HomeMy WebLinkAbout258758 05/18/16 0 CITY OF CARMEL, INDIANA VENDOR: 00350511
ONE CIVIC SQUARE SMOCK FANSLER CORP CHECK AMOUNT: $ 235,418.00*
CARMEL, INDIANA 46032 2910 W MINNESOTA ST CHECK NUMBER: 258758
INDIANAPOLIS IN 46241 CHECK DATE: 05/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460847 33145 2164 235,418.00 SOPHIA SQ FIX FURN EQ
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
SMOCKFANSLER CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2910 W MINNESOTA ST 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 46241 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$235,418.00 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
33145 2164 44-608.47 $235,418.00 1 hereby certify that the attached invoice(s),or 4/29/16 2164 FF&E for Sophia Square courtyard project $235,418.00
902 902 902 902
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
60MA.;-)
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
`- Smock Fansler Corporation
2910 W. Minnesota Street INVOICE
Indianapolis IN 46241-
Invoice No:2164
(317) 248-8371 Date:4/29/2016
Bill To: Due Date:5/29/2016
CARMEL REDEVELOPMENT COMMISSI
30 W. MAIN ST. Job No:16036
Description:FFE - SOPHIA SQUARE
CARMEL IN 46032 PO#:33145
Quantity Description Unit Price Extended Price
FFE - SOPHIA SQUARE
1.00 TOTAL AMOUNT DUE 235,418.00 235,418.00
Thank You For Your Business! Amount Now Due: 235,418.00
Terms:NET 30 DAYS
Name
FFE-SOPHIA SQUARE
APPLICATION NO: 1
APPLICATION DATE: 4/30/2016
PERIOD TO: 4/30/2016
SFC JOB NO: 16-036
A B B
B B C ffl_ E'_ F G H I
ITEM DESCRIPTION OF WORK QUANTITY UNIT UNIT VALUE SCHEDULED VALUE WORK COMPLETED MATERIALS TOTALtO%
BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS PRESENTLY COMPLETED (G C) TO FINISH
APPLICATION THIS PERIOD STORED AND STORED (C-G)
(D+E) (NOT IN TO DATE
D OR E) (D+E+F)
FURNISHINGS $ - $ $
F1 LANDSCAPE FORMS,BENCH 10.00 EA 2,334.00 $ 23,340.00 $ 11,670.00 $ 11,670.00 50% $ 11,670.00
F2 LANDSCAPE FORMS,LITTER RECEPTACLE 5.00 EA 1,753.00 $ 8,765.00 $ 4,382.50 $ 4,382.50 50% $ 4,382.50
F3 RESTORATION HARDWARE,LOUNGE SOFA 7.00 EA 1,311.00 $ 9,177.00 $ 4,588.50 $ 4,588.50 50% $ 4,588.50
F4 RESTORATION HARDWARE,LOUNGE CHAIR 10.00 EA 686.00 $ 6,860.00 $ 3,430.00 $ 3,430.00 50% $ 3,430.00
F5 RESTORATION HARDWARE,COFFEE TABLE 5.00 EA 478.40 $ 2,392.00 $ 1,196.00 $ 1,196.00 50% $ 1,196.00
F6 LANDSCAPE FORMS,UMBRELLA TABLE 4.00 EA 1,442.50 $ 5,770.00 $ 2,885.00 $ 2,885.00 50% $ 2,885.00
F7 I FERMOB,BISTRO TABLE 6.00 EA 365.00 $ 2,190.00 $ 1,095.00 $ 1,095.00 50% $ 1,095.00
F8 FERMOB,BISTRO CHAIR 40.00 EA 143.00 $ 5,720.00 $ 2,860.00 $ 2,860.00 50% $ 2,860.00
F9 KIMBALL&BEAN,30"ORGANRIE PLANTER 22.00 EA 3,202.00 $ 70,444.00 $ 35,222.00 $ 35,222.00 50% $ 35,222.00
F10 6'PRECAST PLANTER 18.00 EA 3,450.00 $ 62,100.00 $ 31,050.00 $ 31,050.00 50% $ 31,050.00
F11 6'PRECAST PLANTER W/TRELLIS 12.00 EA 5,152.00 $ 61,824.00 $ 30,912.00 $ 30,912.00 50% $ 30,912.00
F12 NOT USED $ - $ - $ - 50% $ -
F13 PALOFORM,FIREPIT 1.00 EA 3,220.00 $ 3,220.00 $ 1,610.00 $ 1,610.00 50% $ 1,610.00
F14 LANDSCAPE FORMS,UMBRELLA 4.00 EA 2,001.00 $ 8,004.00 $ 4,002.00 $ 4,002.00 50% $ 4,002.00
F15 LANDSCAPE FORMS,12'CANTILEVER UMBRELLA 2.00 EA 11,793.00 $ 23,586.00 $ 11,793.00 $ 11,793.00 50% $ 11,793.00
F16 STERNBURG,ORNAMENTAL LIGHT POLE 2.00 EA 4,205.00 $ 8,410.00 $ 4,205.00 $ 4,205.00 50% $ 4,205.00
F16 STERNBURG,ORNAMENTAL LED LlGRTTFAt3UVl 2.00 EA $ - $ - $ - 50% $ -
F17 TRELLIS 172.00 LF 322.00 $ 55,384.00 $ 27,692.00 $ 27,692.00 50% $ 27,692.00
F18 PRECAST SEATWALL 240.00 LF 391.00 $ 93,840.00 $ 46,920.00 $ 46,920.00 50% $ 46,920.00
$ _ $ - Is - 0% $ -
LOGISTICS $ - $ $ 0% $ -
FREIGHT 1.00 LS 14,469.00 $ 14,469.00 $ $ 0% $ 14,469.00
RECEIVING 1.00 LS 9,600.00 $ 9,600.00 $ $ 0% $ 9,600.00
PERFORMANCE AND PAYMENT BOND 1.00 LS 9,905.00 $ 9,905.00 $ 9,905.00 $ 9,905.00 100% Is -
$ - $ _ $ - 0% $ -
CHANGE ORDERS $ $ $ 0% $
$ - $ $ 0% $
$ $ - $ 0% $
$ - $ - $ - 0% $ -
$ $ $ 0% $
$ $ $ 0% $
$ _ $ _ $ - 0% $ -
$ $ $ 0% $
$ $ $ 0% $
$ $ $ 0% $
Is - $ - $ 0% $
TOTALS IS 485,000.00 $ 235,418.00 $ 235,418.00 49% $ 249,582.00
AFFIDAVIT AND WAIVER OF LIEN
[ ] Final [X] Partial [ ] Payment to Follow
State of Indiana
County of Marion
T.M. Fansler, being duly sworn states that he is the CEO of SMOCK FANSLER CORP.having
contracted with: Carmel Redevelopment Commission to furnish certain labor, materials, and/or
services as follows: Misc. Construction for a project known as: SFC#16-036 FFE — Sophia Square
located at Carmel,IN and does hereby state on behalf of the aforementioned contractor:
(PARTIAL WAIVER)that there is due from the owner the sum of: ($235,418.00)
Two Hundred Thirty Five Thousand Four HundredEighteen Dollars and No/100
[ ] receipt of which is hereby acknowledged;or
[X] the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of
Lien which is given solely with respect to said amount, and which waiver shall be effective only upon
receipt of payment thereof by the undersigned;
(FINAL WAIVER)that the final balance due from the owner is the sum of $0.00
[ ] receipt of which is hereby acknowledged;or
[ ] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of
Lien which shall become effective upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or
claim whatsoever on the above-described property and improvements thereon on account of Labor,
Materials, and/or Services, furnished by the undersigned thereto, subject to limitations or conditions
expressed herein, if any; and further certifies that no other party has any claim or right to a lien on
account of any work performed, materials, or services furnished to the undersigned for said project, and
within the scope of this affidavit and waiver. �J
SMOCK FANSLER CORP. By CEO
M.Fansler o Y P
\\4\`OC.......U.'<�e
WITNESS MY HAND AND NOTARIAL SEAL,this 30" day of April ,2016.
- I` EAS,
Melissa J. Bish Nota
My commission expires_November 30,2016_ Residing in Morgan County iii„���I[ii�IiiiiI�\V