Loading...
HomeMy WebLinkAboutGIBRALTAR CONSTRUCTION CORP -002364 -10/20/2011 CARMEL REDEVELOPMENT COMMISSION 002364 Gibraltar Construction Corp Check: 2364 2932 N. Webster Ave. Date: 10/20/2011 Indianapolis, IN 46219 Vendor: GIBR1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 6-5 70,459.00 70,459.00 0.00 0.00 70,459.00 Carmel Lofts P47 16 -Veteran's Way 151,004.54 151,004.54 0.00 0.00 3,616.50 Veteran's Way(IPC- NBI) 221,463.54 221,463.54 0.00 0.00 74,075.50 Oh k, 1 • Document 702/C a ® 1992 Application and Certificate for Payment Construction Manager-Adviser Edition • . •TO OWNER: Carmel Theater Development CompanPROJECT: Carmel City Cntr-P111 Waterproofing&P&P b T{iON NO: 16 Distribution to: • PERIOD TO: 8/31/11 OWNER ❑ CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION'MANAGER: CONTRACT DATE: 1/18/10 ARCHITECT ❑ 2932 N.Webster Ave. PROJECT NOS: / I CONTRACTOR ❑ Indianapolis,IN 46219 VIA ARCHITECT:pedcor Design Group,LLC FIELD ❑ • CONTRACT FOR: Waterproofing&Topping Slabs ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certi is 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 this ,. F plication for Payment has been completed in accordance with the Continuation Sheet,AIA Document G703,is attached. Contract Documents, that all a :e nts have been paid by the Contractor for Work for which previous 1,610,967.40 Certificates for Payment w: •.sued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 149,078.00 payment shown 1-6WaIt o r;6-∎ • 2. Net change by Change Orders $- 68,045.40 CONTRACTOR: /1 -truction Corp 3.CONTRACT SUM TO DATE(Lined ±2)- $ By: �� Date: �� J 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ State of:'�l= J A. ��c 5.RETAINAGE: County of: ,d r, � �'e,, iAN R. MCBRIDE a. %gf:Completed Work 25,000.00 Subscribed and s. .f to;b' re 1 * ► M �5 Oi Hancock County (Column D+Eon G703) $ me this day.of 7 v �� My Co mm• �?(0. 1162%0217 -:.. -N. b. ' %of Stored Material Not Publi..` '' _ / �' azy —�- Cnmmiss��n # (Column F on G703) $ My.Commisston expires: /// �f� Total Retainage(Lines 5a+5b or Total in Column I of 0703).. $. CERTIFICATE'FOR PAYMENT 1,735,045.40 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) 1,584,040.86 knowledge,information and belief the Work has progressed as indicated,the quality ofthe 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) CER'1'iF11uD. 151,004.54 8.CURRENT PAYMENT DUE $ AMOUNT CERTIFIED $ 1500A..5-1 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the'amoutit.applied.Initial all figuon 25,000.00 Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ CONSTRUCTION MA. a R: Ai / By: '�� ._ Date: XI S/v Y.. ADDITIONS' DEDUCTIONS --i i. Gr.up!-.1-. C''''L CHANGE ORDER SUMMARY ARCHITECT: Total changes_approved m previous months by Owner $ $ By ... ,.,: :.' ���� Date: 6 5 1, Total approved this Month $. $ � . This Certi_. .not,negotiable. The AMOUNT CER, 1~e.0 is..payable nl t the Contractor TOTALS $ $ named herein. -- ance;,payment and acceptance of pa il . e ut rejudice to any rights of NET CHANGES by Change Order $ the Owneror Contractor under this Contract. 4(3(4 CAUTION:'You should sign an original AIA,Contract Document;on;which this•text appears in RED..An.original assures:that changes will,not be obscured.. AIA Document G702/CMaTM—1992.Copyright ©1bk by The American Ihstituie of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of-this AIA 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. co. ` .; TM -®= � Document 70 1 a ® 1992 Application and Certificate for Payment Construction. Manager-Adviser Edition TO OWNER: City of Carmel PROJECT: Carmel Lofts Streetscape Parcel 47 APPLICATION NO: 5 Distribution to: One Civic Square PERIOD TO: 7/31/11 OWNER ❑ Carmel, IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: CONTRACT DATE:2l4/11 ARCHITECT ❑ 2932 N.Webster Ave. PROJECT NOS: I I CONTRACTOR ❑ Indianapolis, IN 46219 VIA ARCHITECT: FIELD ❑ CSO Architects,Inc. CONTRACT FOR: Parcel 47-Carmel Lofts Streetscape ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certil,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 this pplication for Payment has been completed in accordance with the Continuation Sheet,AIA Document li show is attached. Contract Documents,that all .mt ints have been paid by the Contractor for Work for which previous Certificates for Payment v;ti-e/ssued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM x;1,373,700.00 payment shown herein is! �,die 2. Net change by Change Orders $ 35,000.00 CONTRACTOR:Gibralta��, o struction Corp 3.CONTRACT SUM TO DATE(Line ] ±2 1,408,700.00 —7 .---7�' / ( ) $ By: i Date: ..��`7'" // 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $1,333,StS5.00 State of: �/�✓� /,r"7 5.RETAINAGE: County o_f: *,� )/� t (� a. ___%ofCom�Icted Work �°'�� � /� -RAN S. It/ _,BR�OE Completed Subscribed a , s,4o to !'f (Column D+E on G703) $ 70,435.00 me this . / day of ' '1/%1/ y l/' SE a I-/ �i0, � y,i OCK 29-201 b. %of Stored Material �'� My Comm P �� 2�°�0 I Notary Public: �. (Column F on G703) $ My Conurussion expires: .fig`li j �ti Jrr UC, p'r,ic n # 611862 Total Retainage(Lines 5a+Sb or Total in Column I of G703).. $ _ CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 1,263,451.00 In accordance with the Contract Documents, based on on-site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,192,992.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT IDU (Line 6 from prior Certificate) CERTIFIED. P 8.CURRENT PAYMENT DUE $ 70,459.00 AMOUNT CERTIFIED _ 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied. Initial all.figures on this 145,249.00 Application and ojN he Continuo ion ,t that are changed to conform with the amount certified.) (Line 3 less Line 6) $ CONSTR TI• , e 1 1:: / By: Pia, Date: �0 _Z �1 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITEC �`•�. • Total changes approved in previous months by Owner $ $ By; '' Date:41 Q f Total approved this Month _ $ $ This Certificate is not.negotiable. The AMOUNT CERTIFIED is payable only 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 AIA Contract Document;on which this text appears in RED.An•original assures that changes will not be obscured. Alit Document G702/CMa'"—1992.Copyright ©1992 by The American Institute of 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. Purchasers are permitted to reproduce ten(101 copies of this document when completed.To.rennrt cnnvrinht-vinlations of AIA Contract Documents e-mail The American lnstifnto of Arrhiter,c'lanai rnlincal nnnvrinht(nlaia nrn CONTINUATION SHEET Page 2 of 3 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO. : 5 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 7/31/2011 variable retainage for line items may apply. PERIOD TO: 7/31/2011 ARCHITECTS PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE TO RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY COMPLETED AND % FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) (D+E) D OR E) (D+E+F) (C-G) RATE) 1 Allowance No. 1 - Base Bid Contingency $5,000.00 $0.00 0% 5,000.00 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 $0.00 0% 5,000.00 4 Allowance No. 4-Alternate 2 Contingency $5,000.00 $0.00 0% 5,000.00 5 Allowance No. 5 -Alternate 3 Contingency $5,000.00 $0.00 0% 5,000.00 6 Allowance No. 6-Alternate 4 Contingency $5,000.00 $0.00 0% 5,000.00 7 Bond $18,500.00 $18,500.00 $18,500.00 100% - 8 General Conditions $86,000.00 $81,700.00 $2,580.00 $84,280.00 98% 1,720.00 9 Site Clearing/Selective Site Demo _ $29,200.00 $29,200.00 $29,200.00 100% - 10 Earthwork $114,500.00 $108,775.00 $3,435.00 $112,210.00 98% 2,290.00 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 $12,675.00 $3,380.00 $16,055.00 95% 845.00 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 $148,631.00 $4,693.00 $153,324.00 98% 3,130.00 21 Concrete Footing and Walls $43,900.00 $43,900.00 $43,900.00 100% - 22 Paving Joint Sealants $3,700.00 $2,775.00 $851.00 $3,626.00 98% 74.00 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 Page 3 of 3 APPLICATION NO. : 5 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 7/31/2011 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 7/31/2011 ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS ITEM FROM PREVIOUS PRESENTLY TOTAL COMPLETED % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH APPLICATION THIS PERIOD STORED(NOT IN DATE(D+E+F) (G I C) (C G) (IF VARIABLE RATE) (D+E) D ORE) 26 Bollards- Mt'l $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 $6,300.00 $560.00 $6,860.00 98% 140.00 30 Cast Stone $7,000.00 $5,600.00 $1,260.00 $6,860.00 98% 140.00 31 Pipe &Tube Railings-Steel $49,500.00 $49,500.00 $49,500.00 100% - 32 Water Repellants $700.00 $700.00 $700.00 100% - 33 Thermoplastic Membrane Waterproofing $76,000.00 $60,880.00 $11,400.00 $72,280.00 95% 3,720 34 High Performance Pond Coatings $1,000.00 $0.00 0% 1,000 35 High Performance Coatings $1,000.00 $0.00 0% 1,000 36 Post & Panel Signs $5,300 3,975 1,060 $5,035.00 95% 265 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'l $12,000 9,000 3,000 $12,000.00 100% - 40 Fountain Plumbing- Labor $3,000 1,500 $1,500.00 50% 1,500 41 Electrical $223,000 167,320 22,300 $189,620.00 85% 33,380 42 Exterior Plants $8,200 7,790 $7,790.00 95% 410 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 5,700 3,800 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 $1,263,427.00 $70,459.00 $0.00 $1,333,886.00 95% $74,814.00 $70,435.00 ISA Form# 1-402 Ni e .1x fa=t ? ' V AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ® PARTIAL ® 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 Seventy Thousand Four Hundred Fifty Nine and No/100 Dollars ($70,459.00) ❑ 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 of such payment. THERFORE, the undersigned waives and releases unto t :,'Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements th:,re' account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of condition: e • essed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any wor° •e'`armed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. j/r Gibraltar Construction Corp By 4/bAi Title President •� WITNESS MY HAND AND NOTORIAL SE/) , thiti 21 day of July, 2011. (Notary Public) ,.;.>-, 'L , BRIAN R. MCBRIDE _ ES. Ci Hc700C,{ COLfiiy ( 1979 1'401ANA SuaCONTAAC1O05 ASSOClAi1O'+ tNCOPPORATED !* SE:A.L. * _ ur,oumo,aaa A•Dsoducnon Ptot"b,I d My Comm. E2C. 1 -29-2017 R"'' 1f'o \.,lr'i r Com,-nisSion : .311862 CONTINUATION SHEET Page 2 of 3 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO. : 16 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 8/31/2011 variable retainage for line items may apply. PERIOD TO: 8/31/2011 ARCHITECT'S PROJECT NO. : A B C D 1 E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE TO RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY COMPLETED AND % NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) FINISH (IF VARIABLE (D+E) D OR E) (D+E+F) (C-G) RATE) 1 Allowance $25,000.00 $25,000.00 $25,000.00 100% - 25,000.00 2 Supervision $47,500.00 $47,500.00 $47,500.00 100% - 3 Demobilization $2,000.00 $2,000.00 $2,000.00 100% - 4 Submittals $18,000.00 $18,000.00 $18,000.00 100% - 5 Misc. General Conditions $32,724.40 $32,724.40 $32,724.40 100% - 6 Excavation at North Ramp $4,643.00 $4,643.00 $4,643.00 100% - 7 Storm Casting Materials $79,000.00 $79,000.00 $79,000.00 100% - 8 Storm Casting Labor $11,000.00 $11,000.00 $11,000.00 100% - 9 Trench Drain Material $59,000.00 $59,000.00 $59,000.00 100% - 10 Trench Drain Labor $15,000.00 $15,000.00 $15,000.00 100% - 11 Demolition Labor $35,000.00 $35,000.00 $35,000.00 100% - 12 Topping Slabs&Curbs Material $170,000.00 $170,000.00 $170,000.00 100% - 13 Topping Slabs&Curbs Labor $164,900.00 $164,900.00 $164,900.00 100% - 14 Rebar Material $15,000.00 $15,000.00 $15,000.00 100% - 15 Masonry $3,000.00 $3,000.00 $3,000.00 100% - 16 Metal Fabrications $1,200.00 $1,200.00 $1,200.00 100% - 17 Waterproofing& Exp. Joints $742,000.00 $742,000.00 _ $742,000.00 100% - 18 Joint Sealants $200.00 $200.00 $200.00 100% - 19 Plumbing $18,400.00 $18,400.00 $18,400.00 100% - 20 Electrical $1,800.00 $1,800.00 $1,800.00 100% - 21 Alternate#7 $184,000.00 $184,000.00 $184,000.00 100% - 22 Change Order#1 -$18,400.00 -$18,400.00 -$18,400.00 100% - 23 Change Order#2 $5,182.00 $5,182.00 $5,182.00 100% - 24 Change Order#3 $3,252.00 $3,252.00 $3,252.00 100% - 25 Change Order#4 $26,871.00 $26,871.00 $26,871.00 100% - CONTINUATION SHEET Page 3 of 3 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION NO. : 16 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts APPLICATION DATE: 8/31/2011 where variable retainage for line items may apply. PERIOD TO: 8/31/2011 ARCHITECT'S PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) (C-G) RATE) (D+E) DORE) (D+E+F) 26 Change Order#5 $7,200.00 $7,200.00 $7,200.00 100% - 27 Change Order#6 $3,986.00 $3,986.00 $3,986.00 100% - 28 Change Order#7 $4,008.00 $4,008.00 $4,008.00 100% - 29 Change Order#8 $14,921.00 $14,921.00 $14,921.00 100% - 30 Change Order#9 $8,529.00 $8,529.00 $8,529.00 100% - 31 Change Order#10 $12,192.00 $12,192.00 $12,192.00 100% - 32 Change Order#11 $1,959.00 $1,959.00 $1,959.00 100% - 33 Change Order#12 $2,265.00 $2,265.00 $2,265.00 100% - 34 Change Order#13 $8,441.00 $8,441.00 $8,441.00, 100% - 35 Change Order#14 $2,791 2,791 2,791 100% - 36 Change Order#15 $1,340 1,340 1,340 100% - 37 Change Order#16 $8,042 8,042 8,042 100% - 38 Change Order#17 $2,205 2,205 2,205 100% - 39 Change Order#18 $3,415 3,415 3,415 100% - 40 Change Order#19 $6,464 6,464 6,464 100% - 41 Change Order#20 $3,592 3,592 3,592 100% - 42 Change Order#21 $5,110 5,110 5,110 100% - 43 Change Order#22 $3,863 3,863 3,863 100% - 44 Change Order#23 $11,839 11,839 11,839 100% - 45 Change Order#24 $1,611 1,611 1,611 100% - 46 47 48 49 50 $1,760,045.40 $1,760,045.40 $0.00 $0.00 $1,760,045.40 100% $0.00 $25,000.00 ISA Form#1-402 AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ►1 PARTIAL ® 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 City Cntr-P111 Waterproofing and Paving Components and owned by Carmel Theater Development Company. and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the Owner the sum of One Hundred Fifty One Thousand Four and -------------------- 54/100 Dollars ($151,004.54) ❑ 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 of such payment. THERFORE, the undersigned waives and releases unto the Oh er of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon,:. ,a unt of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions exp;is.-• herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work perf.1 -. or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By j Title President pip . WITNESS MY HAND AND NOTORIAL SEAL, this ,f;-. ., Au. st, 2011. ------ _______--.41111111° 7otaRry:uo blic) �~°_ ,,, BAN R. MCBRIDE . ` Hancock Co unty r, 1979 tINMANA Su®CONTAACTORS ASSOCIATION INCORPORATED unautrw•eoe abptoductwn Prohpbasti M)' COMM, EJCp, 11-29-2017 R� +0e7 \qo 1 PN 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 G i6r4If&r Con +Nc410n Cc Purchase Order No. 29 32 IV. WelSker Ave. Terms I he 1\kp4`i5J I►y 'kC2I9 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 831-11 I NI] wk,}erytib`llh9 p4v►'h9 3, 6g.50 575- /5Sd-S Total /J (716,50 I 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. Jo —1`C , 20 It .r4411°." - reasurer VOUCHER NO. WARRANT NO. ALLOWED 20 G i trdlfer Con S±rUGtlon Corp IN SUM OF $ 2932 N. Webs+et AVe. z hd;trqolis,IN 4' 6219 $ 3 GI`. -sD ON ACCOUNT OF APPROPRIATION FOR 02/ '�� Go gas Board Members - PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# 11f L I hereby certify that the attached invoice(s), or 902 110 X60$05 3, `1`.50 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 30— 2011 Execs Ive rl3irector Title Cost distribution ledger classification if Carmel Redevelopment Commission 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 G! 1h �� r C�n 5-�r U,c�-�on Cr r Purchase Order No. 212- W. ►'Uelo eta rIVe+ Terms 1 nVl GmO5f..1Al 62 I Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) \\ 5 ? 7 5+re t4 5 care 70J'f5ci " Total 70 }'t51," I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I h ite e in accordance with IC 5-11-10-1.6. 1 'Lk , 20 11 C erk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 C ; D ro, Cens+rudlon Cyr ' IN SUM OF $ 26/32. Al, It/i tiler Ave . • I 2i $ 70. Lf5 � 0b ON ACCOUNT OF APPROPRIATION FOR 102-/ 414 02/47 Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or QZ 5 4H-WV-17 7OJ 5 j06 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 IU - I2-2o1/ .ice .ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund