HomeMy WebLinkAbout331965 11/07/18 \� CITY OF CARMEL, INDIANA VENDOR: 372371
ONE CIVIC SQUARE GIBRALTAR CONSTRUCTION CORP CHECK AMOUNT: $***627,548.36*
s a�; CARMEL, INDIANA 46032 2932 N.WEBSTER AVE CHECK NUMBER: 331965
INDIANAPOLIS IN 46219 CHECK DATE: 11/07/18
4 Brox
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT _ DESCRIPTION
106 5023990 51168 PAYAPP#5 627,548.36 GIBRALTAR CONSTRUCTIO
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 372371 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Gibraltar Construction Corp Payee
2932 N Webster Ave
Indianapolis, IN 46219 In Sum of$ Purchase Order#
372371 Gibraltar Construction Corp Terms
$ 627,548.36 2932 N Webster Ave Date Due
Indianapolis, IN 46219
ON ACCOUNT OF APPROPRIATION FOR
106-Park Impact Fees
PO#ornvoice Description
Dept# INVOICE NO. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
51168 p Pay App#5 5023990 $627,548.36 Board Members 9/30/18 Pay App#5 West Park-The Groves Rebid Project 51168 $ 627,548.36
1 hereby certify that the attached invoice(s),or
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
$627,548.36 Total $ 627,548.36
October 30,2018
1 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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature -,20—
Accounts
20_Accounts Payable Coordinator Clerk-Treasurer
Title
7
Document GMT - 1992
Application and Certificate for Payment
TO O�hWNER:Carmel/Clay Board of Parks and PROJECT:.West Park--The Groves °AFPt`ICATlON NO q5 Distribution to:
Recreation 3030 W. 196th Street PERItJD`TO :9l30f20y18 OWNER ❑
vwM- ._. .. _.
1411 E:,1.16th.Street Carmel, IN 46032 CONTRACT FOR, ARCHITECT ❑
Carmelo IN 46032
FROM CONTRACTOR Gibraltar Construction Cor,' VIA ARCHITECT:SmithGroupJJR, Inc. CONTRACT DATE:3130/2018 CONTRACTOR
2932;N..11Ueve,; PROJECTNOS; t I
FIELD ❑
Incitanapohs, IN`46219,
OTHER ❑
CONTRA CTOFIU APPLICATION FOR PAYMENT The undersigned Contractor certifies nat o t best of the Contractor's knowledge, information
Application is made fur payment,as shown below,.in connection with the Contract. and,belief.the Work covered'by this Alipicati n for Payment has been completed in accordance
i P p-y with the Contract Documents, that 1 am-un have been paid by the Contractor for Work flit
AIA Document G703'?t,Continuation Sheet,is attached. which previous Certificates For Payt t u re slued and payments received from the Owner,and
I.ORIGINAL CONTRACT SUM............. ..... _. ..:. S 5,558,500.00 that current payment shown:herein i w dt e.
2.NET CHANGE BY CHANGE ORDERS.... S 335,9.15:89 CONTRACTOR:Gibraltar Construe' n rp j �
3.CONTRACT SUM TO DATE(I,in I .) ............................_.. .. S 5,894,415.89 By: i Date:
_—
�
4.TOTAL COMPLETED&STORED TO DATE.(Colttnur G on G703) ...... S 3,667;741.52 State of:_.1"T�... i'�• ;
S.RETAINAGE: County of. U,r o�pRYPt/B� BRIAN R. MCBRIDE
059
a. 10 %of Completed Work Subscribed and sworn to be e .-- a. n Res,of Hancock COUnty
(Columns D = E on G703) S 294,720.80 me this, ,r/�� d ,�;% 5 1' My Comm. W. 11-29-2025
b. %of Stored Material ,_ 4 Commission#706505
(Column FonG703) S NotarvP�blis -----r--�""
My commission expires:
Total Retainage(Lines 5a+3h,or Total in Column I of G703),..... S 294,720.80 f
6.TOTAL EARNED'L89S RETAINAGE .................. ................. S 3,373;020.72 ARCHITECT'SCERTIFICATE FOR PAYMENT
(l.me 4 minus Line 5 To.tol)
In accordance with the Contract Documents,based on on-site observations and the data comprising
7.LESS PREVIOUS CERTIFICATES FOR PAYMENT...................... S 2,745,472.36 this application,the Architect certifies to the Owner that to the best of the Architect`s kno�yieds;e,
information and belief the Work has progressed as indicated, the quality of the 'Work is in
(Line 6f-um prior Certificate) accordance with the Contract Documents, and the Contractor is entitled to payment of the
S�GU�R�E1VT PAYI�iIWidT DIJE ... . . .......: ... , � 627548:3S;��AMUU�T CE[2TIFTET?
9.SALANCc TO FINISH,tNCLUDIN6 RETAINAGE AMOUNT CERTIFIED..... S 627,548.36
/hcne 3 rritnzft Line 6j 2,521,395.17 (.Ittuch czrplantnion if aniount text fedd1 rs,irain the amount ajtptied Initial all fgunm on this
{Epliccrtiotz cnzCl uiz eke G'nntintrattun Sheet that are changed to conform with the amount certified)
f,1-TA�tGF()RDEI2 Stf!v1UlARY A.i;)DLTIC)v5 DEDUCTiC)tiS ARCHITECT:
Total changes approved in previous months by C)wner S 332,879.21 S -2,234.00 By: �, �. ('tee,. Dater 10/26/2018
fatal approved this month S 5,27_0.68 IS This Certificatnot negotiable.The AMM''tiT CERTIFIF,I)is payable only to the Contractor
TOTAL S 338,149.89 S -2 234.00 names!herein. Is uance,payment arid acceptance of payment are withoutprejudice to any rights of
NE 1 C Fi;\VGES-b :Change Order 5 335,915.89. the Owner or Contractor Linder this Contract.
CAUTION:You should sign an original.AIA Contract Docur:ient,ors which this toxt appears in RED.An original assures that change:will not be obscured,
AIA Document G7.021m-1992.Copyright *1953,1963.1965 1971,1978.1983 and 1992 by The American Institute or Architects.All rights reserved.WARNING:This AIA Document is.pratected Ly U.S.Copyright Law
irs, bizuthorized re rodasctitin or cisirlbulicn of this}At A''Documerrt.;crany portion of it,may.result in sever,:civil and rirninai`peraltles,and will 0 proSee 1Rd to isle mauin�urri extent
.and tnterrsa.3sinat Treat PS t...
;5ossibte under the low.Purchasers are permitted to reproduce ten 110)copies of this document when completed To report copynght violations or AIA Contract Documents e-mail The American Institute of Architects legal
rourtsel ;Qpyright @ata org. u�
CONTINUATION SHEET
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is attached. In APFLICATION DATE: 10/512018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 9/30/2018
line items may apply. ARCHITIECT'S PROJECT NO.:
A B C D E F G H
WORK-COMPLETED MATERIALS TOTALCOMPLEfEO , BALANCETO RETAINAGE
ITEM
DESCRIPTIONOF1rVOFtrC SCHEOUL=DxrALUE FROM PREVIOUS PRESENTLY ANDSTOREUTO �° FINISH. {IF VARIABLE
NO. APPLICATION THIS PERIOD STORED(NOT DATE(O+E F) (GIC) (C G) RATE)
(0{E7 IN D OR E)
1 Division 01-General Requirements
2 Bonds 51;,500 51,500 51,500 100%fl 0 5,150
3 Allowance#1,Superior Time Managements 50,000 0 0% 60,000 0
4 Insurance 8,500 8,500 8,500 100% 0 850
5 Permits and Fees 1,000 1,000 1,000 100% 0 100
6 Submittals 5,000 4,650 4,650 93% 350 465
7 Mobilization 14,000 14,000 14,000 100% 0 1,400
8 Quality Requirements(Testing) 18,000 6,160 8,300 14,460 80% 3,540 1,446
9 Temporary Toilets 3,000 ',020 200 1,220 41% 1,780 122
10 Project Sign Labor 400 0 0% 400 0
11 Project Sign Material 900 900 900 100% 0 90
12 Daily Cleaning 3,500 "195 25C 1,445 41% 2,055 145
13 Final Cleaning 2,800 0 0% 2,800 0
14 Dumpsters 43900 !,668 35C 2,018 41% 2,882 202
15 Field Engineering and Layout 15,000 12,000 1,500 13,500 90% 1,500 1,350
16 Temporary Power to Trailer 2,500 2,500 2,500 100% 0 250
17 Temporary Power to Building 5,500 5,500 5,500 100%4 0 550
18 Erosion Control 29,500 29,500 29,500 100% 0 2,950
19 Construction Entrance 11,500 11,500 11,500 100% 0 1,150
20 Temporary Construction Fence 17,500 17,500 17,500 100% 0 1,750
21
22 Division 31-Earthwdi*
23 Site Clearing 96,500 7,450 19,500 91.950 95% 4,550 9,195
24 Earth Moving(mass earth) 176,500 150,700 9,000 159,700 90% 16,800 15,970
25 Earth Moving(footing excavation) 35,000 35,000 35,000 100% 0 3,500
26 Earth Moving{foundation backfill} 11,500 11,500 11,500 100% 0 1,150
27
28 Division 32-Exterior Improvements
29 Slab Drainage Fill Labor 13,500 13,500 13,500 1000x'0 0 1,350
30 Slab Drainage Fill Material 16,700 16,70Q 16,700 140% 0 1,670
31 Sidewalk Drainage Fill Labor 15,000 1,500 1,500 10% 13,500 150
32 Sidewalk Drainage Fill Material 27,000 1.700 2,700 10%1 24,300 1 270
CONTINUATION SHEET
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification,is attached. In APPLICATION DATE: 10/5/2018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts inhere variable retainage for PERIOD TO: 9130/2018
line items may apply. ARCHITECT'S PROJECT NO.
A B C D E F G H !
WORK.COMPLETED MATERIALS
ITEM FROFaIPREVIOUSALUE PRESENTLY TOTALCOMPLETED EALANCETO RETAINAGE
AND STORED TO g6 FINISH (I=VARIABLE
DESCRIPTION OF 4�rORK SCHEDULED W
NO, APPLICATION THIS PERIOD STORED{NOT DATE(D+E+F) (G 1 G) (C-G) RATE)
(D+E) IN DOBE}
33 Plwyground Drainage Stone Labor 5,000 2,500 2,500 50%s 2,500 250
34 Playground Drainage Sterne Material 7,000 3,500 3,500 50% 3,500 350
35 Ag regate Trail Labor 4,500 2,250 2,250 50% 2,250 225
36 Aggregate Trail Materia€ 5,500 2,750 2,750. 50% 2,750 275
37 Asphalt Paving Submittals 1.,500 0 0% 1,500 0
38 Asphalt Paving Aggregate Base 82,500 33,000 1 33,000 40% 49,500 3,300
39 Asphalt Paving Binder 48,000 19,400 19,400 40% 28,600 1,940
40 Asphalt Paving Surface 41,500 0 0% 41,800 0
41 Pavement Markings 1,400 0 0% 1,400 0
42 Parking Bumpers 1,200 0 0% 1,200 0
43 ADA Packing Signs 1,100 0 0% 1,100 0
44 Precast Concrete Boardwalk Submittals 2,500 2,500 2,500 100°/0 0 250
45 Precast Concrete Boardwalk Labor 6,000 0 00/0 6,000 0
46 Precast Concrete Boardwalk Material 30,000 0 0% 30,000 0
47 Playground Protective Surfacing Labor 3,000 0 0°l0 3,000 0
48 Playground Protective Surfacing Material 4,000 0 0°l0 4,000 0
49 Playground Equipment Installation 8,000 0 0% 8.000 0
50 Manual Retractable Bollards Submittals 500 500 S00 100 0 50
51 Manual Retractable Bollards Labor 600 0 0% 600 0
52 Manual Retractable Bollards Material 3,500 3,500 3,500 100% 0 350
53 Irrigation Submittals 1,000 ',000 1,000 100% 0 100
54 Irrigation Labor 3,000 300 45C 760 25% 2,250 75
55 Irrigation Material 4,000 400 60C 1,000 25% 3,000 100
56 Wet Pond Aeration System Labor 3,500 70C 700 20"l0 2,800 70
57 Wet Pond Aeration Sy stem Material 21000 40C 400 20% 1,600 40
58 Well Labor 3,000 0 0% 3,000 0
59 Well Material 5,000 0 0% 5,000 0
60 Lawns Labor 3,000 0 0% 3,000 0
61 Lawns Material 4,000 0 0% 4,000 0
62 Exterior Plantings Labor 21,200 0 0% 21,200 0
63 Exterior Plantings Material 42,000 0 0% 42,000 0
64 124"Planting Mixture Labor 4,100 0 0% 4,100 0
' -
. '
�������� �����
_-'- ' . _' --_'- SHE �
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractors signed Certification, is attached. In APPLICATION DATE: 101512018
a"~a~°~"e°~ =~~^-_~~~~~~^~'~-'~st--~^-. Use Column I on Contracts where variable retainage for PERIOD TO: 930120/8 '
line items may apply.
ARCHITECT'S PROJECT mO.:
WORK COMPLETED MTERIALS
TOTAL COWFLETED BALANCE TO RETAINAGE
PRESENTLY
ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PRR-*IOUS AND$TORED TO IFINISH (IF VARIABLE
NO, APPI-ICATION THIS PERIOD STORED(NOT DATE(D+E+F) (GIC) (C-G) RATE)
65 24"Planfing Mixture Material 17,600 0 0% 17,600 0
66 Limestone Bollards/Seats/Benches Submittals 1,500 1,500 1,500 100% 0 150
67 Limestone Bollards/SeatsIBenches Labor 4,000 0 0% 4,000 0
68 Limestone BollardstSeats]Benches Material 55"000 0 0% 55,000 0
|
69 Durnipster Gate Labor Boo 0 0% 800 0
7o Dumpster Gate Material 4,,000 400 4CO 10% 3,600 40
71 Guardrail Labor U00 0 0% 8,000 0
72 Guardrail Material 115NO o 0% 15,000 0
73 Concrete Sidewalks and Pavements Labor 56,000 5,600 5,600 10% 50,400 560
74 Concrete Sidewalks and Pavement Material 100,000 10,000 10,000 10% 90,000 1,000
75 Concrete Curbs and Gutters Labor 60,000 25,000 15,000 40,000 80% 10,000 4,000
76 Concrete Curbs and Gutters Material 60,000 30,000 21,000 51,000 85% 9,000 5,100
77 Stone Bollard Foundations 4.000 0 0% 4,000 0
78 Site Concrete Trench Drains 3,000 0 0% 3,000 0
79 Concrete Abutments for Metal Grates 5,000 0 0% 5,000 0
so Concrete Abutments for Boardwalks 6,000
81 Concrete Entry Headwall Labor 8.000 0 0% 8,000
82 Concrete Entry Headviall Material 10,000 0 0% 10,000 0
83 Pre.-ast Arch Culvert Footing Submittal 2,500 2,500 2,500 100% 0 250
84 Pre-.ast Arch Culvert Footing Labor 17,600 17,600 1 17,600 100% 0 1,760
85 Prez;ast Arch Culvert Footing Material 9,700 9,700 1 9,700 100% 0 970
86 Trash Enclosure Concrete Labor 5.000 4,750 250 5,000 10GI/0 0 500
87 Trash Enclosure Concrete Material 4,000 3,800 200 4,600 100% a 400
89 Division 33-Utilities
go Water Disfibution Piping Submittals 1,500 -1,500 1,560 1,00% 0 150
91 Water Jack and Bore 15,000 0 0% 15,000 0
92 lWater Distibution Piping Labor 45000 42,750 42,750 95% 2,250 4,275
93 Water Distribution Piping Material 95,000 95,000 95,000 100% 0 9,500
94 Sanitary Sewer Submittals 1,000 1.000 1,000 100% 0 100
0 OW 4000 0
95 Sanitary Sewers Labcr 4,000
96 Sanitary Sewers Material 4,900 0 0-/.! 4j9OO 0
/
CONTINUATION SHEET
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractar's signed Certification,is attached. in APPLICATION DATE: 10/5/2018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where vairiab€e retainage for PERIOD TO: 9/30/2018
line items may apply. ARCHITECT'S PROJECT NO.:
A g C D E F G H t
WORK COMPLETED Iv1ATERIALS
lTEI! FR.OtJPRE4IOU5 TOTALCOtAPLETED BALANCE TO RETAINAGE
PRESENTLY °10
DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH (IF VARIABLE
NO. APPLICATION. THIS PERIOD STORED(NOT DATE(D+E+F) (G 1 C) (C-G) RATE)
(3+E) IN DOR.E)
97 Sanitary Force Main Submittals 1,000 1.000 1,000 100%0 0 100
98 Sanitary Force Main Labor 25,000 2-3,750 1,250 25,000 100% 0 2,500
99 Sanitary Force Main Material 20,000 20,000 20,000 100% 0 2,000
100 Sanitary Grinder Pump Labor 2,000 0 0% 2,000 0
1.01 Sanitary Grinder Pump Material 9,000 0 0% 9,000 0
102 Storm Drainage Submittals 1.000 1,000 ' 1,000 100% 0 100
103 Storm Drainage Labor 55,000 4;?,500 49,500 90% 5,500 4,950
104 Storm Drainage Material 95,000, 95,000 95,000 100% 0 9,500
1Q5 Arch Culvert Submittals 3.500 3,500 3,500 100% 0 350
106 Aren Culvert Labor 25,000 23,750 23,750 95% 1,250 2,376
107 Arcrt Culvert Material 35.000 85;000 85,000 100% 0 8,500
108 Trench Drain Castings Submittals 2,000 2,000 2,000. 100% 0 200
109 Trench Drain Castings Labor 2,000 0 0% 2,000 0
110 Trench Drain Castings Material 25,000 0 0%1 25,000 0
111 Subdrainage Labor 3,000 3,000 3.000 100°f0 D 300
112 Subdrainage.Material 5,000 5,000 5,000 100% 0 500
113'
114 Division 03 Concrete
115 Concrete Footing Labor 30,000 30,000 30,000 100% 0 3,000
116 Concrete Footing Material 65,000 65,000 65,000 100% 0 6,500
117 Concrete Foundation Labor 40,000 40,000 1 40,000 100% 0 4,000
118 Concrete Foundation Material 35,000 35,000 35,000 100% 0 3,500
119 Foundation Insulation 2,500 2,500 2,500 100% 0 250
120 Slab-on-Grade Labor 22,000 22,000 22,000 100% 0 2,200
121 Slab-on-Grade Material 45,600 45,600 45,600 100% 0 4,560
122 Under-Slab Insulation 5,500 5,500 5,500 100% 0 550
123 Slab-on-Deck Labor 4.,000 4,000 4,000 100% 0 400
124 Slab-on-Deck Material 4,500 4,500 4,500 100% 0 450
125 Foundation Reinforcing Submittals 1„500 1,500 1,500 100% 0 150
126 Foundation Reinforcing`Labor 20,000 20,000 20,000 100°/0 0 2,000
127 1 Foundation Reinforcing:Material 22,700 22,700 22,700 1001/6 0 2,270
12S 0
i
CONTINUATION SHEET
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is attached. In APPLICATION DATE: 10/5/2018
tabulations below,amounts are slated to the nearest dollar, Use Column t on Contracts Where variable retainage fcr PERIOD TO: 9/30/2018
line items may apply, ARCHITECT'S PROJECT NO.:
A B C D E F G H I
WORK COMPLETED I WERIALS
ITEM FROM, TOTALCOhtPLETED t3AtANCETO RETAIA'.4GE
PRESENTLY °:°
DESCRIPTION OF WORK SCHEDULO VALUE AND STC�REDTO FINISH (IF VARIABLE
NO. APPLICATION THIS PERIOD STORED(NOT DATED+E+F) (GIC) (C G) RATE)
(D+E IN D OR E)
129 Division 04-Masonry
D
130 Masonry Submittals 1,500 1,500 1,500 100% 0 150
131 Concrete Unit Masonry Labor 126,500 63,500 38,000 101,500 80% 25,000 10,150
132 Concrete Unit Masonry Material 75,000 37,500 22,500 60,000 80% 15,000 6,000
133 Anchored Stone:Masonry Veneer Labor 50,000 0 0% 50,000 0
134 Anchored Stone Masonry Veneer Material 65,000 0 0% 65,000 0
135 Adhered Stone Masonry Veneer Labor 55,000 0 0%e 55,000 0
135 Adhered Stone Masonry Veneer Material 75,000 0 0% 75,000 0
137
138 Division 05-Metals
139 Structural Steel Submittals 20,000 20,000 20,000 100%9 0 2,000.00
140 Structural Steel Framing Labor 138,800 138,800 138,800 100% 0 13,880.00
141 Structural Steel Framing Material 218,500 218,500 218,500 100% 0 21,850.00
142 Steel Decking Labor 15,000 15,000 15,000 100% 0 1,50D.00
143 Steel Decking Material 20,000 20,000 20,000 100% 0 2.000.00
144 Metal Fabrications Labor 8,000 8,000 8,000 100% 0 800.00
145 Metal Fabrications Material 15,000 15,000 15,000 100% 0 1,500.00
146 Decorative Formed Metal Labor 9,300 0 0% 9,300 -
147 Decorative Formed Metal Material 9,700 0 0% 9,700 -
148 Cold-Formed Metal Framing Submittals 2,000 2,000 2,000 100% 0 200.00
149 Cold-Formed Metal Framing Labor 75,000 46,500 25,000 71,500 95% 3,500 7,150.00
150 Cold-Formed Metal Framing Material 85,000 85,000 85,000 100% 0 7,714.07
151
152 Division 06-Wood, Plastics, & Composites -
153 Misc. Rough Carpentry Labor 10,000 5,500 3,200 8,700 87%1 1,300 435.00
154 Misc. Rough Carpentry Material 15,000 8,250 4,800 13,050 87%v 1,950 652.50
155 Sheathing Labor 10,000 4,500 5,000 9,500 95% 500 475.00
156 Sheathing Material 25,000 26,000 25,000 100% 0 1,250.00
157 PLam Faced Arch. Cabinets Submittals 1,500 1,500 1,500 100% 0 75.00
158 PLam Faced Arch. Cabinets Labor 2,000 1 0 0% 2,000 -
159 PLam Faced Arch, Cabinets Material 7,000 D 0% 7,000 -
160 Foamed-in-Place Insulation Submittals 500 500 500 100% 0 25.00
CONTINUATION SHEET
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractoes signed Certification, is attached, In APPLICATION DATE: 101512018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 9130/2018
line items may apply. ARCHITECT'S PROJECT NO.:
A 8 C D E F G H
WORK COMPLETED MATERIALS
TOTAL COMPLErED BALANCETO RETAINAGE
ITEM DESCRIPTION OF WORK SCHEDULED VXLUE FROM PREVIOUS PRESENTLY AND STORED TO FINISH (IF VARIABLE
STORED(NOT (G/C)
IND. APPLICATION THiS PERIOD
(D+E) IN' DOR E) DATE(D+E+F) (C-G) RATE)
l
161 Foamed-in-Place Insulation Labor 6,000 3,000 3,000 50% 3,000 150.00
162 Foamed-in-Place Insulation Material 8.000 4,000 4,000 50% 4,000 200,00
163
164 Division 07-Thermal&Moisture Protection
165 Thermal Insulation Labor 5,000 0 011/0
5,000 -
166 Thermal Insulation Material 4.500 0 00/0. 4j500 -
167 Fluid-Applied Membrane Air Barriers Submiftals 600 500 500 100% 0 25.00
168 Fluid-Applied Membrane Air Barriers Labor 4.000 0 0% 4,000 -
169 Fluid-Applied Membrane Air Barriers Material 5,000 0 0% 5,000 -
170 Roofing Submittals 2.000 2,000 2,000 100% 0 100.00
171 Roofing and Sheet Metal Submittals 6,000 5,000 5,000 100% 0 250.00
172 Polyvinyl-Chloride(PVC) Roofing Labor 35,000, 79,000 79,000 93% 6,000 3,950.00
173 Polyvinyl-Chloride(PVC) Roofing Material 100,000 100,000 100,000 100% -0 5,000.00
174 Roof Specialties Labcr 33,000 0 0% 33,000 -
175 Roof Specialties Material 30-000 0 0% 30,000 -
176 metal Composite Wall Panels Labor 3,000 0 0% 3,000 -
177 Metal Composite Wall Panels Material 5.000 0 00/0 5,000 -
178 Metal Soffit Panels Labor 48,000 0 0% 48,000 -
179 Metal soffit Panels Material 70,000 0 0% 70,000 -
180 Fiber Cement Siding Submittals 1,000 1,000 1,000 100% 0 50.00
181 Fiber Cement Siding Labor 10,000 0 0% 10,000
182 Fiber Cement Siding Material 30,000 30,000 30,000 100% 0 1,500.00
183 Penetration Fire Stopping 5,000 0 0% 5,000 -
184 Joint Sealants Labor 2,500 0 0% 2,500
185 Joint Sealants Material 4,000 0 0%1 4,000
186
187 Division 08-Openings
188 Doors and Hardware Submittals 2.500 2,500 2,500 100% 0 125,00
- 2,600 50% 2,600 1X00
189 Hollow Metal Frames Labor 5,200 2,600
1 ,
190 Hollow Metal Frames Material 17,700 17,700 17,700 100% 0 885,00
191 Flush Wood Doors Labor 2,200 ............... 01 0% 2,200
192 Flush Wood Doors Material 8,600 0 1 --0
CONTINUATION SHEET
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's,signed Certification, is attached. In APPLICATION DATE: 10/512018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 9/3012018
line items may apply. ARCHITECTS PROJECT NO.:
A E3 C D E F G H
ITEM WORK COMPLETED NVER1.ALS TOTAL COMPLETED % 11ALANCE TO RETAINAGE
DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY ANDSTORED TO FINISH (IFVARIABLE
NO. APPLICATION THIS PERIOD STORED(NOT OAT---(D+E+F) (G I C) (C-G) PATE)
(D+E., IN 0 ORE)
193 Door Hardware Material 16,100 16,100 16,100 100% 0 805.00
194 Access Doors and Frames Labor 300 0 0% 300 -
195 Access Doors and Frames Material 500 0 0% 500 -
196 Alum Ent and Storefronts Submittals 3,500 3,500 3,500 100% 0 175.00
197 Alum Ent and Storefronts Fabrication Labor 25,000 8,500 6,500 15,000 60% 10,000 750.00
198 Alum Ent and Storefronts Field Labor 40,000 8,000 8,000 20% 32,000 400.00
199 Alum Ent and Storefronts Material 50,000 48,000 48,000 800/6 12,000. 2,400.00
200 Glazing Labor 10:'000 0 00/0 10,000 -
201 Glazing Material 45,000 0 0% 45,000
202 FRP Doors Submittals 11,000 11,000 100% 0 550.00
203 FRP Doors Fabrication Labor 6,500 4,900 4,900 75% 1,600 245-00
204 FRP Doors Field Labor 8"100 0 0% 8,100 -
205 FRP Doors Material 8,300 6,250 6,250 750/6 2,060 312.50
206
207 Division 09-Finishes
208 Non-Structural Metal Framing Labor 25,000 20,000 20,000 80% 5,000 1,000.00
209 Non-Structural Metal Framing Material 15,000 13,500 1,500 15,000 100% 0 750.00
210 Gypsum Board Labor 35,000 0 0% 35,000 -
211 Gypsum Board Material 20,000 12,00 12,000 60% 8,000 600.00
212 Glass Mat Board Labor 35,000 21,000 21,000 60% 14,000 1,050.00
213 Glass Mat Board Material 40,000 32,000 8,000 40,000 10011/o 0 2,000,00
214 Stone.Backing Panel Labor 25,000 0 0%® 25,000 -
215 Stone Backing Panel Material 20,000 0 0% 20,000 - -
216 Acoustical Panel Ceilings Labor 3,000 0 0% 3,000 -
217 Acoustical Panel Ceilings Material 8,000 0 0% 8,000 -
218 Linear Wood Plank Ceiling System Labor 15,000 0 0% 15,000 -
219 Linear Wood Plank Ceiling System Material 50,000 0 0% 50,000 -
220 Insul., Metal Framing,Ceilin2 Submittals 17,500 17,500 17,500 100% 0 875.00
221 Flooring Submittals 2,000 2,000 2,000 100% 0 100,00
222 Tiling Labor 4,000 1 0 1 0%a
1223 Tiling Material 6,000 0 0% 6,000 -
1224 Resilient Tile Flooring Labor. 1 2,000 0 1 O%j 2,000 1
CONTINUATION SHEET
APPLICATION NO. 5
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractors signed Certification, is attached, In APPLICATION DATE- 10/512018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 9/3012018
line items may apply. ARCHITECTS PROJECT NO.:
A B C D E F G H
WORK COMPLETED MATERIALS
PRESENTLY TOTAL COfVPLETED % SALANI CE-10 FETAINAGE
ITE:A DESCRIPTION OF WORK SCHEDULED VALUE FROtO PREVIOUS AND STORED TO (G/C) FINISH (IF VARIABLE
N 0. APPLICATION THIS PERIOD STORED(NOT DATE(D+E+F) (G-G) RATE)
A' DORE)
(D+E�'
225 Resilient Tile Flooring Material 3„500 0 00/1 3,500
226 Tile Carpeting Labor 1,000 0 0% 1,000
227 Tile Carpeting Material 2.000 0 0% 2,000
228 Resilient Athletic Flooring Labor 9,500 0 0% 9,500
229 Resilient Athletic Flooring Material 19,600 0 0% 19,500
230 Interior Painting Labor 3,000 0 0% 3,000
231 Interior Painting Material 7,000 0 0% 7,000
232
233 Division 10-Specialties
234 Toilet Compartments Submittals 500 500 500 100% 0 25.00
235 Toilet Compartments Labor 2.000 0 0% 2,000 -
236 Toilet Compartments Material 3,000 0 00/0 3,000 -
237 Toilet Accessories Labor 800 0 Go/. 800 -
238 Toilet Accessories Material 3,000 0 00/0 3,000 -
239 Operable Panel Partitions Submittals 2,500 '11,250 1,250 50%1 1.250 62.50
240 Operable Panel Partitions Labor 9,500 a 0% 9,500 1 -
241 Operable Panel Partit; Ins Material 28.500 0 0% 28,500
242 Fire Extinguishers and i Cabinets Labor 400 0 0% 400
243 Fire Extinguishers and Cabinets Material 800 0 0% 800
244 Signage 2,500 0 0% 2,500
245 -
246 Division 11-Equipment
247 Projection Screens Labor Soo 0 0% 800
248 Projection Screens Material 4,500 0 0% 4,500
249
250 Division 12-Furnishings
251 Roller Window Shades Labor 5,000 0 0% 5,000
252 Roller Window Shades Material 20,000 0 0% 20,000
253
254 Division 21-Fire Syppression
255 Fire Sprinklers Submittals 6,000 6.000 6,000 1100%1 0 30000
256 Fire Sprinklers Labor 6,000 --T,5--00 3,600 1 85%1 255.00
5-100"L 9001
CONTINUATION SKEET
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is attached. In APPLICATION DATE: 10f512018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 913012018
line items may apply. ARCHITECT'S PROJECT NO.:
A B C D E F G H i
WORK COMPLETED MATERIALS
TOTAL COM,°LETED BALANCE TO RETAINAGE
ITEM FROM PRE�10lIS PRESENTLY %
ITE
DESCRIPTION OF WORK SCHEDULEDVALUE ANDSTOREDTO FINISH (IF VARIABLE
No. APPLICATION THIS PERIOD STOREI3(NOT OATS{O}E* (G 1 C} (C G) RATE)
(D+E) IN DORE}
257 Fire Sprinklers Material 30,000 31,000 34,000 1000% 0 1,500,00
258
259 Division 22-Plumbing
260 Mech/Plurnbinq Submittals 4,500 4,540 4,500 100% 0 225.00
261 Meth/Plumbing Permits 2,500 2,500 2,500 100% 0 125.00
262 MechiPlumbing Mobilization 4.000 4,000 4,000 100% 0 200.00
263 Mech/Plumbing Project Management 12,400 10,640 1,760 12,400 100% 0 620.00
264 Underslab PVinq Labor 29,000 29,000 292000 10010 0 1,450.00
265 Underslab Piping Materials 32,200 32,200 32,200 100% 0 1,610.00
266 Plumbing Excavating and Backfilling 24,500 24,500 1 24,500 100% 0 1,225.00
267 Saritary and Storm Piping Labor 12,400 ,100 8;800 11,900 960/0 500 595.00
268 Sanitary and Storm Piping Materials 5.000 4,500 300 4,800 55x/0 200 240.00
269 Domestic Water Piping Labor 28,000 8,200 12,800 21,000 75% 7,000 1,050.00
270 Domestic Water Piping Materials 17,000 16,150 500 16,650 98% 350 832.50
271 Plumbing Equipment Labor 2.000 0 0% 2,000 -
2
2 72 Plumbing Equipment Materials 8,500 0 0% 8,500 -
73 Plumbing Fixtures Labor 4,000 0 0% 4,000
274 Plumbing Fixtures Material 12,000 0 0% 12,000 -
275
276 Division 23-HVAC -
277 HVAC Equipment Labor 10,000 700 1 700 7% 9,300 35.00
278 HVAC EquipmentMate1als 150,000 15,000 16,500 31,500 21% 118,500 1,575.00
279 HVAC Piping Labor 65,000 10,450 4,500 14,950 23% 50,050 747.60
280 HVAC Piping Materials 38x000 11,400 26,600 38,000 100% 0 1,900.00
281 Ductwork Labor 18,000 3,600 1,800 5,400 30% 12,600 270.00
282 Ductwork Materials 46,000 27,600 8,300 35,900 78% 10,100 1,795.00
283 Mechanical Insulation Labor 11,000 1 0 0% 11,000 -
}
284 Mechanical Insulation Materials 11,000 0 0% 11,000 -
285 Controls Engineering and Programming 21,800 13,600 13,600 62010 8,200 680.00
286 Controls Labor 25,000 3,000 3,000 12°l0 22,000 150.00
287 Controls Material 30,000 25,000 25,004 83°� 5,000 1,254.00
288 Test and Balancing 0 0%1 4,000
CONTINUATION SHEET
APPLICATION NO.: 5
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certirication, is attached. In APPLICATION DATE: 10/512018
tabulations below,amounts are staters to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 9130/2018
line items may apply.
ARCHITECT'S PROJECT NO.:
A B C D E F G H t
WORK COMPLETED MATERIALS
ITEM TOTALCOMPLETED BALANCETO RETAINAGE
DESCRIPTION OF WORK SCHEOULED.VALUE FROM PRE LIOLFS f'RLSENTLY AND STORED]0 °!o FINISH (IF VARIABLE
NO. APPLICATION THIS PERIOD STORED(NOTLeATE(D+E+F) (G 10) (C-G) RATE)
(D+E) IN a OR Ej.
289 Water Treatment Labor 1,200 0 0% 1,200 -
290 Water Treatment Materials 7,500 0 011/0 7,500 -
291 '
292 Division 26-Electrical -
293 Electrical Submittals 6,000 6,000 6,000 100% 0 300.00
294 Electrical Mobilization 4,000 4,000 4,000 100% 0 200.00
295 Low Voltage Power Conductors Labor 12,000 0 0% 12,000 -
296 Low Voltage Power Conductors Material 10,000 0 0% 10,000 -
297 Grounding and Bonding Labor 600 100 100 20% 400 5.00
294 Grounding and Bonding Material 300 99 99 33% 201 4.95
299 Elect Systems Hangers and Supports Labor 12,000 4,200. 1,800 6,000 50% 6,000 300.00
300 Elec Systems Hangers and Supports Material 7,000 2,450 1,050 3,500 50% 3,500 175.00
301 Elec Systems Raceways and Boxes Labor 17,700 9,250 4,100 13,3509 75% 4,350 657.50
302 Elec Systems Raceways and Boxes Material 12,500 12,500 12,500 100% 0 625.00
303 JUG Ducts and Raceways-Efect. Labor 28,000 23;900 4,100 28,000 100% 0 1,400.00
304 UG Ducts and Raceways-Elect.Material 22,500 22,500 22,500 100% 0 1,125.00
305. Exterior Light Pale Bases 4,500 2100 200 4% 4,300 10.00
306 Lighting Labor 28,200 3,400 1,200 4,600 16% 23,600 230.00
307 Lighting Material 50,000. 3,500 36,500 40,000 80% 10,000 2,000.00
308 Par::elboards Labor 17,500 4,400 1,150 6,150 35% 11,360 307.50
309 Parelboards Material 22,500 16,900 5,600 22,500 100% 0 1,125.00
310 Wiring Devices Labor 2,000 0 010 2,000 -
311 Wiring Devices Material 2,500 0 0% 2,500 -
312 -
313 Division 27-Communications
i
314 Communications Labor 4,200 1,525 575 2,100 50% 2,100 105.00
315 Communications Material 3,000 1,075 425 1:500 50% 1,500 75.00
316 C-Cat 5,,000 0 00/0 5,000 -
317
318 Division 28-Electronic Safety 8 Security -
319 Fire Alarm Labor 6,000 1,800 1,800 30% 4,200 90.00
320 Fire Alarm Material 3,000 1,500 1,500 50% 1,500 75.00
t
I
CONTINUATION SHEET
APPLICATION NO. : 5
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification,is attached. In APPLICATION DATE: 10/512018
tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for PERIOD TO: 913012018
line items may apply. ARCHITECT'S PROJECT NO.:
A 13 C D E F G H E
WORK COMPLETED f/ATERIALS
T07ALC09u1PLETED P,At.AKCETO RETAINAGE
ITERS � FROM PREVIOUS PRESENTLY AND STORED TO % FINISH IF VARFABLE
NO. DESCRIPTION OF t�ORK SCHEDULEDVALUE APPLICATION THIS PERIOD STORED(NOT (G i C)
(D�-E)
IN DOREj DATE(D+E+F) (C'Ol RATE]
321 Simplex 5,000 3,800 3,800 76% 1,200 190.00
322
323 Change Carders
324 Change Order#001-A 286,688.50 286,688.50 286,689 100% 0 14,334.43
325 Change Order#002H1 1,047.00 0 0°10 1,047 -
326 Change Order#003 2,234.00) 0 0% (2,234) -
327 Change Order#004 4,465.00 2,255.00 2,255 51% 2,210 112.75
328 Change Order#005 19,687,00 17,800.00 1,887.00 19,687 100% 0 984.35
329 Change Order#006 3,590.00 0 0% 3,590
330 Change Order#007 8,248.34 8,248.34 8,248 100% 0 412.42
331 Change Order#008 7,125.42 1,000.00 1,850.0E 2,850 40% 4,275 142.50
332 Change Order#009 2,027.95 0 0% 2,028 -
333 Change Order#010 5,270.68 5,270.68 5,271 100% 0 263.53
5,894,415.89 3,050,524.84 617,216.6E - 3,667,74.1.52 0.62 2,226,674.37 294,720.80
ISA Form#1-402
AFFIDAVIT AND WAIVER OF LIEN'
❑ FINAL FV-] PARTIAL F-1 PAYMENT TO FOLLOW
State of Indiana County of;Marion ' SS
Michael A.Smith being duly sworn state that he is the President of. Gibraltar Construction Corp
having.contracted with Carrel/Clay Board of Parks&Rec. to furnish certain materials and.1 or labor for a project known
ag West Park-The Groves located.in.Carmel,Indiana and:does hereby further
state on behalf of the aforementioned contractor:
(PARTIAL WAIVER) that there is due from the Owner the sum of
Six Hundred Twenty Seven Thousand Five Hundred Forty Eight and 00 Dollars
❑ receipt of which is hereby acknowledged; or
the payment of which,has be I qn promised as the sole consideration of this Affidavit and Partial Waiver of Lien
which is given solely wi.with.i.cespept to said amount, and which waiver shall be effective only upon redo.liptof
payment thereof by the undersigned;
(FINAL WAIVER)that the final balance due from the Owner is the sum of
Dollars
El receipt of which is hereby acknowledged;or
❑ the payment of which hasbeen promised as the sole consideration for'tKis Affi.davit and-Final Waiver
of Lien which shall become effective upon receipt of such p ment,
THERFORE,the undersigned waives and releases unto the Owner . spi premises, any and.all lien or,claim whatsoever
on the above-described property and improvements thereon accou of'L BOR or material or both,furnished by the,
undersigned thereto,subject to limitations of.conditions expressed rel ifan
y;and,further certifies.that no other party
has any claim or right to a lien,on account I o.f,any work performed mat r al fu mished to the undersigned for said project
and within the scope of this affidavit-and waiver.
Gibraltar Construction Corp gy Title.President
Contractor
25th Oct 2018
WITNESS MY HAND:AND NOTOR , , -L, -.
Wk. C RIDE
E-IV
E E0 Res. of =Lcw
A n
MY COM Exp. 11-29-2M
COMMISISIOn#706505 (Notary Public)
Printed:Brian MeBridp
UOF-ON TRACTORS 4SSOC1A11ON MCORPORATCD rev 4R
tmavloot'-god
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