HomeMy WebLinkAbout325895 5/31/2018 / "\�
CITY OF CARMEL, INDIANA VENDOR: 00350511
.j e 4� ONE CIVIC SQUARE SMOCK FANSLER CORP CHECK AMOUNT: $****10,024.00*
,�; CARMEL, INDIANA 46032 2910 W MINNESOTA ST CHECK NUMBER: 325895
'M,iTON.�o. INDIANAPOLIS IN 46241 CHECK DATE: 05131/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1206 4350900 2776 10,024.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00350511 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SMOCK FANSLER CORP IN SUM OF$ CITY OF CARMEL
2910 W MINNESOTA ST 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.
INDIANAPOLIS, IN 46241
Payee
$10,024.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
2776 43-509.00 $10,024.00 1 hereby certify that the attached invoice(s),or 5/17/18 2776 $10,024.00
1206 101 1206 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 30,2018
Huffman, Dave
Director
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
i Smock Fansler Corporation
2910 W. Minnesota Street INVOICE
Indianapolis IN 46241-
Invoice No:2776
(317) 248-8371 Date:5/17/2018
Bill To: Due Date:6/16/2018
CARMEL STREET DEPARTMENT
3400 W. 131 ST STREET Job No:18024
Description: CARMEL CITY CENTER
CARMEL IN 46074 PO #:
Quantity Description Unit Price Extended Price
REPAIR DAMAGE TO OVERHEAD FOUNTAIN
PIPING STRUCK BYAVEHICLE IN THE PARKING
GARAGE @ CARMEL CITY CENTER.
1.00 TOTALAMOUNT DUE 10,024.00 10,024.00
Thank You For Your Business! Amount Now Due: 10,024.00
Terms:NET 30 DAYS
INDIANA EXEMPT 0.00
Smock Fansler Corporation Hanover Fountain Repair at CCC
Quotation Breakdown
Name: Joe Davee
Company: Smock Fansler Corporation SFC Job# 18-024
Date: 5/16/2018,Work Completed 5/11/2018 SFC Bid# B18-0053
Source of Request: Carmel Street Department
Brief Description of Work: Repair damage to overhead fountain piping struck by a vehicle in the parking garage
at Carmel City Center. Work included replacement of 3 broken lines net to the chillers and replacing the 6"line from the
flange connection above the effects pump to the first 90 degree elbow past the T outside the cage.
Price includes pipe,fittings and hangars affected. A contingency has been added for damage which may not be
readily apparent as the ripple effect of the damage was far ranging and extensive.CONTINGENCY NOT NEEDED
UNIT PRICES/QUANTITIES TOTALS FOR CHANGE:
LABOR (Incl: OH & Profit)
Trade Man-hours Unit.Price Total ITEM COST
Project Mngr - 155.00 - Contractor Materials 1,535.00
Quality Control - 115.40 - Contractor Labor 7,062.00
Superintendent - 124.00 - Contractor Equipment 1,120.00
Working Forem 40.00 1.13.02 4,520.80 Subcontractor Total -
Carpenter Fore - 96.58 - Permits
Carpenter - 82.26 - Bonds
Labor Foreman - 76.32 - Subtotal 9,717.00
Laborer 40.00 63.53 2,541.20
Laborer OT - 82.46 - 10% Overhead-Mat'ls, Subs 153.50
Finisher - 73.51 - 10% Profit-Mat'Is, Subs 153.50
Operator - 87.14 - 0% Sales Tax -
Teamster 1 - 83.55 -
Field Engineer 1 124.00 - Unforeseen Damage Contingency, n/a
MATERIALS Note: Prices reflect all planning
Item Quantity Unit Price Total coordination, execution
Pipe 1.00 985.00 985.00 and follow-up necessary
Fittings 1.00 350.00 350.00 to complete this work
Hangars 1.00 200.00 200.00
- Total:F$- 10,024.00
EQUIPMENT (Incl. OH & Profit)
Item Hours Unit Price Total
Scissor Lift 32.00 35.00 1,120.00
SUBCONTRACTOR
Company Item Price Total
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 Street Department to furnish certain labor, materials, and/or services as
follows: Misc. Construction for a project known as: SFC#18-024 Carmel City Center 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($10,024.00)
Ten Thousand Twenty Four Dollars and No/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 a CEO
.Fansler
WITNESS MY HAND AND NOTARIAL SEAL,this 17th day of May,2018. \�o �01"AIRYI�peiiiy���
AZL4 I
Melissa J. Laue /Notary Public _ � 'AL
County in Morgan Coun ' '%�Tc� ' P•o`��\\
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