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Home My WebLink About329539 08/30/18 `%�o,gyF( CITY OF CARMEL, INDIANA VENDOR: 365624 ONE CIVIC SQUARE HIS CONSTRUCTORS INC CHECK AMOUNT: $****60,438.84* �_� CARMEL, INDIANA 46032 5150 E 65TH STREET SUITE B CHECK NUMBER: 329539 �',�TON�°. INDIANAPOLIS IN 46220-4817 CHECK DATE: 08/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460805 101858 18000701 60,438.84 KENT SITE WORK VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 365624 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HIS CONSTRUCTORS INC IN SUM OF$ CITY OF CARMEL 5150 E 65TH STREET SUITE B 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 46220-4817 Payee $60,438.84 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Redevelopment Commission 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 101858 18000701 44-608.05 $60,438.84 1 hereby certify that the attached invoice(s),or 7/31/18 18000701 The Kent Site Work $60,438.84 902 902 902 902 bill(s)is(are)true and correct and that the TT- materials or services itemized thereon for which charge is made were ordered and i received except Thursday,August 16,2018 Mestetsky, Henry 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 t APPLICATION AND CERTIFICATE FOR PAYMENT Invoice#: 180007,01 To Owner: City Of Carmel Project: 180007-THE KENT SITE WORK Application No.: 1 Distribution to 135 N.Pennsylvania Street,Suite 2800 Owner Architect Indianapolis,IN 46204 Period To: Contractor From Contractor. HIS Constructors,Inc. Via Architect: 5150 E.65th St.,Suite B Project Nos: Indianapolis,IN 46220 Contract For. Contract Date: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors knowledge, information,and belief,the work covered by this Application for Payment has been completed Application is made for payment,as shown below,in connection with the Contract. in accordance with the Contract Documents.That all amounts have been paid by the Continuation sheet is attached. Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner,and that current payment shown herein is now due. 1.Original Contract Sum .......................... $900,000.00 2.Net Change By Change Order ..................... $0.00 CONTRACTOR: HIS Constructors,Inc. 3.Contract Sum To.Date $900,000.00 f 4.Total Completed and Stored To Date............... $67,154.28 By:. J Date: \\\\��1ttIIItM(Nr��i��i 5.Retention: �� \ a 10.00% rSston of Completed Work State of-XAJ J J;n 4s County of: Plgb.. tt� $6,715.44 Subscribed and swam to before me this lS f day ofqrj� �v^o;O — : NOT ARY UBLIC ' — b• 0.00% of Stored Material $0.00 Notary Public: el, (• _ NOT L = My Commission expires:S� - j o SEA Total Retention ............................. $6,715.44 �i %N� OnCo 6.Total Earned Less Retention $60,438.84 ARCHITECTS CERTIFICATE FOR PAYMENT �F�V4 In accordance with the Contract Documents,based on on-site observations and the data. comprising the above.application,the Architect certifies to the Owner that to the best of the Architect'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 CERTIFIED. 7.Less Previous Certificates For Payments............ $0.00 8.Current Payment Due ........................... $60,438.84 9.Balance To Finish,Plus Retention ................. $839,561.16 AMOUNT CERTIFIED $60,438.84 (Attach explanation 11ramount terrified differs from the amount appiied.Initial aAligures on this Appfication and on the CHANGE ORDER SUMMARY Additions Deductions Continuation Sheet that are changed to conform with Ute amount certfied.) Total changes approved in previous months by Owner $0.00 $0.00 ARCH TELT Total Approved this Month $0.00 $0.00 By: Date: TOTALS $0.00 $0.00 This Ce�to. e'i nonnegotiable.The AMOUNT CERTIFI D,is payable only to the Contractm d herein.Issuance,payment,and acceptance of payment are without Net.Changes By Change Order $0.00 prejudicrights of the Owner or Contractor under this Contract. CONTINUATION SHEET Page 2 oft Application and Certification for Payment,containing Application No.: 1 Contractor's signed certification is attached. Application Date: 07!31!18 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retention for line items may apply. Architect's Project No.: Invoice#: 180007.01 Contract: 180007-THE KENT SITE WORK B C D E F G H I Description of Work Scheduled Work Completed Materials Total % Balance Retention No. Value From Previous This Period Presently Completed (GIC) To Finish Application In Place Stored and Stored (C-G) (D+E) To Date (Not in D or E) (D+E+F) Mobilization $7,033.02 $0.00 $3,516.51 $0.00 $3,516.51 49.99% $3,516.51 Demo&Removals $90,911.10 $0.00 $63,637.77 $0.00 $63,637.77 $70.00 $27,273.33 Water $80,450.13 $0.00 $0.00 $0.00 $0.00 $0.00 $80,450.13 Storm $198,516.06 $0.00 $0.00 $0.00 $0.00 $0.00 $198,516.06 Sanitary $6,234.35 $0.00 $0.00 $0.00 $0.00 $0.00 $6,234.35 Exc.Grade&Seed $122,270.26 $0.00 $0.00 $0.00 $0.00 $0.00 $122,270.26 Borrow $62,371.53 $0.00 $0.00 $0.00 $0.00 $0.00 $62,371.53 Asphalt Paving $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Concrete Work $272,820.55 $0.00 $0.00 $0.00 $0.00 $0.00 $272,820.55 Contingency $59,393.00 $0.00. $0.00 $0.00 $0.00 $0.00 $59,393.00 Grand Totals $900,000.00 $0.00 $67,154.28 $0.00 $67,154.28 $0.00 $832,845.72 $6,715.44