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182594 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 362171 Page 1 of 1 ONE CIVIC SQUARE WALSH CONSTRUCTION CO CHECK AMOUNT: $103,275.96 CARMEL, INDIANA 46032 2749 N STATE ROAD 39 LA PORTE IN 46350 CHECK NUMBER: 182594 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 920 R4470604 19786 12 103,275.96 136 /KEYSTONE CONSTRN CITY OF CARMEL PROJECT NO. 07 -08F Keystone Parkway 136th Street Interchange Progress Estimate Summary Sheet Ft Signature Page Progress Estimate No 12 Partial x Final Earned to date 14,113,76 Previous payments 14,010,489.38 Earnings this estimate 103, Retainage Amqunt due Contractor 103,275.96 CONTRACTOR: DATE: Walsh Construction Company Phone: (219),324-4,320 2749 North State Road 39 Fax: (219) 324 -4719 LaPorte, IN 46350 CONSULTANT: L DATE: AN 5 UCTUREPOINT, INC. Phone: (317) 547 -5580 7260 Shadeland Station Fax: (317) 543 -0270 Indianapotis, Indiana 46256 -3957 APPROVED BY: DATE: �S ho CITY OF CARMEL Construction. Pay Estimate. Report, 2/7/2010 8.36 PM City of Carmel FieldManager 4.5a Contract: _07 -08F, Keystone Parkway at 136th Street Estimate Estimate Entered Estimate Managing No. Date By Type Office 12 2/512010 Melissa L Walker MONTHLY American Structurepoint, Inc All Contract Construction Prime Contractor Work Completed Started Date Walsh Construction Company 2749 North State Road 39 Laporte IN 46350 Comments Item Usage Summary Project: 07- 08F,. Keystone. Parkway at,136th.$treet. Category: 1, Contract Items Prop. Project Item Mod. Item Description Unit Item Code Ln. Line No. Type No, Quantity Item Price Dollar Amount Chemical Modifier, Soils, TON _0346 0022 0110 00 000 26.600 94.51 $2,513.97 Modifying Wet Guardrail, Steel Curved Terminal EACH _0347 0047 0235 00 000 1.000 60.00 $60.00 End Sec Video. Inspection for Pipe LFT 0127 0105 0520 00 000 218.100 1.00 $21810 A2000 6 in. PVC, Perforated LFT 0136 0110 0545 00 000 125.000 7.00 $875.00 Excavation by Vac Truck for Wall LS _0686 0325 1531 CO 003 1.000 1,671.76 $1,671.76 F Excavation for Added Ditch LS _0687 0326 1532 CO 003 1.000 5,348.38 $5,348.38 Adjacent High School Extra Grading on NE Corner at LS _0688 0327 1533 CO 003 1.000 1,408.32 $1,408.32 Utility Pole Relocation Erosion Control Work on SW LS _0689 0328 1534 CO 003 1.000 2,625.04 $2,625.04 Comer of Cool Creek Erosion Control Work from Final LS _0690 0329 1535 CO 003 1.000 1,410.37 $1,410.37 Walkthrough INDOT 53 Stone for Shoulders TON _0691 0330 1536 CO 003 183.940 50.54 $9,296.33 Installation of Slotted Drain Pipe LS _0692 0331 1537 CO 003 1.000 4,779.70 $4,779.70 at High School Drive on 136th Street Adjustment to.Chain Link Fence LS _0693 0332 1538 CO 003 1,000 1,142.11 $1,142.11 (Pay Item 0314) Additional Mobilization to Install LS 0694 0333 1539 CO 003 1.000 519.68 $519.68 LED Lights Subtotal for Category 1: $31,868:76 Subtotal for Project 07 -08F: $3 1,868.76 Total Estimated Item Payment: $31,866.76 Contract ID: _07 -08F Estimate: 12 Page 1 of 2 1 Construction. Pay. Estimate. Report 2/712010 8:36 PM City of Carmel Fie3tlManager 4.5a Time Charges Site Site Description Site Method Days Charged Liq. Damages 00 Overail Contract Site Completion Date NIA $0 Total Liquidated Damages: $0 Pre Voucher Summary Stockpile Project Voucher No. Item Payment Adjustment Dollar Amount 07 -08F, Keystone Parkway at 136th Street 0012 $31,868.76 $0.00 $31,868.76 Voucher Total: $31,868.76 Summary Current Voucher Total: $31,86836 Earnings to date: $14,113,765.34 Current Retainage: ($71,407.20) Retainage to date: $0.00 Current Liquidated Damages: $0.00 Liquidated Damages to date: $0.00 Current Adjustments: $0.00 Adjustm t o dat $0.00 Total Estimated Payment: $143,275.96 Net Earnings to date: $14,113,765.34 Payme to date: $14,010,489.38 Net Earnings this period: $103,275.96 Estimate Certific ti n PR Am an Structurepoint, Inc. (Date) 0 t� Walsh Construction Company (Date) Z s Av City of Carmel (D e) Contract ID: _07-OSF Estimate: 12 Page 2 of 2 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 Walsh Construction Company Purchase Order No. 19786 2749 North State Road 39 Terms LaPorte IN 46350 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/08/10 Pay Ap 12 Keystone Reconstruction Project $103,275.96 Ke ystone Parkway 136th St Interchange Construction Project 07 -08 R Held: -0- Total $103,275.96 I hereby certify that the attached invoice(s), or bills(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, Walsh Construction Company ALLOWED 20 2749 North State Road 39 IN THE SUM OF LaPorte IN 46350 103,275.96 ON ACCOUNT OF APPROPRIATION FOR Walsh Construction Company PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members DEPT.# 19786 Pay Ap 12 4470604 $103,275.96 I hereby certify that the attched invoice(s), or 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 15 -Feb 20 10 Total $103,275.96 Signature Cost distribution ledger classification if Cit En claim paid motor vehicle highway fund Title