194167 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 357899 Page 1 of 1
0 ONE CIVIC SQUARE F K CONSTRUCTION INC
CARMEL, INDIANA 46032 2055 w 150 S CHECK AMOUNT: $4,750.00
FLORA IN 46929
CHECK NUMBER: 194167
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4237001 21378 2 4,750.00 106TH ST PATH
CONSTRUCTION PROJECT INVOICE
DATE: January 18, 2011
COMPANY NAME: F K Construction, Inc.
AND ADDRESS 2055 W. 150 S.
Flora, IN 46929
TELEPHONE NO.: (574) -967 -4543
FAX NO.: (574)- 967 -3934
PROJECT NAME: 106 Street Path from Westfield Boulevard to Keystone Parkway
PROJECT NO.: 09 -09
INVOICE NO.: 2
Construction pay items as per Progress Pay Estimates No. 2 as shown on the
attached invoice for work completed between the dates of December 1, 2010 to
December 31, 2010.
TOTAL PAY THIS ESTIMATE: $4,570.00
MINUS 10% RETAINAGE: N/A
TOTAL NOW DUE: $4,570.00
Submitted by CrossRo d Engineers, PC
Project Repr'e ntative signed name ate
Andrew Wolf 1/18/2011
Project Representative 7 printed name Date
1 of
CITY OFC*RMEL
108th Street Path
Westfield Boulevard »n Keystone Pu,kway8- SaUetnVVhionOak
PROJECT NO. oV'V9
PROGRESS PAY ESTIMATE NO. 02
For work done during the period of: 1211110 through 12J31n0
I Mobilization I Demobilization LS LS $29.000.00
2 Maintenance of Traffic LS LS $4.500.00
3 Clearina Riqht of Way LS LS $6
4 Tree Removal LS LS $21 00000
5 Linear Ditch Grading LIFT LFT $5-00
6 DELETED
8 Inlet, Type J EA EA $1,400,00
__2_ Manhole, Type C EA EA S1,600.00
10 Manhole. Type K EA EA $2.900.00
11 Concrete Pipe Catch Basin. 18" EA EA $1
12 4" PVC, SCH 40 LIFT LFT $25.00
14 12" RCP LIFT LIFT $2500
15 15" RCP LFT LIFT $86.00
16 24" RCP LIFT LIFT S4ZOO
17 12" Concrete Pipe End Section EA EA $860.00
18 15" Concrete Pipe End Section EA EA $870.00
19 Reinforced Concrete Headwall LS LS $25.400.00
20 Handrail LFT LIFT $145.00
24 Storm Manhole, Adjusito Grade EA EA $345,00
25 Water Meter, Adjust to Grade EA EA $850,00
26 Water Valve, Adjust to Grade EA EA $235.00
27 HMA Surface. Type A TON TON $95.00
28 HMA Intermediate, Type A TON TON $64.00
29 Surface Milling, 1-112" SYS SYS $4.00
30 Compacted Agg, o. 53, Base TON TON $19.00
31 Concrete Curb Ramp, Type G SYS SYS $75.00
33 Erosion Control Blanket SYS SYS S2,00
34 Erosion Contra[ Measures LS LS $4,200,00
35 Topsoil (Undistributed) CYS CYS $13,00
36 Pipe. Remove LFT 84.00 LFT S15.00 $1,260,00
37 !Structure Backfill, Type 1 CYS 56.00 CYS $45.00 $2,520.00
38 Structure BaCkfill, Type 3 CYS 113.76 CYS $30.00 $3,412.80
39 HMA Surface, Type C TON TON $560.00
40 PCCP, 12 IN SYS 55.12 SYS $9500 $5,236.
41 Rip Rap Class 2 TON 62.54 TON $28.00 $1.751.12
42 Wingwall SPT 294,30 SIFT $57.00 $16,775.10
43 Pipe, Reinforced Concrete, 36 IN- LFT 88A0 LIFT $65.00 S5745.00
44 Pipe End 36 114 EA 1.00 EA $1,420,00 $1 T 420,00
�6 Road Closure Sign Assembly EA 4.00 EA $400,00 $1,600.00
47 Detour Route Marker Assembly EA 18.00 EA S150.00 $2.70&00
48 Consl.ructbn Siqn, A EA 6.00 EA $220,00 $1.320.0a
49 Barricade. 111-B LFT 48.00 LFT $14,00 $672.00
80 Linear Grading for Path LIFT Cl: $6.00
51 Water Hydrant, Adjust to Grade EA EA $950.00
52 Straight Concrete Curb LIFT LFT $35.00
53 Concrete Curb andLGutter LIFT LFT $3500
'54 Compacted Agg, No, 53, Base TON TON $20.10
'55 HMA Intermediate, Type A TON TON $12700
winterization LS LS $3,745.00
'57 Concrete Curb Ramp, Type G SYS SYS $144.72
'58 Wingwall Dewatering 1.001 LS 1 100 L $4,320.00 $4,320.00 S4,320.00
'59 Concrete Cr die too 1 1.00 $250,00 $260,00 S25000
*60 Water Main Backfill Compaction LS L S4,19000
$4,57000 $54,750.68
TOTALS AND PAY ESTIMATE CALCULATIONS
zor2
CITY OF CARMEL
106th Street Path
Westfield Boulevard to Keystone Parkwayll_aSalle to White Oak
PROJECT NO. 09 -09
PROGRESS PAY ESTIMATE NO. 02
Forwork done during the period of: 1211110 through 12131?1a
Item Description Quantity this Total Quantity Unit Total °Pay Total Pay
1 Estimate to Date Price this.�stimate to Date
TOTAL PAY THIS ESTIMATE $4,570.00
TOTAL PAY TO DATE 554
DEDUCT 10% RETAINAGE
I
DEDUCT PREVIOUS NET PAY ESTIMATES s5o,lsa.ss
i� NET PAY ESTIMATE NO. 01 $4,570.00
CrossRoad Engineers. PC
Inspecting Firm v i2
F K Construction
Cornracicr 3y Dale
t
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
F &K Construction
Purchase Order No.
2055 W. 150 S.
Terms
Flora, IN 46929
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Vi 8M 11 2 culvert mplacernen't along JVWL11 k vvestfelud to Key) 4 A,570.00
*see Change Order through Utilities
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited sarrso"o ce
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
F&K Construction
ALLOWED 20
—2055 W. 150 S. IN SUM OF
Flora, IN 46929
$4,750.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
21378 2 206- R42370 1 is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
t) Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund