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179079 11/10/2009 CITY OF CARMEL, INDIANA VENDOR: 357413 Page 1 of 1 ONE CIVIC SQUARE MUSEUM OF MINIATURE HOUSES CARMEL, INDIANA 46032 THOMAS LANDSHOF, DIRECTOR CHECK AMOUNT: $30,000.00 111 E MAIN ST roe i CHECK NUMBER: 179079 CARMEL IN 46032 -1823 CHECK DATE: 1111012009 DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 002 4359012 093009 30,.000.00 CRC GRANTS MUSEUMOF _11NIPIATURE HOUSE AL AND COL EC O S IN, II' 11 I u September 30, 2009 Mr. Les Olds Director of Redevelopment Carmel Redevelopment Commission One Civic Square Carmel, In 46032 Dear Les: In accordance with the grant from the Carmel Redevelopment Commission, we are submitting the following invoices and request issuance of the grant funds of $30,000.00. Copies of the invoices are attached Capitol Construction Services invoice 4321 -1 $45,460.86 Richardson, Munson, And Weir, Architects $25,576.75 We very much appreciate the Carmel Redevelopment Commission assisting us in this renovation and know that it will be an asset to Carmel and the Arts District. Sincerely, Thomas A. Landshof 4 3 �94 6�,.,ts co- Founders: Suzanne L. Moffett o Suzanne H. Landshof a Nancy E. Lesh 111 East Main Street Carmel, Indiana 46032 -1823 317.575.9466 www.museumofmiiiiatures.org IN VOIC E All past due invoices will be assessed a finance oharge computed by a periodic rate of 1'!z% per CAPITOL CONSTRUCTION SERVICES, INC. month which is an annual percentage rate of 18 10412 ALLISONVILLE ROAD, SUITE 100 09/28/2009 FISHERS, IN 46038 4329 PHONE: (317) 574 -5488 FAX: (317) 574 -5482 Upon Receipt 09/28/2009 BILL TO: MUSEUM OF MINATURE HOUSES AND Project: MUSEUM OF MINIATURE HOUSES 111 E. MAIN STREET OTHER COLLECTIONS, INC. CARMEL IN 46032 111 E. MAIN STREET CARMEL IN 46032 NUMBE -bEsCkiptioN PAY APPLICATION #1 50,512.07 a 1 l�F �.%C.." r k�Yf; 'eew 3. �i I� 4rt n -•f' g r a x rJxrc s `l: �p r. L*.cp, ?,F• w� ..,t,,. °�a ;,i v €}r! €ia` ara Tm�R.� s{P3f14G.. �.twnor tr.6r�E "•�s v'k�v.is' "�s�e:.o ee� '�C" rY €s3 f �"r A t^F C �,�o-F"� ?srxr t a w$S� a Qc#rrpf�•a +g :�'a� ia� fZ Y� kSP v a ti p S�' i� >'3.i,F•>x y ...S�.IX..1'} f: e Ma Y f'a'de r. 1� r r �q MaE a i� K a .i...m +,�'?�FTl,«C:v. h, ...�P_�'[€_.�,.:' 'R �t" e a a a •s i r� n "Y.:r€" 3`. $az- .,a. iRete�01+�!r% B ,v/ i xI z,•' ..fir «$.m 25 051.21, v �T `fi ;y, -s�w�. +x t1k� frIft' ur( r:s. 2! 't*, ".E'4«r.izi°:�` Y i u v W y'', Y9.t l x+r m'i'Fs trti m r a^qr F .3 1 z 3 `�s` ".t ��.s�` �s f o !m 45,460.86 PLEASE DETACH THIS PORTION AND INCLUDE WITH PAYMENT 841 43 -1 09128/2009 45,460.86 PLEASE MAIL PAYMENT TO: CAPITOL CONSTRUCTION SERVICES, INC. 10412ALLISONVILLE ROAD, SUITE 100 FISHERS, IN 46038 PLEASE REMIT PAYMENT WITH THIS STUB IN ENCLOSED ENVELOPE TM Doc' u nt G702 -1992 Application and Certificate for Payment TO OWNER: The Museum of Miniature Houses and PROJECT: The Museum of Miniature Houses APPLICATION NO: 001 Distribution to: Other Collections, Inc I I 1 E Main St PERIOD TO: September 30, 2009 OWNER: X III E Main St Cannel, IN 46032 Carmel, IN 46032 CONTRACT FOR: General Construction ARCHITECT: X FROM Capitol Construction Services, Inc VIA Richardson, Manson and Weir CONTRACT DATE: June 24, 2009 CONTRACTOR: X CONTRACTOR: 10412 Allisonville Rd, Ste. 100 ARCHITECT: 3901 W 86th St, Ste 370 PROJECT NOS: 4321 FIELD: Fishers, IN 46038 Indianapolis, IN 46268 OTHER: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance Application is trade for payment, as shown below, in connection with the Contract with the Contract Documents, that all amounts have been paid by the Contractor for Work for Continuation Sheet, AIA Document G703, is attached which previous Certificates for Payment were issued and payments received from the Owner, and 1. ORIGINAL CONTRACT SUM 199,472.61 that current payment shown herein is now due. 2. NET CHANGE BY CHANGE ORDERS 3,493.83 CONTRACTO 3. CONTRACT SUM TO DATE (Line 1:h 2) 195,978.78 By: �,J Date: September 28, 2009 4. TOTAL COMPLETED S STORED TO DATE (Column G on G703) 50,512.07 State of: Indi a 5. RETAINAGE: County of- Hamilton JILL M. FOSTER a• 10 of Completed Work Subscn'beA and sworn to before NOTARY PUBLIC (Column D +E on G703) 5 me this d �Zl7Q� SEAL b• 10 of Stored Material STATE OF INDIANA My Commission Expir No v. 15, 2009 (Column F on G703) 0.00 Notary Public Total Rerainage (Lines Sa 5b or Total in Column I of G703) 5,051.2I My Commi on Tres: November 15, 2009 6. TOTAL EARNED LESS RETAINAGE ARCHIT CERTIFICATE FOR PAYMENT 45,460.86 CT (Line 4 Less Line 5 Total) In accordan the Contract Documents, based on on -site observations and the data comprising 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT 0,00 this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in (Line 6 from prior Certificate) accordance with the Contract Documents, and the Contractor is entitled to payment of the S. CURRENT PAYMENT DUE 1 45,460.8 4 AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE AMOUNT CERTIFIED 45,460.86 (Line 3 less Line 6) 150,517.92 (Attach explanation if amount certified di fers from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) RANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT. T otal changes approved in previous months by Owner 968. 4,461.8 B Date: T otal approved this Month 0,0C 0.0 TOTALS 968.0 4,461.8 This Certificate is not negotiable. The AMOUNT" CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order 3,493.8 the Owner or Contractor under this Contract. AIA Document G702 —1992. Copyright O 1953, 1963, 1965, 1978 and 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. This document was produced by AIA software at 14 :46:42 on 0912812oo9 under order No.1000379239_1 which expires on 1112112010, and Is not for resale. User Notes: (044330800) Document 703 1992 Continuation Sheet AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 001 containing Contractor's signed certification is attached. APPLICATION DATE: 09/28/2009 In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 09/30/2009 ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED TOTAL, MATERIALS ITEM SCHEDULED FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE DESCRIPTION OF WORK PREVIOUS AND STORED FINISH (IF VARIABLE NO. VALUE APPLICATION THIS PERIOD STORED (NOT TO DATE (C y C) (C G) RATE) D E IN D OR E) (D +E +F) 1 General Conditions 27,825 0 13,913 0 13,913 50.00% 13,913 0 2 Sitework 9,135 0 7,308 0 7,308 80.00% 1,827 0 3 Concrete 7,918 0 3,167 0 3,167 40.00% 4,751 0 4 Masonfy 40,000 0 8,000 0 8,000 20.00% 32,000 0 5 Metals 1,663 0 0 0 0 0.00% 1,663 0 6 Wood Plastic 17,539 0 7,016 0 7,016 40.00% 10,523 0 7 Thermal Moisture 16,850 0 4,213 0 4,2I3 25.00% 12,638 0 8 Doors Windows 18,406 0 0 0 0 0.00% 18,406 0 9 Finishes 9,215 0 0 0 0 0.00% 9,215 0 10 Mechanical 10,700 0 4,280 0 4,280 40.00% 6,420 0 I1 Electrical 27,172 0 2 0 2,717 10.00% 24,455 0 12 OH P 13,050 0 3,393 0 3,393 26,00% 9,657 0 13 ITax Credit -4,462 0 -4,462 0 -4,462 100-00% 0 0 14 Add'1 water line work 968 0 968 0 968 100-00% 0 0 0 0 0 0 0 0.00% 0 0 0 0 0 0 0 0.00% 0 0 0 0 0 0 0 0.00% 0 0 0 0 0 0 0 0.00% 0 0 0 0 0 0 0 0.00% 0 0 0 0 0 0 0 0.00% 0 0 GRAND TOTAL $195,9791 $0 $50,512 $0 $50,512 25.77% $145;467 $0 AIA Document G703- -1892. Copyright C 1963, 1965, 1966, 1967,1970, 1978, 1983 and 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 1 prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 14:41:45 on 09/28/2009 under Order No.1000379239_ which expires on 1112112010. and is not for resale. User Notes: (1749310022) �A�'ITC3L CQNS1 WCTION' 'SERVICES, -INC. AFFIDAVIT. RELEASE, AND WAIVER OF LIEN 1, Brett Williams being duly sworn, state that Capitol Construction Services, Inc. has contracted with The Museum of Miniature Houses and Other Collections LLC to furnish certain materials andlor labor for the following: Job Number: 4321 App, No.: 1 known as: The Museum of Miniature Houses for which Capitol Construction Services, Inc. serves as contractor and do hereby further state on behalf of the aforementioned Subcontractor /Supplier: AFFIDAVIT: (PARTIAL WAIVER) There is due from The Museum of Miniature Houses and Other Collections LLC the sum of Fourty five thousand four hundred sixty and 861100 Dollars 45,460.86 Receipt of which is hereby acknowledged; or X) The payment of which has been promised as the, sole consideration of this Affidavit, Release, and Partial Waiver of Lien which is given soley with respect to said amount, and is effective only upon receipt of such payment. a(FINAL WAIVER) The final balanoe due from The Museum of Miniature Houses and Other Collections LLC 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, Release, 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 liens or claims whatsoever on the above- described property and improvements thereon on of labor, material, and /or services provided by the undersigned, subject to the limitations or conditions expressed herein, if any: and further releases claims of any nature against the Owner and /of The Museum of Miniature Mouses and Other Collections LLC on account of the labor, materials, and/or services provided, or which should have been provided, again subject to the limitations or oonditions expressed herein, if any. The undersigned further certifies that all parties who have provided labor, materials, and /or services for said work have been fully paid, or will be fully paid out of the payment contemplated herein, if any, such that no other party has or shall have any claim or right to a lien on account of labor, materials, and/or services provided to the undersigned for said project and within the scope of this Affidavit, Release, and Waiver of Lien. Should any claim, lien, demand or other action be filed or otherwise asserted based upon labor, materials, and/or services covered by this Affidavit, Release, and Waiver or Lien, the undersigned further agrees to defend, indemnify and hold the Owner and The Museum of Miniature Houses and Other collections LLC harmless therefrom, including payment of the reasonable attorneys fees and other costs incurred by the Owner and/or The Museum of Miniature Houses and Other Collections LLC in connection therewith. I SWEAR OR AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FOREGOING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE. Capitol Construction Services, Inc. VP of Operations (Qnaturs of &fiCer) (Title) Subscribed and sworn to before me this 28 day of September 2009 (Day) (Month) STATE OF INDIANA r COUNTY OF Hamilton qr �D (Notary Republic) My Commission Expires: 1 111 5/200 9 Jill Foster (Printed) 317.574.5488 Fax: 317.574.5482 10412 Allisonville Road, Suite 100 Fishers, IN 46038 JILL M. FOSTER NOTARY PUBLIC SEAL STATE OF INDIANA My Commission Expires Nov. 15, 2009 RICHAR ®SON, MUNSON, AND WEAR A R C H I T E C T S S P A C E P L A N H E R S i N T E R 1 0 R D E S I G N E R S Suzanne L.andshof The Museum of Miniature Houses 1008 Larkspur Circle Carmel, IN 46033 INVOICE FOR SERVICES RENDERED Invoice Date:. May 7, 2009 Job 4328 Project Name: The Museum of Miniature Invoice 4328 -4 Houses Addition For architectural and engineering services rendered, and to be rendered, in accordance with our proposal of March 27, 2008, the following amounts are now due: Proposal of 3/27108 Now Due (4328 -4) Total Fee 8,500.00 8,100.00 Subtotal for Fees: 8,100.00 ADDITIONAL ARCHITECTURAL AND ENGINEERING WORK For additional work done in connection with the new lowered crawl space area, including sump pit and pump, special peri- meter drainage, etc. 1. Mechanical I Electrical Engineer: Design, detail and specify sump pump system and its drainage. M/E Engineer 3.5 hrs. $110 /hr. 385.00 2. Architectural: Draftsman revise floor plans and sections to incorporate lowered crawl space area. Design, detail, and specify perimeter drainage and waterproofing systems. Architectural Principal 12 hrs. $125/hr. 1,500.00 Architectural Designer -10 hrs. $75 /hr. 750.00 Total of Additional Work on This Invoice: 2,635.00 Additional Work From Previous Invoices: #4328 -2 6,062.50 #4328 -3 3,200.00 9,262.50 Subtotal for Additional Work: $11,897.50 Page 1 of 2 3901 WEST 86TH STREET INDIANAPOLIS, INDIANA 46268 1 1 7 .4 7 7.Il 1 A 1: A V 1 1 7 -0 7 7.0 r1 A 0 ARCHITECTURAL RENDERING SURVEYING SERVICES SITE ENGINEERING WORK In accordance with our proposal of October 1, 2008, the following amounts are now due: OCT. 1 PROPOSAL Npyl4/ D Architectural Rendering Surveying Services 990.00 990.OQ Site Engineering Work $1,925.00 $1,925.00 $5,2$0.00 $4,664.25 Subtotal for Rendering Surveying Site Engineering 7,579,25 TOTAL. FEES NOU41 DUE FOR: Architectural Work, Ren�derr_ncr purveying, Site Enai_ n and Additional 4A/ork LESS PREVIOUS FEE PAYI�IiEN7'S 9110108 8,500.00) 11/07/08 5,777.50) 2124109 4,833.0Q) Total Fees Now Due: 8,466.25 REllilIBURSIBLE EXPENSES State Plan Review Fee City Digital Imaging #02- 101586 (3/26) 150.00 City Digital Imaging #IY00010263 (4/24) 23.52 City Digital Imaging #IY00010430 (5104) 19.83 City Digital Imaging #IY00010498 (5/07) 30.45 &--M-4,E Total Reimbursable Ex enses Now Due: 254.25 TOTAL AMOUNT DUE THIS INVOICE (43280 8,720.50 TERMS: NET DUE UPON RECEIPT LA 5� Page 2 of 2 Application Cover Sheet Carmel Redevelopment Commission Grant Request City of Carmel, Indiana Property Owner /s Museum of Miniature Houses And Other Collections, Inc. Property Location 111 East Main Street Describe Proposed Facade Renovation Project (Please note: this is not a maintenance, up -keep building program) The museum has successfully completed Phase I of the Museum Addition Project to enlarge the facility. A feasibility study was completed this year, thanks to a Carmel Arts Fund Grant and HCCVB grant, which also allowed us to update areas of our existing building, inside and out. Phase II wilt add approximately 850 sq. ft., one half the size of our current facility. It will enable us to conduct more programs (badge programs for Girl Scouts, meetings of local clubs, bus tour groups) and expand our exhibit space. It will include windows on Main Street with exhibits to attract people to stop and visit. This will be a unique addition to the Arts Design District. Total Estimated Cost of Renovation Project $205,372.61 Grant Request (up to $5,000.00) $30,000 Attachments: _X _Photographs XDescription of the Rehabilitation i Project Schedule Other (please describe Signature of Owner(s) Date Mailing Address 111 East Main Street, Carmel, IN 46032 MUSEUM OF MINIATURE HOUSES 1441 111 EAST MAIN STREET 40 CARMEL, IN 46032 317 -575 -9466 Bafc NATIONAL CITY NP 1 :074000065°: 985:6939511' i44 i Museum of Miniature Houses Other Collections, Inc. 111 East Main Street Carmel, IN 46032 4118/2008 Richardson, Munson Weir **1,500.00 One Thousand Five Hundred and 00/ 100 Richardson, Munson &Weir CLEAR HCCVB architect fee Richardson, Munson Weir 4/18/2008 1,500.00 Show, Fifth Third HCCVB architect fee 1,500.00 Richardson, Munson Weir 4/18/2008 1,500.00 Show, Fifth Third HCCVB architect fee 1,500.00 Museum of Miniature Houses Other Collections, Inc. 111 East Main Street Carmel, IN 46032 11/712008 Richardson, Munson Weir *6,174.22 Six Thousand One Hundred Seventy -Four and 2.21 100 Richardson, Munson Weir GL. Aj HCCVB architect fee Richardson, Munson Weir 11/7/2008 6,174.22 Show, Fifth Third HCCVB architect fee 6,174.22 Richardson, Munson Weir 11/712008 6,174.22 Show, Fifth Third HCCVB architect fee 6,174.22 Museum of Miniature Houses Other Collections, Inc. 111 East Main Street Carmel, IN 46032 1/10/2009 Richardson, Munson Weir *4,978.24 Four Thousand Nine Hundred Seventy -Eight and 24 /1100www w ww ww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww *wwwwww*wwwww Richardson, Munson Weir A[) HCCVB architect fee Richardson, Munson Weir 1/10/2009 4,978.24 Show, Fifth, Third HCCVB architect fee 4,978.24 Richardson, Munson Weir 1/1012009 4,978.24 Show, Fifth Third HCCVB architect fee 4,978.24 1Vluseum of Miniature Houses Other Collections, Inc. 111 East Main Street Carmel, IN 46032 9/10/2008 Richardson, Munson Weir *8,520.22 Eight Thousand Five Hundred Twenty and 22/100 Richardson, Munson Weir GL AR architect fees Richardson, Munson Weir 9/10/2008 8,520.22 checking National Cit architect fees 8,520.22 Richardson, Munson Weir 9/10/2008 8,520.22 checking National Cit architect fees 8,520.22 Museum of Miniature Houses Other Collections, Inc. 111 East Main Street Carmel, IN 46032 5/21/2009 Richardson, Munson Weir *8,720.50 Eight Thousand Seven Hundred Twenty and 50/100 i'" Richardson, Munson &Weir CLEA architect fees Richardson, Munson Weir 5/2112009 8,720.50 checking National Cit architect fees 8,720.50 Richardson, Munson Weir 5/21/2009 8,720.50 checking National Cit architect fees 8,720.50 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 Tl,- 4sr�u 4/41v' e- �`ovs r� Purchase Order No. Terms /6:23 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3� /may 6r'�17 Gi �X i i�s Fi. �O 011lJrli'a s. o Total 30,000 _UQ 1 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 E7Y IFU� CT /lrrJ /y�e/ U IN SUM OF X2:3 0 0 6 0n COO ON ACCOUNT OF APPROPRIATION FOR 9o2�y,� s yG� /2 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 3oorvx. )o 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 s 20 d9 Sig tore Director of Operations Cost distribution ledger classification if Title claim paid motor vehicle highway fund