HomeMy WebLinkAbout167407 12/23/2008 a CITY OF CARMEL, INDIANA VENDOR: 362321 Page 1 of 1
ONE CIVIC SQUARE NATIONAL SALVAGE SERVICE CORP CHECK AMOUNT: $37,170.00
CARMEL, INDIANA 46032 PO Box 300
4 _oM io CLEAR CREEK IN 47426 CHECK NUMBER: 167407
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460847 1 37,170.00 HEARTHVIEW OLD TOWN
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November 24, 2008
Carmel Redevelopment Commission
Attn: Les Olds
.1-11 c3 1A
J es Main ee., �0
Carmel, IN 46032
RE: Monthly Billing Summary for Parcel #47 Demolition
Dear Mr. Olds,
The following invoices have been received by Keystone Construction for the
current month. We have reviewed them and find them to be in accordance with
the contract documents with the corrections noted and initialed. We did not
approve the total amount requested due to the discrepancy previously noted with
regards to the barricades installed that are not in compliance with the
specifications. We are forwarding the Contractor billings as attachments to this
letter for processing and payment as follows:
Company Name Gross Amount Net Amount
National Salvage Service Corp. $41,300.00 $37,170.00
Please see the attachments for amounts approved by the construction manager and
the architect.
S`incer
W. Bruce Stauffer
Senior Project Manager
am ca I C E YST mum ft MEN I E c
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CO N S T R U C T I O N CORP
GENERAL CONTRACTORS CONSTRUCTION MANAGERS
47 S. Pennsylvania St., 10th Fl., Indianapolis, IN 46204 P 317 636 -2000 F 317 635 -1100 W KEYSTONE- CORP.COM
APPIUCATION and CERTIFICATE for-PAYMENT DOCUMENT G702
To: City of Carmel, IN Redev. Comm. Project: Parcel 47E, Carmel Arts District Application No: 001 Distribution to:
One City Square Lofts Site Demolition OWNER
Carmel, IN 46032 App. Date: November 19, 2008
CONSTRUCTION MGR.
Period to: November 19, 2008 ARCHITECT
From: National Salvage Service Corp. CONTRACTOR
P.O. Box 300 Project Nos: []OTHER
Clear Creek, IN 47426
Contract Date: November 18, 2008
Contract For: Demolition ATTN: Bruce Stauffer
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 completed
in accordance with the Contract Documents, that all amounts have been paid by the
Continuation Sheet, G703, is attached. Contractor for Work for which previous Certificates for Payment were issued and payments
1, ORIGINAL CONTRACT SUM 252 received from the Owner, and that current payment shown herein is now due.
,000.00
2. Net Change By Change Orders 0.00 CONTR T R: Nati nal Salvage Service Corp.
3. CONTRACT SUM TO DATE 252,000.00 By Date: November 19, 2008
4. TOTAL COMPLETED AND STORED TO DATE �.00 Craig Ben Project Manag
State of: Indiana County`of: Monroe
5. RETAINAGE:
a. 10% of Completed Work _00 Subscribed and sworn before me this 19th day of ,iAovem'0 g 22 _08 ;,'J�
Craig Bentley, Project Manager, personally appeared before me',�the unde�signedinotary`� f:
b. 0% of Stored Material 0.00 public, and provided satisfactory evidence of identification to be the peArson;wlto,signed th s
document in my presence and swore or affirmed to me that the 66nte6ts ofthis'd6%uI4,lentfare
TOTAL RETAINAGE 10 truthful and accurate to the best of his /her knowledge and belief. Z.
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:*r
6. TOTAL EARNED LESS RETAINAGE
Notary Public: My Commission expires
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 0.00 John M. Var o �•r.'.'���5;).fS, a.7 °'09/15
ENGIN ER CERTIFICATE FOR PAYMENT
8. CURRENT PAYMENT DUE -*04-9iPM01 In accordance with the Contract Documents, based on on -site observations and the data
9. BALANCE TO FINISH, INCLUDING RETAINAGE'C comprising this application, the Engineer certifies to the Owner that to the best of the
150,030.00 Engineer's knowledge, information and belief the Work has progressed as indicated, the
quality of the Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED
t
Total changes approved in (Attach explanation if amount certified differs from the amount applied for. Initial all figures
previous months by Owner on this Application and on the Continuation Sheet that are changed to conform to the amount
Total approval this Month certified.)
TOTALS 0.00 0.00 ENGINEER:
NET CHANGES by Change Order B Date: 0.00 f 'S
This Ce to is not negotiable. The AMOUNT CERTIFIED is payable only to the
Contr r named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under thi ontract.
TORGO SOFTWARE http l/w .torgo.net 01996 -2008 ALL RIGHTS RESERVED
CONTINUATION SHEET 6703 PROJECT: Parcel 47E, Carmel Arts District National Salvage Service Corp. Page 1 of 1
Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 001
Contractor's signed Certification is attached. APPLICATION DATE: November 19, 2008
Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: November 19, 2008
PROJECT NUMBER:
A B C D E F G H I
Item Description of Work Scheduled Work Completed Materials Total Completed Balance Retainage
Value From Previous This Stored Used and Stored to Finish
Application(s) Period Prior Current To Date
1 Mobilization 3,400.00 0.00 3,400.00 3,400.00 100.00 0.00 340.0
2 Bond 4,800.00 0.00 4,800.00 4 100.00 0.00 480.0
3 Site Preparation 72,000.00 0.00 X00 34K 0 0.00 7,200.0
4 Erosion Controls 1,800.00 0.00 1,800.00 1,800.00 100.00 0.00 180.0
5 Removal of Site Furnishings 2,800.00 0.00 2,100.00 2,100.00 75.00 700.00 210.0
6 Demolition: #41 12,200.00 0.00 12,200.00 12,200.00 100.00 0.00 1,220.0
7 Demolition: #121 9,800.00 0.00 9,800.00 9,800.00 100.00 0.00 980.0
8 Demolition: #130 36,000.00 0.00 7,200.00 7,200.00 20.00 28,800.00 720.0
9 Demolition: #120 29,000.00 0.00 0.00 0.00 0.00 29,000.00 0.0
10 Demolition: #110 41,000.00 0.00 0.00 0.00 0.00 41,000.00 0.0
11 Concrete Demolition 16,500.00 0.00 0.00 0.00 0.00 16,500.00 0.00
12 Asphalt Demolition 7,700.00 0.00 0.00 0.00 0.00 7,700.Oq 0.00
13 Alternate #2 Move House 10,000.00 0.00 0.00 0.001 0.00 10,000.0 0.00
14 Alternate #4 LEED 5,000.00 0.00 0.00 0.00 0.00 5,000.0 0.00
GRAND TOTAL: 52,000.001 0.00 X00 "S-, 8 01 44.961 138,700.001 11,330.00
A =Line Item Number B =Brief Item Description C =Total Value of Item D =Total of D and E From Previous Application(s) (If Any) E =Total Work Completed For This Application
F= Materials Purchased and Stored for Project G =Total of All Work Completed and Materials Stored for Project H= Remaining Balance of Amount to Finish 1= Amount Withheld from G
TORGO SOFTWARE http //w torgo.net 01996 -2008 ALL RIGHTS RESERVED
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.
pp I� Payee
V OA t Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
C3 70, 00
Total /70. DO
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.
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Clerk- Treasurer
VOUCHER NO. WARRANT NO.
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ON ACCOU OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
90 Z AIL& W1 4 0, 00 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
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Title
claim paid motor vehicle highway fund