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Home My WebLink About179857 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 360479 Page 1 of 1 ONE CIVIC SQUARE STENZ CONSTRUCTION CORPORATION AMOUNT: $27,509.70 1, CARMEL, INDIANA 46032 429 N PENNSYLVANIA ST INDIANAPOLIS IN 46204 CHECK NUMBER: 179857 CHECK DATE: 11/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460904 2602 27,509.70 ARTS DSGN VENDOR PO 1 AffSTENZ General Contractors 'Construction Corporation Construction Managers INVOICE Customer Name Car Re Date 10/9/2009 Address 30 West Main Street, Suite 220 Job 2 09032 City Indianapolis State IN ZIP 460 32 Invoice 2602 Phone D escri p t i o n j Unit r ric TOTAL Installation of Vendor Power Cabinets I LaFever Electric 9 -30 -09 $12,815.00 $12,815.00 LaFever Electric partial retainage $8,462.70 1 $8,462.70 Stenz General Conditions CM Services $3,092.00 $3,092.00 CM Fee $3,140.00 $3,140.00 i �I SubTotal $27,509_70 0 Make Check Payable to: OO Stenz Construction Corporation O 429 N Pennsylvania Street 2 Indianapolis, IN 46204 TOTAL $27,509.70 1 429 North Pennsylvania Street Indianapolis, Indiana 46204 Telephone:' 317.262.4999 Facsimile: 317.262.4992 Website: www.stenzoorp.com TM t r as D ocument G7 4C M a 1992 A pplication and Certificate for Payment Construction Manager Adviser Edition �1 TO OWNERCarmel Redevelopment PROJECT: Old Town Ven*O ON APPLICATION NO 3' Distribution to: Commission Carmel, Indian PERIOD TO 9/25/2009 OWNER 3 a West Main Street Suite 22 SAP 5 2p09 Carmel, Indiana 46032 CONSTRUCTION MANAGER FROM CONTRACTOR: VIA CONSTRUCTION MANkITI ±IZ CORPORATIONCONTRACT DATE: 7/15/2009 ARCHITECT LaFever Electric, Inc. Stenz Corporation PROJECT NOS: 1686 I CONTRACTOR M 131 N. Range Road z mo (d�., .Carmel, Indiana 46032 VIA ARCHITECT: FIELD CONTRACT FOR: AocOuOt CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies0kofb s of the Contractor l<r>e edge, information and Application is made for payment, as shown below, in connection with the Contract. belief the Work covered by this App is R%V�a} en completed in accordance with the Contract Documents, that all amounte��t(6}1jbJhe Contracto r rk for which previous Continuation Sheet, AIA Document G703, is attached. Certificates for Payment were rssu6dn ayments rece her, and that current 1. ORIGINAL CONTRACT SUM 91,000.00 payment shown herein is now due. Lath or 5. Rained ,Equip. 2. Net change by Change Orders (913.00) CONTRACTOR: Fev r El tier c 6 Qwden 3. CONTRACT SUM TO DATE (Line 1 2) I 90,087.00 By .7 911* a rte�I s 9/23/2009 4. TOTAL COMPLETED STORED TO DATE (Column G on G703) 84,627.00 State of: I n Tana Chris A. La e r VlCewh J� 5. RETAINAGE: County of: Hamilton Approval ut L_ il'I'rr tr �f•--- a. 10 of Completed Work Subscribed and sworn to before i (Column D E on G703) 8,350.55 me this 231d day of to r, 2� P` U b. 10 to of Stored Material Notary Public: �,.��tolleen S. Marvel (Column F on G703) 112.15 My Commission expires: Total Retaina (Lines 5a 5b or Total in Column I of G703) 8,462.70 CERTIFICATE FOR PAYMENT Sz 76,164.30 In accordance with the Contract Documents,sbased on on -sit e oTsc�rvatiolis and the data comprising 6. TOTAL EARNED LESS RETAINAGE �t certify tp'the ner that to the best of their (Line 4 Less Line 5 Total) knowledge, information and belief the Work ha, jr" ae ica�ti the quality.of the Work is in 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 611 accordance with the Contract Documents, and the '�'g7 to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8. CURRENT PAYMENT DUE: 11,533. AMOUNT CERTIFIED 9. BALANCE TO FINISH, INCLUDING RETAINAGE- (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) 13 +922.70 CONSTRUCTION MANAGER: By: Date: C HANGE ORDER SUM ADDITIONS DEDUCTIONS ARCHITECT: g appro in previous months by Owner 850600 T otal chan a 9649.00 By: Date: T otal approved this`Month 230.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 8736.00 9649,00 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of N CHANGES by Chan Order the Owner or Contractor under this Contract. C AUTION: 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 G /CMaTM 1992. Copyright 1992 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. RECEIVED 01v SEP 2 5 2009 JOB NAME Old Town Vendor Power APP -STRT IN 7 &)DRA PAGE NUMBER 1 APPLICATION NUMBER 3 PERIOD TO p, B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE NO_ VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G =C) TO FINISH APPLICATION STORED AND STORED (C -G) (D +E) (NOT IN TO DATE D OR E) (D +E +F) 1.00 Vendor Cabinets M 38,000.00 15,200.00 22,800.00 38,000.00 100 3,800.00 L 6,000.00 2,400.00 3,600.00 6,000.00 100 600.00 2.00 Conduit M 8,130.00 4,878.00 2,439.00 813.00 8,130.00 100 813.00 L 7,300.00 4,380.00 2,190.00 6,570.00 90 730.00 657.00 3.00 Wire M 6,170.00 4,936.00 925.50 308.50 6,170.00 100 617.00 L 2,600.00 2,080.00 390.00 2,470.00 95 130.00 247.00 4.00 Set Cabinets M 600.00 360.00 360.00 60 240.00 36.00 L 1,000.00 600.00 600.00 60 400.00 60.00 5.00 Directional Bore and Pads 18,000.00 10,800.00 3,240.00 14,040.00 78 3,960.00 1,404.00 6.00 Bond 1,200.00 1,200.00 1,200.00 100 120.00 7.00 Startup 1,000.00 1,000.00 1,000.00 100 100.00 8.00 Closeout 1,000.00 1,000.00 1,000.00 100 100.00 9.00 C.O. #1 (8,399.00) (8,399.00) (8,399.00) 100 (839.90) 10.0 C.O. #2 (1,250.00) (1,250.00) (1,250.00) 100 (125.00) 11.0 C.O. #3 380.00 380.00 380.00 100 38.00 12.0 C.O. #4 7,301.00 7,301.00 7,301.00 100 730.10 13.0 C.O. #5 825.00 825.00 825.00 100 82.50 14.0 C.O. #6 230.00 230.00 230.00 100 23.00 M L M L M L El 90,087.00 44,526.00 38,979.50 1,121.50 84,627.00 5,460.00 8,462.70 a AFFIDAVIT AND WAIVER OF LIEN Final Partial lJ Payment to Follow State or Indiana, Courtly of Hamilton SS: 41 101V Chris A. LaFever being duly sworn slates that he /sho is ilia Vice- President UI (Name (r Moil) %Tale) LaFever Electric Inc- /laving contracted with Stenz Corporation to turnis(t.certain J &ibmiliaLim, supt*er) (001*8clet) /materials and/or labor as follows Electrical (t)escrtptta1) for the project known as Old Town Vendor Power totaled at Carmel, Indiana 46032 aced owned by Carmel Redevelopment Commission itrWI and dues liereby further stale oil behalf of the aforementioned subcontractor /supplier. (PARTIAL WAIVER) that there is due from tits contractor the sum of Eleven Thousand Five Hundred Thirty -three Dollars and Fifty Cents Dollars 11,533.50 receipt of which is hereby acknowledged; or [X] ilia 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 Ilia undersigned; tFINAL WAIVER) that the final balance due from the contractor Is the suns of receipt of which Is hereby acknowledged; or the payment of which has been promised as the sole consideration of ibis Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment THEREFORE, tits undersigned waives and releases unto the Owner of said premises. any and all lien or claim whatsoever on lire above described property and Improvements thereon on account of LABOR or material or built, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other patty Iles arty claitnl of right to alien urt accotnit of any work performed or material furnished to the undersigned for said project, aril within the scope of this afiidavit and waiver. LaFever Electric Inc. By Title Vice President pt Chris A. taFever WITNESS W HAND AND NOTARIAL SEAL, this 23rd Se to ber 20 RY P��,> My Commission Exlslrss: April 11, 2010 oeen Residing In Madison County rqruuuauu�uaa Prescrbed 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 S Py12 C o -7 tr�C7 /ba COf jo c9 f Purchase Order No. 1`2 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 27 5S 4• .A Total 27S�g,7o 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 q 2 9 X b /(Gj �/I G/li �9i ✓C°PT 7, 2 ON ACCOUNT OF APPROPRIATION FOR 1/0 g�2 /y�6 y o Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or X02 26(:22 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 Ignature Director of Operations Cost distribution ledger classification if Title claim paid motor vehicle highway fund