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HomeMy WebLinkAbout169760 03/17/2009 a CITY OF CARMEL, INDIANA VENDOR: 355559 Page 1 of 1 ONE CIVIC SQUARE CULY CONSTRUCTION EXCAVATING �N� CARMEL, INDIANA 46032 CHECK AMOUNT: $23,639.95 610 NORTH 100 EAST a PO BOX 29 CHECK NUMBER: 169760 WINCHESTER IN 47394 CHECK DATE: 3117/2009 D EPARTM ENT ACCOUNT P NU MBER INVOICE NUM A MOUN T DESCRIPTION 902 4460814 4 1,077.15 STREET DEPT FACILITY 902 4460814 5 16,014.30 STREET DEPT FACILITY 902 4460814 6 6,548.50 STREET DEPT FACILITY J f CSO Architects Memorandum TO: Sherry Mielke FROM: Bob Olson DATE: March 3, 2009 RE: Parcels 12, 14, 33 Sherry: Attached is the three final payment request from Culy Construction Excavating, Inc. for the Parcels 12, 14, 33. The three projects were started back about two plus years ago. The delay in the final payment is due to several issues. The schedule of the work took much longer than expected, the contractor was slow in invoicing, change of contact signatures were lost but now we have the change in contract in the hands of the CRC for signatures and the final payment request are complete. I requested to receive the final payment request by Friday, February 27, 2009 however; I've now received their payment request. I'm requesting if this payment request can be added even though late to be reviewed and approved at the March 18, 2009 CRC meeting. Total amount of payment request to close out the contract is $23,639.95. Your help is greatly appreciated. Respectfully Submitted, Bob Olson APPROVED Carmel Redevelopment commission Y Date .___._�33A/_ c Document2 Page 1 of 1 ARCHITECTURE INTERIOR DESIGN 280 East 96th Street, Suite 100 Indianapolis, Indiana 46240 Main 317.848.7800 Fax 317.574.0957 csoinc. net APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOC 670 (instructions on reverse side) PAGE ONE or PAGE'. TO (OWNER): City of Carmel PROJECT: Site Preparation Pri APPLICATION NO: 4 Distribution to: OWNER PERIOD TO: 5/23/2007 ARCHITECT CONTRACTOF FROM (CONTRACTOR): VIA (ARCHITECT): CSO Schenkel Shultz ARCHITECT'S Culy Construction Excavating, Inc. 280 E 96th St Suite 200 PROJECT NO: 610_N 100 E 4 Indianapolis IN 46240 Winclleb AC:� L FOR CONTRACT DATE: tion is made CONTRACTOR'S APPLICATION FOR PAYMENT Cont Shee t, AJA Document G703, (f is attache onnection with the Contract. r CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM 130.970. 00 Change Orders approved in ADDITIONS DEDUCTIONS 2. Net change by Change Orders 5 0 previous months by Owner 3. CONTRACT SUM TO DATE (Line 1 2) $1 30 .970 .00 TO-IAL 4. TOTAL COMPLETED STORED TO DATE 8 107 190.00 Approved this Month (Column G on G703) Number Date Approved 5. RET AGE: irs 5 a. of 1ompl &ark 6,548-50 (Column D E on G703) b. of Stored Material (Column F on G703) Total Retainage (Line 5a+ or TOTALS Total in Column I of G703) 6,548.50 Net change by Change Orders G. TOTAL EARNED LESS RETAINAGE 100 641 .50 The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR 99,564 completed in accordance with the Contract Documents, that all amounts have been PAYMENT (Line 6 from prior Certificate)......... paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE 1,077.1 issued and payments received from the Owner, and that current payment shown 9. BALANCE TO FINISH, PLUS RETAINAGE X 30, 328.50 herein is now due. (Line 3 less Line 6) CONTRACTOR: State of: Indiana County of: Randolph Subscribed and sworn to, before me this 27th day of FEB -1x.009 Notary Public j /l(.�, ;t' 6l 2/27/2009 y 1/23/2011 By: Date: My Commission expires: ARCI-II`I'ECT'S CERTIFICATE FOR PAYMENT AMOUNT CSRfIFIED (AFtacli;cxplanation j if'hmount certified differs from the amount applied for.) In accordance with the Contract Documents, based on on -site observations and the ARC ITEC(: i data comprising, the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as By: Date: 4 4/2 indicated, the quality of the Work is in accordance with the Contract Documents, and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCL),}%ENT 070 APPLICATION AND :IRTIFICATI FOR PAY MAY 19fl3 II)ITION AIA• c 1 THE ANACRICAN Iti111TUTE OF ARCH11ECf 17 :35 Nfw YORK; AVtNUI, N.kv, WASI11N(,1()N. I) !1M)(N, CONTIN S WEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE 1 OF 1 PAGES AiA Document G703, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 4 Contractor's signed Certifications is attached. APPLICATION DATE: 2/27/2009 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 5/23/2007 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G C) TO FINISH APPLICATION STORED AND STORED (C G) (D +E) (NOT IN TO DATE D ORE D +E +F A Parcel 12 35,905.00 34,827.85 1,077.15 0 35,905.00 100 0 3,482.78 C Parcel 14 40,623.00 40,623.00 0 0 40,623.00 100 0 3,065.72 D Parcel 33 30,662.00 30,662.00 0 0 30,662.00 100 0 0 E Parcel 33 23,780.00 0 0 0 0 0 23,780.00 0 130,970.00 1 106,112.85 1,077.15 0 107,190.00 23,780.00 6,548.50 AIA DOCUMENT G703 AAPLICATION AND CERTIFICATE FOR PAYMENT MAY 1983 EDITION AIAO 1983 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 G703 -1983 WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. o I CUt Y CONSTR UCTION EXCA VA TING, INC 6] ON 100 EAST P.O. BOAC 29 WINCHESTER, INDIANA 47394 (765) 584 -8509 Date: 02/27/2009 Invoice#: 0000014711 Page: I To: CARMEL UTILITIES For Job: 25291 760 THIRD AVENUE S.W. KC- CARMEI- 10" WATER MAIN RELOCATE PROJECT A, C, D. E CARMEL, IN 46032 Quuniif�j Price Amounl ITEM A 1.0000 1,077.1500 LS 1,077.15 PARCEL 12 BRINGS TO 100% Invoice Totals EQUAL OPPORTUNITY EMPLOYER Gross 1,077.15 Retention 0.00 Tax 0.00 NET DUE 15 DAYS FROM INVOICE DATE TOTAL DUE 1,077.15 A PPLICATI O N AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (Instructions on reverse side) IAQ ONE o f 1 PAGI TO (OWNER): City of Carmel PROJECT: Site Preparation Pri APPLICATION NO: 5 Distribution to: OWNER PERIOD TO: 5/23/2007 ARCHITECT CONTRACTO FROM (CONTRACTOR): VIA (ARCHITECT): CSO Schenkel Shultz ARCHITECT'S Culy Construction Excavating, Inc. 280 E 96th St Suite 200 PROJECT NO: El 610N 100 E Indianapolis IN 46240 Winche6VfAL4 FO� CONTRACT DATE: Applitn is made CONT'RACTOR'S APPLICATI F OR PAYMENT Continua ion Sheet, Document G703, alttached o with the Contras i CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM 130,970.00 Change Orders approved in ADDITIONS DEDUCTIONS 2. Net change by Change Orders S 765 prev months by Owner 3. CONTRACT SUM TO DATE (Line 1 2) 12 TO IA 4. TOTAL COMPLETED STORED TO DATE S 123,204-30 Approved this Month (Column G on 6703) Number Date Approved 5, RETAINAGE: Of first 50% a. of Completed Work 6,548.50 1 10/9/08 $16,014.30 $23,780.00 (Column D f E on G703) b. of Stored Material (Column F on G703) Total Retainage (Line 5a+5b or TOTALS 16,014.30 23,780.00 Total in Column I of G703) 6,548.50 Net change by Chan Se Orders -7,765.70 6. TOTAL EARNED LESS RETAINAGE 116,655.80 The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR completed in accordance with the Contract Documents, that all amounts have been PAYMENT (Line 6 from prior Certificate) 100,641 paid by the Contractor for Work for which previous Certificates for Payment were B. CURRENT PAYMENT DUE 16,014.30 issued and payments received from the Owner, and that current payment shown 9, BALANCE TO FINISH, PLUS RETAINAGE _6,548-50 l herein is now due. (Line 3 less Line 6) CONTRACTOR: State of: Indiana County of: Randolph Subscribed and sworn tv before me this 27th day of Feb -19-200 Notary Public: cL B Y Date: 2/27/2009 My Commission expires: 1/23/2011 ✓AItCI- iITECT�S C F OR PAYMENT AMOUNT T T 1t e �Dl4- (Attach exp! atio if nt certified differs from the amount applied for.) In accordance with the Contract Documents, based on on -site observations and the ARCHITE /J�) data comprising; the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as B Date: indicated, the quality of the Work is in accordance with the Contract Documents, and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to th( the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance, payment and acceptance of payment are withoul prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702 APPI 1CArI0N AN1) c't RTIFICATF FOR PAYNHNT MAY 1969 lI)9TI(IN •AIA' 19fti T €;F A.�1r €71r'n.y 1•.;�in i�c nr CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE 1 OF 1 PAGES AIA Document G703, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 5 Contractor's signed Certifications is attached. APPLICATION DATE: 2/27/2009 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 5/23/2007 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE NO VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G C) TO FINISH APPLICATION STORED AND STORED (C G) (D +E) (NOT IN TO DATE D OR E D +E +F A Parcel 12 35,905.00 35,905.00 0 0 35,905.00 100 0 3,482.78 C Parcel 14 40,623.00 40,623.00 0 0 40,623.00 100 0 3,065.75 D Parcel 33 30,662.00 30,662.00 0 0 30,662.00 100 0 0 E Parcel 33 23,780.00 0 0 0 0 0 23,780.00 0 CO 1 -3 16,014.30 0 16,014.30 0 16,014.30 100 0 0 CONTRACT CHG 23,780.00 0 0 23,780.00 123,204.30 107,190.00 16,014.30 0 1 123,204.30 0 6,548.50 AIA DOCUMENT G703 AAPLICATION AND CERTIFICATE FOR PAYMENT MAY 1983 EDITION AIAO 1983 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 G703 -1963 WARNING Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. r CUL Y CONSTR UCTION EXCA VA TING, INC; 610N 100 EAST P.O. BOX 29 WINCHESTER, INDIANA 47394 (765) 584 -8509 Date: 02/27/2009 Invoice#: 0000014712 Page: 1 To: CARMEL UTILITIES For Job: 25291 760 THIRD AVENUE S.W. KC- CARMEL 10" WATER MAIN RELOCATE PROJECT A, C, D, E CARMEL, IN 46032 �uarrtity Price Amount CHANGE ORDERS 1 -3 1.0000 16,014.3000 LS 16,014.30 Invoice Totals EQUAL_ OPPORTUNITY EMPLOYER Gross 16,014.30 Retention 0.00 Tax 0.00 NET DUE 15 DAYS FROM INVOICE DATE TOTAL DUE 16,014.30 APPLICATI AND CERTIFICATE FOR PAYMENT A/A DOCUMENT 6702 (Instructions or) reverse side) IA(a ONE OF PAGES TO (O%VNER): City Carmel PROJECT: Site Preparation Prj APPLICATION NO: 6 Distribution to: OWNER PERIOD TO: 2/27/2009 ❑ARCHITECT CONTRACTOR FROM (CONTRACTOR): VIA (ARCHITECT): CSO Schenkel Shultz ARCHITECT'S Cu1y C9nStCUCC1011 S Excavating, Inc. 280 E 96th St. Suite 200 PROJECT NO: 610 N 100 E Indianapolis IN 46240 Winch �6� A FO�": CONTRACT DATE: is made CONTRACTOR APPLICATION FOR PAYMENT Con ton Sh et, G703, Ilttlached onn(rction with the Contract. CHANGE ORDER SUMMARY 'I. ORIGINAL CONTRACT SUM ...I....., 130,970.00 765_70 Change Orders approved in I ADDITIONS DEDUCTIONS 2. Net change by Change Orders 7 7, previous months by Owner 3. CONTRACT SUM TO DATE (Line 1 2) S 123,204-30 T OTAL 4. TOTAL COMPLETED STORED TO DATE 123, Approved t M 1 (Column G on G;03) Number I Date Approved 5. RETAINAGE: a. 0 of Completed Work 0 (Column D +17 on G703) I b. of Stored Material 3 t 10/9/08 x$16,014.30 $23,780.00 (Column F on G703) Total Retainage (Line 5a 5b or TOTALS 16,014.30 23, 780.00 Total in Column I of G703) 0 Net chan by Change Orders 7,765.70 G. TOTAL EARNED LESS RETAINAGE 1 23 204.3Q The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line a less Line 5 Total) information and behet the Work covered by this Application for Payment has been 7• LESS PREVIOUS CERTIFICATES FOR 116,655.80 completed in accordance with [fie Contract Documents, that all amounts have been PAYMENT (Line G from prior Certificate')......... 5 paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE 6 ,548 .50 issued and payments received from the Owner, and that current payment shown 9 BALANCE TO FINISH, PLUS RETAINAGE 0 herein is now due. (Line 3 less Line 6) State of: Indiana Count of: Randolph CONTRACTU) 5' Subscribed and sworn to before me this 27th day of FEB a42009 Notary Public: 2/27/200 By: ©ate_ My Commission expires 1/23/2011 AMOUNT ARCHITECT'S CERTIFICATE FOR PAYMENT CERT iedd .�rp_5P (Att )ch exp natro i( f a o fit c led born tllc arnour)t ahplred for.) In accordance with the Contract Documents, based on on -site observations and the ARCHITE data compri: inn the above application, the Architect certifies to the Owner [hat to the best of the Architect's knowledge, information and belief the Work has progressed as I3y: Date: indicated, the quality of the Work is in accordance with the Contract Documents, and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract, AIA DOC UMENr G702 AFT1ICAHON ANf) ('t Rt I[ICAN FOK I'AYMI N1 1 1101110N AIA' I'MI THE A,kItK1( 7.4V (.)i ARCHIII, 1 I V, NP-V 1'UhA AVI':UI, NW, 41'A 1 {I�C.IOv, U.(.. :IMltfh r, ;r�•19tt1 WAFININ(7,; Unitcenseu nhnen���• CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE 1 OF 1 PAGES AIA Document G703. APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 6 Contractors s+gnec Certifications is attached. APPLICATION DATE: 2/2712009 In tabulations below. amounts are stated to the nearest dollar. PERIOD TO: 5/23/2007 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDiILED WORK C OMPLETED MATERIALS fAND TAL BALANCE RETAINAGE NO VALUE FROM PREVIOUS THIS PERIOD PRESENTLY LETED (G C) TO FINISH APPLICATION STORED TORED (C G) (D +E) (NOT IN DATE D ORE E +F i A Parcel 12 35,905.00 35,905.00 0 0 35,905.00 100 0 0 C Parcel 14 40,623.00 40,623.00 0 0 40,623.00 100 0 0 I D Parcel 33 30,662.00 30,662.00 0 0 30,662.00 100 0 0 E Parcel 33 23,780.00 0 0 0 0 0 23,780.00 0 CO 1 -3 16,014.30 0 16,014.30 0 16,014.30 100 0 0 CONTRACT CHG 23,780.00 0 0 23,780.00 i I i �k 123,204.30 107,190.00 1 16,014.30 1 0 123,204.30 1 0 0 AIA DOCUMENT G703 AAPLICATION AND CERTIFICATE FOR PAYMENT MAY 1983 EDITION AIA® O 1983 THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 G703 -1983 WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. I CUL Y CONSTRUCTION EX'Cq I/A TING, INC. 610N 100 EAs'r 13.0. BOX 29 WINCHESTER, INDIANA 47394 (765) 584 -8509 Datc: 02/27/2009 In+oice,'L 00001114713 Pale: To: CARAIEL UTILITIES For Job: 25391 760 THIRD AVENUE S.W. KC'- CAIZMI =L 10" WATER MAIN RELOCATE PKC).iLC "1 A, C. D, E CARMIT, IN 46032 Quurrlin' !'vier :4r omil RETAINAGE 0.0000 0,0000 0.00 Invoice Totals EQUAL OPPORTUNITY EMPLOYER Gross 0.00 Retention 6.549,50 Tax 0.00 NET DUE 15 DA I'S FROM INVOICE DATE TOTAL DUE 6,548.50 �PrqscribeAby State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by Morn, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Cl 4 ao17' Ircle- o,, �'e g �y7� 22 �NC_ Purchase Order No. Terms '17 -i 2 y Date Due Invoice Invoice Description Amount Date Number (or _note attached invoice(s) or bill(s)) S 2 l /�7 y 5/1 P /"f° qr T.'v 12 S 2 07 fir H 2-127 D 9 ✓P r v P��iii�ti /�'l 6 5y S. 5 0 Total 23.63 y,9S I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in a_ccorda_nce with IC 5- 11- 10 -1.6.� 20 U= Clerk- Treasurer u' VOUCHER NO. WARRANT NO. ALLOWED 20 �ci `5' Co�r3�r�c7';`op'� t�.f- rvur7���. IN SUM OF 639.9s ON ACCOUNT OF APPROPRIATION FOR wo Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 9o L/ i�y�a�J J,o7 7.1s bill(s) is (are) true and correct and that the 160, _30 materials or services itemized thereon for AA Fr/'1 6 Sye which charge is made were ordered and received except 3 e 20 O 19 1 ignatur �i (`P C,� r c OPe rat. `f� b Cost distribution ledger classification if Title claim paid motor vehicle highway fund