HomeMy WebLinkAbout159932 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00352446 Page 1 of 1
ONE CIVIC SQUARE INFRASTRUCTURE CONTRACTORS, IN
CARMEL, INDIANA 46032 16100 ALLISONVILLE ROAD HECK AMOUNT: $85,092.95
NOBLESVILLE IN 46060
o CHECK NUMBER: 159932
CHECK DATE: 5/28/2008
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
610 5023990 W08210 1 21,011.45 CONSTRUCTION
610 5023990 2 64,081.50 OTHER EXPENSES
PAYMENT APPLICATION Page 1
TO: City of Carmel PROJECT Carmel Rosado Hill:Spring Mill APPLICATION 2 Distribution to:
Carmel Utilities 3450 W. 131st Street NAME AND Water Main Extension
LOCATION: PERIOD THRU: 04/30/2008 OWNER
Westfield, IN 46074 PROJECT #s:
ARCHITECT
Attn: Accounts Payable CONTRACTOR
FROM: Infrastructure Contractors, Inc. ARCHITECT: DATE OF CONTRACT: 03/05/2008
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
previously paid to Contractor under the Contract have been used to pay Contractor's costs for labor,
Application is made for payment as shown below. materials and other obligations under the Contract for Work previously 9 p y paid for, and (3) Contractor is
Continuation Page is attached.
legally entitled to this payment.
1. CONTRACT AMOUNT 1 5 4,41 3.0 0 CONTRACTOR: Infrastructure Con t s Inc.
2. SUM OF ALL CHANGE ORDERS $0.00 B z Date: 04/28/2008
3. CURRENT CONTRACT AMOUNT (Line 1 2) $1 Jame Johnson
4. TOTAL COMPLETED AND STORED $153,620. State of Indiana
(Column G on Continuation Page) County of: Hamilton
5. RETAINAGE: Subscribed and sworn to before
a. of Completed Work me this 28th 1 day of April 2008
(Columns D E on Continuation Page)
b. of Material Stored Notary Public: Melissa C. Lawson
(Column F on Continuation Page)
My Commission Expires: September 6, 2015
Total Retainage (Line 5a 5b or
Column I on Continuation Page) $15,362.03 ARCHITECT'S CERTIFICATION
6. TOTAL COMPLETED AND STORED LESS RETAINAGE $138,258.22 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 $74,176.72 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 $64,081.50 should not be made.
9. BALANCE TO COMPLETION CERTIFIED AMOUNT
(Line 3 minus Line 6) $16,154.78 (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 $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
NET CHANGES $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,
price per unit, etc.
Payee
00352446
INFRASTRUCTURE CONTRACTORS, INC. Purchase Order No.
15530 STONEY CREEK WAY Terms
NOBLESVILLE, IN 46060 Due Date 5/19/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/19/2008 2 $64,081.50
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 0 f f i r
VOUCHER 081808 WARRANT ALLOWED
00352446 IN SUM OF
INFRASTRUCTURE CONTRACTORS, I
15530 STONEY CREEK WAY
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2 06- 1051 =88 $64,081.50
ILAvaflability
Voucher Total $64,081.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
PAYMENT APPLICATION Page 1
TO: City of Carmel PROJECT Estancia Way Water Main APPLICATION 1 Distribution to:
Carmel Utilities 3450 W. 131 st Street NAME AND Water Main PERIOD THRU: 04/30/2008
Westfield, IN 46074 LOCATION: Carmel, IN OWNER
PROJECT #s: r ARCHITECT
Attn: Accounts Payable CONTRACTOR
FROM: Infrastructure Contractors, Inc. ARCHITECT: DATE OF CONTRACT: 03124/2008
16100 Allisonville Road E]
El 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 $47,442.59 CONTRACTOR: Infrastructur Co a or Inc.
2. SUM OF ALL CHANGE ORDERS $0. 00 By. Date: 04/25/2008
3. CURRENT CONTRACT AMOUNT (Line 1 2) 47,4 42. 59 Jam Johnson
4. TOTAL COMPLETED AND STORED $2 3, 3 46.05 State of Indiana
(Column G on Continuation Page) County f: Hamilton
5. RETAINAGE: Subscribed and sworn to before
a. 10.00% of Completed Work $68.41 me this 25th day of April 2008
(Columns D E on Continuation Page) ll n luwj
b. 10.00% of Material Stored $2,266.19 Notary Public: Melissa C. Lawson
(Column F on Continuation Page)
My Commission Expires: September 6, 2015
Total Retainage (Line 5a 5b or
Column I on Continuation Page) $2,334.60 ARCHITECT'S CERTIFICATION
6. TOTAL COMPLETED AND STORED LESS RETAINAGE $21,011.45 Architect's signature below is his assurance to Owner, concerning the payment herein applied for,
(Line 4 minus tine 5 Total) that: (1) Architect has inspected the Work represented by this Application, (2) such Work has been
7. LESS PREVIOUS PAYMENT APPLICATIONS $0.00 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 $21,011.45 should not be made.
9. BALANCE TO COMPLETION CERTIFIED AMOUNT
(Line 3 minus Line 6) $26,431.14 (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
$0.00 Neither this Application nor payment applied for herein is assignable or negotiable. Payment shall
TOTALS
$0.00 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
CONTINUATION PAGE Page 1 of 1
PROJECT: Estancia Way Water Main APPLICATION 1
Water Main DATE OF APPLICATION: 04/30/2008
Payment Application containing Contractor's signature is attached. PERIOD THRU: 04/30/2008
Water Main PROJECT #s:
A B C D E F G H I
COMPLETED WORK BALANCE
SCHEDULED STORED TOTAL a RETAINAGE
ITEM WORK DESCRIPTION AMOUNT AMOUNT AMOUNT MATERIALS COMPLETED AND COMP. TO If Variable}
PREVIOUS THIS PERIOD (NOT IN D OR E) STORED (G C) COMPLETION
PERIODS (D E F) (C -G)
1 Mobilization Demobilization $1,368.22 $0.00 $684.11 $0.00 $684.11 50% $684.11
2 8" Connection $2,805.74 $0.00 $0.00 $1,511.42 $1,511.42 54% $1,294.32
3 8" Horizontally Directionally Drilled $29,650.00 $0.00 $0.00 $11,750.00 $11,750.00 40% $17,900.00
HDPE
4 8" Gate Valve $1,031.67 $0.00 $0.00 $932.46 $932.46 90% $99.21
5 Hydrant Assembly $7,091.16 $0.00 $0.00 $6,230.36 $6,230.36 88% $860.80
6 Service Line (Long Side) $3,970.68 $0.00 $0.00 $1,342.62 $1,342.62 34% $2,628.06
7 Service Line (Short Side) $1,525.12 $0.00 $0.00 $895.08 $895.08 59% $630.04
TOTALS $47,442.59 $0.00 $684.11 $22,661.94 $23,346.05 49% $24,096.54
CONTINUATION PAGE FOR 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
INFRASTRUCTURE CONTRACTORS, INC. Purchase Order No.
15530 STONEY CREEK WAY Terms
NOBLESVILLE, IN 46060 Due Date 5119/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/19/2008 1 $21,011.45
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 OfFi
-,VOUCHER 081807 WARRANT ALLOWED
'x00352446 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
1 06- 1051 -90 $21,011.45
Availability
Voucher Total $21,011.45
Cost distribution ledger classification if
claim paid under vehicle highway fund