt of which is hereby acknowledged;or [X] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. 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, Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. SMOCK FANSLER CORP. By Title CEO T. .Fansler WITNESS MY HAND AND NOTARIAL SEAL,this 15"' day of June,2017. Melissa J. Laue Notary Public My commission expires_October 23, 2024 Residing in Morgan County