HomeMy WebLinkAbout195923 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 364048 Page 1 of 1
ONE CIVIC SQUARE GIBRALTAR CONSTRUCTION CORP
CARMEL, INDIANA 46032 2932 N. WEBSTER AVENUE CHECK AMOUNT: $119,949.19
INDIANAPOLIS IN 46219
CHECK NUMBER: 195923
CHECK DATE: 3/2912011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPT
2200 R4462401 27459 1 119,949.19 7A STREETSCAPE- PALLAD
y TI
VI
Document G7021CMa 1992
Applicati and Certificate for Payment Construction Manager- Adviser Edition
TO OWNER: PROJECT: APPLICATION N0. Distribution to:
City of Carmel Carmel Parcel 7A Streetscape t
One .Civic Square PERIOD TO 2/18/1 OWNER
Carmel, IN 46032 CONSTRUCTION MANAGER
FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT
Gibraltar Construction Corp 10/28/10
2932 N. Webster Ave. PROJECT NOS: I CONTRACTOR El Indianapolis, IN 46219 VIA ARCHITECT: 2 1 FIELD
1
CONTRACT FOR: Carmel Parcel 7A Streetscape CSO Architects, Inc. 2240 V_ 240
CONTRACTOR'S APPLICATION FOR PAYMENT T he undersigned Contractor ce ifies that to the best of the Contractor's knowledge, information and
Application is made for payment, as shown below, in connection with the Contract. belief the Work covered by this pplication for Payment has been completed in accordance with the
Contract Documents, that a
Continuation Sheet, AIA Document G703, is attached. r a ounts have been paid by the Contractor for Work for which previous
Certificates for Paym ere issued and payments received from the Owner, and that current
1_. ORIGINAL CONTRACT SUM payment shown herein is w i struction e.
2. Net change b Cha Orders CONTRACTOR:
9 Y 9 0.00 Gibralt Corp
3. CONTRACT SUM TO DATE (Line 1 2) 206,200.00 By: Date:
4. TOTAL COMPLETED STORED TO DATE (Column G on G703) 133,276.88 State of:
5. RETAINAGE: County of::: BRIAN R. MCBRIDE
a. of Completed Work Subscribed and ytorn to b e I �S of Hancock County
(Column D E on G703) 13,327.69 me this o day of AI
My Comm. Fxp: 11 -29 -2017
b• of Stored Material Notary Public: D l PN Co 611
(Column F on G703) My Commission expires: ���!/7
Total Retaina (Lines 5a 5b or Total in Column I of G703). CERTIFICATE FOR PAYMENT
[n accordance with the Contract Documents, based on on -site observations and the data comprising
6. TOTAL EARNED LESS RETAINAGE 119949.19 this application, the Construction Manager and Architect certify to the Owner that to the best of their
(Line 4 Less Line 5 Total) knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 0 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT
(Line 6 from prior Certificate) CERTIFIED.
8. CURRENT PAYMENT DUE 119 AMOUNT CERTIFIED
9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs from the arnount.applied. Initial all figarres on this
Application and on the Continuation Sheet that are changed `to conform with the amount certified.)
(Line 3 less Line 6) 63,923.00 CONSTRUCTION MANAGER:
By: Date:
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITE
Total changes approved in previous months by Owner B r !'CX� Date:
Total approved this Month This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
TOTALS named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of
NFT CHANGES by Change Order the Owner or Contractor under this Contract.
CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscurea. let&
AIA Document G7021CMaT�l 1992. Copyright 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties.
Unauthorized reproduction or distribution of this AIA Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law.
Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright @aia.org.
AIA Document G702/CMa" -1992 Instructions
Application and Certificate for Payment Construction Manager Adviser Edition
A. General Information
AIA Document G702/CMa, Application and Certificate for Payment, Construction Manager- Adviser Edition, is to be used in conjunction with AIA Document G703,
Continuation Sheet. These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner, but not as a
constructor, and where multiple Contractors have direct Agreements with the Owner. Procedures for their use are covered in AIA Document A201 /CMa, General
Conditions of the Contract for Construction, Construction Manager- Adviser Edition, 1992 Edition.
B. Reproductions
This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to
reproduce this document, nor does membership in The American Institute of Architects confer any further rights to reproduce this document.
The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702 /CMa, but only for use In connection with a particular
project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission
from the AIA.
Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EULA).
To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright@aia.org.
C. Completing the G702/CMa Form
After the Contractor has completed AIA Document G703, Continuation Sheet, summary information should be transferred to AIA Document G702 /CMa, Application and
Certificate for Payment, Construction Manager- Adviser Edition.
The Contractor should sign G702 /CMa, have it notarized and submit it, together with G703, to the Construction Manager and Architect.
The Construction Manager and Architect should review G702 /CMa and G703 and, if they are acceptable, complete the Certificate for Payment on G702 1CMa. The
Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A201 /CMa. They should then initial all figures
on G7021CMa and G703 that have been changed to conform to the amount certified and attach an explanation. The completed G702 /CMa and G703 should be forwarded
to the Owner.
D. Completing the G703 Form
Heading: This information should be completed to be consistent with similar information on AIA Document G702 /CMa, Application and Certificate for Payment,
Construction Manager- Adviser Edition.
Columns A, B C: These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of
values submitted to the Architect at the commencement of the Project or as subsequently adjusted. The breakdown may be by sections of the Worker by Subcontractors
and should remain consistent throughout the Project. Multiple pages should be used when required.
e:'
Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially, this total should equal the,ofginal Contract Sum.
The total of column C may be adjusted by Change Orders during the Project.
Column D: Enter in this column the amount of completed work covered by the previous application (columns D E from the previous applicatioA)'Values from column F
(Materials Presently Stored) from the previous application should not entered in this column. r,
r
Column E: Enter here the value of Work completed at the time of this application, including the value of materials incorporated into the project which were listed on the
previous application under Materials Presently Stored (column F).
Column Fi Enter here the value of Materials Presently Stored for which payment is sought. The total of the column must be recalculated at the end-,of each pay period.
This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment
by the Owner for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from this
column and incorporated into column E (Work Completed This Period).
Column G: Enter here the total of columns D, E and F. Calculate the percentage completed by dividing column G by column C.
Column H: Enter here the difference between column C (Scheduled Value) and column G (Total Completed and Stared to Date).
Column I: This column is normally used only for contracts where variable retainage is permitted on a line -item basis. It need not be completed on projects where a
constant retainage is withheld from the overall contract amount.
Change Orders: Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project, this is not
normally done. Usually, Change Orders are listed separately, either on their own G703 form or at the end of the basic schedule. The amount of the original contract
adjusted by Change Orders is to be entered in the appropriate location on the G702 /CMa form.
Construction Change Directives: Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or mare Change
Orders. Amounts remaining in dispute should be dealt with according to Section 7.3 in A201 /CMa. 'f
E. Making Payment
The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager and Architect on AIA Dpcument G702 /CMa,
Application and Certificate for Payment, Construction Manager Adviser Edition. The completed form contains the name and address of the Contractor. Payment should
not be made to any other party unless specifically indicated on G702 /CMa.
AIA Document G702 /CMaTm 1992. Copyright 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S.
Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA Document, or any portion of it, may result in severe civil and criminal
penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (1 O( copies of this document when completed.
To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org.
CONTINUATION SHEET Page 2 of 2
APPLICATION NO.: 4
APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 1/17/2011
attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 1/17/2011
variable retainage for line items may apply.
ARCHITECT'S PROJECT NO.
A B C D E F G H
WORK COMPLETED MATERIALS TOTAL
ITEM FROM PREVIOUS PRESENTLY COMPLETED AND BALANCE TO IF VARIABLE (IF
NO. APPLICATION THIS PERIOD STORED (NOT IN STORED TO DATE (G I C) (C G) RATE)
(D +E) DORE) (D +E +F)
1 Supervision $2,500.00 $2,175.00 $2,175.00 87% 325.00 217.50
2 Allowance $20,000.00 $0.00 $0.00 0% 20,000.00
3 Bonds $2,576.00 $2,576.00 $2,576.00 100% 257.60
4 Misc. General Conditions $5,024.00 $4,370.88 $4,370.88 87% 653.12 437.09
5 Earthwork $30,000.00 $25,500.00 $25,500.00 85% 4,500.00 2,550.00
6 Asphalt Paving $9,700.00 $1,455.00 $1,455.00 15% 8,245.00 145.50
7 Concrete Curbs $15,600.00 $15,600.00 $15,600.00 100% 1,560.00
8 Concrete Walks $13,000.00 $13,000.00 $13,000.00 100% 1,300.00
9 Joint Sealants $300.00 $0.00 $0.00 0% 300.00
10 Limestone Retaining Wall $90,000.00 $67,500.00 $67,500.00 75% 22,500.00 6,750.00
11 Landscaping $12,000.00 $0.00 $0.00 0% 12,000.00
12 Irri ation $5,500.00 $1,100.00 $1,100.00 20% 4,400.00 110.00
$206,200.00 $0.00 $133,276.88 $0.00 $133,276.88 65% $72,923.12 $13,327.69
ISA Form 1 -402
1�dh� AFFIDAVIT AND WAIVER OF LIEN
FINAL PARTIAL PAYMENT TO FOLLOW
State of Indiana, County of Marion, SS
Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the
Owner to furnish certain materials and or labor for a project known as Carmel Parcel 7A- Streetscape and owned by City
of Carmel and does hereby further state on behalf of the aforementioned contractor:
(PARTIAL WAIVER) that there is due from the Owner the sum of
One Hundred Nineteen Thousand Nine Hundred Forty Nine and 171100--- Dollars ($119;949.19)
receipt of which is hereby acknowledged; or
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 the final balance due from the Owner is the sum of
Dollars
receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver
of Lien which shall become effective upon re eipt of such payment.
THERFORE, the undersigned waives and releases unto Owner of said premises, any and all lien or claim whatsoever
on the above- described property and improvements ther o account of LABOR or material or both, furnished by the
undersigned thereto, subject to limitations of conditio s ressed herein, if any; and further certifies that no other party
has any claim or right to a lien on account of any w p rmed or material furnished to the undersigned for said project,
and within the scope of this affidavit and waiver.
Gibraltar Construction Corp By Title President
WITNESS MY HAND AND NOTORIAL ,this 18t day of February, 2011.
(Notary Public)
1 1979 44bia14a SUBC04WTA ASSOCIA INCORiOAniEG a pLe� BRIAN R. MCBRlDE
unau�no.etee�r0+t'd ctror' Pron�f[ed k SEAL Res, of Hancock Cou 1
Rev
My Comm, Exp, 11 -29 -2017
I N Commissicn 611862
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
Gibraltar Construction Corp
Purchase Order No.
2932 N. Webster Ave.
Terms
Indianapolis, IN 462191- Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2118111 11 A Streetseape 19,949.i9
F T l
Total
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.
ALLOWED 20
Gibraltar Construction Corp IN SUM OF
2932 N. Webster Ave.
Indianapolis, IN 46219"
$119,949.19
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
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
27459 2200- R4462401 $119,949.19 which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund