HomeMy WebLinkAbout258757 05/18/16 CITY OF CARMEL, INDIANA VENDOR: 00350969
ONE CIVIC SQUARE SHIEL SEXTON COMPANY, INC CHECK AMOUNT: $*****5,648.98*
CARMEL, INDIANA 46032 902 N CAPITOL AVE CHECK NUMBER: 258757
INDIANAPOLIS IN 46204 CHECK DATE: 05/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 33736 2 5,648.98 CONSTRUCTION MGMT PAL
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
VOUCHER NO. WARRANT NO.
SHIEL SEXTON COMPANY, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
902 N CAPITOL AVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46204 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$5,648.98 Payee
ON ACCOUNT OF APPROPRIATION FOR
Purchase Order#
Redevelopment Commission Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
33736 2 44-608.07 $5,648.98 I hereby certify that the attached invoice(s),or 5/6/16 2 construction management services for $5,648.98
902 902 902 902 Palladium landscaping
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, May 17,2016
Mkv ( A . - I
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
APPLICATION:AND"CERTIF.I ,ATE"FOR PAYMENT invoice"#: 513M2"
To Owner. CARMEL"REDEVELOPMENT COMMISIProJect'- 5130•PALLADIUM-LANDSCAPING 2015 "Application No.: 2. pistrihtdlonto:
30 WEST MAIN STREET,.SUITE 220 . :
" . .
" Owner
0 "Architect
% CARMEL IN 46032;. pedod.To: . . 5/6/2016; C�:Contractor'.:
0
:From Contractor. Shiel:Sexton,Company,:Inc: Via Architmt 0'
'902N.Capitol Avenue Project Nos . .
Indianapolis,_IN.46204
Contract For . CordraLl late
CONTRACTOR'S APPLICATION.FOR PAYMENT'" The undersigned Contractor certifes:that to.the best.of the Contractofa knowledge;, '
information;and beliet.t)ie work covered by, Application for,•Payment has been completed
Application is,made for payment,as shown below,iri connection with the Contract :" in;accordance with the:Contract Documents'Thai all amounts have been:paid.by the,Contractor
Continuation Sheet is attached..
for.Work for which previous Certificates for Payment were'issued"and payments received from
Owner,and that current"payment shown herein is now:due.
the 0 I
l.:Original Coniract.Sum: .....:.::.....:.::"..:.. $75;000.00 "
CONTRACTOR: ref Sexton Company,:Inc.
2:Net'Change By"Change Order ... ......' $0.00. .
3.'Contract Surn To Date $75,000:00
4.Total Completed and Stored To Date..:........:.... $71,977:57 By: Date:
.5."Retainage.:.
0.00%, of Completed Work,: Stare.of. 'India Counryof: Marion
$0.00 Subscribed and' r to beforemt j I day of(Li'dt:L. 2016
b.' 0.00"%of Stored Material $0.00 Not Public:" 4 O
My Commissionrxpire"
Total"Retainage, ....... $0:00" L/';i- -7.• " z�cog. PGS', - PAMLOHMAN
. -. $71;977.57: : My"Commission Ezpirrrs'.
6.Tota!"Earned Less Rbiainage".'.::. ... ARCHITECTS CERTIFICATE FOR,PAYM" p
In accordance with the Contract:Docuntepts,based on on; ' rraitiotu and AP11141,2017'
7,Less Previous Certificates For Payments... comprising the above application,the Architect certifies to the Owner that to the best of the
$66,328.59 Archite6fs.lmowledge,information,and"belief;the Work has"progressed as indicated;
8.:Gu'rrenrPaymentDue _...:...................-. - $5,648:98,', the qualitypfthe Work is n•accordance with the Contract Documents;and the Contractor
is entitled to payment of the AMOUNT CERTIFIED.
4..Balance.To Finish,Plus Retainage $3;022:43. : AMOUNT CERTIFIED
. $',5,648.98
(Attach explanatlon.d amount certfBed,dfffers from the amount applfed.'Inifral all figures on this Applfcatfon and ori,the
Continuation Sheet that"are changed to conform with the amount certified.) "
:' CHANGE ORDER SUMMARY. : :.: Additions Deductions.
Total.changes approved. .
in previous months:by Owner $0.00 $0.00 . ARCHITECT: .
Total Approved this Month'. $0.00, $O.UO' By Date:.
TOTALS'. $0.00 0.00" This Certificate is not nego
$ . tiable.The AMOUNT CERTIFIED is payable only to-the.
Contractor named herein:Issuance,payment;and-acceptance of payment are"withotit
Net Chan es S .Chan a Order re tidice to an ri is of the Owner or Contractor under this Contract
g Y, g
$0.00: :.; P 1 y. "�
" �..
I .
CONTINUATION.SHEET Page 2"of 2 `.
Application and.Certification for"Payment,"containing Application,No..: 2 "
Contractor's signed certification is attached.. _ Application"Date: 6/6/2016
:In tabulations below;.amounts are stated:to the*nearest dollar: To., 5/6/2016.
Use Column I on Contracts-where variable retainage for line items may App
Architects Project-No.::
No.::
Invoice#: . "5130-02 " " Contract': 5130-.PALLADIUM LANDSCAPING 2015 i
C.� '_:_; -�: _ _ _ t'1 .:_....... —
item DescriptionorWork Scheduled" WorkMaterials Total /o Balance Retainage
No. Value From Previous This Period Presently Completed, (G7'C) To Finish'.
_ Application 1o.Place Stored and Stored (GG)
(D+E)' To Date.:
I. (Plot WD.or E) (D+E+F)
10 'Pro"ect Management: 28,000.001'. 22,1.18.44 5,648:98. •.0.00 27;767:42. 99:17% '; 232:58
1 .
1
20 General.Reimbursables 10000 2140` 000 0.00; 21.4Q 2140% ; 7860
9999 Fee 46,900.00 i . -44,188.75 0.00•' 0.00! 44,1.88.75 94.220/a.:
2,711.25
i
i.
. . . . . .
Gra6c176tals. .75,000.00"' .66,328.59; 5,648.98 . 0.00 71,977.57, 95.97/o. 3,022.43 0:00;:
Invoice Disbursement Schedule
Contract: 5130= PALLADIUM LANDSCAPING.2016
Invoice: 5130=02 4114/16
Item::10.-Project Management
Labor
SR PROJECT MANAGER 83.00 Hrs@. $68:06 - 5;648.98
To
fal.Hours 83.00 . .
TOTAL Labor 51648:98: .
Invoice: .5130-0.2.: 5,648:98: . .
REMIT TO:
SHIEL SEXTON COMPANY,INC
902 N CAPITOL AVENUE
INDIANAPOLIS,IN 46204
ATTNsACCOUNTS RECEIVABLE