HomeMy WebLinkAbout331380 10/19/18 ! CITY OF CARMEL, INDIANA VENDOR: 365624
• ONE CIVIC SQUARE HIS CONSTRUCTORS INC CHECK AMOUNT: S***172,916.64*
CARMEL, INDIANA 46032 5150 E INDIANAPOLIS IN ET SUITE
48 B7 CHECK NUMBER: 331380
aroN CHECK DATE: 10/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460805 101858 18000703 172,916.64 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
$172,916.64
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 18000703 44-608.05 $172,916.64 1 hereby certify that the attached invoice(s),or 9/25/18 18000703 The Kent Site Work $172,916.64
902 902 902 902
bill(s)is(are)true and correct and that the
17 I I materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, October 18,2018
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*03
To Owner. City Of Carmel Project: 480007-THE KENT SITE WORK Application No,: 3 Distribution to:
135 N.Pennsylvania Street,Suite 2800 Owner
Architect
Indianapolis, IN 46204 Period To: ® Contractor
F—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 Contractor's knowledge,
information,and belief,the work covered by this Application for Payment has been
Appliccontinuation
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
Continuation sheet Is attached. the 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.
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1.Original Contract Sum .......................... �� tJ1M y k' i,�
$900,000.00 �.N to ...... e 4
2.Net Change By Change Order CONTRACTOR: HIS Constructors,Inc. �.�� ;porton
$0.00 NOTARY Glx' CP
3.Contract Sum To Date $900,000.00 _ CN>lirtr s a ',
m OTq 692
4.Total Completed and Stored To Date............... $192,129.60 B : n `� Z� /� FAL•. ;
y .0� Date- m:4� yrs
5.Retention:
:0;'
°s
04-td-2.•
a 10.00% of Completed Work State of .1-rAm4n,.. County of YYL 1.V OF
$19,212.96 Subscribed and swum to before me this 2 Jr�` day of �e�4 W 9��,*
b• om.of Stored Material $0.00 Notary Public: K ,�
My Commission expires:
Total Retention ............................. $19,212-96 Ap q l 1 q,awri
6_Total Earned Less Retention ...................... $172,916.64 ARCHITECTS CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents,based on on-site observations and the data.
7.Less Previous Certificates For Payments............ comping the above application,the Architect certifies to the Owner that to the best of the
$230,168.33 Architect's knowledge,information,and belief,the Work has progressed as indicated,
8.Current Payment Due .......................... $172,91663 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 ................. $496,915.03
AMOUNTCEItTIFIED $172,916.64
(Attach explanation if amount certd ddfers from the amount applied.Initial all figures on this Application and on the
CHANGE ORDER SUMMARY Additions Deductions Continuation Sheet that are than to conform with the amount cerWed.)
Total changes approved
In previous months by Owner 1 ARCH
Total Approved this Month By: Date-
TOTALS °, This Certifi of negotiable.The AMOUNT CERTIFIED's able only to the
Contractor named herein.Issuance,payment,and acceptance of yment are without
Net Changes By Change Order --- - prejudice to any tights of the Owner or Contractor under this Contract
CONTINUATION SHEET
Page2 of 2
Application and Certification for Payment,containing Application No.: 3
Contractors signed certification is attached.
In tabulations below,amounts are stated to the nearest dollar. Application Date: 09/25/18
Use Column I on Contracts where variable retention for line items may apply. To:
Invoice#: 180007103 Contract: 180007-THE KENT SITE WORK Architect's Project No.:
A B C D E F G H I
Item Description of Work Scheduled Work Completed Materials Total % Balance Retention
No. Value From Previous I This Period Presently Completed (G/C) To Finish
Application In Place Stored and Stored (C-G)
(D+F) To Date
(Not in D or E) (D+E+F)
Mobilization $7,033.02 $3,516.51 0.00 0.00
$3,516.51 49.99 $3,517.38
Demo&Removals $90,911.10 $86,376.00 $4,535.10 0.00 $90,911.10 100.00 $0.00
Water $80,450.13 $0.00 $0.00 0.00 $0.00 100.00 $80,450.13
Storm $198,516.06 $59,559.80 $99,253.55 0.00 $158,813.35 80.00 $39,702.71
Sanitary $6,234.35 $5,299.20 $623.43 0.00 $5,922.63 94.99 $311.72
Exc.Grade&Seed $122,270.26 $18,340.54 $73,362.16 0.00 $91,702.70 75.00 $30,567.56
Borrow $62,37153 $28,538.14 $14,355.36 0.00 $42,89350 50.00 $19,478.03
Asphalt Paving $0.00 $0.00 $0.00 0.00 $0.000 0.00 $0.00
Concrete Work $272,820.55 $0.00 $0.00 0.00 $0.00 0.00 $272,820.5
Contingency $59,393.00 $28,538.14 $0.00 0.00 $28,538.14 48.04 $30,854.86
Grand Totals 900,000.00 $230,168.33 $192,129.60 0.00 $422,297.93 31.62% 477,702.89
CRC General Contractor Agreement &hJJJt "F"
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This request IS fol
CRC General Contractor Agreement--&hibit 'r,
CONTRACTOR certifies that the Work covered by this Contractor Application for Payment has been
completed in strict acoordance with the Project specifications and provisions of the Contract and the Contract
Documents,as changed by any written ohange order,and that payment under this Contractor Application for Payment
does not cause the amount unearned under the Contract to be insufficient to cover the work notyet completed.
CONTRACTOR certifies that all amounts for the Work praviouslyperformedby Contractor and submitted
under prior Applications for Payment have been paid by Owner and received by Contractor,less retention,and that
the current payment shown herein is now due.By executing this Application for Payment, Contractor authorizes
Owner to verify the payment status represented herein
CONTRACTOR also certifies that it has paid in full or otherwise satisfied all of its obligations to its
consultants,contractors,subcontractors;matmialmen,equipment suppliers,vendors,laborers,.andemployees for all labor
peid'ormed,materials and equipment furnished,and services rendered to the Project whose work was incorporated on
prior Applications for Payment up to and htcluding the date hereof,and has paid or otherwise satisfied all other claims
and indebtedness associated with the parformahes ofthe Contract,up to and including the date hereof.
CONtRACTOR further certifies that ail lower-tier consuitants,contractors,subcontractors and suppliers
whose work in connection with the Project is Incorporated or included in this Application for Payment have been paid
or will be paid by Contractor upon or prior to payment to Contractor of the amount requested herein.
By executing this Contractor Application for Payment,and in consideration and antielpation of payment to
it of the approved amount contained herein, Corrtraetor hereby acknowledges that fawner may rely upon Its
representations and certifications herein in making payment to Contractor, and Contractor further agrees to
indeninify,defend and hold harmless Owner,its officers,agents,reprasentativos,and employees,from and against any
claim or lien of any kind whatsoever asserted through or under Contmotor,including without limitation any claim or
lien asserted by any person who has furnished labor, materials, equipment or services to Contractor, and from and
against any acid all damages,losses and expenses,including attorney fees,arising therefrom or incurred in Connection
therewith.
IN WI')!NIl:51g HEREOF, the undersigned individual, executing this Instrument, having firsfi been duly
sworn,upon oath,states that the representations set forth herein are true and correct acid that(she)(he)h$s been duly
authorized and empowered to execute and deliver this Instrument as of the day and year first above written.
Date: r �J-1.$ CONTRACTOR:
By:
Tts Duly, Authorized Rivresentat ve
STAT)3 OTt `�'rinted N;�tle tiiid Title' � .
a-y )
SS:
COUNTY OF
S bsonbod antl swoim to Ueforo ille,a Nway Public,in raid for said Cotmty and State this, lay
of 201$.
My Commission Expires: ,��v� M I'a signature'
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My County af`Ttesidence Is: r�i . ,�. ]'tinted: �h�.Y �0� 'q,t M Y k
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CRC General Contractor Agreement—.xxhibit "F"'
Received and.approved for payment;
ARCPRTECT: PROSECT OWNER'S REPRESENTATIVE:
PEDCOR DESIGN GROUP,LLC SIGNATURE CONSTRUCTION,LLC(CNla)
By;. I3y;
�+ c "
Pr�ntad Name and itle Printed Name and Title '
Rlz� lts
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CRC General Contractor Agreement-&Mbit
110
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EXHIBIT G
C.�T R Alin AVIT PARTI W LLEA { IE
(For 2tse with periodlc progress payment appltcafions)
STATE OF:-J.-mOna- ,,COUNTY OFAlI ,SS; Date:
Contractor: p Owner: CCC Ic"t,LLC
770 3rd Avenue SW
r4o"16, a SW40 Carmel,IN 46032
Contract Date: � ,x018 Project: CARMEL CITY CENTEit
THE KENT SITE WORK
901 American Way North
Carmel,Indiana 46032
Scope of Work: General Construction
The undersigneq,being duly sworn,deposes,aertifies.and says that: (i)he(she)is an officer of,and is duly
authorized to make this Contractor Affidavit, Partial Waiver And Release of Tien on behalf of the above-
named Contractor; (if) Contractor has contracted with Owner to furnish certain labor and/or materials as
follows: �l 1xa ib - . ..'yGmnt'I La _ -, for•the above Project; NO the eurrent
balance clue fiam Dwner for laborperform an material �fiirnished. to said Project is the sum of
� a ($./7)-.17&f G6 .. 3;(Iv)Contractor has received all
payments due to date under its Contract refeiTed to above ( Contract"), less applicable retention; (v)
Contractor has paid in full or otherwise satisfied all of its obligations to Its subcontractors,materialmen,
equipment suppliers, vendors, laborers, and employees far all labor performed, materials and equipment
furnished,and services rendered to the Project up to and inoludiagthe elate hereof,and has paid or otherwise
satisfied all other clainis and indebtedness associated with the performance ofthe CorAract,up to and including
thedate hereof,(vi)Contractor has no otherclaims for-changes,delays,acceleratfm,impacts orinefficieneies
and the arnotmt of payment above represents all current amounts owed to Contmotor; and(via)no other party
has any claim, or right to a Iiet1 on account of any work peiformed, inatorials or equipment furnished, or
services rendered for said Project under the Contract.
FOR GOOD AND VALUABLE CONSIDERATION,including without limitation the payment received
and to be received by it under the Contract,And in anticipation of the payment to it of the approved amount
of the above request and effective upon and subject only to payment of such approved amount, Contraotor,
fop itself and its consultants,contractors,subcontractors,materialmen,equipment suppliers,vendors,laborers,
and employees HEREDY:
r
CRC General Contractor Agreement—15ehlbtt "G"
(A) RM-RESSLY AND FOREVER WAIVES,RELEASES AND RELINQUISHES all rights to hold,
assert,enforce or file any and all claims and liens which Contractor now has or may have against Owner,any
other equitable or legal interest holder in the Project,the Project itself(including without limitation the real
property on which such Project is located and the improvements thereon),Owner's Representative,Architect,
and any third party contractor and its surety on the Project with whom Owner has a contract,for any and all
labor perforniod,materials and equipment fumished,and services provided to or forthe Project by orthrough
Contractor as of the date of execution of this instrument;and
(B) T.,X RESSLY AND FORE"V , AGREES TO INDEMNIFY,DEFEND AND HOLID HARMUS
Owner,Its officers,agents,representatives,and employees,any other equitable or legal interest holder in the
Project, Owner's Representative, Architect, flom and against any claim or lien of any kind whatsoever
asserted through or under Contractor, ineluding without limitation.any claim or Jien asserted by any person
who has furnished labor,materials,equipment or services to Contractor, and fl-om and against any and all
daviages,losses and expenses,including attorney fees,arising therefl'onz or incurred in connection therewith.
This Contractor Affidavit, Partial Waiver and Release of Lien has been executed mid tendered by the
undersigned on behalf of Contractor to induce payment by Owner of the above amount.
DAte;_„ A-A5,IS CONTRACTOR:
Its Duly Authorized Representative
Printed Name and Title
STATI?OP
- • )ss:
COUNTY OF on, )
S bscribed and sworn to before me,allotary Public,in and for said County and State this
,��T�ey
ofSh,X018.
My Commission Expires: .0y Signature: � �
My County of Residence Cs: Printed: , `
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