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Home My WebLink About326288 06/12/18 .coq CITY OF CARMEL, INDIANA VENDOR: 372339 ONE CIVIC SQUARE SMITH PROJECTS, INC. CHECK AMOUNT: $***107,039.79* CARMEL, INDIANA 46032 P.O.BOX 189 CHECK NUMBER: 326288 MiTON 238 N.MAIN STREET CHECK DATE: 06/12/18 MAXWELL IN 46154 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 103 4460703 51115 PAYAPP#2 107,039.79 PHASE 1 MONON TRAIL R ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 372339 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Smith Projects Inc. Payee PO Box 189,238 N Main St Maxwell, IN 46154 In Sum of$ Purchase Order# 372339 Smith Projects Inc. Terms $ 107,039.79 PO Box 189,238 N Main St Date Due Maxwell, IN 46154 ON ACCOUNT OF APPROPRIATION FOR 103-Parks Capital Fund PO#or nvolce Description Dept# INVOICE NO. ACCT#lfITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 51115 p Pay App#2 4460703 $107,039.79 Board Members 5/30/18 Pay App#2 Monon Trail Rehabilitation Phase 1 Project 51115 $ 107,039.79 I hereby certify that the attached invoice(s),or 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 $107,039.79 Total $ 107,039.79 June 6,2018 1 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 Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title 6702 APPLICATION and CERTIFICATE for PAYMENT To: Carmel/Clay Board of Parks_&.Rec.. Project Monon Trail Rehabilitation pp at on No 2 Distribution to: 1411 E.116th St Phase 1 _ ❑OWNERDate:Carmel,IN 46032 APPM20# ❑CONSTRUCTION MGR. From Smith Prolects,lnc 1i- ,_ Period to: May 30,2018 ❑ARCHITECT i ' ❑CONTRACTOR '... .. PO ox.189 238:N..Main,St Project No: E3 ENGINEER Maxwell;IN�46154 Contract Date: Contract For Engineer. APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents,that all amounts have been paid by the Continuation Sheet,G703,is attached. Contractor for Work for which previous Certificates for Payment were issued and payments 1. ORIGINAL CONTRACT SUM 249,999 00 received from the Owner,and that current payment shown herein is now due. 2. Net Change By Change Orders CONTRACTo Smith Projects Inc. 3. CONTRACT SUM TO DATE 249,999.00 By., Date: 4. TOTAL COMPLETED AND STORED TO DATE 209,319.50 J.R.Angte °`� 5. RETAINAGE: State of. Indiana County of Hancock QW CX a. 10% of Completed Work 20,931.9 Subscribed and swam before me this 30th day of M6y E b. of Stored Material =0-00 J.R.Angle personally appeared before me,the undersigned notary public,and provided o satisfactory evidence of identification to be the person who signed this document in my Z TOTAL RETAINAGE1. 20,931.95 presence and swore or affirmed to me that the contents of this document are truthful and . accurate to the best of his/her knowledge and belief. 6. TOTAL EARNED LESS RETAINAGE 1 188,3$7, 5 Notary Public r*$ My Commission expires:� 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 81,347.76 ENGINEER'S CERTI ICATE FOR PAYMENT 8 CURRENT PAYIUIEPIr DUE 10=7,039.79 n accordance with the Contract Documents,based on on-site observations and the data 9. BALANCE TO FINISH, INCLUDING RETAINAGE 61,611.4 comprising this application,the Engineer certifies to the Owner that to the best of the Engineer's knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIE CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED 010-405-7.711 Total changes approved in (Attach explanation if amount certified differs from the amount applied for. Initial all figures previous months by Owner on this Application and on the Continuation Sheet that are changed to conform to the Total approval this Month amount certified.) TOTALS ENGINEER ETC GES b hag a rd By: Date. S Zo/B PO# 51115 o CT 2018 GL#103-4460703Line Description Monon Greenway This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance,payment and acceptance of payment are Approval DATE" prejudice to any rights of the Owner or Contractor under this Contract. CAUTION: You should use an original document which has this caution printed in red.An original assures that changes will not be obscured as may occurwhen documents are reprod7BY: d U N _ 5 2O 18 TORGO SOFTWARE www.TorgoSoftmre cam 01896.2015 ALL RIGHTS RESERVED CONTINUATION SHEET G703 PROJECT: Monon Trail Rehabilitation Smith Projects Inc. Page 1 of 1 Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing Application No: 2 Contractor's signed Certification is attached. App.Date: May 30,2018 Use Column I on Contracts where variable retainage for line items may apply. Period to: May 30,2018 Project No: A B C D E F G H 1 Item Description of Work Schedule Work Com leted Materials Total Completed % Balance Retainage # of From Previous This Stored 8,Used and Stored to Finish Values Application(s) Period Prior+Current To Date 1 Mobilization/Demobilization 25,044.00 . 18,7.83.00.. 6,261.00.. 25,044.00 100.00 0.00 2,504.40 2 Construction Engineering 2,500. 2,500.00 0.00 2,500.00 100.00 0.00 250.00 3 Traffic Control 5,000.00 3,250.00 1,750.00 5,000,00 100.00 ._........... ......0.00 . ... .. ..500.00 4 Topsoil. 6,150,00 1,845.00' 4,305.00 ..,.... .., ......6,150.00 100.00 0.00 615.00 5 Installation Stone 8,500.00 3,825.00 4,675.00 8,500.00, 100.00 0.00 850.00 6 Seed/Straw 1,250.00 1,250.00 ....... ..0.00........_._...._.__._....__. .1,250.00._100.00 ._ _ 0.00 ....... 125.00 7 Crack Seal 2,000.00 1,200.00 800.00 2,000.00 -100.00 0.00 200.00 8 Striping 4;550.00 1,592.501 2,957.50 4,550.00 100.00 0.00 455.00 9 Concrete 3,750.00...... ..3,750.0 0.00 ........ 3,750.00. 100.00 .. . . ... .. 0.00 375,00 10 Construction-Base repair 33,000.00 13,200.00. 19,800.00 33,000.00 100.00 0.00 3,300.00 11 Construction-Overlay 96,555.00 36,690.90 59,864.10 96,555.00 100.00 0.00 9,655.50 12 Supplies-Stainless steel Bollards 10,000.00.,_ .2,500. 7,500.00 ..:10,000.00 .100.00 0.00 1,000.00 13 Clearing ofeAsting conditions 1,700.00 1,700.00, 1,700.00. 100.00 0.00 170.00 14 Afternafives-Allowance 40,679.50 0.00 0.00 0.00 40,679.50 0.00 15 emative-Added Sealcoatin 5,383.00.... „, 5,383.00 5,383,00. 100.00 0.00 538.30 16 Alternative-Added Concrete work at. 3,937.50 .3,937.50 3,937.50 100.00 0.00 393.75 17 GRAND TOTAL: 249,999:00 90,386.40 118,933,10. 1. 209,319.50 83.73 40',619.501 20,931.95 A=Line Item Number B--Brief Item Description C=Total Value of Item D=Total of D and E From Previous Appl catfon(s)(If Any) E=Total Work Completed For This Application F=Materials Purchased and Stored for Project G=Total of All Work Completed and Materials Stored for Project H=Remaining Balance of Amount to Finish 1=Amount Withheld from G TORGOSOFTWARE wwNCT0WS0ftW WM®189r,2015ALL RIGHTS RESERVED