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
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Gra n otzils67,154-.2ts 134,475XF MO 201,6 o ,