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HomeMy WebLinkAbout324633 04/25/18 oi. CITY OF CARMEL, INDIANA VENDOR: 372379 ONE CIVIC SQUARE INLAND WATERS POLLUTION CONTROLgh=K AMOUNT: $..*180,804.54" CARMEL, INDIANA 46032 4086 MICHIGAN AVE. CHECK NUMBER: 324633 DETROIT MI 48210 CHECK DATE: 04/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 660 5023990 1 180,804.54 OTHER EXPENSES VOUCHER NO. 185364 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 372379 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER Inland Waters Pollution Control Inc CITY OF CARMEL 4086 Michigan Ave An invoice or bill to be properly itemized must show: kind of service,where performed, Detroit, MI 48210 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee $180,804.54 372379 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR Inland Waters Pollution Control Inc Terms Carmel Wasterwater Utility 4086 Michigan Ave Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), Detroit, MI 48210 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1 06-1420-00 egg 80 nd received except 4/23/2018 1 $180,804.54 Availability 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF TWO PAGES TO: CITY OF CARMEL, IN PROJECT: APPLICATION NO: ONE ONE CIVIC SQUARE DISTRIBUTION TO: INVOICE NO: 82100100-1 SUPERIOR CARMEL, IN 46032 LOWES WAY SEWER LINER CONTRACT NO.95 PERIOD TO: 3/15/2018 ENGINEER CARMEL, 1N FROM; INLAND WATERS POLLUTION CONTROL, INC. CONTRACTOR 4086 MICHIGAN AVE, ENGINEER'S DETROIT, MI 48210 PROJECT NO: CONTRACT FOR: DIVISION A-BRICK SEWER REHABILITATION PHASE III CONTRACT DATE: Janus .15,2018 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information Application is made for Payment,as shown below,in connection with the Contract and belief the Work covered by this Application for Payment has been completed in accordance Continuation Sheet,AIA Document G703,is attached, with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, ORIGINAL CONTRACT SUM $ 191,843.33 and that current payment shown herein is now due. NET CHANGE BY CHANGE ORDERS $ -1,522.76 CONTRACT SUM TO DATE $ 190,320,57 CONTRACTOR:: INLAND WATERS POLLUTION CONTROL, INC. TOTAL COMPLETED&STORED TO DATE 190,320.57 r $ '' (Column G on G703) RETAINAGE $ Total in Column 1 of G703 9,516.03, BY: DATE: MARCH 21, 2018 JEREMYECKLEIN, DIRECTOR OF OPERATIONS TOTAL EARNED LESS RETAINAGE $ 180,804,54 LESS PREVIOUS CERTIFICATES FOR State of: MICHIGAN County of: WAYNE PAYMENT $ 0.00 Subscribed and sworn to before me this 21 ST day of MARCH,2018 CURRENT PAYMENT DUE $ 180,804.54 Notary Public: JULIE A. LACKEY BALANCE TO FINISH,PLUS RETAINAGE $ 9,516.03 (Line 3 less Line 6) My Commission Expires.• August 16, 2018 ENGINEER'S CERTIFICATE FOR PAYMENT CHANGE ORDER SUMMARY In accordance with the Contract Documents,based on on-site observations and the Change Orders approved in ADDITIONS DEDUCTIONS data comprising the.poo application,the Engineer.certifies'to the Owner that to.the previous months by Owner best of 1ho Engineer's:knowledge,information and belief the Work'has progressed as. TOTAL indicated,the•quality of the Work is in accordance with the Coritract Documents,and .Approv6dl this Month the Contractor is entitled to payment of the AMOUNT CERTIFIED. To adjust over/under quantities 1,522.76 AMOUNT CERTIFIED ENGINE .... . ....... . .................. $ BY. DATE: TOTALS 0.00 1;522.76 This Certificate is n thfegovable'-tTie OUNT CERTIFIED is payable only to the Net chan e'b Chan e-Orders -1,522.76 Contractor named herein..Issuance,payment and acceptance of payment are without piejutlice to any rights of the Owner or Contractor under this Contract.