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213573 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 204045 Page 1 of 1 0 ` ONE CIVIC SQUARE MILESTONE CONTRACTORS,L P CARMEL, INDIANA 46032 PO BOX 635464 CHECK AMOUNT: $603,644.04 CINCINNATI OH 45263-5464 CHECK NUMBER: 213573 CHECK DATE: 101912012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350200 26283 101019-03 475, 990 . 00 PAVING 2201 4350200 121019-04 127, 654 . 04 STREET REPAVING Progress Billing Invoice From: Milestone Contractors,L.P. Invoice 4: 121019-04 P. O.Box 635464 Date: 10/1/2012 Cincinnati, OH 45263-5464 Project:CITY OF CARMEL 2012 PAVING To: CITY OF CARMEL-ENG DEPT. Our Contract No. 121019- 1 CIVIC SQUARE Payment Terms NET 30 CARMEL,IN 46032 From: I �LIIiI� ►IL��I�L11��1l��,� IL„11 To: Customer No: 225 Customer Ref: For Billiniz Inquiries,Please Call: Andrea Miller 317-616-4895: Amount Bill Number: 4 Project: CITY OF CARMEL 2012 PAVING ORIGINAL CONTRACT 2,902,758.77 CHANGE ORDERS 0.00 CURRENT.CONTRACT 2,902,758.77 CURRENT BILLING THIS ESTIMATE 127,654.04 LESS RETAINAGE WITHHELD 0100 ADD RETAINAGE RELEASED 0.00 DUE THIS ESTIMATE 127,654.04 VALUE OF WORK TO DATE 3,042,9G`.15 , LESS RETAINAGE WITHHELD 0.00 TOTAL 3,042,966.15 i LESS PREVIOUS INVOICE 2,915,312.11 SUB TOTAL DUE THIS ESTIMATE 127,654.04 Please Pay From This Invoice j No Statement Issued Ji i l Progress Billing Detail From: Milestone Contractors,L.P. Invoice#: 121019-04 P.O. Box 635464 Date: 10/1/2012 Cincinnati, OH 45263-5464 To: CITY OF CARMEL-ENG DEPT. Customer No: 225 1 CIVIC SQUARE From: CARMEL,IN 46032 To: Payment Terms NET 30 Customer Ref: Contract: 121019- UnitsBilled AmtBilled Cont Description Contract Contract Quantity Quantity U/M Unit Amount Amount Item Amount Quantity This Period JTD Price This Period To-Date 1 AET OR AE 150 TAC 32,000.00 32,000.000 900.000 19,925.000 GAL 1.000 900.00 19,925.00 2 9.5 TYPE B SURFACE 2,311,729.50 41,466.000 2,213.920 41,446.830 TON 55.750 123,426.04,310,660.77 3 BAD SPOTS CUT/REMOVED 37,500.00 500.000 0.000 0.000 SY 75.000 0.00 0.00 4 MILLING 262,458.00 262,458.000 0.000 276,516.730 SY 1.000 0.00 276,516.73 5 BUTT JOINTS 0.00 0.000 0.000 0.000 SF 10.000 0.00 0.00 6 BLUE REFLECTORS 9,984.00 192.000 64.000 252.166 EA 52.000 3,328.00 13,112.65 7 4 IN.DOUBLE YELLOW SOLID 44,291.52 52,728.000 0.000 0.000 LF 0.840 0.00 0.00 8 8 IN.SOLID YELLOW 1,811.04 2,156.000 0.000 0.000 LF 0.840 0.00 0.00 9 4 IN.SOLID YELLOW&4 IN.SKIP YELLOW 1,449.00 3,450.000 0.000 0.000 LF 0.420 0.00 0.00 10 4 IN.SKIP YELLOW 141.70 218.000 0.000 0.000 LF 0.650 0.00 0.00 11 12 IN.YELLOW CROSSHATCH 2,231.04 448.000 0.000 0.000 LF 4.980 0.00 0.00 12 4 IN.SOLID WHITE 21,597.24 51,422.000 0.000 0.000 LF 0.420 0.00 0.00 13 4 IN.SKIP WHITE 1,543.92 3,676.000 0.000 0.000 LF 0.420 0.00 0.00 14 6 IN.WHITE CROSSHATCH 520.00 208.000 0.000 0.000 LF 2.500 0.00 0.00 15 12 IN.WHITE CROSSHATCH 383.46 77.000 0.000 0.000 LF 4.980 0.00 0.00 16 6 IN.WHITE CROSSHATCH 3,702.50 1,481.000 0.000 0.000 LF 2.500 0.00 0.00 17 24 IN.WHITE STOPBARS 6,616.75 665.000 0.000 0.000 LF 9.950 0.00 0.00 18 LANE INDICATOR ARROWS 4,940.00 38.000 0.000 0.000 EA 130.000 0.00 0.00 19 ONLY'S 3,465.00 21.000 0.000 0.000 EA 165.000 0.00 0.00 20 24 IN.WHITE PIANO KEYS 776.10 13.000 0.000 0.000 EA 59.700 0.00 0.00 21 COMBINATION ARROWS 660.00 2.000 0.000 0.000 EA 330.000 0.00 0.00 22 SCHOOL 750.00 2.000 0.000 0.000 EA 375.000 0.00 0.00 100 CONCRETE CURB REPLACEMENT 152,588.00 4,124.000 0.000 11,293.000 LF 37.000 0.00 417,841.00 200 4 FT.MEDIAN 720.00 12.000 0.000 0.000 LF 60.000 0.00 0.00 300 SIDEWALK 900.00 9.000 0.000 49.100 SY 100.000 0.00 4,910.00 400 CALCIUM(1%PER CU.YD.) 0.00 0.000 0.000 0.000 CY 4.000 0.00 0.00 500 HIGH EARLY(lea PER C),YD.) 0.00 0.000 0.000 0.000 CY 5.000 0.00 0.00 Page I of') I Progress Billing Detail LL" From: Milestone.Contractors,L.P. Invoice#: 121019-04 P. 0. Box 635464 Date: 10/1/2012 Cincinnati,OH 45263-6464 To: CITY OF CARMEL-ENG DEPT. Customer No: 225 1 CIVIC SQUARE From: CARMEL,IN 46032 Payment Terms NET 30 Customer Ref: Contract: 121019- UnitsB illed AmtB illed I t f Original Contract 2,902,758.77 Total Billed This Period To Date: _ 127,654.04 3,042,966.15 Change Orders to Date: 0.00 Less Retainage: 0.00 0.00 i Current Contract 2,9 ,758.77 Less Previous Applications: 0.00 2,915,312.11 Percent Complete: 104.83% Total Due This invoice: 127,654,04 127,654.04 Page 2 of 2 1 PARTIAL Payment to Follow AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA } } SS, COUNTY OF MARION ) being duly sworn states that he is the Project Control of MILESTONE CONTRACTORS„ L.P. having contracted with CITY OF CARMEL - ENG DEPT, to furnish certain materials and/or labor as follows: ASPHALT PAVING for a project known as 9XJY OF CARMEL 2012 PAVING. MCLP Job# 121019, located at CARMELx IN and owned by CITY OF and does further state: PARTIAL WAIVER: that the balance due from the owner is the sum of one hundred hvenly-seven thousand six hundred My-four and 04/100 Dollars$127,654.04 f the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien f which is given to and for said amount,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,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 waiver. MILESTONE CONTRACTORS, L.P. Project Control Subscribed and sworn to before me this: 1st daY of October. 2012 Notary Public: imberly A Oiler My Commission Expires:January 02,2020 County of Residence:MARIO 1 Progress Billing Invoice PAJ Lqep From: Milestone Contractors,L.P. Involce#; 121019-03 P. O. Box 635464 Cincinnati, OH 45263-5464 Date: 9/24/2012 Project:CITY OF CARMEL 2012 PAVING Our Contract No. 121019- To: CITY OF CARMEL-LNG DEPT. 1 CIVIC SQUARE Payment Terms NET 30 CARMEL,IN 46032 From: 9/6/2012 IIflllll� llll��ll�����ll���l�l To: 9/21/2012 Customer No: 225 Customer Ref: For Billiniz Inquiries,Please Call: Andrea Miller 317-616-4895: Amount Bill Number: 3 Project: CITY OF CARMEL 2012 PAVING I ORIGINAL CONTRACT 2,902,758.77 CHANGE ORDERS 0.00 CURRENT CONTRACT 2,902,758.77 CURRENT BILLING THIS ESTIMATE 475,990.00 LESS RETAINAGE WITHHELD 0.00 ADD RETAINAGE RELEASED 0.00 DUE THIS ESTIMATE 475,990.00 t VALUE OF WORK TO DATE 2,915,312.11 j LESS RETAINAGE WITHHELD 0.00 TOTAL 2,915,312.11 LESS PREVIOUS INVOICE 2,439,322.11 SUB TOTAL DUE THIS ESTIMATE 475,990.00 I Please Pay From This Invoice i No Statement Issued f� E I Progress Billing Detail From: Milestone Contractors,L.P. Invoice#: 121019-03 P. O. Box 635464 Date: 9/24/2012 Cincinnati,OH 45263-5464 To: CITY OF CARMEL-ENG DEPT. Customer No: 225 1 CIVIC SQUARE From: 9/6/2012 CARMEL,IN 46032 il,iIiIIiJI,iiiiiiiiill1,11,lilliviJliril,l To: 9/2112012 Payment Terms NET 30 Customer Ref: Contract: 121019- UnitsBilled AmtBilled Cent Description Contract Contract Quantity Quantity U1M Unit Amount Amount Item Amount Quantity This Period JTD Price This Period To-Date I AET OR AE 150 TAC 32,000.00 32,000.000 3,400.000 19,025.000 GAL 1.000 3,400.00 19,025.00 2 9.5 TYPE B SURFACE 2,311,729.50 41,466.000 7,204.670 39,232.910 TON 55.750 401,660.35,187,234.73 3 BAD SPOTS CUT/REMOVED 37,500.00 500.000 0.000 0.000 SY 75.000 0.00 0.00 4 MILLING 262,458.00 262,458.000 61,145.000 276,516.730 SY 1.000 61,145.00 276,516.73 5 BUTTJOINTS 0.00 0.000 0.000 0.000 SF 10.000 0.00 0.00 6 BLUE REFLECTORS 9,984.00 192.000 188.166 188.166 EA 52.000 9,784.65 9,784.65 7 4 IN.DOUBLE YELLOW SOLID 44,291.52 52,728.000 0.000 0.000 LF 0.840 0.00 0.00 8 8 IN.SOLID YELLOW 1,811.04 2,156.000 0.000 0.000 LF 0.840 0.00 0.00 9 4 IN.SOLID YELLOW&4 IN.SKIP YELLOW 1,449.00 3,450.000 0.000 0.000 LF 0.420 0.00 0.00 10 4 IN.SKIP YELLOW 141.70 218.000 0.000 0.000 LF 0.650 0.00 0.00 11 12 IN.YELLOW CROSSHATCH 2,231.04 448.000 0.000 0.000 LF 4.980 0.00 0.00 12 4 IN.SOLID WHITE 21,597.24 51,422,000 0.000 0.000 LF 0.420 0.00 0.00 13 4 IN.SKIP WHITE 1,543.92 3,676.000 0.000 0.000 LF 0.420 0.00 0.00 14 6 IN.WHITE CROSSHATCH 520.00 208.000 0.000 0.000 LF 2.500 0.00 0.00 15 12 IN.WHITE CROSSHATCH 383.46 77.000 0.000 0.000 LF 4.980 0.00 0.00 16 6 IN.WHITE:CROSSHATCH 3,702.50 1,481.000 0.000 0.000 LF 2.500 0.00 0.00 17 24 IN.WHITE STOPBARS 6,616.75 665.000 0.000 0.000 LF 9.950 0.00 0.00 18 LANE INDICATOR ARROWS 4,940.00 38.000 0.000 0.000 EA 130.000 0.00 0.00 19 ONLY s 3,465.00 21.000 0.000 0.000 EA 165.000 0.00 0.00 20 24 IN.WHITE PIANO KEYS 776.10 13.000 0.000 0.000 EA 59.700 0.00 0.00 21 COMBINATION ARROWS 660.00 2.000 0.000 0.000 EA 330.000 0.00 0.00 22 SCHOOL 750.00 2.000 0.000 0.000 EA 375.000 0.00 0.00 i 100 CONCRETE CURB REPLACEMENT 152,588.00 4,124.000 0.000 11,293.000 LF 37.000 0.00 417,841.00 200 4 FT.MEDIAN 720.00 12.000 0.000 0.000 LF 60.000 0.00 0.00 300 SIDEWALK 900.00 9.000 0.000 49.100 SY 100.000 0.00 4,910.00 400 CALCIUM(1%PER CU.YD.) 0.00 0.000 0.000 0.000 CY 4.000 0.00 0.00 500 HIGH EARLY(I%PER CU.YD.) 0.00 0.000 0.000 0.000 CY 5.000 0100 0.00 Page 1 of 2 7 Progress Billing Detail From: Milestone Contractors,L.P. Invoice#: 121019-03 P.O. Box 635464 Date: 9/24/2012 Cincinnati, OH 45263-5464 To: CITY OF CARMEL-ENG DEPT. Customer Na: 225 1 CIVIC SQUARE CARL,IN 46032 From: 9/6/2012 ME To: 9/21/2012 Payment Terms NET 30 Customer Ref: Contract: 121019- UnitsBilled AmtBilled I ,1 Original Contract 2,902,758.77 Total Billed This Period To Date: 475,990.00 2,915,312.11 Change Orders to Date: 0.00 Less Retainage: 0.00 0.00 Current Contract 2,902.758.77 Less Previous Applications: _ 0.00 2,439,322.11 Percent Complete: 100.43% Total Due This Invoice: 475,990.00 475,990.00 I Page 2 of 2 a PARTIAL Payment to Follow AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) SS: COUNTY OF MARION ) being duly sworn states that he Is the Proiect Control of MILESTONE CONTRACTORS, L.P. having contracted with CITY OF CARMEL- ENG DEPT, to furnish certain materials and/or labor as follows: ASPHALT PAVING for a project known as CITY OF CARMEL 2012 PAVING, MCLP Job# 121019, _located at CARMEL, IN and owned by CITY OF CARMEL and does further state: PARTIAL WAIVER: that the balance due from the owner is the sum of four hundred sevent,L five thousand nine hundred Who and=/100 Dollars $475.990.00 the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount,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,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 waiver. MILESTONE CONTRACTORS, L.P. 1711 Project Control Subscribed and sworn to before me this: 24th day of September. 2012 Notary Public Kimberly A Oiler My Commission Expires:January 02.2020 County of Residence:MARION VOUCHER NO. WARRANT NO. ALLOWED 20 Milestone Contractors, L.P. IN SUM OF $ P. O. Box 635464 Cincinnati, OH 45263-5464 $603,64.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 121019-03 43-502.00 $12,533.34 1 hereby certify that the attached invoice(s), or 26283 121019-03 43-502.00 $463,436.6 bill(s) is (are) true and correct and that the 2201 121019-04 43-502.00 $127,654.0 materials or services itemized thereon for which charge is made were ordered and received except � r m Friday, October 05, 2012 j.1;' Str� e�#oCommissloner Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/24/12 121019-03 $12,533.34 09/24/12 121019-03 $463,436.66 10/01/12 j 121019-04 $127,654.04 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