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Home My WebLink AboutSMOCK FANSLER CORPORATION -001974 -6/15/2011 CARMEL REDEVELOPMENT COMMISSION 001974 Smock Fansler Corporation Check: 1974 2910 W Minnesota Street Date: 6/15/2011 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 9 31,129.56 31,129.56 0.00 0.00 31,129.56 App 19 on P111 Pavers 31,129.56 31,129.56 0.00 0.00 31,129.56 AIA Type Document Application and Certification for Payment Page 1 of 2 r.,,^ .t;n,;^ r,c.! r2 pn rn'_f Pf:i T CCt. /!SSIC N PROJECT:P. 111 PAVERS Annr ICt.T!ON :'l0: g DISTRIBUTION 30 W. MA!?J S'I _ 1 PERIOD TO:4/3 012 01 1 TO: CARMEL, IN 46032 _OWNER –ARCHITECT -,: , CONTRACTOR – (_ '-',' 0:',:o-',:Fo.<,er C:. , :_'io, (ARCHI T C_ n.R:'I'ITECT'S 2910 W.Minnesota Street PROJECT NO: Indianapolis, IN 46241 CONTRACT FOR: CONTRACT DATE: CONTRACTOR'S ORBS APILiCATION FOR PAYMENT The fth Undersigned covered certifies is the Payment the Contractor's knowledge,in ac information and 4.j Itti belief the work covered by this application for Payment has been completed in accordance with the A:olicah,on is made for Payment,as shown below.in connection with the Contract. Contract Documents,that at amounts have been paid by the Contractor for Work foi which previous' Continuation Sheet;/MA Type Document is attached. Certificates for Payment were issued and payments received from the owner,and that.., current payment shown herein is no•v due. 1.ORIGINAL CONTRACT SUM S 805,860.00 2. Net Change by Change Orders S 23,800.00 CONTRACTOR: Smock Fansler Corporation 2910 W. Minnesota Street Indianapolis, IN 46241 l,,,-;,. 3.CONTRACT SUM TO DATE(Line 1 +2) S 829,660.00 - -- 4.TOTAL COMPLETED AND STORED TO DATE $ 813,155.40 By: `�_ f 3\' / '6 ��,,s, °" Date: f T.M. FANSLER / CEO ' 5.RETAINAGE: State of:IN a 10.00%of Completed Work $ 81,315.54 • — County of: MORGAN b. 0.00%of Stored Material S 0.00 Subscribed and Sworn to before me this Day of 20 /' Total retainage(Line 5a+5b) S 81,315.54 Notary Public. .1.- My Commission Expires: .'-' - ,f 6.TOTAL EARNED LESS RETAINAGE $ 731,839.86 (Line 4 less Line 5 Total) ARCHITECTS CERTIFICATE FOR PAYMENT 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents,based on on-site observations and the data corn- (Line 6 from prior Certificate) $ 700,710.30 prising the above application, the Architect certifies to owner that to the best of the Architect's knowledge,information and belief the Work has progressed as indicated,the quality of the work 8.CURRENT PAYMENT DUE $ 31,129.56 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE (Line 3 less Line 6) S 97.820.14 AMOUNT CERTIFIED $ 31 i2tt54, (Attach explanation if amount certified differs from the amount applied. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application a 7 : - C ntinuati.1 S eet that are changed to conf�rt,to the amount certified.) Total changes approved in ARCHITEC / 'Aj7/ iif previous months by Owner 23.800.00 0.00 B �L ��w Date: it n i I Total approved this Month 0 00 0 00 This Ce .'float is not neg. able. The AMOUNT CERTIFIED is payable only to the Contractor named he -in Issuance Payment and acceptance of payment are without prejudice to any TOTALS 23,800.00 0.00 rights of the Owner or Contractor under this Contract. I G NET CHANGES by Change Order 23,800.00 Director of Redevelopment/1 LI egg 5 k\�— i -—44V .TZT AIA Type Document Application and Certification for Payment Page 2 of 2 TO(OWNER):CARMEL REDEVELOPMNT COMMISSION PROJECT:P.111 PAVERS APPLICATION NO:9 DISTRIBUTION 30 W.MAIN ST. TO: CARMEL, IN 46032 PERIOD TO:4/30/2011 _OWNER _ARCHITECT _CONTRACTOR FROM(CONTRACTOR):Smock Fansler Corporation VIA(ARCHITECT): ARCHITECT'S 2910 W.Minnesota Street PROJECT NO: Indianapolis,IN 46241 CONTRACT FOR: CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED oja BALANCE RETAINAGE 1 MOBILIZATION 10,000.00 9,500.00 500.00 0.00 10,000.00 100.00 0.00 1,000.00 2 FIELD ENGINEERING 10,000.00 9,000.00 1,000.00 0.00 10,000.00 100.00 0.00 1,000.00 3 ASPHALT BASE 165,400.00 157,130.00 8,270.00 0.00 165,400.00 100.00 0.00 16,540.00 4 UNIT PAVERS 620,460.00 589,437.00 24,818.40 0.00 614,255.40 99.00 6,204.60 61,425.54 5 CHANGE ORDER#1 10,300.00 0.00 0.00 0.00 0.00 0.00 10,300.00 0.00 6 CHANGE ORDER#2 13,500.00 13,500.00 0.00 0.00 13,500.00 100.00 0.00 1,350.00 REPORT TOTALS $829,660.00 $778,567.00 $34,588.40 $0.00 $813,155.40 98.01 $16,504.60 $81,315.54 AFFIDAVIT AND WAIVER OF LIEN [ ] Final [Xj Partial [X] Payment to Follow State of Indiana County of Marion h.M. Fansler , being duly sworn states that he is the CEO of SMOCK FANSLER CORP. having contracted with: Carmel Redevelopment Commission to furnish certain labor. materials. and/or services as follows: Misc. Construction for a project known as: SFC#10-081 P. 111 Pavers located at Carmel. IN and does hereby state on behalf of the aforementioned contractor: (PARTIAI. WAIVER)that there is due from the owner the sum o1•: ($31,129.56) Thirty One Thousand One 1-lunched Twenty Nine Dollars and 56/100 [ ] receipt of-which is hereby acknowledged:or [X] the payment of which has been promised as the sole cotsideration of this Affidavit and Partial Waiver of Lien which is given solely\\alp respect to said amount;and which waiver shall be effective only upon receipt of'payment thereof by the undersigned: (FINAL WAIVER)R) that the final balance due from the owner is the sum ammo) [ ] receipt of which is hereby acknowledged;or ] the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt olsuch 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, Materials. and/or Services, furnished by the undersigned thereto. subject to limitations 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. materials, or services furnished to the undersigned for said project. and within the scope of this affidavit and waiver. SMOCK FANSLER CORP. — 13v '-f -- ! 7f1e —_... C ,O 2 F.M. Fansler V, I I NESS MY I'AND AND NOTARIAL SEAL. this 19'x' daY of April ,2011. . Melissa J. I3ishop Notary"Public My commission expires_November 30,_2016_-, Residing in__Mgrg.an_County