HomeMy WebLinkAbout176627 09/01/2009 CITY OF CARMEL, INDIANA VENDOR: 362321 Page 1 of 1
ONE CIVIC SQUARE NATIONAL SALVAGE SERVICE CORP CHECK AMOUNT: $666,748.48
CARMEL, INDIANA 46032 PO BOX 300
CLEAR CREEK IN 47426 CHECK NUMBER: 176627
CHECK DATE: 9/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460847 3 126,507.10 HEARTHVIEW OLD TOWN
902 4460847 3A 33,125.00 HEARTHVIEW OLD TOWN
902 4460847 4 30,211.90 HEARTHVIEW OLD TOWN
902 4460847 5 1,000.00 HEARTHVIEW OLD TOWN
902 4460847 6 25,160.08 HEARTHVIEW OLD TOWN
902 4460847 71609 450,744.40 HEARTHVIEW OLD TOWN
APPLICATION and CERTIFICATE for PAYMENT DOCUMENT G702
To: City of Carmel, IN Redev. Comm. Project: Parcel 47E, Carmel Arts District Application No: 3 Distribution to:
One City Square Lofts Site Demolition
Carmel, IN 46032 App. Date: July 16, 2009 OWNER
CONSTRUCTION MGR.
Period to: ARCHITECT
From: National Salvage Service Corp. CONTRACTOR
P.O. Box 300 Project Nos: OTHER
Clear Creek, IN 47426 Contract Date:
Contract For: Demolition ATTN: Bruce Stauffer
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been completed
in accordance with the Contract Documents, that all amounts have been paid by the
Continuation Sheet, G703, is attached. Contractor for Work for which previous Certificates for Payment were issued and payments
1 ORIGINAL CONTRACT SUM 252 received from the Owner, and that current payment shown herein is now due.
,000.00
2. Net Change By Change Orders 45,119.00 CON T CTO Natio I Salvage Service Corp.
Y
3. CONTRACT SUM TO DATE 297,119.00 B Date:
July_,6,,2009._,
4. TOTAL COMPLETED AND STORED TO DATE 297 ,119.00 i9 Ben tl roject Manage
5. RETAINAGE: State of: ndiana County of: Monroe
a. 10% of Completed Work 30,211.90 Subscribed and sworn before me this 16th day of :July 2009
b. 0% of Stored Material Craig Bentley, Project Manager, personally appeared before me, the undersigned notary
0.00 public, and provided satisfactory evidence of identification to be the person who signed this
TOTAL RETAINAGE document in my presence and swore or affirmed to me that the contents of-this document-a ae
30,211.90 truthful and accurate to the best ofof his/ knowledge and belief.
6. TOTAL EARNED LESS RETAINAGE 266,907.10 Nota M Commission e
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ry Public: �J' r^ y p
140,400.00 ENGINEER'S RTIFICATE FOR PAYMENT
'8. CURRENT PAYMENT DUE 126,507.10 In accordance with the Contract Documents based on on site observations and the data
9. BALANCE TO FINISH, INCLUDING RETAINAGE comprising this application, the Engineer certifies to the Owner that to the best of the
30,211.90 Engineer's knowledge, information and belief the Work has progressed as indicated, the
quality of the Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED S f'lj j 17
Total changes approved in 20,691.00 0.00 (Attach explanation if amount certified differs from the amount applied for. Initial all figures
previous months by Owner on this Application and on the Continuation Sheet that are changed to conform to the amount
Total approval this Month 24,428.00 0.00 certified.)
TOTALSI 45,119.001 0.00 ENGINEER:
NET CHANGES by Change Order I 45,119.00 By: Date: y�p9
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
Contractor named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
TORGO SOFTWARE http:1twww. torgo.net 01996 -2008 ALL RIGHTS RESERVED
C\
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CONTINUATION SHEET G703 PROJECT: Parcel 47E, Carmel Arts District National Salvage Service Corp. Page 1 of 1
Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 3
Contractor's signed Certification is attached. APPLICATION DATE: July 16, 2009
Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO:
PROJECT NUMBER:
A B C D E F G H I
Item Description of Work Scheduled Work Completed Materials Total Completed Balance Retainage
Value From Previous This Stored Used and Stored to Finish
Application(s) Period Prior Current To Date
1 Mobilization 3,400.0 3,400.00 0.00 3,400.00 100.00 0.00 340.0
2 Bond 4,800.00 4,800.0 0.0 4,800.0 100.00 0.0 480.0
3 Site Preparation 72,000.00 0.00 72,000.00 72,000.00 100.00 0.00 7,200.0
4 Erosion Controls 1,800.00 1,800.00 0.00 1,800.00 100.00 0.00 180.0
5 Removal of Site Furnishings 2,800.00 2,800.00 0.00 2,800.00 100.00 0.00 280.0
6 Demolition: #41 12,200.00 12,200.00 0.00 12,200.00 100.00 0.00 1,220.0
7 Demolition: #121 9,800.00 9,800.00 0.00 9,800.00 100.00 0.00 980.0
8 Demolition: #130 36,000.00 36,000.00 0.00 36,000.00 100.00 0.00 3,600.0
9 Demolition: #120 29,000.00 29,000.00 0.00 29,000.00 100.00 0.00 2,900.0
10 Demolition: #110 41,000.00 41,000.00 0.00 41,000.00 100.00 0.00 4,100.0
11 Concrete Demolition 16,500.00 13,200.00 3,300.00 16,500.00 100.00 0.00 1,650.0
12 Asphalt Demolition 7,700.00 0.00 7,700.00 7 100.00 0.00 770.0
13 Alternate #2 Move House 10,000.00 0.00 10,000.00 10,000.00 100.00 0.00 1,000.00
14 Alternate #4 LEED 5,000.00 2,000.00 3,000.00 5,000.00 100.00 0.00 500.0
15 Change Order #1 House Move 20,691.00 0.00 20,691.00 20,691.00 100.00 0.00 2,069.10
16 Change Order #2 VFW Int. Materials 2,274.Oq 0.0q 2,274.00 2,274.00 100.0 0.00 227.4
17 IChange Order #2 Peele House Found'n 27,154.00 0.0 27,154.00 27,154.00 100.00 0.00 2,715.40
18 IChange Order #2 Allowance Credit 5,000.0 0.0 5,000.00 -5,000.00 100.00 0.00 0.0
GRAND TOTAL: 297,119.00 156,000.00 141,119.00 297,119.00 100.00 0.00 30,211.90
A =Line Item Number B =Brief Item Description C =Total Value of Item D =Total of D and E From Previous Application(s) (If Any) E =Total Work Completed For This Application
F= Materials Purchased and Stored for Project G =Total of All Work Completed and Materials Stored for Project H= Remaining Balance of Amount to Finish 1= Amount Withheld from G
TORGO SOFTWARE http: /Av .torgo.net 01996 -2008 ALL RIGHTS RESERVED
5
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National Salvage Service Corp.
Date: duly 16, 2009
From:. National Salvage Service Corp.
P.O. Box 300
Clear Creek, IN 47426
To: City of Carmel, Indiana Redevelopment Commission
One City Square
Carmel, IN 46032
ATTN: Bruce Stauffer of Keystone Construction Corporation
Project: Parcel 47E, Carmel Arts District Lofts Site Demolition
Pay Application 3A
Work Completed
Units Quanti Unit Price This Period
Alternate #1A VFW Demolition per contract unit price LS 1 $20,000.00 $20,000.00
Alternate #1 B VFW Demo Delayed per contract unit price LS 1 $10,000.00 $10,000.00
Equipment Rental Peele House per contract unit price MO 4 $600.00 $2,400.00
Fence Screening per contract unit price LS 1 $725.00 $725.00
Total Work Completed This Period $33,125.00
Current Payment Due $33,125.00
33 ,1Z5.
P.O. Box 300
Clear Creek, IN 47426
r
WAIVER OF LIEN
Date: July 16, 2009
To All Whom it may Concern:
Whereas, National Salvage Service Corporation (CONTRACTOR) has been
employed by the City of Carmel, Indiana Redevelopment Commission (OWNER) to
furnish SERVICES for the premises known as Parcel 47E, Carmel Arts District Lofts Site
Demolition, Carmel, Indiana,
The undersigned, for and in consideration of payments in the amount of
($33,125.00) Thirty three thousand one hundred twenty five and 00 /100 dollars for
supplies or services and other goods and valuable consideration, the receipt whereof is
hereby acknowledged, does hereby waive and release any and all lien, and claim or right
to lien on said above described building and premises under the Statutes of the State of
Indiana, relating to Mechanics' Liens, on account of labor or services, material, fixtures
or apparatus heretofore furnished to this date by the undersigned for the above described
premises.
National Salva e Service Corporation
(C po ation/Co any Na e)
Affix
(Signatur f Authorize epresentative) Corporate
Seal
Craig Bentley, Project Manager
(Title)
July 16, 2009
(Date)
APPLICATION and CERTIFICATE for PAYMENT DOCUMENT G702
To: City of Carmel, IN Redev. Comm. Project: Parcel 47E, Carmel Arts District Application No: 4 (FINAL) Distribution to:
One City Square Lofts Site Demolition App. Date: July 16, 2009 OWNER
Carmel, IN 46032
CONSTRUCTION MGR.
Period to: ARCHITECT
From: National Salvage Service Corp. CONTRACTOR
P.O. Box 300 Project Nos: []OTHER
Clear Creek, IN 47426
Contract Date:
Contract For: Demolition ATTN: Bruce Stauffer
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment, as shown below, in Connection with the Contract. information and belief the Work covered by this Application for Payment has been completed
in accordance with the Contract Documents, that all amounts have been paid by the
Continuation Sheet, G703, is attached. Contractor for Work for which previous Certificates for Payment were issued and payments
1. ORIGINAL CONTRACT SUM 252,000.00 received from the Owner, and that current payment shown herein is now due.
2. Net Change By Change Orders 45 ,119.00 CONTR R: tional Salvage Service Corp.
3. CONTRACT SUM TO DATE 297,119.00 By: Date: July `16, 2009+
4. TOTAL COMPLETED AND STORED TO DATE 297,119.00 ig Be ley, Project Man er
5. RETAINAGE: State of: Indiana County of: Monroe,
R-F
Subscribed and sworn before me this 16th July: of 2009
a. 10% of Completed Work 0.00
Craig Bentley, Project Manager, personally appeared before me, the undersigned notaiy i
public, and provided satisfactory evidence of identification to be the person who�sjgned this
b. 0% of Stored Material 0.00 `k r
document in my presence and swore or affirmed to me that the contents of this•document'ai:e
TOTAL RETAINAGE 0.00
truthful and accurate to the best of his /her knowledge and belief.
6. TOTAL EARNED LESS RETAINAGE 297 ,119.00
Notary Public M.V.vS� My Commission expires: 49 4,
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 266,907.10 ENGINEER'S,_C'RTIFICATE FOR PAYMENT
8. CURRENT PAYMENT DUE 30,211.90 In accordance with the Contract Documents, based on on -site observations and the data
9. BALANCE TO FINISH, INCLUDING RETAINAGE 0 comprising this application, the Engineer certifies to the Owner that to the best of the
.00 Engineer's knowledge, information and belief the Work has progressed as indicated, the
quality of the Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED ?>117. ZipA)a
Total changes approved in 45,119.00 0.00 (Attach explanation if amount certified differs from the amount applied for. Initial all figures
previous months by Owner on this Application and on the Continuation Sheet that are changed to conform to the amount
Total approval this Month 0.00 0.00 certified.)
TOTALS 45,119.00 o.00 ENGINEER:
NET CHANGES by Change Order 45,119.00
By: Date: 7 30 09
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
Contractor named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
TORGO SOFTWARE ,http:11www, torgo. net 01996 -2008 ALL RIGHTS RESERVED
CONTINUATION SHEET 6703 PROJECT: Parcel 47E, Carmel Arts District National Salvage Service Corp. Page 1 of 1
Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 4 (FINAL)
Contractor's signed Certification is attached.
APPLICATION DATE: July 16, 2009
Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO:
PROJECT NUMBER:
A B C D E F G H I
Item Description of Work Scheduled Work Completed Materials Total Completed Balance Retainage
Value From Previous This Stored Used and Stored to Finish
Application(s) Period Prior Current To Date
1 Mobilization 3,400.00 3,400.00 0.00 3,400.00 100.00 0.00 0.0
2 Bond 4,800.00 4,800.00 0.00 4,800.00 100.00 0.00 0.0
3 Site Preparation 72,000.00 72,000.00 0.00 72,000.00 100.00 0.00 0.00
4 Erosion Controls 1,800.00 1,800.00 0.00 1,800.00 100.00 0.00 0.00
5 Removal of Site Furnishings 2,800.00 2,800.00 0.00 2,800.00 100.00 0.00 0.0
6 Demolition: #41 12,200.00 12,200.00 0.00 12,200.00 100.00 0.00 0.0
7 Demolition: #121 9,800.00 9,800.00 0.00 9,800.00 100.00 0.00 0.0
8 Demolition: #130 36,000.00 36,000.00 0.00 36,000.00 100.00 0.00 0.0
9 Demolition: #120 29,000.00 29,000.00 0.00 29,000.00 100.00 0.00 0.0
10 Demolition: #110 41,000.00 41,000.00 0.00 41,000.00 100.00 0.00 0.00
11 Concrete Demolition 16,500.00 16,500.00 0.00 16,500.00 100.00 0.00 0.0
12 Asphalt Demolition 7,700.00 7,700.00 0.00 7,700.00 100.00 0.00 0.00
13 lAlternate #2 Move House 10,000.00 10,000.00 0.00 10,000.00 100.00 0.00 0.00
14 Alternate #4 LEED 5,000.00 5,000.00 0.00 5,000.00 100.00 0.00 0.00
15 Change Order #1 House Move 20,691.00 20,691.00 0.00 20,691.00 100.00 0.00 0.00
16 Change Order #2 VFW Int. Materials 2,274.00 2,274.09 0.0q 2,274.00 100.00. 0.0 0.0
17 Change Order #2 Peele House Found'n 27,154.00 27,154.0 0.0 27,154.00 100.00 0.00 0.00
18 IChange Order #2 Allowance Credit 5,000.00 5,000.0 0.00 5,000.00 100.0 0.01 0.0
GRAND TOTAL: 297,119.001 297,119.001 0.001 297,119.001 100.001 0.00 0.00
A =Line Item Number B =Brief Item Description C =Total Value of Item D =Total of D and E From Previous Application(s) (If Any) E =Total Work Completed For This Application
F= Materials Purchased and Stored for Project G =Total of All Work Completed and Materials Stored for Project H= Remaining Balance of Amount to Finish 1= Amount Withheld from G
TORGO SOFTWARE http: /iwww.torgo.net Q1996 -2008 ALL RIGHTS RESERVED
I
CONSENT OF SURETY OWNER
TO FINAL PAYMENT ARCHITrCT
ALA Docur?zoV G707 CONTRACTOR O
SU.R7' Y
Bond No. 7604036 OTH
TO OWNER: ARCHITECT'S PROJECT NO.:
(Nano curd addiv.0
City of Carmel, Indiana
One Civic Square CONTRACT FOR: Parcel 47, Carmel Arts District Lofts
Carmel, IN 46032 -Site Demolition
PROJEC'n CONTRACT DA'I1,I
(Mme and adrhV.
Parcel 47, Carmel Arts District Lofts Site Demolition
In accordance MTh the provisions ofthe Contract between the Owner and the Contractor as indic'a%d above, the
(Arr¢r1 twnr c1Hd uddrzcsr of.Srir�p y
Fidelity and Deposit Company of Maryland
3910 Keswick Road
Baltimore, MD 21211
SURF.TY,
on bond of
(111,CB791'Jal and addwss o(C'on17Ylclor)
National Salvage Service Corporation
6755 Old State Road 37 South
Bloomington, IN 47401 CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of
any of its Obligations to
r1o.wi nanJeand a4Wrers of Qrencr)
City of Carmel, Indiana
One Civic Square
Carmel, IN 46032
OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: July 7, 2009
(Maul in io1111u t/x won tb fallout d /ill the nonrerrc dale• arrl trard
Fidelity apd Deposit Company of Maryland
(S'nrr {t J
Y uttnroJart lborlmQrcJNtxerr tulr`rr)
Attest: Nick J. Rutigliano Attorney -in -Fact
(Seal), Robert Sherfick
(P�inrcKl rlauv and tNlr)
G707 --1994
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary,
in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said Company, are set forth on the
reverse side hereof and are hereby certified to be in full force and effect on the date h e cOs by nominate, constitute
and appoint Nick J. RUTIGLIANO, Timothy J. TAYLOR and Rober O 1 ndianapolis, Indiana,
EACH its true and lawful agent and Attorney -in -Fact, to mak e r� behalf as surety, and
as its act and deed: any and all bonds and undert• pi t ecu c or undertakings in pursuance of
these presents, shall be as binding upon 1 d a 1 ents and purposes, as if they had been
duly executed and acknowled �1 y ele ompany at its office in Baltimore, Md., in their
own proper persons er rn e on behalf of Nick J. Rutigliano, Timothy J. Taylor, Robert
M. Rutigliano, dated 2,
The said Assistant es�y certify that the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By- LVIsaid Company, and is now in force.
IN WITNESS WHEREOF, the said Vice- President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 27th day of March,
A.D. 2003.
ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND
'gy DEPO
0
By:
Eric, D. Barnes Assistant Secretary William .l. Mills Vice President
State of Maryland l ss:
City 01"] altimore f
On this 27th day of March, A.D. 2003, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
y.
Illl lllll
Constance A. Dunn Notary Public
My Commission Expires: July 14, 2011
POA -F 044 -0465
f
EXTRACT FROM BY -LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND
"Article Vl, Section 2. The Chairman of the Board, or the President, or any Executive Vice President, or any of the Senior
Vice- Presidents or Vice Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,
shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident
Vice Presidents, Assistant Vice Presidents and Attorneys -in -Fact as the business of the Company may require, or to
authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations,
policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in
the nature of mortgages,... and to affix the seal of the Company thereto."
CERTIFICATE
I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify
that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that
the Vice- President who executed the said Power of Attorney was one of the additional Vice- Presidents specially authorized
by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the
Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on
the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically
reproduced signature of any Vice- President, Secretary, or Assistant Secretary of the Company, whether made heretofore or
hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and
binding upon the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company,
this 7TH day of JULY 2009
�J
Assistant Secretat),
11!j 11 1 1
NATIONAL SALVAGE kSERVICE CORPORATION
Guaranty of 'Title
PROJECT NAME: Carmel Arts District Lofts Site Demolition
PROJECT NO. 28109HC
OWNER: Carmel Redevelopment Commission (CRC)
ARCHITECT /ENGINEER: CSO Architects, Inc.
CONTRACT MANAGER: Keystone Construction Corp.
CONTRACTOR: National Salvage Service Corp.
REFERENCE: General Conditions, Article 13.8
National Salvage Service Corporation guaranties the 200 water filled barriers and 200 chain -link
fence panels delivered and installed at the Carmel Arts District jobsite are free from any security
interest or other lien or encumbrance.
The above mentioned materials were purchased as part of the contract requirements, and title to
these materials shall be transferred from the Contractor to the Owner upon receipt of final Contract
payment.
CONTRACTOR:
Y e
Curtis Schopp, Pres. Date Ll
O
National Salvage Service Corp.
Date: July 16, 2009
From: National Salvage Service Corp.
P.O. Box 300
Clear Creek, IN 47426
To: City of Carmel, Indiana Redevelopment Commission
One City Square
Carmel, IN 46032
ATTN Bruce Stauffer of Keystone Construction Corporation
Project: Parcel 47, Carmel Arts District Lofts Below Grade Removals
INVOICE SUMMARY
Gross Contract Amount $1,514,753.30
Less: Previous Net Payments Received $912,633.57
Remaining Balance Due on Contract $602,119.73
Less: Retainage Held $151,375.33
Current Net Amount Due $450,744.40
�rJ
P.O. Box 300
Clear Creek, IN 47426
r
National Salvage Service Corp.
Date: July 16, 2009
From: National Salvage Service Corp.
P.O. Box 300
Clear Creek, IN 47426
To: City of Carmel, Indiana Redevelopment Commission
One City Square
Carmel, IN 46032
ATTN: Bruce Stauffer of Keystone Construction Corporation
Project: Parcel 47, Carmel Arts District Lofts Below Grade Removals
Pay Application #5
Work Completed
Units Quantity Unit Price This Period
ALT. #1 VFW Phasing per contract unit price LS 1 $1,000.00 $1
Total Work Completed This Period $1,000.00
Current Payment Due $1,000.00
47th
P.O. Box 300
Clear Creek, IN 47426
t'
r
WAIVER OF LIEN
Date: July 16, 2009
To All Whom it may Concern:
Whereas, National Salvage Service Corporation (CONTRACTOR) has been
employed by the City of Carmel, Indiana Redevelopment Commission (OWNER) to
furnish SERVICES for the premises known as Parcel 47, Carmel Arts District Lofts
Below Grade Removals, Carmel, Indiana,
The undersigned, for and in consideration of payments in the amount of
($1,000.00) One thousand and 00 /100 dollars for supplies or services and other goods and
valuable consideration, the receipt whereof is hereby acknowledged, does hereby waive
and release any and all lien, and claim or right to lien on said above described building
and premises under the Statutes of the State of Indiana, relating to Mechanics' Liens, on
account of labor or services, material, fixtures or apparatus heretofore furnished to this
date by the undersigned for the above described premises.
National Salvage Service Corporation
(C oration/C pany Name)
Affix
ignatu of Authorized Rfresentative) Corporate
Seal
Craig ey, Project Manager
(Title)
July 16, 2009
(Date)
National Salvage Service Corp.
Date: July 23, 2009
From: National Salvage Service Corp.
P.O. Box 300
Clear Creek, IN 47426
To: City of Carmel, Indiana Redevelopment Commission
One City Square
Carmel, IN 46032
ATTN: Bruce Stauffer of Keystone Construction Corporation
Project: Parcel 47, Carmel Arts District Lofts Below Grade Removals
Pay Application #6
Soil Excavation and disposal per contract unit price
541.06 tons $38.75/ton $20,966.08
Additional Excavator rental
13 days $158 /day $2,054.00
Remobilization (4 times) Lump Sum $1,500.00
Additional Clean soil transportation (hours attached)
8 hours $80 /hour $640.00
TOTAL DUE: $25,160.08
U�
P.O. Box 300
Clear Creek, IN 47426
WAIVER OF LIEN
Date: July 23, 2009
To All Whom it may Concern:
Whereas, National Salvage Service Corporation (CONTRACTOR) has been
employed by the City of Carmel, Indiana Redevelopment Commission (OWNER) to
furnish SERVICES for the premises known as Parcel 47, Carmel Arts District Lofts
Below Grade Removals, Carmel, Indiana,
The undersigned, for and in consideration of payments in the amount of
($25,160.08) Twenty five thousand one hundred sixty and 08/100 dollars for supplies or
services and other goods and valuable consideration, the receipt whereof is hereby
acknowledged, does hereby waive and release any and all lien, and claim or right to lien
on said above described building and premises under the Statutes of the State of Indiana,
relating to Mechanics' Liens, on account of labor or services, material, fixtures or
apparatus heretofore furnished to this date by the undersigned for the above described
premises.
National Salvage Service Corporation
=MW me)
Affix
Nignat6e of Aut orize Representative) Corporate
Seal
Craig Bentley, Project Manager
(Title)
July 23, 2009
(Date)
CUSTOMER ACT REPORT
From: Jun V1.uV09 To: Jun 16. 2000
Specified Custome noxo
Facility, _01_ -CLINTON COUNTY UwNDFIL DETAILED REP Ticket 8T SCALE TICKET
Ticket Ticket Material Billing Material Tax
�Date Numbe Contract Truck ID Material. Rate Quantity Tmta| Total _Total�
0Vu03V-0O0O' NAT SALVAGE SERVICE CORPORATION
06'16-08 083342-00 #F70Y90835 NATIONAL SW-CONTG0L-AL 17.09 TN *0.00
06'-16-08 093356-00 wF78Y9o83* NATIONAL 8W-CONTGOUL-AL* 21.411 TN *O.00
06'10-08 093362-00 #F78Y90835 NATIONAL SW-CONTGO|L-A[ 17.02 TN *0.00
Tickets Reported: o CUSTOMER TOTALS: $ouu
Material Summary Inbound Outbound 8U|inO
WelghtVnNmo welghKm|umo Quantity Tux TNu(
V|'SW-CONT SOIL-ALT DAILY COVE55.5zTN 0.00 YD 0.00 TN 0.00 YD $V.»»
Cash Total: $0.00 $uoo
Invoice Total: *0.00
Total Tickets: _3-_--__-'_- _--R��tT�a�---___-------------�
DBUQLEJxn1O-08 CLINTON COUNTY LANDF Page 1
CUSTOMER ACTIVITY REPORT
From: Jun 29, 2009 To: Jul 06, 2009
Specified Customer: 2030
Facility: 01- CLINTON COUNTY LANDFIL DETAILED REPORT Ticket Type: ST SCALE TICKET
Ticket Ticket Material Billing Material Tax
Date Number Contract Truck ID Material Rate Quantity Total Total Total
002030 -0000 NATIONAL SALVAGE SERVICE CORPORATION
06 -29 -09 1 093916-00 #F78Y90835 NATIONAL SW -CONT SOIL -AL' 22.49 TN $0.00
08 -29-09 1 093919 -00 #F78Y90835 NATIONAL SW -CONT SOIL -AL' 22.72 TN $0.00
06 -2949 1 093920.00 #F78Y90835 NATIONAL SW -CONT SOIL -AL' 23.47 TN $0.00
08 -29 -09 1 093881 -00 #F78Y90835 NATIONAL SW -CONT SOIL -AL' 22.50 TN $0.00
00-29-09 1 093882 -00 #F78Y90835 NATIONAL SW- CONTSOIL -Al' 22.04 TN $0.00
06 -29 -09 1 093883-00 #F78Y90835 NATIONAL SW -CONT SOIL -AL' 21.31 TN $0.00
06.29-09 1 093904-00 #F78Y90835 NATIONAL SW -CONT SOIL -AL' 21.73 TN $0.00
06.29 -09 1 093907.00 #F78Y90835 NATIONAL SW -CONT SOIL -AL' 22.56 TN $0.00
06.29.09 1 093908-00 #F78Y90835 NATIONAL SW -CONT SOIL -AL' 21.30 TN $0.00
07 -08-09 1 094242 -00 GATE RATE NATIONAL 21.86 TN $0.00
07 -08-09 1 094243.00 GATE RATE NATIONAL 19.21 TN $0.00
07 -08.09 1 094251-00 GATE RATE NATIONAL 24.41 TN $0.00
07.06 -09 1 094260-00 GATE RATE NATIONAL 20.53 TN $0.00
07.06.09 I 094261 -00 GATE RATE NATIONAL 22.94 TN $0.00
07-06.09 1 094267 -00 GATE RATE NATIONAL 25.06 TN $0.00
07-06 -09 1 094270.00 GATE RATE NATIONAL 23.64 TN $0.00
Tickets Reported: 16 CUSTOMER TOTALS:
Material Summary Inbound Outbound Billing
Weight Volume Weight Volume Quantity Tax Total
AA MSW 157.65 TN 0.00 YD 0.00 TN 0.00 YO 157.65 TN $0.00
V1- SW -CONT SOIL -ALT DAILY C0V200.12 TN 0.00 YD 0.00 TN 0.00 YD 200.12 TN $0.00
TOTALS: 357.77 TN f 0.00 YO 0.00 TN 0.00 YD $0.00
Cash Total: $0.00
Invoice Total: $0.00
Total Tickets: 16 Report Total: $0.00
DBUGLE Jul -07 -09 CLINTON COUNTY LANDFILL Page 1
CUSTOMER ACTIVITY REPORT
From: Jul 20, 2009 To: Jul 20, 2009
Specified Customer 2030
Facility: 01 -CLINTON COUNTY LANDFIL DETAILED REPORT Ticket Type: ST SCALE TICKET
Ticket Ticket Material Billing Material Tax
Date Number Contract Truck ID Material Rate Quantity Total Total Total
002030.0000 NATIONAL SALVAGE SERVICE CORPORATION
07.20 -09 I 094850 -00 F78Y91925 NATIONAL SW- SLUDGE 23.02 TN $0.00
07 -20.09 1 094853 -00 F78Y91925 NATIONAL SW- SLUDGE 22.89 TN $0.00
07 -20.09 1 094868 -00 F78Y91925 NATIONAL SW- SLUDGE 18.82 TN $0.00
07 -20 -09 1 094869 -00 F78Y91925 NATIONAL SW- SLUDGE 18.31 TN $0.00
07 -20 -09 1 094870 -00 F78Y91926 NATIONAL SW- SLUDGE 21.40 TN $0.00
07 -20 -09 1 094871 -00 F78Y91925 NATIONAL SW- SLUDGE 23.33 TN $0.00
Tickets Reported: 6 CUSTOMER TOTALS: $0.00
Material Summary Inbound Outbound Billing
Weight Volume Weight Volume Quantity Tax Total
WA SW- SLUDGE 127,77 0.00 YD 0.00 TN 0.00 YD 127.77 TN $0.00
Cash Total: $0.00
Invoice Total: $0.00
Total Tickets: 6 Report Total: $0.00
DBUGLE Jul -21 -09 CLINTON COUNTY LANDFILL Page 1
'Ian o Inc. 1 Tran o Inc.
4701 W. Morris St. 4701 W. Moms St.
Indpis, IN 46241 Indpls, IN 46241
'hone (317) 381 -0994 Phone (317) 381 -0994
Date 2 Z Q Time to Job Date Z) Z Z) 4 9 Time to Job
Job 1 'T ime f ram Jab Job 1 Time from Job
Time In s Job #2 Time In Pl Job #2
Time Out Time In Time Out 'D Time In
i
Total Hours ITime Out Total Hours 3 Time Out
Truck No. No. Loads Truck No. 4 No- :Goads PAW
t
I
Driver Driver
Foreman foreman
Job J 3 I Job a J&
Company S company A41 6 H Q E �C$ t1QC3
'lean o hle.
4701 W. Morris St.
Indpls, IN 46241
Phone (317) 381 -4994
Date 1 20 Time to Job
Job 41 Time f rom Job
Time in l f� M Job 2
Time out 3 p Time In
Total Hours A4-C Time Out
Truck No. No. Load AVl
f Driver vrfct
Foreman 7
Job
Company /tf4 f d Z+ f 5 ti/YI e-
CONSENT OF SURETY Ovr/1NrR
TO FINAL PAYMENT Ar.CJ- IITr:CT v
CONTRACTOR'
AlADocunzeia� G707 SURUY
Bond No. 7605605 OTHER
TO OWNER: ARCHI'TECT'S PROJECT NO„
(Na+ne and addren)
City of Carmel, Indiana
One Civic Square CONTRACI�FOR. Parcel 47, Carmel Arts District Lofts
Carmel, IN 46032 -Below Grade Removals
PROJECT. CONTIUCT DATIJ3:
(Narnn mrtt ndrbtrc�
Parcel 47, Carmel Arts District Lofts Below Grade Removals
In accordance with the provisions of the Contract between the Owner and the Contractor at; indic:atml above, the
(ltasert name and rrrldw.0 ofS)imn
Fidelity and Deposit Company of Maryland
3910 Keswick Road
Baltimore, MD 21211
SURETY,
on bond of
(Insr:n r'lanrn artd address Q(corn+actur)
National Salvage Service Corporation
6755 Old State Road 37 South
Bloomington, IN 47401
CONTRACTOR,
hereby approves of the final payment to the Conti -actor, and agrees that final payment to the Contractor shall not relieve the Surety of
any of its obligations to
(D+sart +:aria and address of Owner)
City of Carmel, Indiana
One Civic Square
Carmel, IN 46032
OWINFR,
as set forth in said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this dare: July 7 2009
(liaw+Y to wdl(ng dx nronrh jollauvxl hr+ rlx rnu+reric Barr unr( ar,)
Fidelity nd Deposit Company of Maryland
(.Sxm!
(,SY,rlr+utra� gfarrthorizrd mrint�nrath e)
Attest: z Nick J. Rutigliano A orney -in -Fact
(Sea)); Robert Sherfick
(Pirn/vd +twee urrtl
G707-1994
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary,
in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said Company, are set forth on the
reverse side hereof and are hereby certified to be in full force and effect on the date h e cOs by nominate, constitute
and appoint Nick ,1. RUTIGLIANO, Timothy J. TAYLOR and Robe L PGO 1 ndianapolis, Indiana,
EACH its true and lawful agent and Attorney -in -Fact, to mak s Ci e 'v r4 behalf as surety, and
as its act and deed: any and all bonds and under k-i s ecup c or undertakings in pursuance of
these presents, shall be as binding upon r 1 d a I ents and purposes, as if they had been
duly executed and acknowled I� =y ele f� ompany at its office in Baltimore, Md., in their
own proper persons e �t �tt !rn ed on behalf' of Nick J. Rutigliano, Timothy J. Taylor, Robert
no
M. Rutiglia, dater r 2,
The said Assistant es4lereby certify that the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By -Lk)" said Company, and is now in force.
IN WITNESS WHEREOF, the said Vice President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 27th day of March,
A.D. 2003.
ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND
t DE V o
1 4. J
0 C
By:
Eric D. Barnes Assistant Secretary William J. Mills Vice President
State of Maryland
ss:
City of Baltimore
On this 27th day of March, A.D. 2003, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
'11' �7�f,.✓l.Qfr..CiJ.- �J. h,�.A J./1" Y'-�
Constance A. Dunn Notary Public
My Commission Expires: July 14, 2011
POA -F 044 -0465
EXTRACT FROM BY -LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND
"Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice President, or any of the Senior
Vice Presidents or Vice Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,
shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident
Vice Presidents, Assistant Vice Presidents and Attorneys -in -Fact as the business of the Company may require, or to
authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations,
policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in
the nature of mortgages,...and to affix the seal of the Company thereto."
CERTIFICATE
I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify
that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that
the Vice President who executed the said Power of Attorney was one of the additional Vice Presidents specially authorized
by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the
Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on
the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically
reproduced signature of any Vice- President, Secretary, or Assistant Secretary of the Company, whether made heretofore or
hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and
binding upon the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company,
this 7TH day of JULY 2009
Assistant Secretary
NATIONAL SALVAGE kSERVICE CORPORATION
Guaranty
PROJECT NAME: Carmel Arts District Lofts Below Grade Removals
PROJECT NO. 28109
OWNER: Carmel Redevelopment Commission (CRC)
ARCHITECT /ENGINEER: CSO Architects, Inc.
CONTRACT MANAGER: Keystone Construction Corp.
CONTRACTOR: National Salvage Service Corp.
REFERENCE: General Conditions, Article 13.8
National Salvage Service Corporation guaranties the work under this contract was performed in
accordance with the Contract Documents. Quantities and locations of soil to be excavated were
determined by the onsite Environmental Engineer, and monitored by same.
CONTRACTOR:
July 15, 2009
Crai Bentley, Projec anager Date
O
X60
July 25, 2009
Carmel Redevelopment Commission
Attn: Les Olds
111 West Main Street, Ste 140
Carmel, IN 46032
RE: Monthly Billing Summary for Parcel 47
Dear Mr. Olds,
The following invoices are being forwarded by Keystone Construction for
construction activities through the month of July on the Parcel 47 Project:
Company Name Gross Amount Net
Amount
National Salvage Removal unit price invoice $500,716.00 $450,744.40
National Salvage Removal alternate invoice $1,000.00 $1,000.00
National Salvage Removal unit price invoice $25,160.00 $25,160.00
National Salvage Demo contract invoice $140,563.44 126,507.10
National Salvage Demo unit price invoice $33,125.00 $33,125.00
National Salvage Demo retainage $30,211.90 $30,211.90
Keystone Construction $32,529.64 $32529.64
Please see the attachments for breakdowns of the work completed to date on
each project.
Sincerely,
W. Bruce Stauffer
Senior Project Manager
P 4
0 O
CONSTRUCTION CORRPP
GENERAL CONTRACTORS CONSTRUCTION MANAGERS
47 S. Pennsylvania St., 10th Fl., Indianapolis, IN 46204 P 317- 636 -2000 F 317- 635 -1100 W KEYSTONE- CORP.COM
1
,y
t p,escribed by 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
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
A,
,L Payee
/V°�� ¢-rr�i� Purchase Order No.
�O /o�Y ,30D Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/Z 50 7/O
3 UF�v �ma Peo
CtJ
N 6 /o.� G. Q�� zs�6 v'
,TI.
S e �L� P✓ yd�h S a'
i
Total /v6 7
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.
ALLOWED 20
IN SUM OF
o �oX 3C�a
7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9ez 3� oXy7 12-6 bill(s) is (are) true and correct and that the
Yq6 4,?y 7 33 12 5 materials or services itemized thereon for
yY60Yy7 30 2/ /,�I which charge is made were ordered and
'7%6 9 5'o7yq.YO received except
yg6o "7 7c7,GV
YY�o8y7 2S /2 o8
20 O,5�
Signat
Director of 0 ep rat, °ns
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund