HomeMy WebLinkAbout162678 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 358944 Page 1 of 1
ONE CIVIC SQUARE CENTRAL ENGINEERING CONSTRUCLR pp YCK AMOUNT: $226,350.00
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CARMEL, INDIANA 46032
3862 N COMMERCIAL PARKWAY
GREENFIELD IN 46140 CHECK NUMBER: 162678
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
106 5023990 18807 5933 226,350.00 FOUNDERS PARKS INTRAS
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CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES
PROJECT: FOUNDERS PARK INFRASTRUCTURE PHASE I APPLICATION NO.: 2
Job: 437 APPLICATION DATE: 25-Jul-08
PERIOD TO: 25-Jul-08
ENGINEER'S PROJECT NO.:
A B C D E F G H I
WORK COMPLETED MATERIALS TOTAL
FROM PRESENTLY COMPLETED BALANCE RETAINAGE
ITEM DESCRIPTION OF WORK SCHEDULED PREVIOUS THIS STORED AND STORED TO (IF VARIABLE)
NO. VALUE APPLICATION PERIOD (NOT IN TO DATE (G I C) FINISH RATE
(D E) D OR E) (D +E +F) (C G)
1 Mobilization 40,806.00 23,806.00 23,806.00 58% 17000.00 2380.60
2 Construction Staking 14,086.00 7,000.00 6,000.00 13,000.00 92% 1086.00 1300.00
3 Clearing 1 55,307.00 55,307.00 55,307.00 100% 0.00 5530.70
4 Earthwork 289,035.00 65,500.00 150,000.00 215,500.00 75% 73535.00 21550.00
5 Erosion Control 38,151.00 24,000.00 24,000.00 63% 14151.00 2400.00
6 Sanitary Sewer 35,110.00 34,110.00 34,110.00 97% 1000.00 3411.00
7 Storm Sewer 104,921.00 7,240.00 95,500.00 102,740.00 98% 2181.00 10274.00
8 Concrete Curbs/Sidewalk 177,447.00 0.00 0.00 0% 177447.00 0.00
9 Asphalt Paving 138,189.00 0.00 0.00 0% 138189.00 0.00
10 Seeding 82,038.00 0.00 0.00 0% 82038.00 0.00
11 Bonds Insurance 40,628.00 40,628.00 40,628.00 100% 0.00 4062.80
12 Change Order #1: Asphalt 7,100.00 0.00 0% 7100.00 0.00
Concrete Curb /Sidewalks 9,000.00 0.00 0% 9000.00 0.00
TOTALS: $999,618.00 $257,591.00 $251,500.00 $0.00 $509,091.00 51% $490,527.00 $50,909.10
PERCENT: 25.T7%1 25.1 0.00%1 50.93%1 49.07%
F I 1 2008
AFFIDAVIT AND WAIVER OF LIEN
Final Partial Payment to Follow
STATE OF INDIANA
County of HANCOCK
Karen Horth Powers being duly sworn states that she/he is the President of Central Engineering
Construction Associates. Inc. having contracted with the Carmel/Clay Board of Parks and
Recreation to furnish certain materials and/or labor as follows Site Improvement for a Project
known as Founders Park Infrastructure Phase I, located in Carmel, IN 46032 and owned by
the Carmel /Clay Board of Parks and Recreation and does further state
PARTIAL WAIVER: that the final balance due from the owner is the sum of Two Hundred
Twenty -Six Thousand Three Hundred Fifty and 00 /100 Dollars
($226,350.00)
receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration
for this Affidavit and Partial Waiver of Lien which is given to and
for said amount, effective upon receipt of such payment;
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 receipt of such payment.
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, 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.
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�en orth P owers
President
Title
Witness My Hand and Notarial Seal, this ZS4t\ da of 7i.7��Sj 2008.
Notary Public
Li -Ching Wu
Notary Public Printed Signature
My Commission Expires
April 21, 2016
County of Residence
Hamilton
L 1 2008
s.
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. 18807
Central Engineering Construction Assoc., Inc. Terms
3862 n commercial Parkway
Greenfield, IN 46140
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/25/08 5933 Founders park Infrastructure Phase 1 226,350.00
Total 226,350.00
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.
Central Engineering Construction Assoc., Inc. Allowed 20
3862 n commercial Parkway
Greenfield, IN 46140
In Sum of
226,350.00
ON ACCOUNT OF APPROPRIATION FOR
106 Park Impact Fee Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
18807 5933 5023990 226,350.00 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
4 -Aug 2008
Signature
226,350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund