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HomeMy WebLinkAboutGradex/Eng/CO #5/-12,242.15/126th Street Improvements – Project #16-ENG-04 City of Carmel Project 16- ENG-04 126th Street Improvements — Range Line Road to Keystone Parkway CHANGE ORDER #5 Extra work for Class C concrete for driveways,three (3) additional booster pumps for irrigation system and a service point for Point of Connection#2 for the irrigation system. A new pay item is also being created to adjust the escalation costs from Change Order#4. This change order also adds 365 days to the contract—the new completion date is June 1, 2018 from June 1, 2017. Contract Price prior to this Change Order $4,569,318.28 Contract Price will be decreased by this Change Order ($12,242.15) New Contract Price including this Change Order $4,557,076.13 Amount Adjusted Contract Cumulative%Change Price from Original Contract Original Contract $3,873,423.36 $3,873,423.36 N/A CO1 $29,790.36 $3,903,213.72 0.8% CO2 $3,624.11 $3,906,837.83 0.9% CO3 $389,932.12 $4,296,769.95 10.9% C04 $272,548.33 $4,569,318.28 18.0% C05 ($12,242.15) $4,557,076.13 17.6% Page 1 of 49 gg4p?� CITY OF CARMEL ‘ ° TO: Jeremy Kashman CONTRACT CHANGE ORDER NO_:"' 5 City Engineer DATE: February 26,2019 City of Carmel Indiana PROJECT NAME: 126th Street Improvements One Civic Square CITY REQ. NO.: Carmel, IN 46032 CITY PO NO.: 16-ENG-04 CITY PO DATE: I. You are directed to make the following changes in this Contract: Item 0141 -Addition of new pay item for Class C concrete for driveways Item 0142-Addition of new pay item for three(3)added booster pumps for existing irrigation system Item 0143-Addition of new pay item for service point for Point of Connection#2(Irrigation) Item 0144-Addition of new pay item for adjustment to escalation charges added in CO#4 SCHEDULED ADJUSTMENT ITEM AMOUNT (+)OR(- )DAYS D. The following referenced Documents further describe the changes outlined in Paragraph I, and are to be considered a part of this Change Order: R.F.P.: N/A W.D.C.NO.: N/A Other: Attached itemized change order documents from Gradex and cost summary sheet. The changes result in the following adjustment of Contract Price and Contract Time: Contract Price prior to this Change Order $ 4,569,318.28 Contract Price will be increased/decreased by this Change Order $ (12,242.15) New Contract Price including this Change Order $ 4,557,076.13 Contract Time prior to this Change Order Days 6/1/2017 Completion Date Net increased/decreased resulting from this Change Order 365 Days Current Contract Time including this Change Order 0 Days 6/1/2018 Completion Date This Change Order is for full and final settlement of all direct, indirect, impact costs and time extensions incurred at any time resulting from the performance of the changed work. The Above Changes Are The Above Changes Are Accepted Approved Recommended ` American Structurepoint, Inc. Gradex,Inc. 14-/ /C2 -lam Cd! ENGINEER CONTRACTOR TYII I 7260 Shadeland Station 12900 N.Meridian St, Suite 120 ' Address Address Mary • a ' Bu -, Member Indianapolis,IN 46256 Carmel,IN 46032 �/ City/State/Zip City/State/Zip Lqii . .in,Member Jeremy Kashman,PE,City Engineer By: • By: Phone: 3t1-2$1-`t S 63 Phone: 3f - 220 3t{57 - li L f4.4 Christine S.Pauley,- Jerk-Treasurer Date: 3 0 - Date: 2A 1? Date: ' / /1? Change Order#5-126th Street Improvements(City of Carmel 16-ENG-04) Item No. Description Unit Cost Quantity _ Unit Total Cost Deducts Addition Work Performed 0141 Class C Concrete for Drives _ $2,324.78 1 LS $2,324.78 v' 0142 Booster Pumps for Irrigation System $19,618.57 1 LS $19,618.57 NI 0143 Service Point for POC#2 $5,814.50 1 LS $5,814.50 0144 Adjustment to CO#4-Escalation Charges $1.00 -40000 - DOL -$40,000.00 J Total Deductions:$0.00 Total Additions:$-12,242.15 Net Total:$-12,242.15 -D a co m N O_ A (D Page 3 of 49 .® 2. °■ STRUCTUREPOINT American Structurepoint, Inc. ■ Change Order Details 126th Street Improvements Description: 126th Street from Rangeline Road to Keystone Parkway Change Order: 5 Date Created: 02/26/2019 Status: Pending Approval Date Approved: Type: Changed Conditions Summary: Change Order #5 Change Order Description: Pay items are being added to the contract for increase of cement content for driveways, booster pumps for the irrigation system, decorative post and electrical work at POC #2 for the irrigation system and a pay item for an adjustment to the escalation charges from Change Order #4. Awarded Project Amount: $3,873,423.36 Authorized Project Amount: $4,569,318.28 Change Order Amount: -$12,242.15 Revised Project Amount: $4,557,076.13 New Items Line Number Item Unit Pending Quantity Unit Price Dollar Amount Section: 1 - Default Section 0141 CO-LS LS 1.00 $2,324.780 $2,324.78 Change Order Item "LS" Class C Concrete for Drives 0142 CO-LS LS 1.00 $19,618.570 $19,618.57 Change Order Item "LS" Booster Pumps for Irrigation System 0143 CO-LS LS 1.00 $5,814.500 $5,814.50 Change Order Item "LS" Service Point for POC #2 0144 CO-DOL DOL 1.00 -$40,000.000 -$40,000.00 Change Order Item "DOL" Adjustment to CO #4-Escalation Charges (4 Items) Total: -$12,242.15 Time Limits 'IYpe Original Deadline Authorized Deadline Pending Extension Pending Deadline Completion Date 06/01/2017 06/01/2017 365 Days 06/01/2018 Final Completion Reason: Added Landscaping Work (1 Time Limit) Change Order Details: 126th Street Page 1 of 2 02/26/2019 Improvements Attachments Page 4 of 49 Name Item 0141 -Class C Concrete for Drives.pdf CO#5-Item 0141 Item 0142-Additional Irrigation Work REV 2.7.19.pdf CO#5-Item 0142 Item 0143-Service Point POC#2 REV 2.7.19.pdf CO#5-Item 0143 (3 Attachments) 4/....1\ n -262-19 Gradex, Vic. Date cl) r 3— 0S — IQi American Structurepoint, Inc. Date City of Carmel Date Change Order Details: 126th Street Page 2 of 2 02/26/2019 Improvements 2/6/2019 8:53AM FAMILY OWNED SINCE 1973 16-ENG-04 126TH ST IMPROVEMENTS City of Carmel Recapitulation of Costs Class C for Driveways Description Quantity Units Labor Total Equipment Total Materials Total Subs Total CLASS C CONCRETE FOR DRIVES(HIGH EARLY) 314.50 CY $ 2,113.44 Subtotal $ - $ - $ - $ 2,113.44 Sales Tax 0% $ - Allowable Mark-up 10% $ 211.34 Allowable Mark-up 20% $ - 12% $ - 12% $ - 7% $ - Subtotal $ - $ - $ - $ 2,324.78 Total Price $2,324.78 v o, ao m 1 0 A to 1 of 1 Page 6 of 49 C 11 . ^ E&B PAVING.inc 40. 11r)rl(i_ciaSS So tUtIUJS at a Local Level ADDITIONAL WORK AUTHORIZATION # 2 To: Gradex Phone: 317-573-3970 Date: 5/8/2017 12900 N Meridian Street Fax: Job No: 02163496 Suite 120 Project: 126th St- Rangleline to Keystone Carmel. IN 46032 Location: 126th St Attn: Mark Wilson City: Carmel The following quoted prices are for additional work that is not a part of our original contract scope of work: DESCRIPTION: Per your request,the attached pricing is for the use of a CLASS C Concrete Mix(High Early)in the driveways that are being poured the use of the Class C design will allow for car traffic to use the driveways the next day. Item# Description Quantity Unit Unit Price 12%Markup Price/Cys EWA CLASS C CONCRETE FOR DRIVES(HIGH EARLY 1 cys $ 6.00 $ 0.72 $ 6.72 Price per CYS will be added to the total number of CYS used Above additional work to be performed under same conditions as specified in original contract unless otherwise stipulated. Date: Owner or Contractor Signature (Authorized Representative) We hereby agree to furnish labor and materials-complete in accordance wi the above specifications,at the above stated price. E& B Paving, Inc.,Authorized Signature Date: 05/08/17 THIS IS ADDITIONAL WORK AUTHORIZATION NO. 2 AN EQUAL OPPORTUNITY EMPLOYER 17042 Middletown Ave. • Noblesville, IN 46060 PHONE 317.773.4132 • FAX 317.773.4137 www.ebpaving.com ASPHALT AND CONCRETE CONTRACTORS Date CYS/LOAD Total per Day 5/12/2017 9.5 8 8 8 8 8 49.5 5/15/2017 18 15 4 9.5 9.5 4 9.5 69.5 5/16/2017 9.5 9.5 8 27 5/17/2017 4.5 9 5 9.5 28 5/18/2017 18 18 5/19/2017 9.5 9.5 5/22/2017 6.5 6.5 5/24/2017 3 ___._—__ 3—_ 5/30/2017 2 9 11 5/31/2017 - — — 4 6/14/2017 4 9 9.5 22.5 6/15/2017 9 9.5 9.5 1 8 9 46 6/16/2017 8 9.5 9.5 27 Total CYS of Class C 321.5 1\ 314.5 b A) uo rb v 0 emit To:P.O.Box 7046,Group#2 Indianapolis,IN 46207-7048 Concrete Delivery Ticket 11n1 Irving Materials,Inc. Plant#ITicket Number Truck I Load Size , Mix Slump I Use Date Customer Sold To :Tax Coda Driver ; Project No. , Order No. Delivery Address P.O.Number Job No.) Load Quantity i Total I Ordered Quantity I Product Code Product Description 1 Unit Price I f�Am2ounttp/ �, I pJT llo '7,�- �io08y�/� ed At Total Slump Meter o� ' �DS2�U'IAl Page 8 of 49 Customer's Request I I I No.Gallons Reading I I I I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING. Keep away from children. Contains Portland Cement. Irritating to the skin and eyes Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvrnat.com/readymix.pdf. The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identity and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb,sidewalk. driveway,or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By: X cri art -!n '` 1r1 fir4, Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY • Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 46207-7048 Concrete Delivery Ticket 11111 Irving Materials,Inc. Plant#;Ticket Number Truck I Load Size Mix Slump Use i Date Customer Sold To 'Tax Code Driver I Project No. Order No. Delivery Address I P.O.Number Job No.► Load Quantity j Total Ordered Quantity ,Product Codel Product Description Unit Price Amount Page 9 of 49 Water At Slump Meter Customer's adRequest I I I I TNo.Gallons Reading I I I I Subtotal On Job Time Finish Pour Time Tax Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other matenal has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement, Imtating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SOS)available upon request or at www.irvmat.com/readymix.pdf. The undersigned hereby authorizes Irwng Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises, The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete DELIVERY NOTICE: Seiler assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE- The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By- x Cr) • t Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 46207.7048 Concrete Delivery Ticket lint Irving Materials,Inc. Plant#'Ticket Numbeli Truck I Load Size Mix Slump , Use Date Customer Sold To 'Tax Coda Driver I Project No. Order No. Delivery Address P.O.Number Job No./ Load Quantity Total I Ordered Quantity Product coder Product Description Unit Price Amount Page 10 of 49 WaCu et q I I I I Totl NoaGallons Stump Meter I I I I Subtotal Customer's mer s Request Reeding Tax On Job Time Finish Pour lime Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE) Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water. tf irritation persists,get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premses. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identity and save harmless said Company horn any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public light of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk. driveway,or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release.Load and Terms Accepted By' x N kip M • Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To:P.O.Box 7048,Group#2 Indianapolis.IN 46207-7048 Concrete Delivery Ticket lini Irving Flaterials.Inc. Plant#;Ticket Number' Truck '; Load Size Mix Slump ! Use Date Customer Sold To ;Tax Codel Driver Project No. Order No. Delivery Address P.O.Number Job No.) Load Quantity j Total Ordered Quantity I Product Code; Product Descnption Unit Price Amount Page 11 of 49 WaterAt Cu rs Request 1 I I No.Gallons Raiding I I I I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - irritating To The Skin and Eyes Dear Customer.The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.comlreadymix.pdf. The undersigned hereby authorizes Irving Materials.Inc.to use private property for malting the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate.integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public nght of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release.Load and Terns Accepted lay X Concrete - Sand -Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To:P O. Box Group#2 Concrete Delivery Ticket Indianapolis,lis,IN 46207-7048 ICH Irving Materials,Inc. Plant# Ticket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No Order No. Delivery Address P.O. Number Job No.1 Load Quantity Total Ordered Quantity Product Code Product Description Unit Price Amount Page 12 of 49 Water Added At Customer Request I I I Total No Gallons Skimp Meter Reading I ( I I Subtotal Tax On Job Time Flnhb Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - irritating To The Skin and Eyes Dear Customer•The Seller is not responsible for slumps.strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING Keep away from children Contains Portland Cement Irritating to the skin and eyes Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes.flush thoroughly with water if irritation persists,get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet)SDS)available upon request or at www irvmat.comireadymix pdf The undersigned hereby authorizes Innng Materials.Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims.demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE Seller will not be held responsible for the final appearance of exposed aggregate, integral coloring.stamped and decorative surfacing,and all other forms of architectural and design concrete DELIVERY NOTICE Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway.or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release.Load and Terms Accepted By. ++ 111(1 i�ili �' 1 ?i� � ! i1ii i, iMmIllmoMMINM Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To: P.O Box 7048.Group#2 Indianapolis. IN 46207-7048 Co y x ` ® y°�' y crete DeliveryTick t 1M1 Irving Materials,lot. Plant#'Ticket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No. Delivery Address P.O.Number Job No./ Load Quantity Total Ordered Quantity Product Code, Product Description Unit Price Amount d 2/6 34194, 6/bog cif 4 Page 13 of 49 Water TotCCustomer'sAddedRequsst At l NoaGallons SRlump Meter itsding I I Subtotal Tax On Job Time Finish Pour lime Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer The Seller is not responsible for slumps.strength or quality of concrete to which water or any other material has been added by the purchaser or at his request SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE) Prolonged contact may cause burns. In case of contact with skin or eyes.flush thoroughly with water. If irritation persists,get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.wmat.comireadymix.pdf The undersigned hereby authorizes Irving Materials.Inc.to use private property for making the delivery shown here on and acsiimes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims.demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate.integral coloring,stamped and decorative surfacing.and all other forms of architectural and design concrete DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk. driveway,or any property of the contractor or properly owner or agents ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all Jurisdictional environmental regulations NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release Load and Terms Accepted By. x itT • ® `140*°' �7, 4.. 1 1 1> i f(iiI II � tjiIll ;pi Npill . �01111.•1•• Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY 5 iti_s_st9Q._5007 -IHGQyZ" 550T oicfl F `11b/7E°7/z S ) • --A 51 fr bB9 t-1zo 21 8 s- 01 ?K1L GI-lcT "?'S pF4 Jr' 11'LOMz5so7 pgS/ lh758g0// rig/#XLi- god/� — -- 681--e bQ/ Ai_ I6fg' �IZ'p- 6f730 17i 32rd Remit P.O.Box 7048,Group#2 Indianapolis.IN 46207-7048 Concrete Delivery Ticket lint Irving Materials,Inc. Plant# Ticket Number Truck Load Size Mix Slump Use Date I Customer Sold To Tax Code Driver Project No. Order No. Delivery Address P.O.Number i I Job No.l Load Quantity Total Ordered Quantity Product Code: Product Description Unit Price Amount i Page 15 of 49 Water Added At I I Total Slump MeterCustomer's Request Reed vg No.Gallons Subtotal On Job Time Finish Pour Time Tax Total PROPERTY DAMAGE RELEASE , WARNING - Irritating To The Skin and Eyes Dear Customer-The Sellers not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE) Prolonged contact may cause burns In case of contact with skin or eyes,flush thoroughly with water. If irritation persists.get immediate medical attention For additional nformation regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www rrvmat.com/readymlx.pdt The undersigned hereby authorizes Irving Materials.Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or Injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising horn private property delivery The undersigned assumes responsibility for a suitable roadway horn public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate.integral coloring.stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway.or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By x . N - ., . ti ID .- i Vp = - ......co 0 '.‘Ii•-a!' lif'Ve . . Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 Pi IeTnura Prinv Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 46207-7048 Concrete . Delivery Ticket 17111 Irving MatedaIs,Inc. Plant#;Ticket Number! Truck Load Size Mix Slump Use i Date Customer Sold To :Tax Code Driver Project No. Order No. Delivery Address P.O.Number I Job No.) Load Quantity! Total I Ordered Quantity Product Code Product Description Unit Price Amount d21�394 Water Added At Total Slump Meter /ao s-�y� -�.� 4,o5-s2s-o7A-I -3 Page 16 of 49 • Customer's Request I I I I No.Gallons Reeding I I I I Subtotal Tax On Joe Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps.strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf. The undersigned hereby autf Rx ice:,Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suds for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate.integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public nght of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed ail jurisdictional environmental regulations. NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release.Load and Terms Accepted By x _in4 . ' — 46Yrd7-1 : . i Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To: P.O.Box 7048,Group#2 Indianapolis, IN 46207-7048 Concrete Delivery Ticket mu I Plant#;Ticket Numbed Truck ! Load Size Mix trying Materiels,Inc Slump ; Use I Date Customer Sold To Tax Code Driver ' Project No. 'Order No. I Delivery Address P.O.Number Job No. I Load Quantity j Total Ordered Quantity j Product Code Product Description Unit Price I j Amount D�163V`1;6 I ater Added At Total Page 17 of 49 Customer Request I I I I No Gallons l Reading Slump Meter I I I I Subtotal IOn Job Time 1Finish Pour Time I Tax Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf. The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of lime and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public nght of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By: x _in a..,.; ___=___...t.,1 ,.. • Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (! cu TnuFla rnov all, IIII .To:P O.Box 7048,Group#2 Indianapolis, IN 46207-7048 Concrete ? elive Ticket- 11111 Plant# Ticket Number Truck Load Size fining Materiels,in Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No. I Delivery Address P.O. Number Job No i ILoad Quantity Total Ordered Quantity Product Code Product Description Unit Price Amount I IWater Added At I Page 18 of 49 Customer's Request I I I Iota I stump Meta I I I I I No Ga!icrs Reading Subtotal IOs Job Time Finish Pour Time Tax Total PROPERTY DAMAGE RELEASE /WARNING - Irritating To The Skin and Eyes Dear Customer The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING Keep away from children. Contains Portland Cement Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE) Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE.consult the Safety Data Sheet(SDS)available upon request or at www irvmat.comireadymix.pol The undersigned hereby authonzes Irving Matenals,Inc to use prvate property for making the delivery shown here on and at4Imes full responsibility for any damage or intury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identity and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from pubic highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate. integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete DELIVERY NOTICE Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE The buyer,s responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations NOTICE.MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By i . .r_..., J v��... —,...._ :'-i. 41 • 2oncrete - Sand - Gravel - Stone "We're re Proud of ()lit Wnrir” General AM,. iz,-7% zr.o Remit To:P.O.Box 7048 Group#2 Indianapolis,IN 46207.7048 Concrete Delivery Ticket Iiii1 Irving Material.Inc. Plant#!Ticket Number] Truck Load Size Mix Slump I Use Date Customer Sold To 'Tax Code Driver Project No. Order No. Delivery Address P.O.Number Job No.1 Load Quantity':, Total I Ordered Quantity Product Code Product Description f Unit Price Amount p2 /10344 (10 4/00 F4L/G-25 1,o55"2sro7R1- 2 Page 19 of 49 Total Slump Customer's Request I ( I ater Added At No.Gallons ReedinIHeMr I I I I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer•The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropnate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SOS)available upon request or at www.irvmat.comlreadymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes lull responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to port of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DEUVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk. driveway,or any property of the contractor or properly owner or agents ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By x Kr W cr) p fig.. • ? . Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY egi Remit To P O.Box 7048, Group#2 Indianapolis.IN 46207-7048 Concrete �r l{ ire..i�~er L'� k. et Irving Materials,Inc. Plant# Ticket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No Delivery Address P.O. Number Job No.M I Load Quantity Total Ordered Quantity Product Code Product Description Unit Price Amount Page 20 of 49 Customer'sWater Added At RequestI ( I I No GallonsReadingSlump Meter Subtotal Tax On Job Time Finish Pour rime Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps.strength or quality of concrete to which water or any other material has been added by the purchaser or at his request SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns In case of contact with skin or eyes.flush thoroughly with water If irritation persists,get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE.consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com;readymix.pdt The undersigned hereby authorizes Irving Materials.Inc.to use private property for making the dewery shown here on and assumes full responsibility for any damage or injury due to the premises The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned ass,mes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing.and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb,sidewalk. driveway.or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all junsdictional environmental regulations. NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release.Load and Terms Accepted By x r 4.4 • • Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CI ICTAMFR nnav map Remit To:P.O.Box Group Concrete Delivery Ticket l I111 Indianapolis,lis, IN 46207-707048 Irving Materials Inc. Plant# Ticket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No Delivery Address P.O. Number Job No.1 Load Quantity: Total Ordered Quantity Product Code, Product Description Unit Price Amount Page 21 of 49 Water Added At Total No Gallons Slump Meter Customers Request I Reading I I Subtotal Tax 'On Job Time Finisn Pour Time Total PROPERTY DAMAGE RELEASE !WARNING - Irritating To The Skin and Eyes Dear Customer The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement Irritating to the skin and eyes. Wear appropnate personal protect;ve equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes.flush thoroughly with water. It irritation persists get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www irvmat.comireadymix pdf The undersigned hereby authonzes Irving Materials.Inc.to use private properly for making the delrvery shown here on and Resumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to dentrfy and save harmless said Company horn any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE Seller will not be held responsible for the final appearance of exposed aggregate. integral coloring.stamped and decorative surfacing,and all other forms of architectural and design concrete DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb.sidewalk, driveway,or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release.Load and Terms Accepted By. x r 1°11 . :OP O Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 46207-704Concrete Delivery Ticket 11111 8 Irving Materials,Inc. Plant# Ticket Number Truck Load Size Mix Slump Use j Date Customer Sold To ;Tax Code Driver Project No. Order No. Delivery Address P.O.Number Job No.1 Load Quantity'I Total Ordered Quantity i Product Code j Product Description Unit Price j Amount © Z1634.4c (1-3 Gioa014 Page 22 of 49 Water Added At Total Customers Request I I No.Gallons Reeding Stump Water III I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DEUVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release,Load and Terms Accepted By x r� .; 7 -w • ) Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 �:1 IeTAIraCO C rsmn Remit To'P.O.Box 7048,Group#2 Indianapolis,IN 46207-7048 Concrete Delivery Ticket iJ.fli Irving Materials.Inc. Plant#'Ticket Number' Truck Load Size I Mix Slump j Use Date Customer Sold To 'Tax Code Driver Project No. Order No. Delivery Address I P.O.Number Job No.► Load Quantity( Total Ordered Quantity Product Codef Product Description Unit Price j Amount ump Wear Page 23 of 49 Water Customer's�dRequest I I I I No.Gallons At Total �RNding ( I I I Subtotal On Job Time Finish Pour Time Tax Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other matenal has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SOS)available upon request or at www.irvmat.com/readymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use pa ate property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete DEUVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By' x • 0 ‘.4411"11 • Concrete - Sand - Gravel - Stone "We/re Proud Of Our Work" General Office (317) 326-3101 ni ioTnIUFP nnov ,77 Remit To: P.O.Box Group#2 Indianapolis.lis. I Concret ae�N 46207-7048 a_ � fT nv' Ticket Ining Materials,Inc. Plant# Ticket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No. Delivery Address P.O. Number Job No./ Load Quantity Total , Ordered Quantity Product Code Product Description Unit Price Amount 01/G 3Y� G/0-08014' 3, S Go 55 Z 1O T1 I -5 Page 24 of 49 Water Added Rq I I I I Total Slump Meter Customer's Request No Gau Re eeding I I I Subtotal On Job Time Finish Pour Time Tax Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children Contains Portland Cement. Irritating to the skin and eyes Wear appropriate personal protective equipment(PPE) Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www:rvmat.com/readymix.pdf The undersigned hereby authonzes Irving Materials,Inc.to use pnvate property for making the delivery shown here on and assumes lull responsibility for any damage or injury due to the premises The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims.demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE. Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete DELIVERY NOTICE' Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all junsdictional environmental regulations NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release.Load and Terms Accepted By. x - • -,ice Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To:P.O.B 7048,N 46207-# Indian 048 Concrete Delivery Ticket 11111 Irving l'1Otedals•Inc Plant#;Ticket Number Truck Load Size Mix Slump I Use j Date 1 Customer 1 I Sold To Tax Cod Driver Project No. Order No. I Delivery Address P.O.Number I Job No./ I Load Quantity I Total I Ordered Quantity 1 Product Code' Product Description Unit Pnce Amount Page 25 of 49 Water Added At Total Customers Request I I I I No.Gallons I Readt,g mp Meter I I I I I ! Subtotal rn Job TimeFinish Pour lime I Tax Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other matenal has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement, Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes.flush thoroughly with water. It irritation persists,gel immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix pdf. The undersigned hereby authorizes Irving Materials.Inc.to use private property for making the delivery shown here on and assumes full responsibility ises The undersigned agrees to reimburse said Company for loss of time and class saidge Company due tor the any and all claims.demands and suits for or on account of or in any manner caused byy or arising reason fromof private delivery and also to identify and save harmless said Company from and n9 property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk. dnveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release.Load and Terms Accepted By. x o 14:' -i .' 7e.`/- . .. '.-I.:It J - r (o Jar �•4 �l Concrete - Sand - Gravel -Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER Cove I'awt' 1 of I • 4C., 40 11 C.... I C t. s * OUt 111 , ' ti 4- • 14 i i N.: iT, .4 IL i 1 r 4 • 1 , 7 P. . 1 . cc) r C31.3„isz C_..... _ ., . .._ _ .7, 1,. i. Z 1 • � x 123 q 2 'Tco N Lol00V L4L4 40-11 o °sszeo7 — --- VD iiiimmar , file:///1:/EBPAVING/MGRHCSS/WORKAREA/ARYAN/HJTemp01/1E28C21B-5AAA-42E0-A3D9-03F3C38DBDCA 20170... 5/19/2017 Remit To:P O. Box 7048. Group#2 Concrete Delivery Ticket 11111. Indianapolis, IN 46207-7048 Irving Materials,Inc. Plant# Ticket Number Truck Load Size Mix Slump Use j Date Customer Sold To Tax Code Driver Project No. Order No. Delivery Address P O.Number Job No 1 Load Quantity Total Ordered Quantity Product Code Product Description Unit Price Amount 0216f3496 6lobgyL/, Page 27 of 49 Water Added At I Total Slump Meter Customer's Request I I No.Gallons Reeding I I Subtotal Tax On Job Time Finish Pow Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added oy the purchaser or at his request SAFETY WARNING: Keep away from children. Contains Portland Cement Irritating to the skin and eyes Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns In case of contact with skin or eyes.flush thoroughly with water If irritation persists.get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.comireadymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown I e e on and acsi Imes full responsibility for any damage or injury due to the premises The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims.demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE Seller will not be held responsible for the final appearance of exposed aggregate, integral coloring.stamped and decorative surfacing.and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb,sidewalk, dnveway,or any property of the contractor or properly owner or agents ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By X �� ! f _ - jt i ili �� I l :if pia�� 4 I' 01 i1 11! Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To: P.O.Box 7048,Group#2 Indianapolis,IN 46207-7048 Concrete Delivery Ticket iiiii Irving Raterlab,Inc. Plant#'Ticket Number) Truck Load Size Mix - Slump Use Date Customer Sold To Tax Code Driver Project No. j Order No. Delivery Address P.O.Number Job No./ Load Quantity Total I Ordered Quantity Product Code Product Description Unit Price Amount /et,3in6, 00$4q-(-- Page 28 of 49 Water Customds RARequest I I I I Tot No.al Gallons Slump Meter Reeding III I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropnate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf. The undersigned hereby authorizes Irving Materials,Inc.to use private property for malting the delivery shown here on and assumes hull responsibility for any damage or Injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to Identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE. The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By. X t. Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit TO: India Box po s, N 46207 04-8 Concrete Delivery Ticket 1In1 Irving materials,loc. Plant#,Ticket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No Delivery Address P.O. Number Job No.1 Load Quantity Total Ordered Quantity Product code Product Description Unit Price Amount 0q3•C Page 29 of 49 Water Added At Total Slump Motor Customers Request I I No.Gallons Reeding Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps.strength or quality of concrete to which water or any other material has been added by the purchaser or at his request SAFETY WARNING: Keep away from children Contains Portland Cement. Irritating to the skin and eyes Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE.consult the Safety Data Sheet(SDS)available upon request or at www.rvmat.comireadymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to tie premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identity and save harmless said Company from any and all claims,demands and suds for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE. Seller will not be held responsible for the final appearance of exposed aggregate.integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations NOTICE'MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release.Load and Terms Accepted By X 1.11 Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To:P.O.Box 7048,Group#2 s `�� �y� Few E Indianapolis,IN 46207-7048 • Cl c rat e 'e i 97 e 00 Irving Materials,Inc. Plant#jTicket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No. Delivery Address P.O.Number Job No.1 Load Quantity Total Ordered Quantity Product Code Product Description Unit Price Amount 02/ 3/196 01,t6 t /—J C C p 4,, S ) ©t w ALK, h/abgLiii&- io Page 30 of 49 Water Added AtI I i I Total P Ut.r Custom.r's RequestNo Gallons Reading Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE) Prolonged contact may cause burns In case of contact with skin or eyes,flush thoroughly with water If irritation persists,get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SOS)available upon request or at www irvmat.com/readymix.pdf The undersigned hereby authorizes Irving Matenals.Inc.to use pnvate property for making the delivery shown here on and assumes full responsibility for any carnage or injury due to the premises The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims.demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE' Seller will not be held responsible for the final appearance of exposed aggregate.integral coloring,stamped and decorative surfacing.and all other forms of architectural and design concrete DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway.or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By. X Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 46207-7048 Concrete Delivery Ticket mu 1 Irving Materials Inc. Plant#;Ticket Number Truck ? Load Size Mix j Slump ( Use Date Customer Sold To I Tax Code Driver I Project No. ,`Order No. Delivery Address P.O.Number Job No.1 Load Quantity Total Ordered Quantity `Product Coder Product Description [ Unit Price I Amount Page 31 of 49 Water Added At Total Slump Meter Customer's Request I No,Gallons Reading III I Subtotal Tax On.roe Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer•The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SOS)available upon request or at www.irvmat.com/readymix.pdf. The undersigned hereby authorizes Irving Materials.Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway.or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE' The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By x -co -co -I` { 4i 21 i (147)- 0 . Concrete - Sand - Gravel - Stone "We're Proud' Of Our Work" General Office (317) 326-3101 CUSTOMER COPY emit To. P.O.Box lis.I Group#2 on crete Delivery Ticket iiiii Indianapolis. N 46207-7048 Inc I Plant# Ticket Number Truck Load Size Mix Slump Use Materials, CustIrvinomer j Sold To Tax Code Driver Project No. Order No. IDelivery Address ' P.O. Number i Job No.0 Load Quantity Total Ordered Quantity Procuct Code Product Description Unit Price Amount CZ1G,3L-I9p Page 32 of 49 Customer's Request Water Added AAtt I I I I Total I ReediSlump Meter I I I Reeding Slump No.Gallons Subtotal IOn Job Time Finish Pour Time Tax Total PROPERTY DAMAGE RELEASE / WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps.strength or quality of concrete to which water or any other material has been added by the purchaser or at his request SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes Wear appropriate personal protective equipment(PPE) Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SOS)available upon request or at www.irvmat com/readymix.pdf. The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and Ls responsible for any needed wrecker service charges as a result PRODUCT NOTICE. Seller will not be held responsible for the final appearance of exposed aggregate, integral coloring, stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb.sidewalk, driveway.or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release.'Load and Terms Acceptea By X �l/�-� L_ it.1'//. i ) 'a ,.?" ;t � ' t�� i{rl l,`ib1l�gt I)j' ilq.. i Concrete - Sand - Gravel - Stone "We're Pre ud Of Our Work" General Office (317) 326-3101 CUSTOMER COPY Remit To:nd Bapolis,N 4620p 7048 Concrete .Delivery Ticket iiiil 1 Plant#ITicket Number{ Truck I Load Size Mix I burns neterfab oI Slump Use �_ Date j Customer Sold To Tax Code Driver Project No, Order No. 1 Delivery Address j P.O.Number Job No.) Load Quantity 1 Total I Ordered Quantity j Product Code Product Description p Unit Price I Amount I Page 33 of 49 Water Added I seorrhara ARaquest I ( Total I I No.Gallons I Slum Mater I I I I I Subtotal IOn Job Time (Finish Pour Time I Tax Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request SAFETY WARNING: Keep away from children. Contains Portland Cement. Imitating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes fun The undersigned agrees to reimburse said Company for loss of time and responsibility for any or injury dueto the ny and all claims,demands and suits for or on account of or in any manner caused by orearising from private property delivery. and also to identify and save harmless said Company from any and The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will riot be held responsible for the final appearance of exposed aggregate,integral coloring.stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for delivenes beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb,sidewalk, drveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release,Load IN Temps Accepted By: /' i.. �.., . _in :,' c . 7.'49.4L- .- - V .4 y' -' -:Off,9•.,4 ravel - Stone "We're Proud-Of Our Work" General Office (317) 326-3101 Cl er,,ov Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 4&207-71M8 Concrete Delivery Ticket hut Irving Materials,Inc. Plant#;Ticket Number Truck J Load Size I Mix Slump Use Date Customer Sold To :Tax Code Driver Project No. !Order No. Delivery Address P.O.Number Job No./ Load Quantity j Total Ordered Quantity ,Product Codei Product Description Unit Price I Amount Page 34 of 49 Water Customer's Request I I (ed At Totl ( NoaGallons ReadingSlump ner I I I I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer•The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the dervery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identity and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a mutt. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all Jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By' x i m �..____Cr) Y .. ki in ' ---vx - - -,,,m-s•—•\, --N:4- Ilk 141 MI/110%II Illti 14;1 61/111 Concrete - Sand - Gravel - Stone "We're-proud Of Our Work" General Office (317) 326-3101 Ni ICT'aacD"(Nov Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 46207-7048 Concrete Delivery Ticket Irni Irving lfaterlals,Inc. Plant# Ticket Numbed Truck Load Size I Mix f Slump I Use Date j Customer Sold To j Tax Coda Driver I Project No. LOrder No. Delivery Address j P.O.Number Job No.► Load Quantity i Total Ordered Quantity I Product Code Product Description I Unit Price Amount CM O z 3 yi& 9.4). Page 35 of 49 CuWater Added At Totl s Request I I I I No aGallonsReeding I I I I Slump Meter Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmatcom/readymix.pdf. The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or irqury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from pnvate property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing.and all other forms of architectural and design concrete. DEUVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release.Load and Terms Accepted By. X O . gi' 0 """t''- .40 '*_ tere4._ ..- lib.,.:- Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 oisivoo rAOv Remit To:.Oiaa po s4 IN 4620p#7048 Concrete Delivery Ticket 111111 Irving Materials,Inc. Plant# Ticket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No. Delivery Address P.O. Number Job No.l Load Quantity Total Ordered Quantity Prodi:ct Code Product Description Unit Price Amount Slump Mater Page 36 of 49 Tot W Customer Request ( No Aded At al Gallons ReadingI I I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps.strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING. Keep away from cnddren Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE) Prolonged contact may cause burns In case of contact with skin or eyes,flush thoroughly with water. If irritation persists.get immediate medical attention For additional information regarding the HAZARDS OF READY MIX CONCRETE.consult the Safety Data Sheet(SOS)available upon request or at www.irvmat com;readymix.pdf The undersigned hereby authorizes Irving Materials.Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned a slimes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE Seller will not be held responsible for the final appearance of exposed aggregate. integral coloring.stamped and decorative surfacing.and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way Buyer assumes responsibility for damages including but not limited to curb.sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release.Load and Terms Accepted By x -a N .. . lu'i ill tit {i i I It li tlI f Concrete - Sand - Gravel - Stone `We're Proud Of Our Work" General Office (317) 326-3101 DRIVER COPY • Remit To:Indianapolis,IN 4620777048 Concrete Delivery Ticket 11111 Irving Materials,Inc. Plant#;Ticket Number' Truck Load Size Mix Slump Use Date Customer Sold To j Tax Code Driver Project No. Order No. Delivery Address P.O.Number Job No./ Load Quantity 1 Total j Ordered Quantity Product Code! Product Description j Unit Price ' Amount Page 37 of 49 Water Added At Customer' ( I Total No.Gallons Slump Reading�� I I I I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/ WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SOS)available upon request or at www.irvmat.com/readymix.pdf The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes tun responsibihty to any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring.stamped and decorative surfacing,and all other forms of architectural and design concrete. DEUVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release.Load and Terms Accepted By: x -o. ci0 Or' tip. Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 r+onrces n0.% Remit To:P.O.Box 7048,Group#2 Concrete Delivery Ticket 11111 Indianapolis,IN 46207-7048 Irving Materials,Inc. Plant#'Ticket Numbeti Truck I Load Size f Mix 1 Slump ( Use I Date f Customer Sold To j Tax Codej Driver ' Project No. I Order No. Delivery Address ; P.O.Number Job No.l Load Quantity I Total Ordered Quantity Product Codes Product Description Unit Price ; Amount 60 5,2ba7A/ -4 Water Page 38 of 49 Customer's Added eRequestI At I I I Total No.Gallons RIR��ump I I I I Subtotal Customer's Re Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.comlreadymix.pdf. The undersigned hereby authorizes Irving Materials.Inc.to use private properly for making the delivery shown here on and assumes fit responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load anct Terms Accepted By. km 1 tor I` ' .Y Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 DRIVFR COPY Remit To:Indianapolis, 46207 7048 Concrete Delivery Ticket 1IIi1 Irving Materials.Inc. Plant# Ticket Number Truck Load Size i Mix Slump I Use Date Customer Sold To Tax Coda Driver j Project No. Order No. Delivery Address ; P.O.Number Job No.1 Load Quantity Total Ordered Quantity Product Code Product Description Unit Price ! Amount Page 39 of 49 Water Added customerRAequest i I I ( No.Gallons Styt Total ump I I I I Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf. The undersigned hereby authorizes Irvvig Matenals.Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing.and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release,Load and Terms Accepted 9y: x CO In Concrete - Sand -Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 DRIVER COPY Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 46207-7048 Concrete Delivery Ticket Hfl1 Irving Materials,Inc. Plant#'Ticket Numbed Truck 1 Load Size ; Mix i Slump i Use J Date Customer Sold To Tax Coda Driver Project No. Order No. Delivery Address P.O.Number Job No.1 Load Quantity Total Ordered Quantity Product Code; Product Description Unit Price Amount Page 40 of 49 Water Added Customer ARequest I I Tot Noal Gallons SlumR��r I I , Subtotal Tax On Job Time Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists.get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.comlreadymix.pdf The undersigned hereby authorizes Irving Materials.Inc.to use private property for making the delivery shown here on and assumes kill responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result_ PRODUCTNOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk. driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE. The buyer is responsible for providing washout facilities that meet or exceed all junsdictional environmental regulations. NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD Release.Load and Terrne.Accepl d By: i X cn V 1' � *�' `��• Concrete - Sand - Gravel - Stone "We're ProUd Of Our Work" General Office (317) 326-3101 DRIVER COPY Remit To:P.O.Box 7048,Group#2 Indianapolis,IN 46207-7048 Concrete Delivery Ticket mu1 Irving Platerlab,Inc. Plant#;Ticket Numbed Truck I Load Size Mix Slump ' Use i Date Customer Sold To Tax Codsj Driver '; Project No. i Order No. Delivery Address i P.O.Number Job No.l Load Quantity; Total j Ordered Quantity Product Code Product Description Unit Price Amount r) DZI(o349 Moog -5 Page 41 of 49 Water Added At Total Customer's Request I No.Gallons Reeding I I I Subtotal Tax On Job Time Flnlsh Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause bums. In case of contact with skin or eyes,flush thoroughly with water- If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE.consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf. The undersigned hereby authorizes Irving Materials.Inc.to use private property for making the delivery shown here on and assumes kill responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery. The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result. PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb.sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By, X C Pro. o 0 • '. : • co Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 DRIVER COPY Remit To:P.O.Box 7048,Group#2 a t- :'�� 1'° � ° Indianapolis.IN46207-7048 O Cr ate Deli ery I� cket m, 1 Irving Materials,Inc. Plant#!Ticket Number Truck Load Size Mix Slump Use Date Customer Sold To Tax Code Driver Project No. Order No. Delivery Address P.O.Number Job No. Load Quantity• Total Ordered Quantity Product Code, Product Description Unit Price Amount Page 42 of 49 Water Added At Customer's I I TNoaGallons St Meter Reading Subtotal Tax On Job lime Finish Pour Time Total PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at nis request SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE) Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.comireadymix.pdf. The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises. The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate. integral coloring.stamped and decorative surfacing.and all other forms of architectural and design concrete. DELIVERY NOTICE: Seiler assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk, driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release Load and Terms Accepted Ry x -co • Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 DRIVER COPY Remit To:P.O. Box 7D4I3,Group Indianapolis,IN 46207-7048 Concrete Delivery Ticket 11E111 • Irving Materials.Inc. Plant#;Ticket Number Truck Load Size Mix I Slump Use Date Customer Sold To j Tax Codd, Driver j Project No. Order No. Delivery Address j P.O.Number Job No.► Load Quantity j Total Ordered Quantity ,Product Codei Product Description Unit Price Amount Page 43 of 49 Meter Added At Total Customer's Request I I ( I No.Gallons Reading I ( I I Meter Subtotal On Job Time Finish Pour Time Tax Total PROPERTY DAMAGE RELEASE/WARNING- Irritating To The Skin and Eyes Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request. SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf. The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate.integral coloring,stamped and decorative surfacing,and all other forms of architectural and design concrete. DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk. driveway,or any property of the contractor or property owner or agents. ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD. Release,Load and Terms Accepted By. x CO ftit cv) IMMIMIIMMMair Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101 DRIVER COPY 2/7/2019 2:30 PM ,(gGRADIDC FAMILY OWNED SINCE 1973 16-ENG-04 126TH ST IMPROVEMENTS City of Carmel Recapitulation of Costs Additional Irrigation Work Description Quantity Units Labor Total Equipment Total Materials Total Subs Total Electrical Sub 1.00 LS $ 6,600.00 Irrigation Sub 1.00 LS $ 11,651.00 Subtotal _ $ - $ - $ - $ 18,251.00 Sales Tax 0% $ - Allowable Mark-up 20% $ - _12% $ 12% $ - 10% $ 300.00 7% $ 1,067.57 Subtotal $ - $ - $ - $ 19,618.57 Total Price $ 19,618.57 v v Co Co 0 1 of 1 MORPHEY CONSTRUCTION JobName: 16-ENG-38 Rangeline&Executive Dr Task: Conduit&Cable for Irrigation Pump at 126th St 1 LS LABOR _ EQUIPMENT HOURS Total DAY + CODE DESCRIPTION RATE REG O.T. OT Rate TOTAL Labor$ CODE TYPE RATE DAY Hours Total$ Foremen's Truck 150.00 2.25 - 337.50 Dump Truck 400.00 2.50 - 1,000.00 Foreman 51.71 18.00 3.00 72.18 - 1,147.32 Trencher 100.00 2.00 - 200.00 Operator 52.46 3.00 - 70.96 - 157.38 Air Compressor 75.00 0.50 - 37.50 Laborer 37.88 18.00 3.00 50.74 - 834.06 - - - - Laborer 37.88 16.00 3.00 50.74 - 758.30 - - - - • Total Labor 55 9 - 2,897.08 Total Equipment - 1,575.00 SUBCONTRACTORS MATERIAL CODE DESCRIPTION RATE TOTAL Total$ CODE Description RATE QUANTITY TOTAL Total$ - -lie 200.00 1.00 200.00 200.00 - #6 Cable 0.40 2,460.00 984.00 984.00 - - 2"PVC Conduit 0.80 4"Pvc Conduit 1.60 15.00 24.00 24.00 - Total Material 1,208.00 OTHER Date: CODE DESCRIPTION RATE INV.# - WHO TOTAL Total$ MORPHEY CONSTRUCTION - - Labor $ 2,897.06 Equipment $ 1,575.00 Total Other - OH&P @ 20% $ 579.41 OH&P @ 12% $ 189.00 Total Labor $ 3,476.47 Total Equipment $ 1,764.00 Material $ 1,208.00 Subs $ - m OH&P @ 12% $ 144.96 5% $ - m Total Material $ 1,352.96 uu,, Total Subs $ - ° A Grand Total 6,593.43 UNIT PRICE $6,600.00/LS Page 46 of 49 ,\,6gatioq T scot]/Re,. OfA° Ba �• 1a ó 1,lil,,Illl,1l,IIn111111iuIQ,11/1111f1111111rt(IIIIIiIhl,li/iulti1,1111i C11 Era e CLIA Water Sens wis •ssso°�~ PARTNERse a, WALKER IRRIGATION SYSTEMS, INC. PROPOSAL RESIDENTIAL • COMMERCIAL www.walkerirrigation.com 7334 E. 65th St, Indianapolis, IN 46256 • (317) 255-1574 • Fax(317) 253-5407 • info@walkerirrigation.com To Gradex, Inc. Attn: Mark Wilson PRICES FIRM UNITL STARTING DATE TBD TERMS Net Upon Competion DATE 7/30/2018 RE 126th St. Landscape Improvements - Change Orders 7 We propose to furnish all the materials and perform all the labor necessary for the completion of P.O.C. #1: Installation of 1/2 HP booster pump, concrete pad, Strong Box enclosure, electrical components& wiring, parts& labor; Installation of 1,000' of shielded cable for Flow Tee to revised controller location to P1 cabinet; Installation of 1000'of increased mainline (1.25"to 1.5")to accommodate additions to original system TOTAL: $4,387.00 P.O.C. #2: Installation of 1/2 HP booster pump, concrete pad, Strong Box enclosure, electrical components & wiring, parts& labor; Installation of approved Weathermatic stainless steel pedestal and controller cabinet, concrete pad, electrical components &wiring TOTAL: $4,632.00 P.O.C. #3: Installation of 1/2 HP booster pump, concrete pad, Strong Box enclosure, electrical components& wiring, parts& labor TOTAL: $2,632.00 This proposal, when accepted and signed by the purchaser, shall become a purchase order. It covers all terms and agreements between the parties. IF ACCEPTED, PLEASE SIGN AND RETURN ONE COPY OF THE AGREEMENT. ACCEPTED BY ShAitj tT Walker CLIA, CIT W LK IRRIGATION SYSTEMS,INC. PRINTED 6/28/2018 12:21:46PM Quote Page 4; of 49 Page: 1 Branch Address 1111III�IIV�I� ilI AUTOMATIC SUPPLY Order Number: 8013269 116 SHADOWLAWN DRIVE Order Date: 6/28/2018 FISHERS IN 46038 Salesperson: DMW 317-842-3123 AUTOMATIC SUPPLY Customer Number: 00-0001800 Outdoor Living I Lighting I Irrigation Entered by: RRH AUTOMATIC SUPPLY 116 SHADOWLAWN DR FISHERS,IN 46038 Sold To: Ship To: WALKER IRRIGATION SYSTEMS INC WALKER IRRIGATION SYSTEMS INC 5851 RAVINE RD 5851 RAVINE RD INDIANAPOLIS, IN 46220 INDIANAPOLIS, IN 46220 Confirm to: SCOTT WALKER/MARY Telephone# (317)255-1574 Customer P.O. Ship VIA Terms Joe WILL CALL 2%10TH/NET 11TH Item Numbe Description Unit Ordered Shipped Back Ord Price Amount SBBC30AL ENCLSR 30Lx16.25Wx3OH LOK AL(+ EACH 1 990.0000 990.00 Bin: M-103-D Whse: 000 FX3CRO5A16P FBSMS0515G3OPA PUMP BOOST 1/2H EACH 1 872.1400 872.14 Bin: E-107-A Whse: 000 Net Order: 1,862.14 Entered By: Pulled By: UPS Less Discount: 0.00 Freight: 0.00 Customer Signature: Sales Tax: 130.35 Order Total: 1,992.49 2/7/2019 2:31 PM FAMILY OWNED SINCE 1973 16-ENG-04 126TH ST IMPROVEMENTS City of Carmel Recapitulation of Costs Service Point for POC#t2 Description Quantity Units Labor Total Equipment Total Materials Total Subs Total Electrical Sub 1.00 EA $ 5,350.00 Subtotal $ $ - $ - $ 5,350.00 Sales Tax 0% $ - Allowable Mark-up 20% $ - 12% $ - 12% $ - 10% $ 300.00 7% $ 164.50 Subtotal $ - $ - $ - $ 5,814.50 Total Price $ 5,814.50 v of CD CO 0UD 1 of 1 MORPHEY CONSTRUCTION JobName: 16-ENG-38 Rangeline&Executive Dr Task: New Service Point on 126th St 1 each LABOR EQUIPMENT HOURS Total DAY + CODE DESCRIPTION RATE REG O.T. OT Rate TOTAL Labor$ CODE TYPE RATE DAY Hours Total$ Foremen's Truck 150.00 0.50 - 75.00 Crane 400.00 0.50 - 200.00 Foreman 51.71 12.00 - - - 620.52 Dump Truck 175.00 0.50 - 87.50 Operator 52.46 12.00 - - - 629.52 - - - - Laborer 37.88 12.00 - - - 454.56 - - - - Total Labor 36 0 - 1,704.60 Total Equipment - 362.50 SUBCONTRACTORS MATERIAL CODE DESCRIPTION RATE TOTAL Total$ CODE Description RATE QUANTITY TOTAL Total$ - decorative 4'pedestal 2,100.00 1.00 2,100.00 2,100.00 - - Foundation 2'x 3' 300.00 1.00 300.00 300.00 meter base&gear 100.00 1.00 100.00 100.00 - . Paint gear 100.00 1.00 100.00 100.00 - "'cable duct use existing pay items*** - - - Total Material 2,600.00 OTHER Date: CODE DESCRIPTION RATE INV.# WHO TOTAL Total$ MORPHEY CONSTRUCTION - Labor $ 1,704.60 Equipment $ 362.50 Total Other - OH&P @ 20% $ 340.92 OH&P @ 12% $ 43.50 Total Labor $ 2,045.52 Total Equipment $ 406.00 Material $ 2,600.00 Subs $ - OH&P @ 12% $ 312.00 5% $ - - cu Total Material $ 2,912.00 oa Total Subs $ - a 0 0 Grand Total 5,363.62 a up UNIT PRICE $5,350.00/EA