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Home My WebLink About181127 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: T362079 Page 1 of 1 ONE CIVIC SQUARE BRONGER MASONRY CARMEL, INDIANA 46032 425 S EAST ST CHECK AMOUNT: $28,817.94 �e LEBANON IN 46052 CHECK NUMBER: 181127 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 6 28,817.94 PERFORMING ARTS CENTE i PAYMENT APPLICATION Page 1 TO: Carmel Redevelopment Commission 2 PROJECT 713- Carmel City Center One Civic Square �IJAME AND APPLICATION 6 Final Distribution to: Masonry PERIOD THRU: 10/20/2009 Carmel, IN 46032 LOCA;fION: 902 N. Capitol OWNER PROJECT #s: 2805 D ARCHITECT ��O Indiananapolis, IN 46204 FROM: Bronger Masonry, Inc. ARCHITECT: CSO Architects DATE OF CONTRACT: 08/22/2007 CONTRACTOR 425 S. East Street N 280 E. 96th St Ste 100 Lebanon, IN 46052 Z2 V Indianapolis, IN 46240 FOR: 713 Carmel City Center Contractor's signature below is his assurance to Owner, concerning the payment herein applied for, CONTRACTOR'S SUMMARY OF W OR K a that: (1) the Work has been performed as required in the Contract Documents, (2) all sums previously paid to Contractor under the Contract have been used to pay Contractor's costs for labor, materials Application is made for payment as shown below. and other obligations under the Contract for Work previously paid for, and (3) Contractor is legally Continuation Page is attached. entitled to this payment. 1. CONTRACT AMOUNT $280,000.00 CONTRA 2. SUM OF ALL CHANGE ORDERS $8,179.40 By: IV Date: /04 7 9 °o 3. CURRENT CONTRACT AMOUNT (Line 1 2) $288,179.40 er 4. TOTAL COMPLETED AND D State of: Indiana T /Dw STORED $288,179.40 `ta% +1A F �4 (Column G on Continuation Page) County of: Marion P A`S� ..6. g 5. RETAINAGE: Subscribed and sworn to before t4o1AaY Poll a. 0.00% of Completed Work $0.00 me this yf dr" day of October 2009 1 Ka (Columns D E on Continuation Page) o?! s n' b. 0.00% of Material Stored $0.00 :!i Notary Public: Alisha Fowler J> pg2b; jr Total (L net5a ak bnoPage) My Commission Expires: 08/26/2016 �i,�� OF 1NtD� Column I on Continuation Page) $0.00 ARCHITECT'S CERTIFICATION a I IA /1/30/a9 6. TOTAL COMPLETED AND STORED LESS RETAINAGE $288,179.40 Architect's signature below is his assurance to Owner, concerning the payment herein applied for, (Line 4 minus Line 5 Total) that: (1) Architect has inspected the Work represented by this Application, (2) such Work has been 7. LESS PREVIOUS PAYMENT APPLICATIONS $259,361.46 completed to the extent indicated in this Application, and the quality of workmanship and materials conforms with the Contract Documents, (3) this Application for Payment accurately states the amount of Work completed and payment due therefor, and (4) Architect knows of no reason why payment 8. PAYMENT DUE 1 $28,817.94 I should not be made. 9. BALANCE TO COMPLETION CERTIFIED AMOUNT Z181 4 (Line 3 minus Line 6) $0.00 (If the certified amount is different from the payment due, you should attach an explanation. Initial all the figures that are changed to match t• certified amount.) SUMMARY OF CHANGE ORDERS ADDITIONS DEDUCTIONS Total changes approved in ARCHITECT: previous months $12,379.40 ($4,200.00) By: Date: .14 Total approved this month $0.00 $0.00 1 TOTALS $12,379.40 Neither this Ap, cation •.r :.yment ..p ied for herein is assignable or negotiable. Payment shall be ($4,200.00) made only to ontr- or, and is without prejudice to any rights of Owner or Contractor under the NET CHANGES $8,179.40 Contract D. um. s or otherwise. PAYMENT APPLICATION Quantum Software Solutions, Inc. Document CONTINUATION PAGE Page 2 of 2 PROJECT: 713- Carmel City Center APPLICATION 6 Final Masonry DATE OF APPLICATION: 10/20/2009 Payment Application containing Contractor's signature is attached. PERIOD THRU: 10/20/2009 PROJECT #s: 2805 A B C D L E F G H I COMPLETED WORK STORED TOTAL BALANCE ITEM WORK DESCRIPTION SCHEDULED AMOUNT AMOUNT MATERIALS COMPLETED COMP. TO RETAINAGE AMOUNT PREVIOUS THIS PERIOD (NOT IN D OR E) AND (G C) COMPLETION If Variable) PERIODS STORED (C -G) (D +E +F) 1 Submittals Bid Bond $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100% $0.00 2 Mobilization $2,000.00 $2,000.00 $0.00 $0.00 $2,000.00 100% 50.00 3 Foundation Block Material 51,500.00 $1,500.00 $0.00 $0.00 $1,500.00 100% 50.00 4 Foundation Block Labor $2,500.00 $2,500.00 $0.00 $0.00 $2,500.00 100% $0.00 5 Grout $26,000.00 $26,000.00 $0.00 $0.00 526,000.00 100% 50.00 6 Mortar $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100% 50.00 7 Above Grade Block Material $80,000.00 $80,000.00 $0.00 $0.00 580,000.00 100% 50.00 8 Above Grade Block Labor $89,000.00 $89,000.00 $0.00 $0.00 $89,000.00 100% $0.00 9 Brick Material 511,000.00 $11,000.00 $0.00 $0.00 $11,000.00 100% $0.00 10 Brick Labor 532,000.00 $32,000.00 $0.00 $0.00 $32,000.00 100% 50.00 11 Brick Washing $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100% $0.00 12 Masonry Accessories $23,000.00 $23,000.00 $0.00 50.00 $23,000.00 100% $0.00 13 Restoration 50.00 $0.00 $0.00 $0.00 $0.00 50.00 14 Demobilization $0.00 $0.00 50.00 $0.00 $0.00 $0.00 15 Change Order 1 $363.00 $363.00 $0.00 $0.00 $363.00 100% $0.00 16 Change Order 2 59,436.00 $9,436.00 $0.00 50.00 $9,436.00 100% 50.00 17 Change Order 3 ($4,200.00) ($4,200.00) $0.00 50.00 ($4,200.00) 100% $0.00 18 Change Order 4 $2,580.40 $2,580.40 $0.00 $0.00 $2,580.40 100% $0.00 TOTALS 5288,179.40 $288,179.40 $0.00 $0.00 $288,179.40 100% $0.00 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONDITIONAL WAIVER AND RELEASE M UPON FINAL PAYMENT NOV 2 3 2009 Upon receipt by the undersigned of a ?By check from: Carmel Redevelopment Commission in the sum of: $28,817.94 Twenty Eight Thousand Eight Hundred Seventeen Dollars and Ninety Four Cents payable to: Bronger Masonry, Inc. and when the check has been properly endorsed and has been paid by the bank upon which it is drawn, this document shall become effective to release any mechanic's lien, stop notice, or bond right the undersigned has on the job of: Carmel Redevelopment Commission Masonry Portion located at: 902 N. Capitol Indiananapolis, IN 46204 This claim was for labor, services, equipment or material furnished to: Carmel Redevelopment Commission and shall be released to the following extent. This release covers the final payment to the undersigned for all labor, services, equipment or material furnished on the job, except for disputed claims for additional work in the amount of $0.00 Before any recipient of this document relies on it, said party should verify evidence of payment to the undersigned. Dated: 449 Company: aso Signature: By: Dwayne Bron a r (Name Title) State of: Indiana County of: Marion Subscribed and sworn to before m is day of November 2009 11111111111111 Notary Public Signature: f i Fo i 2 4� Notary Public Name: AIisha Fowler P' My Commission Expires: 08/26/2016 c NOTARY Pua t. Ell COMM. gani37 cb q P OF I P� SL Subcontract Billing Report For Work Invoiced From 11/01/09 to 11/30/09 280,5 -005 Masonry Job: 2805 Energy Center Carmel Vendor: 8608 BRONGER MASONRY 70P P zr .Contract.]= k ib t l'it;M M. i To Date `C x, i iThis Peno`d 4' Item Units UM Unit Cost Amount Units!% Amount Units!% Amount 1 Masonry LS 280,000.00 100.00% 280,000.00 0.00% 0.00 Total Contract Items 280,000.00 280,000.00 0.00 ***Change Orders 2 CCR 2001 Infill Deleted LS 363.00 100.00% 363.00 0.00 0.00 Louver 3 CCR #1009 Winter LS 9,436.00 100.00% 9,436.00 0.00% 0.00 Conditions 4 CCR #2014 East Coping LS 4,200.00 100.00% 4,200.00 0.00 0.00 Modification 5 CCR #3012 Canopy Weld LS 2,580.40 100.00% 2,580.40 0.00% 0.00 Plates Total Change Order Items 8,179.40 8,179.40 0.00 Subcontract Totals: 288,179.40 288,179.40 0.00 Total Billings: 288,179.40 0.00 Unpaid Retainage: 0.00 28,817.94 Discounts: 0.00 0.00 Net Billings: 288,179.40 28,817,94 98 SSC CMa Projects Page 1 11/24/09 02:33:50 PM Date Format MM /DD /YY SLSubBlllingP..eport rpt Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 2 S 5 Terms S Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /,za /e2 /i z c o f y r 7 8/ 7 5 9 Total 2 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 e IN SUM OF 1 /2.5 l 1 '7c-7, f 4 2 8 /7 2y ON ACCO TION FOR /F /0 Board Members o �T INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or G 17 o7 2 &Z 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 /2-22 20 L9 ign ure Director of QDorations Cost distribution ledger classification if claim paid motor vehicle highway fund