320167 12/28/2017 CITY OF CARMEL, INDIANA VENDOR: 372001
ONE CIVIC SQUARE GARMONG CONSTRUCTION SERVICES CHECK AMOUNT: $****23,315.94*
a CARMEL, INDIANA 46032 3050 POPLAR STREET CHECK NUMBER: 320167
TERRE HAUTE W 47803 CHECK DATE: 12/28/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT_ _ _ DESCRIPTION
902 4460933 100824 17 23,315.94 FACADE IMPRO TO NO GA
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Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
ALL OWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# .372001 .
GARMONG CONSTRUCTION SERVICES IN SUM OF.$ 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
$23,315.94.
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
100824 17 44-609.33 $23,315:94 1 hereby certify that the attached invoice(s),or 12/12/17 17 Remai nder of fagade improvements for north $23,315.94
902 902 902 902 garage
ll ((1� bill(s)is(are)true and correct and that the
III
V
T materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, December 19,2017
--6et�e-idFey�r—�tey�r �!y'�5��
1 hereby certify that tie 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 .
CRC General Construction Contract—Exhibit "F"
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City of Carmel
Indiana
EXHIBIT F
DESIGN-BUILDER APPLICATION FOR PAYMENT
(to be used with the AIA G703 Schedule of Values)
This request is for Interim Payment Dinal Payment
STATE OF IN ,COUNTYOF Marion ,SS: Date: 11/13/17
Design-Builder: C.H.Garmong&Son,Inc. Owner: CRC
5988 N.Michigan Road 30 West Main Street,Suite 220
Indianapolis,IN 46228 Carmel,IN 46032
Contract Date: August 17,2016 Project: MIDTOWN EAST—NORTH&
SOUTH PARKING GARAGES
Carmel,Indiana 46032
Scope of Work: Design-Build Services and Construction
Pay Request No.: 17(Retainage) Contract No.:
10/31/17 16065
Period To: Project No.:
6147-Ret
Invoice No.: Distributlon: Owner❑ Architect❑ OR❑
1. - Original Contract: $ 9,137,000.00
2. Change by Change Orders: $ 7,026,570.55
3. Contract Sum to Date(Line 1:�2): $ 16,163,570.55
4. Total Completed and Stored to Date: $• 13,835,483.87
(Past Certificates plus current Certificate)
5. Retainage at 3 % Withheld to Date: $ 495,846.67
6. Total Earned less Retainage(Line 4-5): $ 13,339,637.20
7. Less Previous Certificates for Payment: $ 12,911,347.83
8. Current Payment Due: $ 428,289.37
9. Balance.to Finish plus Retainage(Line 3-6): $ 2,722,825.72
DESIGN-BUILDER certifies that the Work covered by this Design-Builder Application for-Payment has
been completed in strict accordance with the Project specifications and provisions of the Contract and the Design-
1
CONTINUATION SHEET
' Page 2 of 3
Application and Certification for Payment,containing Application No.: 22
Contractor's signed certification is attached.
In tabulations below,amounts are stated to the nearest dollar. Application Date: 11/13/17
Use Column I on Contracts where variable retainage for line items may apply. To:
Architect's Project No.: 16065
Invoice#: 6147-Ret Contract: 6147.City of Carmel-Midtown East Garages
A B C D E F G H 1
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)
0 Owner Contingency Used 103,369.45 103,369.45 0.00 0.00 103,369.45 100.00% 0.00
1 Owner Contingency Allowance 105,455.55 0.00 0.00 0.00 0.00 0.00% 138,958.74
2 Wall Mural 45,000.00 45,000.00 0.00 0.00 45,000.00 100.00% 0.00
3 General Conditions 465,274.00 460,621.26 0.00 0.00 460,621.26 99.00% 4,652.74
4 Design Fees 203,586.00 203,586.00 0.00 0.00 203,586.00 100.00% 0.00
5 Bond Fees 81,990.00 81,990.00 0.00 0.00 81,990.00 100.00% 0.00
6 Site Requirements 213,361.00 213,361.00 0.00 0.00 213,361.00 100.00% 0.00
7 Foundation 304,871.00 304,871.00 0.00 0.00 304,871.00 100.00% 0.00
8 Slabs 711,089.00 711,089.00 0.00 0.00 711,089.00 100.00% 0.00
9 Precast 4,222,334.00 4,222,334.00 0.00 0.00 4,222,334.00 100.00% 0.00
10 Masonry -- 98,989.00 98,989.00 0.00 0.00 98,989.00 100.00% 0.00
11 Misc.Steel 342,968.00 342,968.00 0.00 0.00 342,968.00 100.00% 0.00
12 Structural Steel 181,565.00 181,565.00 0.00 0.00 181,565.00 100.00% 0.00
13 Caulking and Sealants 287,201.00 287,201.00 0.00 0.00 287,201.00 100.00% 0.00
14 Roofing 64,711.00 64,711.00 0.00 0.00 64,711.00 100.00% 0.00
15 Hollow Metal Doors 36,874.00 36,874.00 0.00 0.00 36,874.00 100.00% 0.00
16 Aluminum Entrances and Storefronts 308,703.00 308,703.00 0.00 0.00 308,703.00 100.00% 0.00
17 Painting 59,908.00 59,908.00 0.00 0.00 59,908.00 100.00% 0.00
18 Accessories 72,576.00 72,576.00 0.00 0.00 72,576.00 100.00% 0.00
19 Elevators 275,916.00 275,433.00 0.00 0.00 275,433.00 99.82% 483.00
20 Sprinkler Systems 65,128.00 65,128.00 0.00 0.00 65,128.00 100.00% 0.00
21 HVAC&Plumbing 180,949.00 180,949.00 0.00 0.00 180,949.00 100.00% 0.00
22 Electrical 463,262.00 463,262.00 0.00 0.00 463,262.00 100.00% 0.00
23 Earthwork 62,322.00 62,322.00 0.00 0.00 62,322.00 100.00% 0.00
24 Helical Piles 149,575.00 149,575.00 0.00 0.00 149,575.00 100.00% 0.00
25 Site Improvements 48,848.00 48,848.00 0.00 0.00 48,848.00 100.00% 0.00
26 CO#1 -Facade Improvements 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
(Allowance)
27 CO#1 -Walls,Gate,Footing for 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
Transformer(Allowance)
28 CO#2 Place Wall Concrete 9,644.80 9,644.80 0.00 0.00 9,644.80 100.00% 0.00
29 CO#3 Wall Mural -45,000.00 -45,000.00 0.00 0.00 -45,000.00 100.00% 0.00
30 CO#4 Owner Contingency Allowance 89,847.98 89,847.98 0.00 0.001 89,847.98 1 100.00% 0.00
CONTINUATION SHEET
Page 3 of 3
Application and Certification for Payment,containing Application No.: 22
Contractor's signed certification.is attached. Application Date: 11/13/17
In tabulations below,amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items may apply. To:
Architect's Project No.: 16065
Invoice#: 6147-Ret Contract: 6147.City of Carmel-Midtown East Garages
A B C D E F G H 1
Item Description of Work Scheduled Work Completed Materials Total % Balance Retainage
No. Value From Previous This Period Presently Completed (G I C) To Finish
Application In Place Stored and Stored (C-G)
(D+E) To Date
(Not in D or E) (D+E+F)
31 CO#5 Owner Contingency 0.00 15,827.79 0.00 0.00 15,827.79 0.00% -15,827.79
Allowance,Doors and Frames&
Helic
32 CO#6 Owner Contingency 13,749.28 13,749.28 0.00 0.00 13,749.28 100.00% 0.00
Reallocation
33 CO#7 Project Exec,Estimator. 179,442.00 179,442.00 0.00 0.00 179,442.00 100.00% 0.00
Contract Admin
34 CO#8 Owner Contingency, 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
Earthwork,Layout
35 CO#9 Concrete admixtures-Duke 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
Delay
36 CO#10 Additional Design-Office 51,380.00 51,380.00 0.00 0.00 51,380.00 100.00% 0.00
and Detention South Garage
37 CO#11 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
38 CO#12 South Garage Detention 1,450,610.00 1,450,610.00 0.00 0.00 1,450,610.00 100.00% 0.00
Basin
39 CO#13 North Garage ICS changes 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
40 CO#14 South Garage Earthwork 75,000.00 75,000.00 0.00 0.00 75,000.00 100.00% 0.00
41 Amendment#1 4,592,578.00 2,685,978.68 0.00 0.00 2,685,978.68 58.49% 1,906,599.32
42 CO#15 South Garage 112,282.00 112,282.00 0.00 0.00 112,282.00 100.00% 0.00
43 CO#16 Bike Racks 7,588.86 0.00 0.00 0.00 0.00 0.00% 7,588.86
44 CO#17 South Garage 388,340.00 50,380.00 0.00 0.00 50,380.00 12.97% 337,960.00
45 CO#18 South Garage 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
46 CO#19 South Garage 0.00 0.00 0.00 0.00 0.00 0.00% 0.00
47 CO#20 Unsuitable Soils 0.00 101,107.63 0.00 0.00 101,107.63 0.00% -101,107.63
Grand Totals 16,062,462.92 _ 13,835,483.87 0.00 0.00 13,835,483.87 86.14% 2,226,979.05 495,846.67
CRC General Construction Contract—Exhibit "F"
Build Documents,as changed by any written change order,and that payment under this Design-Builder Application
for Payment does not cause the amount unearned under the Contract to be insufficient to cover the work not yet
completed.
DESIGN-BUILDER certifies that all amounts for the Work previously performed by Design-Builder and
submitted under prior Applications for Payment have been paid by Owner and received by Design-Builder,less
retention,and that the current payment shown herein is now due.By executing this Application for Payment,Design-
Builder authorizes Owner to verify the payment status represented herein
DESIGN-BUILDER also certifies that it has paid in full or otherwise satisfied all of its obligations to its
consultants,contractors,subcontractors,materialmeti,equipment suppliers,vendors,laborers,and employees for all labor
performed,materials and equipment furnished,and services rendered to the Project whose work was incorporated on
prior Applications for Payment up to and including the date hereof,and has paid or otherwise satisfied all other claims
and indebtedness associated with the performance of the Contract,up to and including the date hereof.
DESIGN-BUILDER further certifies that all lower-tier consultants, contractors, subcontractors and
suppliers whose work in connection with the Project is incorporated or included in this Application for Payment have
been paid or will be paid by Design-Builder upon or prior to payment to Design-Builder of the amount requested
herein.
By executing this Design-Builder Application for Payment, and in consideration and anticipation of
payment to it of the approved amount contained herein,Design-Builder hereby acknowledges that Owner may rely
upon its representations and certifications herein in making payment to Design-Builder,and Design-Builder further
agrees to indemnify,defend and hold harmless Owner,its officers,agents,representatives,and employees,from and
against any claim or lien of any kind whatsoever asserted through or under Design-Builder,including without limitation
any claim or lien asserted by any person who has furnished labor,materials,equipment or services to Design-Builder,
and from and against any and all damages,losses and expenses,including attorney fees,arising therefrom or incurred in
connection therewith.
IN WITNESS HEREOF, the undersigned individual, executing this Instrument, having first been duly
sworn,upon oath,states that the representations set forth herein are true and correct and that(she)(he)has been duly
authorized and empowered to execute and deliver this Instrument as of the day and year first above written.
Date: 11/13/17 DESIGN-BUILDER: C.H.GARMONG&SON,INC.
By: f
Its Duly Authorized'Representative
R. Michael Preyss, CFO
STATE OF
IN Printed Name and Title
)
COUNTY OF Marion )
SS:
Subscribed and swom to before me,a Notary Public,in and f -said Cou .ty State t s 13 day
of November ,2017 .
My Commission Expires: 09/22/24 Signature:
My County of Residence Is: Shelby Printed: Autumn Martin
�.�..}-RAY y�'.✓1...
z My commission Expires
Via` I'V., September 22,2024
_- x••
CRC General Construction Contract—Exhibit `F"
Received and approved for payment:
ARCHITECT: PROJECT OWNER'S REPRESENTATIVE:
Core Planning Strategies,LLC
By: mp-- By: tv�.
"sA Of
Printed Name an Title Printed Name and Title
0JA h
Date Date
3