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Home My WebLink About182709 03/02/2010 CITY OF CARMEL, INDIANA VENDOR: 360193 Page 1 of 1 ONE CIVIC SQUARE HARCO ASPHALT PAVING i 0 CHECK AMOUNT: $6,019.51 CARMEL, INDIANA 46032 1650 HARCO WAY INDIANAPOLIS IN 46217 CHECK NUMBER: 182709 CHECK DATE: 3/2/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460894 3 1,560.01 STREETSCAPE 3 902 4460894 3 4,459.50 STREETSCAPE 4 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G70 (Instructions on reverse side) PAGE ONE OF 2 PAGES TO OWNER: CITY OF CARMEL REDEV. COMM. PROJECT: Parc 94 Streetscape APPLICATION NO.: 3 Distribution to: 33 WEST MAIN STREET, SUITE 220 PERIOD TO: 1127/2010 P OWNER CARMEL, IN 46032 PROJECT NOS.: ARCHITECT i ATTN: LES OLDS, AIA, DIR. OF REDEVELOPMENT CONTRACTOR FROM CONTRACTOR: HARCO ASPHALT PAVING INC. VIA ARCHITECT: i CONTRACT DATE: 1660 HARCO Way E I Indianapolis, IN 46217 u CONTRACT FOR: ASPHALT PAVING CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the contractor's knowledge, infor Application is made for payment, as shown below, in connection with the Contract. mation and belief the Work covered by this Application for Payment has been completed Continuation Sheet, AIA Document G703, is attached. in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and pay- ments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM 97,600.00 CONTRACTOR:` HARCO ASPHAL -T "PAVING 2. Net change by Change Orders (2,505.00 r 3. CONTRACT SUM TO DATE (Line 1 2) 95,095.00 Bya� G Date: 1/27/2010 Paul G. Harding, President CEO 4, TOTAL COMPLETED 8 STORED TO DATE 95,095.00 (Column G on G703) State of: INDIANA County of: MARION 5. RETAINAGE: Subscribed and sworn to befor a. 0% of Completed Work 4,459.50 me this day of a j (Columns D E on G703) b- of Stored Material (Column F on G703) Notary Public: gf2D�f Total Retainage (Line 5a 5b or My Co mmi s i o n e xpir es: Total in Column I of G703) 4,459.50 ARCHITECTS CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE 90,635.50 (Line 4 less Line 5 Total) In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT Archtiect's knowledge, information and belief the Work has progressed as indicated, the (Line 6 from prior Certificate) 89,075.49 quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 8. CURRENT PAYMENT DUE 1,560.01 9. BALANCE TO FINISH, INCLUDING RETAINAGE AMOUNT CERTIFIED %0, of (Line 3 less Line 6) 4,459.50 (Attach explanation ount certified differs from the amount applied for. Initial all figures on t Ap ication and on the Continuation Sheet that are changed to CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS con from to a Total changes approved in previous applications b Owner ARCHITE T: W Total approved this Application (2,505.00) Sy: Date: TOTALS (2,505.00) This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to tht Co NET CHANGES by Change Order 2,50500) tractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AEA DOCUMENT G703 APPLICATION AND CERTIFICATE FOR PAYMENT 1992 EDITION AIA 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 G702 -1992 CONTINUATION SHEET AIA DOCUMENT G703 (Instruction on reverse side) PAGE 2 OF 2 PAGES AIA DOCUMENT G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 3 Contractor's signed Certification is attached. HARCO ASPHALT PAVING APPLICATION DATE: 1/27/2010 In tabulations below, amounts are stated to the nearest dollar. PROJECT: PERIOD TO: 1/27/2010 Use Column I on Contracts where variable retainage for line items may apply. parcel 94 ARCHITECTS PROJECT NO: 0 A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G C) TO FINISH APPLICATION STORED AND STORED (C G) (D E) (NOT IN TO DATE DORE) (D +E +F) 1 MOBILIZING AND DEMOBILIZING $1,000.00 $1,000.00 $0.00 $0.00 $1,000.00 100% $0.00 $10.00 2 EXCAVATION $4,620.00 $4,620.00 $0.00 $0.00 $4,620.00 100% $0.00 $231.00 3 CONCRETE $37,320.00 $37,320.00 $0.00 $0.00 $37,320.00 100% $0.00 $1,866.00 4 HAC $8,400.00 $8,400.00 $0.00 $0.00 $8,400.00 100% $0.00 $420.00 5 BRICK WALK PAVERS $6,960.00 $6,960.00 $0.00 $0.00 $6,960.00 100% $0.00 $348.00 6 ELECTRIC $13,000.00 $13,000.00 $0.00 $0.00 $13,000.00 100% $0.00 $650.00 7 $300.00 $300.00 $0.00 $0.00 $300.00 100% $0.00 $15.00 8 TRAFFIC CONTROL $2,000.00 $2,000.00 $0.00 $0.00 $2,000.00 100% $0.00 $10.00 9 TESTING $1,000.00 $1,000.00 $0.00 $0.00 $1,000.00 100% $0.00 $10.00 10 Allowance $5,000.00 $2,495.00 $0.00 $0.00 $2,495.00 50% $2,505.00 $124.75 LIGHT FIXTURES $18,000.00 $18,000.00 $0.00 $0.00 $18,000.00 100% $0.00 $900.00 0 allowance deduct ($2,505.00) $0.00 $0.00 $0.00 $0.00 0% ($2,505.00) ($125.25) 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 $95,095.00 $95,095.00 $0.00 $0.00 $95,095.00 100% $0.00 $4,459.50 AIA DOCUMENT G703 APPLICATION AND CERTIFICATE FOR PAYMYNT MAY 1983 EDITION AIA 9 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D_C. 20006 -5292 G703 -1992 AFFIDAVIT AND WAIVER OF LEIN FINAL PARTIAL XX WHEREAS, HARCO ASPHALT PAVING INC. 1650 Harco Way, Indianapolis, IN 46217 (Contractor) has been heretofore employed by CITY OF CARMEL to furnish certain material, supplies PARCEL 94 STREETSCAPE. hereinafter collectively referred to as the "premises and WHEREAS, the undersigned is duly authorized to execute this Waiver of Lien for and on behalf of the Contractor. Now, therefore, the Contractor, for ONE THOUSAND FIVE HUNDRED SIXTY DOLLARS AND 01/100($1560.01) herby waives and releases the Owner of the Premises and the Company from any and all liens., rights and in consideration of the receipt of lien or claims of whatsoever kind or character on or against the Premises or the improvements located thereon on account of any and all labor, supplies, equipment or material furnished for, in connection with or incorporated in the Premises by the Contractor on or before the date hereof; represents and warrants that no other person or has any right to a lien or claim on account of any labor worked performed or material, supplies or equipment furnished by, to or through the Contractor, on or before the date hereof, and agrees to indemnify, defend and hold the Owner and The Company harmless from and against any and all claims or lien for any labor, material or services furnished or in connection with or incorporated on the Premises by through or to the Contractor prior to the date hereof. This Waiver of Lien is given in order to induce the Company to pay the amount indicated above, and upon receipt of such amount by the Contractor, this release may be recorded, becomes valid, enforceable and of full effect. Harco Aspha Paving Inc. By: Paul G. Harding, President STATE OF Indiana) ss. COUNTY OF Marion) Before me, a Notary Public in and for said County and State, personally appeared Paul G. Harding, who acknowledged the execution of the foregoing Waiver of Lien, and who, having been sworn, stated that the representation therein contained are true. Witness my hand and Notarial Seal this 27 of January 20 lya4�. Notar Public Cynthia L. Sartain County of Residence: Hamilton Commission Expires 9/20/2017 APPLICATION AND CERTIFICATE FOR PAYMENT 1 AIA DOC G702 (Instructions on reverse side) PAGE ONE OF 2 PAGES TO OWNER: CITY OF CARMEL REDEV. COMM. PROJECT: Parcel 94 Streetscape J APPLICATION NO.: 4 Distribution to: 33 WEST MAIN STREET, SUITE 220 I PERIOD TO: 112712010 OWNER CARMEL, IN 46032 PROJECT NOS.: ARCHITECT ATTN: LES OLDS, AIA, DIR. OF REDEVELOPMENT CONTRACTOR FROM CONTRACTOR: HARCO ASPHALT PAVING INC. VIA ARCHITECT: r- li CONTRACT DATE: 1650 HARCO Way Indianapolis, IN 46217 CONTRACT FOR: ASPHALT PAVING CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the contractor's knowledge, infor- Application is made for payment, as shown below, in connection with the Contract. mation and belief the Work covered by this Application for Payment has been completed Continuation Sheet, AIA Document G703, is attached. in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and pay- ments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM 97,600.00 CONTRACTO HARCOASPHALT PANG 2. Net change by Change Orders (2,505.00) /f 3. CONTRACT SUM TO DATE (Line 1 2) 95,095.00 By:�e7 ls� Date: 1127!2010 Paul G. Harding, President 8 CEO 4. TOTAL COMPLETED STORED TO DATE 95,095.00 (Column G on G703) State of: INDIANA County of: MARION 5. RETAINAGE: Subscribed and sworn to before Z a. 0% of Completed Work me this .1 day of (Columns D E on G703) b. of Stored Material M (Column F on G703) Notary Public: g Total Relainage (Line 5a 5b or My Commision expires Total in Column l of 6703) I ARCHITECTS CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE 95,095.00 (Line 4 less Line 5 Total) In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT Archtiect's knowledge, information and belief the Work has progressed as indicated, the (Line 6 from prior Certificate) 90,635.50 quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED, 8. CURRENT PAYMENT DUE 4,459.50 9. BALANCE TO FINISH, INCLUDING RETAINAGE AMOUNT CERTIFIED U (Line 3 less Line 6) (Attach explanation if ount certified differs from the amount applied for. Initial all figures on this p cation and on the Continuation Sheet that are changed to CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS confrom to the 7oucertified Total changes approved in previous applications b Owner 2,505.00) ARCHITEC Total approved this Application (2,505.00) By: Date: f TOTALS (5,010.00) This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the on- NET CHANGES by Change Order 2,505.00) tractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G703 APPLICATION AND CERTIFICATE FOR PAYMENT 1992 EDITION AIA 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 G702-1992 CONTINUATION SHEET AIA DOCUMENT G703 (Instruction on reverse side) PAGE 2 OF 2 PAGES AIA DOCUMENT G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 4 Contractor's signed Certification is attached. HARCO ASPHALT PAVING APPLICATION DATE: 1/27/2010 In tabulations below, amounts are stated to the nearest dollar. Parcel 94 PERIOD TO: 1/27/2010 Use Column I on Contracts where variable retainage for line items may apply. 0 ARCHITECTS PROJECT NO: 0 A B C D E F G H 1 ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G C) TO FINISH APPLICATION STORED AND STORED (C G) (D E) (NOT IN TO DATE DORE) (D +E +F) 1 MOBILIZING AND DEMOBILIZING $1,000.00 $1,000.00 $0.00 $0.00 $1,000.00 100% $0.00 $0.00 2 EXCAVATION $4,620.00 $4,620.00 $0.00 $0.00 $4,620.00 100% $0.00 $0.00 3 CONCRETE $37,320.00 $37,320.00 $0.00 $0.00 $37,320.00 100% $0.00 $0.00 4 HAC $8,400.00 $8,400.00 $0.00 $0.00 $8,400.00 100% $0.00 $0.00 5 BRICK WALK PAVERS $6,960.00 $6,960.00 $0.00 $0.00 $6,960.00 100% $0.00 $0.00 6 ELECTRIC $13,000.00 $13,000.00 $0.00 $0.00 $13,000.00 100% $0.00 $0.00 7 $300.00 $300.00 $0.00 $0.00 $300.00 100% $0.00 $0.00 8 TRAFFIC CONTROL $2,000.00 $2,000.00 $0.00 $0.00 $2,000.00 100% $0.00 $0.00 9 TESTING $1,000.00 $1,000.00 $0.00 $0.00 $1,000.00 100% $0.00 $0.00 10 Allowance $5,000.00 $2,495.00 $0.00 $0.00 $2,495.00 100'% $2,505.00 $0.00 LIGHT FIXTURES $18,000.00 $18,000.00 $0.00 $0.00 $18,000.00 100% $0.00 $0.00 0 change order ($2,505.00) $0.00 $0.00 $0.00 $0.00 0% ($2,505.00) $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0:00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 0oa $0.00 $0.00 0 1 0 $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00 $95,095.00 $95,095.00 $0.00 $0.00 $95,095.00 100% $0.00 $0.00 AIA DOCUMENT G703 APPLICATION AND CERTIFICATE FOR PAYMENT MAY 1983 EDITION -AIA--C 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 -5292 G703 -1992 AFFIDAVIT AND WAIVER OF LEIN FINAL XX PARTIAL WHEREAS, HARCO ASPHALT PAVING INC. 1650 Harco Way, Indianapolis, IN 46217 (Contractor) has been heretofore employed by CITY OF CARMEL to furnish certain material, supplies PARCEL 94 STREETSCAPE. hereinafter collectively referred to as the "premises and WHEREAS, the undersigned is duly authorized to execute this Waiver of Lien for and on behalf of the Contractor. Now, therefore, the Contractor, for FOUR THOUSAND FOUR HUNDRED FIFTY NINE DOLLARS AND 50/100($4459.50) herby waives and releases the Owner of the Premises and the Company from any and all liens., rights and in consideration of the receipt of lien or claims of whatsoever kind or character on or against the Premises or the improvements located thereon on account of any and all labor, supplies, equipment or material furnished for, in connection with or incorporated in the Premises by the Contractor on or before the date hereof; represents and warrants that no other person or has any right to a lien or claim on account of any labor worked performed or material, supplies or equipment furnished by, to or through the Contractor, on or before the date hereof, and agrees to indemnify, defend and hold the Owner and The Company harmless from and against any and all claims or lien for any labor, material or services furnished or in connection with or incorporated on the Premises by through or to the Contractor prior to the date hereof. This Waiver of Lien is given in order to induce the Company to pay the amount indicated above, and upon receipt of such amount by the Contractor, this release may be recorded, becomes valid, enforceable and of full effect. Harco Asphalt Paving Inc.,— Bye Paul G. Harding, President STATE OF Indiana) ss. COUNTY OF Marion) Before me, a Notary Public in and for said County and State, personally appeared Paul G. Harding, who acknowledged the execution of the foregoing Waiver of Lien, and who, having been sworn, stated that the representation therein contained are true. Witness my hand and Notarial Seal this 27 of January 2 0 Nota(y Public Cynthia L. Sartain County of Residence: Hamilton Commission Expires 9/20/2017 l g� a re o nstructon, uc January 28, 2010 Parcel 94 Streetscape Pay Applications Mr. Bob Olson CSO 280 Cast 96" Street Suite 2.00 Indianapolis, IN 46240 Dear Sir; Upon review of Harco Asphalt Paving's latest pay application, an error was discovered in that the retainage percentage did not satisfy the requirements in the specifications. The specifications require 5% withheld up to 50% of the contract. Harco withheld approximately 6% on the first pay application and this error was overlooked. Additionally, December's pay application 4 incorrectly noted the deduct issued regarding the balance of the allowance. Please disregard application 4 submitted in December as we are submitting a revised application as well as an application for retainage. The original application for retainage (application 3) was never submitted as we decided it was not necessary prior to project completion. Thus, the applications previously submitted are applications 1, 2, and 4. As mentioned above, please disregard your pay application 4 and replace it with. the attached revised pay application, now issued as application 3. The final pay application for retainage is attached as pay application 4. Lastly, pay application 3 shows a current payment of $1,560.01 which is due to withholding excess retainage. Pay application 4 shows a payment of $4459.50 which combined with pay application 3, reveals the total amount owed of $6,019.51. My apologies for the error and additional efforts required in this matter. Respectfully, Jason Springer Sr. Project Engineer Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 W .4 �<t�i �1G Purchase Order No. SO Gt q ✓co �Uy Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 27 /v A 9' S g. SG Total 1 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. /I ALLOWED 20 IN SUM OF v ON ACCOUNT OF APPROPRIATION FOR rr�a Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I her certify that the attached invoice s or DEPT. Y Y invoice s), ��Z 3 K6- OF* IsACr' bill(s) is (are) true and correct and that the `f y.S9,so materials or services itemized thereon for which charge is made were ordered and received except :a Ignature Cost distribution ledger classification if It e claim paid motor vehicle highway fund