177854 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 360479 Page 1 of 1
ONE CIVIC SQUARE STENZ CONSTRUCTION CORPORATION
CARMEL, INDIANA 46032 429 N PENNSYLVANIA ST CHECK AMOUNT: $81,175.00
'a INDIANAPOLIS IN 46204 CHECK NUMBER: 177854
CHECK DATE: 9/29/2009
DEPAR ACCOUNT PO NUMBE IN VOICE NUMBER AMOUNT DES CRIPTI ON T
902 4460904 2553 77,675.00 ARTS DSGN VENDOR PO
902 4460699 90109 3,500.00 LURIE GALLERY OFFICES
J�
General Contractors
Construction Managers
INVOICE
[Phon Customer
e ame City of Carmel Redevelopment Commission Date 11200
ddress 30 West Main Street, 2nd Floor Job
ity Carmel State IN ZIP 46032 Misc Carmel Arts
Misc Project/Dey Fee
Description Unit Price i TOTAL j
1 Monthly Project/Development Fee September $3,500.00 I $3,500.00
I
I
i
SuTotal $3,500.00
Previously Paid
Q Make Check Payable to:
Q Stenz Construction Corporation
Q 429 N Pennsylvania Street
1 Indianapolis, IN 46204 TOTAL $3,500.00 1?I li
Office Use Only
I
429 North Pennsylvania Street
Indianapolis, Indiana 46204
Telephone: 317.262.4999
Facsimile: 317.262.4992
Website: www.stenzcorp.com
e scribed 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
S/ Purchase Order No.
2f Terms
/t/ 20 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09 J pU �/O i�J ✓7f Tr S� f 2DG� SGf�,GYJ
t
t t
a.
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
Y.OUCHER NO. WARRANT NO.
C 1 L ALLOWED 20
_,5 �cYi.3 /r�clL�• �ar'�d✓.r7 u'� IN SUM OF
3 0 0 .GG
ON ACCOUNT OF APPRO IATION FOR
y C
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9UZ �c�io9 �f���9 �S oopo bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
2.3 200
Sign urg
Director of Operations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
General Contractors
gn�STENZ
'Construction Corporation Construction Managers
INVOICE
Customer
Name Carmel Redevelopment Date 8/31/2009
Address 30 West Ma in_ S tree t, Suite 220 Job 209032
City Indianapolis State I ZIP 46032 Invoice 25
Phone
D Unit Price TOTAL
Installation of Vendor Power Cabinets i
LaFever Electric 7 -30 -09 $8,704.00 $8,704.00
LaFever Electric 8 -25 -09 $63,108.00 $63,108.00
Stenz General Conditions $2,163.00 $2,163.00
CM Fee $3,700.00 $3,700.00
I
I
SubTotal 7_ 7, 675.00
Previously Paid I
O Make Check Payable to:
QQ Stenz Construction Corporation
Q 429 N Pennsylvania Street
2 Indianapolis, IN 46204 TOTAL $77,675.00
429 North Pennsylvania Street
Indianapolis, Indiana 46204
Telephone: 317.262.4999
Facsimile: 317.262.4992
Website: www.stenzdorp.com
AFFIDAVIT AND WAIVER OF LIEN
Final X] Partial X Payment to Follow
State of Indiana, County of Marion SS:
Rebecca Sinders being duly sworn states that he /she is the CFO Controller of
Name of Officer Title
Stenz Construction Corporation having contracted with Carmel Redevelopment Commission
Const. Mgr. /Contractor Subcontractor /Owner
to furnish certain materials and /or labor as follows: Installation of Vendor Power Cabinets
Description
for a project known as Carmel Vendor Power
located at 30 W. Main Street, Carmel, Indiana and owned by Carmel Redevelopment Committee
and does hereby further state on behalf of the aforementioned subcontractor /supplier:
(PARTIAL WAIVER) that there is due from the contractor the sum of
Seventy -Seven Thousand Six Hundred Seventy -Five dollars and 00 /100 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 soley 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 contractor is the sum of
Dollars
Receipt of which is hereby acknowledged, or
the payment of which has been promised as the sole consideration for this Affidavit and Final
Waiver of Lien which shall become effective upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the owner of said premises, any and all lien or claim
whatsoever on the above described property and improvements thereon on account of LABOR or material or both,
furnished by the undersigned thereto, subject to imitations 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 or material furnished to the undersigned
for said project, and within the scope of this affidavit and fiver.
Stenz Construction Corporation BY f Title CFO /Controller
Firm r¢ed Representative
WITNESS MY HAND AND NOTARIAL SEAL, this day of M )00
My Commission Expires
Notary Public
Residing in County Printed lllu
D o cumen t TM
R�cel\jF� Q�
Application and Certificate for Payment Construction Manager- Adviser Edition RA T�oty
ibi
TO OWNEREarmel Redevelopment PROJECT: Old Town Vendor. l L,l I N NO Distribution to:
1
Commission Carmel, India ptRIOD T0: 7/30/2009 OWNER 1-1 30 West Main Street, Suite 220 n�
Carmel, Indiana 46032 r>t CONSTRUCTION MANAGER
FROM CONTRACTOR: VIA CONSTRUCTION MANGO h t CO GT DATE: 7/15/2009 ARCHITECT
LaFever Electric, Inc. tt� e) PROJECT NOS: 1686 CONTRACTOR )C
131 N. Rangeline Road Stenz Car 0 I I
Carmel, Indiana 46032 VIA ARCHITECT. 1. Labor 4 Owned EquO FIELD 1:1 CONTRACT FOR: 2 R� Cl
CONTRACTOR'S APPLICATION FOR PAYMENT e and �ikNR0rt4VK ertities that to the best of the Contractor's knowledge, information and
Application is made for payment, as shown below, in connection with the Contract. bell Work covere Application for Payment has been completed in accordance with the
Continuation Sheet, AiA Document G703, is attached. eats, that all amounts have been paid by the Contractor for Work for which previous
ere issued- and payments received from the Owner, and that current
1. ORIGINAL CONTRACT SUM 91,000. e i ent hown herein is now due.
2. Net change by Change Orders 0.00 CONTRACTOR• �LaFev Electric, inc.
3. CONTRACT SUM TO DATE (Line i 2) 91,000.00 By: per Date: 7/24/2009
4. TOTAL COMPLETED STORED TO DATE (Column G on G703) 8,704.00 State of: Indiana Chris A. L9kF,0verV e- IPresidont
5. RETAINAGE: County of: Hamilton o` °§0 p �y Ptj
a. 10 of.Completed Work Subscribed and sworn to bcfor
1920.00 4th �ul
(Column D +Eon G "!03) Inc the this day of 2 09 teen S. Marvel
b• 10 of Stored Material Notary Public: 1
(Column F on G703) -'9,049.60 My Commission expires: Ap
Total Retaina (Lines 5a +5b or Total in Column I of G703). 870.40 CERTIFICATE FOR PAYMENT=
7 833.60 in accordance with the Contract Documents, Ni d �q t Oations and the data comprising
6. TOTAL EARNED LESS RETAINAGE this application, the Construction Manager and AiC' i �i 0the Owner that to the best of their
(Line 4 Less Line 5 Total) knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT
(Line 6 from prior Certificate) CERTIFIED.
8. CURRENT PAYMENT DUE Is 7, AMOUNT CERTIFIED
9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanotiouu if amount certified differs from- the amount applied. Initial all figures res on this
Application and on the Continuation Sheet that are changed to conform, with the amount certifled.)
(Line 3 less Line 6) 83,1 CONSTRUCTION MANAGER:
By: Date:
CHANGE O RDER SUMM ARY ADDITIONS DEDUCTIONS ARCHITECT:
Total changes approved in previous months by Owner icy: Date:
Total app this Month This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
TOTALS named herein. issuance, payment and acceptance of payment are without prejudice to any rights of
NET CHANGES by Change Order the Owner 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 G702/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 A10 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 t6 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 ON
JUL 2 7 2009
TE COR
JOB NAME _Old Town Vendor Power MRk{TVjNN DATE 7/24/ PAGE NUMBER 1
APPLICATION NUMBER 1 PERIOD TO 7/30/2009
A 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 Vendor Cabinets M 38,000.00 38,000.00
L 6,000.00 6,000.00
2 Conduit M 8,130.00 6,504.00 6,504.00 80 1,626.00 650.40
L 7,300.00 7,300.00
3 Wire M 6,170.00 6,170.00
L 2,600.00 2,600.00
4 Set Cabinets M 600.00 600.00
L 1,000.00 1,000.00
5 Directional Bore and Pads 18,000.00 18,000.00
6 Bond 1,200.00 1,200.00 1,200.00 100 120.00
7 Startup 1,000.00 1,000.00 1,000.00 100 100.00
8 Closeout 1,000.00 1,000.00
M
L
M
L
M
L
M
L
M
L
M
L
91,000.00 2,200.00 6,504.00 8,704.00 82,296.00 870.40
A FFIDAVIT AND WAIVER OF LIEN
Filial X Payment to Follow r.
t Partial Pa y v tl/
Stale of Indiana, County of Hamilton SS: C RP 0
V ice-President
Chris A. LaFever beiny duly sworn states that helsho is the Vice President of
(Hanle W offlc41) %TWe)
LaFever Electric Inc. having contracted with Stenz Corporation to furnish.ceitattt
J 8idxwtbadw. Suptoer) (GrnU
malertals amitor Labor as follows Electrical
(UsmNWu
for the project known as Old Town Vendor Power
located at Carmel, Indiana 46032 and oohed by Carmel Redevelopment Commission
ti vows
and dues hereby anther stale on behalf of the aforementioned subcontraolodsuppiler:
(PARTIAL WAIVER) that there Is due from the contractor the sum of
Seven Thousand Eight Hundred Thirty-three Dollars and Sixty Cents Dollars (t 7,833.60
receipt of which Is hereby acknowledged; or
[X] lire payment of which Ives been promised as (tie sole consideration of thls Affidavit and Partial Waiver of
Lien whieft is given solely with respect to sold 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 contractor Is the sum of
receipt of which Is hereby acknowledged; or
the payment of which has been promised as the sole consideration of tills Affidavit and Final walver of
Lien which shah become effective upon receipt of such payment
THEREFORE, ilia utiderstuned waives and releases unto the Owner of said premism any and aN lien or claim whatsoever
on Ilia above- described property and improvements thereon on account of LABOR or material or both, furnished by the
undersigned thereto, subject to limitations or conditions expressed herein, If any; and further certifies that no other gaily
lies any claim or right to a lien oil account of any work performed or material furnished to ilia undersigned for said project,
acid within the scope of this affidavit alui waiver.
LaFever Electric Inc. BY iue Vice- President
it- of") Chr}� r,,
LaFever
WITNESS MY HAND AND NOTARIAL SEAL, this 24 /u• 20 09
My Commission Expires: Aril 11 2010 el
Residing in Madison County
A1A Document G7021CMa 1992
Application and Certific4to for payment Construction Manager- Adviser Edition
TO OWIVERCarmel Redevelopment PROJECT. Old Town Vendor Power APPLICATION NO: 2 Distribution to.
Commission:: Carmel, Indiana 46032 PERIOD TO: 812512009 OWNER LT
34 West Main Stmet, Suite 224
Carmel; Indiana 46032 CONSTRUCTION MANAGER
FROM CONTRACTOR: VIA CONSTRICTION MANAGER: CONTRACT DATE: 711512009 ARCHITECT
LaFever Electric, Inc. Stenz Corporation PROJECT NOS: 1686 1 1 CONTRACTOR XI
131 N. Rangeline Road
Carmel, Indiana 46032 111A ARCHITECT: FIELD f i
CO FOR.
CONTRACTOR'S APPLICATION FOR PAYMENT 'Ilse undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
Application is made for payment, as shown below in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the
Continuation She([ AEA Document G703, is attached. Contract Documents, that all amounts have been paid by the. Contractor for Wort;. for which previous
Certificates for Payment were issued and payments received from the Ownex, and that current
1.
91 ,000.00 payme*Shhown r 's now due GI AL CONTRACT SUM
2. Net change by Change Orders (1,143. CONTR Electric, Irtc. 3. CONTRACT SUM TO DATE (Line 1 t 2) S 89,7.00 By: Date: 812512009
4. TOTAL COMPLETED STORED.TO DATE (COIumn G on G703) 5 71,812.00 State o =C hri6 A. L.aFever, Vice President
5. RETAINAGE: (burly of: Hami1tort
a 10 `7b of Completed Wroth Subscribed and sworn to befo P p`Y
(Column D E on G703) S 4,452.60 me this 25th _day of AUgu f 2 `z C7 r lleen S. Marvel
b. 10 of Stored Material Notary Public:
(Column F on G703) 2.728.6 My Couunission expires:
Total Retainage (Lines Sa Sb or Total in Colurrui E of G703)..
7,181.20 CERTIFICATE FOR PAYME`
In accordance with the Contract Doctur
8
0.0
6. TOTAL EARNED LESS RETAINAGE 64, this application. the Constriction Manq
(Line 4 Less Line 5 Total) knowledge, information and belief the W U�
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 7 accordance arith the Contract Document Job CC 1 O�
(L.ine 6 from prior Certificate) CERTIFIED. Ac- cotint
8. CURRENT PAYMENT DUE 58,797.20 AMOUNT CERTIFIED Grass Arta.
{Attach explareatfon i1'tareo(art certr#ed di
9. BALANCE TO FINISH, INCLUDING RETAINAGE_ Less Retainage
Application and on the Continuation Slrei
25 226.20
(Line 3 less Line 5) CONSTRUCTION MANAGER: Class (circle one) 1. Lndx�r 4. �d
B v: P.
CHANGE ORDER S11N11 AFtY ADDITIONS DEDUCTIONS ARCHITECT; 2 IlWa S. Rewed EgtRin.
Total changes app owed iti previous months by Owner S 8506,00 9649.00 13 y: fiCOrrtr A► 6 Bile n
Total apprcivedthis Month S 'Mis Certificate is not_ negotiable. Tice 1 7 AllSCe
TOTALS S 8506.00 9649 00 naed herein. Isspance, payinem and ace AI D
m
NET CIiAI+IGES by Change Order S the Owner or Contractor under this 001"M Q L. A4 1 41- y
CAUTION: You should sign an original NA Contract Document. on which this text appears In RED. An original assures that changes
A1A Document G7021CI1lam —1992. Copyright Q 1992 by The American Insttute of Arobitects. All rights reserved. WARNING This Ale Document is Prot(
Unauthorized reproduction or distribution of th AIA' Document, or any portion of it, may resull in severe civfl and criminal penalties, and will be pros Nussroie under the taw.
Purchasers are permitted to reproduce len (10) copies of this claoument vrteen oompleted. To report copyright violations of AIA Contiact Documents, e-mail The Arneriean Institute of Ambliects' iegal counsel, copOght@+aia.org.
JOB NAME Old Town Vendor Power APPLICATION DATE 8!25!2009 PAGE NUMBER 9
APPLICATION NUMBER 2 PERIOD TO 8!251201)9
A B C D E F G I H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPL MATERIALS TOTAL BALANCE_ RETAMAGE
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) (DoE +F)
1 Vendor Cabinets M 38,000.00 15,200.00 22,800.04 38,01)1).00 100 3,800.00
L 8,000.00 2,400.00 2,400.00 40 3,600.00 240.00
2 Conduit M 8,130.00 4,878.00 3,252.00 8,530.00 100 813.00
L 7,300.00 4,360.00 4,380.00 60 2,920.01) 438.00
3 Wire M 6,170.00 4,935.01) 1,234-00 6,970.01) 100 617.00
L 2,60D.0D 2,060.00 2,060.00 80 520.00 208.00
4 Set Cabinets M 600.00 600.00
L 1,000.00 1,01)0.00
5 Directional Bore and Pads 18,000.00 10,800.00 50,800.00 60 7,200.00 1,080.00
6 Bond 1,200.00 1,200.00 1,200.00 100 120.00
7 Startup 1,000.00 1,000.00 1,000.06 100 100.00
8 Closeout 1,000.00 9,000.00
9 C.O. #9 (8,399.00) (8,399.06) (8,399.00) 100 (839.90)
10 C.O. 92 (1,250.00) (1,250.06) (1,254.00) 100 (125.00)
11 C.O. #3 380.00 380.01
12 C.O. 94 7,309.00 7,301.00 7,301.00 100 730.90
13 C.O. #5 825.00 825.00
M
L
L
M
L
89,857.00 2,200.00 42,326.00 1 27,286.00 71,812.00 18,045.00 7,181.20
At=FIDAVrr AND WAIVER OF LIEN
Final [M Pamat nX Paymnl to l=oltaw
Glate or hldlana, Couwly of >l =Uton
Chris A. LaFever behlg duly swum states !list laelshe Is ills Vice President crl
(Mnnis cd offaa4,) tTRI®)
LaFever Electric Inc. havirlg contraded whit Stenz CO Qrati to fun dsh.cel ta ln
jow"di b'U14A11 rl (p111roft?
mak er ia ts an tuaT lAWT as follows Ekqd
for lire prujad knomi as Old Town VodQ POw=
located c►t Carrtnet, Indiww 46032 atw owned by Cwmel Redevelopment Commission
cold does hereby tutther state on belmfatf of ttl@ a' tfurelflentloamed subcontreolodsuppilar.
(PARTIAL WAIVER) that there Is slue irons Ow contractor Ilia sure of
Fix y -six Thousand Seven Hundred Nin seven. DoUazs awd_Twenty Cents Dog= ($56,797,20
receipt of which Is hereby auknowiedged; of
[X] Itfe psylpre"I o f wh1011 has been pronalsed as the sole con0derallon of lids AMdevil and f frrllal Wah+er of
Lien width Is given solely with respect to 981d amount. and vdhRah waiver shall be effective orfty upon recelpl
of payment thereof by the wvJe*ned;
(FINAL WAIVER) that the final balance due from t1w (contractor is line suet of
mopipt of wtdeh Is hereby ftoirttu+rif dowl; or
lire paymelit of Irrinloh has been pmmhmd as the sale cornsldendlon of this Affidwit am i 9=tnesl Walver of
Lien which shall beewite olfective Wn 1e0e101. of SUGh Papmlelsl
TPIEREFORE. t1w undendgrod wralvea and releases unto the owner of said promises. any and all Ilan or claah n wha lsoever
on life abov"escribed property fans;! Irrtpmvements Memon an awain t of LABOR or matedat or both, Furnished by tits
Lnulersigned tlmereto, SUbjad to thtnllatic or conditions expressed heroin, if eny; and further twillies that a :o other patty
has any clahn or right to a lien can amwit of any Work performed at material rurnis hed to Ilia undersigned for said project,
and winds} the scope of this sirldavii wid waiver. O Wever Electric Inc. 13y c, Tine Vice- lPresaidezit
anu La Fever
NO
WITNESS W HAND AND NOTAFOAL SEAL., this /,August 20 09
S
My Cumtaualsa4u:t Explrtass: ri111 2010 o11 arvel
RtaslditlQ In Madison County
p
�iNgp,Nl,ilittttir�
PERFORM BOND RF�'FILFO
City Bond No. 929 484 592 S2: N �U� ON
Instructions: �CpRp ?00,9 Successful. Bidder must use this form or other form containing the same material conditions and�
provisions as approved in advance by OWNER.
N
Date of Bond must not be prior to date of Contract. If CONTRACTOR is a Partnership, all
partners should execute bond..
Surenr company executing this bond shall appear on the most current list of "Surety Companies
Acceptable on .Federal Bonds, as specified in the U.S. Treasury Department Circular 570, as
amended, and be authorized to transact business in the State of Indiana.
KNOW ALL .MEN BY TIdESE PRESENTS: that
"CONTRACTOR':
LeFever Electric Inc.
slid
"Surety [Name] Continental Casualty Company
[Address] 333 S Wabash Avenue
Chicago, IL 60604
a corporation chartered and existing under the Iaws of the State of
Illinois and authorized to do business in the State of Indiana,
are held and firmly bound unto the City of Cannel, Indiana hereinafter called OWNER, in the
penal sum of Ninety --One Thousand Dollars, 91, 000.00 in
lawful money of the United States, for the payment of which sum well and truly to be made,
together with interest at the maximum legal rate frorn date of demand and any attorney fees and
court costs incurred by Obligee to enforce this instrument, we bind ourselves, successors, and
assigns, jointly and severally, firmly by these presents.
WHEREAS, the CONTRACTOR has entered into a certain Agreement with the OWNER, dated
as of the 6th day of July 20 09 by which CONTRACTOR has
agreed to perform and furnish certain Work for or in furtherance of construction of public
improvements described generally as (fill in Project Name and Description Below):
Carmel Arts and Design District Vendor Power.
The general scope of Work consists of a metered power source for vendor power and
special events, including related site work.
P>i B- 1
R
F
C
which Agreement, and the "Contract Documents" as referred to therein, are hereby SicorvrateA1
herein by reference; TF� ON
NOW, THEREFORE, the conditions of this obligation are such that if the CONTRACTOR II
well, truly and faithfully perform his duties, all the undertakings, covenants, terms aiN�
conditions of said Agreement whether during the original term thereof, and any extensions Oti
thereof which may be granted by the OWNER, with or without notice to the Surety and during
any period of guaranty or warranty provided therein or arising thereunder, and if
CONTRACTOR shall satisfy all claims and demands incurred under such Contract, and shall
fully inde.tnanify and save harmless the OWNER from all costs and damages which he may suffer
by reason of failure to do so, and shall reimburse and repay the OWNER all outlay and expense
which the OWNER may incur in making good any default, then this obligation shall be void;
otherwise to remain in :Full force and effect.
PROVIDED, FURTHER, that the said Surety, for value received, hereby stipulates and agrees:
I that no defect or irregularity in the Contract or in the proceedings preliminary to the
letting of the Contract will operate to release or discharge Surety;
2. that no change, omission, extension of time, alteration or addition to the terms of the
Agreement, Contract Documents or to any Work to be furnished thereunder, and no delay
by the OWNER in enforcement of the Agreement or this bond shall in any way affect its
obligation on this bond, and it does hereby waive notice of any such change, extension of
time, alteration or addition to the terms of the Agreement, Contract Documents or to the
Work;
3. that no final settlement between the OWNER and the CONTRACTOR shall abridge any
right of the OWNER hereunder as to any claim that may remain unsatisfied; and
that this Performance Bond and Surety shall not be released until one (1) year after the
OWNER's final settlement with the CONTRACTOR.
IN WITNESS WHEREOF, this instrument is executed in 1 (number) counterparts, each
one of which shall be deemed an original, this the 6th day of July 20
CONTRACTOR: [mane] Fever Electric, Inc.
By: Cheryl LaFever, President
r �.�f�-
[signature [printed name]
AM SeCYetary
[signature] Chris A. LaFever
,T fie] Continental Casualty Company
Attorney -in -fact
[signature]
Sheree Hsieh 333 S Wabash Avenue
[printed name] [address]
Chicago, IL 60604
PFB -2
PAYMENT BOND
City of Carmel
Instructions: Bond No. 929 484 592
�1 F jrr
Successful Bidder must use this form or other form containing the same mates, �Siio ar
provisions as approved in advance by OWNER c o,
Date of Bond must not be prior to date of Contract. If CONTRACTOR is a Partners 7�i�'p,,.all
partners should execute bond. r0n/
Surety company executing this bond shall appear on the 1nost current, list of "Surety Companies
Acceptable on Federal Bonds, as specified in the U.S. Treasury Department Circular 570, as
amended, and be authorized to transact business in the State oflndiana.
KNOW ALL MEN BY THESE PRESENTS: that
"CONTRACTOR
LaFever Electric, Inc.
and
Surety [Name] Continental Casualty Company
[Address] 333 S Wabash Avenue
Chicago, IL 60604
a corporation chartered and existing under the laws of the State of
Illinois and authorized to do business in the State
of Indiana,
are held and firmly bound unto the City of Carmel, Indiana hereinafter called OWNER, in the
penal sum of Ninety -One T Dollars, 91,000.00 zip.
lawful money of the United. States, for the payment of which sum well and truly to be made, plus
interest at the maximum legal rate from date of demand and any attorney fees and court costs
incurred by Obligee to enforce tlus instrument, we bind ourselves, successors, and assigns,
jointly and severally, firmly by these presents.
WHEREAS, the CONTRACTOR has entered into a certain Agreement with the OWNER, dated
as of the 6th day of July 20 09 by which CONTRACTOR has
agreed to perform and furnish certain Work for or in furtherance of construction of public
improvements described generally as (fill in Project Name and Description Below):
Carmel Arts and Design District Vendor Power.
The general scope of Work consists of a metered power source for vendor power and
special events, including related site work.
PMB -1
which Agreement, and the "Contract Documents" as referred to therein, are hereby inc orated
herein by reference; O :1 O
0
NOW, THEREFORE, the conditions of this obligation are such that if the CONTRACTO promptly make payments of all amounts due to all Claimants, then this obligation shall
otherwise to remain in full force and effect. "Claimant" shall mean any Subcontractor, mate
supplier or other person, firm, or corporation furnishing materials or equipment for or
performing labor or services in the prosecution of the Work provided for in such Agreement,
including lubricants, oil, gasoline, coal and coke, repairs on machinery, and tools, whether
consumed or used in connection with the construction of such work, and all insurance premiums
on said work, and for all labor, performed in such work.
PROVIDED, FURTHER, that the said Surety, for value received, hereby stipulates and agrees:
1. that no defect or irregularity in the contract or in the proceedings preliminary sto the
letting of the Agreement will operate to release or discharge Surety;
2. that no change, omission., extension of time, alteration or addition to the tenns of the
Agreement, Contract Documents or to any Work to be furnished therewider, and no delay
by the OWNER in enforcement of the Agreement or this bond shall in any way affect its
obligation on this bond, and it does hereby waive notice of any such change, extension of
time, alteration or addition to the terms of the Agreement, Contract Dootirtients or to the
Work;
3. that no final settlement between the OWNER and the CONTRACTOR shall abridge any
right of the OWNER hereunder as to any claim that may remain unsatisfied; and
4. that this Payment Bond and Surety shall not be released until one (1) year after the
OWNER'S final settlement with the CONTRACTOR.
IN WITNESS WHEREOF, this instrument is executed in 1 (number) counterparts, each
one of which shall be deemed an original, this the 6th day of July .20 09
CONTRACTOR: [name] LaFever Electric, Inc.
By: Ls.
Cheryl LaFever, President
[signature [printed name]
ATTEST:
Secretary
[signature) Chris A. LaFever
Y: game] Continental Casualty Company
1% Attorney -in -fact
[signature]
Sheree Hsieh 333 S Wabash Avenue
[printed name] [address]
Chicago, IL 60604
PN4B -2 2
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That Continental Casualty Company, an Illinois corporation, National Fire Insurance Company of'Hartford, a
Connecticut corporation, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania corporation (herein called "the CNA Companies
are duly organized and existing corporations having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtue of the
signatures and seals herein affixed hereby make, constitute and appoint
Michael M Bill, Edward L Mournighan, Michael H Bill, Cynthia L Jenkins, Ginger J Krahn, RF rc dto, Brenda
Johnston, Cindy H Stellhorn, Individually ik N
STFNI co 7 2 00S
RP�
of Indianapolis, IN, their true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their
behalf bonds, undertakings and other obligatory instruments of similar nature
In Unlimited Amounts
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their corporations and all the
acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly
adopted, as indicated, by the Boards of Directors of the corporations.
In Witness Whereof, the CNA Companies have caused these presents to be signed by their Senior Vice President and their corporate seals to be
hereto affixed on this 26th day of August, 2005.
GAS Uq�r %%SURg o,FVw+roe Continental Casualty Company
National Fire Insurance Company of Hartford
c oaaoritrF o� g O9PORgr�a American Casualty Company of Reading, Pennsylvania
y a JULY 11,
Ou SEAL c t 1902
9 897 RARIV s z� A4-
Michael Gengler Seni r Vice President
State of Illinois, County of Cook, ss:
On this 26th day of August, 2005, before me personally came Michael Gengler to me known, who, being by me duly sworn, did depose and say:
that he resides in the City of Chicago, State of Illinois; that he is a Senior Vice President of Continental Casualty Company, an Illinois corporation,
National Fire Insurance Company of Hartford, a Connecticut corporation, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania
corporation described in and which executed the above instrument; that he knows the seals of said corporations; that the seals affixed to the said
instrument are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said corporations and that he
signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporations.
"OFFICIAL SEAL"
MARIA M. MEDINA
Notary Public, Sate of INbwte
My comminlon Expires 3116109:
My Commission Expires March 15, 2009 Maria M. Medina Notary Public
CERTIFICATE
I, Mary A. Ribikawskis, Assistant Secretary of Continental Casualty Company, an Illinois corporation, National Fire Insurance Company of
Hartford, a Connecticut corporation, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania corporation do hereby certify that the
Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the corporations
printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporations this
6th day of July 2009
GAS tL9�p 19SUR4 A WOO Continental Casualty Company
National Fire Insurance Company of Hartford
co WORArr J �o' &g ��e9roagtFO American Casualty Company of Reading, Pennsylvania
x e 7 n g JULY 31,,
ov SEAL
1897 JfARYF
Mary A. R ika kis Assistant Secretary
Form F6853- 11/2001
Authorizing By -]Laws and Resolutions
ILI
ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY:
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the Board of Directors of the
Company.
"Article IX Execution of Documents
Section 3. Appointment of Attorney -in -fact. The Chainnan of the Board of Directors, the President or any Executive, Senior or Group Vice
President may, from .time to time, appoint by written certificates attorneys -in -fact to act in behalf of the Company in the execution of policies of
insurance, bonds, undertakings and other obligatory instruments of like nature. Such attorneys -in -fact, subject to the limitations set forth in their
respective certificates of authority, shall have full power to bind the Company by their signature and execution of any such instruments and to attach the
seal of the Company thererto. The Chairman of the Board of Directors, the President or any Executive, Senior or Group Vice President or the Board of
Directors, may, at any time, revoke all power and authority previously given to any attorney -in- fact."
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the
Company at a meeting duly called and 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 be affixed by
facsimile on any power of attorney granted pursuant to Section 3 of Article IX of the By -Laws, and the signature of the Secretary or an Assistant
Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any power or certificate bearing such
facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed
and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company."
ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA:
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the Board of Directors of the
Company.
"Article VI— Execution of Obligations and Appointment of Attorney -In -Fact
Section 2. Appointment of Attorney -in -fact. The Chairman of the Board of Directors, the President or any Executive, Senior or Group Vice
President may, from time to time, appoint by written certificates attorneys -in -fact to act in behalf of the Company in the execution of policies of
insurance, bonds, undertakings and other obligatory instruments of like nature. Such attorneys -in -fact, subject to the limitations set forth in their
respective certificates of authority, shall have full power to bind the Company by their signature and execution of any such instruments and to attach the
seal of the Company thereto. The President or any Executive, Senior or Group Vice President may at any time revoke all power and authority previously
given to any attorney -in- fact."
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the
Company at a meeting duly called and 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 be affixed by
facsimile on any power of attorney granted pursuant to Section 2 of Article VI of the By -Laws, and the signature of the Secretary or an Assistant
Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any power or certificate bearing such
facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed
and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company."
ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD:
This Power of Attorney is made and executed pursuant to and by authority of the following Resolution duly adopted on February 17, 1993 by the Board
of Directors of the Company.
"RESOLVED: That the President, air Executive Vice President, or any Senior or Group Vice President of the Corporation may, from time to time,
appoint, by written certificates, Attorneys -in -Fact to act in behalf of the Corporation in the execution of policies of insurance, bonds, undertakings and
other obligatory instruments of like nature. Such Attorney -in -Fact, subject to the limitations set forth in their respective certificates of authority, shall
have full power to bind the Corporation by their signature and execution of any such instrument and to attach the seal of the Corporation thereto. The
President, an Executive Vice President, any Senior or Group Vice President or the Board of Directors may at any time revoke all power and authority
previously given to any Attorney -in- Fact."
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the
Company at a meeting duly called and held on the 17 day of February, 1993.
"RESOLVED: That the signature of the President, an Executive Vice President or any Senior or Group Vice President and the seal of the
Corporation may be affixed by facsimile on any power of attorney granted pursuant to the Resolution adopted by this Board of Directors on February 17,
1993 and the signature of a Secretary or an Assistant Secretary and the seal of the Corporation may be affixed by facsimile to any certificate of any such
power, and any power or certificate bearing such facsimile signature and seal shall be valid and binding on the Corporation. Any such power so
executed acrd sealed and certifed by certificate so executed and sealed, shall with respect to any bond or undertaking to which it is attached, continue to
be valid and binding on the Corporation."
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
�d�l3 414 Purchase Order No.
�2 g l�P�i�sti���ti,'3 /fr��7� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 1 31 o z 5 s 3 �P da r �o 6� ��3 /��7'07 77675
d<
y
Total 77.G75_G�
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. 1,
JJ ALLOWED 20
C U1a5�✓'v�Iic�yi Ca;/_. IN SUM OF
'7 7
ON ACCOUNT OF APPROPRIATION FOR
0 `r( F-
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
��2 ZSS 3 1 /�ob 7�67sG� 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
20 Q
Direct ��q operations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund