HomeMy WebLinkAbout329411 08/27/18 ,q CITY OF CARMEL, INDIANA VENDOR: 372371
® ONE CIVIC SQUARE GIBRALTAR CONSTRUCTION CORP CHECK AMOUNT: $***927,299.70*
r. a CARMEL, INDIANA 46032 2932 N.WEBSTER AVE CHECK NUMBER: 329411
p�'��TON�°� INDIANAPOLIS IN 46219 CHECK DATE: 06/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
106 5023990 51168 PAYAPP#3 927,299.70 GIBRALTAR CONSTRUCTIO
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 372371 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Gibraltar Construction Corp Payee
2932 N Webster Ave
Indianapolis, IN 46219 In Sum of$ Purchase Order#
372371 Gibraltar Construction Corp Terms
$ 927,299.70 2932 N Webster Ave Date Due
Indianapolis, IN 46219
ON ACCOUNT OF APPROPRIATION FOR
106-Park Impact Fees
PO#or INVOICE NO. ACCT#rrITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
51168 p Pay App#3 5023990 $927,299.70 Board Members 7/31/18 Pay App#3 West Park-The Groves Rebid Project 51168 $ 927,299.70
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
$927,299.70 Total $ 927,299.70
August 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
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
RECEIVED -
Document
psehlemmer at 7:05r prri Aug 76 2018;
" ,, c et G702TM
. 1992
Application and Cerci icate dor Payment
TO OWNER:Carmei/Clay Board of Parks.and PROJECT:West Park-The Groves '^APEPI lCATIONNO ~1�1 Distribution.to:
Recreation: 3030 W. 116th Street PERIOD TC 71311Z0,t8-- OWNER 0
141.1 E. 116th Street Carmel, IN 46032 CONTRACT FOR: ARCHITECT 0
FROM GONTRACTOI Gtbtaitar Construction"Corp; VIA ARCHITECT:SmithGroupJJR, Inc.. CONTRACT DATE: 3/30/2018 CONTRACTOR 0
2932aN.�Nebster Ave. PROJECT OS: / I
�,lndt„anapofis,�!N�46:21.9. =' FIELD O
=-^ OTHER ❑
CONTRACTOR's APPLICATION FOR PAYMENT The undersigned C'ontracto. cert les that to the best of the Contractor's knowledge, information
and belief the Work cover byis Application for Payment has been completed in accordance
Application is made'(&..payment,as shown below,.in connection with the Contract• with.the Contract Docume_ts, th� all amounts have; been paid by the Contractor for Work for
AIA Document G70,3rk.Continuation Sheet,t,attached. which previous Certificate for Payt tent.sere issued and payments received from the Owner,and
l.ORIGINAL CONTRACT SUM . ........ ..._ . ... S 5,55.8,500.00 that current payment show herein s now,due.
2.NET CHANGE BY CHANGE ORDERS..., . ............ ....... S 313;243..50 CONTRACTOR:Gibraltar on trucaq Corp �
3.CONTRACT SUM TO DATE(Line l r 2)...... ....... .......... .......... -S 5;871,743.50 By.. Date:
4.TOTAL COMPLETED&STORED TO DATE(Column G on G703)...... g 2,327,011.50 State of:
S.RETAINAGE: County ot'- � YP BRIAN R. MCBRIDE
a. 10 %of C'om leted Work Subscribed,, d sar ,' f '7
— ' Res: of Hancock Gau
(Cohannc D f E on 67031 S 232.701.15 n1a this / day1f * SEAL. M ( /
b. %of Stored Material / �� P� y Ct)mm,EP,1�-29-2025
(C'ulirmn f'nn G703) �r
nrA� Commission#706505
'qty commission cxpires
Total Retainage(Lines 5a 5b,.oir Toto!nr Column 1 of G703).,. ., 5 232;701.1_5
6.-TOTAL.EARNED LESS RETAINAGE.................. .....,............ 5 2,094;31.0:35 ARCHITECT'S CERTIFICATE FOR PAYMENT
el.ine 4 minces Line 5 Toted) In accordance:with the Contract Documents,based on on-site observations and the data comprising
7,LESSPREVIOUS CERTIFICATES FOR PAYMENT....................... 5 1,167;01.0:65 thisapplication,the Arch iteet.certilies to the 0%%ner that to the best of the Architect's knowledge,
information and belief the Work has progressed as indicated: the quality of the Workis to
(Line 6 fioni prior Certificate) accordance with the Contract Documents, and the Contractor is entitled' to payment of the
' S 927;299 70: `' OUNT CERTIFIED,
8 CURRENT PA.YMEN'rDU
9.BALANCE`TO'#INISH,INCLUDING=RETAINAGI: - - AMOUNT CERTIFIED;.... S 927,299.70
(Liner 3 mitre.Line 6) $ 8,777,427.15: (Attach ezpltrnntton tjomouni certified el f/ers fronn the amount applied Initial'all figures on this
Ipplicatton ernd'on the Continuation Sheat thar•are r•hanggeit tit confirm with the amount ce:istifted)
C11ANGC ORDER at)M•,%IARY ADDiTIONS DEDUCTiONS ARCHITECT:
otat changes;approved mi previous,months by Owner- x 292,200.50. ,S -2,234.00 By: �, G � Date: 8/16/2018 1
Cotal approved this month. S 23,277.06 S' This Certificat i tint itegotiable.The r'�4MO \:T C'ERTIF'IED is payable only to the Contractor
$� fcarAl S 477.50 2 234:00 P . n p : p g
315, S named herein.C uari=payment and acceptance of pay are without prejudice tit any ri hi of l
the Osvner or Contractor under this Contract.
`N I C Fl NGE-S by Change Order S 313i243.50_ r
CAUTlt7 I You;staoutd slr3n an original AIA Contract Docurttent,an w#twli this text appears 1tt:EtEr1,Art originat sstrre5 that clinnc�es:.w.ill not be obscured:
ti)1953,1969 1965.1971,1978,1983'and 1992 y..The°AmeiricanInstitate'of Architects,All rf hts:reserved.WARN1140:7his.AW"Docutmeni is protected b U s.Copyright Law
AIA Document GZt22"'—189x.copyrightY 9 Y. � 9
aact lntematicanai t rcaties.t}lou#ItarE cid reprad actarsn oe d.striisurton of,Ms'AtA''Docu' aiti,or any portion or it,may result to severe c€vii and commal perialtie-,and will be.prosecuted:to the rr 4mum extent
possible under,tfie w,Purchasemare permined to reproduce tan;10,)copies of this document when completed To,raportcopynght violations of,AIA Contract Documents;e-mail The American Institute of Architects'legal
counsel.copynghtCwaia org
B
t'
i
CONTINUATION -SHEET
APPLICATION NO. 3
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's`signed Certification,is attached. In
tabulations below,amounts are stated to.the nearest dollar: Use Column I on Contracts.where variable,retainage for. APPLICATION DATE: 8/3120/8
PERIOD TO; 7/31(201'8
line items may apply. ARCHITECTS PROJECT NO.
A B C D E F G H
WORK;COMPLETED
MATERIALS TOTAL COMPLETED BALANCE TO RETAINAGE l
ITEM FROM PREVIOUS PRESENTLY %
DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH (IF VARIABLE
NO. APPLICATION THIS PERIOD STORED(NOT IN OATE{p+E+,F ) (GIC) (C-G) RATE]
1 Division 0f-General Requirements
2 Bonds 51,500 51;500 51,500 100% 0 5,150
3 Allowance#1, Superior Time Management 60,000 0 0% 6%000 0
4 Insurance. 8,500 B,500 8,500 100% 0 850
5 Permits and Fees 1`,000 1,000 1,000 100% 0 100
6 Submittals 5;000 4,650 41650 93% 350 465
7 Mobilization 14,000 14.,000 1:4,000 100% 0 1,400
8 Quality Requirements(Testing) 18,000 3,800 1,260 5;060 28% 12,940 506
9 Temporary Toilets 3,000, 635 210 845 28%e 2,155 85
10 Project Sign Labor 400 0 0% 400 0
11 jProject Sign Material 900 900 900 1.00%_ 0 90
12 Daily Cleaning 3,500 750. 245 995 28% 2,505 100
13 Final Cleaning 2,800 0 0% 2,800 0
14 Dumpsters .4,900 1,050 343 1,393 28% 3,507 139 E
15 Field Engineering and Layout 15,000 .9,750 1,500 11,250 75% 3;750 1,125 I
1..6 Temporary Power to Trailer. 2,500 2,500 21500 100%0 0 250
17 TemporaryPower to:Building 5,500 5,500 5,500 100% 0 550 I
18 Erosion Control 29,5,00` 29,500 20,500 100% 0 2,950
19 Construction Entrance 11,500, 11,500 11,500 100% 0 1,150
20 Temporary ConstructionFence 17,500 17,500 17;500 100% 0 1,750
21
22 Division 39 Earthwork
23: Site Clearing 96,500 48,250 24;200 72;450 75%n 24,050 7;245
24 Earth Moving;(mass,earth) _ 176j500. 105,850 36,000. 141;650 80% 34,650 14,185
25, Earth Moving(footing:.excavation) 35,000 35,000 35,000 100%.. 0 3,500
26 Earth Moving(foundation backfill) 11,500 11:,500 11;500 1.00% 0 1;150
27
28 Division 32-.Exterior Improvements
29 Slab Drainage.Fill Labor 13,500 13,500 13,500 100% 0 1,350 i
30 Slab,Drainage Fill,Material 16;700 16,700 16,700 100%a 0 1,670 g
31 Sidewalk.Drainage.Fill Labor 15,000 0 0%u 15,000. 0
32 Sidewalk'Drainage Fill Material. 27,000_ 0. 0%u 27,000:
0'.
CONTINUATION SHEET
APPLICATION NO.: 3
APPLICATION AND CERTIFICATE FOR PAYMENT;containing Contractors signed Certification,is attached. In APPLICATION DATE: 8/3/2018
tabulations below;amounts are stated to the.nearest.dollar. Use Column I.on Contracts where variable retainage for PERIOD TO: 7/31/2018
line items may apply. ARCHITECTS PROJECT NO.:
A B . C D E F G H
WORK COMPLETED MATERIALS
TOTAL COMPLETED BALANCE TO RETAINAGE
ITEM FROM PREVIOUS PRESENTLY %
N0. t)ESCRIP,7ION,OF WORK SCHEDULED VALUE AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD STORED(NOT IN DATE(D+E+.F) (G 1 C): (C'-G) RATE)
(D t E), D OR E)
33 Playground Drainage Stone Labor 5,000. 0 0% 5,000 0
34 Playground Drainage Stone Material7,000 0 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' i
37 As haltPaving Submittals 1,500 0. 00/0 4,500 0
38 Asphalt Paving Aggregate Base 82,500 33;000 33,000 40% 49,500 31300
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%0 1,400 0
42 Parking Bum"ers. 1;200 0 0%0 1,200 0
43 ADA Parking Signs 1,100 0 0%a 1,1.00 0
44 Precast Concrete Boardwalk Submittals 2`1500 2,500 2,500 100% 0 .250
45 Precast Concrete Boardwalk Labor 67000 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 00/0 4,000: . 0
49 Playground.Equipment Installation 8000 0 0% 8,000; 0
50 Manual Retractable Bollards Submittals 500 500 500 100% 0 50
51 'Manual Retractable Bollards Labor 600 0 0% 600 0
52 Manual Retractable Bollards Material 3,500 3,500 1 3,500 100% 0 350
53 Irrigation Submittals. 1;,000 1,000 1,000 100% 0 100
54 Irrigation Labor 3;000 300 300 10% 2;700. 30:
5.5 Irrigation Material 4,000 .400 400 '10% 3,600 40
56 Wet Pond Aerat)on System Labor 3,500 0 0% 3,500 0
57 Wet.Pond:Aeration System Material 2;000 0 000 2,000 0
58 Well Labor 31000 0 0% 3,000. 0
59 Well Material, 5;000 0 00/0 5,000` 0
60 Lawns Labor 31000 '0 0% 3,00.0: 0 I
61 Lawns Material 4,000 0 0% 41000: 0
62 Exterior Plantings Labor 21,200 0 0% 21,200 0
63 1 Exterior Plantings Material` 42000 0 1 0% 42,000. ;0
64 24 Planting Mixture Labor 4,100 01 O%j. 4;100.1 0
I
CONTINUATION SHEET
APPLICATION NO.: 3
I
APPLICATION AND CERTIFICATE FOR PAYMENT;containing Contractoes signed Certification,is attached. In
tabulations below,amounts are.stated to the nearest dollar. Use;Column:l on Contracts where variable retainage for APP"LICA PION DATE: 8/3/2018
PERIOD TO: 7131/2018
line items may apply. j
ARCHITECTS PROJECT NO.: i
A IS G D _ E IF G H
WORK COMPLETED, MATERIALS
TOTAL COMPLETED BALANCE TO RETAINAGE.
ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY AND STORED TO` c� FINISH (IF VARIABLE.
NO. APPLICATION THIS PERIOD STORED(NOT IN DATE(D+E+F) (G/C) (C-G) RATE)
(D+E); D OR E) 3
65 24"Planting Mixture Material. 171600 0 0% 17;600:' 0
66, Limestone Bollards/Seats/Benches Submittals 1,500 1,50.0 1,500 160%0 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 Dumpster Gate.Labor 800. 0 0% 800 0 R
70 Dumps ter Gate Material 4100.0 0 0% 4,000 0-
71 Guardrail Labor 8,000 0 O%j 81000 0 E
72 GuardrailMaterial 151000 0 0% 15,000 0
73 Concrete Sidewalks and Pavements Labor 56,000 0 00/0 561000 0
74 Concrete Sidewalks and Pavement Material 100,000 0 0% 1001000; 0
75 Concrete'Curbs and Gutters Labor 50,000 12500 2,500 15,000 30% 35,000 1;500
76 Concrete Curbs and Gutters Material 60,000 1.5,000 3,000 18,000 30% 42,000 1,800
77 Stone Bollard Foundations 4,000 0 0% 41000 0
78 Site Concrete Trench Drains 3,000 0 0%Q 3,000 0
79 Concrete Abutments.forMetal Grates 5,000 0 0% 5,000 0 ,
80 Concrete:Abutments for Boardwalks 6,000 0 0%a 6,000 0
81 Concrete Entry Headwall Labor 8;000. 0 0.%0 8,000 0
82' Concrete::Entry Headwall Material 10;000 0 0% 10,0.00 0
83 Precast Arch Culvert Footing Submittal 21500 2,500 2,500 100% 0 250
84 Precast.Arch Culvert Footin .Labor 171600 0 0 17,600 0
85 Precast Arch Culvert Footing Material 91700 0 0% 9,700 0
86 Trash Enclosure Concrete Labor 5;000 0 0% 5,000 0
87 Trash Enclosure Concrete Material 41000 0 .0% 4,000 0
88
89 Division 33 Utilities
9.0 Water Distibution.Piping Submittals 1,500 1,500 1,500 100% 0 150
91 Water.Jack and Bore 15,000 0 0% 15,000' 0
92 Water DistibutionPiping Labor 45;000. D 0%0 45,000: 0
93 Water Distribution Piping Material 96,000 951t0.00 95,000 1 00,01 0' 9,500
94 Sanitary Sewer Submittals 1,000 1,000 1,000 100% 0 100
95 Sanitary Sewers Labor 4;000 0 00/04jO 00Z 0
96 Sanitary Sewers Material 41900. 0 .0% 4,90o 0
CONTINUATION :SHEET �
APPLICATION NO.: 3
APPLICATI.ON,AND CERTIFICATE FOR PAYMENT,containing Contractor's.signed Certification,is attached. In
tabulations below;amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for APPLICATION DATE: 813/2018
PERIOD TO: 7/31/2018 E
line items may apply. ARCHITECTS PROJECT NO.:
A B C D E F _ G H
WORK COMPLETED MATERIALS
TOTAL COMPLETED BALANCE TO RETAINAGE
ITEM' FROM PREVIOUS PRESENTLY %
DESCRIPTION OF WORK. SCHEDULED VALUE. AND STOREDTO FINISH (IF-VARIABLE
N0: APPLICATION THIS PERIOD STORED(NOT DATE (G1.C) (C-G) RATE)
(D+:E) D OR E)
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 GrinderFurrip Material 9,000. 0 0% 9,000 0
102 Storm Drainage Submittals 11000 11000 1,000 190%j 0 100.
103 Storm Drainage Labor 55,000 5;500 4.4,000 49,500 90%u 5;500 419K.
104 Storm Drainage:Material 95,000 9,500 855.00 95,000 100% 0 9,500
105 Arch Culvert Submittals 3;500 3,500 3,$00 100% 0 350_
106 Arch Culvert Labor 25;000 0 0% 25,000 0
107 Arch Culvert Material 85;000 0 0oa .85;000 . 0
108 Trench.Drain Castings Submittals 2,000 0 0%a 2,000 0
109 Trench.:Drain Castings Labor 2,000 0 0% 2,000 0 i
110 Trench Drain Castings Material 25,000 0 0%d 25,000 0
111 Subdrainage Labor 3,000 0 0%° 3;000 0 t
112 Subdrainage Material 5;000 0 0% 5,000 U
1'13
114 Division 03-Concrete
115 Concrete Footing:Labor 30,000 30;000 30;000 100% 0 3,000.
116 Concrete:Footing,Material 651000 65;000 65,000 100% 0 6;500
117 Goncrete.Foundation Labor 40000 40;000 40,000 100% 0 4,000
118 Concrete Foundation Material. 35,000 35,000: 35,000 100% 0 3,500
119 Foundation Insulation 21500 2500 2500 100% 0 250
920 Slab-on:Grade Labor 221000 11,000 11,000 .50% 1'1,000 1,100
121; Slab-on-Grade Material 45;600 22;800. 22,800 500/d 22,800: 2,280
122 Under-Siab_lnsulation 51500 5,50.0 5;500 100% 0' 550
923 Slab-on-Deck Labor. 4,000 .:41000 4,000 10.01% 0 400
124 Slab=on-Deck Material4,500 4500 4;500 100% 0 450
125: Foundation Reinforcing Submittals 11;500 1,500. 1,500 100.% 0 150
.126 Foundation Reinforcing Labor 20,000 20,000 20,000 100%0 0 2;000
127 Foundation Reinforcing Material 22,700 22,700 22;700 100%0 .0 2,270
128' 0
CONTINUATION SHEET
APPLICATION NO:: 3
APPLICATION AND CERTIFICATE FOR PAYMENT,containing.Contractor's signed Certification,is attached. In APPLICATION.,DATE: 8/3/2018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 7/31/2018
line items may apply:
ARCHITECT'S PROJECT NO.:
A B C D E F G H
WORK COMPLETED MATERIALS
ITEM TOTAL COMPLETED BALANCE TO RETAINAGE
FROM PREVIOUS PRESENTLY %
N0. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED.(NOT IN AND STORED TO (GIC) FINISH (IF VARIABLE
(D+E)
DORE) DATE(()+E+F) (C-G) RATE)
129.Division 04-Masonry O
130 Masonry Submittals 1,500 1,500 1,500 100% 0 .1.50
1.31.Concrete Unit MasonryLabor 126,500 63,500 63,500 50% 63,000 6,350
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
131 [
138 Division 05-Metals
139 Structural Steel Submittals 20,000 20,000 20;000 100% 0 2,000 1
140 Structural Steel Framing Labor 138,800 138,800 138,800 100°/a 0 13,880
141 Structural Steel Framing Material 218,5.00 218,500 218,500 100% 0 21,850
142 Steel Decking Labor 15,000 15,000 15,000 100% .0 1,500
143 Steel Decking Material 20,000 20,000 20,OD0 100% 0 2,000
144 Metal Fabrications Labor 8,000 6,800 1,200 81000 100% 0 800
145 Metal Fabrications Material 15,000 12;750 2,250 15,000 i0.0%. 0 1,500.
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 2,000 100% 0 200
149 Cold-Formed Metal.Framing Labor 75,000 7,500 7,500 10% 67,500 750
150 Cold-Formed Metal Framing Material 85,000 85,000 85,000 100% 0 8,500
151
152 Division 06-Wood,Plastics;&.Composites
1,53 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%v 10,000 0
.156 Sheathing Material 25;000 25,000 25,000 100% 0 2;500
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 O%j 7,000 0
160 Foamed-in-Place Insulatiori.Submittals ,500. 500 50o 1Do%u 0 50
{
CONTINUATION SHEET �
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is attached. In ,APPLICATION NO.: 3
APPLICATION DATE: 8/3/2018
tabulations below,amounts are stated to the nearest dollar.. Use Column;I on Contracts where variable retainage for PERIOD TO: 7/31/2018
line items may apply. ARCHITECT'S PROJECT NO.:
E
I
A i3 C D E F G H
WORK COMPLETED MATERIALS
ITEM TOTAL COMPLETED BALANCE TO RETAINAGE
FROM PREVIOUS PRESENTLY %
N0. DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD STORED(NOTIN DATE(D+E;+F) (GIC) (C-G) RATE)
(D+E) D ORE)
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 Dniision 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 i
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% 5,00.0 0 �
170 Roofing Submittals 2,000 2,000. 2,000 100% 0 200 I
171 Roofing and Sheet Metal Submittals 5,000 5,000 5,00.0 100% 0 500
112 Polyvinyl-Chloride.(PVC) Roofing Labor 85,000 0 0%0 85;000 0
173 Polyvinyl-Chloride(PVC)Roofing Material 100,000 0 0% 100,000 6
174 Roof Specialties Labor 33,000 0 0% 33,000 0
175 Roof.Specialties Material 30;000 0 0% 30,000 0 l
176 Metal Composite Wall Panels"Labor 3,000 0. . 0% 300 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
180 Fiber Cement Siding Submittals 1,000 0 0% 1,000 0
181 Fiber Cement Siding Labor 10;000 0 0%a 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 Sealarits Labor 2,500 0 0% 2,500 0
185 Joint Sealants Material 4,000 0 0% 4,000 0
186
187 Division 08 7 Openings
188Doors:and Hardware Submittals 2,500' 2;500 2;500 100% 0 250
18.9 Hollow Metal.Frames Labor 5,200 0 0%u 5,200 0
190 Hollow Metal Frames Material 17,700 17;700, 1 17,700 1100%1 0 1;770
191 IFlush Wood Doors Labor .2,200 0 1 0%0 21200 . 0
192 1 Flush Wood,Doors Material 8;600 0. 1 0%1 8,600 0
t
CONTINUATION SHEET
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed.Cert'ification, is attached. In APPLICATION NO.: 3APPLICATION DATE: 8/3/2098
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 7/31/2018
line items may apply: ARCHITECT'S PROJECT NO.
A B C D: E F G H
WORK COMPLETED MATERIALS
TOTAL COMPLETED BALANCE TO RETAINAGE
ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY AND STORED TO % FINISH (IF VARIABLE
NO. APPLICATION THIS PERIOD STORED(NOT IN DATE(D+E+F) (GIC) (C-G) RATE)
(D+E D OR Ey
193 Door Hardware Material 16;100 0 0% 16,100 0
194. Access Doors and Frames Labor 300 .0 0%0 300 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
188 Alum Ent and Storefronts Field,Labor 40,000 0 0% 40,000 0
199 Alum Ent and.Storefronts Material 60,000 0 0% 60,00.0 0
200 Glazing.Labor 10,000 0 0% 10,000 0
201 Glazing Material 45,000 0 0% 45,000 0
202 FRP Doors Submittals 11,000 11,000 11,000 1001% 0 1,100;
203. FRP Doors Fabrication Labor 6,500 0 0%° 6,500 0
204 FRP Doors Field Labor 8,100 0 00/0 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 5-
209 Non-Structural Metal Framing Material 1.5,000 0 0%° 15,000. 0
210 Gypsum Board Labor 35.,000 0 0% 35,000 0
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. 00% 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,Ce.iling System Material 50,000 0 0% 50;0O0 0
220 Insult,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 1 4,000 1 1 0 0% 4,000 0 l
223 ITiling Material 6,000 1 10 0% 6,000 0
224 Resilient fl Labor 2,000 0 0%° 2,000 0
1
i
CONTINUATION SHEET
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is attached. In APPLICATION NO.: 3
APPLICATION NATE: 8/3/2013
.tabulations below,amounts are stated to the nearest dollar. Use Column./on Contracts where variable retainage for PERIOD TO: 7/31/201.8
fine items may apply.
ARCHITECT'S PROJECT NO.t
I
A B G D E F G H I
WORK COMPLETED MATERIALS
ITEM TOTAL COMPLETED BALANCE TO RETAINAGE
DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY AND STORED TO °� FINISH (IF VARIABLE
NO. APPLICATION. THIS PERIOD STORED(NOT IN (GIC)
(p.+E) D OR E)
DATE(D+E+F) (C.-G) RATE)
225 Resilient7ile Flooring Material 3,500. 0 0%° 3,500 0
226 Tile Carpeting Labor 1,000 0 0% 1,000 0 I
227 Tile Carpeting Material 2,000 0 0% 2,000 0
228 Resilient Athletic Flooring Labor 9,500 0 00/0 9,500 0
229 Resilient Athletic Flooring Material 19,500 0 0%1 19;500 0
230 Interior Painting Labor 3,000 0. 0%1 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 ?
236 Toilet Compartments Material 3,000 0 0% 3,000 0 I
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 1,250 50% 1,250 125
2401., Operable Panel Partitions Labor 9;500 0 0% .9,500 0
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 i
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 ON 20,000 0
253
254 Division 21-Fire Suppression
255 Fire Sprinklers Submittals 6,000 6,000 6,000 100% o. 600
256 Fire Sprinklers Labor 1 6,000 1 0 0% 6,002.1 0
i
i
CONTINUATION SHEET
. i
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed.Certification, is attached. In APPLICATION NO.: 3APPLICATION DATE: 8/3/2018
tabulations below,amounts are"stated to the nearest dollar. .Use Column l on Contracts where variable retainage for PERIOD TO: 7/31/2018
line items may apply. ARCHITECTS PROJECT NO. :
A B C 0 E F G H I 3
WORK COMPLETED MATERIALS
ITEM TOTAL COMPLETED BALANCE TO RETAINAGE
DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY AND STORED TO o� FINISH (IF VARIABLE
NO. APPLICATION THIS'PERIOD STORED(NOT IN (GIC)
(D+E) DOR'E) DATE(D:+E+F) (C-.G) RATE)
257 Fire Sprinklers-Material 30,000 0 o%u 30.000 0
258
259 Division 22-Plumbing
260 Mech/Plumbing Submittals 41500 3,825 675 4,500 100% 0 450
261 Mech/Plumbing Permits 2,500 2,500 2,500 100% 0 250
262 Mech/Plumbing Mobilization 4;000 4,000 4,000 100%1 0 400
263 Mech/Plumbing Project Management 12,400 5,500 3,900 9,400 76% 3,000 940 j
264 Underslab Piping Labor 29,000 22,100 4,100 26,200 90% .2,800 2,620 I
265 Underslab Piping Materials 32,200 28,800 31400 32,200 100% 0 3;220
266 Plumbing Excavating and Backfilling 24,500 22,000 2,500 24,500 100% 0 2,450. 1
267 Sanitary`and Storm Piping Labor 12,400 0 0% 12,400 0
268 Sanitary and Storm Piping,Materials 5,00.0 0 0% 5,000 0
269 Domestic Water Piping Labor 28,000 7,000 7,000 25% 21,000 700
270 Domestic Water Piping Materials 17,000 11,100 11,100 65% 5,900 1,110
211 Plumbing Equipment,Labor 2;000 0 0% 2,000 0
272 Plumbing Equipment Materials 8,500 0 0%
.8;500' 0
273 'Plumbing Fixtures Labor 41000 . 0 0%1 4,000 0
274 Plumbing Fixtures Material 12;000 0 0% 12,000 0
275
276 Division 23-HVAC
277 HVAC Equipment Labor 10000 0 0%u 10,000 0
276 HVAC Equipr ent Materials 1501000 15,000 15;000 10%a - 135,000; 1,500.
279 HVAC Piping Labor 65,000 3,250 3,250 5% 61,750 325
280 HVAC Piping Materials 38,000 5,700 5,700 15% 32,300 570
281 Ductwork Labor 18,000 1,300 1,300 7%u 16,700 130
282 Ductwork Materials 46,000 12,300 12,300 27% 33,700 1,230
283 Mechanical Insulation Labor 11,000 0 0% 11,000 0.
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 0 031. 4,000 0
F
E
l
CONTINUATION SHEET
APPLICATION NO.: 3
APPLICATION.AND CERTIFICATE,FOR PAYMENT,containing Contractors signed Certification.is attached. In APPLICATION DATE: 8/3/2018
tabulations below;amounts are stated to the nearestdollar. Use Column I on Contracts where variable retainage for PERIOD TO: 7/31/2018
.line items may apply.
ARCHITECTS PROJECT NO.:
A. B C D E F G H
WORK COMPLETED MATERIALS
ITEM' TOTAL COMPLETED BALANCE TO RETAINAGE
DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY AND STORED TO % FINISH (IF VARIABLE
N0. APPLICATION. THIS PERIOD STORED(NOT IN (GIC)
DATE(D+E+F) (c-G) RATE)
(D+E) D. E)
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 j
297 Grounding and Bonding Labor 500 0 0% 500 0 i
298 Grounding and Bonding.Material 300 0 0%u 300 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.
301 Elec Systems Raceways and Boxes Labor 17,700 2,000 4,250 61250 35% 11,450 625
302 Elec Systems Raceways and Boxes Material 12,500 1,625 4,650 6,275 50% 6,225 628
303 UG Ducts and Raceways-Elect. Labor 28,000 18,000 3,100 21,100 751/6 6,900 2,110
304 UG Ducts and Raceways-Elect. Material 22,500 22;500 22500 100% D 2;250
305 Exterior Light Pole.Bases 4,500 200 200 4% 4;300 20
306 Lighting Labor 28,200 300 300 1% 27,900 30
307 Lighting Material 50,000 0 0% 50,000 0
308. Panelboards Labor 17,500 2;100 2,100 12% 15,400 210
309 Panelboards Material 22,500 13,500 13,500 60% 9,000 1,350
310 Wiring.Devices Labor 2,000 -0 0% 2,000 0
311 Wiring Devices Material 2,500 0 0%a 2,500 0 I
312
313 Division 27-Communications
314 Communications Labor 4,200 600 600 146/o 3,600 60; I
315 Communications Material 3,000 500 500 17% 2,500 50
316. C-Cat 5;000 0 0% 5,000 0
317
318 Division 28:Electronic Safety&Security
319 Fire Alarm Labor 6,000 1,200 1,200 20%1 4,800 120
320 Fire Alarm Material 3,000 750 750 25%1 2,250 75
CONTINUATION SHEET
APPLICATION NO.: 3
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is attached. In APPLICATION
APPLICATION DATE: 8/3/2018
tabulations below;amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD T0: 7/31/2018
line items may apply,
ARCHITECTS PROJECT NO.:
A B C D E F G H I
WORK COMPLETED MATERIALS
TOTAL COMPLETED BALANCE TO RETAINAGE
ITEM FROM PREVIOUS PRESENTLY %
N0. DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD STORED(NOT IN (G/C)
(p+E) D.ORE) DATE(D (C-G) RATE)
329 Simplex 5,000 3,800 3,800 76% 1,200 380
322:
323 Change Orders
324. Change Order#001-A 286,688.50 286,688.50 286,689 100% 0 28,668.85
325 Change Order 1,047.00 0 0% 1,047 -
32t: Change Order#003 (2;234.00) 0 _ 00% (2,234) -
327 Change Order#004 4;465.00, 2;255.00 2;255 51%1 2,210 225.50
328 Change Order#005' 19,687.00. 14,800.00 14;800 75% 4;887 1,480.00
329 Change Order#006 3,590.00 0 0% 3,590 -
5,871.,743.50 1,296;678.50 1,01:51333:00 15,000.00 2,327;011:50 0A0 3,544,732.00 232,701.15
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ISA Form#1-402
AFFIDAVIT AND WAIVER OF LIEN
FINAL ❑✓ PARTIAL ❑ 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
having contracted with Carmel/Clay Board of Parks&Rec. to furnish certain materials andsI or laborfor a project known
as West Park-The Groves located'1n Carmel, Indiana and does hereby further
state on behalf'of the.aforementioned contractor.-
(PARTIAL
ontractor:(PARTIAL WAIVER)that there is due from the Owner the sum of
Nine Hundred Twenty Seven Thousand Two Hundred Ninety Nine and.--------------70/100 Dollars ($:927,299.70 }
❑ '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 solelvWth 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
Dollars ( $;
❑ receipt of which is hereby_acknowledged; or
❑ the payment of;which has been promised as the sole consideration for this,Aftidavit and Final.°Waiver
of Lien which shall become effective upon receipt of such.payment.
THERFORE,the undersignedwaives and releases unto the.Owner f;said premises,any and all lien or claim whatsoever
on the above-described property and improvements thereon accou of BOR..or material or both furnished by the
undersigned thereto,subject.to limitations_of:conditions expressed erei if any; and further certifies that no other party
has anyclaim:or right to a lien on account of anywork.performed o at ial furnished to the undersigned for said project,
and within the scope of this affidavit;and waiver.
Gibraltar Construction Corp By Title..President
Contractor j
j
WITNESS MY HAND AND NOTORIAL SEAL,this 16th d y. , gut 2018
(Notary Public)
Printed:Brian McBride
ign i"6tAhtA:SU#C°.tdT-AACTOAS ASSOCIATION INCOAMFIATEC} BRIAN R. NiCBRIDE
° `-
SEA1, Res. of Hancock Cou* ROY ;
Unbit7dpt;Lg6 ACM6dwStiPn Ppahhile6d *. * "`I
My Comm. UP, 11-29-2025
�tia�A�P Commisslon#706505