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Home My WebLink About323601 03/29/18 : r CITY OF CARMEL, INDIANA VENDOR: 00350511 ONE CIVIC SQUARE SMOCK FANSLER CORP CHECK AMOUNT: $***155,148.75* CARMEL, INDIANA 46032 2910 W MINNESOTA ST CHECK NUMBER: 323601 INDIANAPOLIS IN 46241 CHECK DATE: 03/29/18 t ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460805 101501 13 155,148.75 CITY CENTER PHASE III [; F 1 VOUCHER N.O. WARRANT NO. . P.rescdbed by State Board of Accounts . . City Form No.201(Rev.199.5) ALLOWED 20 ACCOUNTS .PAYABLE VOUCHER. ` Vendor# 00350511 IN SUM of$ CITY OF CARMEL SMOCK-FANSLER CORP 2910 W MINNESOTA ST An invoice or bill to be properly itemized must show:kind of service,where performed,dates service p rn rendered.by whom,rates perday,number.of hours,rate pe hour,number of units.P'rice per.unit etc. INDIANAPOLIS IN 46241 Payee $155,148.75 ON ACCOUNT OF APPROPRIATION FOR. Purchase Order# Redevelopment Commission • Terms Date Due • PO# ACCT# :DATE: INVOICE# DESCRIPTION: . . B DEPT# INVOICE# Fund#. AMOUNT. DEPT# . FUND# (or note attached irivoice(s).or bill(s)) AMOUNT Board Members 101501 13 44=608.05, $155,148.7,5., 1 hereby'certify that.the attached invoice(s),or 2/28/18 :. .1.3.' retainage for City Center Phase IPsite work. $155;148.75 902 902 902 . 902 bill(s)is(are)true•and•correct and that the. materials orservices itemized thereon for TT which charge is,made.were'ordered and received except Tuesday, March 27,2018 Mestetsky;Henry hereby certify thatthe attached invoice(s);or bill(s),is(are)true.and correct and I have audited.§ame.in accordance with IC 5-11-10-4.6 0 :20 Cost distribution ledger classification if claim paid motor vehicle highway fund.: =. ea . C erk Tr surer AIA Type Document Application and Certification for Payment Page 1 of 2 TO(OWNER):CARMEL REDEVELOPMENT COMM. PROJECT:CCC PH II REMAINING SITE WORK APPLICATION NO: 13 DISTRIBUTION 30 W.MAIN ST.STE 220 TO: CARMEL,IN 46032 PERIOD 70:2/28/2018 _OWNER –ARCHITECT –CONTRACTOR FROM(CONTRACTOR): Smock Fansler Corporation VIA(ARCHITECT): ARCHITECT'S 2910 W.Minnesota Street PROJECT NO: Indianapolis,IN 46241 CONTRACT FOR: CONTRACT DATE: The Undersigned Contractor certifies that to the best of the Contractor's knowledge,information and CONTRACTOR'S APPLICATION FOR PAYMENT belief the work covered by this application for Payment has been completed in accordance with the Application is made for Payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner,an�4��11u�ilullgr0i current payment shown herein is now due. ��o�aa� Y ,iiiiyy 1.ORIGINAL CONTRACT SUM .. . .... . . ...... . . . . .$ 1,230,025.00 \\\o��0�(....•.... %yam 2.Net Change by Change Orders .. . . ..... . . .... .$ 321,462.45 CONTRACTOR: Smock Fansler Corporation 2910 W.Minne to Street Indianapolis,IN 46241 3.CONTRACT SUM TO DATE (Line 1 +2)... . ..... . . $ 1,551,487.45 /® L •: C 71 4.TOTAL COMPLETED AND STORED TO DATE ..... . $ 1,551,487.45 By: V11h. Date: .1—� a T.M.FANSLER / CEO �� '•, 5.RETAINAGE: o State of:IN �%i�„ TF.�piniuiy /o a. 0.00 of Completed Work $ 0.00 County of: MORGAN b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me this Day of/E7,,/ 20 Total retainage(Line 5a+5b)..... .. ..... . . . ... .. $ 0.00 Notary Public: r My Commission Expires 6.TOTAL EARNED LESS RETAINAGE.. .. ...... .. .. $ 1,551,487.45 (Line 4 less Line 5 Total) ARCHITECT'S CERTIFICATE FOR PAYMENT 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents,based on on-site observations and the data com- Li6 from 1,396,338.70 prising the above application, the Architect certifies to owner that to the best of the Architect's ( ne prior Certificate)' ' ''' ' ' '''''''' ' '''''$ knowledge,information and belief the Work has progressed as indicated,the quality of the work 8.CURRENT PAYMENT DUE ... . . . .. ...... . .. . .. .$ 155,148.75 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Line 3 less Line 6) $ 0.00 AMOUNT CERTIFIED.. .. . . . .. . . .... .. .... .. .. ...... $ (Attach explanation if amount certified differs from the amount applied.Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS, DEDUCTIONS Application and on the Continuation Sheet that are changed to conform to the amount certified.) Total changes approved in ARCHITECT: previous months by Owner 321,462.45 0.00 By. Date: Total approved this Month 0.00 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 prejudice to any TOTALS 321,462.45 0.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 321,462.45 I all AIA Type Document Application and Certification for Payment Page 2 of 2 TO(OWNER):CARMEL REDEVELOPMENT COMM. PROJECT. CCC PH II REMAINING SITE WORK APPLICATION NO: 13 DISTRIBUTION 30 W.MAIN ST.STE 220 TO: CARMEL, IN 46032 PERIOD TO:2/28/2018 _OWNER _ARCHITECT CONTRACTOR FROM(CONTRACTOR): Smock Fansler Corporation VIA(ARCHITECT): ARCHITECT'S 2910 W.Minnesota Street PROJECT NO: Indianapolis, IN 46241 CONTRACT FOR: CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE 1 GENERAL CONDITIONS 50,025.00 50,025.00 0.00 0.00 50,025.00 100.00 0.00 0.00 2 EARTHWORK AND DEMOLITION 268,000.00 268,000.00 0.00 0.00 268,000.00 100.00 0.00 0.00 3 STORM DRAINAGE UTILITIES 303,000.00 303,000.00 0.00 0.00 303,000.00 100.00 0.00 0.00 4 WATER SERVICE UTILITIES 218,000.00 218,000.00 0.00 0.00 218,000.00 100.00 0.00 0.00 5 SANITARY SEWERAGE 239,000.00 239,000.00 0.00 0.00 239,000.00 100.00 0.00 0.00 UTILITIES 6 ROAD BASE AND PAVING 257,000.00 257,000.00 0.00 0.00 257,000.00 100.00 0.00 0.00 7 ALTERNATE#2a USE EXISTING -105,000.00 -105,000.00 0.00 0.00 -105,000.00 100.00 0.00 0.00 42"STRM 8 CCR#1 WATER DISTRIBUTION 12,150.00 12,150.00 0.00 0.00 12,150.00 100.00 0.00 0.00 CHANGES 9 CCR#2 NE ENTRY REVISIONS 65,700.00 65,700.00 0.00 0.00 65,700.00 100.00 0.00 0.00 10 CCR#3 PREIMETER FENCE 2,590.00 2,590.00 0.00 0.00 2,590.00 100.00 0.00 0.00 CHANGES 11 CCR#5 TEMPORARY SOUTH 19,550.00 19,550.00 0.00 0.00 19,550.00 100.00 0.00 0.00 ENTRANCE 12 CCR#6 LATER COMPLETION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 DATE 13 CCR#7 UTILITY LATERALS TO 91,940.00 91,940.00 0.00 0.00 91,940.00 100.00 0.00 0.00 BLDGS I 14 CCR#8 PERIMETER FENCING 21,007.45 21,007.45 0.00 0.00 21,007.45 100.00 0.00 0.00 CHANGES 15 CCR#9 DRESS UP SW ENTRY 3,525.00 3,525.00 0.00 0.00 3,525.00 100.00 0.00 0.00 DRIVE ' 16 CCR#10 CANCEL ALT#2A 105,000.00 105,000.00 0.00 0.00 105,000.00 100.00 0.00 0.00 REPORT TOTALS $1,551,487.45 $1,551,487.45 $0.00 $0.00 $1,551,487.45 100.00 $0.00 $0.00 i 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 Redevelopment Commission to furnish certain labor, materials, and/or services as follows: Misc. Construction for a project known as: SFC#16-052 CCC PH II Remaining Site Work 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($155,148.75) One Hundred Fifty Five Thousand One Hundred Forty Eight 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 v! \ Title CEO T.M.Fansler WITNESS MY HAND AND NOTARIAL SEAL,this 2111 day of February,2018. 0 , p RYp��"vy� I Mr d- 17111 Melissa J.Laue Notary Public .• SE AL *= My commission expires_October 23. 2024_ Residing in Morgan CountyOF.INp\`P�P\��`