The URL can be used to link to this page

Home My WebLink About167939 01/21/2009 CITY OF CARMEL INDIANA VENDOR: 358944 Page 1 of 1 ONE CIVIC SQUARE CENTRAL ENGINEERING CONSTRUCTION CARMEL, INDIANA 46032 3862 N COMMERCIAL PARKWAY C�IECK AMOUNT: $76,500.00 GREENFIELD IN 46140 CHECK NUMBER: 167939 CHECK DATE: 1121/2009 DEPARTMENT_ ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 106 R5023990 18807 5997 76,500.00 FOUNDERS PARKS INTRAS DEC 9 Z008 APPLICATION AND CERTIFICATE FOR PAYMENT 7-'-' AIA -O MENT a.-n V TO (OWNER): PROJECT: Founders Park Infrastructure Phase 1 APPLICATION NO. 6 DISTRIBUTION TO: Carmel/ Clay Board of Parks and Recreation OWNER XX Attn.: Mark Westermeier 1411 East 116th Street VIA (ARCHITECT): PERIOD TO: 11/21/2008 Carmel, IN 46032 FROM: Central Engineering Construction Associates, Inc. ARCHITECT'S 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 $1,001,322.00 Approved this Month (Column G) No. Date Approved 5. RETAINAGE: a. of Completed Work $54,227.20 (Column D +E) b. of Stored Material (Column F) $0.00 TOTALS 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 $947,094.80 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 $870,594.80 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 $76,500.00 for which previous Certificates for Payment were issued and payments 9. BALANCE TO FINISH, PLUS RETAINAGE $102,508.20 received from the Owner, and that current payment shown herein is (Line 3 less Line 6) now due. CONTRACTOR: CENTRAL ENGINEERING CONSTRUCTION ASSOC., INC. State of: Indiana County of: Ha cock BY' DATE: Z Oe] Subscribed and S n to before me this ZS— day of November 2008 K ren Horth Powers, President Notary Public: My Commission Ex April 21, 201 AMOUNT CERTIFIED ARCHITECT S CERTIFICATE FOR PAYMENT (Attached explanation if amount certified differs from the amount applied for. r..e QFj�7i In accordance with the Contract Documents, based on on -site observa- ARCHITECT:�� tions and the data comprising the above application, the Architect certifies 7 to the Owner that to the best of the Architect's knowledge, information, By: o Date: 2'S mct 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 AM00ff0fIFI r ment and acceptance of payment are without prejudice to any Descri ICl9 rights of the Owner or Contractor under this contract. PA. Or ellud Awmvd Pur�ase �.�s6� CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES PROJECT: FOUNDERS PARK INFRASTRUCTURE PHASE I APPLICATION NO.: 6 Job: 437 APPLICATION DATE: 25- Nov -08 PERIOD TO: 21- Nov -08 ENGINEER'S PROJECT NO.: A B C D E 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 I C) FINISH RATE (D E) D OR E) (D +E +F) (C G) 1 Mobilization 40,806.00 35,306.00 1,000.00 36,306.00 89%1 4500.00 3630.60 2 Construction Staking 14,086.00 14,086.00 14,086.00 100%1 0.00 1408.60 3 Clearing 55,307.00 55,307.00 55,307.00 100%1 0.00 5530.70 4 Earthwork 289,035.00 278,000.00 278,000.00 96%1 11035.00 27800.00 5 Erosion Control 38,151.00 24,000.00 7,000.00 31,000.00 81% 7151.00 3100.00 6 Sanitary Sewer 35,110.00 35,110.00 35,110.00 100% 0.00 3511.00 7 Storrs Sewer 104,921.00 104,921.00 104,921.00 100% 0.00 10492.10 8 Concrete Curbs /Sidewalk 177,447.00 172,079.00 172,079.00 97% 5368.00 17207.90 9 Asphalt Paving 138,189.00 131,500.00 131,500.00 95% 6689.00 13150.00 10 Seeding 82,038.00 0.00 68,500.00 68,500.00 83%1 13538.00 6850.00 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%1 0.00 264150 Retainage reduction per contract 45905.00 TOTALS. $1,049,603.00 $924,822.00 $76,500.001 $0.00 $1,001,322.00 95% $48,281.00 $54,227.20 PERCENT: 88,11%1 7.29%1 0,00%1 95.40% 4.60% AFFIDAVIT AND WAIVER OF LIEN Final Partial Payment to Follow STATE OF INDIANA County of HANCOC 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 Seventy -Six Thousand Five Hundred and 00 /100 Dollars ($76,500.00) 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 Powers President Title Witness My Hand and Notarial Seal, this da of 9V O U 2008. Notary Public Li -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 th be properly itemized must show; kind of service, where performed, dates service rendered, by whom, ratbs per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 18807 P 358944 Central Engineering Construction Assoc., Inc. Terms 3862 N Commercial Parkway Greenfield, IN 46140 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11121/08 A 6 1 5997 Founders park infrastructure phase I 76,500.00 Total 76,500.00 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., h Allowed 20 3862 N Commercial Parkway Greenfield, IN 46140 In Sum of$ 76,500.00 ON ACCOUNT OF APPROPRIATION FOR 106 Park Impact Fee Fund PO #or INVOICE NO. CCT #1TITL1 AMOUNT Board Members Dept 18807 App 6 1 5997 5023990 76,500.00 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 2 -Jan 2009 Signature 76,500.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund