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HomeMy WebLinkAboutSMOCK FANSLER CORPORATION- 003069- 8/16/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 9 6 0 3 Smock Pansler Corporation Check: 3069 J U U J 2910 W Minnesota Street Date: 8/16/2012 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 1-6 81,090.00 81,090.00 0.00 0.00 81,090.00 City Ctr Wyatt Way Stairs 2-6 9,010.00 9,010.00 0.00 0.00 9,010.00 City Ctr Wyatt Way Stairs 90,100.00 90,100.00 0.00 0.00 90,100.00 - r- - - ';jATHE KEY,TO DOCUMENTiSECURITY�HEAT�ACTIVATED JTHUMB PRITTIADDITION AL;SECURITAFEATURES INCLUDEDITSEE BACK_ FOR DEfAILSINOM Pty,Disto Carmel Redevelopment Commission 003069 IV" 30 West Main Street REGIONS 20.1421/740 Suite 220 45TR4��"ME/ Carmel, IN 46032 3069 DATE AMOUNT 8/16/2012 90,100.00 PAY THE SUM OF NINETY THOUSAND ONE HUNDRED DOLLARS AND NO CENTS TO THE ORDER OF Smock Fansler Corporation 2910 W Minnesota Street Indianapolis, IN 46241-4541 M 11.00306911• I:07400, 2 / 31: 00875041, LLii• CARMEL REDEVELOPMENT COMMISSION 003069 Smock Fansler Corporation Check: 3069 2910 W Minnesota Street Date: 8/16/2012 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num, Invoice Amt Balance Retention Discount Amt. Paid 1-6 81,090.00 81,090.00 0.00 0.00 81,090.00 City Ctr Wyatt Way Stairs 2-6 9,010.00 9,010.00 0.00 0.00 9,010.00 City Ctr Wyatt Way Stairs 90,100.00 90,100.00 0.00 0.00 90,100.00 • X41-52 COMPUTEREASE FORMS DIVISION(871)571-5791 T-71771 • '`12• AIA Type Document Application and Certification for Payment Page 1 of 2 TO(OWNER):CARMEL REDEVELOPMENT COMM. PROJECT: CITY CTR.WYATT WAY STAIRS APPLICATION NO: 2 _(o DISTRIBUTION . 30 W MAIN ST TO CARMEL, IN 46032 PERIOD 70:6/30/2012 _OWNER F _ARCHITECT FROM(CONTRACTOR): Smock Fansler Corporation VIA(ARCHITECT): REC'0 JUN 2 0 2012 ARCH ITE NO: _CONTRACTOR 2910 W. Minnesota Street Indianapolis,IN 46241 CONTRACT FOR CONTRACT DATE: 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 with the Application is made for Payment,as shown below, in connection with the Contract. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner,and that current payment shown herein is now due. 1.ORIGINAL CONTRACT SUM $ 90,100.00 ,c,4,tau°°I°°iuiirt//�/ �\ \\1 PUBLIC 44+, 2.Net Change by Change Orders $ 0.00 CONTRACTOR: Smock Fansler Corporation \�, P(L i 2910 W.Minnesota Street Indianapolis, IN 46241 a�'C 3.CONTRACT SUM TO DATE (Line 1 +2) $ 90.100.00 2;' / `�J :-+-- 4.4.TOTAL COMPLETED AND STORED TO DATE S 90,100.00 By: � • , ��I I//�� Date: //'fC//�/ TM. FANSLER / CEO "I/– � V �•5. RETAINAGE: '.• .'c-�„ State of: IN a. 0.00%of Completed Work $ 0.00 .! •Qo"' County of: MORGAN .,c�1t ��'4Oiirr„STATE Or,, ���� b. 0.00%of Stored Material S 0.00 Ln Illn Subscribed and Sworn to before me this Day of Tune 20 /p2 Notary Public all. Total retainage(Line 5a+5b) S 0.00 Y� My Commission Expires: ///Jd/ad/b 6.TOTAL EARNED LESS RETAINAGE $ 90,100.00 (Line 4 less Line 5 Total) ARCHITECT'S CERTIFICATE FOR PAYMENT PIS 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents, based on on-site observations and the data com- (Line 6 from prior Certificate) S 81,090.00 prising the above application, the Architect certifies to owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated,the quality of the work 8.CURRENT PAYMENT DUE $ 9010.00 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 9. BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED. re— (Line 3 less Line 6) $ 0.00 $ �I//��n l/I� AMOUNT CERTIFIED (Attach explanation if amoun certified differs from the amount applieeed. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and on •• Jo Lion Sheet that are changed to conform to the amount certified.) Total changes approved in ARCHITEC , previous months by Owner 0.00 0.00 By. Si=�,,� Date: csta_l Total approved this Month 0.00 0.00 This Certifica - is not egotiable. The AMOUNT CERTIFIE P pa able only to the Contractor named herein. Issuance, Payment and acceptance of p- ent a-- wit prejudice to any TOTALS 0.00 0.00 rights of the Owner or Contractor under this Contract. a°.NET CHANGES by Change Order 0.00 oil ' / J 41/arn AIA Type Document Application and Certification for Payment Page 2 of 2 TO(OWNER):CARMEL REDEVELOPMENT COMM. PROJECT: CITY CTR.WYATT WAY STAIRS APPLICATION NO: 2 DISTRIBUTION • 30W MAIN ST TO: CARMEL,IN 46032 PERIOD TO:6/30/2012 _OWNER _ARCHITECT _CONTRACTOR FROM(CONTRACTOR): Smock Fansler Corporation VIA(ARCHITECT): ARCHITECTS 2910 W.Minnesota Street PROJECT NO: Indianapolis, IN 46241 CONTRACT FOR: CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE 1 PAVERS, RAILING,CONCRETE 35,100.00 35,100.00 0.00 0.00 35,100.00 100.00 0.00 0.00 2 MASONRY 55,000.00 55,000.00 0.00 0.00 55,000.00 100.00 0.00 0.00 REPORT TOTALS $90,100.00 $90,100.00 $0.00 $0.00 $90,100.00 100.00 $0.00 50.00 AFFIDAVIT AND WAIVER OF LIEN [X] Final [ 1 Partial [X] Payment to Follow State of Indiana County of Marion T.M. Fansler , being duly sworn slates that he is the CEO of SMOCK FANSLER CORP. having contracted with: Carmel Redevelopment Commission to furnish certain labor, materials, and/or services as follows: Misc. Construction a project known as: SFC#12-015 City Ctr. Wyatt Way Stairs located at Carmel, IN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER) that there is due from the owner the sum of: (59.90) [ ] 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(59,010.00) Nine Thousand Ten Dollars and No/100 [ ] receipt of which is hereby acknowledged; or [X] the payment of which has been promised as the sole consideration of 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, Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. SMOCK FANSLER CORP. By 11. /Ii. : / le CEO T.M. Punster 000111[110mai, WITNESS MY HAND AND NOTARIAL. SEAL, this /13'x' day of June ,2012. °socP9,v P B/ Melissa J. l3isht Notary ublie SEAL My commission expires November 30, 2016 Residing in Morgan County,`s,,;'••r mutoNO P P\\\\ AIA Type Document .,1( Application and Certification for Payment Page 1 of 2 TO(OWNER):CARMEL REDEVELOPMENT COMM. PROJECT:CITY CTR.WYATT-WAY STAIRS APPLICATION NO: 1 -G DISTRIBUTION 30W MAIN ST TO: CARMEL, IN 46032 PERIOD T0:6I30/2012 _OWNER -ARCHITECT _CONTRACTOR FROM(CONTRACTOR): Smock Fansler Corporation VIA(ARCHITECT): ARCHITECT'S 2910 W.Minnesota Street PROJECT NO: Indianapolis, IN 46241 RECD JUN 202012 CONTRACT FOR: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The Undersigned Contractor certifies that to the best of the Contractors knowledge, information and belief the work covered by this application for Payment has been completed in accordance with the Application is made for Payment,as shown below, in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner, and that current payment shown herein is now due. 1.ORIGINAL CONTRACT SUM $ 90,100.00 CONTRACTOR: Smock Fansler Corporation ��5���1yY PUBI(,rrrrt*4 2. Net Change by Change Orders s 0.00 2910 W. Minnesota Street Indianapolis, IN 46241 3. '• C �% 3.CONTRACT SUM TO DATE (Line 1 +2) $ 90,100.00 ,�j/ ?'• !T 4.TOTAL COMPLETED AND STORED TO DATE $ 90,100.00 //y/� \,1/,�i .�.u� 7�J�/ ` ~_ By: “4 i Date: to1� e i r • T.M. FANSLER! / CEO = 1 a �.� 5. RETAINAGE: State of. IN a. 10.00%of Completed Work $ 9,010.00 •'4Pd` County of: MORGAN �' qr Sj •QkF'\�a�° , ATE OF\ ,, �` b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me this /STYE Day of 7 e'moni2O' Notary Public: . -ea Total retainage(Line 5a+5b) $ 9,010.00 e My Commission Expires: /// O/aQ/As {/� 6.TOTAL EARNED LESS RETAINAGE $ 81,090.00 pw (Line 4 less Line 5 Total) ARCHITECT'S CERTIFICATE FOR PAYMENT 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents, based on on-site observations and the data com- (Line 6 from prior Certificate) $ 0.00 prising the above application, the Architect certifies to owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated,the quality of the work 8.CURRENT PAYMENT DUE $ 81,090.00 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 9. BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED. (Line 3 less Line 6) $ 9,010.00 AMOUNT CERTIFIED $ NOV _' (Attach explanation ' . o It certified differs from the amount applied. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and• the Co 'i uation Sheet that are changed to conform to the amount certified.) Total changes approved in ARCHIT previous months by Owner 0.00 0.00 BY. ttk Date: (1Iz'�` 2, Ne • Y f1 1 Total approved this Month 0.00 0.00 This Certifi.: e is not negotiable. The AMOUNT CERTIFI payable only to the Contractor named herein.O euance, Payment and acceptance of nthoV —prejudice to any TOTALS 0.00 0.00 rights of the Owner or Contractor under this Contrac al la CHANGES by Change Order 0.00 �� / /��. G/Aril '-"la AIA Type Document Application and Certification for Payment Page 2 of 2 TO(OWNER):CARMEL REDEVELOPMENT COMM. PROJECT: CITY CTR.WYATT WAY STAIRS APPLICATION NO: 1 DISTRIBUTION 30 W MAIN ST .TO: CARMEL, IN 46032 PERIOD TO:6/30/2012 _OWNER _ARCHITECT _CONTRACTOR FROM(CONTRACTOR): Smock Fansler Corporation VIA(ARCHITECT): ARCHITECTS 2910 W. Minnesota Street PROJECT NO: Indianapolis, IN 46241 CONTRACT FOR: CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE 1 PAVERS, RAILING,CONCRETE 35,100.00 0.00 35,100.00 0.00 35,100.00 100.00 0.00 3,510.00 2 MASONRY 55,000.00 0.00 55,000.00 0.00 55,000.00 100.00 0.00 5,500.00 REPORT TOTALS 590,100.00 $0.00 $90,100.00 $0.00 $90,100.00 100.00 $0.00 $9,010.00 • AFFIDAVIT AND WAIVER OF LIEN 1 Final [Xj Partial [a] Payment to Follow State of Indiana County of Marion T.M. Fansler , being duly sworn states that he is the CEO of SMOCK FANSLER CORP. having contracted with: Carmel Redevelopment Commission to furnish certain labor, materials, and/or services as follows: Misc. Construction for a project known as: SFC#12-015 City Ctr. Wyatt Way Stairs located at Carmel, IN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the owner the sum of: ($81,090.00) Eighty One Thousand Ninety Dollars and No/100 [ ] receipt of which is hereby acknowledged;or [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 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($9.00) [ ] receipt of which is hereby acknowledged; or [ ] the payment of which has been promised as the sole consideration of 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, Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and within the scope of this affidavit and waiver. �J Sfrtle SMMOCK FANSLER CORP. By \-/�A • CEO T.M. Pander WITNESS MY HAND AND NOTARIAL SEAL, this 181h day of June ,2012. �s�,,v‘‘∎vORYinnu°Q!n�� Melissa J. Bishop Notar Public = SE AL My commission expires November 30, 2016 Residing in Morgan County %' ///STgTeOF INwPP' cc i CTJ CSO Architects Letter of Transmittal TO: Carmel Redevelopment Commission DATE: June 29, 2012 30 West Main Street, Suite 220 PROJECT NO: 26163M Carmel, Indiana 46032 RE: June's Payment Request. ATTN: Don Cleveland CONTACT PHONE: 571-2797 WE ARE SENDING YOU: COPIES DATE -r. •, DESCRIPTION ,:( 3 6/25/12 Payment Request No. 1, Parcel 5, Stairway, CM Work, By Signature Construction Services, $ 8,823.00. 3 6/18/12 Payment Request No. 1, Parcel 5, Stairway Construction Work, By Smock Fansler Corp., $ 81,090.00. 3 6/18/12 FINAL PAYMENT REQUEST "RETAINAGE" No. 2, Construction Work, By Smock Fansler Corp., $ 9,010.00. 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: Page 1 of 1; Reviewed and approved Payment Request for the month of June, 2012. Total amount $ 98,923.00. 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 © Hand delivery Other Delivery Service: ❑ Document2 ARCHITECTURE • INTERIOR DESIGN 8831 Keystone Crossing Indianapolis, IN 46240 • Main 317.848.7800 • Fax 317579.0957 • csninc.net CSO Architects Letter of Transmittal TO: Carmel Redevelopment Commission DATE: June 29, 2012 30 West Main Street, Suite 220 PROJECT NO: 26163M Carmel, Indiana 46032 RE: June's Payment Request. ATTN: Don Cleveland CONTACT PHONE: 571-2797 WE ARE SENDING YOU: COPIES DATE .DESCRIPTION ,, , a 3 6125/12 Payment Request No. 1, Parcel 5, Stairway, CM Work, By Signature Construction Services, $ 8,823.00. 3 6/18/12 Payment Request No. 1, Parcel 5, Stairway Construction Work, By Smock Fansler Corp., $ 81,090.00. 3 6/18/12 FINAL PAYMENT REQUEST"RETAINAGE" No. 2, Construction Work, By Smock Fansler Corp., $ 9,010.00. • 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: Page 1 of 1; Reviewed and approved Payment Request for the month of June, 2012. Total amount$ 98,923.00. 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 ® Hand delivery Other Delivery Service: ❑ Document2 ARCHITECTURE • INTERIOR DESIGN 8831 Keystone Crossing • Indianapolis, IN 46240 • Main 317.848.7800 • Fax 317.574.0957 • csoinc.nct Date: 06/25/2012 Const Mgt Projects-Signature Page: 1 Time: 9:09:53AM CASH REQUIREMENTS REPORT Invoice Description Invoice Due Invoice Retention Discount Workers' Paid Payment Date Date Comp to Date Vendor: 2808-SIGNATURE CONSTRUCTION 1/STAIRWAY SIGNATURE CONSTRUCT! 06/22/2012 07/30/2012 8,823.00 0.00 0.00 0.00 0.00 8,823.00 Vendor Total 8,823.00 0.00 0.00 0.00 0.00 8,823.00 Vendor: 3325 -SMOCK FENSLER CORP. 1ANYATTWAY SMOCK FENSLER CORP. 06/21/2012 07/30/2012 90,100.00 9,010.00 0.00 0.00 0.00 81,090.00 Vendor Total 90,100.00 9,010.00 0.00 0.00 0.00 81,090.00 Number of Checks 2 Company Totals 98,923.00 9,010.00 0.00 0.00 0.00 89,913.00 GENERAL LEDGER ACCOUNT TOTALS Account Description Debit Credit CASH 0.00 89,913.00 2010 ACCOUNTS PAYABLE 89,913.00 0.00 Licensed To: Sigr;Ot.:re C::nstrucion Inc APCsnR.eq.rpt Date: 06/25/2012 Const Mgt Projects-Signature Page: 1 lime: 9:11:43AM CASH REQUIREMENTS REPORT Invoice Description Invoice Due Invoice Retention Discount Workers' Paid Payment Date Date Comp to Date Vendor: 3325-SMOCK FENSLER CORP. 1NVYATTWAY SMOCK FENSLER CORP. 06/21/2012 07/30/2012 90,100.00 9,010.00 0.00 0.00 81,090.00 9,010.00 Vendor Total 90,100.00 9,010.00 0.00 0.00 81,090.00 9,010.00 Number of Checks 1 Company Totals 90,100.00 9,010.00 0.00 0.00 81,090.00 9,010.00 GENERAL LEDGER ACCOUNT TOTALS Account Description Debit Credit CASH 0.00 9,010.00 2020 RETAINAGE PAYABLE 9,010.00 0.00 LicensedTa: Signature?;orstructonInc APCshRegrpt Prescribed by orate 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. Payee Srhor/L 4,v56.r G0 rpory717 Purchase Order No. 29(0 6O. /1/4aa04 Sfi rr Terms /044eirap0 lis, MY 1162`11 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 034/2012 /-4 Crie7 cf-r e/yq.,#k2oy 544.7., Ca 6342011_ 2-6 A 4 0 4074,,vkryi 9,00'Ce Total 90 /OO,OO 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. S�{� , reasurer