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HomeMy WebLinkAbout326575 06/28/18 %'� � CITY OF CARMEL, INDIANA VENDOR: 372371 ONE CIVIC SQUARE GIBRALTAR CONSTRUCTION CORP CHECK AMOUNT: $***885,972.15* :9 ,� CARMEL, INDIANA 46032 2932 N.WEBSTER AVE CHECK NUMBER: 326575 y��TON�. INDIANAPOLIS IN 46219 CHECK DATE: 06/28/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 106 5023990 51168 PAYAPP #1 885,972.15 GIBRALTAR CONSTRUCTIO ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 372371 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Gibraltar Construction Corp Payee 2932 N Webster Ave Indianapolis, IN 46219 In Sum of$ Purchase Order# 372371 Gibraltar Construction Corp Terms $ 885,972.15 2932 N Webster Ave Date Due Indianapolis, IN 46219 ON ACCOUNT OF APPROPRIATION FOR 106-Park Impact Fees PO#ornvolce Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 51168 p Pay App#1 5023990 $885,972.15 Board Members 5/31/18 Pay App#1 West Park-The Groves Rebid Project 51168 $ 885,972.15 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and that the materials or services itemized thereon for I which charge is made were ordered and received except $885,972.15 Total $ 885,972.15 June 20,2018 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 1PA0A"KZk) claim paid motor vehicle highway fund Signature -,20_ Accounts Payable Coordinator Clerk-Treasurer Title IA .'`� ��, . gad ®- MUM'S� � � � TM . 1992 J UPJ 1 201 ........................ Aioplicagi®n and Codifkate-forPayrnenf TO OWNER: Carmel/Clay BoBrd'of Parks&Recreation PROJECT:' west Park'-The Groves APPLICATION NQ: 1 Distribution fo: 1411:E. 1.16th Street; I. 5/31/18 Carmel;,IN.46032 PERIOD TO: OWNER ❑ CONTRACT FOR ARCHITECT :❑ ------------ FROM CONTRACTOR Gibraltar Construction_Cor VIA ARCHITECT: SrnithGroupJJR,Inc. 3/30/18 p . CONTRACT DATE:: CONTRACTOR ❑' 2932, lis,aN 46219 ✓:;N Webster Ave. : . PROJECT NOS:. / ('IndianapoFIELD '.❑ General Contractor. OTHE CONTRACTOR'S APPLICATION.FOR PAYMENT The undersigned'Contra o_ 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 cob Ye y this"Application for"Payment has been completed in accordance AIA Document G703T`t,'Confinuatiori.Sheet;is attached. with the Contract 1) en that all amounts have'been:paid by the-Contractor for Work for which-previous.Certi i es.f r ayrnent;were issued and payments received:from the Owner,and -1.ORIGINAL CONTRACT SUM.............................. $ 5,558,500.00. that.currentpayment sh n he 'n•is now due.: . 2.NET CHANGE 13Y'CHANGE ORDERS $ 286;688.50 CONTRACTOR: ra Construction Corp 3:CONTRACT SUM TO DATE Line.]x 2 It ( 1 ................ ................... $ . 5.845.188:50 By:. Date: 4.TOTAL:COMPLETED&STORED.TO.DATE.(Column Gaon G703) ....... $ 984,413.50 State of 5;RETAINAGE: County of fsj" E YP a BRIAN R; M.CBRIDE, a I O�jo of Completed Work Subscribed an 's b fo �] 0 4�. ReS.'of Halieock Cou* (Columns U+Eon G703J. $ 98,441.35 me this ✓'`'G da' 'ofEAl ' p-5 ® ?' * * My.ColTim. E : 11-22025 b. Vo of.Stored Material: pt�P COmmISSI011.i# 706505 (Column.F on 6703) $ My commission expiresf Total Retainage(Lines 5a+.5b,or Total in,Column I of G703)...... $ 6.TOTAL EARNED LESS.RETAINAGE.,•..-.•.....:....... ......:....:.... $. 885;972.15. ARCHITECT S:CERTIFICATE�FOR:PAYMENT (Line:4.rizinus Line•5 Total) In.accordance with the Contract.Documents,based on on-site observations'and the data comprising I.LESS.PREVIOUS CERTIFICATES FOR PAYMENT:..:........:......... :$ 0.00 is application,the Architect certifies.to the Owner,that to:the best of the'ArchiteeVs knowledge, this (Line 6 from"pr for Cert f cate) information and,belief the.Work.has.progressed as indicated,.the qualityof the.Work is.in 8.CUA RENT PAYMENT DU_E__ .,....< M :-.....:...... "$ 885;972:15 accordance MOUN 1 . e . with the Contract Documents,:and the Contractor •s entitled to payment of:th JAMOUNT CERTIFIED 9.BALANCE TO FINISH;INCLUDING RETAINAGE. MOUNT CERTIFIED........................................ .. .. ...... 885,972.15 A $ (Line 3.ininus Line 6) $, 4,959,216.35 (Attach explanation ifainount certified differs flan the amount applied.Initial all fg:zres on this. Application and on the.Continuation Sheer.that are changed to.confor nz with the amount certifted:) CHANGE ORDER SUMMARY ADDITIONS. DEDUCTIONS ARCHITECT: SmithGroup JJR,Inc. otal.changes approved in previous months by.Owner' $" $" By; 'G :�' Date:.. 6/1'5/2018 'total approved this month $ $ This Certificate not negotiabie.'The AMOUNT CERTIFIED is'payable'only to the'Contractor TOTAL" $ $ 'named herein.Iss ance,payment and acceptance of payment are without prejudice to any rights of ' NET CHANGES b Change Order. $' the Owner or Contractor under this.Contract.. . CAUTION:Youahould�sign an:original AIA Contract Document,on which this.text appears in.RED.An original assures that changes-will not be obscured. J AIA Document G702T" 1992:Copyright:©1953,1963;1965;1971,1978 1983 and 1992 by The American Institute of Architects.All rightsreseryed.WARNING:This-Aie Document is protectedby!U.S.Copy lght Law and International Treaties:,Unauthorized reproduction ordistribution_of this AIA®Document,or any portion of it,may.resuit in severe cavil and criminal,penatties,and Will be prosecuted to the'maximum extent possible under the law.Purchasers are,pennitted.to reproduce ten.(10)coptes.of this document when"completed..To report copyright violations of AlA Contract Documents,e.-mail The American Institute of Architectslegal' counsel,copyright@aia.org• oma„nctiae: . i . 1 CONTINUATION SHEET I APPLICATION NO.: 1 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification;is attached. APPLICATION DATE: 6/5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD TO: 5/31/2018 retainage for line items may apply. 4 ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM BALANCE TO RETAINAGE FROM PREVIOUS PRESENTLY COMPLETED AND DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE N0. APPLICATION THIS PERIOD STORED(NOT STORED DATE (G/C) (C-G) RATE) (D+E) IN DORE) (D+E+f) 1 Division 01 -General Requirements 2 Bonds 51,500 51,500 51,500 100% 0 5,150 3 Allowance#1, Superior Time Management 60,000 0 0% 60,000 0 4 Insurance 8,500 8,500 8,500 100% 0 850 5 Permits and Fees 1,000 1,000 1,000 1000% 0 100 6 Submittals 5,000 0 0% 5,000 0 7 Mobilization 14,000 14;000 14,000 100% 0 1,400 8 Quality Requirements (Testing) 18,000 2,500 2,500 14% 15,500 250 i 9 Temporary Toilets 3,000 425 425 14% 2,575 43 # 10 Project Sign Labor 400 0 00/0 400 0 11 Project Sign Material 900 900 900 100% 0 90 } 12 Daily Cleaning 3,500 500 500 14% 3,000 50 13 Final Cleaning 21*800 0 0% 2,800 0 14 Dumpsters 4,900 700 700 14% 4,200 70 15 Field Engineering and Layout 15,000 7,500 7,500 50% 7,500 750 i 16 Temporary Power to.Trailer 2,500 2,500 2,500 100% 0 250 17 Temporary Power to Building 5,500 0 0% 5,500 0 18 Erosion Control 29,500 29,500 29,500 100% 0 2,950 19 Construction Entrance 11,500 11,500 11,500 100% 0, 1,150 20 Temporary Construction Fence 17,500 17,500 17,500 100% 0 1,750 I 21 } 22 Division 31-Earthwork 23 Site Clearing 96,500 48,250 48,250 50% 48,250 4,825 24 Earth Moving mass earth) 176,500 88,250 88,250 50% 88,250 8,825 25 Earth Moving (footing excavation) 35,000 35,000 35,000 100% 0 3,500 26 Earth Moving (foundation backfill) 11,500 2,300 2,300 20% 9,200 230 j 27 28 Division 32-Exterior Improvements 29 Slab Drainage Fill Labor 13,500 0 0% 13,500 0 30 ISlab Drainage Fill Material 16,700 0 0% 16,700 0 i CONTINUATION SHEET APPLICATION AND CERTIFICATE.FOR PAYMENT,containing Contractor's signed Certification,is attached. APPLICATION NO. : 1 In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable APPLICATION DATE: 6/5/2018 retainage for line items may apply. PERIOD TO: 5/31/2018 ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM BALANCE TO RETAINAGE FROM PREVIOUS PRESENTLY COMPLETED AND N0. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (G I C) FINISH (IF VARIABLE (D+E) IN D OR E) (D+E+F) (C-G) RATE) 3.1 Sidewalk,Drainage Fill Labor 15,000 0 0% 15,000 0 32 Sidewalk Drainage Fill Material 27,000 0 0%u 27,000 0 33 Playground Drainage Stone Labor 5,000 0 0% 5,000 0 34 Playground Drainage Stone Material 7,000 D 0% 7,000 0 35 Aggregate Trail Labor 4,500 0 0% 4,500 0 36 Aggregate Trail Material 5,500 0 0% 5,500 0 37 Asphalt Paving Submittals 1,500 0 0% 1,500 0 I 38 Asphalt Paving Aggregate Base 82,500 0 0% 82,500 0 39 Asphalt Paving Binder 48,000 0 0% 48,000 0 40 Asphalt Paving Surface 41,800 0 0% 41,800 0 41 Pavement Markings 1,400 0 0% 1,400 0 42 Parking Bumpers 1,200 0 0% 1,200 0 I 43 ADA Parking Signs 1,100 0 0% 1,100 0 44 Precast Concrete Boardwalk Submittals 2,500 0 0% 2,500 0 45 Precast Concrete Boardwalk Labor 6;000 0 0% 6,000 0 46 Precast Concrete Boardwalk Material 30,000 0 0% 30,000 0 47 Playground Protective Surfacing Labor 3,000 0 0% 3,000 0 48 Playground Protective Surfacing Material 4,000 0 0% 4,000 0 49 Playground Equipment Installation 8,000 0 0% 8,000 0 # 50 Manual Retractable Bollards Submittals 500 0 0 500 0 I 51 Manual Retractable Bollards Labor 600 0 0%u 600 0 52 Manual Retractable Bollards Material 3,500 3,500 3,500 100% 0 350 53 Irrigation Submittals 1,000 0 0% 1,000 0 54 Irrigation Labor 3,000 0 0% . 3,000 0 55 Irrigation Material 4,000 0 0% 4,000 0 56 Wet Pond Aeration System Labor 3,500 0 0%u 3,500 0 57 Wet Pond Aeration System Material 2,000 0 0%u 2,000 0 58 Well Labor 1 3,000 0 0% 3,000 0 p F06O Well Material 5,000 0 . 0% 5;000 0 " Lawns Labor 3,000 0 1 0% 3,000 0 4' CONTINUATION SHEET APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is attached. APPLICATION N0. : 1APPLICATION DATE: 6/5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD TO: 5/31/2018 retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE N0. DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (G/C) (C-G) RATE) (D+E) IN DOR E) (D+E+F) 61 Lawns Material 4,000 0 0% 4,000 0 62 Exterior Plantings Labor 21,200 0 0% 21,200 0 63 Exterior Plantings Material 42,000 1 0 0% 42,000 0 64 24" Planting Mixture Labor 4,1.00 0 0% 4,100 0 65 24" Planting Mixture Material 17;600 0 0% 17,600 0 66 Limestone Bollards/Seats/Benches Submittals 1,500 1,500 1,500 100% 0 150 67 Limestone Bollards/Seats/Benches Labor 4,000 0 0% 4,000 0 68 Limestone Bollards/Seats/Benches Material 55,000 0 0% 55,000 0 69 Dum ster Gate Labor 800 0 0% 800 0 70 Dumpster Gate Material 4,000 0 0% 4,000 0 71 Guardrail Labor 8,000 0 0% 8,000 0 72 Guardrail Material 15,000 0 0% 15,000 0 73 Concrete Sidewalks and Pavements Labor 56,000 0 0% 56,000 0 74 Concrete Sidewalks and Pavement Material 100,000 0 0% 100,000 0 75 Concrete Curbs and Gutters Labor 50,000 0 0% 50,000 0 76 Concrete Curbs and Gutters Material 60,000 0 0% 60,000 0 77 Stone Bollard Foundations 4,000 0 0% 4,000 0 78 Site Concrete Trench Drains 3,000 0 0% 3,000 0 79 Concrete Abutments for Metal Grates 5,000 0 0% 5,000 0 80 Concrete Abutments for Boardwalks 6,000 0 0% 6,000 0 81 Concrete Entry Headwall Labor 8,000 0 0% 8,000 0 82 Concrete Entry Headwall Material 10,000 0 0% 10,000 0 83 Precast Arch Culvert Footing Submittal 2,500 0 0% 2,500 0 84 Precast Arch Culvert Footing Labor 17,600 0 0% 17,600 0 85 Precast Arch Culvert Footing Material 9,700 0 0% 9,700 0 86 Trash Enclosure Concrete Labor 5,000 0 0% 5,000 0 87 Trash Enclosure Concrete Material 4,000 0 0% 4,000 0 88 89 Division 33- Utilities 90 lWater Distibution Piping Submittals 1,500 0 0%1 1,500 0 CONTINUATION SHEET APPLICATION NO. : 1 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification,is attached. APPLICATION DATE: 6/5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD TO: 5/31/2018 retainage for line items may apply. . ARCHITECT'S PROJECT N0. A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND BALANCE TO RETAINAGE % DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE N0. APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (G f C) (C-G) RATE) (D+E) IN D OR E) (D+E+F) 91 Water Jack and Bore 15,000 0 0% 15,000 0 92 Water Distibution Piping Labor 45,000 0 0% 45,000 0 93 Water Distribution Piping Material 951,000 0 0% 95,000 0 94 Sanitary Sewer Submittals 1,000 0 0% 1,000 0 95 Sanitary Sewers Labor 4,000 0 0% 4,000 0 96 Sanitary Sewers Material 4,900 0 0% 4,900 0 97 Sanitary Force Main Submittals 1,000 0 0% 1,000 0 98 Sanitary Force Main Labor 25,000 0 0% 25,000 0 99 Sanitary Force Main Material 20,000 0 0% 20,000 0 100 Sanitary Grinder Pump Labor 2,000 0 0% 2,000 0 101 Sanitary Grinder Pump Material 9,000 0 0% 9,000 0 102 Storm Drainage Submittals 1,000 1;000 1,000 100% 0 100 103 Storm Drainage Labor 55,000 0 0% 55,000 0 104 Storm Drainage Material 95,000 0 0% 95,000 0 105 Arch Culvert Submittals 31500 3,500 3,500 100% 0 350 106 Arch Culvert Labor 25,000 0 0% 25,000 0 107 Arch Culvert Material 85,000 0 0% 85,000 0 108 Trench Drain Castings Submittals 21000 0 0% 2,000 0 109 Trench Drain Castings Labor 2,000 0 00/0 2,000 0 110 Trench Drain Castings Material 25,000 0 0% 25,000 0 111 Subdrainage Labor 3,000 0 0% 3,000 0 112 Subdrainage Material 5,000 0 0% 5,000 0 113 114 Division 03 Concrete 115 Concrete Footing Labor 30,000 30,000 30,000 100% 0 3,000 116 Concrete Footing Material 65,000 65,000 65,000 100% 0 6,500 117 Concrete Foundation Labor 40,000 32,000 32,000 80% 8,000 3,200 118 Concrete Foundation Material 35,000 28,000 28,000 80% 7,000 21800 119 Foundation Insulation 2,500 500 500 20% 2,000 50 120 Slab-on-Grade Labor 22,000 0 Ln 22,000 0 1 iE i I CONTINUATION SHEET APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is attached. APPLICATION N0.: 1APPLICATION DATE: 6!5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD T0: 5/31/2018 retainage for line items may apply. ARCHITECT'S PROJECT NO.: A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (G!C) (C-G) RATE) (D+E) IN DOR E) (D+E+F) 121 Slab-on-Grade Material 451600 0 0% 45,600 0 122 Under-Slab Insulation 5,500 0 0% 5,500 0 123 Slab-on-Deck Labor 4,000 0 0% 4,000 0 124 Slab-on-Deck Material 4,500 0 0% 4,500 0 125 Foundation Reinforcing Submittals 1,500 1;500 1,500 100% 0 150 126 Foundation Reinforcing Labor 20,000 16,000 16,000 80% 4,000 1,600 127 Foundation Reinforcing Material 22,700 22,700 22,700 100% 0 2,270 128 0 129 Division 04-Masonry 0 130 Masonry Submittals 1,500 1,500 1,500 100% 0 150 131 Concrete Unit Masonry Labor 126,500 0 0% 126,500 0 132 Concrete Unit Masonry Material 75,000 37,500 37,500 50% 37,500 3,750 133 Anchored Stone Masonry Veneer Labor 50,000 0 0% 50,000 0 134 Anchored Stone Masonry Veneer Material 65,000 0 0% 65,000 0 135 Adhered Stone Masonry Veneer Labor 55,000 0 0% 55,000 0 136 Adhered Stone Masonry Veneer Material 75,000 0 0% 75,000 0 137 138 Division 05-Metals 139 Structural Steel Submittals 20,000 20,000 20,000 100% 0 2,000 140 Structural Steel Framing Labor 138,800 0 0% 138,800 0 141 Structural Steel Framing Material 218,500 0 0% 218,500 0 142 Steel Decking Labor 15,000 0 0% 15,000 0 143 Steel Decking Material 20,000 0 0% 20,000 0 144 Metal Fabrications Labor 8,000 0 0% 8,000 0 145 Metal Fabrications Material 15,000 12,750 12,750 85% 21250 1,275 146 Decorative Formed Metal Labor 9,300 0 0% 9,300 0 147 Decorative Formed Metal Material 9,700 0 0% 9,700 0 148 Cold-Formed Metal Framing Submittals 2,000 2,000 1 2,000 1100%1 0 200 149 Cold-Formed Metal Framing Labor 75,000 01 0./61 75,000 0 150 Cold-Formed Metal Framing Material 85,000 0 0%1 85,000 0 I CONTINUATION SHEET APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is attached. APPLICATION NO. : 1APPLICATION DATE: 6/5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD T0: 5/31/2018 retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (G/C) (C-G) RATE) (D+E) IN D.ORE) (D+E+F) 151 152 Division 06- Wood, Plastics, & Composites 153 Misc. Rough Carpentry Labor 10,000 0 0% 10,000 0 154 Misc. Rough Carpentry Material 15,000 0 0% 15,000 0 155 Sheathing Labor 10,000 0 0% 10,000 0 156 Sheathing Material 25,000 0 0% 25,000 0 157 PLam Faced Arch. Cabinets Submittals 1,500 1,500 1,500 100% 0 150 158 PLam Faced Arch. Cabinets Labor 2,000 0 0% 2,000 0 159 PLam Faced Arch. Cabinets Material 7,000 0 0% 7,000 0 160 Foamed-in-Place Insulation Submittals 500 0 0% 500 0 161 Foamed-in-Place Insulation Labor 6,000 0 0% 6,000 0 162 Foamed-in-Place Insulation Material 8,000 0 0% 8,000 0 163 164 Division 07- Thermal&Moisture Protection 165 Thermal Insulation Labor 5,000 0 0% 5,000 0 166 Thermal Insulation Material 4,500 0 0% 4,500 0 167 Fluid-Applied Membrane Air Barriers Submittals 500 500 500 100% 0 50 168 Fluid-Applied Membrane Air Barriers Labor 4,000 0 0% 4,000 0 169 Fluid-Applied Membrane Air Barriers Material 5,000 0 0% 5,000 0 j 170 Roofing Submittals 2,000 2,000 2,000 100% 0 200 171 Roofing and Sheet Metal Submittals 5,000 5,000 5,000 100% 0 500 172 Polyvinyl-Chloride(PVC) Roofing Labor 85,000 0 0% 85,000 0 173 Polyvinyl-Chloride(PVC) Roofing Material 1.00,000 0 0% 100,000 0 j 174 Roof Specialties Labor 33,000 0 0% 33,000 0 j 175 Roof Specialties Material 30,000 0 0% 30,000 0 176 Metal Composite Wall Panels Labor 3,000 0 0% 3,000 0 177 Metal Composite Wall Panels Material 5,000 0 0% 5,000 0 178 Metal Soffit Panels Labor 48,000 0 0% 48,000 0 179 Metal Soffit Panels Material 70,000 0 0% 70,000 0 I 180, Fiber Cement Siding Submittals 1,000 0 0% 1,000 0 f 1 I i CONTINUATION SHEET APPLICATION NO. : 1 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is attached. APPLICATION DATE: 6/5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD TO: 5/31/2018 retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE ; DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (G/C) (C-G) RATE) (D+E) IN D OR E) (D+E+F) 181 Fiber Cement Siding Labor 10,000 0 0% 10,000 0 182 Fiber Cement Siding Material 30,000 0 0% 30,000 0 183 Penetration Fire Stopping 5,000 0 0% 5,000 0 184 Joint Sealants Labor 2,500 0 0% 2,500 0 185 Joint Sealants Material 4,000 0 0%u 4,000 0 186 187 Division 08- Openings 188 Doors and Hardware Submittals 2,500 2,500 2;500 100% 0 250 189 Hollow Metal Frames Labor 5,200 0 0% 5,200 0 190 Hollow Metal Frames Material 17,700 0 0% 17,700 0 191 Flush Wood Doors Labor 2,200 0 0% 2,200 0 192 Flush Wood Doors Material 8,600 0 0% 8,600 0 193 Door Hardware Material 16,100 0 0% 16,100 0 194 Access Doors and Frames Labor 300 0 0%u 300 0 195 Access Doors and Frames Material 500 0 0% 500 0 196 Alum Ent and Storefronts Submittals 3,500 3,500 3,500 100% 0 350 197 Alum Ent and Storefronts Fabrication Labor 25,000 0 0% 25,000 0 198 Alum Ent and Storefronts Field Labor 40,000 0 0% 40,000 0 199 Alum Ent and Storefronts Material 60,000 0 0% 60,000 0 200 Glazing Labor 10,000 0 0%u 10,000 0 201 Glazing Material 45,000 0 0% 45,000 0 202 FRP Doors Submittals 11,000 11,000 11,000 100% 0 1,100 203 FRP Doors Fabrication Labor 6,500 0 0% 6,500 0 204 FRP Doors Field Labor 8,100 0 0% 8,100 0 205 FRP Doors Material 8,300 0 0% 8,300 0 206 207 Division 09-Finishes 208 Non-Structural Metal Framing Labor 25,000 0 0% 25,000 0 209 Non-Structural Metal Framing Material 15,000 0 0% 15,000 1 0 210 Gypsum Board Labor 35,000 0 0% 35,000 1 0 fI I f CONTINUATION SHEET APPLICATION NO. : 1 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification,is attached. APPLICATION DATE: 6/5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD TO: 5/31/2018 retainage for line items may apply. ARCHITECTS PROJECT NO. A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (GIC) (C-G) RATE) (D+E) IN DOR E) (D+E+F) 211 Gypsum Board Material 20,000 0 0% 20,000 0 212 Glass Mat Board Labor 35,000 0 0% 35,000 0 213 Glass Mat Board Material 40,000 0 0% 40,000 0 214 Stone Backing Panel Labor 25,000 0 0% 25,000 0 215 Stone Backing Panel Material 20,000 0 0% 20,000 0 216 Acoustical Panel Ceilings Labor 3,000 0 0% 3,000 0 217 Acoustical Panel Ceilings Material 8,000 0 0% 8,000 0 218 Linear Wood Plank Ceiling System Labor 15,000 0 0% 15,000 0 219 Linear Wood Plank Ceiling System Material 50,000 0 0% 50,000 0 220 Insul., Metal Framing, Ceiling Submittals 17,500 17,500 17,500 100% 0 1,750 221 Flooring Submittals 2,000 2,000 2,000 100% 0 200 222 Tiling Labor 4,000 0 0% 4,000 0 223 Tiling Material 6,000 0 0% 6,000 0 224 Resilient Tile Flooring Labor 2,000 0 0% 2,000 0 225 Resilient Tile Flooring Material 3,500 0 0% 3,500 0 226 Tile Carpeting Labor 1,000 0 0% 1,000 0 227 Tile Carpeting Material 2,000 0 0% 2,000 0 228 Resilient Athletic Flooring Labor 9,500 0 0% 9,500 0 229 Resilient Athletic Flooring Material 19,500 0 0% 19,500 0 230 Interior Painting Labor 3,000 0 0% 3,000 0 231 Interior Painting Material 7,000 0 0% 7,000 0 232 233 Division 10-Specialties 234 Toilet Compartments Submittals 500 500 500 100% 0 50 ! 235 Toilet Compartments Labor 2,000 0 0% 2,000 0 I 236 Toilet Compartments Material 3,000 0 0% 3,000 0 237 Toilet Accessories Labor 800 0 0% 800 0 238 Toilet Accessories Material 3,000 0 0% 3,000 0 239 Operable Panel Partitions Submittals 2,500 1,250 1 1,250 50% 1,250 125 240 10perable Panel Partitions Labor 9,500 0 0% 9,500 0 f I I CONTINUATION SHEET APPLICATION NO. : 1 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is attached. APPLICATION DATE: 6/5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD TO: 5/31/2018 retainage for line items may apply. ARCHITECT'S PROJECT NO. A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (GIC) (C-G) RATE) (D+E) IN DOR E) (D+E+F) 241 Operable Panel Partitions Material 28,500 0 0% 28,500 0 242 Fire Extinguishers and Cabinets Labor 400 0 0% 400 0 243 Fire Extinguishers and Cabinets Material 800 0 0% 800 0 244 Signage 2,500 0 0% 2,500 0 245 246 Division 11 -Equipment 247 Projection Screens Labor 800 0 0% 800 0 248 Projection Screens Material 4,500 0 0% 4,500 0 249 250 Division 12-Furnishings 251 Roller Window Shades Labor 5,000 0 0% 5,000 0 252 Roller Window Shades Material 20,000 0 0% 20,000 0 253 254 Division 21-Fire Suppression 255 Fire Sprinklers Submittals 6,000 0 0% 6,000 0 256 Fire Sprinklers Labor 6,000 0 0% 6,000 0 257 Fire Sprinklers Material 30,000 0 0% 30,000 0 258 259 Division 22-Plumbing 260 Mech/Plumbing Submittals 4,500 3,400 3,400 76% 1,100 340 261 Mech/Plumbing Permits 2,500 2,500 2,500 100% 0 250 262 Mech/Plumbing Mobilization 4,000 4,000 4,000 100% 0 400 263 Mech/Plumbing Project Management 12,400 4,100 4,100 33% 8,300 410 264 Underslab Piping Labor 29,000 2,900 2,900 10% 26,100 290 265 Underslab Piping Materials 32,200 22,600 22,600 70% 9,600 2,260 j 266 Plumbing Excavating and Backfilling 24,500 0 0% 24,500 0 267 Sanitary and Storm Piping Labor 12,400 0 0% 12,400 0 268 Sanitary and Storm Piping Materials 5,000 0 0% 5,000 0 269 Domestic Water Piping Labor 28,000 0 0% 28,000 0 j 270 Domestic Water Piping Materials 17,000 0 0% 17,000 0 i CONTINUATION SHEET i APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is attached. APPLICATION NO.: 1 i In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable APPLICATION DATE: 6/5/2018 retainage for line items may apply. PERIOD TO: 5/31/2018 ARCHITECT'S PROJECT NO. : I A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCETO RETAINAGE I ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % i DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (GIG) (C-G). RATE) (D+E) IN DOR E) (D+E+F) 271-- Plumbing Equipment Labor 2,000 0 0% 2,000 0 i 272 Plumbing Equipment Materials 8,500 0 0% 8,500 0 273 Plumbing Fixtures Labor 4,000 0 0% 4,000 0 274 Plumbing Fixtures Material 12,000 0 0% 12,000 0 275 276 Division 23-HVAC 277 HVAC Equipment Labor 10,000 0 0% 10,000 0 i 278 HVAC Equipment Materials 150,000 0 0% 150,000 0 j 279 HVAC Piping Labor 65,000 0 0% 65,000 0 280 HVAC Piping Materials 38,000 0 0% 38,000 0 281 Ductwork Labor 18,000 0 0% 18,000 0 i 282 Ductwork Materials 46,000 0 0% 46,000 0 283 Mechanical Insulation Labor 11,000 0 0% 11,000 0 j 284 Mechanical Insulation Materials 11,000 0 0% 11,000 0 285 Controls Engineering and Programming 21,800 0 0% 21,800 0 286 Controls Labor 25,000 0 0% 25,000 0 287 Controls Material 30,000 0 0% 30,000 0 288 Test and Balancing 4,000 0 0% 4,000 0 289 Water Treatment Labor 1,200 0 0% 1,200 0 290 Water Treatment Materials 7,500 0 0% 7,500 0 291 292 Division 26-Electrical 293 Electrical Submittals 6,000 5,700 5,700 95% 300 570 294 Electrical Mobilization 4,000 4,000 4,000 100% 0 400 295 Low Voltage Power Conductors Labor 12,000 0 0% 12,000 0 296 Low Voltage Power Conductors Material 10,000 0 0% 10,000 0 297 Grounding and Bonding Labor 500 0 0% 500 0 298 Grounding and Bonding Material 300 0 0%1 300 1 0 299 Elect Systems Hangers and Supports Labor 12,000 0 0% 12,000 0 300 Elec Systems Hangers and Supports Material 7,000 0 0% 7,000 0 CONTINUATION SHEET APPLICATION NO. : 1 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is attached. APPLICATION DATE: 6/5/2018 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable PERIOD TO: 5/31/2018 retainage for line items may apply. ARCHITECT'S PROJECT NO. A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND 16 BALANCE TO RETAINAGE N0. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT STORED TO DATE (G/C) FINISH (IF VARIABLE (D+E) IN D OR E) (D+E+F) (C-G) RATE) 301 Elec Systems Raceways and Boxes Labor 17,700 0 0% 17,700 0 302 Elec Systems Raceways and Boxes Material 12,500 0 0% 12,500 0 303 UG Ducts and Raceways- Elect. Labor 28,000 0 0% 28,000 0 304 UG Ducts and Raceways- Elect. Material 22,500 0 0% 22,500 0 305 Exterior Light Pole Bases 4,500 0 0% 4,500 0 306 Lighting Labor 28,200 0 0% 28,200 0 307 Lighting Material 50,000 0 0% 50,000 0 308 Panelboards Labor 17,500 0 0% 17,500 0 309 Panelboards Material 22,500 0 0% 22,500 0 310 Wiring Devices Labor 2,000 0 0% 2,000 0 311 Wiring Devices Material 2,500 0 0% 2,500 0 312 313 Division 27- Communications 314 Communications Labor 4,200 0 0% 4,200 0 315 Communications Material 3,000 0 0% 3,000 0 316 C-Cat 5,000 0 0% 5,000 0 317 318 Division 28-Electronic Safety&Security 319 Fire Alarm Labor 6,000 0 0% 6,000 0 I 320 Fire Alarm Material 3,000 0 0% 3,000 0 321 Simplex 5,000 0 0% 5,000 0 II 322 323 Change Orders 324 CCR 001-A 286,688.50 286,688.50 286,689 100% 0 28,668.85 { 325 I 326 327 328 5,845,188.50 - 984,413.50 - 984,413.50 0.17 4,860,775.00 98,441.35 r I �f S f ISA Form#1402 AFFIDAVIT AND WAIVER OF LIEN Q -:FINAL 0 PARTIAL F PAYMENT TO FOLLOW State of.Indiana, County of Marion_ SS Michael A..Smith,. . being duly sworn state that he is the President . . - of Gibraltar.Construction-Corp.. Baying contracted with.CarmellClay.Board of,Parks&:12ec; to furnish certain:materials'and-/or_labor for a project known as West Park-The Groves located in .Carmel, Indiana and'does hereby:further: state on behalf of the aforementioned contractor:, (PARTIAL WAIVER)that there is due from the.Ownerthe-sum of Eight Hundred Eighty.Five Thousand Nine Hundred Seventy Two'and-= =------==-45/100. Dollars .(.$885 ) ,972 15.. 0 receipt of which is:hereby.acknowledged; or . ❑✓ the payment of which-has been promised as thesole consideration of this:Affidavit and Partial Waiver of Lien which is given solelywith respect to said amount, and which waiver shall be effective.only.upon receipt of paymentahereof bythe undersigned; (FINAL WAIVER) that the final balance due from the.Owner is the sum of Dollars Q .receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration for this Affidavit and,Final Waiver. of Lien which shall become effective upon receipf of uch payment: THERFORE,the-undersigned waives and releases unto the ow e.of said premises;any and all-lien or claim whatsoever on the above-described property.and improvements thereon acro h of LABOR or-material or.both, furnished b the Y undersigned thereto, subject to limitations of conditions expressed. rein,-if any; and further eertifes that no other party .. has any claim or right.to alien on account of.anyw.&k.perfor l d o atehal furnished to the undersigned for said project, and:within the,scope of this.affidavit and waiver: Gibraltar Construction Corp. gy. Title Pr esident Contractor WITNESS MY HAND AND NOTORIAL SEAL,this 15th of June_. 2018 (Notary Public) Printed:Brian McBride. G 1979, 10401►NA SUBCOHTRACTOAS.ASSOCIATION INCOpPORATEO . �pRYPL6 BRIAN'R. MCBRIDE r U.n �� Res. Of Hancock Cou ". s�lnbr.tnO Rep�oAuction Pran�hilod * My Comm.:F�i, 1:1.29-2025: Commission# 706505