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Home My WebLink AboutE&B Paving, Inc/Eng/CO #14/36,320.43/Hawthorne & Carey RAB – Project #16-ENG-09 (2)CITY OF CARMEL r'6 TO: CONTRACT CHANGE ORDER NO.: 14 E&B Paving, Inc. DATE: January 2, 2018 17042 Middletown Ave. PROJECT NAME: Hawthorne & Carey RAB Noblesville, IN 46060 CITY REQ. NO.: 16 -ENG -09 CITY PO NO.: CITY PO DATE: You are directed to make the following changes in this Contract: Overrun contract amount due to additional items and work within the contract. Exhibits A and B are attached for reference. SCHEDULED ADJUSTMENT ITEM AMOUNT H OR (-) DAYS EW Item #112 Item overrun $36,320.43 1 Each $36,320.43 0 Days II. The following referenced Documents further describe the changes outlined in Paragraph I, and are to be considered a part of this Change Order: R.F.P.: N/A W.D.C. No.: NIA Other: Attached itemized statement of quantities. The changes result in the following adjustment of Contract Price and Contract Time: Contract Price prior to this Change Order $ 686,671.73 Contract Price will be increased/decreased by this Change Order $ 36,320.43 New Contract Price including this Change Order $ 722,992.17 Contract Time Prior to this Change Order 45 Days _ Open to Traffic Net increased/decreased resulting from this Change Order 0 Days Current Contract Time including this Change Order 45 Days Open to Traffic This Change Order is for full and final settlement of all direct, indirect, impact costs and time extensions incurred at any time resulting from the perfonnance of the changed work. The Above Changes Are The Above Changes Are Approved: Recommended Accepted: �� v� American Structurepoint, Inc. E&B Paving, Inc. A6� ENGINEER CONTRACTOR J BrainVU7'z� 7260 Shadeland Station 17042 Middletown Ave. l,�,r.7 Address Indianapolis, IN 46256 C' Zip By: Phone: 317-547-5580 Date: Address Noblesville, IN 46060 City/Ste By: .X Phone: 317-773-4132 Date: /- Zf ' /8 Mary AA+> purW tuber Lori Wat r(, Member ATTES Jer�ashman, Ci C ristine S. Paule , Cler�� Y Treasurer „/ Date: l d" Line Number Item Number Unit Original Change Order Authorized Quantity Placed Percent Used Over/Under Quantity Quantity Quantity to Date (Placed) Authorized Amount 1350 2001 LS 1.00 CONSTRUCTION ENGINEERING $0.00 0.00 1360 2002 LS 1.00 MOBILIZATION AND DEMOBILIZATION 0.00 1.00 1370 2003 LS 1.00 CLEARING RIGHT OF WAY 1.00 1.00 1380 2004 EACH 1.00 HEADWALL, REMOVE 564.00 101.81% 1390 2005 CYS 554.00 EXCAVATION, COMMON 0.00% -$440.00 1400 2006 CYS 440.00 BORROW -$275.00 1410 2007 CYS 5.00 SEDIMENT, REMOVE 0.00 1.00 1.00 100.00% $0.00 0.00 1.00 1.00 100.00% $0.00 0.00 1.00 1.00 100.00% $0.00 0.00 1.00 1.00 100.00% $0.00 0.00 554.00 564.00 101.81% $900.00 0.00 440.00 0.00 0.00% -$440.00 0.00 5.00 0.00 0.00% -$275.00 Item Overruns: 136th St. / Hawthorne Dr. & Carey RAB's Page 10 of 16 01/17/2018 Line Number Item Number Unit Original Change Order Authorized Quantity Placed Percent Used Over/Under Quantity Quantity Quantity to Date (Placed) Authorized Amount 1420 2008 TON 12.00 0.00 12.00 0.00 0.00% -$780.00 TEMPORARY CHECK DAM 1430 2009 EACH 8.00 0.00 8.00 8.00 • 100.00% $0.00 TEMPORARY INLET PROTECTION 1440 2010 EACH 8.00 0.00 8.00 0.00. 0.00% -$2,800.00 INLET FILTERS 1450 2011 TON 0.60 0.00 0.60 0.00- 0.00% -$750.00 TEMPORARY MULCH 1460 2012 LFT 1,152.00 0.00 1,152.00 1,015.50. 88.15% -$204.75 TEMPORARY SILT FENCE 1470 2013 TON 100.00 0.00 100.00 189.59. 189.59% $2,239.75 NO. 2 STONE 1480 2014 LBS 70.00 0.00 70.00 0.00. 0.00% -$490.00 TEMPORARY SEED MIXTURE 1490 2015 SYS 3,564.00 0.00 3,564.00 3,564.00 100.00% $0.00 SUBGRADE TREATMENT, TYPE 1C 1500 2016 CYS 104.10 0.00 104.10 49.94 • 47.97% -$2,708.00 STRUCTURE BACKFILL, TYPE 1 1510 2017 TON 75.00 0.00 75.00 47.01 • 62.68% -$979.65 COMPACTED AGGREGATE NO. 53 1520 2018 TON 225.00 0.00 225.00 230.09 • 102.26% $422.47 HMA, SURFACE, TYPE 'C', 9.5mm 1530 2019 TON 375.00 0.00 375.00 592.90 • 158.11% $13,074.00 HMA, INTERMEDIATE, TYPE 'C', 19.Omm 1540 2020 TON 1,027.00 0.00 1,027.00 888.87 ' 86.55% -$6,906.50 HMA, BASE, TYPE 'C', 25.Omm 1550 2021 TON 419.00 0.00 419.00 0.00- 0.00% -$25,140.00 HMA, INTERMEDIATE, TYPE 'C', OG, 19.Omm 19.Omm 1560 2022 LFT 1,486.00 0.00 1,486.00 509.00 • 34.25% 497.70 JOINT ADHESIVE, SURFACE 1570 2023 LFT 1,486.00 0.00 1,486.00 397.00 26.72% -$163.35 JOINT ADHESIVE, INTERMEDIATE Item Overruns: 136th St. / Hawthorne Dr. & Carey RAB's Page 11 of 16 01/17/2018 Line Number Item Number Unit Original Change Order Authorized Authorized Amount 0.00. Quantity Quantity Quantity 1580 2024 LFT 1,486.00 0.00 1,486.00 LIQUID ASPHALT SEALANT 100.24% $22.20 156.30 • 89.31% 1590 2025 TON 2.70 0.00 2.70 ASPHALT FOR TACK COAT $720.00 6.50 • 100.00% $0.00 1600 2026 SYS 192.20 0.00 192.20 DECORATIVE CONCRETE PAVEMENT, TRUCK APRON, 7 IN. 102.70% $195.00 1610 2027 SYS 245.00 0.00 245.00 SIDEWALK, CONCRETE {4 IN.) 1.00 • 50.00% -$250.00 0.00: 1620 2028 SYS 175.00 0.00 175.00 CURB RAMP, CONCRETE 1630 2029 SYS 27.00 0.00 27.00 DETECTABLE WEARING SURFACE 1640 2030 LFT 138.00 0.00 138.00 CURB, CONCRETE 1650 2031 LFT 6.50 0.00 6.50 CURB, TURNOUT 1660 2032 LFT 1,094.00 0.00 1,094.00 COMBINED CURB & GUTTER, CONCRETE, TYPE II 1670 2033 LFT 243.00 0.00 243.00 COMBINED CURB & GUTTER, CONCRETE, TYPE III 1680 2034 LFT 482.00 0.00 482.00 ROLLED CURB & GUTTER, CONCRETE, MODIFIED 1690 2035 TON 4.20 0.00 4.20 RIPRAP, REVETMENT 1700 2036 SYS 5.60 0.00 5.60 GEOTEXTILES 1710 2037 EACH 2.00 0.00 2.00 MOB. & DEMOB. FOR SEEDING 1720 2038 kGAL 4.10 0.00 4.10 WATER 1730 2039 SYS 1,135.20 0.00 1,135.20 SODDING Item Overruns: 136th St. / Hawthorne Dr. & Carey RAB's Page 12 of 16 Quantity Placed Percent Used Over/Under to Date (Placed) Authorized Amount 0.00. 0.00% -$297.20 2.70. 100.00% $0.00 149.00 , 77.52% -$1,944.00 245.60 - 100.24% $22.20 156.30 • 89.31% -$2,281.40 30.10' 111.48% $279.00 162.00 • 117.39% $720.00 6.50 • 100.00% $0.00 1,129.001 103.20% $490.00 243.00. 100.00% $0.00 495.00 • 102.70% $195.00 0.00' 0.00% -$399.00 0.00. 0.00% -$84.00 1.00 • 50.00% -$250.00 0.00: 0.00% -$4.10 1,432.60. 126.20% $1,040.90 01/17/2018 Line Number Item Number Unit Original Change Order Authorized Quantity Placed Percent Used Over/Under Quantity Quantity Quantity to Date (Placed) Authorized Amount 1740 2040 LFT 0.00 0.00 0.00 0.00 - 0.00% $0.00 PIPE, TYPE 4, CIRCULAR, 6 IN. 1750 2041 LFT 292.00 0.00 292.00 294.00 - 100.68% $74.00 PIPE, RCP, CIRCULAR, 12 IN. 1760 2042 EACH 1.00 0.00 1.00 2.00- 200.00% $750.00 PIPE END SECTION, DIAMETER 12 IN. 1770 2043 CYS 0.00 0.00 0.00 0.00 0.00% $0.00 AGGREGATE FOR UNDERDRAINS 1780 2044 SYS 0.00 0.00 0.00 0.00 0.00% $0.00 GEOTEXTILES FOR UNDERDRAINS 1790 2045 EACH 4.00 0.00 4.00 4.00 - 100.00% $0.00 INLET, J10 1800 2046 EACH 2.00 0.00 2.00 2.00 - 100.00% $0.00 INLET, M10 1810 2047 EACH 3.00 0.00 3.00 2.00. 66.67% -$3,100.00 MANHOLE, C4 1820 2048 EACH 5.00 0.00 5.00 0.00 • 0.00% -$1,825.00 CASTING, ADJUST TO GRADE UNDISTRIBUTED 1830 2049 LS 1.00 0.00 1.00 1.00 • 100.00% $0.00 MAINTAINING TRAFFIC 1840 2050 LFT 169.00 0.00 169.00 194.00• 114.79% $492.50 SIGN POST, SQUARE TYPE 1 REINFORCED ANCHOR BASE 1850 2051 EACH 4.00 0.00 4.00 6.00 150.00% $4,628.00 DECORATIVE STREET SIGNS, INSTALLED 1860 2052 SFT 49.20 0.00 49.20 53.16. 108.05% $68.51 SIGN, SHEET, WITH LEGEND, 0.080 IN. 1870 2053 SFT 75.00 0.00 75.00 87.50 • 116.67% $237.50 SIGN, SHEET, WITH LEGEND, 0.100 IN. 1880 2054 LFT 205.50 0.00 205.50 181.00. 88.08% -$551.25 CONDUIT, STEEL, GALVANIZED, 2 IN. 1890 2055 LFT 338.50 0.00 338.50 1,522.00 • 449.63% $24,616.80 CONDUIT, PVC 4 IN. SCHEDULE 80 Item Overruns: 136th St. / Hawthorne Dr. & Carey RAB's Page 13 of 16 01/17/2018 Line Number Item Number Unit Original Change Order Authorized Quantity Placed Percent Used Over/Under Quantity Quantity Quantity to Date (Placed) Authorized Amount 1900 2056 LFT 338.50 0.00 338.50 1,050.00. 310.19% $24,475.60 CONDUIT, PVC 4 IN. SCHEDULE 80 WITH 3 1.25 IN. INNERDUCTS 1910 2057 LFT 502.50 0.00 502.50 757.00. 150.65% $2,926.75 4 1C NO. 4 Cu CONDUCTOR IN PLASTIC DUCT 1920 2058 EACH 8.00 0.00 8.00 8.00 • 100.00% $0.00 LIGHT POLE, ORNAMENTAL 30 FT. E.M.H., 8 FT MAST ARM, DECO WRAP BASE 1930 2059 EACH 8.00 0.00 8.00 8.00 100.00% $0.00 LIGHTING FOUNDATION, CONCRETE, W GROUNDING, 30 IN. X 96 IN. 1940 2060 EACH 8.00 0.00 8.00 8.00. 100.00% $0.00 LUMINAIRE, LED, 152 WATT 1950 2061 EACH 1.00 0.00 1.00 11.00. 1,100.00% $7,450.00 HANDHOLE, STREET LIGHTING 1960 2062 EACH 1.00 0.00 1.00 1.00" 100.00% $0.00 SERVICE POINT, 11, METERED 1970 2063 EACH 1.00 0.00 1.00 1.00: 100.00% $0.00 IRRIGATION CONTROLLER BOX 1980 2064 LFT 192.00 0.00 192.00 168.00. 87.50% -$240.00 TRANSVERSE MARKING, THERMOPLASTIC, CROSSWALK, WHITE, 24 IN. 1990 2065 LFT 1,359.00 0.00 1,359.00 1,417.00. 104.27% $78.30 LINE, THERMOPLASTIC, SOLID, WHITE, 4 IN. 2000 2066 LFT 56.00 0.00 56.00 44.00. 78.57% -$72.00 LINE, THERMOPLASTIC, DOTTED, WHITE, 8 IN. 2010 2067 LFT 64.00 0.00 64.00 64.00 100.00% $0.00 TRANSVERSE MARKING, THERMOPLASTIC, YIELD LINE, WHITE, 24 IN. 2020 2068 LFT 100.00 0.00 100.00 106.00• 106.00% $15.30 LINE, THERMOPLASTIC, SOLID WHITE, 6 IN. 2030 2069 LFT 1,243.00 0.00 1,243.00 1,643.00 132.18% $540.00 LINE, THERMOPLASTIC, SOLID, YELLOW, 4 IN. 2040 2070 LFT 208.00 0.00 208.00 208.00 • 100.00% $0.00 LINE, THERMOPLASTIC, SOLID YELLOW, 8 IN. 2050 2071 EACH 2.00 0.00 2.00 2.00 100.00% $0.00 SNOWPLOWABLE RAISED PVMT MARKING (BLUE) Item Overruns: 136th St. / Hawthorne Dr. & Carey RAB's Page 14 of 16 01/17/2018 Line Number Item Number Unit Original Change Order Authorized (Placed) Quantity Quantity Quantity 2060 2072 SYS 13.60 0.00 13.60 CENTERCURB, TYPE D, CONCRETE 2070 2073 EACH 2.00 0.00 2.00 HYDRANT ASSEMBLY, REMOVE/REPLACE AND ADJUST TO GRADE 2080 2074 EACH 4.00 0.00 4.00 ADJUST VALVE TO GRADE 2083 720-96999 EACH 0.00 2.00 2.00 FIRE HYDRANT ASSEMBLY 2084 621-90853 EACH 0.00 1.00 1.00 TAPPING SLEEVE WITH VALVE 2085 805-78925 EACH 0.00 1.00 1.00 CONTROLLER CABINET FOUNDATION, PI 2086 621-06570 CYS 0.00 125.00 125.00 TOPSOIL 2087 802-04993 LS $0.00 $2,750.00 $2,750.00 SIGN 2088 807-04744 LS $0.00 $323.21 $323.21 LIGHTING 2090 2075 EACH 4.00 0.00 4.00 RECTANGULAR RAPID FLASHER BEACON W PUSH BUTTON ACTIVATION 2100 2076 LFT 400.00 0.00 400.00 CABLE, POLE CIRCUIT, THWN, NO. 10, COPPER, STRANDED, 1 C 2110 2077 EACH 4.00 0.00 4.00 CONNECTOR KIT, UNFUSED 2120 2078 EACH 4.00 0.00 4.00 CONNECTOR KIT, FUSED 2130 2079 EACH 18.00 0.00 18.00 MULTIPLE COMPRESSION FITTING, NON- WATERPROOFED 2140 2080 EACH 8.00 0.00 8.00 INSULATION LINK, NON -WATERPROOFED 2150 2081 EACH 8.00 0.00 8.00 INSULATION LINK, WATERPROOFED Item Overruns: 136th St. / Hawthorne Dr. & Carey RAB's Page 15 of 16 Quantity Placed Percent Used to Date (Placed) 7.40 , 54.41% 2.00. 100.00% 4.00 2.00 1.00 1.00 • 125.00 ' 1.00 - 1.00 4.00 . 484.00 - 8.00 8.00 24.00 8.00 8.00 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 121.00% 200.00% 200.00% 133.33% 100.00% 100.00% Over/Under Authorized Amount -$818.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $54.60 $147.60 $158.40 $67.20 $0.00 $0.00 01/17/2018 Line Number Item Number Unit Original Change Order Authorized Quantity Placed Percent Used Over/Under Quantity Quantity Quantity to Date (Placed) Authorized Amount 2160 2082 SYS 412.00 0.00 412.00 595.40• 144.51% $1,834.00 MILLING, ASPHALT 2170 2100 EACH 2.00 0.00 2.00 2.00. 100.00% $0.00 ORNAMENTAL TREE, 8 FT. HEIGHT 2180 2101 EACH 23.00 0.00 23.00 23.00. 100.00% $0.00 EVERGREEN SHRUB, NO. 3 CONTAINER 2190 2102 EACH 26.00 0.00 26.00 26.00 • 100.00% $0.00 DECIDIOUS SHRUB, NO. 3 CONTAINER 2200 2103 EACH 86.00 0.00 86.00 86.00 100.00% $0.00 ORNAMENTAL GRASS, NO 1 CONTAINER 2210 2104 EACH 487.00 0.00 487.00 487.00• 100.00% $0.00 PERENNIAL, NO. 1 CONTAINER 2220 2105 LS 1.00 0.00 1.00 1.00 100.00% $0.00 IRRIGATION SYSTEM 2230 2106 LFT 31.00 0.00 31.00 36.00 • 116.13% $2,298.35 MASONRY WALL 2240 2107 EACH 50.00 0.00 50.00 50.00. 100.00% $0.00 DECIDIOUS SHRUB, NO. 1 CONTAINER 2250 2108 EACH 186.00 0.00 186.00 186.00• 100.00% $0.00 PERENNIAL, PLUG CONTAINER 2260 2109 CYS 27.00 0.00 27.00 22.00. 81.48% -$375.00 HARDWOOD MULCH 2270 2110 CYS 108.00 0.00 108.00 108.00 100.00% $0.00 TREE AND SOIL PLANTING MIX Project Overruns: $90,296.73 Project Underruns: $53,976.30 Project Variance: $36,320.43 (242 Items) Item Overruns: 136th St. / Hawthorne Dr. & Carey RAB's Page 16 of 16 01/17/2018 16 -ENG -09 Carex and Hawthorne a ........................................................... ....................... ............................................................ - -------- ------------ ------------- I— .......... 4 .............................. .................................................................. ............................. . ............................ ....................... ............................................................ ...................................................................................... ............................... ....................... . ............................................... Overruns :Under Runs nmmrnrnnrnsm.......... .......................... ....................... . ................................. ...................................................................................... ............................... ....................................................................... ......................................................»... ....................... ....... ...................................................................................... ............................... ..................... ........ .... . ................ . ....... . ........ -440.001 $663,836.60 :'Original Contract Amount .................................... ...................... ........ . .................................. 2 239.75 ............... ....................................................................... I .............. .............................. ............................. ........ ...... .......................... -275,00: i $22,835.13 !Change Order Amount .......................».................................. .................................................................................... . . .......................................... . ............................... . . ...... . .... .............................. I ... . ................................. -780.00. S06,671.7 :Contract Sum........................................ ...................... ........................................... .................... I ............ ....................... . . ........... .................................................. I ................................... -2,800.001 $36,320.43 Over Run Amount a .......................... . ................ $22.20 . ............. .......................................................................... .. ........ .............................. ........................................................................ Contract Amount -750.00' .... ................................. ..L....................... .....................................i.................................................................................... .............................................................. . ...... ... $279.00 -204.751 ...................................1 ..................... ....................... .......................... . ......... . ...... ............ ...................................................................................... .............................. ........................................................................ $720.00 -490.001 ......... .... .. . .......... . ............................ 4 . ....................... .................. . ... .............................................. $490.00 .......... . . .......................... ................. i ....................... ............................................ . . ......... ..................................... . .......... ..................................... ............ ................. .............................................. -2,708.00: ...................... . ........................ 4 $195.00 .............. ............... I ............................ . ......................................... .............................. ....................... -979.65' : ........................................................... ; ...................... ......................................... . ................ 4 ................................... . .................. ............... .............. .... ...... .................. ........................................................................ $1,040.90 -6,906.501 ....................................... . .............. . ............... ................... . ................. ................................ ... ..................;................................I..... ......................................$74.00 ........................................i�.W? I ..... ..................... . . ........ ........................................ ........... .................. ........... . .......... ................... . ................ 750.00 .... ................................ . ....................................... .............................. .................. . .................................................... -97.701 ..................................................... . . -A ....................... ............................................... $492.50-- ........ ... & ... . .................................................................................. .............................. ........................................................................ -163.35" . ; i ................................................. . ..... ....................... ..................................... . ................... . ....................................................................................... .............................. ................ -297.20: a....» ................ ......... ............................. . ..... . ........... 4 ............................ . ........................................................ .............................. $68.51 -1,944.00:: i .................... .. ................................... ...................................................................... . .......... ....................................................... . ............................. .. ..................... . ..... ........... ...... . ................... ...»............... .. .. . ... $237.50 -2,281.40:: & i . ...................................... ........................... ....................... .................................. $24,616.80 1 ........................ ...................................................................................... .............................. ................................ -399.00:: ................... .... . ................................. ..... ................. ................................................ $24,475.60 1 . ......... 4 ...................................................................................... ? .............................. ? ......................................... . ..... . ...................... -84.00:: .............................. .... ........................................................... $2 926.75 . ...................................................................................... .............................. ........................... . ........................................... -250.001 ................................$7,450.00._....................... . ..................................... . ....... .... .............. . . . ................................................................... .............................................. . . .................................................. -4.101 . .......................... . ....................... . . ........................................................... ...... ...................... ............................ $78.30 ....................................................................................... .................... . ......... ................................................ . ...................... -3,100.001 .............................. I .......... . ............................. ..................................................................................................................................................................................................... $15.30 -1,825.00i ; ......................................................... r ................................................................. $540.00- . ............. . . ........................................... I. ......................................... .............................. . ........................................................................ -551.25: ........................................................... .................... . ..................................... .................... ............................... ....... . ............................................. ....... 1-1-11-- ...... **------***-----** .......... $54.60 -240.00: ........................................ ........ ...................... ................ . .... ............ ..................................................................................... ........ o ..................... .................................................... . .................. $147.60-72.00:: ; ............................................ . ............. ....................... .................................................. 0 ....... ....... . .................................................. . ............... .......... .............................. ............... I .................. . .. ...................... . ......... $158.40-818.40:: ........................................................... ....................... ....... ............... . ....... . ..... . .... . ........... i ...................................................................................... ............................... ............................... I ..................... .......... . ...... $67.20 1 -375.00: . ............... .................................... �iiii . ...... ...................... ........................................................... ? ....... . ..................................................... ........................ ......................... ....................................................... .00 i .............................. ...... .................................. ........................ ...................................................................................... .............................. .................................... . .................................. ................ AFFIDAVIT AND FINAL CONDITIONAL WAIVER OF CLAIMS AND LIENS AND RELEASE OF RIGHTS STATE OF_ Indiana_ COUNTY OF—Hamilton— The undersigned, who is the (designate title of �: gna ) BMadv-Camnbe1I Releasor"), which is the {designate whether subcontractor, supplier, or otherwise) for the the type of work, supplies or services rendered) with (designate on behalf of the Releasor acknowledggs and confirms that ittsicontract pWithh EE & B Pavingvements �Inc (E or &, g)�nrespect�othe P is' theP hereafter Premises noted below, in the total amount of S b`� 4 G"Z • t -- as noted in the Final Invoice identified below, which includes all extras and change orders. The Rcleasor acknowledges and agrees this waiver is being provided to induce the Owner and E & B to make Final Pa respect to its Final Invoice. With res ect to Final Invoice, Releasor further states that the final total value of its work yment to Releasor with equipment stored is S,Ly U7 _ . of that amount, as reflected in the Final in oice, S ed and materials and receipt and sufficiency of which is hereby acknowledged by Releasor), and a total of S_ i , _ 9 �i has been received (the Final invoice reflects a current and final amount due andS-1,654.81— 5 5 � is being held as retainage. Further, the payable of ____ In consideration of the amounts and sums received, and conditional upon the receipt of the above noted due and payable final amount of S 1,654.81 , the Releasor does hereby waive and release 10 the Owner and E B. B any sand all claims, liens and rights to liens upon the Premises (including any improvements thereon) described elbee said clai equipment, fixtures or apparatus furnished by or through the Releasor. liens and rights to liens being on account of all labor, services, materials, are identified as follows: asor. The Premises as to which said claims, liens and rights to liens are herebv released Project Name .__02163509 - Carey & Hawthorne RAB- Final Retainage _ Address of Project: P—d Count), City i j.- - d t� Yom- -_. h'-.; _—�-'�'�'--Stale Owner — ��— General Contractor. E & B Paving, Inc. The Reieasor further represents and warrants that it is duly authorized and empowered to execute and deliver this Final Waiver; that it has properly performed all work and furnished all the materials and equipment of the specified quality per the contract plans and specifications and in a gond and workmanlike manner; that it has paid, or will be paying from the Final invoice amounts received, tar all the labor, materials, equipment, and services that it has used or supplied with space to the Prunrses; and that it ha< no other outstanding and unpaid Invoices for Pa} mequip Bent, an holdbacks, charge backs or unbilled work or materials against the OHner or E & B with respect to the Premises. The Releasor further agrees to reimburse, hold harmless, defend and indemnify Owner and E & B for any losses or expenses the}. may suffer or incur as a result of any claims, liens or rights to a lien released hereunder which may be asserted by the undersigned, or by any laborer, materialmen OF subcontractor of the Releasor (of any tier), or by any other party claiming through Releasor. Releasor's obligations under this Paragraph include. without implied limitation. all attorneys' fees and costs incurred by either the Owner or E & 13 in the defense of an) such claim, lien or right to lien. In addition, for and inconsideration of the amounts and sums received, and conditioned upon its receipt of the above noted due and payable final amount of 5 1.654.81 the Releasor hereby waives, releases and relinquishes any and all claims, rights or causes of action whatsoever it may have against the Owner or E & $ or any of their respective officers, directors, partners, rrterr hers, employees, agents, consultants, contractors, subcontractors or materialmen. arising out of or relating to the above -noted premises rt subject contract. Signed and delivered this L)r — - ---day of _ - l� , 20 l (Lmdwi al or tporat n Name) BY: Title— Before me the undersigned Notary Public in and for the said County and State, personally appeared acknowledged execution of the foregoing affidavit as his voluntary as and deed and &Piller stated that the knowledge. facts recited are true of his and personal %1y Commission Expires:;cx l Notary Public1.__ s.r�. Residence County 0'-, _ �� DENIS E. BROADY eat Notary Public - State of Indiana Hamilton County f1!y CQmmisston Expres Mar 311 2024 AFFIDAVIT AND FINAL CONDITIONAL 'WAIVER OF CLAIMS AND LIENS A.ND RELEASE OF RIGHTS STATE OF Indiana COUNTY OF Hamilton The undersigned, who is the (designs title) of_ lndiana Sita) & Barricade Releasor"}, which Is the (designate whether subcontractor, supplier, or otherwise) for the the type of work, supplies or services rendered) with respect to the improvements constructed or being eonstrucled on the Prenuscs hereafter id(ces� ified on behalf of the Releasor acknowledges and confirms that its contract with E & B Paving,Inc. E & B), with respect to the prumises noted the total amount of as noted in the Final Invoke identified below, which includes all extras and change orders below, is in The Releasor acknowledges and agrees this waiver is being provided to induce the Owner and E do B to matte Final Payanext to Releasor with respect to its Final Invoice, With respect to Final Invoice, Releasor further states that the final total value of its work completed and materials and equipment stored is $. Of that amount, as reflected in the Fittal invoice, S receipt and sufficiency of which is hereby acknowledged by Releasor), end a total of S has been received (the Fills] Iavoiee reflects a curmrt and final amount due and payable of S_921.65 is �g herd as retainage. Further, the in consideration of the amounts and sums received, and oonditional upon the receipt of the above noted due and payable final amount of $ 921.65 the Releasor does hereby waive and release to the Owner and E & B any and all claims, liens and rights to liens upon the Pthxnises (including any improvemects thereon) described below; said claims, liars and rights to liens being on account of all labor, services, materials, equipment, fixtures or apparatus fhrrrrished by or through the Releasor. The Premises as to which said claims, liens and rights to liens are hereby released are identified as follow►: Project Natme 02163509 — Caney & Hawthorne RAS— Final Retainage Address of Project. City Owner County General Contractor. E & B Paving, Inc. The Releasor further represents and wattants that it is duty authorized and empoweredto execa and deliver this F lad Walver; that t bas I P"oPer1Y Performed all work and furnistred all the materials and equipment of the specified quality per the contract plans and specifications and in a goad WW workmanlike manner; that it has paid, or will be raying frvm the Final Invoice amormts received, for at! tt►e labor, materials, equipment, and smites that it has used or supplied with respect to the Premises; and that it has no other Outstanding and unpaid Invoices for PeymetVraattions holdbmclts charge backs or unbilled wvrk or materials against the Owner or E tit B with aspect to the Premises. The Releasor further agrees to reimburse, hold harmless, defend turd indannify Owner and E & B for any !ossa or expanses they may suffer or incur as a result of any claims, liens or rights to a lien released hereunder which may be asserted by the undersigned, or by any taborer, materialman r subcontractor of the Releasor (of anor y tis), or by any other party claiming through Relenaor. Releasor'S obligations undo this paragraph include, without implied limitation, all attorneys, fess and costs incurred by tither the Owner or E & B in the defense of any such claim, lien or right to lien. to addition, for and in misideration of the amounts and sums received, and conditioned upon its receipt of the above noted due and payable tinai amount of S,921.65__1_, the Releasor hereby waives, releases and relinquishes any and all Oa' may have against the Owner or E & B or any of their ,CSPOCtive Officers, directors, partners, �, rights or causes of ul�ation whatsoever it subenntrsettrs or materiaimen, arising out of or relating to the above -noted Premises or •manbats, ehaployees, agents, consultants, oontractars, bled contract. Signed and delivered this ---U of Cl -20/,2. (loWidual or Corporation Name) BY: Title-4- Before itleBefore me, the undersigned Notary Public in and for the said County and State, personal ly appeared acknowledged execution of the foregoing affidavit as his volunt trod knowledge. any act and deed and further stated that the facts ted are uhx of h• penhcxhai My CtYthmissi?Pl Fxpirtn: 7 Q �,� Notary Pub] haul urr>> �` �.Cdt.r• OP 1< /@SiiResidence Coun ty on co 02 m411.: otatr✓ PUBUC� = GNatnrtr.iss524�': tt101ARC .'FNonx''�ry • �' ATE OF /'//�10'(1I111JONX�� AFFIDAVIT AND RIVAL (:ONDiTIONAL NVAIVER OF CLAIMS AND LIENS AND RELEASE OF RIGFITs STATE OF Indiana COUNTY OF Hamilton The undersigned, who is the __ . (designate title) of roe (ontraciors Releamn"). which is the tdesignalc H'hcihcr subcontractor, supplier, or otherwise) for the _ __ _ _ (designate the tVpC of wofk, SUppIICt Of services TCndert�) with respect IU the imlxovements constructed or being constructed on the Premises hereafter identified, on behalf of the Releasor acknowhxlges and confirms that its contract with E & li raving, Inc. (F & B), with respect to the Premises noted below, is in the total amount of S as noted in the Final Invoice identified below, which includes all extras and change orders The Rele;tsor acknowledges and agrr- this waiecr is being provided to induce the Owner and F R B to stake Final Payment for Releasor with n: pen to its Final invoice Wilh respect to Final Invoice, Releasor further states that the final total valur of its work completed and materials and equipment stored is S_ _ Of that amount, as reflected in the Final Invoice, S. _ has been receivtd (the receipt and sufficiency of which is hereby acknowledged by Releasor), and a total of S _ is being held as retainage. Further, the Final lovoiee ro:ficcls a current and Final amount due and payable of S_-._ N,97 ✓� -^ In cunstderation of the amounts and sures received, and conditional upon the receipt of the above noted due and payahic final amount of 5 __ 19;171.10the Releasor dote hereby wave and relcesc is the Owner and E & B any and all claims, liens ademnd rights to liens ithe Premises (including airy improvt incrits thereon) described below; said claims, lic ns and rights to liens being on account of alt labor. services, materials, equipment, fixtures or apparatus furnished by or through file Rcicasor. The Prcrniscs as to which said claims, liens and rights ;o liens are hereby released are identified as fidlows: Project Name___ 02161509 Carey & Hawthorne RAFT- Final Rcleinage Addros_s of Project: City _ Counly State Owner Gener-al Contractor: E & B Paving, Inc. 'Ilnc Releasor further mpresents and warrants that it is duly authorized and �cmpowenxf to execute and deliver this Final Wauker; that it has properly performed all work and furnished all the materials and eyuipmceu of the specified quality Ixr the contract plans and specifications and in a gree) and workmanlike manner; that it jigs paid. or will be paying from dee Final Invoice amounts re'Ccived, for all the labor, matexials, equipment and services that it has used or supplied with resilimi to the Premises; and that it hes no other outstanding and unpaid Im•oices for Payrnent/rcieniions, holdbacks, charge hacks or unhilltA work or materials against tilt Owner or L & B with rtspcct to the Premises. The Releasor further ugrccs to reimburse, hold harmless. defend and indemnity Owner and F & B for any losses or expanses they may suffix or incur as a result of any cluinns, liens or rightg to a lien released hereunder which may be asserted by the undersigned, or by any laborer, matcriahnan or subcontractor of the Rtleacor (of any tier), or by any other partv claiming through Releasor. Kelcasor's obligations under this paragraph include, without implied limitation, all anorneys' ties and costs incurred by either the Owner or T. ti 13 i» the detense ofam• stnch claim, lien or right to lien. In addition, for and eat consideration of the amounts arid ens received, and conditioned upon its mucipi of the above noted due and payable final annoum of S__ 19,971.10 , the Releasor hereby waives, releases and relinquishes any and all claims, rights or cause's ofaclion whatsoever it may have against the Owner or E & B or any of their respective offtcers, directors, partners, members, employees, agents, consultants, contractors, subcontractors or matrrialmen, arising out of or reLu%i{n� t�o� liitte alwsr--luuacd Premises or subieet contract. Signrtl and delivered this day of "tr{lJ1,f,� 2(Z. BY: fitfc %-9-AJ 9 -AJ Before one, the undersigned Notary Public in and for the said County and State, personally appeam(16 and acknowledged execution of the foregoing aflidnvit as his vo uniary est and deed and further stated that the facts recited arc true of his perianal knowlcdgc 1-' Y r ao2` ry �lm_i _ Ol Il �1r• My ('onunissiou Ex sires. Nota Public Rrsitkncc ('o.un;yH' 0 Q,Pr„y PC,B, AMY J. SMITH, Notary Public SEAL " Resident of Hdntington County, Indiana ,` P* my Commission Expires January 16, 2025 oc`� AFF1I)AVIT AND FINAL. CONDITIONAI, %VAIVER OF CLAIMS AND LIENS ANI) REl.F.ASF- OF RIGiFI S STATE OF Indiana_ ('OUNTY OF__Namihon 'Ihc undersigned, who is the ' __ _(designate title) of _ 11Sl C(insultanh Rclra>or"), which is the "W-1-101 --TA or (designate whether subcontractor, supplier, or otherwise) for the _ [ons the type of work, supplies or services rendered) with respect to the improvements constructed of being construct Ld o thenis herrafirr idrtificJ Oil behalfm flee Releasor acknowledges and confirms that its contract with L• & H Paving, Inc. (E & B), with respect to the Prem noted below. is in the total amount of L 2 00, Od as noted in Arc Final Invoice identified below, wilich include•% all extras and change orders. The Releasor ackno%viedges and agrees this wai%,Lr is being provided to induce the Owner and E & B to make Final Payment to Releasor with respect to its Final (nwalCe. With respect to Final invoice, Releasor funkier staies that the final total value of its work completed and materials and equipment stored is S. 9,,Z— o b : o o Of that amount, as reflected in the Final Invoice, S $Z o . o 0 rt dxipt and sufficiency, of which is hereby acknowledged by Releasor), and a total of S_. "9 has been received ([he Final Invoice rcfhxts a current and final amount due and tble of i p 92000 " _!Z --- 0 —ts being held as retainage. Further, the in nxtsideration of the amounts and sums received, and conditional upon the receipt of Ihc above noted due and payable final amount of 3 _92U,UU _ -the Releasor does hereby waive and release to the Owner and E & B any and all claims, lints and rights to liens upon (lie Premises (including any improvements thereon) described below; said claims, liens and rights to liens being on account of all labor. services, materials, equipment, fixtures or apparatus furnished by or through the Releasor. The Premises as to which said claims, liens and rights to liens arc hereby released are identified as follows: Projecl Namc____ _-__021635U9 - Carey & Ila%knhon,c RAB Final Retainage----�---- Address of PrnjccC_ _ City _ County State Owner General Contractor: E & B Paving, Inc The Releasor tunher represents and warrants that it is duly authorized and empowered to execute and deliver this Final 3Yaiver; that it has properly Ixrformred all work and furnished all the matcrials and equipment of the specified quality per the contract plans and specifications and in a good and workmanlike manner, that it has paid, or will be paying from the Finai Invoice amounts received, for all the labor, materials, equipment, and services that it 1►as used or supplied with respect to the Premises; and that it has no other outstanding and unpaid Invoices for Payment/rctemions, holdbacks, charge backs or unbilled work or materials against the Owner or E & B with respect to the Premises. The Releasor further agrees to reimburse, hold hamtlesc, defend and indemnify Owner and E & B for any losses or expenses they may suffer or incur as a result of any claims, liets or rights to a lien released hereunder which may be asscned by the undersigned, or by any laborer, materialman or subcontractor of the Releasor (of any tier), or by any other party claiming through Releasor. Rcleasor's obligations under this paragraph include. without implied limitation, all artorncys' fees and costs incurred by either Ihc Owner or F. & B in the defense of any such claim, lien or right to lien. Ili addition, for and i amount of S _920.00 j considkrelion of file anmunts and stens received, and conditioned upon its receipt of the above noted due and payable final _ the Releasor hereby waives, releases and relinquishes tiny and all claims, rights or causes of action whataoedV it may have against the Owner or F. & B or any of their respective officers, directors, partners, members, employees, agents, consultant , c sontractors, subcontractor% du tnatcrialmcn, arising of or relating to the above -noted Premises or subject contract. Signed and delivered this 3v _day of /� 20-17 (InU95�t Title Before un:, the undersigned Notary Public in and for the said County and State, personally appeared_ 6 �- ,d// ,Q acknowledged execution of the foregoing affidavit as bis voluntary act and deed and further stated that the facts recited arc true pca>� cal knowledge. 1\fy Conmrission Fxpires: �2/Zpp=p - _ Notary Pahl' _�y Residence dwnt ,, �,,. __ _ .µ„ _ �(� - _ _ - �.• JACOB MICHAEL GARDNER wow. Hancock County My Commission Expires ;zl�.: ••` December 28, 2020 k FiDAVIT AND FINAL CONDfitONAL 1\ AIVER OF CLAIMS AND LIENS AND RELEASE OF RIGHTS STATE OF—Indiana_ COUNTY OF._ Hamilton The undersigned, who is the (designate title) of Roudebush Grading _Releasor*). which is dtc• ^(designate whcyher subcontractor, supplier, or otherwise) for the _- _ (designate the type of work, supplie; or services rendered) with respect to the improvetnenta constructed or being amse•ucted on the Premises hereafter identified, on behalf of the Releasor acknowledges and cortfinns that its contract with E & B Paving, Inc. (E & B), with respect to the pr•ctnises noted belowi. in the total mnount of; as noted in the Final Invoice identified below, which includes all mtras and change orders. , The Releasor acknowledges and agrees this waiver is heing provided to induce the Owner and f & B to maple Final Payment to Releamn with respect to its Final Invoice. With rCTect to Final Invoice, Releasor further stales that the final tool Kaluc of its wort: completed and materials and equipment stored is S , _ Of that amount, as reflected in the Final Invoice, S _ _has hsxn received (the receipt and sufficiency of which is hereby acknowledged by Releasor), and a total of S _ _is being ht id as retainage. Further. the Final Invoice reflects a current and final amount due and pavable of S_746.7A— _ _ In consideration of the amounts and sums receives;, and conditional upon the receipt of the above noted due and payable final amount of S-746.70 , the Releasor doe- hereby waive and rcieasc ro the Ownct and E & B any and all claitrs. liens and rights to lien-, upon the Premises (including any impruversrcnis thercon) described below: said claims, liens ,end rights to liens being on ace:ount of all labor, - vice- n-. -rials, equipment, tixturac or apparatus funtiahed by on through the Releasor. The diereses as to which said claims, liars ane: rights to liens are hereby released are identified a_s follows: Project Tv'ame_ -0211x1509 - Carey & Hawthorne RAH-- Final Retainage_ Address of Projcxt:,-_ City_. Owner Genoral Contractor V & B Paving, inc. The Reiewor further r•epresertts and warrants that it is duly authorized and anpowered to execute and deliver this Final Walver; that it has Property performed all work and furnished all the materials and equipmertt of the specified quality per the contract plans and specificutiom and to a good and workmanlike manner; that it has paid, or will be paying from the Final /ovoice amounts nectived, for all the labor, materials, equipment, and services that it hus used or supplied with respect to the Prernises; acrd that it has no outer outstanding and unpaid Invoices fox Payment retentions, holdbacks, charge bae los or unbidlod work or materials against the Owner or E & 8 t%ith respect to the Premise%. The Releasor further agrees to reimburse, hold hamtless, defend and indemnify Owner and E & B for any ios. sur expenses thry may sutler err incur as a result of any ,)aims, liens or rights to a lictr released hereunder which may be assened by the undersigned, or by any laborer, tnateriatman or subcontractor of the Releasor (of any tier), or by any other party claiming through Releasor. Releasor's obligations under this paragraph include. without implied limitation, all attome�s' fets and costs incurred by either the U%v= or E & 13 in the defense of any such claim, lien or right to lien. In addition, for and in consideration of the amounts and SumS received, and conditioned upon its receipt of the alxwe tinted due and payable final amount of Sl746.74 , the Relt -tar hcrby waives. rcleases and relinquishes any and all claims, right, or causes of action whatsoever it may have against file Owner or E& B or any of their respective otlicert, diretors, partners, nternbers, ctnp>foyees, agoras, consultants, contractors. subcontractors or matcrialtnat, arising out of or relating to file above -noted Prenti.scs or subject contntd. Signed and deliYeted this 3c-- _._ day of Nom (i-- tion Name) Byl� Tide`, — \/ `� `YES'�CjY��' Before me, the undersigned Notary Public in and for the said Count • and State,appeared-,_ �t l� tw ��( > p.ronaliy —._��....,and acknowledged execution of the foregoing affidavit as his voluntary act and decd and further statce' that rile ans treated are true ofhis personal knowledge. My Commission Expires:_ to "�v� L -X-- — ;rotary Public_ Rmidence County , yes. AFFIDAVIT AND FINAL CONDITIONAL WAIVER OF CLAIMS AND LIENS AND RELEASE OF RIGHTS STATE OF—Indiana- ___ COU\TY OF Hamilton The undersigns , u ho is the ~ _(designate title) of :'NAS Mark- er,, Releasor"). tihich is the (designate whether subcontractor, supplier, or olheru isr) for the M l I bQ1_ SR__(dcsignatc the type of worst, supplies or services readend) with respect to the impmvernent-s constructed or being constructed on the Premises hereafter identified. on hchalf of the Releasor acknowledges and confttnts that its contract with E & B Paving. Inc. (E & B), with respect to the Premises noted below. is in the total amount of S , as noted in the Final Invoice identified below, which includes all cxlrus and change orders. The Releasor acknowledges and agnea this waiver is being provided to induce the Owner and E & B to make Final Payment to Releasor with respect to its Final Invoice. With respect to Final Invoice. Releasor further states that the final total value of its work completed and materials and equipment stated is S __ Of that amount. as reflected in the Final Invoice. S hac been received (the receipt and sufficiency of which is hier 6y acknowledged by Releasor), and a total of S_____ is being held as retainage. Further, the Final Invoice reflects a current and final amount due and payable of S___8.5 00 In consideration of the amounu and sums received. and conditional upon the receipt of the atwte noted due and payable final amount of 5 85.(10 . the Releasor does hereby waive and release to the Owner and E & B any and all claims, liens and tight- to liens upon the Premises (including any improvements then) described below: said claims, liens and rights to liens being on account of all labor, sen,ices, materials, equipment, fixtures or apparatus funtished by or through the Releasor. The Premises as to which said claims. liens and rights to liens are hereby retraced are identified as ihllnvc.: Project Name _ ` ___ 02163509 -Carey & Hawthorne RAB - Final Retainage__ Address of Project: ('itv County_ _ State Owner General Contractor. E & B Paving, Inc. The Releasor further ro-Tresertts and warrants that it is duly authorized and empowered to execute and deliver this Final Waiver. that it has properly performed all work and furnished all the materials and equipment of the spucified quality per the contract plans and specifications and in a good and workmanlike manner; that it has paid, or will be paying from the Final Invoice amounts recei-i-W, for all the labor. materials, equipment, and services that it has used or supplied with rttipett to the Premises: and that it has no other outstanding and unpaid Invoices for PaymenCricientitns, holdhacks, charge backs or unbilled work or materials against the Owner or E & B with respe o to the Premises. The Releasor further agrees to reimburse. hold harmless. defend and inclonnify Owncr and E & B for any losses or expenses they may suffer or incur as a result of any claims. liens or rights to a licit rvieascd hereunder which may be ascened by the undersigned, or by any laborer• materialman or subcontractor of the Releasor (ofuny tier), or b) an) other pan claiming through Releasor. Rcicasor's obligations under this paragraph include, without implied limitation. all attorneys' fees and costs incurred by either the Om tier or L & B in the defense of am such claim. lien or right to JiFn. In addition, for and in consideration of the amounts and sums received. and conditioned upon its receipt of the above noaei ale final atnount of S 85.00 the Releasor hereby waives• releases and relinquishesc any and all claims, rights or aus9 ton et it may have against the Owner or E & B or any of their respective officers, directors, partners, moanbers, employees, agents. couspltatx ors,0 subcontractors or materialmcn, arising out of or re{ating to the above -tooted Premises or subject contract. _ 1996 ; ` Signori and delivered this _ slay of JL14Jjf ndividuaI C at ) ....• BY: Title + ///ltttlfN�w Bei re me. the undersigned Notary Public in and fir the said County and State. personally appeared and acknowledged execution of ilk foregoing allidavit a: his voluntary act and decd and further statexl that the fact_- recited are true o" his personal knowledge. f y Connmission E xpirc«' _ Notary Public Residence Cuunty - - �P_-- _- ��JtiK C•JOti �A� OT 102 �z��C OF