161305 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 358944 Page 1 of 1
ONE CIVIC SQUARE CENTRAL ENGINEERING CONSTRUC�RYCK AMOUNT: $231,831.90
CARMEL, INDIANA 46032 38(32 N COMMERCIAL PARKWAY
GREENFIELD IN, 46140 CHECK NUMBER: 161305
CHECK DATE: 7/11/2008
DEPAR AC PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
106 R5023990 16093 APP #1 221,78.0.98 FOUNDERS PARK DEVELOP
853 R5023990 16093 APP #1 10,050.92 FOUNDERS PARK DEVELOP
A
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT
TO (OWNER): PROJECT: Founders Park Infrastructure Phase 1 APPLICATION NO. 1 DISTRIBUTION TO:
Carmel/ Clay Board of Parks and Recreation OWNER XX
Attn.: Mark Westermeler
1411 East 116th Street VIA (ARCHITECT): PERIOD TO: 6/3012008
Cannel, IN 46032
FROM: Central Engineering 8 Constriction Associates, Inc. ARCHITECTS
3862 N. Commercial Parkway PROJECT NO:
Greenfield, IN 40140
CONTRACT FOR: SITE IMPROVEMENTS CONTRACT DATE: 22 -May -08
Application made for Payment, as shown below, In connection
CONTRACTOR'S APPLICATION FOR PAYMENT with the contract.
Continuation Sheet Is attached.
CHANGE ORDER SUMMARY
1. ORIGINAL CONTRACT SUM $1,015,718.00
Change Orders approved In ADDITIONS DEDUCTIONS 2. Net Change by Change Orders $0.00
previous months by owner 3. CONTRACT SUM TO DATE $1,015,718,00
TOTAL 4. TOTAL COMPLETED STORED TO DATE $257,591.00
Approved this Month (Column G)
No. Date Approved S. RETAINAGE: a. 10.00% of Completed Work $25,035,10
(Column D +E)
b. 10.00% of Stored Material
(Column F) $724.00
TOTALS1 0.001 Total Retainage (Line Sa +5b) or $25,759,10
Net Change by Change Orders (Total in Column 1)
$0,00 6. TOTAL EARNED LESS RETAINAGE $231,831.90
The undersigned Contractor certifies that to the best of the Contractor's (Line 4 less Line 5 Total)
knowledge, Information, and bellef the Work covered by this Application 7. LESS PREVIOUS CERTIFICATES FOR $0.00
for Payment has been completed in accordance with the Contract Docu- PAYMENT (Line 6 from prior Certificate)
ments, that all amounts have been paid by the Contractor for Work for 8. CURRENT PAYMENT DUE $231,831.90
for which previous Certificates for Payment were Issued and payments 9. BALANCE TO FINISH, PLUS RETAINAGE $763,885.10
received from the Owner, and that current payment shown herein is (Line 3 less Line 6)
now due.
CONTRACTOR: CENTRAL ENGINEERING CONSTRUCTION ASSOC., INC.
Slate of Indiana County of: Hancock
BY: DATE: rO 1 1 2SIO6 Subscribed and om to before me this' I day of June ,2008
Karen Horih Powers, President Notary Public. G�M+i it Lx
My Commission Expires: April 21, 201r�.J
AMOUNT CERTIFIED
ARCHITECT'S CERTIFICATE FOR PAYMENT (Attached explanation If amount certified differs from the
amount applied for.)
In accordance with the Contract Documents, based an on -site observa- ARCHITECT:
dons and the data comprising the above application, the Architect certifies
to the Owner that to the best of the Architect's knowledge, information, By; Date:
and belief the Work has progressed as indicated, the quality of the Work is This Certificate In not negotiable. The AMOUNT CERTIFIED is
Is In accordance with the Contract Documents, and the Contractor is payable only to the Contractor named herein. Issuance, pay
entitled to payment of the AMOUNT CERTIFIED. Po-i /4 ment and acceptance of payment are without prejudice to any
rights of the Owner or Contractor under this contract.
9 .3
CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES
PROJECT: FOUNDERS PARK INFRASTRUCTURE PHASE I APPLICATION NO.: 1
Job: 437 APPLICATION DATE: 25 3 uv1 O
PERIOD TO: 30-Jun-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 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 ConstrucUon Staking 14,086.00 7,000.00 7,000.00 50% 7086.001 700.00
3 Clearing 55,307.00 55,307.00 55,307.00 100% 0.00 5530.70
4 Earthwork 289,035.00 65,500.00 65,500.00 23% 223535.00 6550.00
5 Erosion Control 36,151.00 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 341700
7 Storm Sewer 104,921.00 7,240.00 7,240.00 7% 97681.00 724.00
8 Concrete Curbs /Sidewalk 177,447.00 0.00 0% 177447.00 0.00
9 Asphalt Paving 138,169.00 0.00 0% 138189.00 0.00
10 Seeding 82,038.00 0.00 0% 82038.00 0.00
11 Bonds Insurance 40,628.00 40,628.00 40,628.00 100% 0.00 4082.80
TOTALS: $1,015,718.00 $250,351.00 $7,240.00 $257,591.001 25% $758,127.001 $25,759.10
PERCENT: 0.00% 24.65% 0.71% 25,3B%j 74.64%
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.
Central Engineering Construction Assoc., In.c
Terms
3862 N. Commercial Parkway Date Due
Greenfield, IN 46140
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s))
6/30/08 ApLj 1 Founders Park Infrastructure Phase 1 Amount
6/30/08 App. 1 Founders Park Infrastructure Phase 1 10,050.92
221,780.98
W 1 831.90
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., In-c Allowed 20
3862 N. Commercial Parkway
Greenfield, IN 46140
In Sum of
231,831.90
ON ACCOUNT OF APPROPRIATION FOR
853 Gift Fund 106 Park Impact
PO# or INVOICE NO. ACCT#rrITLE AMOUNT Board Members
Dept
P.O. 16093 1 hereby certify that the attached invoice(s), or
853 App. 1 5023990 10,050.92 bill(s) is (are) true and correct and that the
P.O. 16093 1 materials or services itemized thereon for
106 App. 1 5023990 221,780.98 which charge is made were ordered and
received except
ITI i s I a-
Su.b CGnf Gr
a
I �(leClse, po' 7 Co*6d 7 -Jul 2008
t no
Pow 1 (00g3
Signature
231,831.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund