HomeMy WebLinkAbout181568 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 362310 Page 1 of 1
L ONE CIVIC SQUARE HAGERMAN CONSTRUCTION CORP
CARMEL, INDIANA 46032 7930 CASTLEWAY DRIVE CHECK AMOUNT: $656,622.45
INDIANAPOLIS IN 46250 CHECK NUMBER: 181568
4 5 Po. c_,
CHECK DATE: 1/2012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 10 656,622.45 PERFORMING ARTS CENTE
SL Subcontract Billing Report
For Work invoiced From 11/01/09 to 11/30/09
Subcontract: 2695 -3110 31'0 Limestone Cladding
Job: 2695- Carmel RPAC Construction Vendor: 3105 HAGERMAN CONSTRUCTION COMPANY
777 3rd Ave. SW
Carmel, IN 46032
:Contract To Da This. Period
Item Units UM Unit Cost Amount Units/% Amount Units//0 Amount
1 3110 Limestone Cladding LS 6,126,000.00 55.83% 3,419,860.00 9.87 604,560,00
Total Contract Items 6,126,000.00 3,419,860.00 604,560.00
Change Orders
2 CCR 1006 Limestone Field LS 730,000.00 43.56% 318,000.00 3.29 24,000.00
Alternate
3 CCR 1007 Cast Stone LS 200,000.00 100,00% 200,000.00 27.50 55,000.00
Drum Alternate
4 RFI No. PAC -0251 Granite LS 7,642.14 96.78% 7,396.07 0.00 0.00
Shop Drawings Joint.
5 RFI No, PAC -0252 Granite LS 1,581.01 97.41% 1,540.00 0.00 0.00
Shop Drawings 0/H
Total Change Order Items 939,223.15 526,936,07 79,000.00
Subcontract Totals: 7,065,223.15 3,946,796.07 683,560.00
Total Billings: 3,946,796.07 683,560.00
Unpaid Retainage: 353,261.16 26,937.55
Discounts: 0.00 0.00
Net Billings: 3,593,534.91 656,622.45
98 SSC CMa Projects Page 1 11/19/09 12:00:35 PM
Date Format MM /DD /YY SLSubBillingReport .rpt
E r�� 1
44 I%J±1 Document 102�C aTM ®1992 N',,c\-
7� 9 1'�
Application and Certificate for Payment Construction Manager Adviser Edition 1C Li
TO OWNER: CARMEL REDEVELOPMENT COM4Sit5JECT: Carmel Regional Performing Art APPLICATION NO: APP ;0U01'U
Distribution to:
211 City Center Drive
Carmel. IN 46032 PERIOD TO: 11/30/2009 B' OWNER ❑X 1.
CONSTRUCTION MANAGER
1,'30/2008
FROM CONTRACTOR: VIA CONSTRUCTICKMgR: CONTRACT DATE: ARCHITECT ❑X
Hagerman Construction Corp
P.O. Box I0690 Shiel Sexton PROJECT NOS: 08- 2619 -1 CONTRACTOR
Fort Wayne, IN 46853 -0690 VIA ARCHITECT: Brandon Bogan INVOICE NO: 9576 FIELD
CSO Architects Inc
CONTRACT FOR: Masonry
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
1
Application is made for payment, as shown below, in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the
Continuation Sheet, AIA Document 0703, is attached. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
6,126,000.00 Certificates for Payment were issued and payments received from the Owner. and that current
1. ORIGINAL CONTRACT SUM payment shown herein is now due.
2. Net change by Change Orders 939,223.15 CONTRACTOR: Hagerman C ructi, :mP. :��P1,t'f
4� ad,y
3. CONTRACT SUM TO DATE (Line I 2)
By: g 5aca s. 1 Fs t 20.09
7 ,065,223.1 5 i in
4. TOTAL COMPLETED STORED TO DATE (Column 0 on 0703) 3,946,796.07 State of: �I`nd na Troy eisler, Controilex• 0 +I/1I$,g6
5. RETAINAGE: County of: Allen
4‘ l e, fi t
a. Sh %n of Completed Work Subscribed and ~worn to before i `i" A a
(Column D E on G703) 353,261.16 me this 16th day of Nove 2009 0, co
b. of Stored Material Notary Public: David C. Tho ,..----a--e.:; t'.;
(Column F on G703) 5 My Commission expires: 12 -16 -201 Q d !R
Total Retainage (Lines 5a Sb or Total in Column I of 0703) 353,261 CERTIFICATE FOR PAYMENT rf S T gT F �C v
In accordance with the Contract Documents, based on on -site observatiofalalib the data comprising
6. TOTAL EARNED LESS RETAINAGE 3,593.534.91 this application. the Construction Manager and Architect certify to the Owner that to the best of their
(Line 4 Less Line 5 Total) knowledge. information and belief the Work has progressed as indicated. the quality of the Work is in
7, LESS PREVIOUS CERTIFICATES FOR PAYMENT 2,936,912.46 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT
(Line 6 from prior Certificate) CERTIFIED.
8. CURRENT PAYMENT DUE 656,622.45 AMOUNT CERTIFIED 656,622.45
9, BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied. Initial all, figures on this
Application an, on the Con 'nuation Sheet that are changed to conform with the amount certified.)
(Line 3 less Line 6) 3,471,688.24 CONSTRUC MAN. E 7. /pa ave Brewer-- ,Shiel Sexton j
By: 1 i. Date: J—�
Total changes approved in previous months by Owner By a. Bogan CSO Architects Inc 11 3
CHANGE ORDER SUMMARY ADDITIONS 93223.. DEDUCTIONS ARCHITEC �tt "`.�lY Date: 1 JV
Total approved this Month This Certi a is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
TOTALS 939.223..4 named herein. Issuance. payment and acceptance of payment arc without prejudice to any rights of
NET CHANGES by Change Order 939,223.15 the Owner or Contractor under this Contract.
CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured.
r■A Document G702 /CMa 1992. Copyright 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and international Treaties.
utthorised reproduction or distribution of this Ale Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law.
ers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org.
N.
WAIVER OF LIEN
The undersigned is the duly authorized office of Hagerman r nnGtrnirtinn rnrpnretiOn the general contractor,
(Name of Company)
subcontractor,' materialman or other person furnishing the services, labor, material or equipment indicated below in the
construction of improvements upon real estate located in Hamilton County, State of Indiana commonly
known ash Regicna1 Performing Arts which real estate is owned by f( wrr 1 Th al -p "Owner
Mammy y i.1
IN CONSIDERATION ofthesumof'Three miliian five harclred .nine4y three thousard five hurl 3 thirty fax and 91/100
DOLLARS •3 593, 534.91 receipt of which is hereby acknowledged, and in order to procure one or more payments
for services, labor, material or equipment provided in such construction, the Company does hereby waive, release and quit
claim in favor of the Owner of the real estate and the lender or lenders providing funds with which payment of construction
costs is or is to be made, and their assigns, all liens or claim or right to liens upon the land or improvements abovedescribed,
which the Company may now have for services, labor, material or equipment furnished in respect of such land or improvements
to and including the date hereof. The undersigned warrants that the Company has not and will not assign any claim for payment
nor any right to perfect a lien against the real estate, and that he has the right to execute this waiver and release of liens on
behalf of himself (herself) and the Company.
The undersigned further warrants and represents that the Company has the right to transfer and does hereby transfer title to
the services, labor, material or equipment to the Owners or lenders named above in consideration of the payment received
hereunder. The undersigned further states that the consideration received hereunder is the soleconsideration received by
the Company for said services,labor, material or equipment furnished to date, and that the Company has neither received nor
made any security interest, title retention interest or lien rights in the said services, labor, material or equipment other than that
released and transferred hereby.
The material, labor, services or equipment furnished are more particularly described in the affidavit for payment submitted of
even date herewith. The undersigned further warrants and represents that the Company has complied with all prevailing wage
requirements under applicable law or as may be set forth in the contract documents.
WITNESS the execution hereof this 16th day of November 20&
Troy 'leis' o"'n`+ Trifl
Y
ControIer
Hagerman Construction Corporation
(Name of Company)
State of Indiana County of Allen SS: Before me, the
undersigned, a Notary Public in and for said County and State, personally appeared Troy Heisler
the controller of Hagerman r n.str i on Cnrpnrat i nn who acknowledged
(Title) (Name of Company)
the execution of the foregoing Waiver of Lien on behalf of such Company and that the same is the free act and deed of such
Company and the free act and deed of said officer.
WITNESS my hand and notarial seal this 16th day of November 2009_
My Commission Expires: a #yam er 'A -A
r Q y
a o Notary Public 12/16/15 n •QO 010): t
My County of Residence: 49 ✓ojrur{.. :l�P, navi1 r_ Thnmas
STATE 0 �ao� (Printed Name of Notary Public)
Allen
WAIVER OF LIEN
The undersigned Is the duly authorized office of, Hagerman r..nnstr (*1 nn Corporation the general contractor
(Name of Company)
subcontractor,' materialman or other person furnishing the services, labor, material or•equipment indicated below in the
construction of Improvements upon real estate located In .Hamilton County, State of Indiana_ commonly
Arts which real estate Is owned.b of i R lrtm�r.r "Owner")
known as cants]. Perforating YS i n
Center Mesa->ry
INCONSIDERATION of the sum of..- ..r °1 •1° ea
DOLLARS ($1,807,645.56 1, receipt of which Is hereby acknowledged, and in order to procure one or more payments
for services, labor, material or equipment 'provided En such construction, the Company does hereby waive, release and quit
claim in favor of the Owner of the real estate and the lender or lenders providing funds with which payment of construction
costs is or is to be made, and their assigns, all liens or claim or right to liens upon the land or improvements abovedescribed,
which the Company may now have for services, labor, material or equlpmentfumishedIn respect of such land orimprovements
to and including the date hereof. The undersigned warrants that the Company has not and will not assign any claimforpayment
nor any right to perfect a lien against the real estate, and that he has the right to execute this waiver and release of liens on
behalf of himself (herself) and the Company.
The undersigned further warrants and represents that the Company has the right to transfer and does hereby transfer title to
the services, labor, material or equipment to the Owners or lenders named above in consideration of the payment received
hereunder. The undersigned further states that the consideration received hereunder Is the seta-consideration received by
the Company for said services,labor, material or equipment furnished to date, and that the Company has neither received nor
made any security interest, title retention interest or ilen rights In the said services, labor, material or equipment otherthan that
released and transferred hereby.
The material, labor, services or equipment furnished are more particularly described in the affidavit for payment submitted of
even date herewith. The undersigned further warrants and represents that the Company has complied with all prevailing wage
requirements under applicable taw or as may be set forth in the contract documents.
WITNESS the execution hereof this 2lst day of September 200 ca..
Troy Heis2r'C ro er
Hagerman Construction Corporation
(Name of Company)
State of Indiana County of Allen s SS: Before me, the
undersigned, a Notary Public in and for said County and State, personally appeared Troy Heisler
the controller of Haoerrnan (nn strnrt inn C.nrpnratinr� who acknowledged
(Title) (Name of Company)
the execution of the foregoing Waiver of Lien on behalf of such Company and that the same is the free act and deed of such
Company and the free act and deed of said officer.
21st day of September 2809.
WITNESS my hand and notarial seal this Y
oV
My Commission
F
Expires: 4 �,t5si0N'�:..9 ::e..
ExP o
oer fe d Z Notary Public
12/16/15 4 30 1 4 y
NOTTRYS�
.4 navia r!. Thnma9
My County of Residence: q
:eel .�.V (Printed Name of Notary Public)
0
Allan
JUCHER NO. WARRANT NO.
i ALLOWED 20
1, i) -7`7 ,h CCr°S cyy 6r"Ory /may
IN SUM OF
r U ✓3c r 7G 6 9C
/a f4/R /42 1 76 53 06rd
ON ACCOUNT OF APPROPRIATION FOR
Board Members
I
;I
Pr r INVOICE NO ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s) or
Fa2 la 4 eo7 656 6 2.2 fs 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
_.g►.20. i
R
p8!ti�ons
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Directosa�
t .1".;::,...
f i L
zit 4-.
.«,tee, `a O M "-°g- c s,.+
rn .t-
y, k
".�wunts Cit Form No. 201 (Rev. 1995) k r
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
a r'� a r "5.
An invoice or bill to be p roperly itemized must show: kind of service, where performed, dates service rendered, by x V ty
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. f y r`
t om* s a
ct�5.rh?�+� Cons v� f "u� ����Gr 74 Purchase Order No. p s
6 6 Terms
H i
payee
�O e (ff {yj /lc/ TG� —'V�7 sr y M 1 r r r
Date Due
Invoice Invoice Descript Amount r ii
Date Number or note attached invoices) or bill(s))
s, j
b
`k :-:,,,:_,J&-...„-,-,.....' 3 fl Y 4 1 i 5
7/3 ��0 lQ //Y, llJ 7<: G S6 22 5 x
t 47' ir h
Y
i s "1r yr,?�x+.,74:-4,. a per' •4. ta54.,.
a LTG EF i' '-4
y'- fait,.} ,N€. •Total 6'S7 G? F j t �t u S T
I hereby certif that the attached invoices or bill(s) is are true and correct and I have audited same in accordance ��t�
withlC5lt- 10 -1.6. G ;sr
Clerk- Treasurer N� 5 j