HomeMy WebLinkAboutGIBRALTAR CONSTRUCTION CORP -002280 -9/22/2011 CARMEL REDEVELOPMENT COMMISSION 002280
Gibraltar Construction Corp Check: 2280
2932 N. Webster Ave. Date: 9/22/2011
Indianapolis, IN 46219 Vendor: GIBR1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
4-6 56,314.00 56,314.00 0.00 0.00 56,314.00
App 6 on Carmel Lofts P47 Stre
56,314.00 56,314.00 0.00 0.00 56,314.00
.
r . _.
� Document ent 7 2/ a" ® 1992
Application and Certificate-for Payment Construction Manager-Adviser Edition
TO OWNER: City of Cannel - PROJECT: Carmel Lofts Streetscape-Parcel 47 APPLICATION NO: 6 Distribution to:
One Civic Square 8/31/11
Carmel, IN 46032 PERIOD TO: OWNER ❑
CONSTRUCTION MANAGER ❑
FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: CONTRACT DATE: 214111 ARCHITECT ❑
2932 N.Webster Ave. PROJECT NOS: / / CONTRACTOR ❑
Indianapolis, IN 46219
VIA ARCHITECTCS0 Architects,inc. FIELD ❑
CONTRACT FOR: Parcel 47-Carmel Lofts Streetscape
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certi es that to the best of the Contractor's knowledge,information and
Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by t 's •, plication for Payment has been completed in accordance with the
Contract Documents,that all a nts have been paid by the Contractor for Work for which previous
Continuation Sheet,AIA Document G703,is attached. ?i. •i
1,373,700.00 Certificates for Payment sued and payments received from the Owner, and that current
1.ORIGINAL CONTRACT SUM ' . . $ 35,000.00 Payment •shown • •• �i. _ ruction Corp
2. Net change by Change Orders $ _ CONTRACTOR:
3.CONTRACT SLIM TO DATE(Line I +2) $ 1.390.2oo no By: A Date: �r���/f
4.TOTAL COMPLETED&STORED.TO'DATE(Column G on G703) $ State of: 3it.) ,:
5.RETAINAGE: - County of: Afol7A I - ..j ,,I.,''''P�, BRIAN R. MCBRIDE
a. %•of Completed Work 70,435.00 Subscribed ands ■ o be,'re z �,RSS. 0;Ha,iC00K COU11iE
(COMM D+Eon 0703) $ me this�> !:day;of` 4 ,.0 '2 �/ y Comm. ExD, 11-29-2017
b. -.: °lo of Stored Material No : Public: -_" ' - . D I AN C0!Tkfti c ±n
(Column F on 0703) $ My.Comrntssion expires: /.'�9 S o'1 ' fit 1862
Total Retainage(Lines 5a+5b or Total in Column I of G703).. $. 1,319,765.00 CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents,based on on-site observations and the data comprising
6.TOTAL EARNED LESS RETAINAGE $ this application,the Construction Manager and Architect certify to the Owner that to the best of their
(Line 4 Less Line 5 Total) 1,263,451.00 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in
7.LESS PREVIOUS CERTIFICATES FOR-PAYMENT $ accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT
(Line 6 from prior Certificate) C$It'lihihll.
56,314.00
8.CURRENT PAYMENT DUE _ $ AMOUNT CERTIFIED $ 51. "St 4-►•�"
9.BALANCE TO FINISH,INCLUDING RETAINAGE -" (Attach explanation if amount certified differs from the;ariiount applied.Initial all figures on this
88,935.00 Application and on the Continuation Sheer that are changed Yo conform with the amount certified.)
(Line 3 less Line 6) - = $ CONSTRUCTION AGER:
By: Date: .
CHANGE ORDER SUMMARY 1 ADDITIONS DEDUCTIONS ARCHITECT .' �- r ..
Total changes approved�in previous months by Owner $ $ By `. Date: 451 3(/((
Total approvedtliis Month $ $ This Certificate is,-not.negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
-TOTALS $ _ $ named herein. Issuance,"payment and acceptance of payment are without.prejudice to any rights of
NET CHANGES by Change Order $ the Owner or Contractor under this Contract.
CAUTION:You should sign an original AlA Contract Document,on which this text appears in.RED. An original assures that changes will not be obscured.
AIA Document G7021CHa"s—1992.Copyright ®1992 by The American JhstIlute or Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties.
Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.
CONTINUATION SHEET Page 2 of 3
APPLICATION NO. : 6
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION DATE: 8/31/2011
attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 8/31/2011
variable retainage for line items may apply.
ARCHITECTS PROJECT NO. :
A B C D J E F G H I
WORK COMPLETED MATERIALS TOTAL
BALANCE TO RETAINAGE
PRESENTLY COMPLETED AND %
ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS 1 FINISH (IF VARIABLE
NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) (C-G) RATE)
(D+E) DORE) (D+E+F)
-
1 Allowance No. 1 -Base Bid Contingency $5,000.00 $5,000.00 $5,000.00 100% -
2 Allowance No. 2-Winter Conditions $30,000.00 $30,000.00 $30,000.00 100% - ,
3 Allowance No. 3-Alternate 1 Contingency $5,000.00 $5,000.00 $5,000.00 100% -
4 Allowance No.4-Alternate 2 Contingency $5,000.00 _ $5,000.00 $5,000.00 100% - _
5 Allowance No. 5-Alternate 3 Contingency $5,000.00 $5,000.00 $5,000.00` 100% - ,
6 'Allowance No.6-Alternate 4 Contingency $5,000.00 $5,000.00 $5,000.00 100% -
7 Bond $18,500.00 $18,500.00 $18,500.00 100% -
8 'General Conditions $66,000.00 $84,280.00 $1,720.00, $86,000.00 100% -
9 Site Clearing/Selective Site Demo $29,200.00 $29,200.00 $29,200.00 100% - _
10 Earthwork $114,500.00 $112,210.00 $2,290.00 $114,500.00 100% - 70,435.00
11 Stuctural Soil $7,800.00 $7,800.00 $7,800.00 100% -
12 Erosion/Sedimentation Control $500.00 $500.00 $500.00 100% -
13 Water Distribution $48,200.00 $48,200.00 $48,200.00 100% -
14 Storm Drainage $139,700.00 $139,700.00 $139,700.00 100% -
15 Asphalt Paving $16,900.00 $16,055.00 $845.00 $16,900.00 100% -
16 Cast-in-Place Concrete-Mt'l $7,750.00 $7,750.00 $7,750.00 100% -
17 Cast-in-Place Concrete-Labor $6,350.00 $6,350.00 $6,350.00 100% -
18 Trench Drains-Mt'l $7,500.00 $7,500.00 $7,500.00 100% - _
19 Trench Drains-Labor $2,300.00 $2,300.00 $2,300.00 100% -
20 Concrete Paving $156,454.00 $153,324.00 $3,130.00 $158,454.00 100% -
21 Concrete Footing and Walls $43,900.00 $43,900.00 $43,900.00 100% - ,
22 Paving Joint Sealants $3,700.00 $3,626.00 $74.00- $3,700.00 100% -
_23 Unit Paver-Concrete $79,000.00 $79,000.00 $79,000.00 100% -
_24 Permeable Unit Paving System-Concrete $65,000.00 $65,000.00 $65,000.00 100% - ,
25 Segmental Rataining Wall $25,000.00- $25,000.00 $25,000.00 100% -
CONTINUATION SHEET Page3of3
APPLICATION NO.: 6
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION DATE: 8/31/2011
attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 8/31/2011
variable retainage for line items may apply.
ARCHITECT'S PROJECT NO. :
A B C D 1 E F G H I
WORK COMPLETED MATERIALS
ITEM FROM PREVIOUS TOTAL COMPLETED BALANCE TO
DESCRIPTION OF WORK SCHEDULED VALUE PRESENTLY AND STORED TO Y' FINISH RETAINAGE
NO. APPLICATION THIS PERIOD STORED(NOT IN DATE(D+E+F) (G f C) (C-G) (IF VARIABLE RATE)
(D+E) DORE)
26 Bollards-Mt'I $5,050.00 $5,050.00 $5,050.00 100% - ,
_27 Bollards-Labor $800.00 $800.00 $800.00 100% -
28 Masonry $9,000.00 $9,000.00 $9,000.00 100% -
_29 Brick Masonry $7,000.00 $6,860.00 $140.00 $7,000.00 100% -
_30 Cast Stone $7,000.00 $6,860.00 $140.00 $7,000.00 100% -
31 Pipe&Tube Railings-Steel $49,500.00 $49,500.06 $49,500.00 100% -
32 Water Repellants $700.00 $700.00 $700.00 100% -
_ 33 Thermoplastic Membrane Waterproofing _ $76,000.00 $72,280.00 $72,280.00 95% 3,720
_ 34 High Performance Pond Coatings $1,000.00 $0.00 $0.00 0% 1,000
35 High Performance Coatings $1,000.00 $0.00 $0.00 0% 1,000
_36 Post&Panel Signs $5,300 5,035 265 $5,300.00 100% -
_37 Fountain Structure-Mt'l $28,100 28,100 $28,100.00 100% -
38 Fountain Structure-Labor $800 600 $600.00 75% 200
39 Fountain Plumbing-Mt'I $12,000 12,000 $12,000.00 100% -
40 Fountain Plumbing-Labor $3,000 1,500 $1,500.00 50% 1,500
41 Electrical $223,000 189,620 22,300 $211,920.00 95% 11,080
42 Exterior Plants $8,200 7,790 410 $8,200.00 100% -
43 Tree Gates-Mt'l $9,846 9,846 $9,846.00 100% -
44 Tree Gates-Labor $1,400 1,400 $1,400.00 100% -
45 Bike Racks-Mt'l $900 900 900 100% -
46 Bike Racks-Labor $600 600 600 100% -
47 Planters-Mt'l - $9,500 9,500 9,500 100% -
48 Planters-Labor $750 750 750 100% -
49 Change Order#1 $35,000 35,000 35,000 100% -
50
$1,408,700.00 $1,333,886.00 $56,314.00 $0.00 $1,390,200.00 99% $18,500.00 $70,435.00
ISA Form#1-402
I `
AFFIDAVIT AND WAIVER OF LIEN
❑ FINAL ® PARTIAL /I1 PAYMENT TO FOLLOW
State of Indiana, County of Marion, SS
Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the
Owner to furnish certain materials and/or labor for a project known as Carmel Arts District Lofts Streetscape,
Parcel 47 and owned by City of Carmel, Indiana.
and does hereby further state on behalf of the aforementioned contractor:
(PARTIAL WAIVER)that there is due from the Owner the sum of
Fifty Six Thousand Three Hundred Fourteen and No/100----- Dollars ($58,314.00)
❑ receipt of which is hereby acknowledged; or
® the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien
which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of
payment thereof by the undersigned;
(FINAL WAIVER)that the final balance due from the Owner is the sum of
Dollars ( )
❑ receipt of which is hereby acknowledged; or
❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver
of Lien which shall become effective upon receipt o• uch payment.
THERFORE,the undersigned waives and releases unto the Ow :r of said premises, any and all lien or claim whatsoever
on the above-described property and improvements thereo ,.c • nt of LABOR or material or both,furnished by the
undersigned thereto, subject to limitations of conditions exp;;;-s,a, herein, if any; and further certifies that no other party
has any claim or right to a lien on account of any work pe e r or material furnished to the undersigned for said project,
and within the scope of this affidavit and waiver. ff
Gibraltar Construction Corp By /,6■ 1 Title President
/iffy
WITNESS MY HAND AND NOTORIAL SEAL, t r •/:y 1:.f August,2011.
(Notary Public)
=s�',v;.�F^ BRIAN R. MCBRIDE
0 19)9 INDIANA SuaCO�eraACToas ASSOCIATION ,Nco coAAIED ,► Res. Of HancOC; Rey ,anu
unammor,tod Arprod•rewn ProNtsmed * v�Ur1
y. MY Comm, Ev. 11-29-2017
. e A, Commission
611862
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.
79 3 2 if 'de Terms
/'V �//
/9 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�f 3//// 4 6 e '0 17' 7 ;4 34 C�
Total 4 3/y-U4
I hereby certify that the attached invoice(s), or bill(s), is (are) true ar o e. and I hav- . sled same in accordance
with IC 5-11-10-1.6.
, 20 ` ./�• ;wi
- reasurer
VOUCHER NO. WARRANT NO.
// ALLOWED 20
64/-4,274„°, �U�,s74re/ Ulm Carp IN SUM OF $
29 32 Tom, .4ve
/ o%'� /mil/ 47661
$ 5-6, 3/ 1 ).
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice(s),DEPT.# I hereb certif that the attached invoices or
9d 6 G6'c1-/7 Cd '/y o 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
9—/3 20//
Wow<
Ex "I t!.JêeDireCtor
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund