HomeMy WebLinkAbout196563 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 364910 Page 1 of 1
ONE CIVIC SQUARE SULLIVAN CORPORATION
0 CHECK AMOUNT: $333,540.12
CARMEL, INDIANA 46032 15299 STONY CREEK WAY
o� NOBLESVILLE IN 46060 CHECK NUMBER: 196563
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
106 R5023990 24085 320100061 48,925.62 FOUNDERS PARK -PHASE I
106 R5023990 24085 420100061 284,614.50 FOUNDERS PARK -PHASE I
G702
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 1 PAGES
TO OWNER: Carmel /Clay Board of Parks Rec PROJECT: Founders Park Phase II APPLICATION NO: 3- 2010 -0061 Distribution to:
1411 E 116th St 11674 Haze! Dell Parkway PERIOD TO: 02/2812011 2 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 Conlractor'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 (4,556.00)
3. CONTRACT SUM TO DATE (Line 1 2) 1,659,444.00
4. TOTAL COMPLETED STORED TO 617,864.92 BY: Treasurer Date:
DATE (Column G on G703)
5. RETAINAGE: State of: INDIANA County of: HAMILTON
a. 10% of Completed Work 61 ,786.49 Subscribed and sworn to before me this day of
(Column D+ E on G703) a Apt p Z
b. 10% of Stored Material Ly nn Potocny
Melanie
(Column F on G703) Notary Public: Notary Public Seat State of Indiana
Marion County
Total Retainage (Lines 5a 5b or
My Commission Ezpues 09126120
Total in Column I of G703) 61,786.49 My Commission expires:
6. TOTAL EARNED LESS RETAINAGE 556 ,078.43 ARCHITECT'S CERTIFICATE FOR PAYMENT
(Line 4 Less Line 5 Total) In accordance with the Contract Documents, based an 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) 507 ,152.81 Architect's knowledge, information and belief the Work has progressed as indicated,
8. CURRENT PAYMENT DUE 48,925.62 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 1,103,365.57 AMOUNT CERTIFIED f
(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& 22 1 t
Total approved this Month 4,556.00 By: Date:
TOTALS $0.00 $4 ,556.00 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 (4,556.00) prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1002 EDITION AIA 01092 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DG 20006-5202
Users may obtain validation of this document by requesting a completed AIA Document D401 Certification of Document's Authenticity from the Licensee.
page 4 of 6 pages
G703 Founders Park Phase II DATE 02/15/2011
APP 4 3- 2010 -0061
Project It 4377.003.02
The Schocider Corpoi ation PrgJect No. 43 77.003.02
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 15,680.00 7,616.00 23,296.00 52% 21,504.00 2,329.60
Temp Barricades 10,000.00 5,000.00 1,500.00 6,500.00 65% 3,500.00 650.00
Temp office 900.00 540.00 135.00 675.00 75% 225.00 67.50
Temp Utilities 2,250.00 1,125.00 360.00 1,485.00 66% 765.00 148.50
Survey 8,000.00 3,200.00 3,040.00 6,240.00 78% 1,760.00 624.00
Testing 2,500.00 1,000.00 750.00 1,750.00 70% 750.00 175.00
Winter Protection 2,500.00 1,625.00 1,625.00 65% 875.00 162.50
clerical 1,500.00 750.00 375.00 1,125.00 75% 375.00 112.50
Site
Ground Work /Excavation 93,760.00 65,632.00 12,188.80 77,820.80 83% 15,939.20 7,782.08
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 6,600.00 33,000.00 100% 3,300.00
Masonry
Wall Masonry 63,224.00 26,000.00 5,612.00 31,612.00 50% 31,612.00 3,161.20
Building Masonry 112,000.00 16,800.00 14,560.00 31,360.00 28% 80,640.00 3,136.00
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/ Seafants Fireproofing 8,500.00 8,500.00
Doors Windows
Storefront Glass Doors 3,750.00 3,750.00
Finishes 1
page 5 of 6 pages
G703 Founders Park Phase II DATE 02/15/2011
APP 3- 2010 -0061
Project 4377.003.02
The Schneidor Corporation 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
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 27,650.00 27,650.00 35% 51,350.00 2,765.00
SUB TOTAL PRIOR TO CHANGE ORDEF 1,664,000.00 563,503.12 54,361.80 617,864.92 1,046,135.08 61,786.49
CHANGE ORDERS
C01 RFP 1 &2 decking /ext lock (4,556.00) 0% (4,556.00)
CHANGE ORDER SUB TOTAL (4,556.00) (4,556.00)
TOTAL 1,659,444.00 563,503.12 54,361.80 617,864.92 1,041,579.08 61,786.49
AFFIDAVIT AND WAIVER OF LIEN
Final Partial Unconditional
State of Indiana County of Hamilton SS:
Mark Mennen being duly sworn states that he is Secretary /Treasurer
(Name orOf wer, Partner, 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
Carmei, IN 46032 and owned Carmel/Clay Board of Parks Rec
and does hereby further state on behalf of the aforementioned subcontractor /supplier:
(PARTIAL WAIVER) that there is due from the contractor the sum of
Forty Eight Thousand Nine Hundred Twenty Five and 62/100 Dollars 48,925.62
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 party 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 ullivan Corporation Date 02/15/2011
By Title Secretary/ Treasurer
Witness My Hand and Seal this f day of 1NdR7" 20
My Commission Expires 7 �t%y �O Signature 1
County of Residence LQ Printed /T C lAOlC 7 'qT or- �J v
Melanie Lynn POtoCny
ldotary Pu Mar onaCouantY t Indiana
Mp CommISSIOn Expires 0912612018
G702
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT 6702 PAGE O OF 1 PAGES
TO OWNER: Carmel /Clay Board of Parks Rec PROJECT Founders Park Phase II APPLICATION NO: 4- 2010 -0061 Distribution to:
1411 E 116th St 11674 Hazel Dell Parkway PERIOD TO: 03131/2011 X OWNER
Carmel, IN 46032 Carmel, IN 46032 PROJECT NO.: 4377.003.02 JARCHITECT
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 (4,556.00)
3. CONTRACT SUM TO DATE (Line 1 t 2) 1,659,444.00
4. TOTAL COMPLETED STORED TO 923,665.47 By: Treasurer Date
DATE (Column G on G703)
5. RETAINAGE: State of: INDIANA County of HAMILTON
a. 10% of Completed Work 82,972.55 have met 50% of project Subscribed and sworn to before me this 1 day of
(Column D E on G703) effective pay app 5 no t/lA R eN
b. 10 of Stored Material more retainage withheld p Melanie Lynn Potocny
(Column F on G703) Notary Public:
4 1 Marion Notary Public Seat State of Indiana
County
Total Retainage (Lines 5a 5b or i My Commission Expires OB12612018
Total in Column I of 3703) 82,972.55 My Commission expires:
6. TOTAL EARNED LESS RETAINAGE 840 ,692.92 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) 556,078.43 Architect's knowledge, information and belief the Work has progressed as indicated,
B. CURRENT PAYMENT DUE 284,614.50 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 818,751.08 AMOUNT CERTIFIED
(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 4,556.00) ARCHITECT:
Total approved this Month By: Date: j Z5 zV 1
TOTALS $0.00 $4 ,556.00 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 4,556.00 prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION AIA r ®1992 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 completed AIA Document D401 Certification of Document's Authenticity from the Licensee.
page 4 of 6 pages
G703 Founders Park Phase 11 DATE 03/18/2011
APP 4 -2010 -0061
Project 4377.003.02
The Scht�e.ide� Coq.-mration Protect No. 4377.003.02
B C D E F G H I
DESCRIPTION WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE
no addtl retainage
OF WORK SCHEDULED PRIOR THIS PRESENTLY COMPLETED TO FINISH eff pay app 5
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 23,296.00 8,064.00 31,360.00 70% 13,440.00 3,136.00
Temp Barricades 10,000.00 6,500.00 1,000.00 7,500.00 75% 2,500.00 750.00
Temp office 900.00 675.00 225.00 900.00 100% 90.00
Temp Utilities 2,250.00 1,485.00 202.50 1,687.50 75% 562.50 168.75
Survey 8,000.00 6,240.00 6,240.00 78%1 1,760.00 624.00
Testing 2,500.00 1,750.00 250.00 2,000.00 80% 500.00 200.00
Winter Protection 2,500.00 1,625.00 875.00 2,500.00 100% 250.00
clerical 1,500.00 1,125.00 150.00 1,275.00 85% 225.00 127.50
Site
Ground Work /Excavation 93,760.00 77,820.80 4,688.00 82,508.80 88% 11,251.20 8,250.88
Asphalt Paving 79,530.00 79,530.00
-Site Concrete 56,559.00 14,139.75 14,139.75 25% 42,419.25 1,413.98
Landscaping 121,000.00 21,780.00 10,890.00 32,670.00 27% 88,330.00 3,267.00
Concrete
Building Concrete 33,000.00 33,000.00 33,000.00 100 3,300.00
Masonry
Wall Masonry 63,224.00 31,612.00 6,322.40 37,934.40 60%1 25,289.60 3,793.44
Building Masonry 112,000.00 31,360.00 47,040.00 78,400.00 70% 33,600.00 7,840.00
Metals 60%
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 2,625.00 2,625.00 70% 1,125.00 262.50
page 5 of 6 pages
G703 Founders Park Phase II DATE 03/18/2011
APP 4 -2010 -0061
Project 4377.003.02
The Sofin.eider Cofpora.tion Project No. 4377.003.02
B C D I E F G H I
DESCRIPTION WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE
no addtl retainage
OF WORK SCHEDULED PRIOR THIS PRESENTLY COMPLETED TO FINISH eff pay app 5
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
Finishes
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 5,940.00 100% 594.00
Equipment
Playground Equipment 523,782.00 345,696.12 178,085.88 523,782.00 100% 42,984.20
adjustment to retainage due to pay app total exceeds 50%
Mechanical
Plumbing 20,000.00 10,000.00 10,000.00 50% 10,000.00 1,000.00
HVAC 2,000.00 2,000.00
Electrical 45,000.00 11,250.00 11,250.00 25% 33,750.00 1,125.00
Overhead /Profit 49,000.00 27,650.00 280.00 27,930.00 57% 21,070.00 2,793.00
Contingency 30,000.00 3,773.02 3,773.02 13% 26,226.98 377.30
SUB TOTAL PRIOR TO CHANGE ORDEF 1,664,000.00 617,864.92 305,800.55 923,665.47 740,334.53 82,972.55
CHANGE ORDERS
C01 RFP 1 &2 decking /ext lock (4,556.00) 0% (4,556.00)
CHANGE ORDER SUB TOTAL (4,556.00) 1 4,556.00)
TOTAL 1,659,444.00 617,864.92 305,800.55 923,665.47 735,778.53 82,972.55
AFFIDAVIT AND WAIVER OF LIEN
Final Partial Unconditional
State of Indiana County of Hamilton SS:
Mark Mennen being duly sworn states that he is Secretary /Treasurer
(Name of Offtcer, PaFmer, 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 Ree
and does hereby further state on behalf of the aforementioned subcontractor /supplier:
(PARTIAL WAIVER) that there is due from the contractor the sum of
Two Hundred Eighty Four Thousand Six Hundred Fourteen and 50/100 Dollars 284,614.50
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 party 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 Su Evan Porporation Date 03118/2011
By Title Secretary I Treasurer
p
Witness My I -land and Seal this ,�O f day of A 20
My Commission Expires `�d Signature
County of Residence C> Printed �AI-)t F i f�� ��A.
idiaianie Lynn Polocny
r- Notary Puoiic Seal State of Indiana
Marion County
My C omm:sston Expires 091261201&
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
2128111 320100061 Founders Park Phase II 24085 48,925.62
3131/11 420100061 Founders Park Phase II 24085 284,614.50
Total 333,540.12
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
i
Voucher No. Warrant No.
Allowed 20
364910 Sullivan Corporation, The
15299 Stony Creek Way
Noblesville, IN 46060 In Sum of
333,540.12
ON ACCOUNT OF APPROPRIATION FOR
106 Park Impact Fee Fund
PO# or INVOICE NO. kCCT #/TITLI AMOUNT Board Members
Dept
24085 320100061 5023990 48,925.62 1 hereby certify that the attached invoice(s), or
24085 420100061 5023990 284,614.50 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
7 -Apr 2011
1 P &/a mEo
Signature
333,540.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund