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HomeMy WebLinkAbout184108 04/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364048 Page 1 of 1 ONE CIVIC SQUARE GIBRALTAR CONSTRUCTION CORP CARMEL, INDIANA 46032 2932 N. WEBSTER AVENUE CHECK AMOUNT: $28,519.60 INDIANAPOLIS IN 46219 CHECK NUMBER: 184108 CHECK DATE: 4/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460805 APP 1 28,519.60 RETAIL #5 WATERPROOF SAIA TM Document G702 /CMa --1992 Application and Certificate for Payment Construction Manager Adviser Edition TO OWNER: PROJECT: APPLICATION NO: Distribution to: city of Carmel Carmel Carmel City Cntr- P111 water- ..001 Redevelopment Commissio Proofing and Paving Components PERIOD TO:. 02 0 8 16 OWNER 101 City Center Drive Carmel IN 46032 CONSTRUCTION MANAGER El FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 01 /18/10 ARCHITECT Gibraltar Construction Corp PROJECT NOS: I I CONTRACTOR 2932 N. Webster Ave. Indianapolis, IN 46219 VIA ARCHITECT: Pedcor Design Group, LLC FIELD CONTRACT FOR: Waterproofing k Topping Slabs 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 Applic do for Payment has been completed in accordance with the Contract Documents, that all amounts ave een paid by the Contractor for Work for which previous Continuation Sheet, AIA Document G703, is attached. 1, 469,887.00 Certificates for Payment were issu a payments received from the Owner, and that current 1. ORIGINAL CONTRACT SUM payment shown herein is now d CONTRACTOR: 2. Net change by Change Orders l,g�enn nn_ Gibraltar cti n Corp; 3, CONTRACT SUM TO DATE (Line I 2) 1.451.487.00 gy Date: 4. TOTAL COMPLETED STORED O DATE Column G on G703 State of: T z�, 244 oo S. RETAINAGE: County of: vr�" BRIAN R. MCS RIDE a. of Completed Work Subscribed and sw n to 6 e Res, of Hancock County (Column D E on G703) 2, 724.40 me this day of My Comm, EXP. 11 -29 -2017 b. lo of Stoted Material Notary P b l AN Co mmission 611 862 (Column F on G703) My Commission expires: Total Retainage (Lines 5a 5b or Total in Column I of G703) CERTIFICATE FOR PAYMENT 24, 519.60 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) 00 knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT accordance with the Contract Documents, and the Corsi acto stied to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8. CURRENT PAYMENT DUE I 24 52 AMOUNT CERTIFIED 2-4- 6 0 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanalion if atnouni certified differs fronz the amount applied. Initia all acres on this Application and on the Continuation Sheet that are'changdd to conform with the amount certified.) (Line 3less Line 6) 1,4z6, 967 -40 CONSTRUCTION MANAGER: By: Date: ADDITIONS DEDUCTIONS cor es ro CHANGE ORDER SUMMARY ARCHITECT: Total changes apprmied in previous months by Owner g �i Date: p 00 00 Total a raved this`Month PP This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor oo 00 TOTALS named herein. Issuance; payment and acceptance of payment are without prejudice to any rights of 18 400 NET CHANGES b Change Order the Owner or Contiactor under this Contract. Y g 18,400 .00 t. 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. AIA Document G702 /CMaTa 1992. Copyright 1992 by The American Institute of Architects. All rights reserved. WARNING: This AEA 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 result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (to) 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. Document G702/CMa T 1992 Instruct Application and Certificate for Payment Construction Manager- Adviser Edition A. General Information AIA Document G702 /CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition, is to be used in conjunction with AIA Document G703, Continuation Sheet. These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner, but not as a constructor, and where multiple Contractors have direct Agreements with the Owner. Procedures for their use are covered in AIA Document A2011CMa, General Conditions of the Contract for Construction, Construction Manager Adviser Edition, 1992 Edition. B. Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this document, nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702ICMa, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EULA). To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. C. Completing the G7021CMa Form After the Contractor has completed AIA Document G703, Continuation Sheet, summary information should be transferred to AIA Document G7021CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition. The Contractor should sign G7021CMa, have it notarized and submit it, together with G703, to the Construction Manager and Architect. The Construction Manager and Architect should review G702 /CMa and G703 and, if they are acceptable, complete the Certificate for Payment on G7021CMa. The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A2011CMa. They should then initial all figures on G7021CMa and G703 that have been changed to conform to the amount certified and attach an explanation. The completed G702 /CMa and G703 should be forwarded to the Owner. D. Completing the G703 Form Heading: This information should be completed to be consistent with similar information on AIA Document G702 /CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition. Columns A, B C: These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted. The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially, this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. Column D: Enter in this column the amount of completed work covered by the previous application (columns D E from the previous application). Values from column F (Materials Presently Stored) from the previous application should not be entered in this column. Column E: Enter here the value of Work completed at the time of this application, including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored (column F). Column F: Enter here the value of Materials Presently Stored for which payment is sought. The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment Is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E (Work Completed Thls Period). Column G: Enter here the total of columns D, E and F. Calculate the percentage completed by dividing column G by column C. Column H: Enter here the difference between column C (Scheduled Value) and column G (Total Completed and Stored to Date). Column l: This column is normally used only for contracts where variable retainage is permitted on a line -item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders: Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project, this is not normally done. Usually, Change Orders are listed separately, either on their own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G7021CMa form. Construction Change Directives: Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders. Amounts remaining in dispute should be dealt with according to Section 7.3 in A2011CMa. E. Making Payment The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager and Architect on AIA Document G702 /CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition. The completed form contains the name and address of the Contractor. Payment should not be made to any other party unless specifically indicated on G7021CMa. AIA Document G702 1CMaTM —1992. Copyright 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 AIO 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. Purchasers 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. CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse Side) P.AGF o� AIA Document G702, APPLICATION AND CERTIPICA7 FOR PAYMENT APPLICATION NO.: containing Conu signed Certification, is attached. APPLICATION DATE: 001 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 02/28/10 Use Column 1 on Contracts where variable retainage for line items may apple. ARCHITECT'S PROJECT NO.: 02/28/10 A B C D E E G I1 WORK COMPLETED MATERIALS TOTAL BALANCE ITEM PRESENTLY CaNiPLETED R ETA T NAG E DESCRIP'T'ION OF WORK SCHEDULED FROM PREVIOUS AND STORED TO VARI NO. VALUE RIOD S TOTED (IF APPLICATION TI -II5 PE E) (iVOT IN TO DAT E (G C) PINISIj RATE) (D E) D OR E) (D +E +F) (C G) 0001 Allowance 25,000.00 .00 .00 .00 .00 .00 25,000.00 .00 0002 Supervision 47,500.00 .00 .00 .00 .00 .00 47,500.00 .00 0003 Bonds 25,244.00 .00 25,244.00 .00 25,244.00 100.00 .00 2,524.40 0004 Mobilization /Demobilization 2,000.00 .00 .00 .00 .00 .00 2,000.00 .00 0005 Submittals 20,000.00 .00 2,000.00 .00 2,000.00 10.00 18,000.00 200.00 0006 Misc General Conditions 30,000.00 .00 .00 .00 .00 .00 30,000.00 .00 0007 Excavation at North Ramp 4,643.00 .00 .00 .00 .00 .00 4,643.00 .00 0008 Storm Casting Material 79,000.00 .00 .00 .00 .00 .00 79,000.00 .00 0009 Storm Casting Labor 11,000.00 .00 .00 .00 .00 .00 11,000.00 .00 0010 Trench Drain Material 59,000.00 .00 .00 .00 .00 .00 59,000.00 .00 0011 Trench Drain Labor 15,000.00 .00 .00 .00 .00 .00 15,000.00 .00 0012 Demolition Labor 35,000.00 .00 .00 .00 .00 .00 35,000.00 .00 0013 Topping Slabs Curbs Material 170,000.00 .00 .00 .00 .00 .00 170,000.00 .00 0014 Topping Slabs Curbs Labor 164,900.00 .00 .00 .00 .00 .00 164,900.00 .00 0015 Rebar Material 15,000.00 .00 .00 .00 .00 .00 15,000.00 .00 0016 Masonry 3,000.00 .00 .00 .00 .00 .00 3,000.00 .00 0017 Metal Fabrications 1,200.00 .00 .00 .00 .00 .00 1,200.00 .00 0018 Waterproofing Exp Joints 742,000.00 .00 .00 .00 .00 .00 742,000.00 .00 0019 Joint Sealants 200.00 .00 .00 .00 .00 .00 200.00 .00 0020 Plumbing 18,400.00 .00 .00 .00 .00 .00 18,400.00 .00 0021 Electrical 1,800.00 .00 .00 .00 .00 .00 1,800.00 .00 0022 Change Order 1 18,400.00- .00 .00 .00 .00 .00 18,400.00- .00 1,4.51,487.00 .00 27,244.00 .00 27,244.00 1.88 1,424,243.00 2,724.40 AIA DOCUMENT G703 CONTINU, %TION SHEET FOR 6702 1992 EDITION AIAa ©1992 THE AMER1G�,,'V INSTIT111•E OF ARCHITECTS, 1735 NEW YORK AVENUE, N.NV, VASHINGTON, D.C, 20006 -5292 WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. G703 1 992 CAUTION: You should use an original AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. ISA Form 1 -402 Im AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and 1 or labor for a project known as Carmel City Cntr -P111 Waterproofing and Paving Components and owned by City of Carmel Carmel Redevelopment Commission. and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER) that there is due from the Owner the sum of Tw e n ty Four Thousand Five Hundred Nineteen and 601100---- Dollars ($24,519.60) receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the Owner is the sum of Dollars receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THERFORE, the undersigned waives and releases unto the Ow r of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon acc unt of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions ex ss d herein, if any; and further certifies that no other party has any claim or right to alien on account of any work e m or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By Title President WITNESS MY HAND AND NOTORIAL S this 22nd day of February, 2010. (Notary Public) BRIAN R. MCBRIDE 0 1979 MOIAaA SUBCONTAACTOAS A MCORPORAtED SEAL fees, of Hancock County t7na+ ?w.ted Rep.odvOton Poonsbit My Comm. Fxp. 11 -29 -2017 di�N Commission 611862 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 G t 4 &t crj )3 r V Cf 1 0 h C o r P Purchase Order No. 2 2 We hj I, Aye; Terms I Ihdl(1)1&� _1� 1 1 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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- 1 10 1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 61 IN SUM OF 2 U2 N We�Ste z hJi&hi\o01�,S.TIY 62 2"f 51� G 0 ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. ii I hereby certify that the attached invoice(s), or 4L I 4 60 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 /0 Signature Oirector of Redevelopment Title Cost distribution ledger classification if claim paid motor vehicle highway fund