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Home My WebLink About215710 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 204045 Page 1 of 1 1 � ONE CIVIC SQUARE MILESTONE CONTRACTORS,L P CHECK AMOUNT: $3,000.00 CARMEL, INDIANA 46032 PO BOX 635464 CINCINNATI OH 45263-5464 CHECK NUMBER: 215710 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350200 121012-10 3 , 000 . 00 STREET REPAVING PAA Progress Billing Invoice L From: Milsslome Contractors,L.P. Invoice#: 121019-10 P. Q. Box 635464 Date: 12/13/2012 Cincinnati, OHI 45263-5464 Project:CITY OF CARMEL 2012 PAVING Our Contract No. 121019- 1 To: CITY O-F CARMEL-ENG DEPT. 1 CIVIC SQUARE Payment Terms NET 30 CARMEL, IN 46032 From: To: Customer No: 225 Customer Ref; For Billing Inquiries,Please Call: Andrea Miller 317-616-4895: f Amount Bill Number. 10 Project: CITY OF CARMEL 2012 PAVING j I ORIGINAL CONTRACT 2,902,758.77 i CHANGE ORDERS 3,000.00 i CURRENT CONTRACT 2,905,758.77 CURRENT BILLING THIS ESTIMATE 3,000.00 LESS RETAINAGE WITHHELD 0.00 ADD RETAINAGE RELEASED 0.00 _ DUE THIS-ESTIMATE- ._ ._ _ _ _ __3,000.00 VALUE OF WORK TO DATE 3,157,656.59 j LESS RETAINAGE WITHHELD 0.Q0 } TOTAL 3,157,656.59 LESS PREVIOUS INVOICE 3,154,656.59 SUB TOTAL DUE THIS ESTIMATE 3,000.00 Please Pay From This Invoice No Statement Issued I I Progress Billing Detail L From: Milestone Contractors,L.P. Invoice#: 121019-10 P. O. Box 635464 Date: 12/13/2012 Cincinnati, OH 45263-5464 To: CITY OF CARMEL-ENG DEPT. Customer No: 225 I CIVIC SQUARE F rorrr CARMEL,IN 46032 To: Payment Terns NET 30 Customer Ref: Contract: 121019- UnitsBilled AmtBilied Cont Description Contract Contract Quantity Quantity UIM Unit Amount Amount Item Amount Quantity This Period JTD Price This Period To-Date 1 AEr OR AE 150 TAC 32,000.00 32,000.000 0.000 19,925,000 GAL 1,000 0.00 19,925.00 2 9.5 TYPE B SURFACE 2,311,729.50 41,466.000 0.000 41,469.413 TON 55.750 0.00,311,919,77 3 BAD SPOTS CUTIREMOVED 37,500.00 500.000 0.000 0,000 SY 75,000 0.00 0.00 4 MILLING 262,458.00 262,458,000 0.000 302,340,930 SY 1.000 0,00 302,340.93 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 0.000 400.557 EA 52.000 0.00 20,829,00 7 4 IN.DOUBLE YELLOW SOLID 44,291.52 52,728,000 0.000 29,350.000 LF 0.840 0.00 24,654.00 8 8 IN.SOLID YELLOW 1,811.04 2,156.000 0.000 5,577,000 LF 0.840 0.00 4,684.68 9 4 IN.SOLID YELLOW&41N.SKIP YELLOW 1,449.00 3,450.00D 0.000 265,000 LF 0,420 0.00 111,30 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 0.000 873.000 LF 4.980 0.00 4,347,54 12 4IN.SOLID WHITE 21,597.24 51,422.000 0.000 61,842.000 LF 0.420 0.00 25,973.64 13 4 IN.SKIP WHITE 1,543.92 3,676.000 0.000 544.000 LF 0.420 0.00 228.48 14 6 IN.WHITE CROSSHATCH 520.00 208.000 0.000 151.000 LF 2.500 0.00 377.50 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 0.000 170.000 LF 2.500 0.00 425.00 17 24 IN.WHITE STOPBARS 6,616.75 665,000 0.000 383.000 LF 9.950 0.00 3,810.85 I 18 LANE INDICATOR ARROWS 4,940.00 38.000 0.000 43.000 EA 130.000 0.00 5,590,00 _19. ONLYS _ _ 3,465.00. .. --21.000- -- -. 0.000-- 38.000- _EA_ -165.000 - - - 0.00--6,270.00 20 24 IN,WHITE PIANO KEYS 776.10 13.000 0.000 7.000 EA 59,700 0.00 417.90 .21 COMBINATION ARROWS 660.00 2.000 0,000 0.000 EA 330.000 0.00 0.00 I 22 SCHOOL 750.00 2.000 0.000 0.000 EA 375,000 0,00 0.00 50 MONUMENTS 3,000.00 5.000 5.000 .5.000 EA 600.000 3,000.00 3,000.00 100 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(1%PER CU.YD,) 0.00 0.000 0.000 0.000 CY 5,000 0.00 0,00 i I i S I I Page 1 of 2 Progress Billing Detail From: Milestone Contractors,L.P. Invoice#: 121019-10 P. O. Box 635464 Date: 12/13/2012 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 AmtBille f f Original Contract 2,902,758.77 Total Billed This Period To Date: _ 3,000.00 3,157,656.59 i Change Orders to Date: 3,000.00 Less Retainage: 0.00 0.00 Current Contract 2.905,758.77 Less Previous Applications: 0.00 3,154,656.59 Percent Complete: 108.67% Total Due This Invoice: 3,040.00 3,000.00 f I Page 2 of 2 PARTIAL Ilk � 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: MONUMENTS for a project known as 01Y 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 three thousand and xx/100 Dollars $3,000.0 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. I 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. - I Project Control ` 1 Subscribed and sworn to before me this:_136h day of December, 2012 Notary Public: /4� � 0JJ_Ak_ I K beriy A Oiler My Commission.Expires:January 02,2020 I County of Residence:MARION I 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Milestone Contractors, L.P. IN SUM OF $ P. O. Box 635464 Cincinnati, OH 45263-5464 $3,000.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 121012-10 I 43-502.001 $3,000.00 1 hereby certify that the attached invoice(s), or 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 Friday, December 14,/ 012 r , Street Commissioner 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)) 12/13/12 121012-10 $3,000.00 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