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172325 05/13/2009
CITY OF CARMEL, INDIANA VENDOR: 362753 Page 1 of 1 0 ONE CIVIC SQUARE GAYLOR, INC CARMEL, INDIANA 46032 17225 KRAFT COURT CHECK AMOUNT: $36,036.00 NOBLESVILLE IN 46060 CHECK NUMBER: 172325 CHECK DATE: 5/13/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AM OUNT DESCRIPTION 853 5023990 86767 36,036.00 OTHER EXPENSES r Page 1 of 4 To: Carmel /Clay Board of Parks and Recreation Project: Monon Family Recreation Center Application 24 760 3rd Avenue, S.W., Suite 100 T Carmel, Indiana 46032 Contract For: BP 4 MC Electrical Application Date: 3/25/2009 1 J Gaylor Job 1252530 Period Ending: 3/31/2009 MAY 1 ao°9 From: Gaylor, Inc. 91073701 17225 Kraft Court Architects Noblesville, IN 46060 General Contractor 'V: 5-1 APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection CHANGE ORDER SUMMARY with the Contract. A Continuation Sheet, with a Schedule of Values breakdown, is attached. TOTAL CHANGE ORDERS APPROVED ON PREVIOUS APPLICATIONS ADDITIONS DEDUCTIONS 1. ORIGINAL CONTRACT SUM $2,998,700.00 CHANGE ORDER DATE APPROVED 2. Net change by CHANGE ORDERS $487,111.00 Change Order 01 $11,934.00 Change Order 03 4,000.00 3. CONTRACT SUM TO DATE $3,485,811.00 Change Order 04 35,158.00 Change Order 05 254,672.00 4. TOTAL COMPLETED STORED TO DATE $3,485,611.00W Change Order 06 8,676.00 L� Change Order 07 $1,061.00 5. RETAINAGE: 40 d'T Y OUN04 Change Order 08 11,233.00 Change Order 09 1,807.00 10.00% of completed work $8,504.00 Change Order 10 37,704.00 Change Order 11 9,782.00 0.00% of stored material $0.00 Change Order 12 37,634.00 Change Order 13 14,400.00 TOTAL RETAINAGE $8,504.00 Chagne Order 14 85,040.00 6. TOTAL EARNED LESS RETAINAGE $3,477,307.00 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $3,441,271.00 8. CURRENT PAYMENT DUE $36,036.00 V 1J0 9. BALANCE TO FINISH, PLUS RETAINAGE $8,504.00 TOTALS: 500,106.00 $12,995.00 NET CHANGE BY CHANGE ORDERS: $487,111.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, the State of: Indiana Work covered by this Application for Payment has been completed in accordance with County of: Hamilton the Contract Documents and that current payment shown herein is now due. Subscribed and sworn to before me this 25th day of March 2009 Notary Public: Ch I R. Gia zzi By: Date: 25- Mar -09 Name: Andrew Foreman My Commission expires on: 09/13/16 Title: Project Ma ager l 44 U /UPS County of Residence: Hamilton Pane 2 of 4 To: Carmel /Clay Board of Parks and Recreation Project: Monon Family Recreation Center Application 24 760 3rd Avenue, S.W., Suite 100 Carmel, Indiana 46032 Contract For: BP 4 MC Electrical Application Date: 3/25/2009 Gaylor Job 1252530 Period Ending: 3131/2009 From: Gaylor, Inc. 91073701 17225 Kraft Court Architects Noblesville, IN 46060 General Contractor APPLICATION FOR PAYMENT CONTINUATION SHEET A B C D E F G H I ITEM SCHEDULED PREVIOUS COMPLETED STORED TOTAL CP BALANCE TO RETAINAGE N0. DESCRIPTION OF WORK VALUE WORK THIS PERIOD MATERIALS STORED TO DATE (G /C) FINISH (C -G) 10.00% 1 Bonds 59,974.00 59,974.00 0.00 0.00 59,974.00 100.00% 0.00 5,997.40 2 Mobilization 20,000.00 20,000.00 0.00 0.00 20,000.00 100.00% 0.00 2,000.00 3 Demobilization 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 500.00 4 Insurance Safety 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 500.00 5 Submittals 15,000.00 15,000.00 0.00 0.00 15,000.00 100.00% 0.00 1,500.00 6 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 7 Temporary Labor 21,600.00 21,600.00 0.00 0.00 21,600.00 100.00% 0.00 2,160.00 8 Temporary Material 14,400.00 14,400.00 0.00 0.00 14,400.00 100.00% 0.00 1,440.00 9 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 10 ESCO General Conditions 2,555.00 2,555.00 0.00 0.00 2,555.00 100.00% 0.00 255.50 11 ESCO Submittals 13,840.00 13,840.00 0.00 0.00 13,840.00 100.00% 0.00 1,384.00 12 ESCO Sound Material 104,077.00 104,077.00 0.00 0.00 104,077.00 100.00% 0.00 10,407.70 13 ESCO Sound Labor 15,602.00 15,602.00 0.00 0.00 15,602.00 100.00% 0.00 1,560.20 14 ESCO Fire Alarm Material 42,790.00 42,790.00 0.00 0.00 42,790.00 100.00% 0.00 4,279.00 15 ESCO Fire Alarm Labor 9,744.00 9,744.00 0.00 0.00 9,744.00 100.00% 0.00 974.40 16 ESCO T/D Material 158,340.00 158,340.00 0.00 0.00 158,340.00 100.00% 0.00 15,834.00 17 ESCO T/D Labor 9,804.00 9,804.00 0.00 0.00 9,804.00 100.00% 0.00 980.40 18 ESCO Closeout 1,392.00 1,392.00 0.00 0.00 1,392.00 100.00% 0.00 139.20 19 0.00 0.00 0.00 0.00 0.00 0,00% 0.00 0.00 20 Davis Security 139,545.00 139,545.00 0.00 0.00 139,545.00 100.00% 0.00 13,954.50 21 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 22 Service Entrance Sub 10,000.00 10,000.00 0.00 0.00 10,000.00 100.00% 0.00 1,000.00 23 Service Entrance Material 45,650.00 45,650.00 0.00 0.00 45,650.00 100.00% 0.00 4,565.00 24 Service Entrance Labor 12,040.00 12,040.00 0.00 0.00 12,040.00 100.00% 0.00 1,204.00 25 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 26 Distribution Material 86,424.00 86,424.00 0.00 0.00 86,424.00 100.00% 0.00 8,642.40 27 Distribution Labor 84,960.00 84,960.00 0.00 0.00 84,960.00 100.00% 0.00 8,496.00 28 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 29 Generator Material 32,500.00 32,500.00 0.00 0.00 32,500.00 100.00% 0.00 3,250.00 30 Generator Labor 3,600.00 3,600.00 0.00 0.00 3,600.00 100.00% 0.00 360.00 31 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 32 Payne Sparkman Dimming System 98,400.00 98,400.00 0.00 0.00 98,400.00 100.00% 0.00 9,840.00 33 Lutron Dimming System 223,080.00 223,080.00 0.00 0.00 223,080.00 100.00% 0.00 22,308.00 34 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 35 West Side 1st Floor 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 36 Branch UG Material 14, ,500.00 14,500.00 0.00 0.00 14,500.00 100.00% 0.00 1,450.00 37 Branch UG Labor 5,800.00 5,800.00 0.00 0.00 5,800.00 100.00% 0.00 580.00 38 Wall RI Material 50,750.00 50,750.00 0.00 0.00 50,750.00 100.00% 0.00 5,075.00 39 Wall RI Labor 94,250.00 94,250.00 0.00 0.00 94,250.00 100.00% 0.00 9,425.00 40 O/H RI Material 4?,500.00 43,500.00 0.00 0.00 43,500.00 100.00% 0.00 4,350.00 41 O/H RI Labor 79,750.00 79,750.00 0.00 0.00 79,750.00 100.00% 0.00 7,975.00 42 Branch Wiring Material 21,750.00 21,750.00 0.00 0.00 21,750.00 100.00% 0.00 2,175.00 Page 3 of 4 To: Carmel /Clay Board of Parks and Recreation Project: Monon Family Recreation Center Application 24 760 3rd Avenue, S.W., Suite 100 Carmel, Indiana 46032 Contract For: BP 4 MC Electrical Application Date: 3/25/2009 Gaylor Job 1252530 Period Ending: 3/31/2009 From: Gaylor, Inc. 91073701 17225 Kraft Court Architects Noblesville, IN 46060 General Contractor 43 Branch Wiring Labor 47,130.00 47,130.00 0.00 0.00 47,130.00 100.00% 0.00 4,713.00 44 Devices Material 2,900.00 2,900.00 0.00 0.00 2,900.00 100.00% 0.00 290.00 45 Devices Labor 5,080.00 5,080.00 0.00 0.00 5,080.00 100.00% 0.00 508.00 46 Lighting Material 282,750.00 282,750.00 0.00 0.00 282,750.00 100.00% 0.00 28,275.00 47 Lighting Labor 121,800.00 121,800.00 0.00 0.00 121,800.00 100.00% 0.00 12,180.00 48 System Cabling Material 7,250.00 7,250.00 0.00 0.00 7,250.00 100.00% 0.00 725.00 49 System Cabling Labor 17,400.00 17,400.00 0.00 0.00 17,400.00 100.00% 0.00 1,740.00 50 FA Devices Labor 5,080.00 5,080.00 0.00 0.00 5,080.00 100.00% 0.00 508.00 51 Pool Equipment Material 10,880.00 10,880.00 0.00 0.00 10,880.00 100.00% 0.00 1,088.00 52 Pool Equipment Labor 7,540.00 7,540.00 0.00 0.00 7,540.00 100.00% 0.00 754.00 53 Kitchen Equipment Material 2 ,100.00 2,100.00 0.00 0.00 2,100.00 100.00% 0.00 210.00 54 Kitchen Equipment Labor 8,120.00 8,120.00 0.00 0.00 8,120.00 100.00% 0.00 812.00 55 HVAC Equip Material 2,180.00 2,180.00 0.00 0.00 2,180.00 100.00% 0.00 218.00 56 HVAC Equip Labor 2,900.00 2,900.00 0.00 0.00 2,900.00 100.00% 0.00 290.00 57 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 58 West Side 2nd Floor 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 59 Branch UG Material 72,500.00 72,500.00 0.00 0.00 72,500.00 100.00% 0.00 7,250.00 60 Branch UG Labor 11,600.00 11,600.00 0.00 0.00 11,600.00 100.00% 0.00 1,160.00 61 Wall RI Material 20,300.00 20,300.00 0.00 0.00 20,300.00 100.00% 0.00 2,030.00 62 Wall RI Labor 37,700.00 37,700.00 0.00 0.00 37,700.00 100.00% 0.00 3,770.00 63 O/H RI Material 31,900.00 31,900.00 0.00 0.00 31,900.00 100.00% 0.00 3,190.00 64 O/H RI Labor 31,900.00 31,900.00 0.00 0.00 31,900.00 100.00% 0.00 3,190.00 65 Branch Wiring Material 8,700.00 8,700.00 0.00 0.00 8,700.00 100.00% 0.00 870.00 66 Branch Wiring Labor 18,850.00 18,850.00 0.00 0.00 18,850.00 100.00% 0.00 1,885.00 67 Devices Material 1,160.00 1,160.00 0.00 0.00 1,160.00 100.00% 0.00 116.00 68 Devices Labor 2,030.00 2,030.00 0.00 0.00 2,030.00 100.00% 0.00 203.00 69 Lighting Material 116,300.00 116,300.00 0.00 0.00 116,300.00 100.00% 0.00 11,630.00 70 Lighting Labor 48,720.00 48,720.00 0.00 0.00 48,720.00 100.00% 0.00 4,872.00 71 System Cabling Material 2,900.00 2,900.00 0.00 0.00 2,900.00 100.00% 0.00 290.00 72 System Cabling Labor 6,960.00 6,960.00 0.00 0.00 6,960.00 100.00% 0.00 696.00 73 FA Devices Labor 2,030.00 2,030.00 0.00 0.00 2,030.00 100.00% 0.00 203.00 74 HVAC Equip Material i,350.00 4,350.00 0.00 0.00 4,350.00 100.00% 0.00 435.00 75 HVAC Equip Labor 6,960.00 6,960.00 0.00 0.00 6,960.00 100.00% 0.00 696.00 76 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 77 East Side 1st Floor 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 78 Branch UG Material 7,250.00 7,250.00 0.00 0.00 7,250.00 100.00% 0.00 725.00 79 Branch UG Labor 1,740.00 1,740.00 0.00 0.00 1,740.00 100.00% 0.00 174.00 80 Wall RI Material 1:.,230.00 15,230.00 0.00 0.00 15,230.00 100.00% 0.00 1,523.00 81 Wall RI Labor 28,280.00 28,280.00 0.00 0.00 28,280.00 100.00% 0.00 2,828.00 82 O/H RI Material 13,050.00 13,050.00 0.00 0.00 13,050.00 100.00% 0.00 1,305.00 83 O/H RI Labor 23,930.00 23,930.00 0.00 0.00 23,930.00 100.00% 0.00 2,393.00 84 Branch Wiring Material 6,530.00 6,530.00 0.00 0.00 6,530.00 100.00% 0.00 653.00 85 Branch Wiring Labor 14',140.00 14,140.00 0.00 0.00 14,140.00 100.00% 0.00 1,414.00 86 Devices Material 870.00 870.00 0.00 0.00 870.00 100.00% 0.00 87.00 87 Devices Labor 1,520.00 1,520.00 0.00 0.00 1,520.00 100.00% 0.00 152.00 88 Lighting Material 214,600.00 214,600.00 0.00 0.00 214,600.00 100.00% 0.00 21,460.00 89 Lighting Labor 54,670.00 54,670.00 0.00 0.00 54,670.00 100.00% 0.00 5,467.00 90 System Cabling Material 2,180.00 2,180.00 0.00 0.00 2,180.00 100.00% 0.00 218.00 91 System Cabling Labor 5,220.00 5,220.00 0.00 0.00 5,220.00 100.00% 0.00 522.00 92 FA Devices Labor 1,520.00 1,520.00 0.00 0.00 1,520.00 100.00% 0.00 152.00 93 HVAC Equip Material 2,180.00 2,180.00 0.00 0.00 2,180.00 100.00% 0.00 218.00 Page 4 of 4 To: Carmel /Clay Board of Parks and Recreation Project: Monon Family Recreation Center Application 24 760 3rd Avenue, S.W., Suite 100 Carmel, Indiana 46032 Contract For: BP 4 MC Electrical Application Date: 3/25/2009 Gaylor Job 1252530 Period Ending: 3/31/2009 From: Gaylor, Inc. 91073701 17225 Kraft Court Architects Noblesville, IN 46060 General Contractor 94 HVAC Equip Labor 2,900.00 2,900.00 0.00 0.00 2,900.00 100.00% 0.00 290.00 95 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 96 East Side 2nd Floor 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 97 Branch UG Material :2,900.00 2,900.00 0.00 0.00 2,900.00 100.00% 0.00 290.00 98 Branch UG Labor 870.00 870.00 0.00 0.00 870.00 100.00% 0.00 87.00 99 Wall RI Material 7,610.00 7,610.00 0.00 0.00 7,610.00 100.00% 0.00 761.00 100 Wall RI Labor 14,140.00 14,140.00 0.00 0.00 14,140.00 100.00% 0.00 1,414.00 101 O/H RI Material 6,530.00 6,530.00 0.00 0.00 6,530.00 100.00% 0.00 653.00 102 O/H RI Labor 11,960.00 11,960.00 0.00 0.00 11,960.00 100.00% 0.00 1,196.00 103 Branch Wiring Material 3,260.00 3,260.00 0.00 0.00 3,260.00 100.00% 0.00 326.00 104 Branch Wiring Labor 7,070.00 7,070.00 0.00 0.00 7,070.00 100.00% 0.00 707.00 105 Devices Material 440.00 440.00 0.00 0.00 440.00 100.00% 0.00 44.00 106 Devices Labor 760.00 760.00 0.00 0.00 760.00 100.00% 0.00 76.00 107 Lighting Material 32,953.00 32,953.00 0.00 0.00 32,953.00 100.00% 0.00 3,295.30 108 Lighting Labor 5,470.00 5,470.00 0.00 0.00 5,470.00 100.00% 0.00 547.00 109 System Cabling Material 1,090.00 1,090.00 0.00 0.00 1,090.00 100.00% 0.00 109.00 110 System Cabling Labor 2,610.00 2,610.00 0.00 0.00 2,610.00 100.00% 0.00 261.00 111 FA Devices Labor 760.00 760.00 0.00 0.00 760.00 100.00% 0.00 76.00 112 HVAC Equip Material 4,350.00 4,350.00 0.00 0.00 4,350.00 100.00% 0.00 435.00 113 HVAC Equip Labor 6,530.00 6,530.00 0.00 0.00 6,530.00 100.00% 0.00 653.00 114 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 115 Change Order 01 (11,934.00) (11,934.00) 0.00 0.00 (11,934.00) 100.00% 0.00 (1,193.40) 116 Change Order 03 4,000.00 4,000.00 0.00 0.00 4,000.00 100.00% 0.00 400.00 117 Change Order 04 35,158.00 35,158.00 0.00 0.00 35,158.00 100.00% 0.00 3,515.80 118 Change Order 05 254,672.00 254,672.00 0.00 0.00 254,672.00 100.00% 0.00 25,467.20 119 Change Order 06 8,676.00 8,676.00 0.00 0.00 8,676.00 100.00% 0.00 867.60 120 Change Order 07 (1,061.00) (1,061.00) 0.00 0.00 (1,061.00) 100.00% 0.00 (106.10) 121 Change Order 08 11,233.00 11,233.00 0.00 0.00 11,233.00 100.00% 0.00 1,123.30 122 Change Order 09 1,807.00 1,807.00 0.00 0.00 1,807.00 100.00% 0.00 180.70 123 Change Order 10 37,704.00 37,704.00 0.00 0.00 37,704.00 100.00% 0.00 3,770.40 124 Change Order 11 9,782.00 9,782.00 0.00 0.00 9,782.00 100.00% 0.00 978.20 125 Change Order 12 3 37,634.00 0.00 0.00 37,634.00 100.00% 0.00 3,763.40 126 Change Order 13 14,400.00 14,400.00 0.00 0.00 14,400.00 100.00% 0.00 1,440.00 127 Change Order 14 85,040.00 45,000.00 40,040.00 12 0.00 85,040.00 100.00% 0.00 8,504.00 128 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 129 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 130 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 131 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 132 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 133 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 134 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 135 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 TOTALS: 3,485,811.00 $3,445,771.00 $40,040.00 $0.00 $3,485,811.00 100.00% $0.00 $348,581.10 N 1 GAYLOR REMIT TO: P.O. Box 3757 WE GLADLY ACCEPT Corporate Offices Carmel, IN Carmel, IN 46082 -3757 Visa MasterCard American Express 317.843.0577 Fax 317.848.0364 800.878.0577 http: /www.gaylor.com FED ID# 20- 3727689 Invoice 86767 Bill to: Job: 91073701 Geupel DeMars Hagerman, LLC Monon Site Lighting PO Box 502710 1235 Central Park Drive East Indianapolis, IN 46250 -7710 Carmel, IN 46032 Invoice 86767 Date: 03/25/09 Customer P.O. CWO #367 Payment Terms: NET 30 Salesperson: Customer Code: GEUDEM Remarks: Job 91073701 Pay App #24 (complete for CO 14) A i- Extension Invoice is for electrical work completed for Change Order #14 40,040.00 Subtotal: 40,040.00 For questions on this invoice, call Lorena at 317 815 -3134. Total: 40,040.00 Less Retention: 4,004.00 Current Due: 36,036.00 Page: 1 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. Gaylor, Inc. Terms 17225 Kraft Court Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3/25/09 86767 Application 24 Central Pk Project 36,036.00 Total 36, 136.00 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. Gaylor, Inc. Allowed 20 17225 Kraft Court Noblesville, IN 46060 In Sum of 36,036.00 ON ACCOUNT OF APPROPRIATION FOR 853 Gift Fund PO# or INVOICE NO kCCT #MTLI AMOUNT Board Members Dept 853 86767 5023990 36,036.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 7 -May 2009 Signature 36,036.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund