HomeMy WebLinkAbout326632 06/28/18 i°�-C,A4J
CITY OF CARMEL, INDIANA VENDOR: 371894
® ONE CIVIC SQUARE BO-MAR INDUSTRIES, INC. CHECK AMOUNT: $****39,109.85*
:. ,=a CARMEL, INDIANA 46032 3838 S.ARLINGTON AVE. CHECK NUMBER: 326632
*�>oN-� INDIANAPOLIS IN 46203 CHECK DATE: 06/28/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 R4460807 100729 4 24,300.00 MONON STATIC DEVICES
902 R4460807 100729 5 14,809.85 MONON STATIC DEVICES/
VOUCHER NO: WARRANT.NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
. .
ALLOWED 20
ACCOUNTS ,PAYABLE VOUCHER
Vendor#. 371894
IN SUM of$ . CITY.OF.CARMEL
130-MAR.INDUSTRIES, INC. .
3838 S.ARLINGTON AVE. 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 perhour,.numb'ee of units,price per unit,etc.:
INDIANAPOLIS; IN 46203
Payee.
$39,109.85
Purchase Order#
ON ACCOUNT•OFAPPROPRIATION FOR.
. . . . . . .
Terms
Redevelopment Commission
Date Due
PO# ACCT# DATE; INVOICE# . : DESCRIPTION:
DEPT# INVOICE# Fund#. AMOUNTBoard Members DEPT# . FUND# (or note attached invoice(s).or bill(s)) AMOUNT
100729 4. 44-608.07! $24,300.00 I hereby'certify that,the attached invoice(s),or 2/28/18 4' '
Center Green signage $24;300.00
902 Encum' hered. 902 902 902
bill(s)is(are)true and correct and that the
100729 5 44-608.07 $14,809.85 5/31/18. 5• Center Green signage $14,809.85
902. Encumbered 902 materials or services itemi2ed.thereon for 902 902
which.charge s,made,were ordered and
received except
Monday,June 25;.2018.
'Mestetsky; Henry-
I hereby certify that.the attached invoice(s),orbill(s),is(are)true.and correct and I have
a
udited.same,in accordance with.IC 5-111-10,11.6
11 -
d . 20
Cost distribution ledger classification if claim paid motor vehicle highway fund.. . Clerk-Treasurer
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE 1 OF 1
TO GC: Carmel Redevelopment Commission APPLICATION NO.: 4 Distribution to:
PERIOD TO: 2/28/18 OWNER
FROM CONTRACTOR: ARCHITECT
Bo-mar Industries, Inc. PROJECT NO.: CONTRACTOR
3838 S.Arlington Ave.
Indianapolis, IN 46203
CONTRACT FOR: Carmel Center Green Signage CONTRACT DATE: 9/19/2017
The undersigned Contractor certifies that to the best of the contractor's knowledge,information and belief
CONTRACTOR'S APPLICATION FOR PAYMENT 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 Copntract Documents,that all amounts have been paid by the Contractor for Work for which previous
Contract.Continuation Sheet,AIA Document G703,is attached. Certificates for Payment were issued and payments received from the owner,and that current
1 ORIGINAL CONTRACT SUM $ 174,354.00 payment shown herein is now due.
2 Net change by Change Orders $ 2,917.28
3 CONTRACT SUM TO DATE(line 1+2) $ 177,271.28 CONTRACTOR: Bo-mar Industries, Inc
4 TOTAL COMPLETED&STORED TO DATE $ 177,271.28
(Column G on G703)
5 RETAINAGE: By: Date:
a. 10 %of Completed Work 17,727.13 J Buchanan, Treasurer
(Columns D+E on G703)
b. Stored Material % 10 -
(Columns F on G703) State of: Indiana
Total Retainage(line 5a+5b or County of: Marion
Total in Column I of G703) $ 17,727.13 Subscribed qnd sworn to before
6 TOTAL EARNED LESS RETAINAGE $ 159,544.15 Me this day of 13fVQ_,U 2018
(Line 4 less Line 5 Total)
7 LESS PREVIOUS CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate) $ 135,244.15M.
8 CURRENT PAYMENT DUE $ 24,300.00 o�� �� ..•�OG�i�
9 BALANCE TO FINISH, INCLUDING RETAINAGE Notary Public: ®��Q,� ��;�• '�
(Line 3 less Line 6) $ 17 727.13 = '� Nmrly
N'
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My commission expires:Oaf l u//2Z22� SEAL Q__y
O t. PUBL%rJ :
ARCHITECT'S CERTIFICATE FOR PAYMENT �i��'pU•��: ..•=•'�O
In accordance with the Contract Documents,based on-site observations and f;Qtaa�N.&N�s
�illlll�
application,the Architect certifies to the Owner that to the best of the Architect's knowletlge,infor-
mation 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 CERTIFIED.
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED
Total changes approved in (Attach explanation if amount certified differs from the amount applied for.
previous months by Owner 2,917.28
Total approved this Month - ARC
Tf-
TOTALS 2,917.28 - 1 Date: O�, Z Z. l�L
NET CHANGES by Change Order 2,917.28 - : -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 rights of the
of the Owner or Contractor under this Contract.
G703
CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 of 2 PAGES
AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NUMBER: 4
Contractor's signed Certification is attached. APPLICATION DATE: 2/15/18
In tabulations below,amounts are stated to the nearest dollar. PERIOD FROM: 9/19/17
Use Column I on Contracts where variable retainage for line items may apply. TO: 2/28/18
GC's PROJ NO:
A B C D E F G H I
ITEM DESCRIPTION of WORK Scheduled Previous THIS APPLICATION Total Completed % BALANCE RETAINAGE
No. VALUE Application Work in Place Stored Materialand Stored (G/C) TO FINISH
1 Sign Type 30 90,454.00 90,454.00 - 90,454.00 100% - 9,045.40
2 Installation of Sign Type 30 3,000.00 3,060.00 - 3,000.00 100% - 300.00
3 Sign Type 20 14,400.00 14,400.00 - 14,400.00 100% - 1,440.00
4 Sign Type 10/15 60,000.00 36,000.00 24,000.00 60,000.00 100% - 6,000.00
5 Installation of Sign Type 10/15 3,000.00 - 3,000.00 3,000.00 100% - 300.00
6 Bond 3,500.00 3,500.00 - 3,500.00 100% - 350.00
7 C/O-Sign Type 20 2,917.28 2,917.28 - 2,917.28 1006/0 - 291.73
TOTAL 177,271.28 150,271.28 27,000.00 - 177,271.28 - 17,727.13
G702 AND G703 BILLING Pay App 3 12-15-17 Page 1
CONTRACTOR'S AND SUPPLIER'S AFFIDAVIT AND WAIVER OF LIEN
[final RPartial (Payment to Follow
The undersigned,being first duly sworn on his oath or affirming,states that:
1 Jill Buchanan (Name) is the Treasurer (Title) of
Bo-Mar Industries (Company),(hereinafter called"Company') of and is familiar
with the facts herein stated and makes this affidavit for and on behalf of himself and the Company,being duly
authorized to bind the Company by the statements herein contained.
2 The Company,having contracted with Carmel Redevelopment Commission has performed work and labor
or furnished materials supplies'or equipment in the construction of certain improvements on the real estate commonly
known as Carmel Center Green Signage located at Carmel Center Green in,
Carmel (City), IN (State),which real estate is owned by
Carmel Redevelopment Commission (hereinafter called"Owner").
3 Company has,or will within 10 days of receipt of payment due from Carmel Redevelopment Commission noted in Item 4,
paid for all work,labor,materials,equipment,and suppliers performed or furnished by it and by its subcontractors,material-men
and suppliers upon such premises or in connection therewith and no person,other than Company,has any claim or right to a lien
for any work,materials or services on account of any transaction undertaken by company with respect to said premises,
except as specifically noted below;
Name of Company Amount Owed Explanation for Withholding Payment
NONE
4 The amount due to Company from Carmel Redevelopment Commission
PARTIAL WAVIER that the balance due is the sum of:
Twenty Four Thousand Three Hundred and 00/100 ( $ 24,300.00 )
❑ receipt of which is hereby acknowledged,or
0 the payment of which is promised as the sole consideration for this Affidavit and Partial and Waiver of Lien which is given
to and for said amount,effective upon receipt of such payment.
FINAL WAIVER that the final balance due is the sum of:
❑ receipt of which is hereby acknowledged,or
❑ the payment of which is 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 waivers and releases under the statutes of the state of Indiana,unto the Owner
of said premises,any and all lien of claim whatsoever on the above-described property and improvements thereon account of LABOR
or material or both,furnished by the undersigned thereto,and further certifies that no other party has any claim or right to alien on account
of any work performed or material furnished to the undersigned for said project,except as noted above,and within the scope of this
affidavit and waiver.
Bo-Mar dustries,Inc.
(Co any me
Title: Treasurer
(Signat of officer)
Sub cubed ands orn before me this 15th day of February , 2018
County of Residence: Marion
(Notary Public)
4/24/2025
1111tl11/�
(My Commission Expires)
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APPLICATION AND CERTIFICATE.FOR PAYMENT. AIA DOCUMENT.G702'. PAGE I OF 1
TO GC: .: Carmel ReifevelopmenCComrnission APP.LiCATION NO.: 5 Distribution to:. .
PERIOD TO: :5/31/:18 OWNER
FROM:CONTRACTOR:: . .
ARCHITECT.
Bo-near Industries,,Inc.
PROJECT.NO CONTRACTOR '
3838 S.ArlingtonAv®.
Indianapolis;IN,46203.:.
CONTRACT FOR: Carmel Center Green Signage
CONTRACT DATE: 9/'19/2017.
The undersigned ContrdGor cerllReg that to the best of the contractor's•knaMedge,Ufiortnatlon and belief • .
CONTRACTOR'S APPLICATION FOR PAYMENT the work covered bythis Appncetlon for Payment had been completed in accordance Math the . .
Applicafign is made.far payment,as shown beloinr in connection Wdi the CopntraetDouanerits,that all amounts have,been paid by the Contractor for Work for whklrprevlous•
Contract Continuation.Sheet;ALA Document G703,Is attached. Certifieatesfor Payment were Issued and payments received from the owner,and that.cunent'.
1.:ORIGINAL CONTRACT SUM. $ 174,354.00 payment shown herein is now due:.
2 Net change by Change Orders $_ . 2,917:28
3 CONTRACT SUM TO DATE(line 1+2).: $.: .177,271..28 CONTRACTOR.. Bo-mar Industries, n' c
4 TOTAL COMPLETED&STORED.TO DATE 177,271.28
(ColumnG on G70
5 RETAINAGE'-'
3) .
By: Date..
a:10. %of Completed Work Robert.BuchFan.Tresident
(Columns D+E on G703)
b. Stored Material.
(Columns F on G703) State of:. Indiana
Total Retainage(fine.5a+5b or. County of: Marion
Total in Column-t of.G703). $ 'Subscribed.and sworn to'before
6 TOTAL EARNED LESS RETAINAGE $ 177,271.28.: me this: 1$.�• day.of 2018..
(Line.4 less Line 5 Total) �gt1lrt�rR
T LESS PREVIOUS CERTIFICATES FOR PAYMENT X1N M.
(Line 6 from prior Certiflgte) $ 1.59,544:15
G,D•,r.
8 CURRENT PAYMENT DUE. $ 17,727.13 . TA
Ry.
BALANCE TO FINISH,INCLUDING RETAINAGE Notary Public: a Hy
(Line 31ess Line 6) $ a. P
'y� ut311C ��
My commission expires:D / 2b
CT'S c
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ARCHITECT'S CERTIFICATE FOR PAYMENT rH�t►t�p�t,��%�
In accordance with the.Contract Documerds,based on-sfte absenrallons and the data dwrrlprislrg this
-application,the Architect cerdfles.to the Owner that to the best of the Amlifted s knowledge,tnfor-
matlon end belle(the Work has progressed as Indicated,tie quality cr the Watt Is In accordance
mm.the Qmftct Documents,and the Contractor Is emlUed to payment of the AMOUNT C@TrIFIED. :
CHANGE ORDER SUMMARY :ADDMONS DEDUCTIONS AMourrrcornFleo
Total.CliangeS'apprOVed in (Attach eWanation if amount certified differs from-the amount applied for.
previous-months b Owner :2,917.28 . .
N.
Total'a roved:this Month e T r
TOTALS 2.917.28 - CB : . .�, Date: 5 5 19i
NET CHANGES'b Change Order.:` .:2,917.28 sC.ertlticateIsnotnevtt. eaiieAt410UfTi. . Ispayabteoniytot66.Contw6.roarued
herein.Issuance,payment end acceptance of payment are without preJudice to arty rigtds"cF the.
.. ' of the Owner or Contractor under thla Contract
G703:
CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 of 2.PAGES
AIA Document G702;APPLICATION AND CERTIFICATE FOR PAYMENT,.containing:. APPLICATION NUMBER:. 5
Contractor's signed Certification is.attached. APPLLCATION DATE:. 5/18/18.
In tabulations.below,amounts.are.stafed to the nearest dollar;- PERIOD FROM: 9/19/1.7
Use.Column I on Contracts.where variable retairiag6 for line Items may apply.. TO' 5/31/18'.
GC's PRO
J NO:. .
A. B. C D . E.. . F, . . . G. H I
ITEU DESCRIPTION of WORK Scheduled Preirious THIS APPLICATION.: Total Completed % ' BALANCE: RETAINAGE
No. VALUE Appllcation Work in Place Stored Material and Stored (GIC) - TO FINISH
1 Sign_Type:30 90,454.00 90,454.00., - 90,454..00 100%
2 Installation of Sign Type 30 _ 3,000.00 3,000.00 - 3,000.00 100% .*. -
3 Sign Type 20, 14;400.00: 14,400.00 .. = 14;400:00: 100% - -
4 Sign Type 10/15 60,000.00 601000.00: 60,000.00 1.0.0%
5 Installation of Sign Type 10/15 . 3,000:00 3;000.00 = 3,000:00 i00% - -
6 Bond. 3,500.00 3;500:00 - 3,500.00. 00% . : -. -
7 C/O-Sign Type 20. 2,917.28 2917.28 - 2,917.28. 100% - -
TOTAL .177,271.28 177,271.28 ... .177,271..28. : :
G
-
702 AND 6703 BILLING PayApp 5 5 18-.18 . Page 1
CONTRACTOR'S AND SUPPLIER'S AFFIDAVIT AND WAIVER OF LIEN
Rhnal Dartlat Oayment to Follow
The undersigned,being first duly sworn on his oath or,affirming,states that:
1 Robert Buchanan (Name).is the:. President (Title) of
Bo-Mar Industries• (Company) (hereinafter called"Company'):of and is.familiar,.
with the facts_herein stated and makes this affidavit for.and on behalf of himself and the:Company,being duly
authorized to bind the Company bythe statements Herein contained
2 The Company,having contracted with Carmel Redevelopment Commission has perfonned.work and labor
or furnished materials supplies'-or equipment in the construction of certain improvements on the real estate commonly
known as Carmel'Center.Gmili Signage. located at CacmeLCenter Green
Camel. (City);" N: : (State),which real:estate is owned by
Carmel Redevelo mentCommission "
P (hereinafter called"Owner").
3,Company has,or will within I 0-days of'rec6pt of payment.due from Carmel Redevelopment:Cominission. noted in Item 4,
paid for all work,labor,.materials,:,equipment,and:suppliers performed or fumished by it:and by.its subcontractors,material-men
and suppliers upon such premises of in connection therewith and no person,other than Company,has any claim or right to a lien :.
for any work,materials or services on account of any transaction undertaken by company with respect to said premises,
except as specifically noted below;
Name of Company . Amount Owed Explanation for Withholding Payment..
NONE
4 The amount due to Company.:from, Carmel Redevelopment Commission
PARTIAL WAVIER that the balance.due is the sum of
.receipt of which is hereby acknowledged,or
0 the payment of which is.promised as the sole consideration for this Affidavit and Partial and Waiver of Lien which is given
to and for said amount,e.ffective u n receipt of such payment.
FINAL WAIVER that the final-balance due is the sum of
Seventeen.Thousand Seven Hundred Twenty-Seven'and 13/100. .. ( $ 17,727.13: ):
❑ receipt of:which is hereby acknowledged;or
the payment of which is promised as the sole consideration.of this affidavit and Final.Waiver ofLien which shall become effective -
upon receipt of such payment.
THEREFORE;the undersigned waivers and releases under the statutes of the state.of Indiana,unto the Owner
of saidpiemises,any.and all lien of claim.whatsoever on the above-descri . property and improvements thereon account of LABOR
Pr material or both;furnished bythe undersigned thereto;and further certifies that no other party has any'claim,or right to alien on account
of any work performed or material furnished to the undersigned for said project,except as noted above,_and within the scope of this
affidavit and waiver. .
Bo-Mae Industries;Inc.
(Comme) . .,
Title: President
(Sign ture of officer
Subscribed and sworn before me this 18th day of May 2018
County of Residence: Marion .
(Notary Publi
4/24/2025
(My Commission Expires) 111111!/!
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