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HomeMy WebLinkAbout171089 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00350511 Page 1 of 1 ONE CIVIC SQUARE SMOCK FANSLER CORP CHECK AMOUNT: $45,086.57 CARMEL, INDIANA 46032 2910 W MINNESOTA ST INDIANAPOLIS IN 46241 CHECK NUMBER: 171089 CHECK DATE: 4/16/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460848 3 45,086.57 4TH GATEWAY /RANGELINE r AOPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER- ADVISER EDITION AIA DOCUMENT G702 /CMa (Instru on reverse side) PAGE ONt: of [AGES TO OWNER: City of Carmel PROJECT: Carmel Parcel 48 Gateway Arch API'LICA'11ON NO.: 3 Distribution to: Les Olds, Director of CRC PERIOD TO: 03/31/09 OWNER One Civic Square PROJECT NOS.: CONSTRUCTION Carmel, IN 46032 MANAGER FROM CONTRACTOR: Smock Fansler Corp. CONTRACT DATE: ARCI-IrrECT 2910 W. Minnesota St. CONTRACTOR Indianapolis, IN 46241 VIA CONSTRUCTION MANAGER: CONTRACT FOR: VIA ARCHITECT: CONTRACTOR'S APPLICATION FOR PAYMENT The Undersigned contractor certifies that to the best ofthe Contractor's knowled infor- oration and belief the Work covered by this Application for Payment has been completed Application is made for payment, as shown below, in connection with the Contract. in accordance with the Contract Documents, that all amoutlts have been paid by the Continuation Sheet, AIA Document G703 is attached. Contractor for Work for Which previous Certificates for Payment were issued and pay ments received from the Owner, and that Cun'ent payment shown herein is 110W due. 1. ORIGINAL CONTRACT SUM S 71,675.00 CONTRACTOR: 2. Net Change By Change Orders........ ,8 25,450.00 03/2Q/09 13v: Datc: CONTRACT SUM TO DATE (Line I 2) S 97 ,125.00 State of: INDIANA 4. TOTAL COMPLETED STORED TO DATE ......S 70 ,832.44 County of: MARION oo� pu,94 7///", (COlumn G on G702) �/O Subscribed and sworn to before. 5. RETAINAGE: me this 20th clay of March, 2009 a. 10 of Completed Work 5 7,083.25 (Columns 1) E on G703) Nor, Public 4 b. of Stored Material ,'M% C0 Commission 1 /3Q /2Q (COltlmn F on G703) Total Retaina e (Line 5a 5b or �i� TOLA in Column I of G703 7 083.25 �q /�I CERTIFICATE FOR PAYMENT '�o��,,; rE 6. TOTAL EARNED LESS RETAINAGE 8 63,749 In accordance With the Contract Documents, Based on on -site observations and the Bata (Line 4 less Line 5 Total) comprising this application, the Construction Nlanager and Architect certify to the Owner 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT that to the hest of their knowledge, information and belief the Work has progressed as 18, indicated, the, quality o the Work is in accordance Nvith the Contract Documents, and (Line 6 from prior Certificate) the Contractor is entitled to payment of the ANIOUNT CERTIFIED_ ti 8. CURRENT PAYMENT DUE S 45,086.57 r m: AMOUNT CERTIFIED 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach e.ipla�ratiora if ctnaottnt certified clrjjcrs from the amount applied tor. Initial (Line 3 less Line 6) s 33,375.81 all j on this Application and oat the Continuation Sheet that cbanged to conform. to the auj �rtafied.) STR I GER: M CF IANGE ORDER SUh4MARl' ADDITIONS DEDUCTIONS CO Total changes approved in 13Y: Dare: previous months by Owner 25 450.00 ARCHIT Total approved this Month 13v: Date: TOTALS 25,450. This Certificate: is not negotiable. The AMOUNT CERTIFIED is payable only to the Con NET CHANGES by Change Orderl 25,450.00 n,actor named herein. Issuance, payment and acceptance of payment are Without prejudice to any rights Of the Owner or Contractor Under this Contract. AIA DOCUMENT G702/CMe A1 AND CEKTIFICA"I�E FOR }'AYA41iNT CONSTRUCTION �tANACIiR- ADVISER t3Dl "PION 1992 EDITION •AIA© 01992 "r] -IE AMF.RIC:.AN INtiT]TU'I'E: OF ARCH1TIiCTti, IZii Nli \C' YORK AVENUE, NW, WASHINGTON. w V D.(:. 30[:0(,5292 WARNING: iJnlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. G702 /CMa -1992 i CAUTION: You should use an original AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. K�����UK������ ����T EOQAiA DOCQ&fQjT(;702/CK1u.APPi|C/\Tl{iM AiND FOR PA)"M[MT CUNSTRUIJ010 MANAGER D D 0 A. GENERN� INFORMATION Jinzl A9Tcmma^Wh /bc0vn,,. pnwe/vvs urm,v tau ore c.,rrcu/n au uomuvu/A20 1:15, Grnom/Umu`0000, rhc (,outru/ for Coma,uuimn. Conawok`^ dunuXrpxU� udiuo^. 1ty2 Edibnn, B. COMPLETING THE G7021CMaFORM: After rhcC000zcmrxwmmp}ocd ux Docun`coc 6703. Cm`Jnuxhon 6bro. ^ummur> inh`uny'k`x ^:.mW brtuuAf*ood u, ai� rxxuoum (��u2/C�u. Ap[J`coio^ o:d CrrhU`xu k`, m/nxcur. Connmui^vo udhioo- Tbccom o,Aor xhovN ^gn67o2K21x, bun, kn.uxbzcd and /ohni/ A. nyaUhm*xh( d`,con�mai`m xum4*, uod hi L The 0o=Vdon Nuox9ornoU Auhixz' Abon|d nvl^ CQo2/CNuuod 6A3 ,mL I dbcy uz uoopmb|n uunpku du Ur` vn,ou G702 [h,[/`ruxoojou x^xoug*,,oJarchin:c' m,ltco`(yu JiVkontomnoo/than t x|qp||od k`/, D') mmxmph, 91 uoJ 96 o[x2ol!Cuz Tim sxovW then inihx| xUAgonn oo (19)2/[Mz xol (roj 'baz have h',o r, ("xkm` n` d`,Wnx'um o:njhu|oni x/n.h an I'll'o,mp!ocd hc C. COMP THE.,G703 FORM: He*di /l��io[�ooni"o»houWi`c`muy|«^�x/\ncon/�cco,xi�bmmUurm�`unxbw�ou�l�o.mxn'^�G70���Hx4/|dipx'n` J Cc0 lficatc m, pu?mx^/, C.marmctkw N,1xmy�"AU,|y,SJibon. Co/um A, B C: 1lmcu/|umna .bouW be u`mp|cod hy idcuu(yog /br ,xhoW^ poojon: o|A`c Pnvur xud U'o,Sh,dn|cd ,u/o�oxomuut."i/h ni�,a/:m^uhmucdu,/hcwbiuz,urzhncommmcun*u/o| the pn^iur/.x`mxuhv.uond? uVm'cdrbcbomk.k`vomuThchysrnjk,*o( the v/orkorh!5vhumtoumm and shouNonminomAyuncU`nooShou/ the P^`|oo, Mt pxgcs should bcu/cJ`vbuo xqu/ru] [o|umu '.should b,mhu.m|nJ At d,c h.x^om nb,n more Min ou, page is vwd uod xnxkz| on /hc |xmy`g |ni'uUy. Uhi/ xxx| ^h'm|J quu| We .xiWoA C.m,r^, 5oo`. Ile m'u\ n[udumo C uuy hQ xd|vaw| oy 0��m JoonA rh, Y^.|cn, Cu!umn D: umo in Uo^ uAomu the ucoouoi ofovupirc,d ,x`N u.,ozd by 0z pc rio,u uppkou"u <akomn 0 so E b,/m d.cprc� x0dic,w^`y\,]ux, horn u,|umn1:(Nlxxh,|^,oscm|!ymrcd front tx,poc,/mu,py|kuri.mrh"vW n l xn*xJ in Us o,kmm. Column E: [mc, hcn On ,aluc([?u`d' comnk'*J at /hv ol ap|lkuoom. indoJm�1/hc ,ukuufn.xWnx|^ inx`ch,yxjco vhich m'nhecdouU`cp,,vimuupp|uni*o under \b/cdxk |`oxcndy Smicdk`)Imnn H, Column F: Kum nerc T, ,x|uc o|mxwro{s Pnsco,l Smud Or nhicb px>wm/ is sought. Tkc mm} o//h�:olumo mmv hc uzu|m|np) at /hv cuV o[Lu(:h ru� pern& This ,axc co"cm w,b mxuxbJ^ neM! xvud 8/, which yu� men is �(,)ugu and mx�oia|`po��mx}�quvzd which are oon yet ko/n'p`mrdiom the Pr mc,c pay muxh;rhc0rou toll so,rco.�myul-hk Joe, ^w nnuh in u dcduchoo fv^n ,h|suJomu Only as mvu/b|sxn ov" /hC 1)10j�-n is /hcir vxIUcdcdvcqn| h`,,n rhi^ u`|vn,u and iuco/[^zz/cd iuro /u}umo E (v;ork Compb'cd--Tk/^ P/,iodV. Co G: Enzc/h'cchk,n`ul.`[*,|umo,l`. saxJ r C04111Mc11W1Wn,nIA:/mmp|uoi hydi"iUi"goJum^ m|"mo C Co M:[niobco'bcdiM,nnczhnxzcou`|vmoC(Sd`rUv|k�4rxiuc)yodu`/vmo[(T.uu|[mnpiud and muicd Da,), Column A 11 `uh'mo boommU> un^J oui! /oro`orncn *bcn ,unublenuiouge is p,rmiocd on x ||o,�um ha/k. A nccd uo bcuxnplcado^ pQC"s w a conumm vw/ovq� is wi/bhc|d from mco,,*Ucoo/motumoun/ Change Omders: x|cbou4h Chzucr 0r\cmum|J he iuco,poond b> cbu,xmxwc^cb,dv!c o[rJu'vConti um, x cbx"c n,dx, hu4Jcd to chc p,o|«t::./, dhis is n.x oo/muUy done. i'suv|i!, [bmuxr Ou]cuo,r xvud *lumm|5 c.-j/bo nu /hoi,ox'^ 6r0 [onn u,u//hocoUohhcbukRQUko�lh,xmoun/vtbcongo^|umtmccudioouJbyCbxWc Odom i,mh=cnovdiu'hcxpp^)- phuu >o.n'im` on Mh, f`uo, Construction Change Oiredivm& mnnvo/^ ucu in diTuu t hu,o hucn iododcd in ["ov'ruoi'x` C111R, Di,c.u,c,`|luuN hcincol-pwcu,d/ou`.m'or more C�u�pc xm000u/zmzioioejn`UToo',houNhe dca|r with azoxJiug/nPumgmpb 7� in An|TMx. D. MAKING PAYMENT The Ov,00^bovW mxkcpaymour.U'eu|v to rhcConuunw huxcdon d�c:umvo'ccnih"J h, thc Mx,xo,',,x"d ^uhinzr oo Ala [vxomrm 6702X[Nu. Ayp|i'amm and Unifirxu, An Poymcnr Coowmuvm 2Jwon� rhv oom|`|ocdmoncomninotbcoamr and u1UnuouhbeCouoc.rur.pny/ncn',hoxWmqhcoudc many oWh,,pmyuoV,ycdbo8v iodicxtod or) 8012 S REQUEST FOR PAYMENT DETAIL Project: 08098 1 CARMEL PARCEL 48, GATEWAY AR Invoice: 2524 Draw: APP00003 Period Ending Date: 3/3112009 Detail Page 2 of 2 Pages Item ID Description Total Previously Work Presently Completed Balance Retainage Contract Completed Completed Stored And Stored Comp To Balance Amount Work This Materials To Date Finish Period 001 MOBILIZATION 5,000.00 2,500.00 2,500.00 50.00 2,500.00 250.00 002 CONCRETE 57,675.00 14,418.75 43,256.25 57,675.00 100.00 5,767.51 003 PAINT 4,000.00 4,000.00 4,000.00 100.00 400.00 004 LANDSCAPE PAVERS 5,000.00 1,000.00 1,000.00 20.00 4,000.00 100.00 005 CHANGE ORDER 1 25,45C.00 3,817.50 1,839.94 5,657.44 22.23 19,792.56 565.74 Totals 97,125.00 20,736.25 50,096.19 70,832.44 72.93 26,292.56 7,083.25 1 4 AFFIDAVIT AND WAIVER OF LIEN Final [X] Partial [X] Payment to Follow State of Indiana County of Marion T.M. Fansler being duly sworn states that he is the C.E.O. of SMOCK FANSLER CORPORATION having contracted with: City of Carmel to furnish certain labor, materials, and /or services as follows_ Misc. Construction for a project known as: SFC #08 -098 Carmel Parcel 48, Gateway Arch 4 located at Carmel Indiana and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER) that there is due from the owner the sum of: ($45,086.57) Forty Five Thousand EiMhty Six Dollars and 57/100 receipt of which is hereby acknowledged; or [X] 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 0.00) receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such paynent. 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, Materials, and /or Services, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work performed, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. SMOCK FANSLER CORP. By Ti le C.E.O. T.M. Fansler WITNESS MY HAND AND NOTARIAL SEAL, this 20 day of March 2009. e�!c'' SEAL, Melissa J. Bish p Nota Public ��'iis'T �P oo 07 M commission expires 11/30/2016 Residing in Mor1lan County p T FQi 1Np�� My p S /1 "Nillllli 1fBllilllllll���"��\\\ UF (cc 291.0 West Minnesota Street ,N Indianapolis, IN 46241.4541 317.248.8371 Tel Smock Fansler 317.244.4507 Fax C'OR P0R AT ION' �enual C...... tju M­ge Prone /Fax Quote DATE: 3/20/2009 Revised from 12/4/2009 Quote B08 -0157B TO: Bruce Stauffer FROM: Joe Davee REGARDING: Carmel Parcel 48, Arts Design Gateway #4 We Propose to Provide the following Scope of Work. Delay impact due to revised site location and schedule delays pushing project into winter months. Original Contract: 71,675.00 Delay Impact: 5,657.44 Total Additional Cost: 77,332.44 INCLUDES: Additional mobilization at 50% of the entire Mob /Demob Schedule of Values Line item. Layout impact increase due to offset piers and odd angled layout. Scaffolding, tenting and heating of formed structures to ensure proper curing of concrete. Delayed stripping and reuse of formwork due to winter protection. Increased Painting costs due to 33% increase in Truss length. Labor impacted as a loss of efficiency for forming and placing structural concrete in winter conditions. Breakdown: (NOTE: revised schedule actually shows 18 crew days additional, impact only covers 8 crew days) Layout and Preparation /Mobilization Impact: 50% of mobilization costs per Aug 18th Letter 2,500.00 Additional Layout coordination for offset piers and imbeds: Field Engineer, 1 day 611.44 1 day Excavation /Fill Impact Frozen or muddy cond., incr clean -up, maint. (crew 10, 1 L, BH) No Delay Concrete Form Labor Impact up to 5 days added on schedule (crew 1 F, 2C, 2L) No Delay Reinforcing /Placement Impact: Negligible as direct cost inefficiencies caused elsewhere NIA Scaffolding Labor Erection, plastic installation, Maint. Removal, Inspect. 1 F, 1 C, 2L 3 days None Used Material increases: Cold weather concrete admixtures: Freezeguard used on 19 CY of concrete at $24.50 /CY (20 -24 deg.) and 39 CY $19.59/CY (40 -49 deg.) 1 58 CY Plastic sheeting to wrap scaffolding plus maintenance None used Diesel or propane fuel for heaters plus OT for night refueling None Used Equipment 2 ea Propane Heaters, 1= $216/d, 4days None Used Equipment Scaffolding for both towers including inspections, accessories up to 1 month None Used Painting Sub Increased overall length of truss is 33% 1,320.00 33% Total Impact: 5,657.44 SALES TAX NO INCLUDES ADDENDA n/a THROUGH n/a NOTES: Time and Material Rate Sheet Attached. No additional mark -up was added to materials or rental equipment. Form Crew impact takes into account form material waste and reuse loss which is more difficult to demonstrate. Thanks For The Opportunity To Serve You! QUOTE Delay Impact Revised Carmel Gateway #4.xls 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 Purchase Order No. 2/�� �L S Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) yea i 9 Y Total 9 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in acc ordance with IC 5- 11- 10 -1.6.� 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF 2 i3O $s o�rG.s� ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or °lag 3 yy60F� qs, 0,Y6 3 7 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 V/ 4� Signa e 1 Title Cost distribution ledger classification if claim paid motor vehicle highway fund