LAFEVER ELECTRIC, INC.- 002494- 12/5/2011CARMEL REDEVELOPMENT COMMISSION
LaFever Electric, Inc.
131 N Rangeline Road
Carmel, IN 46032
Invoice
3-
P.O. Num.
App 3 on P112.Wayfinding
002494
Check: 2494
Date: 12/5/2011
Vendor: LAFEVER1
Prior
Invoice Amt I Balance Retention Discount Amt. Paid
178,490.71 178,490.71 0.00 0.00 178,490.71
178,490.71 178,490.71
178,490.71
THE KEY TO!DOCUMENT SECURITY •°HEAT ACTIVATED,THUMB PRINT ADDITIONAL'' SECURITY FEATURES SINCLUDED k SEE'BACKFOR DETAILS, :,
STRIG
•tea Carmel Redevelopment .Commission
30 West Main Street
Suite 220
`,Carmel, IN 46032
• DATE;
2494
AMOUNT
PAY
TO THE
ORDER
OF
12/5/2011 * * * * * *" *178,490:71
THE SUM OF ONE, HUNDRED SEVENTY,EIGHT THOUSAND FOUR HUNDRED NINETY DOLLARS AND 71 CENTS. *' *' * * * *** * **
LaFever-Electric;'lnc.
131N Rangeline Road
Carmel, IN 46032;
i1°002494» 1 :0740 31: 0087SO4LL II°
CARMEL REDEVELOPMENT COMMISSION
LaFever Electric, Inc.
131 N Rangeline Road
Carmel, IN 46032
002494
Check: 2494
Date: 12/5/2011
Vendor: LAFEVER1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
3- 178,490.71 178,490.71 0.00 0.00 178,490.71
App 3 on P112 Wayfinding
178,490.71. 178,490.71
0.00 0.00 178,490.71
X -11- 52 COMPUTEREASE FORMS DIVISION (877)5775791 T -37228
APPLICATION AND CERTIFICATE FOR PAYMENT
TO OWNER: Carmel Redevelopment Commission PROJECT: P112 Wayfinding & Site Amenities APPLICATION NO 3
30 West Main St., Suite 220 720 S. Rangeline Road PERIOD TO: 10/31/2011
Carmel, IN 46032 Carmel, IN 46032 PROJECT NO: 0
FROM CONTRACTOR: LaFever Electric, Inc. VIA PROJECT MANAGER: Signature Construction JOB NO: 1789
131 N. Rangeline Road 720 3rd Avenue SW CONTRACT DATE 6/15/2011
Carmel, IN 46032 Carmel, IN 46032
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information
and belief the Work covered by this Application for Payment has been completed in accordance
1 ORIGINAL CONTRACT SUM $ 282,900.00 with the Contract Documents, that all amounts have been paid by the Contractor for Work for
2 NET CHANGE BY CHANGE ORDERS $ which previous Certificates for payment were issued and payments received from the Owner,
3 CONTRACT SUM TO DATE (Line 1 ± 2) $ 282,900.00 and that current payment shown herein is now due.
4 TOTAL COMPLETED AND STORED TO DATE $ 235,949.50
(Column G on G703)
5 RETAINAGE:
10 % of Completed Work $ 9,762.28
(Columns D +E)
10 % of Stored Material $ 13,832.67
(Column F)
Total Retainage (Line 5a + 5b or
Total in Column I)
6 TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7 LESS PREVIOUS CERTIFICATES FOR PAYMENTS
(Line 6 from prior Certificate)
8 CURRENT PAYMENT DUE (Line 6 less Line 7)
9 BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6) $ 70,545.45
CONTRACTOR: LaFever Electric, Inc.
Chris A. LaFever
$ 23,594.95 State of: Indiana
$ 212,354.55 County of: Hamilton
Subscribed and sworn to before Li"
m 7ph d of October, 21
.
ic: Colleen 'S J 1arvel '
o;
$ 33,863.85
$ 178,490.71
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in
previous months by Owner
_
-
Total approved this month
-
-
TOTALS
-
-
NET CHANGES by Change Order
-
My Commission expires: April 11,
Date: October 17, 2011
rrsc+n�:�
hDlaltctterr- s
/0301
JOB NAME
APPLICATION NUMBER
P112 Wayfinding & Amenities
3
APPLICATION DATE
PERIOD TO
10/17/2011
10/31/2011
PAGE NUMBER 1
A
B
C
D
E
F
G
H
I
ITEM
NO.
DESCRIPTION OF WORK
SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY
STORED
(NOT IN
D OR E)
TOTAL
COMPLETED
AND STORED
TO DATE
(D +E +F)
%
(G +C)
BALANCE
TO FINISH
(C -G)
RETAINAGE
FROM PREVIOUS
APPLICATION
(D +E)
THIS PERIOD
-
BASE BID
-
-
1.00
Conduit, box, fittings, ETC. M
15,300.00
14,535.00
535.50
229.50
15,300.00
100
-
1,530.00
-
- L
15,863.00
3,172.60
11,104.10
14,276.70
90
1,586.30
1,427.67
2.00
Wire M
10,453.00
-
9,407.70
1,045.30
10,453.00
100
-
1,045.30
-
- L
8,689.00
-
7,820.10
7,820.10
90,
868.90
782.01
3.00
Concrete and Core Drilling M
11,636.00
4,654.40
4,188.96
2,792.64
11,636.00
100
-
1,163.60
- L
2,341.00
936.40
1,404.60
2,341.00
100
-
234.10
4.00
Lighting M
151,460.00
3,029.20
14,843.08
133,587.72
151,460.00
100
-
15,146.00
-
- L
9,363.00
-
936.30
936.30
10
8,426.70
93.63
5.00
Allowance
40,000.00
-
6,283.00
6,283.00
33,717.00
628.30
1.00
Alternate #2
-
-
Conduit, box, fittings, ETC. M
3,650.00
3,467.50
73.00
109.50
3,650.00
100
-
365.00
-
- L
3,777.00
755.40
1,510.80
2,266.20
60
1,510.80
226.62
-
Wire M
1,405.00
-
843.00
562.00
1,405.00
100
-
140.50
-
- L
1,027.00
-
616.20
616.20
60
410.80
61.62
-
Lightiing M
3,681.00
3,681.00
3,681.00
100
-
368.10
-
- L
860.00
-
430.00
430.00
50
430.00
43.00
-
Bond
3,395.00
3,395.00
-
-
3,395.00
100
-
339.50
_
282,900.00
37,626.50
59,996.34
138,326.66
235,949.50
■
46,950.50
23,594.95
Mato Of Indiana
County of Hamilton
TO WHOM IT MAY CONCERNS
WHEREAS the undersipted bee been worinyed by
to finish
WAIVER OF LIEld TO DATE
iss
LaFever Electric, Inc.
File d:
Electrical Work
bar the gentian described es
of which
P112 Wayfinding & Site Amenities
mew me ..'m.e,.im,weon.
Carmel Redevelopment Commission
Is the aim
ar
One Hundred Sever ehtud Flu 6Hindred Ninety Dollars and Seventy -one Cents
($
178,490.71 )DOW. sod attar good and valuable mnsrdoatlos, the receipt whermt is bet dry ar tnowledend, do(es) Malty ware and
lek td e 211 and 111 lien or deka or right of lien under the Si tateo ante Sum sdiarsin the land is lamed, relating to I,4edranie*s liens, on the above described maisea
e n d tents t h e m e , and on the e n s u e s o r o t h e r considerations Otte a t to become doe from the owtlet, on asses eel of tabor or eenieaso, uutterial, Oxman or
appernbns hrID rare &mld,ed to than data by the undersigned he the above deterlbad piaattese.
sited this 17th dhr e>f October zo 11
Chris A. LaFcvcr, Vice-President
Sol
All wawa want be for Mee fun smoant paid. if waiver is for a torpor/dim. corporate mune +heeld be teed, corporate read sifted ated tido of offer
sludge waiver ahoedd be set fonht tf weber is fir a rerun-ship, the panteeram'p eerie should be weed. Farmer almnid tau and designate htmsdrar water.
CONTRACTOR'S AFFIDAvIt
}sS
Simi of Indiana
County of Hamilton
TO W1R W rr MAY CONCERN:
WE enrtersignal. being duly swart�, deposes and says that he Is
LaFever Electric, Inc.
Vice- President
who is the contractor Sir the Electrical Work
keg located at list Street NW, Carmel, Indiana 46032
owsost by evelo ment Commission
work on aid
That the tonal eatatn rt albs emend bteiadhtgcaoaasis$ 282. 900.00 oil 'With he has 000vivvdpeytnentof
s 22, 792.95 prior to this payment_ not all waives are ere, coma tmd ermine and Other rod unconditionally s d fiat theta is no Oahu
either lapel or equitable to defeat the validity of said waivers. That the Mewing we the namss all all patties wb have nentsbcd tenurial or tabor, or both, /brisk' trek
and all patties having contracts or snbaeeareats Ibr speotfle partioos ofsoid wont or for meow entwine into tpe seat WWI motor ow too enowrs One or SO bwwu
dim to etch, sod that the items isoniand enslnded all tabor and 1411101tbd m teeid 'Mk at Oleg to daft and • -1 -., ohs:
MANS
entr ectrie u
Techlite 31 578 -2626
IMTI O DICEIMMENIIIIIIMIIII
tiwtu rev DO other uoin fur amid work outstanding and . at thane is nothing dos or to become due to any peso t :. Jmateriel, tabor or ortrir wotlr sty kind
doe or 10 he done Capon or in cue nowise with said sett onion then above statet
skim" this 17th day of October , 20 11
Subscribed and sworn to bcfre ntr Gigs 17th day of
TS1 CD1606107f2oo7
,1,1111 ;:; Chris A. LaFever Vice- President
gimamd
Frescribed by 1 tate Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
City Form No. 201 (Rev. 1995)
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
La Fevtr Sect -r 1 c I hC .
Purchase Order No.
i
131 N. If any e \ e l' U.
Terms
Civ mel 1 N V '1 032
Date Due
,
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
10 -311
3
r11Z NitiNf;ndih9 c S; +e c1mehi tie S
178)14.9x. -1l
Total
178 , - 9 0.71
a•∎ -v... dite: -1
/el.-
— 1� :A k-1
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct
with IC 5- 11- 10 -1.6.
I .–o ___ , 20 1 1
easurer
e in accordance
VOUCHER NO. WARRANT NO.
LaFVer EIec%ric
I 3 I IV RanieIine Rd,
Cannel, I// 4.6132
$ 1-1g 410.71
ON ACCOUNT OF APPROPRIATION FOR
� 02/ 1446o0s
PO# or
DEPT. #
INVOICE NO.
ACCT#/TITLE
2
3
Lty-tonc
AMOUNT
179f9U.7/
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
I hereby certify that the attached invoice(s), or
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
1(;') -.201
erector
Cannel Redevelopment Commissi