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Home My WebLink About219529 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 367100 Page 1 of 1 �. ONE CIVIC SQUARE VERKLER INC CHECK AMOUNT: $33,468.00 CARMEL, INDIANA 46032 7240 GEORGETOWN ROAD INDIANAPOLIS IN 46268 CHECK NUMBER: 219529 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460877 RET-01 33 , 468 . 00 MONON PASS THROUGH 5 APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION AIA DOCUMENT G702 1CMa PAGE ONE OF PAGES TO: City of Carmel Redevelopment Commission PROJECT: City of Carmel-Monon Stairs and Limestone Walls APPLICATION NO: RET-01 Distribution To: 30 West Main Street City Center Drive and Monon Trail PERIOD TO: 430/2013 ❑OWNER Carmel,IN 46032 Carmel,IN 46032 PROJECT NOS: 12-005 ❑CONSTRUCTION MANAGER FROM: Verkler Incorporated CONTRACT DATE: 6/22/2012 ❑ARCHITECT 7240 Georgetown Road ❑CONTRACTOR Indianapolis,IN 46268 VIA CONSTRUCTION MANAGER: REI Construction,LLC CONTRACT FOR:Parcel 77 VIA ARCHITECT: CSO Architects,Inc. CONTRACT'OR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,Infor- Application is made for payment, as shown below, in connection with the Contract. matron and belief the Work covered by this Application for Payment has been completed in Continuation Sheet, AIA Document G703, is attached. accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments 1. ORIGINAL CONTRACT SUM . . . . . . . . . . . . . . . . . .$ $389,550.00 received from the Owner,and that current payment shown herein is now due. 2. Net Change by Change Orders . . . . . . . . . . . . . . . . .$ ($5,487.00) 3. CONTRACT SUM TO DATE CON't • 70R: (Line I z 2). . . . . . . . . . . . . .$ $3844,063.00 6 4. TOTAL COMPLETED&STORED TO DATE. . . . . . . . . . . .$ $384.063.00 By:_ Date '4. 13 (Column G on G703) 5. RETAINAGE' State of: Indiana a. M%of Completed Work $ $0.00 County of Marion (Columns D+E on G703) Subscribed and sworn to before b. 0.00%of Stored Material me this 4th day of April,2013 (Column F on G703) $ $0.00 Total Retainage(Line 5a+5b or Total in Column 1 on G703) . . . . . . . . . . . . . . . . . . . . . .$ $0.00 6. TOTAL EARNED LESS RETAINAGE . . . . . . . . . . . $ $384,063.00 Notary Public:Janeane Arbuckle (Line 4 Icss Line 5 Total) My commission expires: March d,20 LESS PREVIOUS CERTIFICATE FOR PAYMENT. . . . . . . 7. . . .$ $350 595.00 CERTIFICATE FO YMENT S. CURRENT PAYMENT DUE $33,468.00 I In accordance with the Contract Documents, based on on-site observations and the data q. BALANCE TO FINISH INCLUDING RETAINAGE comprising the application,the Construction Manager and Architect certifies to the Owner that to the best of the their knowledge, information and belief the Work has progressed as (Line 3 less Line 6) $0.00 indicated,the quality of the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNTCERTIFIED . . . . . . . . . . . . . . . . . . . .. 33 � CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied for. Initial all Total changes approved in figures on this Application and on the Continuation Sh. that are changed to conform to previous months by Owner the amount certified.) CONSTRUG AGER: Total approved this Month $0.00 By: _ Date: TOTALS ARCHITECT: $0.00 1 $0.00 By; Date- NET CHANGES by ChanE Order ($5,487.00) This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without pLejudice to any rights of the Owner or Contractor under this Contract. AIA DOCiMIM 6702MMO•APPLICATION AND mnFIcAnoN FOR PAYMENT,1992 Emmom,AIA.01992.7M AMERICAN WSMUM OF AACHTTECTS.1735 NEW YORK AVENUE,N.W.,WASNrNOTON,DC 2000&5292,Ums m"obtU n r0 of tttb doo-Md OF req 1 21-9-9 s AIA t> +t D401-r mriai of Down eat t Aud mnrdh tiara the rraeeuee. ;f- CONTINUATIOWSHEET AIA DOCUMENT G703 PAGE 1 OF 4 PAGES AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,contalning APPLICATION'NUMBER: RET-01 Contractor's signed'Certification Is attached; APPLICATION DATE: In tabulations below; amounts are stated to the nearest dollar. TO: Use Column t on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 12-005 ARCHITECT'S PROJECT NO: I NET CHANGES by Change Order l ($5,487.00) , This Certificate is not negotiable. The AMOUNT CERTIMD is payable only to the Contractor named herein. Issuance, payment and acceptance of'payment are without prejudice to any rights of the Owner or Contractor under this Contract. A1A D00JM W 8702-APPLICATION AND CERTIFICA7M FOR PAY?. TEW-1992 EDMON-AIA-01992*THE AMERICAN tN3n rrEi OF ARCIDTECTs,17l3 NEW YORK AVENUE.N.W..WASMNaM,DC 2 ODW292-U$Mii may obfatn rattdstlam or tl1Ni Msnalen-by eequesahq a aon>ale>ed AILA Docu -DWM-certiticat5m of Doe mseWs Auttlanttdttr tram the Ucenaes 6702-1992 A B C. .. D E F G H # Description of Scheduled JPrevious Work Work Presently Total % Balance to Total Retainage Work Value Complete Completed from Stored Completed& Finish This Period Stored to Date General Conditions 01 Bonds and $9,000.00 $9,000.00 $0.00 $0.00 $9,000.00 100.00% $0.00 $0.00 Insurance 02 'Allowance $18,550.00 $18,550.00 $0.00 $0.00 $18,550.00 100.00% $0.00 $0.00 03 Mobilization $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100.00% $0.00 $0.00 04 Submittals• $9.000.00 $9,000.00 10.00 $0.00 $9,000.00 100.00% $0.00 $0.00 05- - Demobilization $2,000.00 '$2,000.00 $0.00 $0.00 $2,000:00 100.00% $0.00 $0.00 06 Project $2,000.00 42,000.00 $0.00 $0.00 $2,000.00 100.00% $0.00 $0.00 Closeout General Subtotal: $43,550.00 $43,550.00 $0.00 $0.00 $43,550.00 100.00% $0.00 $0.00 Conditions . City of Carmel- Parcel#77- Stairs 07 Earthwork at $8,000.00 $8,000.00 $0.00 $0.00 $8,000.00 100.00% $0.00 $0.00 stairs- Meterials 08 Earthwork at $22,000.00 $22,000.00 $0.00 $0.00 $22,000.00 100.00% $0.00 Stairs Labor 09 Plumbing- $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100.00% $0.00 $0.00 Material 10 -Plumbing ing- $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100.009'0 $0.00 $0.00, Labor 11 Stair Concrete- $15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 100.00% $0.00 $0.00 Material 12 Stair Concrete- ` $20,000.00 .$20,000.00 $0.00 $0.00 1 $20,000.00 100.00% $0.00 $0.00 Labor 13 Concrete Walks $3,000.00 $3.000.00 $0.00 $0.00 $3,000.00 100.00% $0.00 $0.00 -Material. 14 Concrete Walks $3,000.00' $3,000.00 $0.00 $0.00 $3;000.00 100.00% $0.00 `$0.00' -Labor , CONTINUATION-SHEET AIA DOCUMENT G703 PAGE 2 OF 4 PAGES AIA-DocumenY0702,APPLICATION AND CERTIFICATETOR PAYMENT,containing APPLICATION NUMBER: RET-01 Contractor's signed_Certification Is attached. APPLICATION DATE: In tabulations below, amounts'are stated rto the nearest dollar. TO: Use Column I on contracts where variable,retainage for line items may apply. CONTRACTOR'S.PROJECT NO : 12-005 ARCHITECT'S PROJECT NO: ,15 Limestone- $55,000.oO $30,000.00 $0.00 $25,000.00 $55,000.00 _ 100.00% $0.00 $0.00 Balustrades and Rails-Materials 16 Limestone-- $50,000.00 $50,000.00 $0.00 $0.00 $50,000.00 100.00% $0.00 $0.00 Balustrades and Rails-Labor '17 Waterproofing $1,000.00 $1,000.00 $0.00 $0.00 $1,000.00 100.00% $0.00 $0.00 Material 18 Waterproofing- $1,000.00 $1,000.00 $0.00 $0.00 $1,000.00 100.000/0 $0.00 $0.00 Labor 19 Sealants- $500.00 $500.00 $0.00 $0.00 $500.00 100.00% $0.00 $0.00 Material 20 Sealants- $500.00 $500.00 $0.00 $0.00 $5x0.00 100.00% $0.00 $0.00 Labor 21 Steel Railings- $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 $0.00 Material l 22 Steel Railings- $1,000.00 $1,000.00 $0.00 $0.00 $1,000.00 100.00% $0.00 $0.00 Labor 23 Painting- $500.00 $500.00 $0.00 $0.00 $500.00 100.00% $0.00 $0.00 Material 24 Paintin -Labor $500.00 $500.00 $0.00 $0.00 $500.00 100.00% $0.00 $0,00 25 Stainless'Steel- $9,000.00 $9,000.00 $0.00 $0.00 $9,000.00 100.00% $0,00 $0,00 Anchors and Pans-Material 26 'Stainless Steel- $2,000.00 $2,000,00 $0.00 $0.00 $2,000.00 100.00% $0.00 $0.00 Anchors and Pans-Labor 27 Retaining Wag $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00% $0.00 "$0.00 Earthvork- Material 28 Retaining.Wall '$5,000.00 $5,000,00 $0.00 $0.00 $5,000.00 100.000/0 $0.00 $0.00 Earthwork- Labor 29 Limestone $70,000.00 '$171,500.00 $0.00 $52,500.00 $70,000.00 100.00% $0.00 $0.00, Retaining Wall- Material 30 Limestone $20,000.00 $20,000.00 $0.00 $0.00 $20,000.00 100.00% $0.00 .'$0.00 Retaining Wag- 'Labor 31 Irrigation- $2,000.00 $2,000.00 $0.00 $0.00 $2,000.00 100.00% $0.00 $0.00 Material 32 Irrigation- $1,000.00 $1,000.00 $0.x0 $0.00 $1,000.00 100.00% $0.00 $0.00 Labor 33 Topsoil- $2,000.00 $2,000.00 $0.00 $0.00 $2,000.00 100.00% $0.00 Material $o.0a 34 TOP -Labor ;$1'000.00 $1 000.00 $0.00 $0.00 1,000.00. 100,00% 1$0.00 $0.00 CONTINUATION SHEET AAA DOCUMENT G703 PAGE 3 OF 4 PAGES AtA Document G702,APPLICATION'AND CERTIFICATE FOR PAYMENT,contalning APPLICATION NUMBER: RET=01 Contractor i3'slgned'Certlficatlon Is attached. APPLICATION DATE: In tabulations below,amounts'are stated to the'nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT-NO : 12-005 ARCHITECT'S PROJECT NO: 35 Sod-Material $2,000.00 .$2,000.00 $0.00 $0.00 '$2 000.00 100.00% $0.00 $0.00 '36 Sod-Labor $1',000.00 $1.000.00 -$0.00 1$0.00 $1,000.00 100.00% $0.00 37 Electrical- $20,000.00 $5,000.00 $0.00 $15,000.00 120,000.00 100.00% $0.00 $0.00 Material 38 Electrical- $14,000.00 $14,000.00 $0.00 $0.00 $14;000.00 100.00% $0.00 $0.00 Labor City of Cannel- Subtotal: . $346,000.00 $253,500.00 $0.00 $92,500.00 '$346,000.00 100.00% $0.00 $0.00 Parcel#77- Stairs CO#01,- Allowance ,Deduct _ 01 Allowance ($5,487.00) $0.00 ($5,487.00) $0.00 ($5,487.00) 100.00% $0.00 $0.00 Deduct CO#01 - Subtotal: '($5,487.00) $0.00 ($5,487.00) $0.00 ($5,487.00) 100.00% $0.00 $0.00 Allowance Deduct 'GRAND-TOTAL 1 $384,063.00 $297,050.00 ($5,487.00) $92,500.00 $384 063.00 1100.00% 1 $0.00 1-$0.00 - i CONSENT OF OWNER ❑ ARCHITECT ❑ SURETY COMPANY CONTRACTOR o TO FINAL PAYMENT OTHER ❑ A/A DOCUMENT.G707 PROJECT: Parcel 77 Stairs and Limestone Retaining Walls-City Center Drive and Monon Trail (name,address) TO(Owner) I ARCHITECTS PROJECT NO: City of Carmel, Indiana CONTRACT FOR: Bond#105760800 30 West Main Street,Suite 200 Carmel,IN 46032 CONTRACT DATE: June 22,2012 TRACTOR: Verifier,Inc. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the SURETY COMPANY,(here insert name and address of SwVy Company) ' Travelers Casualty and Surety Company of America, on bond of CONTRACTOR,(here insert name and address of Contractor) Verkler, Inc.,7240 Georgetown Road,Indianapolis,IN 46268, hereby approves of the final payment to the Contractor,,and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to OWNERS,(here insert name and address of owner) City of Carmel,Indiana;30 West Main Street,Suite 200, Carmel, IN 46032, as set forth in the said Surely Company's bond. IN WITNESS WHEREOF, the,Surety Company has hereunto set its hand this 5"' day of April,2013. 4q 14 ],0 'rl: Travelers Casualty and Surety Company of America . . Surety Company 2 .' r .416:k :4 ' . Signature of Authorized presentative k ` Attest:,'% 10 Seal}i' Robin_L.Young,Attorney-In-Fact :(, Title NOTE: This form is to be used as a compardon document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,Current Editn AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT-APRIL 1970 EDITION-AIA® ONE PAGE 0 1970-THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006 WARNING:T?ilS POWER OF ATTORNEY IS INVALID WITMOUT THE RED BORDER J-r , W. TRAVELERS Jt POWER OF ATTORNEY Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fine and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Attorney-In Fad No. 225457 Certiffeate No. 005395233 KNOW ALL MEN BY THESE PRESENTS:That Farmington Casualty Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the Stan of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint A L.Daniel, Sheri A.Lowden,Keith Corder,Pamela D.Christianson,Robin L.Young,and Rebecca Wilkinson of the City of IndianaPofis ,State of Indinna ,their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recagnizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to affixed,be signed and their'corporate seals to be hereto axed,this 6th day of March 2013 Farmington Creamily Company 4, St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Compan Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Pans Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company 61rammusilk * O�►M �1rG* �wr ..rr ry orb► '� ~ t►�: 1977 ' �.-,.� �/�,,,Vr`^ tit ;�� W 1951 senGF , g j 7y oo«,t brill Ja 3 use Nk State of Connecticut gy City of Hartford ss. Robert L RaW.K.V.Resident On this the 6W day of Mares 2013 ,before we personally appeared Robert L.Raney,who acknowledged edged himself W be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the putnoses therein contained by signing on behalf of the corporations by himself as a duly authorized officer. U(D In Witness Whereof,I hereunto set my hand and official seal.My Commission expires the 30th day of June,2016. Muie C.Tbtreauh.Notary Public 58440-8-t2 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WIMOUTTHE RED BORDER 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 V_er l er TnG Purchase Order No. -7240 6eoPgAiyn RJ, Terms 1Mj1dh6bJi5 4 Illy 269 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) _LP�0—(3 &U-01 L-AeAne &u proi ee r &YeJ77 33 4� eD Total 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 VerEr �C IN SUM OF $ 72-4 6 eor6 ul'n Rd- 00 ON ACCOUNT OF APPROPRIATION FOR I Board Members DEPT# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), 16 77 '3),4U.00 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 20 P Ignature Executive Director Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund