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Home My WebLink About185170 05/11/2010 a CITY OF CARMEL, INDIANA VENDOR: 363990 Page 1 of 1 r ONE CIVIC SQUARE CADENCE MIT LLC CARMEL, INDIANA 46032 2535 REAVEST SOUTH DRIVE CHECK AMOUNT: $27,560.63 INDIANAPOLIS IN 46203 CHECK NUMBER: 185170 CHECK DATE: 5111/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 103 4460705 23313 002 5408.005 27,560.63 INLOW PARK REPAIRS APPLICATION and CERTIFICATE for PAYMENT To: Carmel Clay Parks and Project: Inlow Park Repairs and Appl cr ation:NO:- 002- 5408A05_._ Distribution to: Recreation Improvements Project OWNER 1411 E 116th St 6310 E 131 st St. App. Date: April 28, 2010 p CONSTRUCTION MGR. J 1KI AGf19 l Carmel, IN 46032 Period to: April 28, 2010 19 ARCHITECT F rom: Cade nce MTC LL-C CI CONTRACTOR �2535 Dh 1 S: Project Nos: 5408.005 OTHER Indianapo IN 46203 _1 Contract Date: March 9, 2010 Contract For: Via Architect: Schneider Corporation CONTRACTOR APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Ap I5 made for p ayment, as shown below, in Connection with the Contract. information and belief the Work covered by this Application for Payment has been. completed Pp p y in accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet, G703, is attached. Contractor for Work for which previous Certificates for Payment were issued and payments 1. ORIGINAL CONTRACT SUM 78,960.40 received from the Owner, and, that current payment shown herein is now due. 2. Net Change By Change Orders 16,300.75 CONTRACTOR: Cadence MTC LLC 3. CONTRACT SUM TO DATE 96,261.1 By: C�: P1C !3c.Ir Ld Date: April 28, 2010 4. TOTAL COMPLETED AND STORED TO DATE 45,076.92 Roxanne Bell 5. RETAINAGE: State of: Indiana County of: Marion a. 10% of Completed Work 4,507:69 Subscribed and sworn before me this 28th day of April 2010 b. Of Stored Material Roxanne Bell personally..appearedbefore me, the undersigned.notary public, and provided 0.00 satisfactory evidence of identification to be the person who signed this document in my TOTAL RETAINAGE 4,507.69i presence and swore oraffirined to me that the contents of this document are truthful and accurate to the best of his/her knowledge a belief. 40 6, TOTAL EARNED LESS RETAINAGE r 569.23 L Notary Public... My t;ommission expires: t a 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 13,OD8:60 ARCHITECT'S CERTIFICATE FOR PAYMENT 8. CURRENT PAYMENT DUE G -27 560:6 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 9. BALANCE TO FINISH, INCLUDING RETAINAGE 5091.92 Architect's knowledge, information and belief the Work has progressed as ind icated, the quality of the Work is in accordance: with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED, CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED Z 7 r 57' c Total changes approved In 0.00 0.0 (Attach explanation if amount certified differs from the amount applied for. Initial all figures previous months by Owner on this Application and on the Continuation Sheet that are changed to conform to the amount Total approval this Month 16,300.75 0.00 .0 certified.) TOTAL S 16,300.75 D,Do ARCHITECT: I NET CHANGES by Change Order 16,300.75 Purchase V Description s 1 PYV This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the P.O. 33 I a) (yes c+ o or named herein. issuance, payment and acceptance of payment are without MAY 0 5 2010 z Uic to any rights of the Owner or Contractor under this Contract. C;.L.# I03- 44co0_705 BY: ud ine e D n IOW P0.1 t TORGO SOFTWARE ht1p:11wwv.1orgo.nei 01996 -2008 ALL RIGHTS RESERVED r'Ch3s Date rval Date CONTINUATION SHEET G703 PROJECT: Inlow Park Repairs and Improvements Project Cadence MTC LLC Page 1 of 1 Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 002 5408.005 Contractor's signed Certification is attached. APPLICATION DATE: April 28, 2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: April 28, 2010 PROJECT NUMBER: 5408.005 A B C D E F G H I Item Description of Work Scheduled Work Completed Materials Total Completed Balance Retainage Value From Previous This Stored Used and Stored to Finish Application(s) Period Prior Current To Date 1 Performance Bond 2,000.00 2,000.00 0.00 2,000,OC 100.00 0.00 200.0 2 Start up Mobilization 3,800.00 3,800.00 0.00 3,800.00 100.00 0.00 380.0 3 Demo 8,000.00 8,000.0 0.00 8,000.00 100.00 0.00 800.0 4 Masonry Labor 20,000.0 0.0 5,000.00 5 25.00 15,000.00 500.0 5 Concrete 6,369.0 0. 6,369.00 6,369.00 100.00 0.00 636.9 6 Roofing 3,580.00 0.00 0.00 0.00 0.00 3,580.00 0.0 7 Carpentry 4,680.00 0.00 0.00 0.00 0.00 4,680.00 0.0 8 Spray Features 14,170.00 0.00 11,120.99 11,120,99 78.48 3,049.01 1,112.1 9 Door Hardware 2,600.00 0.00 1,920.00 1,920,00 73.8q 6130,010 192.0 10 Excavation 1,090,00 654.00 0.00 654.00 60.00 436.00 65.4 11 Electric 3.491.40 0.00 0.00 0.00 0.00 3,491.40 0.0 12 Plumbing 2,180.00 0.00 0.00 0.00 0.00 2,180,00 0.00 13 Painting 7,000.00 0.00 0.00 0.00 0.00 7,000.00 0.0 14 CO#1 #1 Remove replace concrete 1,386.0 1,386-00 1,386.00 100.00 0.00 138. 15 CO#1 #2 Remove glazed block below 975.00 975.00 975.00 100.00 0.00 97.5 16 CO #1 #3 Drill Epoxy 4' Dowels where 600.00 600.00 600.00 100.00 0.00 60.0 17 CO #1 #4 Excavate form constrcut 2 piers 10,839.75 3,251.93 3,251 .93 30.00 7,587.8 325.1 18 1CO#1 #5 Contingency for damage caused 250.01 1 0.00 250.0q 0.0 GRAND TOTAL: 93,011.15 14,454.001 30,62Z921 1 45,076:92 48.44 47,934,231 4,507.69 A =Line item Number B =Brief Item Description C =Total Value of Item D =Total of D and E From Previous Application(s) (If Any) E =Total Work Completed For This Application F= Materials Purchased and Stored for Project G =Total of All Worts Completed and Materials Stored for Project H= Remaining Balance of Amount to Finish 1= Amount Withheld from G TORGO SCFTWARE http: /hvww.torgo.net 01995 -2008 ALL RIGHTS RESERVED ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of Nil to be properly itemized roust 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 Purchase Order No. 363990 Cadence MTC, LLC Date Due 2535 Reavest Dr. S. Indianapolis, IN 46203 Invoice Invoice Description Amount note invoice(s) or bill(s)) PO Date Number (or noe a 23313 27,560.63 4128110 002 5408.005 Inlow Park Repairs Improvements Total 27,560.63 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. s Allowed 20 363990 Cadence MTC, LLC •2535 Reavest Dr. S. Indianapolis, IN 46203 In Sum of 27,560.63 ON ACCOUNT OF APPROPRIATION FOR 103 PARKS CAPITAL FUND PO# or INVOICE NO. kCCT WTITLI AMOUNT Board Members Dept 23313 002 5408.005 4460705 27,560.63 1 hereby certify that the attached 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 5 -May 2010 Signature 27,560.63 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund