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HomeMy WebLinkAbout176178 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 358944 Page 1 of 1 ONE CIVIC SQUARE CENTRAL ENGINEERING CONSTRUCT1o�I 0 GF�ECK AMOUNT: $33,057.00 CARMEL, INDIANA 46032 3862 N COMMERCIAL PARKWAY GREENFIELD IN 46140 CHECK NUMBER: 176178 CHECK DATE: 8/19/2009 DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION 106 R5023990 18807 14,396.00 FOUNDERS PARKS INTRAS 106 R5023990 19616 APP7/6087 18,661.00 FOUNDERS PARK PHASE 1 r APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT �n v ro O 81 TO (OWNER): PROJECT: Founders Park Infrastructure Phase 1 APPLICATION NO. 7 DISTRIBUTION TO: Carmel/ Clay Board of Parks and Recreation OWNER XX Attn.: Mark Westermeier 1411 East 116th Street VIA (ARCHITECT): PERIOD TO: 7f7l2009 Carmel, IN 46032 U FROM: Central Engineering Construction Associates, Inc- ARCHITECT'S G �UJ 3862 N. Commercial Parkway PROJECT NO: Greenfield, IN 46140 CONTRACT FOR: SITE IMPROVEMENTS CONTRACT DATE: 22- May -08 Application made for Payment, as shown below, in connection CONTRACTOR'S APPLICATION FOR PAYMENT with the contract. Continuation Sheet is attached. CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM $1,015,718.00 Change Orders approved in ADDITIONS DEDUCTIONS 2. Net Change by Change Orders $33,885.00 previous months by owner 3. CONTRACT SUM TO DATE $1,049,603.00 TOTAL 49,985.00 16,100.00 4. TOTAL COMPLETED STORED TO DATE $1,034,379.00 Approved this Month (Column G) No. Date Approved S. RETAINAGE: a. of Completed Work $54,22720 (Column D +E) b. of Stored Material (Column F) $0.00 TOTALS1 49,985.00 16,100.00 Total Retainage (Line 5a +5b) or $54,227.20 Net Change by Change Orders (Total in Column 1) $33,885.00 6. TOTAL EARNED LESS RETAINAGE $980,151.80 The undersigned Contractor certifies that to the best of the Contractor's (Line 4 less Line 5 Total) knowledge, information, and belief the Work covered by this Application 7- LESS PREVIOUS CERTIFICATES FOR $947,094.80 for Payment has been completed in accordance with the Contract Docu- PAYMENT (Line 6 from prior Certificate) ments, that all amounts have been paid by the Contractor for Work for 8. CURRENT PAYMENT DUE $33,057.00 for which previous Certificates for Payment were issued and payments 9. BALANCE TO FINISH, PLUS RETAINAGE $69,451.20 received from the Owner, and that current payment shown herein is (Line 3 less Line 6) now due. CONTRACTOR: CENTRAL ENGINEERING CONSTRUCTION ASSOC., INC. ii State of: Indiana County of: Hancock BY: ATE:' I O �l Subscribed and Sw rn to before me this 1� day of July 2009 Karen Horth Powers, President Notary Public: �,\,AA 1) [k_� My Commissi Expires: April 21, 2016 AMOUNT CERTIFIED A R C H I T E C T S C E R T I F I C A T E FOR PAYMENT (Attached explanation if amount certified differs from the amount applied for.) In accordance with the Contract Documents, based on on -site observa- ARCHITECT: kr7seavat. iFb i- it 3 J ©s� tions and the data comprising the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information, By: Date: 727. and belief the Work has progressed as indicated, the quality of the Work is This Certificate in not negotiable. The AMOUNT CERTIFIED is is in accordance with the Contract Documents, and the Contractor is payable only to the Contractor named herein- Issuance, pay entitled to payment of the AMOUNT CERTIFIED. ment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this contract. f CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES PROJECT: FOUNDERS PARK INFRASTRUCTURE PHASE I APPLICATION NO.: 7 Job: 437 APPLICATION DATE: 7- Jul -09 PERIOD TO: 7- Jul -09 ENGINEER'S PROJECT NO.: A B C D F F G H I WORK COMPLETED MATERIALS TOTAL FROM PRESENTLY COMPLETED BALANCE RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED PREVIOUS THIS STORED AND STORED TO (IF VARIABLE) NO. VALUE APPLICATION PERIOD (NOT IN TO DATE (G f C) FINISH RATE (D E) D OR E) (D +E +F) (C G) 1 Mobilization 40,806.00 36,306.00 4,500.00 44,806.00 100% 0.00 4080.60 2 Construction Staking 14,086.00 14,086.00 14,086.00 100% 0.00 1408.60 3 Clearing 55,307.00 55,307.00 55,307.00 100% 0.00 5530.70 4 Earthwork 289,035.00 278,000.00 6,000.00 284,000.00 98 5035.00 28400.00 5 Erosion Control 38,151.00 31,000.00 5,500.00 36,500.00 96%1 1651.00 3650.00 6 Sanitary Sewer 35,110.00 35,110.00 35,110.00 100%1 0.00 3511.00 7 Storm Sewer 104,921.00 104,921.00 104,921.00 1100%1 0.00 10492.10 8 Concrete Curbs /Sidewalk 177,447.00 172,079.00 5,368.00 177,447.00 1100%j 0.00 17744.70 9 Asphalt Paving 138,189.00 131,500.00 6,689.00 138,189.00 100 0.00 13818.90 10 Seeding 82,038.00 68,500.00 5,000.00 73,500.00 90% 8538.00 7350.00 11 Bonds Insurance 40,628.00 40,628.00 40,628.00 100% 0.00 4062.80 12 Change Order #1: Asphalt 7,100.00 7,100.00 7,100.00 100% 0.00 710.00 Concrete Curb /Sidewalks 9,000.00 9,000.00 9,000.00 100% 0.00 900.00 13 Change Order #2: Lime Stat 23,560.00 23,560.00 23,560.00 100 0.00 2356.00 Change Order #3: 14 asphalt material increase 26,425.00 26,425.00 26,425.00 100% 0.00 2642.50 Retainage reduction per contract 50179.30 TOTALS: $1,049,603.00 $1,001,322.00 $33,057.00 $0.00 $1,034,379.00 99 0 /6 $15,224.001 $53,258.60 PERCENT: 96.40%1 3,15%1 0.00 98.55% 1.45% I AFFIDAVIT AND WAIVER OF LIEN Final Partial Payment to Follow STATE OF INDIANA County of HANCOCK Karen Horth Powers being duly sworn states that she/he is the President of Central Engineering Construction Associates, Inc. having contracted with the Carmel /Clay Board of Parks and Recreation to furnish certain materials and/or labor as follows Site Improvement for a Project known as Founders Park Infrastructure Phase I, located in Carmel, IN 46032 and owned by the Carmel /Clay Board of Parks and Recreation and does further state PARTIAL WAIVER: that the final balance due from the owner is the sum of Thirty-Three Thousand Fifty -Seven and 00 /100 Dollars ($33,057.00) receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which -is given to and for said amount, effective upon receipt of such payment; FINAL WAIVER: that the final balance due from the owner is the sum of Dollars receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all lien or claim whatsoever on the above- described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Karen Horth owers President Title Witness My Hand and Notarial Seal, this 1 AAA day of J Ul 2009. Notary Public U -Ching Wu Notary Public Printed Signature My Commission Expires April 21, 2016 County of Residence Hamilton 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. 358944 Central Engineering Construction Assoc., inc. Terms 3862 N Commercial Parkway Greenfield, IN 46140 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7127109 A 7 6087 Founders park infrastructure phase I 18807 F 14,396.00 7127109 App 7 16087 Founders park infrastructure phase I 19616 p 18,661.00 Total 33,057.00 I 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. 358944 Central Engineering Construction Assoc., Ii Allowed 20 3862 N Commercial Parkway Greenfield, IN 46140 In Sum of 33,057.00 ON ACCOUNT OF APPROPRIATION FOR 106 Park Impact Fee Fund PO# or INVOICE NO. kCCT #/TITLI AMOUNT Board Members Dept 1 8807 F App 7 1 6087 5023990 14,396.00 1 hereby certify that the attached invoice(s), or 19616 App 7 16087 5023990 18,661.00 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 13 -Aug 2009 Signature 33,057.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund