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Home My WebLink About193947 01/19/2011 +ti CITY OF CARMEL, INDIANA VENDOR: 364910 Page 1 Of 1 ONE CIVIC SQUARE SULLIVAN CORPORATION CHECK AMOUNT: $204,066.05 CARMEL, INDIANA 46032 15299 STONY CREEK WAY 9y .roN`o NOBLESVILLEIN 46060 CHECK NUMBER: 193947 CHECK DATE: 1/1912011 DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 106 R5023990 24085 120100061 204,066.05 FOUNDERS PARK -PHASE I G702 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT 6702 PAGE ONE OF 1 PAGES TO OWNER: Carmel/Clay Board of Parks Rec PROJECT: Founders Park Phase II APPLICATION NO: 1- 2010 -0061 Distribution to: 1411 E 116th St 11674 Hazel Dell Parkway PERIOD TO: 1213112010 X OWNER Carmel, IN 46032 Carmel, IN 46032 PROJECT NO.: 4377.003.02 ARCHITECT CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: The Schneider Corporation The Sullivan Corporation 8901 Otis Avenue 15299 Stony Creek Way Indianapolis, IN 46216 Noblesville, IN 46060 Michael Krosschell CONTRACT FOR: CONTRACT DATE: November 8, 2010 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors knowledge, Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet, AIA Document G703, is attached. completed 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 payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM 1,664,000,00 CONTRACTOR: 2. CHANGE ORDERS 3. CONTRACT SUM TO DATE (Line 1 t 2) 1,664,000.00 4. TOTAL COMPLETED STORED TO 226,740.06 By: Y Treasurer Date. 12- t'V DATE (Column G on G703) 5. RETAINAGE: State of: County of: a. 10% of Completed Work 22,674.01 Subscribed and sworn to b6fore me this 1 7 day of (Column D E on G703) L; Krishna Poe b. 10% of Stored Material N Public Seal State of Indiana (Column F on G703) Notary Public: Shelby County Total Retainage (Lines 5a 5b or My Commission Expires OB124i2012 Total in Column I of G703) 22,674.01 My Commission expires: 7 Z0 Z 6. TOTAL EARNED LESS RETAINAGE 204 ,066.05 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 Less Line 5 Total) In accordance with the Contract Documents, based on on -site observations and the data 7. LESS PREVIOUS CERTIFICATES FOR comprising the application, the Architect certifies to the Owner that to the best of the PAYMENT (Line 6 from prior Certificate) Architect's knowledge, information and belief the Work has progressed as indicated, 8. CURRENT PAYMENT DUE 204,066.05 the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. I1 9. BALANCE TO FINISH, INCLUDING RETAINAGE 1,459 ,933_95 AMOUNT CERTIFIED.. io J 1 Oo +yJ (Line 3 less Line 6) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Total changes approved Application and on the Continuation Sheet that are changed to conform with the amount certified.) in previous months by Owner ARCHITE Total approved this Month By: Date: TOTALS 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 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION AI& UrC g aSe FQ y �s j y r THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVE., N W., WASHINGTON, DC 20006 -5292 Users may obtain validation of this document by requesting a c MpLgi "iAlP Document D401 Certification of Document's Authenticity from the Licensee. f? i P.O. d `dOflS (P� or F Yes G.L.# x395 C O 2 9 2010 Budoet Line Descr Purchaser Date BY: f t� Approval Date page 1 of 2 pages G703 Founders Park Phase II DATE 12/17/2010 APP 1- 2010 -0061 Project 4377.003.02 The Schneider Corparation Project No. 4377.003.D2 B C D I E F G H I DESCRIPTION WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE OF WORK SCHEDULED PRIOR THIS PRESENTLY COMPLETED TO FINISH VALUE APPLICATION PERIOD STORED NOT AND STORED (C -G) 10% Contract Amt (D +E) IN D OR E (D +E +F) up to 50% completions General Conditions Supervision 44,800.00 5,376.00 5,376.00 12% 39,424.00 537.60 Temp Barricades 10,000.00 5,000.00 5,000.00 50% 5,000.00 500.00 -Temp office 900.00 135.00 135.00 15% 765.00 13.50 Temp Utilities 2,250.00 2,250.00 Survey 8,000.00 8,000.00 Testing 2,500.00 2,500.00 Winter Protection 2,500.00 2,500.00 clerical 1,500.00 375.00 375.00 25% 1,125.00 37.50 Site Ground Work /Excavation 93,760.00 9,376.00 9,376.00 10% 84,384.00 937.60 Asphalt Paving 79,530.00 79,530.00 Site Concrete 56,559.00 56,559.00 Landscaping 121,000.00 21,780.00 21,780.00 18% 99,220.00 2,178.00 Concrete Building Concrete 33,000.00 33,000.00 Masonry -Wall Masonry 63,224.00 63,224.00 Building Masonry 112,000.00 112,000.00 Metals Steel 125,000.00 125,000.00 Woods Plastics Carpentry 14,000.00 14,000.00 Trusses /Lumber 5,260.00 5,260.00 Decking 26,129.00 26,129.00 Thermal Moisture Roofing 63,000.00 63,000.00 Caulking Sealants Fireproofing 8,500.00 8,500.00 Doors Windows Storefront Glass Doors 3,750.00 3 Finishes page 3 of 3 pages G703 Founders Park Phase 11 DATE 12/17/2010 APP 1- 2010 -0061 Project 4377.003.02 The Sohmider Corporation Project No. 43 77, 003.02 B C D I E F G H I DESCRIPTION WORK COMPLETED MATERIALS TOTAL BALANCE I RETAINAGE OF WORK SCHEDULED PRIOR THIS PRESENTLY COMPLETED TO FINISH VALUE APPLICATION PERIOD STORED NOT AND STORED (C -G) 10% Contract Amt (D +E) IN D OR E (D +E +F) up to 50% completions Painting 11,116.00 11,116.00 Drywall 5,500.00 5,500.00 Specialties Terrasoftsurface 94,500.00 94,500.00 Toilet accessories 5,940.00 5,940.00 Equipment Playground Equipment 523,782.00 172,848.06 172,848.06 33% 350,933.94 17,284.81 Mechanical Plumbing 20,000.00 20,000.00 HVAC 2,000.00 2,000.00 Electrical 45,000.00 45,000.00 Overhead /Profit 79,000.00 11,850.00 11,850.00 15% 67,150.00 1,185.00 SUB TOTAL PRIOR TO CHANGE ORDEF 1,664,000.00 53,892.00 172,848.06 226,740.06 1,437,259.94 22,674.01 CHANGE ORDERS CHANGE ORDER SUBTOTAL 1 TOTAL 1,664,000.00 53,892.00 172,848.06 226,740.06 1,437,259.94 22,674.01 The Sullivan Corporation H WQ) 0 C 1E 15299 Stony Creek Way DATE: December 17, 2010 Noblesville, IN 46060 INVOICE 1- 2010 -0061 Phone 317 776 -2770 Fax 317- 776 -4434 FOR: 4377.003.02 Bill To: PROJECT NAME Founders Park Phase II Carmel /Clay Board of Parks Rec PROJECT CITY Carmel, IN 46032 1411 E 116th St Carmel, IN 46032 DESCRIPTION AMOUNT Pay Application #>t 1 204,066.05 as outlined on attached G702/703 Payment Application Total Invoice Before Tax 204,066.05 Sales Tax if applicable Invoice Total: 204,066.05 Make all checks payable to The Sullivan Corporation If you have any questions concerning this invoice, contact Mark Mennen at 317 -776 -2770 or m men nen cDsullivan- corp.com THANK YOU FOR YOUR BUSINESS! The Schneider Corporation Schne ider Hiswric Fort Harrison 8901 O iS Avenue Indianapolis. IN 46216 -1037 Phone 317,826,7100 Fax: 317.826.7200 Schneider TRANSMITTAL TO: Audrey Kostrzewa DATE: 2010.12.21 Carmel -Clay Board of Parks JOB 4377.003.002 1411 E 116 Street PROJECT: Founders Park II Carmel, IN 46032 RE: Pay Application #01 FROM: Michael Krosschell FAX FAX: NUMBER OF PAGES: DIRECT DIAL: 826.7189 TELEPHONE WE ARE SENDING YOU: Attached Via: Mail Fed Ex UPS Courier Pick Up Other Fax Copies Date Description 1 2010.12.21 Certified Copies of Pay Application #01 THE ABOVE ARE TRANSMITTED as checked below: For approval As requested FOR BIDS DUE For your use For review and comment Other REMARKS: Audrey: please call me if you have any questions. Thanks COPY TO: File DEC 2 3 2010 If enclosures are not as noted, kindly notify us at once. t:14k1437710031docslphase ii ca12010.12.21 koslrzewa pay application #01.docx ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Sullivan Corporation, The Date Due 15299 Stony Creek Way Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12131/10 120100061 Pounders Park Phase 11 24085 204,066.05 Total 204,066.05 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. Allowed 20 Sullivan Corporation, The 15299 Stony Creek Way Noblesville, IN 46060 In Sum of 204,066.05 ON ACCOUNT OF APPROPRIATION FOR 106 Park Impact Fee Fund PO #or INVOICE NO. kCCT #/TITL AMOUNT Board Members Dept 24085 120100061 5023990 204,066.05 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 13 -Jan 2011 Signature 204,066.05 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund