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Home My WebLink About194779 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 364910 Page 1 of 1 0 ONE CIVIC SQUARE SULLIVAN CORPORATION CHECK AMOUNT: $303,086.75 CARMEL, INDIANA 46032 15299 STONY CREEK WAY NOBLESVILLE IN 46060 CHECK NUMBER: 194779 CHECK DATE: 2/1612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AM DESC RIPTION 106 R5023990 24085 220100061 303,086.75 FOUNDERS PARK -PHASE I The Sullivan Corporation INVOICE 15299 Stony Creek Way DATE: January 17, 2011 Noblesville, IN 46060 INVOICE 2- 2010 -0061 Phone 317 -776 -2770 Fax 317 776 -4434 FOR: 4377.003.02 Bill To: PROJECT NAME Founders Park Phase I! Carmel /Clay Board of Parks Rec PROJECT CITY Carmel, IN 46032 1411 E 116th St Carmel, IN 46032 ir+ nDESCRIPTIOI 1AIVIOl4NT Da MMIN Pay Application 2 303,086.75 as outlined on attached G702/703 Payment Application Purchase Description vr1C R LR PHASE P.O. or F yes C� G. L. 9 une Descr 2if cr r IolwER 4kp �s Purchaser Date approval Date Total Invoice Before Tax 303';086 7,5, Sales Tax if applicable Invoice Total: 303;086.75 Make all checks payable to The Sullivan Corporation If you have any questions concerning this invoice, contact Mark Mennen at 317- 776 -2770 or mmennenCo)sullivan- corp.com THANK YOU FOR YOUR BUSINESS! 110 .9 V IE JAN 3 1' 2011 FEB 8 13y: G702 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PA ONE OF 1 PAGES 1 TO OWNER: Carmel/Clay Board of Parks Rec PROJECT: Founders Park Phase II APPLICATION NO: 2 -2010 -0061 Distribution lo: 1411 E 116th St 11674 Hazel Dell Parkway PERIOD TO: 01/31/2011 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 Contractor's 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 563,503.12 By: Treasurer Date: 7' DATE (Column G on G703) 5. RETAINAGE: State of: INDIANA County of. HAMILTON a. 10% of Completed Work 53,750.31 Sub ribed and sworn to before me this day of (Column D E on G703) b. 10/ of Stored Material 2,600.00 Column F on G703 Notary Cristina Poa I Notary Public Seal State of Indiana rY Public: Sneiby County Total Retainage (Lines 5a 5b or My Commission Expires 0812412012 Total in Column I of G703) 56,350.31 My Commission expires: 6. TOTAL EARNED LESS RETAINAGE 507,152.81 ARCHITECT'S CERTI KATE 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) 204,066.05 Architect's knowledge, information and belief the Work has progressed as indicated, 8. CURRENT PAYMENT DUE 303 ,086.75 the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE 1,156,847.19 AMOUNT CERTIFIED 7 (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 ARCHITECT: Total approved this Month By :1,7111 Y Date: t7a �G7r 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 AIA 101992 THE AMERICAN INSTITUT ECTS, 1735 NEW YORK AVE., N.W.. WASHINGTON, DC 29006 -5292 Description Users may obtain validation of this document by requesting a completed AIA Document 113401 Certification of Document's Authenticity from theligenjee. P*r G.L. 8u3 et Line D w Purchaser Date APprovat Date page 1 of 2 pages G703 Founders Park Phase II DATE 01/1.7/2011 APP 2 -2010 -0061 Project 4377.00102 The Schileid.er Corpnration Project No. 4377,103.02 B C D 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 10,304.00 15,680.00 35% 29,120.00 1,568.00 Temp Barricades 10,000.00 5,000.00 5,000.00 50% 5,000.00 500.00 Temp office 900.00 135.00 405.00 540.00 60% 360.00 54.00 Temp Utilities 2,250.00 1,125.00 1,125.00 50% 1,125.00 112.50 Survey 8,000.00 3,200.00 3,200.00 40% 4,800.00 320.00 Testing 2,500.00 1,000.00 1,000.00 40% 1,500.00 100.00 Winter Protection 2,500.00 2,500.00 clerical 1,500.00 375.00 375.00 750.00 50% 750.00 75.00 Site Ground Work /Excavation 93,760.00 9,376.00 56,256.00 65,632.00 70% 28,128.00 6,563.20 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 26,400.00 26,400.00 80% 6,600.00 2,640.00 Masonry Wall Masonry 63,224.00 0.00 26,000.00 26,000.00 41% 37,224.00 2,600.00 Building Masonry 112,000.00 16,800.00 16,800.00 15% 95,200.00 1,680.00 Metals Steel 125,000.00 6,250.00 6,250.00 5% 118,750.00 625.00 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 3,750.00 Finishes page 2 of 2 pages G703 Founders Park Phase II DATE 01/17/2011 APP 2- 2010 -0061 Project 4377.003.02 The Schneider Corporation Project No. 4377.003.02 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 Painting 11,116.00 11,116.00 Drywall 5,500.00 5,500.00 Specialties Terrasoft surface 94,500.00 94,500.00 Toilet accessories 5,940.00 5,940.00 Equipment Playground Equipment 523,782.00 345,696.12 345,696.12 66% 178,085.88 34,569.61 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 15,800.00 27,650.00 35% 51,350.00 2,765.00 SUB TOTAL PRIOR TO CHANGE ORDEF 1,664,000.00 226,740.06 137,915.00 371,696.12 563,503.12 1,100,496.88 56,350.31 CHANGE ORDERS CHANGE ORDER SUB TOTAL TOTAL 1,664,000.00 226,740.06 1 137,915,00 371,696.12 563,503.12 1,100,496.88 56,350:31 AFFIDAVIT AND WAIVER OF LIEN Final Partial Unconditional State of Indiana County of hiamilton SS: Mark tMennen being duly sworn states that he is Secretary /Treasurer (Name of Officer, Pamer, Owner) (Title) The Sullivan Corporation having contracted with Carmel/Clay Board of Parks Rec (company name) to furnish certain materials and /or labor as follows: constr type (description) for the project known as Founders Park Phase II located at 11674 Hazel Dell Parkway Carmel, IN 46032 and owned Carmel/Clay Board of Parks and does hereby further state on behalf of the aforementioned subcontractor /supplier: (PARTIAL WAIVER) that there is due from the contractor the sum of Three Hundred ThreeThousand Eighty Six and 751100 Dollars 303,086.75 receipt of which is hereby acknowledged; or Total paid to date X) 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 there is due from the contractor the sum of (total contract amount) receipt of which is hereby acknowledged; or Total paid to date 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: THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other parry has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver Firm The Sullivan Corporation o e Date 01/17/2011 By� Title Secretary Treasurer Witness My Hand and Seal this 7 7 day of 91414 upeY 20 My Commission Expires C W L Signature County of Residence /Y�!}M /try,..( !Tinted j Krishna Poe Notary Public Seal State of Indiana Shelby County My Commission Expires 0$12412012 'J; lk�b "V}ar'y1�w^ The Schneider Corporation S chneider Historic Fort Harrison 8901 Otis Avenue ndianapolis, IN 46216-1037 Phone- 317.3263100 Fax: 317.828.7200 TRANSMITTAL TO: Audrey Kostrzewa DATE: 2011.01.28 Carmel -Clay Board of Parks JOB 4377.003.002 1411 E 116 Street PROJECT: Founders Park II Carmel, IN 46032 RE: Pay Application #02 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 2011.01.28 Certified Copies of Pay Application #02 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 ig 191 JAN 3 1 2011 If enclosures are not as noted, kindly notify us at once. t: 14k14377ti0031docslphase ii caa2010.01.28 Kostrzewa pay application #02.doex 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_ 364910 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 1/17111 220100061 Founders Park Phase II 24085 303,086.75 Total 303,086.75 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 364910 Sullivan Corporation, The 15299 Stony Creek Way Noblesville, IN 46060 In Sum of 303,086.75 ON ACCOUNT OF APPROPRIATION FOR 106 Park Impact Fee Fund PO# or INVOICE NO. kCCT #ITITLI AMOUNT Board Members Dept s 24085 220100061 5023990 303,086.75 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 10 -Feb 2011 Signature 303,086.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund