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Home My WebLink AboutSMOCK FANSLER CORPORATION- 1- 7/27/2012 Smock Fansler Corporation Check: 1 2910 W Minnesota Street Date: 7/27/2012 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 5-1 100 94,453.25 94,453.25 9,445.33 0.00 85,007.92 App1 on P5 Hanover Sq Fountain 5-2 100 101,16415 101,164.25 10,116.42 0.00 91,047.83 App 2 on Hanover Sq Fount City 195,617.50 195,617.50 19,561.75 0.00 176,055.75 1 7/27/2012 ********176,055.75 THE SUM OF ONE HUNDRED SEVENTY SIX THOUSAND FIFTY FIVE DOLLARS AND 75 CENTS **** Smock Fansler Corporation 2910 W Minnesota Street Indianapolis, IN 46241-4541 Smock Fansler Corporation Check: 1 2910 W Minnesota Street Date. 7/27/2012 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 5-1 100 94,453.25 94,453.25 9,445.33 0.00 85,007.92 App1 on P5 Hanover Sq Fountain 5-2 100 101,164.25 101,164.25 10,116.42 0.00 91,047.83 App 2 on Hanover Sq Fount City 195,617.50 195,617.50 19,561.75 0.00 176,055.75 /Q) AIA Type Document Application and Garth-cation for Payment Page 1 of 2 TO(OWNER):\lLI_AGE FINANCIAL LI.0 PROJECT'HANOVER SQ FOUNT®CiTY CIR. APPLICATION NO: 2 _Q DISTRIBUTION 770 3RD AVENUE SW HO IRO AVENUE SW PERIOD 706/301201 i TO: TO: 6130/201i IN 46032 CARMEL,IN 96032 _OWNER _ARCHITECT CONTRACTOR FROM(CONTRACTOR);Smack Fansler Corporation VIA(ARCHITECT): ARCHITECT'S 2910 W. Minnesota Street PROJECT NO: Indianapolis,IN 46241 CONTRACT FOR: CONTRACT OATE: CONTRACTOR'S APPLICATION FOR PAYMENT The Undersigned Contractor certifies that to the best of the Contradons knowledge,information and belief the weer(covered by this application for Payment has been completed In accordance with the Application is made for Payment,as ShOYM below.in connection with the Contract. Contract Documents,That all amounts have been paid by the Contractor fat Work for which previous ContInuatlon Sheet,Ale Type Document Is attached, Certificates for Payment were Issued and payments received from the ownere;endlhgt'i c;-.. current payment shown herein Is now due. v,`Q,RY PUg"-'u 1.ORIGINAL CONTRACT SUM S 331,500.00 ,' C <i, `, 2.Net Change by Change Orders s 0.00 CONTRACTOR: Smock Fansler Corporation 2910 W.Minnesota Street Indianapolis,IN 46241 °_ 3.CONTRACT SUM TO DATE(Une 1 +2) S 331,500.00 3 4.TOTAL COMPLETED AND STORED TO DATE I, 4 - :J�� '-i/'� Date: -,(2- 1 __ r CEO . a . . S.RETAINAGE: - ": T.4 ....�Pla�d;``. ' •: e OF iN3,,ex� a, 10.00%at Completed Work $_ //// it b. 000°h of Stored Material $ I (� I G r n to before me this :RILL' pay of 7rn9_ 20 j/ Total retainege(line 5a-5b) / /1 ,,/.y I,,i.•;..Q�.',✓" , ;r 6,TOTAL EARNED LESS RETAINAGE 1Q--Q/+ r I (Line 4 less Line 5 Total) 7, �'S CERTIFICATE FOR PAYMENT 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT 1 0417 e Contract Deco meats,based on on-site observations and the data con- (Line 6 from prior Certificate)... . .... (I /, 7 r lication, the Archfteu certifies to owner that to the best of the Architect's 'V / n and belief the Work has progressed as indicated,the quality of the work 6.CURRENT PAYMENT DUE the Contract Documents, and the Contractor is entitled to payment of the t BALANCE TO FINISH,INCLUDING RETAINAGE oa c (Line 3Ies9 line 6) $ I 41\ d Il 1-g i3 $ 1 'I ' .9mount csrnfied Edgers from fee emoent applied.hear all figures on UUa CHANGE ORDER SUMMARY ADDITION: - ' 0 Unuafion Sheet that are changed to content to the amount cer(ified) Total changes approved in previous months by Owner ,.,__ v.vv By: alt, ` Date: le 4. i_ Total approved this Monte 0,00 0.00 This mCep -e te s- not negotiable.Payme. The AMOUNT a of payment t peyw•„only p to the to ay Contractor named herein.tssuanca,Payment and acceptance of payment are without prepudlce to any TOTALS 0.00 0.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 0.00 C k; !y/f MA Typo Document Application and Certification for Payment Pape 2 ot2 TO(OWNER):VILLAGE FINANCIAL LLC PROJECT:HAWOVER SQ FOUNT O.CITY CTR APPLICATION NO:2 DISTRIBUTION 7703RD AVENUE SW 7703RD AVENUE SW TO: CARMEL,IN 46032 CARMEL,IN 46032 PERIOD TO:613 012 0 11 OWNER _ARCHITECT CONTRACTOR FROM(CONTRACTOR):Smock Farina'Corporation VIA(ARCHITECT): ARCHITECT'S 2910 W.Minnesota Street PROJECT NO: Indienapatls,IN 46241 CONTRACT FOR CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED TTEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED n,, r BALANCE RETAINAGE 1 FOUNTAIN EQUIPMENT 151,785.00 90,892.50 72,714.00 0.00 163,806.50 90.00 15,178.50 16,360.65 2 PIPING/PUMP 71,215.00 3,560.75 24,925.25 0.00 23,486.30 40.00 42,729.00 2,348.60 INSTALLAT1CNIELEC 3 GARAGE IMPROVEMENTS 23,500.00 0.00 3,525.00 0.00 3.525.00 15.30 19,975.00 352.50 . 4 PAVING AND SURFACE 55,000.00 0.00 0.00 0.00 D.00 0.00 55,000,00 0.00 EQUIPMENT REPORT TOTALS $331,503.09 $94,453.25 31014164.25 $0.00 $195,617.50 59.01 $135,882,50 $19,561.75 SUBCONTRACTOR'S SWORN STATEMENT OF INDEBTNESS & WAIVER OF LIEN STATE OF INDIANA COUNTY OF HAMILTON T.M. Fancier Being duly sworn upon his/her oath disposes and says that I. He/she is CEO (inserting sole proprietor, partner or corporate office held,as the case mayby),to Smock Fansler Corporation hereafter called the"Subcontractor'. He/she is over the age of twenty one. He/she is authorized to make this affidavit on behalf of Subcontractor. 2. Subcontractor is the Fountain Subcontractor for the construction of the development known as Hanover Square improvements located in Carmel(City).INDIANA(state), hereafter referred to as the'Development', pursuant to the contract between the Subcontractor and Village Financial, LLC, the Owner. 3. This affidavit is made for the express purpose of inducing Village Financial,LLC, to make payment to Subcontractor of the invoice submitted herewith for labor and materials furnished pursuant to said Contractor. Upon receipt of said payment the Subcontractor hereby waives any lien reights to which'Subcontractor is entitled for labor ar materials furnished for the development to the date hereof. 4 Subcontractor agrees that upon receipt of the payment amount described above. Subcontractor shall immediately execute in favor the Owner,the"Transfer of Title"document(attached as Exhibit A)for all labor and materiel furnished to the extent described above. 5. Listed below are all suppliers or other persons who either has furnished or might furnish the Subcontractor with materials, appliances, machinery,fixtures or furnishing placed upon or installed on the development. Mark(X)in the appropriate column for EACH supplier listed. Place an (X) in column 1.) If a waiver of lien by supplier conditioned by payment of a specified amount is attached hereto. (ln•this case also show the amount owed the supplier). 2.) If a FULL(final)lien release has been signed and delivered to the General Contractor. 3.) If the initial delivery has not been made. Supplier List (Add list if necessary) Amount Owed Previously Paid Balance HD Supply Waterworks LTD $309.55 30.00 $309.55 Jobsite Supply $35,00 50.00 $35.00 Service Pipe& Supply $97.78 $97.78 $0.00 Utterback Supply $37.50 $0.00 $37.50 #1 and 2 correspond to the same numbered choices on tile waiver format. Village Financial, LLC is hereby authorized to make payment to each such unpaid creditor either directly or by check jointly payable to Subcontractor and such creditor,as Village Financial, LLC shall determine. 5. There are no bills, charges,costs or expenses for labor or material which could now or hereafter result in lien being Filed against the Development or a claim being asserted against the General Contractor except the persons or business named in Paragraph 4 above. IN WITNESS WHERE OF, affiant has signed this document on behalf of the Subcontractor this 17th day of June ,2011. - 'tit/6741i T.M. Fansler CEO P it State of INDIANA County of MORGAN • Subscribed and sworn to before me, a Notary Public in and for said County and State,this 17th day of June , 2011. r i Ta t (Notary Public -' My Commission Expires: November 30. 2016 Melissa J. Bishop (Print Name) • Attachment A TRANSFER OF TITLE Smock Fansler Corporation (Contractor) transfers to Village Financial, LLC any and all right, title and/or interest that Contractor has in any labor and/or materials described in (i) that Affidavit of Waiver of Lien executed by the Contractor on June 17th , 2011, and (ii) in the"Amount of this Request" section of that Affidavit executed by the Contractor on June 17th . 2011. "CONTRACTOR" By: °`, ,�%�. Y(1 tf/p Printed: T.M. Fansler Title: CEO Ori AIA Type Document Application and Certification for Payment Page 1 of 2 I/n 1 a 1 34/ TO(OWNER):VILLAGE FINANCIAL LLC PROJECT:HANOVER SO FOUNT ia CLAY CT11. APPLICATION NO: 1 7-`I DISTRIBUTION Y M1! 770 3RD AVENUE SW 30 W.MAIN ST. Tat CARMEL,IN 45032 CARMEL,IN 46032 PERIOD TO:4/30(2011 OWNER _ARCHITECT CONTRACTOR FROM(CONTRACTOR):Smock Fansier Corporation VIA(ARCHITECT): ARCHITECTS 2910 W.Minnesota Street PROJECT NO: Indianapolis.IN 46241 CONTRACT FOR: CONTRACT DATE: I CONTRACTOR'S APPLICATION FOR PAYMENT The Undersigned Contractor cues that to the best of the Contractor's knowledge,information and belief the work covered by this application for Payment has been c 'npieted in accordance ith the 4 Application is mode for Payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Woik fcr which previous Continuation Sheet,ALA Type Document Is attached- Certificates for Payment were issued and payments received from the o mer,end tbkitslrwyh, current payment shown herein,is now due. Y PU 1.ORIGINAL CONTRACT SUM S 331,500.00 aaO-CP¢''''•:C 1 Net Change by Change Owen s 0.00 CONTRACTOR: Smoot..Fansier Corporation 2910 W.Minnesota Street Indianapolis,IN 46241 _. 3.CONTRACT SUM TO DATE(Line 1 +2) $ 331,500.00 7 !' -`�- �i A _ 4.TOTAL COMPLETED AND STORED TO DATE $ 94,453.25 By \,„e /n_C /� �f� Date: l /y�}a,7P Y`,t�> 1. T.M.FANS ER ( CEO z -.•j4 �/ 5.RETAINAGE• Stale of IN sT'i'S OF tIN„et' 10.00%of Completed Work $ 9,445.33 'rehidi hall County of MORGAN r b. 0.00 J of Stored Material 5 0.00 Suhsaibed and Swum to before me this ,,(( / " Day of �Q.Q/� 20 r( Total retalnage(Line Sc+5b) - 5 9,445.33 Notary Public �� /i' 4 "7"' My Commission Expires: I (�`a6zi 6.TOTAL EARNED LESS RETAINAGE $ 85,007,52 (Line 4Iess Line 5Total) ARCHITECTS CERTIFICATE FOR PAYMENT 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents,based on on-site observations and the data cent (Line S from prior CefJrcote) $ 0.DI) 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 indirated,the quality of the work H.CURRENT PAYMENT DUE $ 85,007.222 is in accordance with the Contract Documents,-and the Contractor is entitled to payment of the 9.BALANCE TO FINISH,INCLUDING MT/MACE AMOUNT C=_RTFIEO. (Line 3 less Line 6) $ 246,492.08 AMOUNT CERTIFIED 5 7._ (Attach explanation if amount certified. re from rho amount applied lniGe7 all Wires on This CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application ace n? - et.. •-1.. '� • that ere changed toconform to the amount cared.) Total changes approved iu ARCHITECT ��vlo-.s months by Owner 0.00 0.00 Saha`` Ml By �I5%S Date: r1 Total approved Oro Month 0.00 0.00 This Ceeifi to is not egottabe. The AMOUNT CERTIFIED is payable only to the Contractor named herd Issua•-',Payment and acceptance of payment are wl' out preiudtw to any TOTALS 0.00 0.00 rights cf'th.e Ow , or Contractor under thus Contrail. I['�J/JJ/'] p♦ NET CHANGES by Change Order 0.00 7 kcif W �Y a/' ��4, Nectar of Redevelopment I {6Gh�ry�t1+ r •C/1h/��L� I' AIA Type Document . Application and Certification for Payment Page 2 oft TO(OWNER):VILLAGE FINANCIAL LW PROJECT:HANOVER SO FOUNT @ CLAY GTR. APPUCATON NO: 1 DISTRIBUTION 770 3RD AVENUE SW 30 W.MAIN ST. PERIOD TO:d4/101201t TO : CARMEL, IN 45032 CARMEL,IN 46032 —OWNER _ARCHITECT _CONTRACTOR PROM(CONTRACTOR):Smock Fansler Corporation VIA(ARCHITECT): ARCHITECTS 2910 W.Minnesota Street PROJECT NO: ' Indianapolis, IN 45241 CONTRACT'FOR: CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED a BALANCE - RETAINACE 1 FOUNTAIN EQUIPMENT 181,785.00 0.00 90,13S2.50 0.00 90,89256 50.00 00,592.50 9,089.25 2 FIRING/PUMP T1,215,00 0.00 3,560.75 0.00 3,550.75 5.00 67,654,25 355.08 INSTALL ATIONIELEC 3 GARAGE IMPROVEMENTS 23,500.00 0.00 0.00 0,00 0.00 0.00 23,500.03 0.00 4 PAVING AND SURFACE 55,000.00 0.03 0.00 0.00 0.00 000 55000.00 0.03 EQUIPMENT REPORT TOTALS $331500.00 $0.00 59445325 $0.00 $94,45325 28.49 $237,04615 59,445.33 . I AFFIDAVIT AND WAIVER OF LIEN [ ]Final [X] Partial [X] Payment to Follow Slate of Indiana County of Marion T.M. Fansler , being duly sworn states that he is the CEO of SMOCK FANSLER CORP. having contracted with: Village Financial LLC to furnish certain labor, materials, and/or services as follows; Misc. Construction for a project known as: SFC011-023 Hanover Sq. Fountain A. Clay Ctr. located at Carmel,TN and does hereby state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the owner the sum of: (585,007.92) Eighty Five Thousand Seven Dollars and 92/100 [ ] receiptofwhich is hereby acknowledged;or [X] the payment of which has been promised as the sole consichration 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(SO.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. SMOCK FANSLER CORY. By ,ems A• - CEO TM.Fenster WITNESS MY HAND AND NOTARIAL SEAL,this 21^ day of April ,20]1. 1ASY Puec`7 Melissa I.B' hop No Ty Public SEA T T J J '4 My commission expires November 102016 Residing in Mor County�RTF• , (P'pA OF!NJ eg4 '45Zitittlifha00