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HomeMy WebLinkAboutKEYSTONE CONSTRUCTION- 003033- 8/9/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 3 0 3 3 • Keystone Construction Check: 3033 47 South PA St, 10th Floor Date: 8/9/2012 Indianapolis, IN 46204 Vendor: KEYSTON1 Prior Invoice P.O. Num, Invoice Amt Balance Retention Discount Amt. Pai4 101013 18,481.01 18,481.01 0.00 0.00 18,481.01 P47 streetscape 18,481.01 18,481.01 0.00 0.00 18,481.01 11i ROLTHE KEYpTO DOCUMENTySECURR HEAT ACTIVATE1THUMB PRDJTCLADDITIONAL SECURITY.FEATURES INCLUDED'. SEE BACK FOR DETAILS 1 'giro Sto Carmel Redevelopment Commission 003033 30 West Main Street A REGIONS 20.1421/740 (�]��Y'-, Suite 220 \`anma Carmel IN 46032 fTRtet , I(I DATE AMOUNT 3033 8/9/2012 +*********18,481.01 PAY THE SUM OF EIGHTEEN THOUSAND FOUR HUNDRED EIGHTY ONE DOLLARS AND 01 CENT TO THE ORDER OF Keystone Construction 47 South PA St, 10th Floor Indianapolis, IN 46204 M *0srNt', 000 30 33" 1:07401.42L31: 0087504LLLi" CARMEL REDEVELOPMENT COMMISSION 003033 Keystone Construction Check: 3033 47 South PA St, 10th Floor Date: 8/9/2012 Indianapolis, IN 46204 Vendor: KEYSTON1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 101013 18,481.01 18,481.01 0.00 0.00 18,481.01 P47 streetscape 18,481.01 18,481.01 0.00 0.00 18,481.01 ` X-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 J' *'v AIA Document G702TN - 1992 Application and Certificate for Payment TO OWNER: City of Carmel PROJECT: Parcel 47 Sircctscane APPLICATION NO: 101013 Distribution to: Camtcl. Indiana PERIOD TO:. . ••6/21/2012 OWNER ❑ CONTRACT FOR: ARCHITECT ❑ FROM CONTRACTOR: Keystone Construction CorpoVkPi ?CHITECT: ' CONTRACT DATE: CONTRACTOR ❑ 47 S Pennsylvania Street FL 10 PROJECT NOS: 1010 / Indianapolis, IN 46204 FIELD ❑ OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information Application is made for payment,as shown below,in connection with the Contract. and belief the Work covered by this Application for Payment has been completed in accordance AIA Document G703TM,Continuation Sheet,is attached. with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and 1.ORIGINAL CONTRACT SUM $ 187293.85 that current pay ent shown herein is now due. 2. NET CHANGE BY CHANGE ORDERS $ 3.500.00 CONTRACTOR lie 'Aron onstntction Corporation 3.CONTRACT SUM TO DATE(Line/-f 2) S 190.793.85 By: 1 I Date: 61 al I I 9— • 4.TOTAL COMPLETED&STORED TO DATE(Column G on 6703) $ 190,793.85 State of: ,%In ant 5.RETAINAGE: County of: Marion a. %of Completed Work ANDREA M. ROELL Subscribed and sworn to before (Columns D+E on G703) S me this a_I .aa" dry of �OTA(ZY PUaLIC b. _%of Stored Material ,' L/ STATE Of INDIANA (Column F on G703) $ Notary Public: o—�,�� .\\\,.._ Q MARION COUNTY t -- ��'— —IAPCOMMISSION EXPIRES: My commission expires: NOVEMBER B,2016 Total Retainage(Lines 5a+56, or Total in Column I of G703) $ 0.00 6.TOTAL EARNED LESS RETAINAGE $ 190,793.85 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 minus Line 5 Total) In accordance with the Contract Documents,based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S 172.31284 this application,the Architect certifies to the Owner that to the best of the Architect's knowledge. (Line 6jrmnr prior C'ertifrcnte) information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 8.CURRENT PAYMENT DUE $ 18.48 1.01 AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE ''. AMOUNT CERTIFI I S 184b1.pI (Line 3 minus Line 6) S 0.00 , (Attach tap! allot if r certified differs fromthe amount applied. Initial all figures on this Applicati n and o t e Coot illation.Sheet that arc changed to conform with the amount certified.) CHANGE ORDER SUMMARY ` ADDITIONS DEDUCTIONS ARCHIT CT: / Total changes approved in previous months by Owner $ 3.500.0( S By: Date: 7/t7"VrZ Total approved this month $ S This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor - TOTAL S 3.500.0t $ named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of VET CHANGES by Change Order S 3500.00 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 G702f"—1992.Copyright 01953,1963,1965,1971, 1978,1983 and 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(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright©aia org. eonucm. - D ocument G703TM — 1992 Continuation Sheet AIA Document G7021'11'-1992,Application and Certificate for Payment,or 0732m-2009, APPLICATION NO: 101013 Application and Certificate for Payment.Construction Manager as Adviser Edition, 6/21/2012 APPLICATION DATE: containing Contractors signed certification is attached. 6/21/2012 In tabulations below,amounts are in US dollars. PERIOD T0: Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 1010 A 13 C D I E F G II I WORK COMPLETED MATERIALS TOTAL BALANCE TO ITEM SCIIEDULED PRESENTLY COMPLEIED AND % RETAINAGE DESCRIPTION OF WORK FROM PREVIOUS FINISH NO. VALUE STORED STORED TO DATE (G+C) (1I variable rare) APPLICATION THIS PERIOD (C—C7) (D+E) (Aral in D or F-) (D+F+6) 1 General Conditions to Date 67,317.19 67,317.1 67,317.119 100.00 2 5%CM Fee to Date 70,052.8 70,052.8 70,052.81 100.00 3 Gibraltar CO#1 3,500.0 3,500.09 3,500.00 100.00 4 Gibraltar CO#2 11,694.19 11,694.10 11,694.10 100.00 5 Gibraltar CO#3 -2,000.0 -2,000.00 -2,000.00 100.00 6 Gibraltar CO#4 3,238.60 3,238.60 3238.69 100.00 7 Gibraltar CO#5 5,997.26 5,997.26 5,997.20 100. 8 Gibraltar CO#6 9 Gibraltar CO#7 896.09 896.09 896.00 100. 0 10 Gibraltar CO#8 657.19 657.10 657.10 100. 0 11 Gibraltar.CO#9 -1,060.00 -1,060.00 -1,060.00 100.00 12 Gibraltar CO#10 1,776.96 1,776.90 1,776.90 100.00 13 GC &CM to date$184,185.80 22,430.51 10,242.94 12,187.63 22,430.57 100.00 23 Parrish Invoices 2,293.3$ 2,293.38 2,293.3 100.00 24 ABC Concrete Cutting Invoice 4,000.00 4,000.00 4,000.0 100.00 • Totals GRAND TOTAL 190,793.85 172,312.84 18,481.01 190,793.85 100.i0 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 0703"'—1992.Copyright®1963, 1965, 1966,1967,1970,1978, 1983 and 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 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.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ,o,n°cu.. AFFIDAVIT AND WAIVER OF LIEN Final X Partial X Payment to Follow State of Indiana, County of Marion. SS: Bob Crowder, being duly sworn, states that she is the Project Director of Keystone Construction Corporation (Contractor) having contracted with Carmel Redevelopment Commission to furnish certain materials and/or labor as follows for a project known as Parcel 47 Streetscape, located at 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 Eighteen Thousand Four Hundred Eighty One& 01/100 Dollars ( $ 18,481.01 j j receipt of which is hereby acknowledged ; or I X ) 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 he 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 ( $ ). I I receipt of which is hereby acknowledged; or I I 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. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon on account of LABOR or MATERIAL or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. / Keystone Construction Corporation By (/,� Title Project Director (Company) /` .i br Wil presenia. cc) WITNESS MY HAND AND NOTAIU4.LSEAL, this 21st day°CJune. 2012. Noun'Public: rk � _ ��Scale nr InJimrl Camay ni Marion ANDREA M. ROELF Printed Nadu: Andrea NI_I ()ell NOTARY Pueue� I, commission I ypireo November S.2(111 SEAL SPATE OF INDIANA MARION COUNTY MY COMMISSION EXPIRE$ NOVEMBER 9,2076 gceiveD 918!2011 Construction Invoice Corporation tna,Inc at Ct Date Invoice# Greenwood In 46143 Women owned&operated WBE certified 9/2/2011 63797 Bill To Ship To Dawn Tripp the loft Keystone Construction 10th Floor 47 S Pennyslvania St Indianapolis,IN 46204 Release# PO# Terms Due Date Ship Date Carrier Due on receipt 9/22011 9/2/2011 QTY ITEM DESCRIPTION PRICE EACH AMOUNT 1 fees relocate Container 75.00 75.00 • • REc IVED VENDOR #. �� 7a3 CCODE JOB #S-r-- COMMITMENT EP 2011 []LABOR ONLY 0 SUB-CON []MATERIAL I, ' 0 DATE APP'D BY-70f Payment Methods all major credit cards,Wire transfer Late payment charges will he accessed on all past due invoices @I percent per month 0.18%Per annum Please pay promptly any court cost&or Attorney fees will he charged to your account OFFICE 1-317-859-0934 FAX 1-317-859-0941 Total $75.00 Parrish Of Indiana,Inc • • Invoice 3620 Wyncrest Ct Date Invoice# Greenwood In 46143 Women owned&operated WEE certified 8/5/2011 71128 • Bill To Ship To Dawn Tripp Keystone Construction 10th Floor 47 S Pcnnyslvania St Indianapolis,114 46204 Release# PO# Terms Due Date Ship Date Carrier Due on receipt 8/5/2011 8/5/2011 QTY ITEM DESCRIPTION PRICE EACH AMOUNT I PULL 20 YD 200.00 200.00 9.76 fees Over the 4 ton limit by 9.76 38.50 375.76 iTteceive ;' 8/31/2011 .,r eystone Construction Corporation COMM lTQ,f:N;. �.C. :r l; Hsu Clroi gfOtiQk'"sail AFW ATCR/At oivt tAtiott Op!VI p(3y'---°-- • OhtE_ Payment Methods all major credit cards,Wire transfer Late payment charges will be accessed on all past due invoices @1.5 percent per month 0.18 ciS Per annum Please pay promptly any court cost&or Attorney fees will he charged to your account OFFICE 1-317-859-0934 FAX 1-317-859-0941 Total $575.76 • • • • Parrish Of Indiana,Inc Invoice 3620 Wyncrest Ct Date Invoice# Greenwood In 46143 Women owned&operated WBE certified 9/12/2011 72070 Bill To • Ship To Dawn Tripp the loft Keystone Construction 10th Floor 47 S Pennyslvania St Indianapolis,IN 46204 • ■ 4 Release# PO# Terms Due Date Ship Date Carrier Due on receipt 9/12/2011 9/12/2011 QTY ITEM DESCRIPTION PRICE EACH AMOUNT I PULL 20 YD 300.00 300,00 7.9 fees Over the 4 ton limit by 7.90 38.50 304.15 eceivelp,1 eystone Construction Corporation RI C' VED VENDOR -Aic JOB #.2114.2_.3.CODE:_0L-70{ OOMMITMEN'1-If:______ _ SEP a 2011 t7 SUB-CON(LA/MAT) ❑LABOR ONL' =_i MATERIAL ON fl APP BY_. _,- OATE.9 bfit Payment Methods all major credit cards,Wire transfer Late payment charges will be accessed on all past due invoices @1.5 percent per month • 0.18%Per annum Please pay promptly any court cost&or Attorney fees will be charged to your account OFFICE 1-317-859-0934 FAX 1-317-859-0941 Total $604.15 • Parrish Of Indiana,Inc Invoice 3620 Wyncrest Ct Date Invoice# Greenwood In 46143 Women owned&operated WBE certified 9/12/2011 72107 Bill To Ship To Dawn Tripp The Loft Keystone Construction 10th Floor 47 S Pennyslvania St Indianapolis,IN 46204 �A Release# PO# Terms Due Date Ship Date Carrier Due on receipt 9/122011 9/12/2011 QTY ITEM DESCRIPTION • PRICE EACH AMOUNT I PULL 30 YD PULL CHARGE 30 YARD ROLL OFF CONTAINER 350.00 350.00 • �"- '' eceiver 9/1612011 REC I n 'a VENDOR #. e tone Construction JOri > p�.,,, Ys C.cODEa�7P� Corporation COMMITMENT#: SEP 1 G 2011 0 SUO.CON(LM/AT) 1]�BOR ONLI 0 MATERIAL APPD QY ON n DATE // • Payment Methods all major credit cards,Wire transfer Late payment charges will be accessed on all past due invoices Qu 1.5 percent per month 0.18%Per annum Please pay promptly any court cost&or Attorney fees will be charged to your account • OFFICE 1-317-859-0934 FAX 1-317-859-0941 Total $350.00 !Iteceiverm • 10/1 8/201 1 evstone Construction Invoice Parrish Of Indiana,Inc Corporation 3620 Wyncrest Ct Dale Invoice# Greenwood In 46143 I Women owned&operated WBE certified 9/15/2011 72157 • Bill To Ship To Dawn Tripp Keystone Construction 10th Floor 47 S Pennyslvania St Indianapolis,IN 46204 Release# PO# Terms Due Date Ship Date Carrier Due on receipt 9/15/2011 9/15/2011 ON ITEM DESCRIPTION PRICE EACH AMOUNT I PULL 20 YD 300.00 300.00 10.09 INC FEE INCINERATOR FEE 10.09 tons over the limit 38.50 388.47 • F'iE • VENDOR #___, JOB ; -moo c rIft,OMI COMMITMENT OCT 1 8 2011 ❑SU8 ATERIAL coN(I.ONNL MA1) 0 LABOR ONLY CI M APP'D BY_ DATE / ——Payment-Methods all.major-credit- cards,Wire transfer Late payment charges will be accessed on all past due invoices Q1.5 percent per month 0.18%Per annum Please pay promptly any court cost&or Attorney fees will be charged to your account OFFICE 1-317-859-0934 FAX 1-317-859-0941 Total $688.47 'A ASPHALT INDIANAPOLIS AREA (317)8858989 INVOICE OUTSIDE INDIANAPOLIS(800)3273237 ' B BLOCK FAX(317)885-8980 C CONCRETE N. CUTTING CONTRACTORS, INC. 5230 Commerce Circle Drive Indianapolis.IN 46237 ��� 30-571- 0iaectoa o,e Redeve2opmenf Site Information CaameP Redeye-ea/meat Commiehion 30 Nazi. Plain .SLneet '220 CARMELLOFTS Caame2, IN 46032 MAIN ST. CARMEL IN Invoice Number Invoice Date Customer Number Terms : Purchase Order!Job Number 096072 08/09/11 007219 COD CARMEL LOFTS SERVICE CODE DESCRIPTION AMOUNT GR GRINDING 4,000.00 NET INVOICE: 4,000.00 TAX: 0.00 TOTAL: 4,000.00 ni L, ee aJ . -- nil , (TERMS: NET 30 DAYS payment Is duo upon prosonlatlon of Invoice. II any Invoice is not paid in full within 30 days altar Its billing date,the customer hereby agrees In pay Interest at the rate" II` of t.9%per month(18%per annum)upon the unsold portion of the Invoice. If action or suit Is brought by ABC Cutting Contractors to collect any amount due or owing under this bill, Customer amens to pay all costs of collection Including reasonable attorney lags. 'ABC Culling Contractors,Inc.Is ec.503tof to an Affirmative Action program to provide equal employment opportunity to any person who applies for a Job or who works wills this company. ‘ Per E..O.11346,as amended In Sec.503 of the rehabilitation Act of 1973,as amended In the VEVRAA Act of 1974,as amended and their Implementing regulatlons of 01CFR.CH.60,ate herein 'numerated by reference. - • Thank you for your business! • VJ CSO Architects Letter of Transmittal TO: Carmel Redevelopment Commission DATE: July 3, 2012 30 West Main Street, Suite 220 PROJECT NO: 26163M Carmel, Indiana 46032 RE: Late June Payment Request ATTN: Don Cleveland CONTACT PHONE: 571-2797 WE ARE SENDING YOU: COPIES DATE .DESCRIPTION 3 6/21/12 Final Payment Request No. 101013, Parcel 47 Streetscape, CM work and others, By Keystone Construction Corp. $ 18,481.01. IF ENCLOSURES ARE NOT AS INDICATED, PLEASE NOTIFY US AT ONCE. THESE ARE TRANSMITTED: • For approval ❑ Reviewed as submitted ❑ Resubmit for approval ® For your use . ❑As noted ❑ Submit for distribution ❑As requested ❑ Revise and Resubmit ❑ Return corrected prints ❑ For review and comment ❑ Rejected ❑ Other: REMARKS: Late Payment Request for the month of June, 2012 reviewed and approved. Total $ 18,481.01. If you have any questions please feel free to contact me. Bob CC: FILE By: Bob Olson Courier Service: ❑ 1-HR ❑ 3-HR ❑ Same Day FedEx Services: ❑ 8:30 A.M. Delivery ❑ 10:30 A.M. Delivery ❑ 3:00 P.M. Delivery ❑ FedEx Ground Delivery 0 Hand delivery Other Delivery Service: ❑ Document3 ARCHITECTURE • INTERIOR DESIGN 8831 Keystone Crossing • Indianapolis, IN 46240 • Main 317.848.7800 • Fax 317.574.0957 • csoinc.net FORM:KEYDIS KEYS I ONE ° 0 C O N S T R U C T I O N C O R P LETTER OF TRANSMITTAL TO CSO Architects, Inc. Date: 6/26/2012 JOB NO: 10-10 8831 Keystone Crossing RE: June Billing - Indianapolis, IN 46240 Carmel Stfeets°c�oe1� ATTN. Bob Olson V JUN 2 8 2012 We are sending you Attached 0Under separate cover via RECEIV fe of wing items: JShopdrawings 0Prints 0Plans 0samples Specifications JCopy of letter Change order OCopy of contract Q Copies Date No. Description 4 6/21/2012 KCC Pay App, Lien Waiver, Parrish Invoices 8 ABC Cutting Invoice THESE ARE TRANSMITTED as checked below: For approval 0Approved as submitted 0Resubmit copies for approval 9 For your use 0Approved as noted 0 Submit copies for distribution 9As requested 0Returned for corrections ElReturn corrected prints 9 For review and comment f For bids due 20_, Prints returned after loan to us Remarks: COPY TO: File Signed: 3&j-CYOwder If enclosures are not as noted, kindly notify us at once. 47 S. Pennsylvania St., 10th Fl., Indianapolis, IN 46204 P 317-636-2000 F 317-635-1100 W KEYSTONE-CORP.COM Proscribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995 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. // lPayeee q/SJ'vy/n�✓ (o n5 /i�c//T>'cm> (or icg742e-� Purchase Order No. 1/7 S /"r>'jas9�t' .o 'v 57 rr7 /=L to Terms bnr//gayo /> 3 //12 4{670` Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/z///y /o(6'f 57irv!-srot- /04/7 /8 ye/.a Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 201Z erk—Treasurer