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HomeMy WebLinkAboutGIBRALTAR CONSTRUCTION CORP -002528 -12/22/2011 CARMEL REDEVELOPMENT COMMISSION 002528 Gibraltar Construction Corp Check: 2528 2932 N. Webster Ave. Date: 12/22/2011 Indianapolis, IN 46219 Vendor: GIBR1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paic 4-7 57,974.00 57,974.00 0.00 0.00 57,974.0( P47 Streetscape 5-6 211,999.00 211,999.00 0.00 0.00 211,999.0( P47 Lofts Streetscape 4160-IN 29,780.00 29,780.00 0.00 0.00 29,780.0( P96 Monon TrailRevovation 299,753.00 299,753.00 0:00 0.00 299,753.0( j 1.. ••■ GIBRALTAR „.- , 2832 N.,,Weabliter Avenue _ _ Indiesnepo lig. Inch eine 48218 CONSTRUCTION CORP 1131 ) 378.1888 IFAX1258:1E589 INVOICE BILL TO: • Ginned Redeveldpment Commissfon INVOICE DATE: 11/22/11 30 West Main Street, Suite 220 INVOICE #1°: 4160-IN Carmel, IN 46032 P.O. NUMBER: Parcel 96 TERMS: 30 Days DESCRIPTION AMOUNT. Parcel SS,Ramon Trail Renovation Wel Package "#1 Base'Bld: $23,500.00 Alternate 55,200.00 Voluntary Alternate #1: $3,150.00 Removal Of East Stairs &Ralls: ($2,700.00) WE THANK YOUll TOTAL,DUE THIS'INVOICE $29,780. GENERAL CONITRACTOR8 PROLIECT IVPANAIIIER8 . i ISA Form#I-402 ' • AFFIDAVIT AND'WAIVER OF LIEN 0 FINAL ❑ PARTIAL ill PAYMENT TO FOLLOW State of Indiana,County of Merlon,SS Michael-Smith being duly swam state that hats the Resident of Olbraltar.Conatruction Corp having contracted with the' . Owner to furnish c�ln materialsYand/or labor for project as Parcel 8t:Monon.Trail-Renovation Wail Package ''• ' • #1 and owned by Carmel Redevelopment Commission and does herby further state on behalf of the aforementioned contractor ' (PARTIAL-WAIVER)that there is due from the Owner the sum of • ors (CIO) ❑,receipt of which Is her eby c ;or ❑'the payment of which has beers promised as the soles of this Affidavit end Partial.Washer of,Lien which is given solety 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-siim'of' Twenty Nine Thousand Sevin Hundred E1hly and ' 'Not9OO Dollars ($29,780.00) • 0`receipt of which Is he obyi"aaknowledged;or . CI the''payment of which has bin promised;as*sole consideration for thieAflldavit and Final Waiver of Lien which shell*on*effecdiVe upon iti.of such payment. THERPORE,the uriderslgnsd waives and„ unto Of s ild'premf ; r and all Tien or dalm;wiatsoeve_r on the'above-described property end Improvements-thereon . .-of LABOR'or material or both;furnished.by the . undersigned thereto,subject to Itrnkatlons of conditions '!! !!` herein,if,any;and farther ,Certifies that no other party I has any dalm or right to a lien on account of any wok. -,,:r.: = or material furnished to the undersigned for said project, and within the scope of this afficwlt and waiver. ' if 1 A . Tithe Glbraftet,Constnxdion Corp By %/�WlTNE8B MY AND i�AL., / . Navenber, 11. _ (Notary Public); ' 1,.A�°:. BRIAN R. MCBRIDE $ Res. of Hancock County My,Comm. Exp. 11,29•2017 • •1 It 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'1'6lc�i/�ary Cvv7sf,- iL;�� �Y�✓- Purchase Order No. 293 2X/. V, 55/-°, Terms //V/ci/ 47962/5, 7//2 e.;/ z�9 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) //6z/// ��(0�1—/� �gr< / 96 Tci,"/ 2-9, 7Y- C-0 Total 29 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct an ,= •ited s•,me in accordance with IC 5-11-10-1.6. , 20 lC A/ reasurer VOUCHER NO. WARRANT NO. ALLOWED 20 6/'h11.s./746?k- IN SUM OF $ a 9 3 2 /v- 46/%2;,,, ,-",. / '/2/9 $ 26 ON ACCOUNT OF APPROPRIATION FOR 9�2 Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT hereby certify invoice(s), DEPT.# I hereb certif that the attached invoices , or 9oz —/,1 17/4'6a 237cfa.a' 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 20// � eDirector Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund lip TM Ce :------,---"\ Document G702/CMa — 1992 . \ , . 04 ,I, _ , Application and Certificate for Payment Construction Manager-Adviser Edition • TO OWNER: City of Carmel PROJECT: Carmel Lofts Streetscape-Parcel 47 APPLICATION NO: J Distribution o: One Civic Square PERIOD TO: 91x3"1111 OWNER ❑ Carmel,IN 46032 130111 (ZRA CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: CONTRACT DATE: 2/4/11 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 certif e that to the best of the Contractor's knowledge, information and A lication is made for a merit,as shown below,in connection with the Contract. belief the Work covered by is o lication for Payment has been completed in accordance with the Continuation Sheet,AIA Document G703,is attached. Contract Documents, that a' .mo is have been paid by the Contractor for Work for which previous Certificates for Payment v-e i• ued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 1,373,700.00 payment shown herein is e dui 2. Net change by Change Orders $ 246,999.00 CONTRACTOR: Gibral''=Ai • -truction Corp �� /f` 3.CONTRACT SUM TO DATE(Line 1 ±2)' $ 1,620,699.00 By: �� Date: 1 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 1,603,859.00 State of: i (A1;. MCBRIDE - _-A/ BRIAN R. // 5.RETAINAGE: County of: ail 4,3 ,,.v 2 Res. 0 ha„���� County a. %of Completed Work Subscribed .'y sworn to before * * My Comm. Eye. 11-29-2017 (Column.D+Eon G703) $ 70,435.00 me this _;; day.o ' -�// / CommsS cc`, # 611862 b. %of Stored Material Notary P'''1 (Column F on G703) $ My Commission expires: �� /, 1 Total Retainage(Lines 5a+5b or Total in Column I of G703). $. CERTIFICATE F R PAYMENT 1,533,424.00 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) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,475,450.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE $ 57,974.00 AMOUNT CERTIFIED $ 974-Pr- 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amouritapplied.Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ 87,275.00 CONSTRUCTION AGER: By: Date: CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITEC . !I Cas_____ To tal changes approved.in previous months by Owner $ $ _ By: Date: /*TM Total approved this 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. of 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 ©1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties. CONTINUATION SHEET Page 2 of 4 APPLICATION NO. : 7 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 9/30/2011 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: 9/30/2011 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 APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) FINISH (IF VARIABLE (D+E) D OR E) (D+E+F) (C-G) RATE) 1 Allowance No. 1 -Base Bid Contingency $5,000.00 $0.00 $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 $0.00 $5,000.00 $5,000.00 100% - 4 Allowance No. 4-Alternate 2 Contingency $5,000.00 $0.00 $5,000.00 $5,000.00 100% - 5 Allowance No. 5-Alternate 3 Contingency $5,000.00 $0.00 $5,000.00 $5,000.00 100% - 6 Allowance No. 6-Alternate 4 Contingency $5,000.00 $0.00 $5,000.00 $5,000.00 100% - 7 Bond $18,500.00 $18,500.00 $18,500.00 100% - 8 General Conditions $86,000.00 $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 $156,454.00 100% - 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 Page 3 of 4 APPLICATION NO. : 7 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 9/30/2011 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 9/30/2011 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL COMPLETED BALANCE TO ITEM FROM PREVIOUS PRESENTLY % RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT IN AND STORED TO (G/C) FINISH (IF VARIABLE RATE) (D+E) DORE) DATE D+E+F) (C-G) 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 $6,860.00 $140.00 $7,000.00 100% - 30 Cast Stone $7,000.00 $6,860.00 $140.00 0- $7,000.00 100% - 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 $72,280.00 $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 5,035 265 $5,300.00 100% - 37 Fountain Structure- Mt'I $28,100 28,100 $28,100.00 100% - 38 Fountain Structure- Labor $800 600 160 _ $760.00 95% 40 39 Fountain Plumbing-Mt'l $12,000 12,000 $12,000.00 100% - 40 Fountain Plumbing-Labor $3,000 1,500 1,500 $3,000.00 100% - 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'I $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 Change Order#2 $116,941 116,941 116,941 100% - CONTINUATION SHEET Page4of4 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO. : 7 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts APPLICATION DATE: 9/30/2011 where variable retainage for line items may apply. PERIOD TO: 9/30/2011 ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) FINISH (IF VARIABLE RATE) (D+E) DORE) (D+E+F) (C G) 51 Change Order#3 -$20,000 (20,000) (20,000) 100% - 52 Change Order#4 $32,386 32,386 32,386 100% - 53 Change Order#5 $59,972 59,972 59,972 100% - 54 Change Order#6 $0 55 Change Order#7 $8,960 8,960 8,960 100% - 56 Change Order#8 $6,571 6,571 6,571 100% - 57 Change Order#9 -$10,600 (10,600) (10,600) 100% - 58 Change Order#10 $17,769 17,769 17,769 100% - 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 $1,620,699 $1,545,885 $57,974 $0 $1,603,859 99% $16,840 $70,435 ISA Form# 1-402 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 Fifty Seven Thousand Nine Hundred Seventy Four and No/100 Dollars ($57,974.00) ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER)that the final balance due from the Owner is the sum of Dollars ( ) ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receic'of such payment. THERFORE, the undersigned waives and releases unto the • ner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereo I a ount of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions ext';,eed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work perfj1 m-d or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. A/1 Gibraltar Construction Corp By Title President ill WITNESS MY HAND AND NOTORIAL SEAL, this ,. da; o September, 2011. ■' (Notary Public) �>`° BRIAN R. MCBRIDE 1979 i►tOlittA SUBCONTRACIOAS ASSOCIAIieN INCOt1POi AIED * ^•g Res, of Hancock County ,cyv Unsu,hor.ten Aop+ostuElwn Raahrbouttl My Comm. Exp. 11-29-2017 ro 0$ Commission # 611862 • `�' /4 TM Vi =�t.1 Document G702/CMa ® 1992 ti Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: City of Carmel PROJECT: Carmel Lofts Streetscape-Parcel 47 APPLICATION NO: 6 Distribute• to: One Civic Square PERIOD TO: 8/31/11 OWNER ❑ Carmel,IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: CONTRACT DATE: 2/4/11 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 ci,rtifie: that to the best of the Contractor's knowledge, information and belief the Work covered by t ,t. Ap,• ication for Payment has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. P Contract Documents, that all lm o t. have been paid by the Contractor for Work for which previous Continuation Sheet, AIA Document G703,is attached. Certificates for Payment),i7 i• u:d and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 1,373,700.00 payment shown herein is n au:. 2. Net change by Change Orders $ 246,999.00 CONTRACTOR: Gibralt. ; IP•'struFtion Corp 3.CONTRACT SUM TO DATE(Line ±2) $ 1,620,699.00 By: /. Date: "7, I1 Q '7 1,545,885.00 State of /•; 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ Jf�1.4 �' 5.RETAINAGE: County of: ,, 4 , , 1 ` E BR IAN R. MCBRIDE a. %.of Completed Work Subscribed and s :+' tob re A � FRS. of Hancock County (Column D+Eon G703) $ 70,435.00 me this day.of/ /2,,,,A" '` My Comm, Exp. 11-29-2017 b. %of Stored Material Notary Pub '.•_ (Column F on G703) $ My Commission expires: 7--'3,7s .....12 C I PN Comm'.SS1on # 611862 Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ CERTIFICATE FOR PAYMENT 1,475,450.00 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) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,263,451.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE $ 211,999.00 AMOUNT CERTIFIED $at!,CM,°� 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amoient applied.Initial all figures on this 145,249.00 Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ CONSTRUCTION M;• ° •ER: By: Date: CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITEC Ar itect: n Total changes approved:in previous months by Owner $ $ By: ' /; Date: (2.1941( Total approvedthisMonth $ $ This Certificate is not negotiable. The AMOUNT CER1"1hLhD is;payable only to the Contractor 0� 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. AIA Document G702ICMaTM-1992.Copyright 0 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties. CONTINUATION SHEET Page 2 of 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 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 APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) FINISH (IF VARIABLE (D+E) D OR E) (D+E+F) (C-G) RATE) 1 Allowance No. 1 -Base Bid Contingency $5,000.00 $0.00 $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 $0.00 0% 5,000.00 4 Allowance No. 4-Alternate 2 Contingency $5,000.00 $0.00 $0.00 0% 5,000.00 5 Allowance No. 5-Alternate 3 Contingency $5,000.00 $0.00 $0.00 0% 5,000.00 6 Allowance No. 6-Alternate 4 Contingency $5,000.00 $0.00 $0.00 0% 5,000.00 7 Bond $18,500.00 $18,500.00 $18,500.00 100% - ° 8 General Conditions $86,000.00 $84,280.00 $84,280.00 -98%16. lop 1,720.00 9 Site Clearing/Selective Site Demo $29,200.00 $29,200.00 $29,200.00 100% - 10 Earthwork $114,500.00 $112,210.00 $112,210.00 .98% 00 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 $16,055.00 $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 $153,324.00 $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 $3,626.00 $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 4 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 variable retainage for line items may apply. PERIOD TO: 8/31/2011 ARCHITECTS PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL COMPLETED BALANCE TO ITEM FROM PREVIOUS PRESENTLY % RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT IN AND STORED TO FINISH (G/C) (IF VARIABLE RATE) (p+E) D OR E) DATE(D+E+F) (C-G) 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 $6,860.00 $6,860.00 98% 140.00 30 Cast Stone $7,000.00 $6,860.00 $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 $72,280.00 $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 5,035 $5,035.00 95% 265 37 Fountain Structure-Mt'I $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 $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'I $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 Change Order#2 $116,941 116,941 116,941 100% - CONTINUATION SHEET Page 4 of 4 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION NO. : 6 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 E F G H I WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) FINISH (IF VARIABLE RATE) (D+E) DORE) (D+E+F) (C G) 51 Change Order#3 -$20,000 (20,000) (20,000) 100% - 52 Change Order#4 $32,386 32,386 32,386 100% - 53 Change Order#5 $59,972 59,972 59,972 100% - 54 Change Order#6 $0 55 Change Order#7 $8,960 8,960 8,960_ 100% - 56 Change Order#8 $6,571 6,571 6,571 100% - 57 Change Order#9 -$10,600 (10,600) (10,600) 100% - 58 Change Order#10 $17,769 17,769 17,769 100% - 59 • 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 $1,620,699 $1,333,886 $211,999 $0 $1,545,885 95% $74,814 $70,435 ISA Form# 1-402 AFFIDAVIT AND WAIVER OF LIEN El 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 Two Hundred Eleven Thosuand Nine Hundred Ninety Nine and No/100 Dollars ($211,999.00) El 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 receip of such payment. THERFORE, the undersigned waives and releases unto the • ner of said premises, any and all lien or claim whatsoever on the above-described property and improvements there.I a, tount of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions exp-sp-d herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work pe ,t) :1 or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. kt' Gibraltar Construction Corp By i Title President WITNESS MY HAND AND NOTORIAL SEAL, thi- ,. rely o'.August, 2011. (Notary Public) >. '~✓6� BRIAN R, MCBRIDE Res. of Hancock County K) 1979 fNO7ANA SUBCONTRACTORS ASSOCIATION INCORPORATED UnaN1 RR,.tee RsIRod actton RI ettobt•R _ My Comm. E . 11-29-2017 Rev , D F,,'\ Commiss!on # 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. r Payee GI_ ( Or&Ik Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1-k1 N1 5-Vrce-lc sCgc 2111 99. o 930-I s-6eA-scent 579711-.0° • Total 2 6 9 973. ° I hereby certify that the attached invoice(s), or bill(s), is (are) true and corre ./I- e audite. .ue in accor- dance with IC 5-11-10-1.6. 9 - ►�C , 20 11 -Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 G 6ra 'dr (oil>" T• IN SUM OF $ $ 261973 ° ON ACCOUNT OF APPROPRIATION FOR 90 //g1O ( 17 Board Members D PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), 902 6Og17 2 i1 9 g 1,°° or bill(s) is (are) true and correct and that 902_ 1 LggI7 5-074f:00 the materials or services itemized thereon for which charge is made were ordered and received except 12-5- 200 ) Ir( ExediNgt5Trector Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund