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Home My WebLink About162376 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 00352446 Page 1 of 1 ONE CIVIC SQUARE INFRASTRUCTURE CONTRACTORS, INC CHECK AMOUNT: $10,654.47 CARMEL, INDIANA 46032 16100 ALLISONVILLE ROAD NOBLESVILLE IN 46060 CHECK NUMBER: 162376 CHECK DATE: 817/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 610 5023990 3 5,910.21 1051.98 610 5023990 W08210 3 4,744.26 CONSTRUCTION :5 PAYMENT APPLICATION Page 1 L� TO: City of Carmel PROJECT Estancia Way Water Main APPLICATION 3 Distribution to: Carmel Utilities 3450 W. 131st Street NAME AND Water Main PERIOD THRU: 05/30/2008 Westfield, IN 46074 LOCATION: Carmel, IN OWNER PROJECT #s: ❑ARCHITECT Attn: Accounts Payable FROM: Infrastructure Contractors, Inc. ARCHITECT: DATE OF CONTRACT: 03/24/2008 [—]CONTRACTOR 16100 Allisonville Road Noblesville, IN 46060 FOR: Carmel Estancia Way Water Main CONTRACTOR'S SUMMARY OF WORK Contractor's signature below is his assurance to Owner, concerning the payment herein applied for, that: (1) the Work has been performed as required in the Contract Documents, (2) all sums Application is made for payment as shown below. previously paid to Contractor under the Contract have been used to pay Contractor's costs for labor, Continuation Page is attached. materials and other obligations under the Contract for Work previously paid for, and (3) Contractor is legally entitled to this payment. 1. CONTRACT AMOUNT $47,442. CONTRACTOR: Infrastructur Conti ors, I 2. SUM OF ALL CHANGE ORDERS 0.00 By. Date: 05/22/2008 3. CURRENT CONTRACT AMOUNT (Line 1 2) $47,442.59 James R. J nson State of: I Tana 4. TOTAL COMPLETED AND STORED 47,442. 59 (Column G on Continuation Page) County of: Hamilton 5. RETAINAGE: Subscribed and sworn to before a. 0.00% of Completed Work $0.00 me this 22nd day of May 2008 (Columns D E on Continuation Page) r��J� b. 0.00% of Material Stored $0.00 Notary Public: Melissa C. Lawson U (Column F on Continuation Page) My Commission Expires: September 6, 2015 Total Retainage (Line 5a 5b or Column I on Continuation Page) $0.00 ARCHITECT'S CERTIFICATION 6. TOTAL COMPLETED AND STORED LESS RETAINAGE $47,442,59 Architect's signature below is his assurance to Owner, concerning the payment herein applied for, (Line 4 minus Line 5 Total) that: (1) Architect has inspected the Work represented by this Application, (2) such Work has been 7. LESS PREVIOUS PAYMENT APPLICATIONS $42,698.33 completed to the extent indicated in this Application, and the quality of workmanship and materials conforms with the Contract Documents, (3) this Application for Payment accurately states the amount of Work completed and payment due therefor, and (4) Architect knows of no reason why payment 8. PAYMENT DUE $4,744.26 should not be made. 9. BALANCE TO COMPLETION CERTIFIED AMOUNT (Line 3 minus Line 6) $0.00 (if the certified amount is different from the payment due, you should attach an explanation. Initial all the figures that are changed to match the certified amount.) SUMMARY OF CHANGE ORDERS ADDITIONS DEDUCTIONS Total changes approved in ARCHITECT: previous months $0.00 $0.00 By: Date: Total approved this month $0.00 $0.00 TOTALS $0.00 $0.00 Neither this Application nor payment applied for herein is assignable or negotiable. Payment shall be made only to Contractor, and is without prejudice to any rights of Owner or Contractor under NETCHANGES1 $0.00 the Contract Documents or otherwise. PAYMENT APPLICATION QSS, INC. DOCUMENT 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 of service rendered, by whom, rates per day, number of units, a_ price per unit, etc. A Payee 00352446 INFRASTRUCTURE CONTRACTORS, INC. Purchase Order No. 15530 STONEY CREEK WAY Terms NOBLESVILLE, IN 46060 Due Date 8/1/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/1/2008 3 $4,744.26 hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date o f F, c r VOUCHER 082557 WARRANT ALLOWED 00352446 IN SUM OF INFRASTRUCTURE CONTRACTORS, I 15530 STONEY CREEK WAY N IN 46060 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 3 06- 1051 -90 $4,744.26 Availability J P� s, Voucher Total $4,744.26 Cost distribution ledger classification if claim paid under vehicle highway fund PAYMENT APPLICATION Page 1 TO: City of Carmel PROJECT Carmel Rosado HiILSpring Mill APPLICATION 3 Distribution to: Carmel Utilities 3450 W. 131 st Street NAME AND Water Main Extension PERIOD THRU: 05/30/2008 LOCATION: OWNER Westfield, IN 46074 PROJECT #s: ARCHITECT Attn: Accounts Payable CONTRACTOR FROM: Infrastructure Contractors, Inc. ARCHITECT: DATE OF CONTRACT: 03/05/2008 E] E] 16100 Allisonville Road Noblesville, IN 46060 FOR: Rosado Hill: Spring Mill Rd 106th St Water Main Extension CONTRACTOR'S SUMMARY OF WORK Contractor's signature below is his assurance to Owner, concerning the payment herein applied for, that: (1) the Work has been performed as required in the Contract Documents, (2) all sums Application is made for payment as shown below. previously paid to Contractor under the Contract have been used to pay Contractor's costs for labor, Continuation Page is attached. materials and other obligations under the Contract for Work previously paid for, and (3) Contractor is legally entitled to this pa ment. 1. CONTRACT AMOUNT 1 5 4, 41 3.00 CONTRACTOR: nfrastructure P9 ntract I 2. SUM OF ALL CHANGE ORDERS 5,774.15 By: Date: 05/22/2008 3. CURRENT CONTRACT AMOUNT (Line 1 2) $160,18 James R. Joh son State of: IndL 4. TOTAL COMPLETED AND STORED $160,187.15 (Column G on Continuation Page) County of: Hamilton 5. RETAINAGE: Subscribed and sworn to before a. of Completed Work me this 22nd day of May 2008 i (Columns D E on Continuation Page) b. of Material Stored Notary Public: Y V MeNssa C. Lawson (Column F on Continuation Page) My Commission Expires: September 6, 2015 Total Retainage (Line 5a 5b or Column I on Continuation Page) $16,018.72 ARCHITECT'S CERTIFICATION 6. TOTAL COMPLETED AND STORED LESS RETAINAGE $144,168.43 Architect's signature below is his assurance to Owner, concerning the payment herein applied for, (Line 4 minus Line 5 Total) that: (1) Architect has inspected the Work represented by this Application, (2) such Work has been 7. LESS PREVIOUS PAYMENT APPLICATIONS $138,258.22 completed to the extent indicated in this Application, and the quality of workmanship and materials conforms with the Contract Documents, (3) this Application for Payment accurately states the amount of Work completed and payment due therefor, and (4) Architect knows of no reason why payment 8. PAYMENT DUE $5,910.21 should not be made. 9. BALANCE TO COMPLETION CERTIFIED AMOUNT (Line 3 minus Line 6) $16,018.72 (If the certified amount is different from the payment due, you should attach an explanation. Initial all the figures that are changed to match the certified amount.) SUMMARY OF CHANGE ORDERS ADDITIONS DEDUCTIONS Total changes approved in ARCHITECT: previous months $0.00 $0.00 B Y: Date: Total approved this month $5,774.15 $0.00 TOTALS $5,774.15 $0.00 Neither this Application nor payment applied for herein is assignable or negotiable. Payment shall be made only to Contractor, and is without prejudice to any rights of Owner or Contractor under NET CHANGES $5,774.15 the Contract Documents or otherwise. PAYMENT APPLICATION OSS, INC. DOCUMENT 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352446 s INFRASTRUCTURE CONTRACTORS, INC. Purchase Order No. 15530 STONEY CREEK WAY Terms NOBLESVILLE, IN 46060 Due Date 8/1/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/1/2008 3 $5,910.21 hereby certify that the attached invoice(s), or bill(s) is (are) true and ,orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date r VOUCHER 082556 WARRANT ALLOWED 00352446 IN SUM OF INFRASTRUCTURE CONTRACTORS, 1 15530 STONEY CREEK WAY NOBLESVILLE, IN 46060 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 3 06- 1051 -88 $5,910.21 Availability Q o� Voucher Total $5,910.21 Cost distribution ledger classification if claim paid under vehicle highway fund