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HomeMy WebLinkAboutHYDRASERVE, INC. -001879 -4/20/2011 Transmittal Sheet Page 1 Carmel Redevelopment Comm Hydraserve, Inc. Check: 1879 7615 W New York Street Date: 4/20/2011 Indianapolis, IN 46118 Vendor: HYDRAS01 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 1 24 9,451.94 945.19 0.00 0.00 945.19 Application No 1 2 24 9,451.94 945.19 0.00 0.00 945.19 Application 2 3 24 9,451.94 945.19 0.00 0.00 945.19 Application 3 4 24 9,451.93 945.18 0.00 0.00 945.18 gapp 4 5 24 9,451.94 945.19 0.00 0.00 945.19 application 5 7 24 9,451.93 945.19 0.00 0.00 945.19 Application 7 8 24 9,451.94 945.19 0.00 0.00 945.19. Application 8 8 thru 13 24 56,711.64 5,671.16 0.00 0.00 5,671.16 Dewatering 15 24 18,903.94 18,903.94 0.00 0.00 13,232.77 Application 15 141,779.14 31,191.42 0.00 0.00 25,520.25 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 2 PAGES TO: r Op cacrne PROJECT: .arc 7 l'r n APPLICATION NO: //_ c PERIOD TO: VIA(ARCHITECT): FROM:�-- j 7i ATf e+ <9s711307f JO B# I„DI...O Golly-toeoi Plybk4setvo) CONTRACT FOR: CONTRACT DATE: Application is made for Payment,as shown below,in connection with the Contract. CONTRACTOR'S APPLICATION FOR PAYMENT Continuation Sheet,AIA Document G703,is attached. 1. ORIGINAL CONTRACT SUM $ /7/sS CHANGE ORDER SUMMARY 2. Net change by Change Orders $ Change Orders approved in ADDITIONS DEDUCTIONS 3. CONTRACT SUM TO DATE(Line 1 +or-2) $ 06/3S/3S previous months by Owner 4. TOTAL COMPLETED&STORED TO DATE $ /?O/gS TOTAL $0.00 $0.00 (Column G on G703) Approved this Month 5. RETAINAGE: Number Date Approved a. 10 %of Completed Work 1 (Column D+Eon G703) 2 b. %of Stored Material $ 3 (Column F on G703) 4 5 Total Retainage(Line 5a+5b or TOTALS $0.00 $0.00 Total in Column I of G703) $ Net change by Change Orders $0.00 6. TOTAL EARNED LESS RETAINAGE $ /74/3f— The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR completed in accordance with the Contract Documents,that all amounts have been PAYMENT (Line 6 from prior Certificate) $ /$ .8. 7.5/ paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE $ /2,279.453 issued and payments received from the Owner,and that current .sayo 9. BALANCE TO FINISH, PLUS RETAINAGE $ -- herein is now due. "OFFICIAI.SEAL. A (Line 3 less Line 6) MICHAEL D,GAGERMEIER State of: County . : 10///4 CONTRACTOR: Notary Public,State of Indiana v day of 20201/My Commission Expires Jul.6,2014 Subscribed and savor :. .n or: :+,his3 ,,.,t..,.". Notary Public: ° / f / ' '++ / By: 6,_ L ��!P .40 Date: & ,3./ My Commission Expires ARCHIT - CERTIFICATE FOR PAYMENT AMOUNT CERTIFIED $ In accor.- ce with the Contract Documents, based on on-site observations and the (Attach explanations-•:mount certified differs from the amount applied for.) data comprising the above application,the Architect certified to the Owner that to the ARCHITECT: 'j ,, 1 1 best of the Architect's knowledge, information and belief the Work has progressed as . By: . Date: "'"F, indicated,the quality of the Work is in accordance with the Contract Documents, and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contra • nder this Contract. j 1 G702-1983 .mac WO-0 . N(a�'%� �- ®5/�J/11 APPLICATION NO: APPLICATION DATE: PERIOD TO: A D J E F G H J WORK COMPLETED TOTAL BUDGET DIVISION OF WORK Original Revised TOTAL PREVIOUS THIS STORED COMPLETED % RETENTION BALANCE SCHEDULED SCHEDULED SCHEDULED APPLICATION PERIOD MATERIAL &STORED COMP TO VALUE VALUE VALUE TO DATE COMPLETE /90/3<db /!6/3'c� /70/.35 - /76/35- ,'2,257,59 TOTALS 2 ITT Water&Wastewater Net Date Gross Retainage Payment 12/31/2007 9,451.94 945.19 8,506.75 1/22/2008 9,451.94 945.19 8,506.75 2/28/2008 9,451.94 945.19 8,506.75 3/31/2008 9,451.93 945.18 8,506.75 4/30/2008 9,451.94 945.19 8,506.75 6/30/2008 9,451.93 945.19 8,506.74 7/30/2008 9,451.94 945.19 8,506.75 12/31/2008 51,040.48 5,104.04 45,936.44 6/23/2009 34,027.02 0.00 34,027.02 3/31/2011 18,903.94 567.13 18,336.81 3/31/2011 0.00 (12,287.49) 12,287.49 0.00 170,135.00 0.00 170,135.00 • CoLiance Risk Advisors, LLC M E M 0 Page 1 429 N. Pennsylvania,Ste. 202 ACCOUNT NO. oP OATE Indianapolis, IN 46204 HYDRA-4 LG 02/23/2011 Phone: 317-236-6161 Fax: 317-236-6149 P o I,I c"i; I N V O R N I A T I O N 70418960 TYPE - ,, . _,,,'EFFECTtVE•-''" EXPIRATION;" BOND 11/29/2007 11/29/2009 Hydraserve Properties, Inc. Brian Davidson 7625 West New York Street Indianapolis, IN 46214 • Jason Halla,. . Re: Carmel;Performing Arts Enclosed please find the original copy of the Consent of Surety to Final Payment . Please make arrangements to file the Consent of Surety with the City of Carmel . If there are any questions or if we can be of further service, please do not hesitate to call . You can reach me direct at 317-236-6151 . Thanks and have a great day. •-4,i Linda. riggs CONSENT OF SURETY OWNER ❑ TO FINAL PAYMENT ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 BOND #70418960 TO: City of Carmel, Indiana ARCHITECT'S PROJECT NO.: One Civic Square Carmel, IN 46032 CONTRACT FOR: Site Preparation Package CONTRACT DATE: 11-28-2007 PROJECT: Regional Performing Arts Center In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the western Surety Company, Post Office Box 5077, Sioux Falls, SD 57117, SURETY COMPANY, on bond of Hydraserve, Inc. 7815 West New York Street, Indianapolis, IN 46214, CONTRACTOR, 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 City of Carmel, Indiana, One Civic Center, Carmel, IN 46032 OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 23rd day of_February 2011. Western Surety Company Surety Clany ture of Author-d Represertativ4f .►. i e: Attorney-In ct AIA DOCUMENT G707°CONSENT OF SURETY COMPANY TO FINAL PAYMENT°APRIL 1970 EDITION °AIA© 1970°THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.., WASHINGTON, D.C. 20006 ., , . Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint John M Ford, R Michael Leppert, Scott Mc Ginness, Margaret Heckley, Linda J Griggs, Colleen M Kleiber, Libby J Mariner, Individually of Indianapolis, IN, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds,undertakings and other obligatory instruments of similar nature - In Unlimited Amounts — and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to be hereto affixed on this 19th day of October,2006. so"gi,p, WESTERN SURETY COMPANY ye,'pPOgy / =Wi4� )i°Da i=[ Se A‘,4-1 "0„;■�..'. `` .. Paul Bruflat,Senior Vice President State of South Dakota ss County of Minnehaha On this 19th day of October,2006,before me personally came Paul T. Bruflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seat;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires D. KRELL November 30,2012 s NOTARY PUBLIC f ALA i SOUTH DAKOTA r i 4444444444444444444444444 D.Krell,No ary Public CERTIFICATE I, L. Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,and further certify that the By-Law of the corporation printed on the reverse her •f i still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this d3 , day of ` � �/ ;L aO/1 s"aert WESTER SURETY COMPANY 12<e-?"..;;A% 1 z L.Nelson,Assistant Secretary Form F4280-09-06 Authorizing By-Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or.agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. • • APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 2 PAGES P/ TO: PROJECT: (mac Q Q n APPLICATION NO /t- C ,"� ,P ea c C 1 J PERIOD TO: VIA(ARCHITECT): X77— Gt/C 71e( # Gt S��1.V4/e( JOB# 1,01...0 Crt„,exi ,w 1V ) CONTRACT FOR: CONTRACT DATE: Application is made for Payment,as shown below,in connection with the Contract. CONTRACTOR'S APPLICATION FOR PAYMENT Continuation Sheet,AIA Document G703,is attached. 1. ORIGINAL CONTRACT SUM $ /76, /3f CHANGE ORDER SUMMARY 2. Net change by Change Orders $ Change Orders approved in ADDITIONS DEDUCTIONS 3. CONTRACT SUM TO DATE(Line 1 +or-2) $ /76, /3S' previous months by Owner 4. TOTAL COMPLETED&STORED TO DATE $ /Tfl /,gr TOTAL $0.00 $0.00 (Column G on G703) ` Approved this Month 5. RETAINAGE: Number Date Approved a. 10 %of Completed Work 'e� 287 e/' 1 (Column D+Eon G703) 2 b. %of Stored Material $ 3 (Column F on G703) 4 5 Total Retainage(Line 5a+5b or TOTALS $0.00 $0.00 Total in Column I of G703) $ /2/2g7.44? Net change by Change Orders $0.00 6. TOTAL EARNED LESS RETAINAGE $ /Sly Rs/7.S/ The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR completed in accordance with the Contract Documents,that all amounts have been PAYMENT (Line 6 from prior Certificate) $ /yy 4,/4475-- paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE $ 24 Z:Z.77 issued and payments received from the Owner,and that current payment how, � ,, 9. BALANCE TO FINISH, PLUS RETAINAGE $ at 207. 5/9 herein is now due. "OFFICIAL 51 -" (Line 3 less Line 6) r MICHAEL D.GAGERMEIER State of: "'7ayldi/Jli ounty of: ji' ! / v. CONTRALTO Notary Public,State of Indiana Subscribed and swor _.:�..ore :this i . day of d , 20f1. il__ _d 0 i•0 rive' Al Commissio Ls�iresJu�. .201A I , / /� ' •o Notary Public: 4 I 1 x ,' / !By: i � Date: ?,j/ // My Commission Expires /- (' i#0/ ARC TFCT'S CERTIFICATE FOR PAYMENT AMOUNT CERTIFI. D $ In a• ondance with the Contract Documents, based on on-site observations and the (Attach explan..i. a ount certified differs from the amount applied for.) data comprising the above application,the Architect certified to the Owner that to the ARCHITECT: j ,j _ best of the Architect's knowledge, information and belief the Work has progressed as By: �� Date: 11 I 1 indicated,the quality of the Work is in accordance with the Contract Documents, and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contrac or under this Contract. 6Pes/ 46.,g G702-1983 ill APPLICATION NO: /3-- APPLICATION DATE: 3/30/ PERIOD TO: A D I E F G H J WORK COMPLETED TOTAL BUDGET DIVISION OF WORK Original Revised TOTAL PREVIOUS THIS STORED COMPLETED % RETENTION BALANCE SCHEDULED SCHEDULED SCHEDULED APPLICATION PERIOD MATERIAL &STORED COMP TO VALUE VALUE VALUE • TO DATE COMPLETE /74, /3c- /7O/3c- /SG 9o2.2V 4.232.7G _ /v/3S /co% /4287.s4 TOTALS 2 ITT Water&Wastewater Net Date Gross Retainage Payment 12/31/2007 9,451.94 945.19 8,506.75 1/22/2008 9,451.94 945.19 8,506.75 2/28/2008 9,451.94 945.19 8,506.75 3/31/2008 9,451.93 945.18 8,506.75 4/30/2008 9,451.94 945.19 8,506.75 6/30/2008 9,451.93 945.19 8,506.74 7/30/2008 9,451.94 945:19 8,506.75 12/31/2008 51,040.48 5,104.04 45,936.44 6/23/2009 34,027.02 0.00 34,027.02 3/31/2011 18,903.94 567.13 18,336.81 0.00 170,135.00 12,287.49 157,847.51