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HomeMy WebLinkAbout331304 10/17/18 %' "''f. CITY OF CARMEL, INDIANA VENDOR: 372119 ONE CIVIC SQUARE BRANDT CONSTRUCTION INC CHECK AMOUNT: $****68,659.00* s9� Jia CARMEL, INDIANA 46032 330 EAST ST.JOSEPH STREET CHECK NUMBER: 331304 yiTON,�. INDIANAPOLIS IN 46202 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 R4460807 101054 10 66,598.00 ICE RINK CENTER GREEN 902 4460807 101739 10 2,061.00 ADDITIONAL CHANGE ORD VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 372119 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BRANDT CONSTRUCTION INC IN SUM OF$ CITY OF CARMEL 330 EAST ST. JOSEPH STREET 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 46202 Payee $2,061.00 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 101739 10 44-608.07 $2,061.00 1 hereby certify that the attached invoice(s),or 10/16/18 10 Pay app 10 for Center Greenlice Rink $2,061.00 902 902 902 902 improvements bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, October 17,2018 Henry Mestetsky I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Ocu m. 4 70,27 1992 for "V[i�t11�yR.•'' -"i, - - E•6i�/•47rLT i'j;. •',�! •+,`_ i `.• •i• ��. h�4{,�r — �r COanPl J T�sd3�z' ` '.. :� �r: sWbvtiemlo. ism caQfl�Center'` mow° =`s` tQttsfiltU� .© of> 1ntAana tt riots 1 - <: :I •ii X ._. po I 4M th ' .' ,b; _ .'..,err'' .. .' .,• •", . l�taRtdi�nlnc.. 16Ernstbergdr/C�a " � . , •,1T -'•;�,+••?;.,`.';•I' ;-•.�,• :�b. R Ky An2n7 e" ••• ',.•:;'; .1,.��., ., y� i:�• 'jam A l cm*w�w fflA dull to-the best o�ttt� s Appl.66d is mWefw paymeawt;.as 4te]as ,#t ac ae�tson esit&f&e >nd fielie tfie.�'�ri�C fa l� been co '�br AIAomiat6i /1' T";`QG�o� ioa Sheet,is e e : Qt i� �{ g t�y�. y ycoma b ���ty�.,t��s..��ps$so�a have { `per by tllw.Cwrfadar fo/r�WO&far, .ORIG1RNL V�.aW..............I... .�J..L�e..wty.i....w:......Yw.'•.R TCFP�ilel4ih� C^`n'+"-"w'WF1t' itilRav$mMW' •""a`.`e`r'= yV4i �Yed.�ft.VWId.P•r,'d��r, .2,NET CHMIGE E:�'CH14 SF ��- ' 4AMONUO Hr. .. buff .. ,= S,PETAkWE• 8. day ciF Oda {''TS mr Pft. y "`' i :C®cmtamsEgias 067 1 •d'Q�11Sl O,• p+ _ it.�;i,. •'� b'.L..riF:i�:•�i• ..4' .�-:•'. s.>A A� ::�:'.:;. d'�'ot�ty F�lia;'•-I. : •Sl�ia�tiEiQyari�.: �,. R�lQage(lit &t ,ar? �itz � ('i?l13 eotio .1 :�feoRttaEjr 4;: ?'?- ;:{ • . ICATE-F }; .•Ste'! � (LinB41 it�'11'1L�• r+•V.., ...w.w....«........ , ,"_'. 1'il. !arPv?{irQ.rN!rY .. ;' dtl ;tt .ot `° adhs l P[ZE1Fi0U$ 'GES FtyR E'A1 ...........y_ ...«.. $ itl ' 'ewes to tie Uvnes ; fest of 6 A1660 'skaow (Lyre Gf ga�E�t cnteJ i�sEbom �S€ffm l &.Gay Pnt of gte Werk Is im �� BaE pct D and Clea' !a a d&a to payment cf lw ILCU l3ENLP#IfkMWE......_ .. . ................. . �;&b9.oD �� Jt �iiQ�E.Ta F11N #,f JCVMQ RETA WO1099 ^" . .., � F �� ivitabied�,' ms1F *urontJs •. _'- ' .�- r '• lcas�tiaeit�a�t�ie Eorr�'inrraGa�ua -�it�'p�'ediirnrgec�tac �ao�bo�u•eerr�red,}. MON��.'.''''' 'S ,:�. eQp•:i• '.yLnw` ''tom ^ii 1 �/l� � •�.• Ct � � �j � ,tesla.. �� . ,., -- .. •..� ..�, F .,.'.`1 - �_. � ie pati. a '':f .8ik+��sk: Ft a ... ;.: by Cage Oz� $.1. "-" •'7{�'' " flava��; r . ., u... a'Ml�L F.VR:7O .I(�R A��..�...y t. 1- .',;•.`:::•�� - �� •.•1. � 'C.••,•. .. ustuwtdstgt�anar�aE/Vf�ciai[wa.oa011,yi��. ''�;.1,.,' .4 . - l�lei.elotame ��'mai°�"i4+�' `'�'�vW7lieis#Ite'od•. rn Gm--•on cawma(D I�,.•ies3.:sss Ivm.1978;4983•�dl�. by t1.&. �s,�;. tal mxwot►of Tre .u+�Rharbad. ead ords(riBu9oa.af I16-AI► Celt;' A powNe under tha lane Pambasm f eu>,�•ton es ' l st 0 '1° ► p 'aaa�ltf f e pras m m®mo�[,nun mmm+�, ownssl.copyt�htQalaotg a� �� °fdaaisaroilepttc�yrhf!3YLTaasimors:e7 eFteAetetO' nls�rreotAec [egaf AFFIDAVIT AND WAIVER OF LIEN Final X Partial ___X_Payment to Follow State of Indiana,County of Marion. Harold A. Sattison, being duly sworn states he is an Authorized Representative for Brandt Construction, Inc.having contracted with Carmel Redevelopment Commission,furnish certain materials and/or labor as Follows: General Construction located at armel IN and owned.by Carmel Redevelopment Commission and does hereby further state on behalf of Brandt Construction,Inc. (PARTIAL WAIVER).that the balance due the contractor is the sum of Sia-Eight Thousand Six Hundred Fifa-Nine and 00/100 Dollars ($68,659.00) [ ] receipt of which is hereby acknowledged; or [X]the payment of which has been promised as sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount,effective upon receipt of such payment. (FINAL WAIVER)that the final balance due the contractor is the sum of [ ] receipt of which is hereby acknowledged; or [ ]the payment of which has been promised as sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE,the undersigned waives and releases unto the Owner of said premises; and all lien or claim whatsoever on the above-described property and improvements thereon on account of labor or material or both,furnished by the undersigned thereto,and further certifies that no other party has claim or right to a lien on account of any work performed or material furnished to the undersigned for said project,and within the scope of this affidavit and waiver. Brandt Construction,Inc.,by arold A. Sattison,Executive Mice President WITNESS MY HAND AND NOTARY SEAL,this 16, day of 1 ',4,44 dello' ,2018 Staci Woodyard �,� --�I SiACI WOODYARD Notary Public • My commission Expires: January 4,2024;Residing in Hendricks Countyof Indiana ''°"'•� Stole'`•-•r„o,.a,.�MyCommisslonExplrer� CONTINUATION SHEET APPLICATION NO.: 10 APPLICATION DATE: 10/16/2018 PERIOD TO: 10/16/2018 ARCHITECTS PROJECT NO: A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED TO RETAINAGE ITEM SCHEDULED FROM PREVIOUS STORED AND STORED % FINISH (IF VARIABLE NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G/C) (C-G) RATE) (D+E) DOR E) (D+E+F) 1 Bonds/Insurance 67,939 67,939 0 0 67,939 100% (0) 0 2 Supervision/Management 213,077 213,077 0 0 213,077 100% (0) 0 3 General Conditions 190,997 190,997 0 0 190,997 100% (0) 0 4 Audio Sound Equipment Allowance 50,000 50,000 0 0 50,000 100% (0) 0 5 Earthwork,Site Utilities, Erosion Control,Site Demo 16.0,290 160,290 0 0 160,290 100% 0 0 6 Selective Demolition 11,405 11,405 0 0 11,405 100% 0 0 7 Storage of Winter Items in March 9,973 9,973 0 0 9,973 100% 0 0 8 Storage Containers 31,200 31,200 0 0 31,200 100% (0) 0 9 Dumpster Gates/Chain Link Fencing 21,239 21,239 0 0 21,239 100% (0) 0 10 Temporary Wood Fencing 22,950 22,950 0 0 22,950 100% 0 0 11 Landscaping 82,239 82,239 0 0 82,239 100% 0 0 12 Unit Paving 846,350 846,350 0 0 846,350 100% (0) 2,000 13 Site Furnishings-Tables,Chairs,High Tables, 31,831 31,831 0 0 31,831 100% 0 0 14 Site Furnishings-Tables,Chairs,High Tables, 3,356 3,356 0 0 3,356 100% 0 0 15 Site Furnishings-Temp Winter Fire Pits 20,129 20,129 0 0 20,129 100% (0) 0 16 Site Furnishings-Temp Winter Fre Pits Labor 2,342 2,342 0 0 2,342 100% (0) 0 17 Site Furnishings-Removeable Bollard 6,370 6,370 0 0 6,370 100% (0) 0 18 Site Furnishings-Removeable Bollard Labor 1,014 1,014 0 0 1;014 100% 0 0 19 Site Furnishings-Tree Grates,Victor Stanley 44,105 44,105 0 0 44,105 100% 0 0 20 Site Furnishings-Tree Grates,Victor Stanley 10,883 10,883 0 0 10,883 100% 0 0 21 Site Furnishings-Ramps 4,162 4,162 0 0 4,162 100% (0) 0 22 Site Furnishings-Ramps Labor 3,356 3,356 0 0 3,356 100% 0 0 23 Site Furnishings-Portable Event Fencing 4,315 4,315 0 0 4;315 100% (0) 0 24 Site Furnishings-Portable Event Fencing Labor 2,237 2,237 0 0 2,237 100% 0 0 25 Site Furnishings-Heavy Duty Stanchion with Chain 6,702 6,702 0 0 6,702 100% 0 0 26 Site Furnishings-Heavy Duty Stanchion with Chain 4,133 4,133 0 0 4,133 100% 0 0 27 Concrete - 648,353 648,353 0 0 648,353 100% (0) 0 28 Masonry 62,364 62,364 0 0 62,364 '100% 0 0 29 Structural Steel Chiller and Embeds 104,628 104,628 0 0 104,628 100% 0 0 30 Aluminum Diamond Plate Decking/Geotextile Wrap 16,27$ 16,278 0 0 16,278 100% (0) 0 31 Rough Carpentry Material 4,853 4,853 0 0 4,853 100% 0 0 32 Rough Carpentry Labor 8,343 8,343 0 0 8,343 100% (0) 0 33 Waterproofing&Joint Sealants 15,743 15,743 0 0 15,743 100% (0) 0 34 Metal Coping 1,213 1,213 0 0 1,213 100% 0 0 35 Stain Wood Fence 1,570 1,570 0 0 1,570 100% (0) 0 36 Appendix Winter Decorations 72,715 72,715 0 0 72,715 100% (0) 0 CONTINUATION SHEET APPLICATION NO.: 10 APPLICATION DATE: 10/16/2018 PERIOD TO: 10/16/2018 ARCHITECTS PROJECT NO: A B C D E F G H l WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED TO RETAINAGE ITEM SCHEDULED FROM PREVIOUS STORED AND STORED % FINISH (IF VARIABLE NO- DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G/C) (C-G) RATE) (D+E) D OR E) (D+E+F) 37 Temporary Ice Skating Rink 444,226 444,226 0 0 444,226 100% (0) 0 38 Mechanical 728,579 728,579 0 0 728,579 100% (0) 10,000 39 Electrical 304,541 304,541 0 0 304,541 100% 0 0 40 CHANGE ORDER#1 41 Replace Winter Wood Screen Fence w/PVC Lattice (28,674) (28,674) 0 0 (28,674) 100% 0 0 42 Hydroexcavation&Chiller Pad Changes 14,084 14,084 0 0 14,084 100% 0 0 43 Trench Conduit&Electric to Fire Pit 15,100 15,100 0 0 15,100 100% 0 0 44 Upsize Transformer&Panel Boards 20,577 20,577. 0 0 20,577 100% 0 0 45 Relocate Fiber Optic Panel in Tunnel 12,447 12,447 0 0 12,447 100% 0 0 -46 Butterfly Valves for Sump Pumps in Tunnel 11,309 11,309 0 0 11,309 100% 0 0 47 Revised Ice Rink Header Trench (20,824) (20,824) Q 0 (20,824) 1'00% 0 0 48 Revised Irrigation System 61337 6,337 0 0 6,337 100% 0 0 49 Reinstall Electric Outlet for Farmer's Market 849 849 0 0 849 100% 0 0 50 CHANGE ORDER#2 51 Cottage Connectors 32,714 32,714 0 0 32,714 100% 0 0 52 Audio Cost 33,176 33,176 0 0 33,176 100% 0 0 53 Water Line to Cottages 8,338 8,338 0 0 8,338 100% 0 0 54 2"to 1 1/2"Water Line (444) (444) 0 0 (444) 100% 0 0 55 Glycol Trench Wider and Deeper 3,968 3,968 0 0 3,968 100% 0 0 56 Relocate Alarm Panel 2,806 2,806 0 0 2,806 100% 0 0 57 Conduit for Future Wireless 1,485 1,485 0 0 1,485 100% 0 0 58 Butterfly Valve Pump 3/4 9,663 9,663 0 0 9,663 100% 0 0 59 CHANGE ORDER#3 60 Unsuitable Soil 19,370 19,370 0 0 19,370 100% 0 0 61 Hydrovac South Row 2,709 2,709 0 0 2,709 100% 0 0 62 Rubber Ramps 1,781 1,781 0 0 1,781 100% 0 0 63 Eliminate 2 Ramps (1,769) (1,769) 0 0 ° (1,769) 100% 0 0 64 Hydrovac/Signs/Benches 5,656 5,656 0 0 5,656 100% 0 0 65 CHANGE ORDER#4 66 Fire Pit Toggle Switches 2,709 2,709 0 0 2,709 100% 0 0 67 Chiller Isolator Bracket 1,875 1,875 0 0 1,875 100% 0 0 68 Hydrovac Dumpster Area 1,683 1,683 0 0 1,683 100% 0 0 69 CHANGE ORDER#5 70 Additional Audio Work 4,694 4,694 0 0 4,694 100% 0 0 71 Rubber Mats(Labor) 2,209 2,209 0 0 2,209 100% 0 0 72 Hydro Excavate Dumpster Area(correction) 583 583 0 0 583 100% 0 0 CONTINUATION SHEET APPLICATION NO.: 10 APPLICATION DATE: 10/16/2018 PERIOD TO: 10/16/2018 ARCHITECTS PROJECT NO: A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED TO RETAINAGE ITEM SCHEDULED FROM PREVIOUS STORED AND STORED % FINISH (IF VARIABLE NO_ DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G/C) (C-0) RATE) (D*E) DOR E) (D+E+F) 73 CHANGE ORDER 96 74 Decorative Lighting 1,754 1,754 0 0 1,754 100% 0 0 75 Temporary Fencing 6,728 6,728 0 0 6,728 100% 0 0 76 CHANGE ORDER#7 77 Hydrovac 6 Sign Foundations 7,371 7,371 0 0 7,371 100% 0 0 78 Crushed Granite 3,796 3,796 0 0 3,796 100% 0 0 79 CHANGE ORDER#8 (19,341) 0 (19,341) 0 (19,341) 100% 0 0 4,430,719 4,450,060 (19,341 0 1 4,430,719 1 100% 0 12,000 VOUCHER NO. WARRANT NO. Prescribed by"State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 372119 IN SUM OF$ CITY OF,CARMEL BRANDT CONSTRUCTION INC 330 EAST ST. JOSEPH STREET 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 46202 Payee . $66,598.00, ". . Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Redevelopment Commission . • Date Due PO# ACCT#" DATE. INVOICE# DESCRIPTION: DEPT# INVOICE# Fund#. . AMOUNT Board Members : DEPT# . FUND# (or note attached invoice(s)or bill(s)) AMOUNT 101654 10 44-608.07 $66,598.00 I,hereby certify that.the attached invoice(s),or •10/16/18- 10. Pay app 10 forCenter Green/IceRink $66;598.00 902 Encumbered- 902 902 902 improvements bill(s)is(are)true and'correct and that the materials or services item lied.thereon for which charge is made were ordered and received except Wednesday,.October-17,2018 Henry Mestetsky- I hereby certify that.the attached invoice(s),orbill(s),is(are)true and correct and.1 have audited.same.in accordancewith.IC 5-1.1-10-1.6 20 ' Cost distribution ledger classification if claim- .paid motor vehicle highway fund.. Clerk-Treasurer,. • _ .. _ r Kt l _ Ali. .. A fOrOw !taws Distributionfi. :7 _ Ca�rneG 1d C;O>xtrt�ititx' Ca[r1te1 Cstlt�r��en' `�'` .. t � t R • OT ��;��;lndlana, .3��t� % .,• , f �. lk � � -t ~��Qt .E7' µ�y��{ �, } •fie ' tti �..`;'.,•r.°' s ' `. .JY.'ae` R'f " V'��QIppI t��Y.•Qf�f.IlY. 17JG ` .,[�1fM1. 11 1 , ttdBtnYeEidnitaC.. [t[utcCelG'Emsf6erF��rJsaca P� TN � ;� 39t}Ea4t'S -Tcs� haet' � Dr Skeet,Suite ZQ 1 - .lndlanarvMZe (RF dR7tl7t .. Y nlricviRn.'(CV dl19M �y}. ,,,i+ '��1� �.. o 1'xE`, �tr1L��lWkY" �� 1�1, ad1'ies•13iataQ the b of`ttee ms's CIC Applica 'is a for papme�tt;,ag sbdL re1€s r>in a�aeetion exit l&.ca'€tarL. iv.belicfft.W by,ffm .:sli m fo has fa= AIA D 67•65T!;Continm (m Sheet,is `€�: # emio have beet od ,fir Vie.C for ozk.for r J'` i ixl.a st eived Bram.theOwaer,and 4tOR[GWAL CON'MACTSM..:..... ........�'" .-ZNR dHAN(;EEf CffMG3To-DATR 5s'RET1bINAGE• .,,-t ��aE � • ' �"`:i�1. s ,�� sL4gVurnnn•ARu per• •f �1�. J 'r7 gyro Nr:.- ••••I,C - &. rG"`, �.., FSVPOI�'4��@I$ �`�:'Gematl�af@�brI�OLIIOTI r21 �0 Ati�.#$if; �Y a f� 1 �JD1'�QTDG703J' �' i �-' a`�.�Jt'11P�!!tY•..i �`8L9�T1lfit�811� .ZG .'�'�•.< . :.. t ; ,� � � .. � :�tanttsat�'.4i:�'1+F.._'„ �.•::, e ti R�taiaega(L�ras Ski,yr T tab!irr G of 703}_ .. :$ 77 .�.' (� 4�is.vOAEtFfitEE $ :gmam 6*, ob .:ri' d' PM T.• PwAdUs.mawx T-bRRyum. V •4k pli�Fzan,t} l t.eeres to ti;e Omit of 8te� it�t's:itgowtedg �Cor&.5� as P���, m '•t�'��of the��Yvtk'.i's max .rweaf?fac¢Dom, mit tba' #m is es►ted to. gagmen* of lila. fLCURRENTFWPWQUE_....._ 5t,BAMCE.TO FltdW INCUMG REFAIId(G Adi[WTslM. . ... ct - (Line lRriincsL se'G " "i '• ' $ 12 u? earp f4iffafml'Cor1 3 OW., tt rvli baa rgwagongids: C�IAN dLlcaiFtar�rh� ulux {ink'aiecvrgedta�t >3fi� ari:ej&ed�. CrLt Q .3 ST: J lTJ( 5 ; pEm-c o .; Cr.0 '..•••;.'::: } �E1$i3�' BJ(.�017E1`IaN109TS`^S': `i: .�$+){ld7U� x. ;IMF ap�3rgSsad Ldt O:0 fid, • - -•S •:r.•4:.i'.••:.,-'rl.}:Y. �y]r.• �gi•�r,,�yb�� .;."_T'� •rW�YItlN,1�.��Yi+'. 'r�. AL : -', I V++Y d. .r + w!f "'u`P`w,... •c r: .�' .. gy �pp�,, Q'£, g ,"''�Q F' f Q ' °� 1p;`. 4r7i&oF}' 'Cf.L•tJTOM Y'o!x should sWo'an ortglmd AlA Cit[diaet ori,v lchl ..•',:,;" din. [ ': 64 be• . AM.[ro=rdsnt GM-=ImM CdFWOK 0 T=,Us3,.'1965,1871:t97B;4983 e d X98 bj+'i .ti ,if 'as t[lFg is " wn l► 1AA''Doaoiibm 19. IIact byU.s:C igftd Law, . aiidtlt�rlationafTrb�tfes.U.leaftS+orfaed.�e�lrvdentBotr:mfiiwYsi6u9oaoffll�AfA Ucieuuae of it}oflpFil } 1a {f0"M .apd, B90 a toffier nub.une»rft posst6fe uaderthe law.PumhassYsam'FEa ceprodrscitlsra(1fl�ce�ss'ePth18 d0�et��enle.computed:�'oi�ePdsYc�m�lttbid�ah�.,-•]E�4•, ©Doose).coPYrB ot9 .., [7 btaf7 Flie•Afrtes n iets�ure of A teaaf .. AFFIDAVIT AND WAIVER OF LIEN Final .X Partial _Payment to Follow State of Indiana,County of Marion. Harold A.Sattison, being duly sworn states he,is an Authorized Representative for.Brandt Construction, Inc.-having contracted witli Carmel B edevelopmeiit Commission;furnish:certaiii materials and/or labor as Follows: General Construction located at armel IN and'owned,by Carmel Redevelopment. . Commission and does hereby further state on behalf:ofBrandt:Construction,Inc. (PARTIAL WAIVER)thatthe balance due the contractor is the:sum of Sixt rEi ht Thousand S'ix Hundred Fifty-Nine and00/100"Dollars ' ($689659:00) [ � recei t ofwhich,is h6rebV acknowledged; or [X]the payment of which has been promised as sole consideration for this'Affidavit and Partial Wai'ver.of.Lien which is given to and for said amount,effective.upon receipt:of such payment. {FINAL WAIVER).thatthe"final balance"due the contractor is.the=sum of [:] receipt of which is hereby acknowledged;or [.:].the paymeiit_of.Which-has beenpromised as sole consideration for this Affidavit and Final : Waiver.of Lieii which shall become effective upon receiptof such payment.. THEREFORE;the undersigned waives and releases unto the Owner of said premises;and all lien or claim whatsoever on the above=described-property and.improvements thereon on account of labor or material or-both;furnished by the undersigned'thereto;and further certifies that no'other party has claim or right"to a lien.Maccountof MID performed,.or material furnished to the untiexsigned for sad:project,and within the scope of this affidavit and waiver:: Brandt Construction,Iiia,by arold A. Sattison,:Executive V"ice;Pres ident WITNESS MY HAND AND NOTARY SEAL,this G day of 1j± e- . 2018 'Woodyard STACI WOODYARD "")1Z_ .'Notary Public i="")1Z stat e of Indiana " My:commission Expires: January 4,2024;Residing-in Hendricks County -•:,No,�a,.,'MyCommisslortE�p4esJon n 04,2024 CONTINUATION :SHEET APPLICATION'.NO.: 10 . APPLICATION'DATE: '10/16/2018 . PERIOD TO. 10116/201$ ARCHITECTS PROJECT NO. A B . : C D E-- F G. , H I WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED TO. RETAINAGE ITEM SCHEDULED FROM PREVIOUS STORED . : AND STORED % FINISH (IF VARIABLE NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G/Q. (C-G) RATE) (D+q. DOR E) . (D+E+F) 1 Bonds/Insurance 67,939. 67,939. 0. 0 67,939 100% (0) 0. 2 Supervision/Management : 213,077 213,077 0 0 213;077' 100% (0) 0 3 General Conditions 190,997, 1.90;997 190,997 100% (0) 0. 4 Audio Sound:Equipment Allowance 50,000 50,000 0. 0 50,000 -100% (0) 0 5 Earthwork;Site Utilities, Erosion Control,Site Dema,' 160,290 160,290, 0 0 160,290 100% 0 0. 6 Selective Derriolitiori 11,405 11,405. 0 0 14,465 : 100%: .0 0. 7 Storage of Winter Items in March 9,973 9,973 0 0 9,973 100% . 0 0 8 Storage Containers_ 31,200 34,200 0 0 31;200 100%. (0) 0. 9 DumpsterGates/Chain Link Fencing 21,239 21,239 0 '0 21,239. . 100% (0) 0 10 Temporary Wood Fencing 22,950' 22,980 0 0 -.22,950 ' . 100%. 0 0 11 Landscaping 82,239 82,239 0 .0, 82;239 . ,100%. 0 0' 12 Unit Paving 846,350. 846,350 0: 0- 846,350 .. 100%.: (0) 2,000 13 Site Furnishings-Tables,Chairs,High Tables, 31,831 31,831 0 0 31,831. 100% 0. 0' 14 Site Furnishings-Tables,Chairs,High Tables, 3,356 .3,356 0 0 3,356 100% 0 0 15 Site Furnishings-Temp Winter Fire Pits 20,129. 20;129 -0 .0 201129. '100%- . (0) 0 16 Site Furnishings-Temp Winter Fire;Pits Labor 2,342 .2,342 0- - 0: 2,342 100% (0) 0 17 Site Furnishings-Removeable Bollard 6,370 6,370 0 0 6,370• ' 100%' (0) 0 18 Site Furnishings-Removeable Bollard Labor 1,014 1,014 0_ 0 1,014 100%'. 0 0 19 Site Fumishings:=Tree Grates,Victor Stanley 44,105 :44,105 0 0 44,105 100%,' 0, : 0 20 Site Furnishings-Tree Grates,Victor Stanley . 10,883 10;883 0 0 10883 106% 0 0 21 Site Furnishings-Ramps .4,162 4;162 .:0 .0. 4162 1000/6 (0) 0 22 Site Furnishings-Ramps Labor 3,356. 3,356 6 0 3,356 100% 0 0 23 Site Furnishings=.Portable Event Fencing 4,315 4,315 0- 0 4,31.5 100% (0)0 24 Site Fumishings-Portable Event Fencing.Labor 2,237 21237. . , 0 0. 2,237 100%. 0 0. 25 Site Fumishings.-Heavy Duty Starichion with Chain 6,702• 6,702 0 0 6,70.2 100%'.. 0. 0 26 Site Furnishings-Heavy Duty Stanchion with Chain 4,133 4,133, 0 0 4,133 100%' 0 0 27 Concrete .. 648,353 648,353_ 0 :0 648,353, 100% (0) : 0 -28 Masonry .62,364 621364 0 0 62,364. 100% 0 0 29 Structural Steel Chiller and Embeds 104,628 104,628 0 0; 104,628 100°/a 0 0: .30 Aluminum Diamond Plate Decking/Geotextile Wrap 16,278 16,278 .0 0 16,278 100%° (0) 0 31 Rough Carpentry Material 4,853 4,853 0 0 4,853 100% 6 0 32 Rough Carpentry Labor .81343 8,343 0 0 8,343 100% (0) 0 33. Waterproofing&Joint Sealants 15,743 15,743 0 0 15,743 .100% (0) .0 34 Metal Coping 1,213 1,213 .0 0 1,213 100% 0 : 0 35 Stain Wood Fence 1,570 1,570 0_ _ 0 1,570' 100% (0) 0 36 Appendix A Winter.Decorations 72,715 72:715 0 0 72,715 100% (0) . 0 CONTINUATION :SHEET APPLICATION.NO.:. 10 . APPLICATION DATE:. 10116/2048, PERIOD TO: 10/16120118 'ARCHITECTS PROJECT NO: A B C Q E F „ G H. WORK COMPLETED. MATERIALS TOTAL BALANCE PRESENTLY COMPLETED TO RETAINAGE . ITEM SCHEDULED FROM PREVIOUS STORED AND,STORED % FINISH (IF VARIABLE. NO_ DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD (NOT IN TO DATE' (G_/C) (C-G) RATE) (D+EI . D.OR E).._ (D+E+F) 37 Temporary Ice Skating Rink444,226. 444,226: d. . : 0 .444,226 100% . (0) 0. 38 Mechanical 728,579 728,579 0 0 728,$79 100%, (0) 10,000, 39 Electrical 304;541: . . '304;541 0• . 0 304,541 ,100% 0, 0. 40 CHANGE ORDER#x1. 41 Replace Winter Wood Screen Fence W/PVC Lattice. (28;674j. (28;674). . 0 0 (28,674) 100% 0 0. 42 Hydroexcavation&Chiiier Pad Changes 14,084 14,084 0 0 14,084 : 100% 0 0- 43 Trench Conduit&Electric to Fire Pit 15,100 15,100 0 0 15,100 100% 0 0 44 Upsize Transformer&Panel Boards 20,577 .20,517_ .0: 0 20;577 100% 0 0 45 Relocate Fiber Optic Panel in Tunnel 12,447 12,447. 0 -0_ . 12,447 100% 0 0 46 Butterfly Valves for Sump Pumps in Tunnel .11,309 - 1.1.,309 0 0 11,309 100% 0 0 47 Revised Ice Rink Header Trench (20,824) (20,824). 0. .-O. (20;824) 1.00% 0 0 48 Revised Irrigation System 6,337 .61337 0. .0 6,337 . 100% 0 0 49 Reinstall Electric Cutlet for Farmers Market 849 .849 0 0 849 100%. 0 0 50 CHANGE ORDER#2 . 51 Cottage Connectors 32,714 32;714 . 0 0 32714 100% 0 0 52 Audio Cost 33,17033;176 0. . 0: 33,176 100%. 0 0 53 Water Line to Cottages 8,338 8,338 0 0 8,338 100W 0 0 54 2"to 1 1/2"Water Line, (944) (444) 0". . o' (444) 100% . 0 0. .' 55 Glycol Trench Wider and Deeper 3,968 3,9680 0 31968 100% 0 0 56 Relocate Alarrh Panel 2,806 2;806 0 . 0. 2;806 .100% .0 0 . 57 Conduit for Future Wireless. 1,485 1;485 0 0. 1,485 100% 0 0 58 Butterfly Valve Pump 314 9,6639,663 0 0 9,663 100% 0 0 59 CHANGE ORDER`#3. 60 Unsuitable Soil 19,370 19;370 0 0 19,370 100%. 1 0 0 61 Hydrovac' South Row. 2,709 2,709 0 02,709 100%. 0 0 62 Rubber Ramps 1,781 1;781 0. 0. 1;781 .100% 0 0 .63 Eliminate2.Ramps.:_ (1,,769) (1,769) 0 0' (1,769) 100% 0 .- 0 64 Hydrovac/Signs/Benches 5,656 5,656 0 . 0 5,656 100% .0 0 65 CHANGE ORDER#4 .66 Fire Pit Toggle Switches 2,709 2,709 0 0 . 2,709 100% 0 0 67 Chiller Isolator Bracket. 1,875 1,,875 0 0 1.,875. 100%0 0 0 68 Hydrovac DumpsterArea .1,683 T,683 0 .6 1,683 . 100%. . 0 0 69 CHANGE ORDER#5 70 Additional Audio Work 4,694 4:69.4 0 0 4;694 100% 0 0 71 Rubber Mats.(Labor) _ 2,209: 2,209 0 0 2,209 100% 0 0 72 Hydro Excavate Dumpster Area(correction) 583 583 0 0 583 100% 0 0 CONTINUATION SHEET APPLICATION NO.': 10 APPLICATION DATE: 10!16/2018 PERIOD TO: '10/16/2018,; ARCHITECTS.PROJECT NO, . A B C -. DE: F. G.- H. . WORK COMPLETED MATERIALS TOTAL,: BALANCE PRESENTLY COMPLETED TO RETAINAGE ITEM SCHEDULED: FROM PREVIOUSSTORED AND STORED: % :" FINISH (IF VARIABLE NO- DESCRIPTION OF WORK VALUE APPLICATION' THIS PERIOD (NOT IN TO DATE (G 1 C) (C-G) RATE). .(D.+E) ' .:.D OR IiD.. (D+.E+F) 73 CHANGE ORDER#6 . 74 Decorative Lighting 1,754 1,754 0: 0 1,754 100°/d 0 0 75 Temporary.Fencing 6,728: 6;728 0. . , . 0. 61728 ' 100%. . . 0 0 76 CHANGE ORDER#7 77 Hydrovac 6 Sign Foundations 7,371, 7;371 0 0 7;371 100% 0 0. 78 Crushed Granite 3,796- 3,796. 0 0 3,796 -100% 0 0 79 CHANGE ORDER#8 (19;341} . 0 (19,341) 0. (19,341) 100% 0 0 4,430,719 1 4,450,060 1 (19,341)1 0 4,430,719 .100% - 0 12,000•