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HomeMy WebLinkAbout330253 09/21/18 ly ut Cgq�f CITY OF CARMEL, INDIANA VENDOR: 365624 ® e1 ONE CIVIC SQUARE HIS CONSTRUCTORS INC CHECK AMOUNT: $***121,027.87* CARMEL, INDIANA 46032 5150 E 65TH STREET SUITE B CHECK NUMBER: 330253 INDIANAPOLIS IN 46220-4817 CHECK DATE: 09/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460805 101858 18000702 121,027.87 KENT SITE WORK VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 365624 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HIS CONSTRUCTORS INC IN SUM OF$ CITY OF CARMEL 5150 E 65TH STREET SUITE B An invoice or bill to be property 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 $121,027.87 .ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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" 18000702 44-608.05 $121,027.87 1 hereby certify that the attached invoice(s),or 8/27/18 18000702 The Kent Site Work $121,027.87 902 902 902 902 bill(s)is(are)true and correct and that the -T r materials or services itemized thereon for J— which charge is made were ordered and received except Thursday,September 20,2018 Henry Mestetsky 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 APPLICATION AND CERTIFICATE FOR PAYMENT Invoice#: 180007*02 To Owner: City Of Carmei Project' 180007-THE KENT SITE WORK Application No.: 2 Distribution to: 135 N.Pennsylvania Street,Suite 2800r/ Owner FN Architect Indianapolis, IN 46204 Period To: [ Contractor From Contractor. HIS Constructors, Inc. Via Architect 5150 E.65th St.,Suite B Project Nos. Indianapolis,1N 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 continuation on sheet Is attached.is made for payment,as shown below,In connection with the contract completed in accordance with the Contract Documents.That all amounts have been paid by the Contractor for Work for whichrevious Certificates for Pa p Paymentwere issued and payments received from the Owner,and that current payment shown herein is now due. tKirUfflrr�i, 1.Original Contract Sum ��` ��•.. .a/'t�c // $900,000.00 CONTRACTOR: HIS Constructors,Inc. ```P:o��on Co`� cc's, 2.Net Change By Change Order ................ $0.00 ocIARY Pt1B(/C 3.Contract Sum To Date .......................... $900,000.00 = Comm.#625692 NOTARY S£AL- 4.Total Completed and Stored To Date........__. $134,475.41 By: Date: �/Z���� yc ,�y\o�= 5.Retention: '� `r� `as oa-1,A- 0 a 10°/ of Completed Work O\QC�`�`� ° p $13,447.54 stateSubsbed and "�m�tobefore me f is County of: /�L JiT �ii7j��l�Fiit�i���t��``` b• 0.00%of Stored Material $0.00 Notary Public O� �reee�� day of My Commission expires: / Agrees. Total Retention $13,447.54 !! l�oW1y, 6.Total Earned Less Retention ...................... $121,027.87 ARCHITECTS CERTIFICATE FOR PAYMENT In accordance with the Contract Documents,based on ort-site observations and the data 7.Less Previous Certificates For Payments............ comprising the above application,theArchitect certifies to the Owner that to the best of the $67154.28 Architect's knowled9e,information,and belief,the Work has progressed as indicated, 8.Current Payment Due ........................... $121 027 87 the quality of the Work is In accordance with the Contract Documents,and the Contractor Is entitled to payment of the AMOUNT CERTIFIED. 9.Balance To Finish,Plus Retention ................. $711,817.85 AMOUNT CERTIFIED $121,027.87 (Attach explanation if amount cerLTied d Ters from the amount applied.lnftlal all Hgwas on thisAppllcation and on the Cont)nuation Sheet that are changed to conform with the amount cenYfed.) CHANGE ORDER SUMMARY Additions Deductions Total changes approved in previous months by Owner $0,00 $0,00 ARCHITEC , Total Approved this Month $0.00 $0.00 BY: Date: TOTALS $0.00 $0.00 This r lfrcat is not negotiable.The AMOUNT CERTIF EIlpfayablee, nly to the 4 Contra ed herein. Issuance,payment,and acceptpayent are without Net Changes By Change Order e— prejudice to any rights of the Owner or Contractor under this Contract. 0.00 CONTINUATION SHEET Page 3of3 Application and Certification for Payment,containing Application No.: 2 Contractor's signed certification is attached. Application Date: 08/27/18 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retention for line items may apply. To: Invoice 9; 180007*02 Contract. 180007-THE KENT SITE WORK Architect's Project No.: A B C D E F G H 1 Item Description of Work Scheduled Work Completed Materials Total % Balance Retention No. Value From Previous This Period Presently Completed (G 1 C) 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 $3,516.51 $0.00 $0.00 $3516.51 49.99% $3,516.51 Demo&Removals $90,911.10 $63,637.77 $22,737.73 $0.00 $86,375.50 95.01% $4,535.60 Water $80,450.13 $0.00 $0.00 $0.00 $0.00 100% $80,450.13 Storm $198,516.06 $0.00 $59,559.80 $0.00 $59,559.80 30% $138,95626 Sanitary $6,234.35 $0.00 $5,299.20 $0.00 $5,299.20 85% $935.15 Exc.Grade&Seed . $122,270.26 $0.00 $18,340.54 $0.00 $18,340.54 15% , $103,929.72 , 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 $28,538.14 $0.00 $28,538.14 $0.00 $30,854.86 I I � Gra n otzils67,154-.2ts 134,475XF MO 201,6 o ,