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190386 09/29/2010
CITY OF CARMEL, INDIANA VENDOR: 204045 Page 1 of 1 0 ONE CIVIC SQUARE MILESTONE CONTRACTORS L.P. CHECK AMOUNT: $742,664.34 CARMEL, INDIANA 46032 P 0 BOX 635464 CINCINNATI OH 45263 -5464 CHECK NUMBER: 190386 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 R4350200 21416 101020 -01 218,000.00 PAVING PROGRAM 2201 4350200 21440 101020 -01 524,664.34 PAVING Big I LI Progress Billing Qetapl Ll t` t� ('j From: Milestone Contractors, LP. Invoice 101020 -01 P. O. Box 535464 Cincinnati, OH 46263 -5454 Date: 9116/2010 Customer No: 1,936 To: CITY OF CAYtiVIElL STREET DEPT, 3400 W. 131ST STREET From: 8/112010 WESTFIELD, IN 46074 elrel��lnllpeluelelulellullue�e eolelu� To: 513112010 Payment Tsrms NET 30 Customer Ref: Contract: 101020 UWUBilled AmtSilled Cont Description Contract Contract Quantity Quantity Ulm unit Amount Amount i91 AmQuill jig Milt 3 L AET OR AE 150 TACK 21,250.00 21,250.000 5,691,000 5,691.000 GAL 1.000 5,691.00 5,691.00 2 9.5 TYPE BSURFACE 783,305.60 14,399,000 10,900.664 10,900.660 TON 54,400 592,995,90 $92,995,90 3 9.5 TYPE CSURFACE 530,700.00 8,700.000 1,264.420 1,264.420 TON 61,000 77,129.62 77,129,62 4 BAD SPOTS CUT/REMOVED 43,000.00 500.000 0.000 0.000 SY 86.000 0100 D.00 5 Mr UING 188,895.20 145,304.000 51,421,40D 51,421,440 SY 1.300 66,847.82 66,847.82 6 BLUE REFLECTORS 9,514.65 137,000 0.000 0.000 PA 69.450 0.00 0.00 7 4" DDUB YELLOW SOLID 26,792.96 41,864,000 0.000 0,000 LF D.640 0100 0.00 8 8" SOUR YELLOW 905.32 782.000 0.000 0.000 LF 1.260 0.00 0.00 9 4" SOLID YELLOW a or SKIP YELLOW 1,552.32 4,851.000 MOO 0,000 LP 0,320 0.00 0.00 10 4" SKIP YELLOW 471.36 1,473.000 0.000 0,000 LF 0,320 0,00 0.00 11 24" YELLOW CROSSHATCH 1,333,80 351 0.000 0.000 LF 3,800 0.00 0.00 12 4" SOLID WHrM 15,347.20 47,960,000 0.000 0.000 LP 0.320 0.00 0,00 13 4" SKIP WHrrE 1,776.96 5,553.000 0.000 0.000 LF 0.320 0.00 0100 14 12" WHrrE CROSSHATCH 687.80 352.000 0,000 0.000 LF 1.900 0.00 0.00 15 6" WHrrE CROSSWALK 532.00 560.000 01000 0.000 LF 0,950 0.00 0.00 16 24 WHIM SroPSARS 1,654.40 438.000 0A00 0.000 LF 3.800 0.00 0.00 17 ONLYS 1,666.00 17,000 0.000 0.000 EA 98.000 O.OD 0.00 18 LEFT a RIGHT ARROWS 1,380,00 20.000 01000 0.000 EA 69,000 OLD 0.00 original Contract it 00 ,855.57 Total Billed This Period To Date: 742,664.34 742,664.34 Change Orders to Date: 0.00 Less Retainage: 0100 0.00 Current Contract 1.630 8 less Previous Applications: 0.00 0.00 Percent Complete: Tonal Du© This invoica: 742,664,34 742,66 Sa.FI �l�►1 �w a i &A o APPLICATION AND CERTIFICATE FOR PAYMENT Invoice 101020 01 TOOwner CITY OF CARMEL STREET DEPT. Project 1010211- CITY OF CARMEL 2010 PAVING Application Na 1 Distribution m: 3400 W. 131ST STREET 0 owner Architect WESTFIELD, IN 46074 Period To 8/3112010 ©Contractor From Contractor. Milestone Contractors, LP. tiiaArchltect: 5850 S. Bel m ont Ave. Project Nos: Indianapolis, IN 48217 Contmet For: contract Oats CONTRACTOWS APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information, and belief, the work covered by this Application for Payment has been completed Application is made for payment, as shown below, in connection with the Contract. in accordance with the Contract Documents. That all amounts have been paid by the Continuation Sheet is attached. Contractor for Work for which previous Certificates for Payment were issued and payments reeei ved from the Owner, and that current payment shown herein is now due. 1. Original Contract Sum I I $1,630,855.57 CONTRACT Milestone Contractomi L.P 2. Net Change By Change Order $0.00 By: g`anaMCurry Date 3. Contract Sum To Date $1,630,855.57 State of: ,ill County af: IVfanan 4. Total Completed and Stored To Date. $742,564.34 Subscribed and sworn fo before me this ,fit t of Se !ember, 2010 5. Retainage: U 0.00% of Completed Wont $0.00 Notary Putdic: b. 0 -00% of Stored Material $0.00 Donna J Gladden Total Retainage $0.00 My Corrunission expim: 1 013112015 County of Residence: MORG41V 6. Total Earned Less Retainage $742,664.34 g R62Ciii'1~ECT'S CERTIFICATE FOR PAYMENT In accordance w th the Contract Docunents, based on on observations andthe data 7, Less Previous Certi ficates For Pay comprising the above app ication, the Architect certifies to the Owner that to the best of the $0.00 Arc1}iteds lasowledge, information, and belief; the Work has progressed as indicated, the quality ofthe Work is in accordance with the Contract Documents, and the Contractor 8. Current Payment Due $742,6fi4.34 is entitled to payment ofthe AMOUNT CERTWII?13. 9. Balance To Finish, Plus Retainage $888,191.23 Amttttl+tr eE3Z7tfle =n 742,664.34 fAfrach explanation ff armunt certifled differs fmnt the arnount applied lniftal all figures on thts Application and on Me Contlnuarlon Sheet that are changed to conform with the amarnt certiiled.) CHANGE ORDER SUMMARY Additions Deductions Total changes approved in previousamonthsbyOwner $0.00 $0,00 ARCHITECT: Total Approved this Month $0.0 $0.00 $Y Date TOTALS $0.00 $0 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment, and acceptance of payment are without Net Changes By Change Order $0.00 prejudice to any rights ofthe Owner or Contractor tender this Contract. CONTINUATION SHEET pa 2 Oft Application and Certification for Payment, containing Application No, i Contractor's signed certification is attached. Application Date: 911412010 In tabulations below, amounts are stated to the nearest dollar. To: 8131/20/0 Use Column I on Contracts where variable retainage for line items may apply. Architect's Project No.: invoice 1 01020 -01 Contract: 101020- CITY OF CARM EL 2010 PAVING B C D F I Item Description of Work Schedided wArh Igeted Materials Total 6 Balance Retainage No. value From Previous This Period Presenitp Completed (G C) To Fbibb Application In Place Stored and Stored (C (D+E) To Date (Not in ID or E) (D+E +F) 1 AET OR AF 150 TACK 21,250.00 0.00 5,691.00 0.00 5,691.00 26.78°A 15,559.00 2 9.5 TYPE B SURFACE 783,305.60 0.00 592,995.90 0.00 592,995.90 75.70% 190,309.70 3 9.5 TYPE C SURFACE 530,700.00 0.00 77 129.62 0.00 77,129.62 14.53°/0 453,570.38 4 BAD SPOTS CUT/REMOVED 43,000.00 0.00 0.00 0.00 0.00 0.00% 43,000.00 5 MILLING 188,895.20 0.00 56,847.82 0.00 66,847.82 35.39°A 122,047.38 6 BLUE REFLECTORS 9,514.65 0.00 0.00 0.00 0.00 0.00% 9,514 -65 7 4" DOUBLE YELLOW SOLID 26,792.96 0.00 0.00 0.00 0 -00 0.00°/0 26,792.96 8 8" SOLID YELLOW 985.32 0.00 0.00 0 -00 0.00 0.00% 965.32 9 4" SOLID YELLOW 4" SKIP YELLO1 1,552.32 0.00 0.00 0.00 0.00 0.00 1,552.32 10 4" SKIP YELLOW 471.36 0.00 0.00 0.00 0.00 0.00°/0 471.36 11 24" YELLOW CROSSHATCH 1,333.80 0.00 0.00 0.00 0.00 0.00° /a 1,333.80 12 4" SOLID WHITE 15,347.20 0.00 0.00 0.00 0.00 0.00°/0 15,34720 13 4" SKIP WHITE 1,776.96 0.00 0.00 0.00 0.00 0.00% 1,776.96 14 12" WHITE CROSSHATCH 687.80 0.00 0.00 0.00 0.00 0.00% 687.80 15 B "WHITE CROSSWALK 532.00 0.00 0.00 0.00 0.00 0.00°/0 532.00 16 24" WHITE STOPBARS 1,664.40 0.00 0.00 0.00 0.00 0.00% 1,664.40 17 ONLY`S 1,666.00 0.00 0.00 0.00 0.00 0.00 1,666.00 18 LEFT RIG,`iT ARROWS 1,3841.00 0.00 0.00 0.00 0.00 0.00°/0 1,360.00 Grand Totals 1.630.i365:5'I 0.00 742 664.34 0.00 7,12.664.34 1 46.54% 888.191.23 0.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Milestone Contractors, L.P. IN SUM OF P. O. Box 635464 Cincinnati, OH 45263 -5464 $742,664.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member 21440 101020 -01 43- 502.00 $524,664.34 1 hereby certify that the attached invoice(s), or 21416 101020 -01 43- 502.00 $218,000.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except n �Thursday,p ep�� iu�ier 23, 2010 k 5$ treet ,Comm.iss6ner Feet OmmissinnAr Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/14/10 101020 -01 $524,664.34 09/14/10 101020 -01 $218,000.00 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