HomeMy WebLinkAbout182697 03/02/2010 CITY OF CARMEL, INDIANA VENDOR: 363788 Page 1 of 1
ONE CIVIC SQUARE BYBEE STONE CO INC
0 CHECK AMOUNT: $145,432.00
CARMEL, INDIANA 46032 6293 N MATTHENlS DRIVE
ELLETSVILLE IN 47429 CHECK NUMBER: 182697
CHECK DATE: 3/212010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 19 145,432.00 PERFORMING ARTS CENTE
SL Subcontract Billing Report
For Work Invoiced From 12/01/09 to 12/31/09
Subcontract: 2635 =2025 2025 Limestone Mat. and Fab.
Job: 2695- Carmel RPAC Construction Vendor: 8865 BYBEE STONE COMPANY
777 3rd Ave. SW
Carmel, IN 46032
'Contract To Date T)lIS Period
Item Units UM Unit Cost Amount Units/% Amount Units/ %o Amount
1 2025 Limestone Mat, and LS 2,850,000.00 97.18% 2,769,693.00 4.08% 116,302.00
Fab.
Total Contract Items 2,850,000.0 2,769,693,00 116,302.00
Change Orders
3 CCR 1006 Limestone Field LS 415,000.0 87.07% 361,325.00 7.00% 29,050.00
Alternate
Total Change Order Items 415,000-00 361,325.00 29,050.00
Subcontract Totals: 3,265,000.00 3,131,018.00 145,352.00
Total Billings: 3,131,018.00 145,352.00
Unpaid Retainage: 164,178.80 0.00
Discounts: 0.00 0.00
Net Billings: 2,966,839.20 145,352.00
i
i
98 SSG CMa Projects 12/17/09 02:31:14 PM
Date Format MM /DD/YY Sl-Su bBilfing Report. rpt
TM
D ocument 701 1992
,Application and Certificate for Payment Construction Manager- Adviser Edition
TO OWNER: PROJECT: APPLICATION NO: 1 Distribution to:
City of Carmel Performing Arts Ctr
CRC Carmel Ill PERIOD TO:. 12/31/2009 OWNER
One Civic Square
Carmel IN 46032 CONSTRUCTION MANAGER
FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 11/30/07 ARCHITECT
Bybee Stone Co Inc Shiel Sexton
6293 N Matthews Dr PROJECT NOS :2695 -2025 CONTRACTOR El
Ellettsville 1N 47429
VIA ARCHITECT: FIELD
CSO Architects Inc
CONTRACT FOR: Performing Atrt El
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
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 Street, AIA Document G703, is attached. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
2,850 ,000 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 415,00 CONTRACTOR:
3. CONTRACT SUM TO DATE (Line 1 f 2) I 2 6 5 0 0 0 By: Date: 12/15/0
4. TOTAL COMPLETED STORED TO DATE (Column G on G703) 1 3 1 0 1 8 State o£ I n d i n a
5. RETAINAGE: County of: Owen
a.
10 of Completed Work 164,178. Subscribed and sworn to before
(Column D+ E on G703) me this 15 SepLies. Dec 09
b. of Stored Material Notary Public:
(Column F on G703) My Commission 0 6
Total Retainage (Lines 5a 5b or Total in Column I of G703).. 164, 1 7 8 8 0 CERTIFICATE FOR PAYMENT
2,966,839 In accordance with the Contract Documents, based on on -site observations and the data comprising
6. TOTAL EARNED LESS RETAINAGE 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 8 21, 4 07.20 accordance with the Cont Documents, and the Contractor is entitled to payment of the AMOUNT
(Line 6 from prior Certificate) CERTIFIED.
8. CURRENT PAYMENT DUE i -15 43 2.00 AMOUNT CERTIFIED
9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied. Initial a i figures on this
298
16 0 8 0 ijU n and a tlnuation Sheet that are changed to conform with the amount certified.)
(Line 3 less Line 6) CONSTRU
By: Date: 7 3
��G 200 9
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITEC
Total changes approved in previous months by Owner s415,000 B Date:
Total approved this Month This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
TOTALS 415,000 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of
NET CHANGES by Change Order 415,000 the Owner or Contractor under this Contract.
AIA Document G7021CMaym 1992. Copyright O 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIO Document Is protected by U.S. Copyright Law and international Treaties.
Unauthorized reproduction or distribution of this AIA Document, or any portion of it, may rest It in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible underthe law. This
document was created at 11:25:14 MDTon 08/19/2oo8 under the terms of license number 26001 issued by the American Institute of Architects, and is not for resale. This document is licensed for one time use only and may not be
ro,.rnririnarV nr,nr }n lie rmm�fn }inn
'J- i Document 703 1992
"n a,®r'o
Continuation Sheet
ATA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 19
containing Contractor's signed certification is attached. APPLICATION DATE:. Dec. 30, 2009
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: December 31, 2009
Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 2695 -2025
CONTRACTOR:, Bybee Stone Co Inc
A B C D E F G H I
WORK COMPLETED MATERIALS TOTAL
PRESENTLY COMPLETED BALANCE RETAINAGE
ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS STORED AND STORED (IF VARIABLE
NO VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G f C) FINISH RATE)
(D E) D OR E) (D +E +F)
1 Shop Drawings 387,000 387,000 0 0 387,000 100% 0.00 34,830.00
2 Raw Material 911,400 911,400 0 0 911,400 100% 0.00 61,525.00
3 Material Storage 0 0 0 0 0 0% 0.00 0.00
4 Shop Fabrication 1 301,600 1,171,520 91,302 0 1,262,822 97% 38,778.00 52,064.00
5 Material Delivery 100,000 40,000 25,000 0 65,000 65% 35,000.00 100.00
6 Engineering Allowance 150,000 102,246 0 0 102,246 68% 47,754.00 7,329.80
7 Change Order #1 415,000 373,500 29,050 0 402,550 97% 12,450.00 8,330.00
Totals 265 000 985 666 145 352
R
AIA Document G703 1992. Copyright 1963, 1965, 1966, 1967, 1970, 1978, 1983 and "1992 by The American Institute of Architects. All rights reserved. WARNING: This Ale Document is protected try U.S. Copyright
Law and International Treaties. Unautharixed reproduction or distribution of This Ale Dorurncnt. or any portion of it, may result in severe civil anti criminal penalties, and will ix prosecuted to the maximum extent
possible underthe law. This document was created a109:50 :20 MDTon 07/17/2008 under the terms of license number 26001 issued by the American Institute of Architects, and is not for resale. This document is licensed for one
time use only and may not be reproduced prior to its completion,
PARTIAL WAIVER OF LIEN
STATE OF INDIANA) Gty
SS
COUNTY OF MONROE) Escrow#:
TO WHOM IT MAY CONCERN:
WHEREAS the undersigned has been employed by the City of Carmel, Carmel Redevelopment Commission to furnish
Limestone for the premises know as Regional Performing Arts Center of which the City of Carmel is the owner.
THE undersigned, for and in consideration of $1.45,432.00 and other good and valuable considerations, the receipt whereof is
hereby acknowledged, do (es) hereby waive and release any and all lien or claim of, or right to, lien, under the statutes of the State of Indiana,
relating to mechanics' liens, with respect to and on said above described premises, and the improvements thereon, and on the material,
fixtures, apparatus or machinery furnished and on the moneys, funds or other considerations due or to become due from the owner, on
account of labor services, material, fixtures, apparatus or machinery, hereto furnished to this date by the undersigned for the above described
premises, INCLUDING EXTRAS
Date: Dec. 15, 2009 Company Name: Bybee Stone Company, Inc
Address: 6293 N. Matthews Dr, Ellettsville, IN 47429
Signature and Title: V C
*EXTRAS INCLUDE BUT ARE NIT LIMITED TO CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT.
CONTRACTOR'S AFFIDAVIT
STATE OF INDIANA)
SS
COUNTY OF MONROE
THE undersigned, Mary Beth. Haas, being duly sworn, deposes and says that he or she is Vice Pres. of Bybee Stone
Company, Inc who is the contractor furnishing Limestone for the building located at Carmel, Indiana
o "caned,by the City of Carmel, Carmel Redevelopment Commission That the total amount of the contract including extras is
nf �`$__3265,000.00 on which he or she has received payment of 2,708,943.20 prior to this payment. That all waivers are true,
,correct and genuine and delivered unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers.
;That the following are the names of all parties who have furnished material or labor, or both, for said work and all parties having contracts or
ysu6 contracts for specific portions of said work or for material entering into the construction thereof and the amount due or to become due
y`-each and that the items mentioned include all labor and material required to complete said work according to plans and specification:
NAMES WHAT FOR CONTRACT AMOUNT THIS BALANCE
PRICE PAID PAYMENT DUE
BYBEE STONE COMPANY, INC LIMESTONE $3,265,000.00 $2,708,943.20 5257,976.00 S 298,080.80
TOTAL LABOR MAT'L TO COMPLETE 53,265,000.00 2,708,943.20 5257,976.00' $298,080.80
That there are no other contracts for said work_outsra and that there is nothing due or to become due to any person for material, labor or
other work of any kind done or to be done upon or in connection with said work other than above stated.
`C
Date= -Dec. 15, 2009 Signature: Nice President,
Subscribed and Sworn to Before Me This 15th Day of December 2009.
Extras included but are not limited to Change Orders,
Both oral and written to the contract.
�Y\
Not ry Public
Commission Expires: 8/25/2016
F. 1722R5/96
Provided by Chicago Title insurance Company
U_S. Department ofLabor NOT APPLICABLE Form Approved
Wage and Hour Division Budget Bureau No. 44 -R1093
Date
1 Mary Beth Haas vice president do hereby state:
(Name of signatory party) (Title)
(1) That 1 pay or supervise the payment of the persons employed by Bybee Stone Co Inc the:
2009 (Contractor or Subcontractor) 2-009
that during the payroll period commencing on th s t day of_ J a n IaL:Y and ending the-L2—day of 3 l X all persons employed on said
project have been paid the full weekly wages eamed that no rebates have been or will be made either directly or indirectly to or on behalf on said
Bybee Stone Co Inc from the full weekly wages earned by any person and that no deductions have been made either
(Contractor or Subcontractor)
directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part 3 (29 CFR Subtitle A),
issued by the Secretary of Labor under the Copeland Act, as Amended (48 Stat. 948, 63 Stat. 108, 72 Star_ 967; 76 Stat. 357; 40 U_S_C. 276c), and
described below:
(2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for
laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage det5emrination incorporated into the contract;
that the classifications set forth therin for each laborer or mechanic conform iwht the work he performed.
(3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship progr registered with a State apprentice-
ship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a
State, are registered with the Bureau of Apprenticeship and Training, United State Department of Labor.
(4) That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
X❑ In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll payments of fringe
benefits as listed in the contract have been or will be made to appropriated programs for the benefit of such employees, except as
noted in Section 4(c) below.
(b) WHERE FRINGE BENEFITS ARE PAID IN CASH
Each Laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the
sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as noted
in section 4(c) below.
(c) EXCEPTIONS
EXCEPTIONS (CRAFT)
Remarks
Name and Title Sitrtrature
Mary Beth Haas, VP
The wilful falsification of any of the above statments may subject the contractor or subcontractor to ivil or criminal prosecution. See section 1001 of title 18 and
section 231 of title 31 of the United States code.
Form WH -348 (1168) Purchase this form directly from the Supt. of Documents
A °6
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
�Y Purchase Order No.
2 9 3 iC/� ��Q�� D�- Terms
%/I, /W `117/2 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4
Total
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
IN SUM OF
62 2 3
i5'S y32.o a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
aEPT. I hereby certify that the attached invoice(s), or
157y3 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
20 /l
Dlre
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund