HomeMy WebLinkAbout332780 11/26/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350511
ONE CIVIC SQUARE SMOCK FANSLER CORP CHECKAMOUNT: $****23,911.50*
CARMEL, INDIANA 46032 2910 W MINNESOTA ST CHECK NUMBER: 332780
INDIANAPOLIS IN 46241 CHECK DATE: 11/26/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460805 101988 73103118 23,911.50 BALDWIN CHAMBERS SITE.
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
VOUCHER N.O. WARRANT NO.
ALLOWED zo ACCOUNTS .PAYABLE VOUCHER
Vendor# 00350511:
IN"SUM OF$" . .
SMOCK•FANSLER CORP .
CITY OfCARMEL ,
2910-W MINNESOTA ST An invoice or bill to be'propedy itemized must show:kind of service,when:performed;"dates service "
rendered,by whom,rates per day,number:of.hours,rate per hour,number of•units,price per unit,etc..
INDIANAPOLIS, IN 46241
. . . . . . . . Payee-
.$23,911'.56
ayee-"$23,911'.50
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
101988 73103118 4'4=608:05 $23,911,50 I,hereby certify thatthe attached invoice(s),or _" 10/31/18 73/03118 Baldwin Chambers eastern Sitework $23;911.50.
902 902 902 . . . 902
bili(s)is(are)true"and'correct and thatthe
materials or services Itemized:thereon'for
which.charge is,made.were ordered"and-
received except
Wednesday,:November 21 2018
Henry Mestetsky. : . . .
I hereby certify that the attached invoice(s),or bill(s),"is(are)true and correct and 1 have
audited.same.in accordancevuith.IC 5-11-1071.6
20. .
Cost distribution ledger classification if claim'-paid motor vehicle highway fund.. .
CI - a er
erk"Tre sur
AIA"Type"Document
Application and Certification for-Paymenf Page 1,of 2 .
TO(OWNER):CARMEL REDEVELOPMENT COMM. : PROJECT:BALDWIN•CHAMBERS E."ENTRY APPLICATION NO:.2 DISTRIBUTION
30 W..MAIN STREET' PERIOD :10/3112018 TO
70 .
SUITE 220 OWNER.
CARMEL,IN46032 _.ARCHITECT
. .CONTRACTOR.
FROM'(CONTRACTOR):-Smock Fansler Corporation. . : VIA(ARCHITECT):: `ARCHITECT'S
2910"W.Minnesota Street PROJECT NO:. . . .
Indianapolis,IN'46241
CONTRACT FOR: . .
•
CONTRACT DATE:
CONTRACTOR'S-APPLICATION'FOR. PAYMENT The Undersigned Contractor certifies.thatto"the"best ofthe Contractor's knowledje,,information and
belief the work covered by this application for Payment has been-completed in accordance with the
Application is made for Payment;as shown below,"in connection with the Contract: Contract Documents,-.that all amounts-have been-paid by the Contractor for Work for:which previous,
Continuation Sheet,AIA Type Document'is attached. . . Certificates for Payment were issued and'payments received:from the owner,and�I�fl uuUllp�b
"....:.....:......::. t.payment shown herein is now due.
10§1
curren \\\u �P�uRYpUei�
/00S 147,300, O� ' •1.
ORIGINAL CONTRACT SUM
2.:Net Change by Change Orders S 0.00: CONTRACTOR: Smock Fansler Corporation
2910"W.Minnesota,Street Indianapolis;.IN 46241 r
. . ... ..... _
3.CONTRACT SUM TO DATE (Line 1 t 2)......:..... $ 147,300.00. g .. l
4.TOTAL COMPLETED AND STORED TODATE ...:..$ : •88,110.00. /o ��
By: VY" C � (��/C.�[. P/t .�".Date: .
TM.FANSLER . / CEO % !•• =\
5."RETAINAGE: State of.IN" �!oi���T,q�' •.... \P P�\\
a, 5.00%of-Coinpleted.Work" $ .." 4,405.50 ��i��/�/�i l ulilllOF NU�U\\������a
County of:-MORGAN
li. 0.00"/o of Stored Material" 0.00 ". Subscribed and'Swom.to before me this - Day of �(I h I 20 I
otal retainage,(Line 5a+5b).. 4,405.50.., ................ $ .
..T
NotaryPublic f '/
My Commission Expires:• ."��f�. �joaq:
6.TOTAL EARNED LESS RETAINAGE.......::. $ 83,704.50 "
.(Line:4.1ess.Line 5:Totaq: . : . . •, " . : ,
AR
CHITECT'S CERTIFICATE.,FORPAYMENT
7.LESS PREVIOUS.CERTIFICATES FOR PAYMENT" In Accordance with the Contract Documents,based on""on-site observations and the data com-.
"(Cine 6_from prior"Certificate).............:...... S" 59,793.00
prising the application;.the Architect certifies to that to the'best of the Architect's
knowledge,"information and belief.the Work has progressed as indicated,the quality of the work
8.CURRENT PAYMENT DUE--.....:.:.::.......:.: ......$. 23,911.50 is in"accordance with.the Contract Documents; and the Contractor is entitled to payment of the
9.BALANCE TO FINISH,.INCLUDING RETAINAGE AMOUNT CERTIFIED:. . .
(Line 3 less Line 6) 63,595.50.:
AMOUNT CERTIF
M
..
OU. IED". :..,
CHANGE ORDER SUMMARY.'. ADDITIONS DEDUCTIONS (Attach explanatiod if amount certified differsfrorn the amount applied:Initial all figures on this
App)icationAnd on the'Continuation Sheet that are changed to conform to the amount certified.)•
Total changes approved in'. . . ARCHITECT:
previous-months by Owner 0:00 0.00 By:. Date:
Total a'P.P roved this Month'. 0.00 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED"is payable only to the Contractor
named"herein.Issuance,Payment.and acceptance.of payment,are without prejudice to any
TOTALS 0:00 0.00 rig hts,of the Owner or Contractor under this Contract:
NET CHANGES by Change Order 0.00
AIA Type.Document
Application and Certification for•Payment '. Page 2,of 2
TO.(OWNER):CARMEL REDEVELOPMENT COMM: PROJE, Ct;BALDWIN CHAMBERS E.ENTRY . APPLICATION-NO:'2"DISTRIBUTION
30 W.MAIN STREET TO:
SUITE 220: PERIOD T0:10f31l2018 OWNER
CARMEL,"IN 46032 . .—ARCHITECT
CONTRACTOR
FROM(CONTRACTOR):Smock fansler'Coiporatlon" VIA(ARCHITECT): ARCHITECT'S'.
"2910 W.Minnesota-Street. :.: PROJECT NO:..
Indianapolis;IN:46241 . . .
CONTRACT FOR:. ":.
CONTRACT"DATE:
SCHEDULE " PREVIOUS COMPLETED. STORED COMPLETED
ITEM DESCRIPTION VALUE" APPLICATIONS THIS PERIOD MATERIAL STORED u/� 'BALANCE RETAINAGE
1 SITE 16,500.00 43,200.00 825.00 0,00" 94,925.00' 85.00 2,475.00 701.25
CLEARING/EARTHWORKJUnuTil
2 CONC..WALLS,MODULAR. 551000.00: 44,000.00 5,500.00 : 0.00. 49,500:00 . 90.00 5,500.00 2,475.00
WALLS,STAIRS.
3 PAVERS AND.WALKS . 28,700:00 . 5,740:09 2,870.00 0.0.0 8,610.00• '30.00 20,090:00 430.50
4 METAL RAILINGS 10,700.00." 0:00• 1,070.00 0.00 _ 11070.00 10.00 91630.00 53:50
5 MASONRY CLADDING 2D,400i90 _ 0.00 14,280.00 0.00" :14,280:00 70.00" 6,120.00 714.00
6,' LANDSCAPINGIIRRIGATION 12,500.00 0.00 625.00 0.00 625.00 5.00 : 11,875.00 .:31.25
7 LIGHTING. 3,500.00 0.00 0.00 0,00 0.00 0.00 3,500.00 0.00
REPORT TOTALS $147;300.00. $62,94U.00.. $25,170.00 ""_ $0.00 ,. $88,"'{10.00 . 59.82 $59090.00. $4,405:50
.AFFIDAVIT AND WAIVER OF LIEN
[ ]Ficial :[X] Partial [ j Paymentto Follow
State of Indiana -
County of Marion
T.M. Fansler, being duty sworn statesaliat_he.is the. CEO of SMOCK FANSLER CORP;having ::
contracted with: Carmel Redeveloninent..Commission to furnish. certain labor, .materials; and/oi.
services as 'follows: Misc: Construction for a project known.as: SFC#17=130 Baldwin.fhanibers
East Entry located at: Carmel;IN and does hereby state on
behalf of the aforementioned co�itractor:
(PARTIAL WAIVER)that there.is'due from the owner the sum of ($23;911.50).
Twenty Three Thousand Nine Hundred Eleven:Dollars and. 50/100
[. .] .receipt of which is hereby acknowledged;or
[X]
the payment of which has:been,promised as,the sole consideration of this Affidavit and Partial.Waiver of
Lien which is given solely with respect.to said amount,and which waiver shall be effective only upon
receipt of payment thereof bythe,undersigned;
(FINALWAIVER)thatthe final balahce.due from the owner is the sum-of $( 0.00)
receipt of.which is.heteby acknowled ed,or .
{ :}the payment of:whi.ch lias.baeii-promised as.the sole consideration of 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; any=arid all lien. or
: . claiiri.whatsoever .on.the above-described.property and improvecnents: .thereon-on account of Labor
Materials, :acid/or Services, furnished by the undersigned. thereto,: subject'to limitations or conditions.. .
expressed herein; .if any; and further certifies that no:'otlier. patty;has an" claim or right to a.lien.on
.account of zmwork performed, materials, or services furnished to the.undersigned for said project, and
within.tlie.scope.ofthis affidavit.and.waiver.
SMOCK FANSLER CORP:- ByTitle: CEO
T.M.Fansler
av
WITNESS.MY:IIAND AND-NOTARIAL SEAL,tliis 8°i . day:of November',2018.. *\\ 0A
mianet
\\`�� 0A RY PUe�
l l
Melissa J. Lau
e /:Notary.Public _ SE
AL
My commission expires_October•23,2024. Residing in Morgan County:
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