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HomeMy WebLinkAbout207063 03/13/2012 1 CITY OF CARMEL, INDIANA VENDOR: 364048 Page 1 of 1 ONE CIVIC SQUARE GIBRALTAR CONSTRUCTION CORP CHECK AMOUNT: $21,705.00 CARMEL, INDIANA 46032 2932 N. WEBSTER AVENUE INDIANAPOLIS IN 46219 CHECK NUMBER: 207063 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 R4462401 27459 6 11,395.00 7A STREETSCAPE- PALLAD 2200 R4462401 27459 7 10,310.00 7A STREETSCAPE PALLAD CSO Architects Letter of Transmittal TO: City of Carmel Engineering Dept. DATE: November 30, 2011 One Civic Square PROJECT NO: 10145G Carmel, Indiana 46032 RE: Parcel 7A Streetscape ATTN: 571 -4141 CONTACT PHONE: Mike McBride WE ARE SENDING YOU: ®ESCRIPTI®N 3 11/18/11 Payment Reqest No. 6, Parcel 7a Streetscape Revision of Lime Stone Well, Construction Work, By Gibraltar Construction. 11,395.00. A v IF ENCLOSURES ARE NOT AS INDICATED, PLEASE NOTIFY US AT ONCE. THESE ARE TRANSMITTED: For approval Reviewed as submitted Resubmit for approval For your use As noted Submit for distribution As requested Revise and Resubmit Return corrected prints For review and comment Rejected Other: REMARKS: Payment Request for the month of November. RECEIVED M �IIIV 20� N CPRMEL o C t'liY EluGii�1�.ER ti� CC: FILE OC'6" By: Bob Olson Courier Service: 1 -HR 3 -HR Same Day FedEx Services: 8:30 A.M. Delivery 10:30 A.M. Delivery 3:00 P.M. Delivery FedEx Ground Delivery Hand Delivery Other Delivery Service: DocumenQ ARCHITECTURE IWERIOR DESIGN 8831 Keystone Crossing Indianapolis, IN 46240 Main 317.848.7800 Fax 317.574.0957 csoinc.net '"I"' IBRALTAR 2932 N. Webster Avenue Indianapolis, Indiana 46219 CONSTRUCTION C O R R (3171 375 -1588 (FAX) 375 -1589 DATE: November 18, 2011 RE: Parcel 7A Streetscape TO: CSO Architects 8831 Keystone Crossing Indianapolis, IN 46240 ATTENTION: Bob Olson WE ARE SENDING YOU HEREWITH UNDER SEPARATE COVER SHOP DRAWINGS Submitted By: OTHER COPIES DESCRIPTION SPEC REF 5 One Original and Four Copies of Pay Application #6 with Parial Waiver of Lien FOR YOUR: N File Use Correct Resubmit Approval Approved Selection Approved as Noted REMARKS: Copies To: Respectfully, Brian McBride 0 1 v. A Document G732TM -2009 Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: City of Carmel PROJECT: Carmel Parcel 7A Streetscape APPLICATION NO: 6 DISTRIBUTION TO: One Civic Square OWNER Carmel, IN 46032 PERIOD TO: 11/30/11 CONSTRUCTION MANAGER FROM Gibraltar Construction Corp VIA CONSTRUCTION CONTRACT DATE: 10/28/10 ARCHITECT CONTRACTOR: 2932 N. Webster Ave. MANAGER: PROJECT NOS: CONTRACTOR Indianapolis, IN 46219 FIELD CONTRACT FOR Carmel Parcel 7A- Streetscape VIA ARCHITE CSO Architects, Inc. OTHER The undersi lied Contactor certi CONTRACTORS APPLICATION FOR PAYMENT �ics that to the best o1'thc C'onu'�tctot's knowled inform;uion and belief the Work covcrcd by t it )phcaton for Pay11lenl has been completed in accordance ��ilh the Application is made for payment, as shown below, in connection with the ont'act. Contact Documents. that al anYottnts have been paid by the Contractor for Work for which previous AIA Document G703 Continuation Shect, is attached. Certificates 1'or I l. aynicnt ev c i /jed and payments received From the Owner. and that euricnt payment f 1. ORIGINAL CONTRACT SUM S 206,200.00 shown herein is now (lue. i I 2. NET CHANGES IN THE WORK S 16,213.00 CONTRACTOR: Gibr odstruction Corp 3. CONTRACT SUM TO DATE (Line l f 2) S 222,413.00 By: Date: 4. TOTAL COMPLETED AND STORED TO DATE (Coln, nu G on G''2)) S 202,413.00 State of': 5. RETAINAGE: County of: BRIAN R. MCBRIDE a. 'X, of'Completed Work Subscribe( and v 1 to bclote :aj E.A.L C. �':cl,OC,'{ COUrriy (Cultrvmi D E on G7W) S 10,310.00 ale this (fay 0f 1 29 -201 7 M`. Comm, EY;C• 1 b. of Stored Material Notary P �P ��9� (Colrrnm F air G703) My Commission expires: Commission 6 Total Retaina (Lilies sa 51). r„ Toted ill Coh,mn l oil G703) S CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE I....................... S 192, In accordance with the Contract Documents, based on evaluations ol'the Work and the data comprising (Line d minus Line 5 Total) this application, the COnStRICtion N and Architect certify to the Owner that to the best of their 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 180,708.00 knowledge.. information and belief the Work has progressed as indicated, the quality of the Work is in ("Lille 6 /iz,m prig' Certi/icatc) accordance with the Contract Documents. and the Contractor is entitled to payment of the AMOUNT 8. CURRENT PAYMENT DUE 11 395 .00 S CER "pIFIhD. 9. BALANCE TO FINISH, INCLUDING RETAINAGE AMOUNT CERTIFIED 4 tr— (Altach eXplanotioll it onlomil certified dillcrc fi'nm the cunaunl applied. lniliul all Ji�nre.c art lhi.c (Line 3 mitts Line 6) 30,310.00 Applica[ioll alto' oil the C'ontinucrtian Sheet that erre chanted to conl(rm with the amount certilied.) CONSTRUCTION MANA R: CSO Architects, Inc. 13y: Date: SUN'IMARY OF CHANGLS IN THE WORK ADDITIONS DEDUCTIONS ARCHITECT' MOTE: JA4trhi '1 in�c 'unNr,ctut:c arc respon.cible /in pc� /urnraling por�ion.(uJIhe Total chan approved in previous 111011th.' by Owner S S Project, tl .Archite t',c C /iecr is regnirecL) Total approved this 111011th, including Construction Chase 13 y: Date: Directives S S This Certificate is not negotiable. The AMOUNT CER "CIFIED is payable of y to le Contractor named TOTALS S S herein. Issuance. payment and acceptance of payment are without prejudice tq any rights of the Owner NET CHANGLS IN THE WORK S or Contactor under this Conu'aet. AIA Document G732- 2009 (formerly G702TICMa 1992). copyright (D 1992 and.2009 by The American Institute of Architects. All rights reserved. 1 i' Purchasers are permitted to reproduce Len (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org CONTINUATION SHEET Pa 2 of 2 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO.: 6 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 11/30/2011 variable retainage for line items may apply. PERIOD TO: 11130/2011 ARCHITECT'S PROJECT NO.: A B C D E F G H I WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED AND BALANCE TO RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED (NOT IN STORED TO DATE (G C) (D E) D OR E) (D E F) (C G) RATE) 1 Supervision $2,500.00 $2,500.00 $2,500.00 100% 2 Allowance $20,000.00 $0.00 $0.00 0% 20,000.00 3 Bonds $2,576.00 $2,576.00 $2,576.00 100% 4 Misc. General Conditions $5,024.00 $5,024.00 $5,024.00 100% 5 Earthwork $30,000.00 $30,000.00 $30,000.00 100% 10,310.00 6 Asphalt Paving $9,700.00 $9,700.00 $9,700.00 100% 7 Concrete Curbs $15,600.00 $15,600.00 $15,600.00 100% 8 Concrete Walks $13,000.00 $13,000.00 $13,000.00 100% 9 Joint Sealants $300.00 $300.00 $300.00 100% 10 Limestone Retaining Wall $90,000.00 $90,000.00 $90,000.00 100% 11 Landscaping $12,000.00 $12,000.00 $12,000.00 100% 12 Irri ation $5,500.00 $5,500.00 $5,500.00 100% 13 Change Order #1 $4,818.00 $4,818.00 $4,818.00 100% 14 Change Order #2 $11,395.00 $11,395.00 $11,395.00 100% $222,413.00 $191,018.00 $11,395.00 $0.00 $202,413.00 91% $20,000.00 $10,310.00 i ISA Form 1 -402 Ah k AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and or labor for a project known as Carmel Parcel 7A- Streetscape and owned by City of Carmel and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER) that there is due from the Owner the sum of Eleven Thousand Three Hundred Ninety Five and' /100--- Dollars ($11,395a�0) receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (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 re ipt of such payment. THERFORE, the undersigned waives and releases unto the wner of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon ccount of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions xpr ssed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work or ed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By Title President i WITNESS MY HAND AND NOTORIAL SEAL, d of November, 2011. .(Nota Pu�l�c) Res, of Hancock Ccun- My Comm, Do, 11 -29 -2 1 79 3N©iANA SUSCONTAA A SSOCI ATI ON INCORPORATED unawjr o••ten PiMOdv€tWn RraArhV+e CCmmissicn 611 E,', R" Prescribed 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. Payee Gibraltar Construction Corp Purchase Order No. 2932 N. Webster Ave. Terms Indianapolis, IN 46219 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 Gibraltar Construction Corp IN SUM OF 2932 N. Webster Ave. Indianapolis, IN 46219 $11,395.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for 27459 6 2200- R4462401 $11,395.00 which charge is made were ordered and received except 20 2 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund D TM =y� D G 732 2009 Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: City of Carmel PROJECT: Carmel Parcel 7A Streetscape APPLICATION NO: 7 DISTRIBUTION TO: One Civic Square OWNER Carmel IN ,46032 PERIOD TO: 2%16112 CONSTRUCTION MANAGER FROM Gibraltar Construction Corp VIA CONSTRUCTION CONTRACT DATE: 10/28/10 ARCHITECT CONTRACTOR:: 2932 N. Webster Ave. MANAGER: PROJECT NOS: CONTRACTOR Indianapolis, IN 46219 FIELD CONTRACT FOR: Carmel Parcel 7A Streetscape VIA ARCHITECT: CSO Architects, Inc. OTHER The undersigned Contractor cc ti CONTRACTORS APPLICATION FOR PAYMENT ies that to the best of the Contractor's knowledge, information and belief the Work covered b V plicatto for Payment has been completed in accordance with the Application is made for payment, as shown below, in connection with the Contract. Contract Documents, that mts have been p aid by the Contractor for Work for which previous AIA Document G703T"', Continuation Sheet, is attached. Certificates for Payment ed and payments received from the Owner, and that current payment 1. ORIGINAL CONTRACT SUM 206,200.00 shown herein is now due 2. NET CHANGES IN THE WORK 3,787.00 CONTRACTOR: Gib truction Corp 3. CONTRACT SUM TO DATE (Line I f 2) 202,413.00 By: Date: 4. TOTAL COMPLETED AND STORED TO DATE`(Collinin G on G703) 202,413.00 State of: 5. RETAINAGE: County of: e BRIAN R. MCBRIDE a. of Completed Work Subscribed sw befor `Y (ColumnD +EonG703) 0.00 me this ay of �tlA 2� 5. of HancockCoumy b. of Stored Material Nota My Comm EXp, 11 -29 2017 (Column Fort G703) My Commission expires: d Commission 611862 Total Retainage CERTIFICATE FOR PAYMENT (Lines 5o 5b, or• Total in Column l on G703) 6. TOTAL-EARNED LESS RETAINAGE 202,413.00 in accordance with the Contract Documents, based on evaluations of the Work and the data comprising (Line 4 innnus Line 5 Totarl) this application, the Construction Manager and Architect certify to the Owner that to the best of their 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 192.103.00 knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in (Line 6fi•oin prior Certificate) accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT 8. CURRENT PAYMENT DUE g CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE AMOUNT CE D 10,5 0 (Attnch es anati n if amoernt certified d {ffers Toni the amount applied. Initial all figures on this (Line 3 miners Line 6) 0.00 Applition yand�n the on 'nation Sheet that are changed to conform with the amount certified.) CONS O Architects Inc. By: Date: AN 67- SUMMARY OF CFIANGES IN THE WORK ADDITIONS DEDUCTIONS ARCHITECT (OTE.• 1 tiple Connactors:cr) e i• espoiisib lefoi•perfoi•matingportions of the o c t, the, chi is Cer r aft n i not roe ui ed. Total changes approved m previous m Pr J onths by Owner f 9 Total approved this month including Construction Chang By: Date: 217,1l(Z Directives This Cer icate is not negotiable. The' AMOUNT CERTIFIED is payable only to the Contractor named TOTALS herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner NET CHANGES iN THE WORK or Contractor under this Contract. CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G732TM 2009 (formerly G702TMCMa 1992). Copyright 1992 and 2009 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright @aia.org Document G732 TM 2009 Instructions Application and Certificate for Payment Construction Manager as Adviser Edition GENERAL INFORMATION Purpose. AIA Document G732 -2009, Application and Certificate for Payment, Construction Manager as Adviser Edition, is to be used in conjunction with AiA Document G703TM -1992, Continuation Sheet. These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner, but not as a constructor. Procedures for their use are covered in AiA Document A232TM -2009, General Conditions of the Contract for Construction, Construction Manager as Adviser Edition. Related Documents. AIA Document G703 -1992. Use of Current Documents. Prior to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions. This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this document, nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AiA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G732 -2009, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EULA). To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright@aia.org. aia.org. USING G732 -2009 After the Contractor has completed AIA Document G703, Continuation Sheet, summary information should be transferred to AIA Document G732 -2009, Application and Certificate for Payment, Construction Manager as Adviser Edition. The Contractor should sign G732, have it notarized and submit it, together with G703, to the Construction Manager and Architect. The Construction Manager and Architect should review G732 and G703 and, if they are acceptable, complete the Certificate for Payment on G732. The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A232Tm -2009. They should then initial all figures on G732 and G703 that have been changed to conform to the amount certified and attach an explanation. The completed G732 and G703 should be forwarded to the Owner. COMPLETING G703 Heading. This information should be completed to be consistent with similar information on AIA Document G732 -2009, Application and Certificate for Payment, Construction Manager as Adviser Edition. Columns A, B and C. These columns should be completed by identifying the various portions of the Prq er[;and Thie scheduled value consistent with the schedule of values submitted at the commencement of the Project or as subsequ om ly adjusted. The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Prbj1(c Multiple pages should be used when required. Column C. Should be subtotaled at the bottom when more than one page is used and totaled on the last Page. Initially, this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during" ihe.rProjcct. s Column D. Enter in this column the amount of completed work covered by the previous application (colurrifis D E fro1w the previous application). Values from column F (Materials Presently Stored) from the previous application should not be cntered in,this column. Column E. Enter here the value of Work completed at the time of this application, including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored (column F). Column F. Enter here the value of Materials Presently Stored for which payment is sought. The total of the colunvi must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column. Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E (Work Completed This Period). Column G. Enter here the total of columns D, E and F. Calculate the percentage completed by dividing column G by column C. Column H. Enter here the difference between column C (Scheduled Value) and column G (Total Completed and Stored to Date). Column 1. This column is normally used only for contracts where variable retainage is permift cl on a line!gem basis ilt need not be completed on projects where a constant retainage is withheld from the overall contract amount? Change Orders and Construction Change Directives. The amount of the original contract;;djusted by C hange Ott rs and amounts authorized for Construction Change Directives as reflected in line 2, is to be entered on line �d'f the G732 1�rm. 1 y r MAKING PAYMENT The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager and Architect on AIA Document G732 -2009, Application and Certificate for Payment, Construction Manager as Adviser Edition. The completed form contains the name and address of the Contractor. Payment should not be made to any other party unless specifically indicated on G732. AIA Document G732TM 2009 (formerly G702TMCMa 1992). Copyright 1992 and 2009 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. CONTINUATION SHEET Page 2 of 2 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO.: 7 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 2/16/2012 variable retainage for line items may apply. PERIOD TO: 2/16/2012 ARCHITECT'S PROJECT NO.: A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND BALANCE TO A AGE N0. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED (NOT IN STORED TO DATE (G C) FINISH (IF F VARIABLE (D E) D OR E) (D E F) (C G) RATE) 1 ISupervision $2,500.00 $2,500.00 $2,500.00 100% 2 Allowance $20,000.00 $0.00 $20,000.00 $20,000.00 100% 3 Bonds $2,576.00 $2,576.00 $2,576.00 100% 4 Misc. General Conditions $5,024.00 $5,024.00 $5,024.00 100% 5 Earthwork $30,000.00 $30,000.00 $30,000.00 100% 6 Asphalt Paving $9,700.00 $9,700.00 $9,700.00 100% 7 Concrete Curbs $15,600.00 $15,600.00 $15,600.00 100% 8 Concrete Walks $13,000.00 $13,000.00 $13,000.00 100% 9 Joint Sealants $300.00 $300.00 $300.00 100% 10 Limestone Retaining Wall $90,000.00 $90,000.00 $90,000.00 100% 11 Landscaping $12,000.00 $12,000.00 $12,000.00 100% 12 Irrigation $5,500.00 $5,500.00 $5,500.00 100% 13 Change Order #1 $4,818.00 $4,818.00 $4,818.00 100% 14 Change Order #2 $11,395.00 $11,395.00 $11,395.00 100% 15 Change Order #3 $20,000.00 $20,000.00 $20,000.00 100% $202,413.00 $202,413.00 $0.00 $0.00 $202,413.00 100% $0.00 $0.00 ISA Form 1 -402 AL AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and or labor for a project known as Carmel Parcel 7A- Streetscape and owned by City of Carmel and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER) that there is due from the Owner the sum of Dollars receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the Owner is the sum of Ten Thousand Three Hundred Ten and -No /100 Dollars ($10,310.00) 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. THERFORE, the undersigned waives and releases unto 'he Owner of said premises, any and all lien or claim whatsoever on the above described property and improvements the n account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditio s e ressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any wor a rmed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By Title President WITNESS MY HAND AND NOTORIAL SEAL, 1 of February, 2012. (Notary Public) G E� BRIAN R. MC ®RI®E Res, of Hancock Count' iC 19)9 INDIANA SuaCONTRACTOA5 ASSOCIAT INCORPORAT My Comm, EXP. 11.29.2417 Commission 611862 TM Document 6706 -1994 �3 Contractor's Affidavit of Payment of Debts and Claims PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER e y Car.`rnei Parcel 7A Streetscape Streetscape 7k CONTRACT FOR: Camel, IN ARCHITECT 0 CONTRACTOR 0 TO OWNER: (Name and °address) CONTRACT DATED: October 28, 2010 SURETY City of Carmel, One Civic Sauare OTHER Carmel, IN. V r STATE ":OF: Jndiana COUNTY.OF: Marion The undersigned herebycemfies,:that, except as listed below payment'bas been made in full and all obligations have othe been satisfied "for all materials and equipment furnished, for all work, labor, and services performed, and for all.known indebtedness and;elaims against the Contractor for damages arising in any manner in connection with the performance of the"Contractreferenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS SUPRORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Consent of Surety to Payment. Whenever Gibraltar Construction Corp. Surety is involved Consent ofeSurety is, 2932 N. Webster Ave required. AIA Document G707, Consent of Indianapolis, IN P 21 Surety, may be used for this purpose. Indicate Attachment ;nYes ONo BY. The following =supporting documents should be attached (Signature t rued representative) hereto. f required by the Owner. Mi it President Contractor's Release or Waiver of Liens; (Print d e n itle) conditional upon receipt of finatpayment. 2. Separate Releases or Waivers of Liens from Subscribed and worn =to befoe me on this date: Subcontractors and material and equipment d suppliers, Ito the extent required by the Owner, accompanied by a list thereof AN R VIUS 3. Contractor's Affidavit of Rel My Glmm, EW tLffatiZ�i��i Expires (AIA Document G706A). 511.862 CAUTION: You should sign an original AIcument, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G7b6W —1994. Copyright 1970 and 1994 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e- mail The American Institute of Architects' legal counsel, copyright @aia.org. AIA Document G706TM -1994 Instructions Contractor's Affidavit of Payment of Debts and Claims GENERAL INFORMATION Purpose. This document is intended for use when the Contractor is required to provide a sworn statement verifying that debts and claims have been settled, except for those listed by the Contractor under "EXCEPTIONS" in the document. G706 is typically executed as a condition of final payment. Related Documents. This document may be used with most of the AIA's Owner Contractor agreements and general conditions, such as A201 and its related family of documents. G706 also requires the attachment of several supporting documents, including G706A, Contractor's Affidavit of Release of Liens, and G707, Consent of Surety to Reduction in or Release of Retainage. Use of Current Documents. Prior to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions. This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this document, nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G706, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EULA). To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright@aia.org. CHANGES FROM THE PREVIOUS EDITION A cross- reference to AIA Document A201 has been deleted to permit the use of G706 with other families of AIA documents, including construction management, interiors and design/build. COMPLETING THE G706 FORM General. The Owner Contractor Agreement is the usual source of required information such as the contract date and the names and addresses of the Owner, Project and Contractor. Architect's Project No. This information is typically supplied by the Architect and entered on the form by the Contractor. Contract For. This refers to the scope of the contract, such as General Construction or Mechanical Work. Affidavit. Indicate the state and county where the Affidavit is made. This is not necessarily the same location as the Project, but should be the location where the notary is authorized to administer sworn oaths. If there are any EXCEPTIONS to the statement, these should be listed in the space provided; otherwise enter as "None." It may be a stipulation of the Contract Documents that the Owner has the right to require the Contractor to furnish a bond to cover each exception listed on the Affidavit. Supporting Documents. The AIA documents listed as attachments to the G706 form should be of the same (current) edition date as G706. The AIA does not publish a "Release or Waiver of Liens" for contractors or subcontractors because of the great diversity of releases or waivers permitted by various state mechanics lien laws. Forms for such purposes may be available from local contractors' associations or may be written with the assistance of legal counsel. EXECUTION OF THE DOCUMENT The Notary Public should administer a sworn oath to the Contractor referencing the written statements appearing on G706, and should duly sign and seal this document containing the Contractor's signature. G706 should be signed by the Contractor or the Contractor's authorized representative. AIA Document G706TM —1994. Copyright 1970 and 1994 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e- mail The American Institute of Architects' legal counsel, copyright @aia.org. e TM °r0 Document G706A -1994 os® Contractor's Affidavit of Release of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER Carmel Parcel 7A Streetscape CONTRACT FOR: Streetscape 7A Camel, IN ARCHITECT CONTRACTOR TO OWNER: (Name and address) CONTRACT DATED' October 28, 2010 SURETY City of Carmel One Civic Sauare OTHER Carmel, IN 46032 STATE OF: Indiana COUNTY OF: Marion The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work,'labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance; of the Contract referenced` above. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Contractor's Release or Waiver of Liens, Gibraltar Construct' n orp. conditional upon receipt of final payment. 2932 N. Webster e. Indianapolis, IN 4 19 2. Separate Releases or Waivers of Liens from BY: Subcontractors and material and equipment suppliers, to the extent required by the Owner, (Signatur f o ized representative) accompanied ;by a list thereof. M ith, esident (P rinA# name and Vid BRIAN R. MCBRIDE s R °S. Of H,?iiCOCK COIJ(Tty Subscribed and sworn.t before me on this date: s7 My Comm, Exp. 11 -29 -2017 D i Commission 611862 Not ary 'Publtc: My Commission Expires:lf����� CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G706AT" —1994. Copyright 1970 and 1994 by The American Institute of Architects. All rights reserved. WARNING: This Ale Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this Ale Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. Document G706A —1994 Instructions Contractor's Affidavit of Release of Liens GENERAL INFORMATION Purpose. This document is intended for use as companion to AIA Document G706, Contractor's Affidavit of Payment of Debts and Claims. Related Documents. This document may be used with most of AIA's Owner Contractor agreements and general conditions, such as A201 and its related family of documents. As noted above, this is a companion document to AIA Document G706. Use of Current Documents. Prior to using any AIA Contract Document, users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions. This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA. There is no implied permission to reproduce this document, nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G706A, but only for use in connection with a particular project. The AIA will not permit reproduction outside of the limited license for reproduction granted above, except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement (EULA). To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. CHANGES FROM THE PREVIOUS EDITION A cross reference to AIA Document A201 has been deleted to permit the use of G706A with other families of AIA documents, including construction management, interiors and design/build. COMPLETING THE G706A FORM' General. The Owner Contractor Agreement is the usual source of required information such as the contract date and the names and addresses of the Owner, Project and Contractor. Architect's Project No. This information is typically supplied by the Architect and entered on the form by the Contractor. Contract For. This refers to the scope of the contract, such as "General Construction" or "Mechanical Work." Affidavit. Indicate the state and county where the Affidavit is made. This is not necessarily the same location as the Project, but should be the location where the notary is authorized to administer sworn oaths. If there are any EXCEPTIONS to the statement, these should be listed in the space provided; otherwise enter as "None." It may be a stipulation of the Contract Documents that the Owner has the right to require the Contractor to furnish a bond to cover each exception listed on the Affidavit. Supporting Documents. The AIA does not publish a "Release or Waiver of Liens" for contractors or subcontractors because of the great diversity of releases or waivers permitted by various state mechanics lien laws. Forms for such purposes may be available from local contractors' associations or may be written with the assistance of legal counsel. EXECUTION OF THE DOCUMENT The Notary Public should administer a sworn oath to the Contractor in reference to the written statements appearing on G706A, and should duly sign and seal this document containing the Contractor's signature. G706A should be signed by the Contractor or the Contractor's authorized representative. AIA Document G706ATM —1994. Copyright 1970 and 1994 by The American Institute of Architects. All rights reserved. WARNING: This AIA Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this Ale Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e -mail The American Institute of Architects' legal counsel, copyright @aia.org. CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR AIA DOCUMENT G707 SURETY OTHER Bond No.; 9291633 PROJECT: Parcel 7A City Center Streetscape (name, address) TO (Owner) City of Carmel ARCHITECT'S PROJECT NO: One Civic Square Carmel, IN 46032 CONTRACT FOR; Parcel 7A -City Center Streetscape CONTRACT DATE: October• 28, 2010 CONTRACTOR: Gibraltar Construction Corp. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety as it appears in the bond). Continental Casualty Company, 333 S. Wabash Avenue, Chicago, IL 60604 on bond of (here insert name and address of Contractor as it appears in the bond) Gibraltar Construction Corp., 2932 N. Webster Avenue, Indianapolis, IN 46219 hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to: (here insert name and address of Owner) City of Carmel, One Civic Square, Carmel, IN 46032 as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand thisl7th day Of February 92012 Continental Casualty Company Surety By: Rc-t=h�� Signature of Authorized Representative Attest: Lauran Reynolds Attorney -iii -fact (Seal): Title NOTE; This form is to be used as a companion document to AIA DOCUMENT G706, CONTRAC'TOR'S AFFIDAVIT OF PAYMENT Oh DEBTS AND CLAIMS, Current Edition AIA DOCUMENT 0707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA® ONE PAGE. 1970 THE AMERICAN INSTITUTE. OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 S -4869 P0NVER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY- IN-FACT Know All Nlun By These Presents, That Continental Casualty Company, an Illinois insurance company. National fire Insurance Company of Hanford, all Illinois insurance company, and Americ:ul CasLIaIL Company of' Rcadine. Pennsylvania. a Pcnn.<ylvania insurance company (herein called "the CNA Companies arc duly organized and existin l instuance companies lmvim, their principal olliccs in the City otChica_o, and State of Illinois. and than they do by yiruiC ol' the tilgnaILIrCS and seals herein affixed hereh) make. constitute and appoint Edward L N -han, Ginger ,1 Kr-,din, illichael 1-1 Bill, Miclutel N1 Bill, Cynthia L Jenkins, Lisa L Heppler, Sherce Flsieh, Cindy 1-1 Stellhorn, Brenda Johnston, Lauran Reynolds, Individually of Indianapolis. IN, their true and lawlul Attorncy(s) -in -Fact with lull power and authority hereby conferred to sign, seal and cxCC ulc for and on their behalf honds, undCrtakingS and oilier ohlieawry i list ntntents of similar nature: In Unlimited Amounts and to hind them therchy as lolly and to the saute extent as i f such instruments were signed by a duly authorized officer of their insurance companies and all the acts ofsaid Attorney, pursuant to the authority hCrehy 2iVc11 is hereby ratilied and conlinned. This Power ol' Attorney is maLIC and CxCCUtcd pursuant to and by authority of the fay -Law and Resolutions, printed on the rcycrsc hcrcol. duly adopted. as indicated, by the Boards of' Directors of the insurance companies. In Witness Whereof, the CNA Companies ha VC caused these presents to he signed by their Senior Vice President and their corporate seals to he hcrcto allixed on this I2tli day of Octobcr, 201 I. 0 1 tHSURq ?ANY Continental Casualty Company y 0 National Fire Insurance Company of I iartiord 0 N `NCO American C asualty Company oh Reading. Pennsylvania O n° IDLY II, 1902 Stathy Darcy enior Vice President State of Illinois. County of Cook, SS: On this 12th day of October,2011. hcl'orc me personally came Stathy Darcy to me known. W110. heine by me duly sworn, did depose and say: that she resides in the City of Glenview. State of Illinois: that she is a Senior Vice President of Contincntal Casualty Company- all Illinois insurance company. National Dire Insurance Company ol' Hartford. an Illinois insurance company. and American Casualty Company ol' Reading. Pennsylvania, a PCnnsvly;mia insurance company LICSCr ibCd in and which executed the above instrument; that she knows the seals of said insurance companies; that the seals affixed to the said instrument :Ire such corporate Seals: that they were so affixed pursuant to authority given by the Boa rds of Directors of'said insurance companies and that she si_11CLI her name thereto pursuant to like authority. and acknowledges saute to he the act and clecd of said insurance companies. tFfkaAL SEAL SIC E PRIG f �C NOTARY RZUC STATE OF LUNOIS W �s.a�tm� My Commission Expires Se1) (entl)e1 17. 2013 Eliza Price Notary Public CERTIFICATE I. Nlary A. Rihikawskis. Assistant Secretary of Continental Casualty Company, an Illinois insurancC company, National Fire Insurance Company of I iard'ord, an Illinois insurance company, and AnteriCan Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance comp do herehy certil'y that the Power ol' Attorney herein above set forth is still in force, and further certify that the By Lary and Resolution of the Board of Directors of the insurance companies printed on the reverse hercol is still in force. In testimony whcteof I have I)CI CalltO suhscrihed my name and al'lixcd the seal of the said insurancC Companies this 1 7th day of February 2012 ��ASUq�T IHSURq c c Contincntal Casualty Company y� tx +�e National Fire Insurance Company of Hartford Z ppPPOAATp ;z 0 /`NCORPCRgT�O American Casualty Company of' Reading, Pennsylvania F D x i s l i^ Z 2 a D JULY 11, L o SEAL 'c a e 1902 aa�w 0 1897 HAF111 .0: Mary A. R ika kis Assistant Secretary Form F6853- 1/2011 J Authorizing; By -Laws and Resolutions ADOPTED 13Y THE BOARD 01: DIRECTORS 01: CONTINENTAL CASUALTY COMPANY: This Pottier of Attorney is made 1I11tl executed pursuant to anti by authority of the following By -Law duly adopted h} the 13mi d of Directors of the Company. "Article IX- 1?xecution of Documents Section 3. Appointment ul• Attorney -in -1 act. The Chairman ol'the Board of Directors. the President or nm' Executive. Senior or Group Vice President may, front time to lime, appoint by written ccrlilicatcs allorncvs -in -fact to act in helialf of the Company in the execution of policies of insurance, bonds, undenakings and outer ohligatory instruments of like nature. Such ;utorncys -in -fact, suhjcct to the limitations set forth in their respective ccrlilicatcs of authority. shall hnve full power to hint) the Company by their signature and execution of ;my such instruments and to auach the seal ol'the Company thcrerio. The Chairman of file Board of Directors, the President or any Exccuti\c. Senior or Group Vice Presidcnt or the Board of Directors. may. at any time, revoke all power and authority previously given to any attorney -in- fact." This Pottier of .Altorney is si ,ned and sealed by Cacsimile under and by the authority ol'the following Resolution adopted hV the Board of Dircctors ol'the Company al a inec(ing dull' called and held on file 17 clay of February. 1993. "Resolved, that the sil-'nattire of the President or :toy Executive, Senior or Group Vice Presider.: and the seal of the Con pally may be aflixcd hy Lresimile on :my power of attorney granted pursuant to Section 3 of Article IX o1 the By- i -aws, attd the sign ;uurc of the Sccrcmiv or an ;Assistrmr Sct: crony anti the seal of the Company 111ay be al by fncsinlile to ;Illy certificate of ally such power and any po%vcr or certificate hearing such fac;i;r,ilC siL:ilai are rand ;cal shnli be valid rand minding on tilt: Company. piny such power so executed and scaicd anti certified by certificate so Cwcuted and sc;dcd shall, with respect to any bond or undertaking to which it is attached, continuc to be valid and binding on the Company. ADOPTED BY THE, BOARD 01: DIRECTORS OF AMERICAN CASUALTY COMP ANY OF RHADING. PHNNSYLVANIA: This Pottier of Attorney is made and executed pursuant to ;1nd by authority of file liilluxying fay -L:m Cluly adopted by file Hoard of Directors of the Company. "Article Vi— Execution of Documents Section 3 Appointment of' :Attorney -in -Pact. The Chairrn ;nl of the Board of Directors. the President or am' Executive or Senior Vice PrCSiLlent may, front time to ti11ic, appoint by written ccrlilicatcs attorneys -in -fact to act in hchalf of Ilse Company in the execution of policies 01' insurance, bonds. undertakings and other obligatory instruments of like nature. Such attorneys -in -face, subject to the lintilations set forth in their respective certilic ;urs OI ;imhority, shall have full power In bind the Company by their SiI-'naturc and Cxecution of any Such instruments and to attach the seal of the Conlpanc thereto. The Chairman of file l3oard of Directors, the President or any Executive or Senior Vice President or the Board of Directors niay at am time revoke alt power and authority previously given to any attornc}' in- fact.' This Power of Attorney is signed ;Intl scaled by facsimile under and by the authority ol'the lollowin_ Resolution adopted by the Board of Directors ol'the Company at a meeting Cluly c :111 l anti held on the 17 day of February, 1993. Resolved, that the signature of the President or any Executive, Senior or Group Vice President and the seal of the Company may he affixed by lacsiniilc on nay power of attorney granted purswuit to Section 2 of Article VI of the By -Laws, and the signature of file Sccrcmry or an ,Assistant Secretary and the seal of the Company niay he aflixcd by facsimile to any cerlilicate of any Such power and nny power or certificate bearing Such facsimile sign;llure anti seal shrill he valid and binding on the Company. Any Such power so executed anti scaled and ccrlilfed by cer'lilicatc So Cxcruted and scaled shall, with respect to any bond or LldCF1:kin- 10 Which it is attached, continue to be Valid and binding on the Company.'• ADOPTED BY Till: BOARD OF DIRE'C'TORS OF NATIONAL FIRE INSURANCE COMPANY Of: HARTFORD: This Power of Attorney is made and executed pursuant to :Ili(] by authority o1• the follo%%in2 By -Law duly aclopled by the Board of Dircctors of the Company. "Article ViI- 1sxecution oi' Documents Section 3. Appointment of Attorney -in -Fact. The Chairman of' the Board of Directors. file President or any Executive or Senior Vice President may. 1'rmn time to tinic, appoint by written certificates attorneys -in -fact to art in behalf ol file Company in the execution of policies of insurance, hoods, undertakings and other obligatory instruments of like nature. Such attorneys- in•fm, suhjcct to the limitations set forth in their respective ceitiliCucs of authority shall hayc full power to bind file Company by their sigimitire and execution of any such instruments and to attach the sent of the Company Iherrlo. The Chairman of the Board of Directors, the President or any Executive, Senior Vice President or the Board of Dircctors, may, at ally lime. rcvokc all power :Intl authority prcyiouSly _iycn to any attorney -in- fact.' This Power ol• Attornev is signed and scaled by facsimile under and by the authority ol' tlic folluwittg RCSOlulion atloptCd by the Board of Directors ol'the Company at a nieeting duly C ;illcd and held on the 17 day of February. 1993. RESOLVED: That the Sign ;Hare of Ilse President, an Executive Vice President or;mv Senior or Group Vice ['resident and the seal ol'the Insurance Company 111;1}' be :II IIxetl by facsimile on any power of attorney gamed pursuant to the Resolution adopted by this Bonrd of Directors on February 17. 1993 ;ind the sign :uurc of a Secretary or an Assistant Secretary and the seal of" the insilmocc Company may be affixed by lacsiniilc to any ccrfificale of any such power, and any power or cerlilicate bearing such faCSiniilc Sign:uure and ,c ;:l stall 1 valid nrld hinding on the Insurance Company. Any Such power so executed and scaled and certified by certificate So executed and sealed, sh: :ll Jth respect to any bond or undertaking to which it is attached. continue to be valid and bindim on the InsurancC Company.- Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 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. Payee Gibraltar Construction Corp Purchase Order No. 2932 N. Webster Ave. Terms Indianapolis, IN 46219 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total r 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. z 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 S 7 ibraltar Construction Corp IN SUM OF 2932 N. Webster Ave. Indianapolis, IN 46219 $10,310.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for 2745 7 2200- R4462401 $10,310.00 which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund