318996 11/22/2017 .Gqq
CITY OF CARMEL, INDIANA VENDOR: 372001
ONE CIVIC SQUARE GARMONG CONSTRUCTION SERVICES CHECK AMOUNT: $...330,421.25*
CARMEL, INDIANA 46032 3050 POPLAR STREET CHECK NUMBER: 318996
TERRE HAUTE IN 47803 CHECK DATE: 11/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460841 100825 14G 330,421.25 MONON MAIN PARKING GA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372001 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARMONG CONSTRUCTION SERVICES IN SUM OF$ CITY- OF CARMEL
3050 POPLAR STREET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
TERRE HAUTE, IN 47803
Payee
$330,421.25
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
100825 14G 44-608.41 $330,421.25 1 hereby certify that the attached invoice(s),or 11/8/17 14G Public improvements for Monon and Main $330,421.25
902 902 902 902 project
bill(s)is(are)true and correct and that the
T1F III materials or services itemized thereon for
•+— which charge is made were ordered and
received except
Wednesday, November 22,2017
Mestetsky, Henry
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 Invoice#: 631-14c:
To Owner: Mononand Main,LLC Project: 6131'..Monon.&Main Mixed-Use 'Application No. tion to:
12156 Meridian Street Development Owner
®
Architect
Period To: Contractor
Carmel,IN 46032'
From Contractor: C.H.,Garmong&Son,Inc. . Via Architect: Ratio Architects
3050 Poplar Street, Project Nos: 16076
Terre Haute,IN 47803
Contract For: Contract Date: 11/8/2016
CONTRACTOR'S APPLICATION 'FOR PAYMENT The undersigned Contractor certifies_that to,the best of the Contractor's knowledge,, "
information,and belief;the work covered by this Application for Payment has been
Application is made for payment,as shown below,in connection with the contract. Completed in accordance with the Contract Documents.That all amounts have been
Continuation sheet is attached. paid by the Contractor for Work for which previous Certificates for Payment were
issued and payments received from the Owner,and"that current payment shown
herein is now due. _
1.Original Contract Sum AIltUA�I N
$0.00'. I
2.Net Change By Change Order ...................... $385,515.00 CONTRACTOR: C.:H.Garmong&'Son,.Inc. ; h!
IN Co i f idn Expires
3.Contract Sum To Date ................,•..... $385;515.00 phmber22;2024
_ IN
4.Total Completed and Stored To Date............... $340,515.00 By: /% (�-�. Date:
5.Retainage:
a: 2.96^/0 of Completed Work State of:IROi@R@" i: �unty of:
$10,093.75 Subscribed and swom to before mei® / Hay of N@u@ftb@F 2@i7
b. 0.00"/0 of Stored Material $0.00 this Notary Public:Autufhh M@ftih ; >
My Commission expires:@91.200624 -
Total.Retainage ........................... $10,093.75 - ✓
6.Total Earned Less Retainage ......:........:... $330,421.25 :ARCHITECT'$CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents,based on on-site observations and the data
7.Less Previous Certificates For Payments.......... comprising the above application,"the Architect certifies to the Owner that to the best of the
$0.00. Architect's knowledge,information,"and belief,the Work has progressed as indicated,
8.Current Payment_Due :........:...............: $330,42.1:25 the quality of the Work is in accordance with the Contract Documents,and the Contractor
is entitled-to payment of the AMOUNT CERTIFIED.
9.Balance To Finish,Plus Retainage ............... $55,093.75
AMOUNT CERTIFIED $330,421.25
(Attach explanation if amount certified differs from.the amount applied:Initial all figures on this Application and on the
Continuation Sheet that are changed to conform with the amount certified.)
CHANGELORDF�ZSUMMARY d-ditions Deducti-oIl
Total changes approved
in previous months by Owner $0:00: $0.00 'ARCHITECT-
Total
ARCHITECT:Total Approved this Month $385,515.00 _ $0.00 By: Date:
TOTALS. " $385,515.00 _ $0.00 This Certificate is not negotiable,The AMOUNT CERTIFIED is payable only to the.
Contractor named herein.Issuance,payment,and acceptance of payment are without
Net Changes By Change .:-prejudice to any rights of the Owner o[Contractorunder this Contract.
. $385,515.00
CONTINUATION:SHEET
Page 2 of 2 .
Application and"Certification for Payment,containing Application No:: .14G
Contractor's signed certification is attached. . : Application.Date:. 11/07117.
In.tabulations below,amounts are'stated.to the nearest dollar.: To
Use Column I on Contracts where variable retainage for line items may apply.
Architect's Project No.: 16076:
Invoice#: 6131-14G Contract: .6131.Monon&Main Mixed-Use Development
A B C : p E F G H l..
Item Description of Work Scheduled Work Completed Materials Total % Balance Retainage
No. Value . From Previous This Period Presently. Completed (G:/C) To Finish
Application In Place Stored and Stored (C-G)
(D+E) To.Date.
(Not in D or E) (D+E+F)
9 Monon&Main Exterior 0.00 0.00 0.00 0.00 .: 0.00 0.00% 0.00
9.1 Sidewalks.and Curbs Surrounding 23,000.00 0.00 23,000.00 0.00 23,000.00 100.00% 0.00.
Parking Garage
9.2 Asphalt Patching of 3rd Avenue 11,000.00 0.00 11,000.00 0.00 11,000.00. 100.00% 0.00
9.3 3rd Avenue Storm Water Utility. 27,570.00 0.00 27,570.00 0.00 27,570.00 100.00% 0.00
Installation
9.4 Water and Sanitary Utility Installation- 56,660.00 0.00 56,660:00 0.00 56,660:00 100.00% 0.00
9.5 Parking Garage Building Signage 35,000.00 0.00 0.00 0.00 0.00 0.00% 35,000.00
9.6 Parking Garage Bike Racks 10,000.00 . 0.00 0.00 0.00 0.00 0.00% 10,000.00
9.7 Parking Garage Electrical 83,645.00 0.00 83,645.00 0.00 83,645.00 100.00% 0.00
Infrastructure(Duke Energy)
9.8 Park Plaza Professional Services 138,640.00 0.00 138,640.00. 0.00 138,640.00 100.00% 0.00
Grand Totals _ 385,515.00 . : 0.00 : 340,515.00. 0.00 . 340,515.00, 88.33% 45,000.00 10,093:75
AFFIDAVIT AND WAIVER OF LIEN
FINAL; X ..PARTIAL .
State of Indiana;County of Vigo,SS:
TO ALL WHOM IT MAY CONCERN:.
R:Michael Prevss .being duly sworn states that_ C.'H.Gatmong&Son,Inca has been contracted by
(Name).. (Company) -
Monon and Main.LLC to furnish labor:and/or materials for a project
(Customer Name)
known as Motion&Main Mixed Use Devellonment located at 12156 Meridian Street,Carmel,IN 46032
(Building and Premises) (Address)
and owned by Monon.and-Main.LLC ,.and-does hereby f nther.state on behalf of the:.
aforementioned Company:
(PARTIAL WAIVER)that the balance due_from the owner is.the sum of:
UrceHundmil'IIl imy Thousand Sour Hundred T\wanty(0m.&25/100 Dollars
(. ) receipt iof.which.is hereby acknowledged;or
X ) 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 balance due from the owner is the sum of
receipt.of which is hereby.acknowledged;or
(
.the-payment of which has been P.romised_as•the'sole consideration for this Affidavit and
P.Yn?
Final Waiver of Lien which is given to and for said amount,effective upon receipt of such payment,
Now,Therefore,Know ye,the undersigned for-and in consideration of the sum of dollars referred above and other good and
valuable consideration;the receipt whereof is hereby acknowledged, do_hereby.waive and release unto the Owner of said
premises, any and all lien or claim or right to lien-on said above described building and premises.underthe.Statues of the
State of Indiana mdlattinvto)i1�IIes3liani� Q.iiens, ccin-.amomntio�'Ilalh t&mmtwbU;carbotf L fiunL y-the undersigned to or
on account of the said firm or.individual therein named for said building or premises.
C.H.Garmoris&Son:Inc: f .
(Name of Company) R:Mi�Neyss .
Chief-Financial Officer
(Title).. . ..:•
Subscribed:and sworn to before me
Il141� day ofKauem'Iaar. 2017
LV24-J111
My commission expires.09/22/2024
Notary,Public Autumn Martin
o