HomeMy WebLinkAbout164328 09/30/2008 1
CITY OF CARMEL, INDIANA VENDOR: 00351429 Page 1 Of 1
ONE CIVIC SQUARE M.K. BETTS ENGINEERING INC CHECK AMOUNT: $285,290.22
CARMEL, INDIANA 46032 PO BOX 2533
ANDERSON IN 46018 CHECK NUMBER: 164328
CHECK DATE: 9/30/2008
DEPARTMENT ACC PO NU MBER INVOICE NUM BER AMOUNT DESCRIPTION
654 R5023990 S10726 10 285,290.22 CONSTRUCTION
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APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT 6702 (Instructions on reverse sides PAGE ONE OF PAGES
TO (OWNER): City of Carmel PROJECT: Blower /Electrical Modification APPLICATION NO: Ten (10) Distribution to:
One Civic Square Con ract 60 G OWNER
Carmel, IN 46032 PERIOD TO: Aug. 31, 2008 C ARCHITECT
El CONTRACTOR
FROM (CONTRACTOR): VIA (ARCHITE ARCHITECT'S C
M. K. Betts Engineering PROJECT NO: C
Contracting,.Inc.
CONTRACT FOR: Invoice No. 07 -262. 10 CONTRACT DATE:
CONTRACTOR'S APPLICATION FOR PAYMENT App tinu o� Shee ma de f o r Document h o n b low, i
d connection with the Contract.
CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM 2,349 ,000.00
Change Orders approved in ADDITIONS DEDUCTIONS 2. Net change by Change Orders 295 ,205.00
previous months by Owner 3. CONTRACT SUM TO DATE (Line 1 2) 2, 644 ,205.00
TOTAL 4. TOTAL COMPLETED STORED TO DATE 1,763
Approved) this Month (Column G on G703)
Number Date Approved 5. RETAINAGE;
a. of Completed Work
CO #1 $302,815.00 7,610.00 (Column D E on G703)
b. of Stored Material
(Column F on G703)
Total Retainage (Line 5a 5b or
TOTALS $302,815.00 7,610.00 Total in Column I of G 703) 132,210.25
Net thane by Change Orders $295, 205.00 6. TOTAL EARNED. LESS RETAINAGE 1, 631,626 .20
The undersigned Contractor certifies that to the best of the Contractor's kn.OWIE dge, .(Line 4 less Line 5 Total)
information and belief the Work covered by this Application for Payment has )een 7. LESS PREVIOUS CERTIFICATES FOR
completed in accordance with the Contract Documents, that all amounts have )een PAYMENT (Line 6 from prior Certificate) 1, 346 ,335.98
paid by the Contractor for Work for which previous Certificates for Payment ere 8. CURRENT PAYMENT DUE S 285 ,290.22
issued and payments received from the Owner, and that current payment sliown 9, BALANCE TO FINISH, PLUS RETAINAGE 1,012,578.80
herein is now due. (Line 3 less Line 6)
CONTRAC R: M. K. Betts Engineering Contracting, Inc.. State of: Indiana County of: Madison
Subscribed and sworn to before me this 31st day of Aug. 2008
Notary Public:
By: Date: August 31, 2 1 8 My Commission expires: October 28 2015
ARCHITECT'S CERTIFICATE FOR PAYMENT AMOUNT CERTIFIED....... t certi fors f rom
(Attach explanation if amount certified differs from the amount applied fora
In accordance with the Contract Documents, based on on -cite observations a d the ARCHITECT:
data comprising the above application, the Architect certifies to the Owner that o the
best of the Architect's knowledge, information and belief the Work has progres ed as BV: Date: T�
indicated, the quality of the Work is in accordance with the Contract Document and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractcr named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
AIA n()r11MFNT r:T02 APPI ICATIr-N ANr) r FFTIFIraTC Fno PIVN„p�:T ,�y iuul cni'nnn �i nui
CONTINUATION SHEET AI DOCUMEN G703 Carmel Contract 60 PAGE OF PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: Ten 10)
Contractor's signed Certification is attached. APPLICATION DATE: Aug. 31, 2008
In tabulations below, amounts are stated to the nearest dollar. PERIOD FROM: 08 01 08
Use Column I on Contracts where variable retainage for line items may apply. TO: 08 -31 -08
ARCHITECT'S PROJECT NO:
A B C D E F G H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED
T OTAL COMPLETED BALANCE RETAINAGE
This Application AND STORED
^:o. VALUE TO FINISH
Previous Stored Materials TO DATE (G =C) (C —G)
Applications Work in Place (not in ID or E) (D +E +F)
I
18. Control Commissioning 56,000.00 -0- -0- -0- -0- 00 56,000.00
19. Software Allowance 25,000.00 -0- 00 25,000.00
20. HVAC 92,000.00 61,833.00 16,000.00 -0- 77,833.00 85 14,167.00
21. Electrical 11.24,000.00 616,090.97 145,517.00 66,106.00 827,763.97 74 296,236.03
22. Painting 13,000.00 -0- 0 -0- -0- 00 13,000.00
23. Miscellaneous 45,000.00 13,700.00 2,1 0.00 -0- 15,800.00 35 29,200.00
CO#1 Change Order No. 1
1. Eliminate EUH04,5,6 7,610.00 3,300.00 4,310.00 -0- 7,610.00 100 -0-
2. Suspended Solids
Meter #10 4,992:.00 -0- -D- -0- -0- 00 4,992.00
3. PMQII Meter Plant
Feed .7,357.00 7,357.00 -0- -0- 7,357.00 100 -0-
4. Addition PMQII 1
Metering 3,445.00 3,445.00 -0- -0- 3,445.00 100 -0-
5. Misc. Electrical
Blower Building 508.00 508.00 -0- =0- 508.00 100 -0-
6. Solar Drying
Supplemental Heat 282,955.00 42,882.78 28, 27.22 -0- 70,910.00 25 +212,045.00
7. Electrical Prat to
Aeartion 1,679.00 1;485.00 j0- -0- 1,485.00 88 194.00
AIA DOCUMENT G703 CONTINUATION SHEET APRIL 1978 EDITION AIA' U !v' If 19781
THE A. =R AN ,V
IGT I TI'TF Apr W1T;r TC �71q NF \AI Vnpl 1 \IC .v JAI IAIIIU?Klr'Tl� l n I- —nnr
CONTINUATION SHEET AIA DOCUMENT G703 C Contract 60 PAGE OF PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: Ten (10)
Contractor's signed Certification is attached. APPLICATION DATE: Aug. 31, 2008
In tabulations below, amounts are stated to the nearest dollar. PERIOD FROM- 08 01 08
Use Column I on Contracts where variable retainage for line items may apply. TO: 08 31 -08
ARCHITECT'S PROJECT NO:
A 6 C D E l F G H I
WORK COMPLETED T OTAL COMPLETED
ITE, 1 DESCRIPTION OF WORK SCHEDULED ?his Application AND STORED BALANCE RETAIN AGE
o VALUE I TO FINISH
Previous TO DATE (G =C)
Applications Work in Place Stored Materials (D +E +F) (C—G)
(not in D or E)
1. Mobilization, Bond
Insurance 75,000.00 45,000.00 5,000.00 -0- 50,000.00 57 25,000.00
I
2. Generator Pad Platforr 40,000.00 40,000.00 -0- 40,000.00 100 -0-
3. Generator 272,000.00 261,000.00 -0- -0- 261,000.00 96 11,000.00
4. Launder Covers 160,000.00 160,000.00 -i- -0- 160,000.00 100 -0-
5. Switch Gear Building 39000.00 38,500.00 500.00 -0- 39,000.00 100 -0-
6. Masonry 78,000.00 42,000.00 -0- 42,000.00 54 36,000.00
7. Roofing Sheetmetal 14,000.00 14,000.00 -0- -0- 14,000.00 100 -0-
8. Doors, Frames
Hardware 16,000.00 16,000.00 -0- -0- 16,000.00 100 -0-
9. Aeration Tank Work 40,000.00 39,000.00 -.0- -0- 39,000.00 98 1,000.00
10. Valves 10,000.00 8,800.00 800.00 70- 9,600.00 96 400.00
11. Blower Bldg Phase I 90,000.00 43,615.92 24,56.00 -0- 68,115.92 76 21,884.08
12. Blower Bldg.- Phase II 35,000.00 5,128.26 1,0 -0- 6,128.26 18 28,871.74
13. Pipe Insulation 5,400.00 -0- -0- -0- 00 5,400.00
14. Acoustical Ceilings 21,000.00 -0- -0- -0- 00 21,000.00
1.5. Roll Up Doors 7,100.00 -0- -0- -0- 00 7,100.00
16. Signs Fire
Extinguishers 11500.00 -0- -i- -0- -0- 00 1,500.00
17. Instrumentation 90,000.00 19,621.30 -i- -0- 19,621.30 22 70,378.70
AIA DOCUMENT G703 CONTINUATION SHEET APRIL 1976 EDITION AIAID U 1976
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AV E.. N.W.. WA.;H1NrTnN n r nnn1 r:-nz
it is
INVOICE
1815 Sagamore wy 07/29/08 S 103880479.001 90446
Lafayette, IN 4790
08/31/08 154375.33
KIRBY RISK CORPORATION
P.O. BOX 664117
INDIANAPOLIS IN 46266 -4117
SHIP TO:
E0001 10020 081826339 P265923 0020:0023
II�ItI�I�ItII�II�II�III�II��iII�I��I������li��ItII��It��IIIIIIIII NUGENT ELECTRIC CARMEL WWTP
9606 HAZEL DELL PKWY
NUGENT ELECTRIC CO INC INDIANAPOLIS IN 46280 -2935
2106 OHIO AVE
ANDERSON IN 46016 -2181
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
90446 167 -5402
SCOTT TETER DIRECT Mark Nugent INDIANAPOLIS 317 687 -0015 07/29/08
12x90'
350 mcm XHHW -2 CU
12 x 170'
8x105'
6 x 350'
#2 XHHW -2 Cu
4 -x 250_
1 x 590'
1 x 280'
1/0 XHHW -2 CU lr�Lyq
2 x 475'
2 x 350'
2 x 105'
4/0 XHHW -2 Cu
J
3 x 220' R JR
3x50'
3x90'
250 MCM XHHW -2 CU
5x40'
5x80'
5x50'
2/0 XHHW -2 CU
3x170'
Call 765 643 -8854 24 hours
prior to
delivery. t
Schedule to arrive prior to July
21st and not before July 11th.
I
Billing Questions: Billing- request @kirbyrisk.com (765) 446 -3054 I Number 510 38804 7 9.001 1543 .33
Subtotal 1543
S &H Charges 0.00
Invoice is due by 08/31/08. Sales Tax 0.00
F. R 1 m o 154375.33
)20:0023 y Kir'b -R isk Page 9 of 9
F r y Risk INVOICE..
1815 Sagamore kw
Lafayette, IN 47944 08/04/08 S103956225.001 11230
09/30/08 1122.04
ism
KIRBY RISK CORPORATION
P.O. BOX 664117
INDIANAPOLIS IN 46266 -4117
SHIP TO:
4561 AB 0.351 E001 OX 10014 D82059472 P266405 0001:0003
Illillllllll�llllllllllllllllllll�lllllllll )IIII)IIIIIIIIIIIIIII� NUGENT ELECTRIC CO INC
2106 OHIO AVE
NUGENT ELECTRIC CO INC ANDERSON IN 46016 -2181
J rt 2106 OHIO AVE
ANDERSON IN 46016 -2181
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11230 299 -5402
TERRY CAMPBELL WC14 WILL -CALL Mark ANDERSON 765- 643 -3384 08/04/08
MINE y
60ft 60ft COND 1400 1059.96 100ft 635.98 12.72
IMC 4 CONDUIT
3ea 3ea T &B GEL40090 6939.03 100ea 208.17 4.16
(7751) 4" 90 GAL ELBOW
lea lea EGS EC-400 12241.31 100ea 122.41 2.45
4 -IN MALL 3PC COND CPLG
4ea- -4ea— T &B- GCP-L-400_ 1.5.0.0..7-4. 100ea, 60.03 1.20
(0323) 4" GAL COUPLING
2ea tea EGS CN -400 3119.79 100ea 62.40 1.25
4 -IN MALL BUSHED NIPPLE
8ea 8ea MINE 9B 413.17 100ea 33.05 0.66
HANGER W /BOLT 4" EMT 4" RIGID
jl�z.o4
12 95 S�
3illing Questions: Billing (765) 446 -3054 815120087:55:52AM S103056225.001 Invoice Numberl 5103956225.001
Subtotall 1122.04
f paid by 09/10/08 you may deduct $22.44 S &H Charges 0.00
nvolce Is due by 09/30/08 net of any cash discount. Sales Tax 0.00
s 1122.04
h•1ar Y.
1:0003 i Kirby Risk Page 1 of 1
CONTINUATION SHEET AIA D G703 PAGE OF PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing I APPLICATION NUMBER: Ten (10)
Contractor's signed Certification is attached, APPLICATION DATE: August 31, 2008
In tabulations below, amounts are stated to the nearest dollar. PERIOD FROM: 08 01 08
Use Column I on Contracts where variable retainage for line items may apply. I TO: 08 31 08
I
ARCHITECT'S PROJECT NO:
A B C D F G H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED
TOTAL COMPLETED BALANCE RETAINAGE
This Application AND STORED TO FINISH
o. VALUE Previous TO DATE (G =C)
Applications Work in Place stored Materials (D +E 4 F) (C —G)
(not in D or E)
I
8. Remove Concrete
Lining Aeration
Tank #10 500.00 500.00 -0= -0 500.00 100 -0-
9. Condenser Support
Trenwa 1,185.00 1,185.00 0- -0- 1,185.00 100 -0
10. Metal Halide Lights
Fixture "C" 194.00 194.00 i0- -0 194.00 100 -0-
I
2 644,205.00 1478,546.23 219,1184.22 66,106.00 1763,836.45 67 880,368.55 132,210.2
AIA DOCUMENT G703 CONTINI_IATION SHEET APRIL 1978 EDITION AIA'" (D 197
THE AM'P1( A1j INCTITI!Tr nF ARr WITFr'TG '1775 UFW vhRk' A \/F u %A/ NAIAC lKlr Tr)" n r —nnr, r-7n-2 __-fo7S7
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
351429
M.K. BETTS ENGINEERING CONTR Purchase Order No. r
P.O. Box 2533 Terms
Anderson,.IN 46018 Due Date 9/26/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/26/2008 10 $285,290.22
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- 1.0 -1-6
Date Officer
i
CHER 086366 WARRANT ALLOWED
35'1429 IN SUM OF
M.K. BETTS ENGINEERING CONTR
i P.O. Box 2533
Anderson, IN 46018
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I v
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
10 07- 1050 -61 $285,290.22
EE N N e c_
IU72
Voucher Total $285,290.22
lost distribution ledger classification if
claim paid under vehicle highway fund