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Home My WebLink AboutSMOCK FANSLER CORPORATION- 002855- 4/20/2012 CARMEL REDEVELOPMENT COMMISSION 002855 Smock Fansler Corporation Check: 2855 2910 W Minnesota Street Date: 4/20/2012 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 16 7,095.61 7,095.61 0.00 0.00 7,095.61 Balance of retainage 7,095.61 7,095.61 0.00 0.00 : 7,095.61 I -- _ ,�_._ .. , ( Cy,THE KEY.TO DOCUMENT SECURITY-•'NEAT,,ACTIVATE°,THUMB PRINT,•ADDITIONAL SECURITY FEATURES IHCL•l1DED:^SEE BACK FOR DETAILS '+`'• I'2-.1 •.+0`-'4, Carmel Redevelopment Commission 2 8 rev2s 30 West Main Street .�REGIONS 0 0 L 8 5 5. LSuite 220 20 1a2in4o i. • oTinc Carmel', IN 46032 ,ct . . F i P 2855 AMOUNT . 4/2012012 ***** ,'***7,095.61 - PAY THE SUM OF SEVEN THOUSAND NINETY FIVE DOLLARS AND 61,CENTS ************"`"*******.**`"** TO THE OF Smock Fansler Corporation . 2910 W Minnesota Street . , _ Indianapolis, IN 46241-4541 + ., T w. 11'00285Sit" I:0740al213u: 1:08 7 SOli h LLir CARMEL.REDEVELOPMENT COMMISSION 002855 Smock Fansler Corporation Check: 2855 2910 W Minnesota Street Date: 4!2012032 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 16 7,095.61 7,095.61 0.00 0.00 7,095.61 Balance of retainage . 7,095.61 7,095.61 0.00 0.00 7,095.61 F11.52 COMPUTEREASE FORMS DIVISION($T)5T7-5191 839228. . - - - • .., - _ 4:. AIA Type Document Application and Certification for Payment Page 1 of 3 TO(OWNER):CARMEL THEATER DEVELOPMNT CORP PROJECT:CARMEL PARCEL 73 HARDSCAPE APPLICATION NO: 16 DISTRIBUTION 11711 N. PENNSYLVANIA ST. PERIOD 70:1 013 7 720 7 1 TO: CARMEL, IN 46032 A _OWNER ARCHITECT CONTRACTOR FROM(CONTRACTOR):Smock Fansler Corporation VIA(ARCHITECT): 6` r ARCHITECTS 2910 W. Minnesota Street - r ter PROJECT NO: Indianapolis, IN 46241 A5. V CONTRACT FOR: . CONTRACT DATE: ,.Jndersigned Contractor certifies that to the best of the Contractor's knowledge, information and CONTRACTOR'S APPLICATION FOR PAYMENT belief 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 Contrail. 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 $ 1,251,450.00 ',..p.. ?1, 2. Net Change by Change Orders S 97,246-01 CONTRACTOR'. Smock Fansler Corporation g Y 9 2910 W. Minnesota Street Indianapolis, IN 46241 3.CONTRACT SUM TO DATE(Line 1 +2). . _ . . . . $ 1,348,696.01 f•-)---1/ f� - 4.TOTAL COMPLETED AND STORED TO DATE. . . _ .. .$ 1,346,696.01 By. �% j Date: Q"j . f �. ' T . FANSLER / CEO -. 5 RETAINAGE: State of: IN -[� a 0.00 %of Completed Work 5 0.00 County of: MARION ��-�'4o>T'3: ' OF f ci �I �rrt{'IF/III-F111 , b. 0.00%of Stored Material s 0.30 Subscribed and Sworn to before me this �''5 Day of (ctP,r)F'P„ 20 i if 1 V Total retainage (Line 5a + 5b) S Notary Public, �r �� yqr 0.00 f '; �L. / .•� 1 My Commission Expires' A3. (1„),,ive,` 6.TOTAL EARNED LESS RETAINAGE $ 1,34es96.01 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 less Line 5 Total) 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents, based on on-site observations and the data corn- (Line 261 21 prising the above application, the Architect certifies to owner that to the best of the Architect's (Line 6 from prior Certificate) $ knowledge, information and belief the Work has progressed as indicated,the quality of the work 6.CURRENT PAYMENT DUE $ 67,434 80 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED_ 9, BALANCE TO FINISH,INCLUDING RETAINAGE (Line 3 less Line 6) $ 0.00 AMOUNT CERTIFIED S v7 '/5- r7•,' (Attach explanationif amount certified differs from the amount applied initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application andron theConUpmalion Sheet that are changed to conform to the amount cedified.) Total changes approved in ARCHITECT' il.) previous months by Owner 97,246,01 0.00 By: �_& Date- //// Total approved this Month 0.00 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein, Issuance,Payment and acceptance of payment are without prejudice to any TOTALS 97,246.01 0.00 rights of the Owner or Contractor under this Contract. NET CHANCES by Change Order 97,246 01 �eil'1 ,> - t> $/4 AIA Type Document Application and Certification for Payment Page 2 of 3 TO(OWNER(:CARMEL THEATER DEVELOPMNT CORP PROJECT:CARMEL PARCEL 73 HARDSCAPE APPLICATION NO: 16 DISTRIBUTION 11711 N. PENNSYLVANIA St PERIOD TO:10!31!2071 TO: CARMEL, IN 46032 -OWNER _ARCHITECT _CONTRACTOR FROM (CONTRACTOR):Smock Fansler Corporation VIA(ARCHITECT): ARCHITECT'S 2910 W. Minnesota Skeet 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 MOBILIZATION 35,000.00 35,000.00 0.00 0.00 35,000.00 100.00 0.00 0.00 2 FIELD ENGINEERING 9,700.00 9,700.00 0.00 0.00 9,700.00 100.00 000 000 3 TRAFFIC CONTROL 10,300.00 10,300 00 0.00 0.00 10,300.00 100.00 0.00 0.00 4 DEMOLITION 54,000.00 54,000 00 0.00 0.00 54,000.00 100-00 0.00 0.00 5 EARTHWORK, DRAINAGE,UTIL 102,300.00 102,300.00 0.00 0.00 102,300.00 100.00 0.00 0.00 6 ASPHALT PAVEMENT 109,700.00 109,700.00 LOU 0-00 109,700.00 100.00 0.00 000 7 CONCRETE PAVEMENT 154,150.00 154,150.90 0.00 0.00 154,150.00 100.00 0.00 0-00 8 LANDSCAPING 46,500.00 46,500.00 000 0.00 46,500.00 100.00 0.00 0.00 9 CONCRETE WALLS,STAIRS 164,400.00 1E4.400_00 0.00 0.00 164,400,00 100.00 0.00 0.00 10 MASONRY 68,000.00 68,00000 0.00 0.00 68,000.00 100.00 0.00 0.00 11 METAL RAILING 95,700-00 95,700.00 0.00 0.00 95,700.00 100.00 0.00 0.00 12 MECHANICAL 103,100.00 103,100.00 0.00 0.00 103,100.00 100.00 0-00 0.00 13 ELECTRICAL 114,100.00 114,100.00 0.00 0.00 114,100.00 100.00 0.00 0.00 14 UNIT PAVERS 184,500.00 184,500.00 0.00 0.00 184,500.00 100.00 0.00 0.00 15 CHANGE ORDER#1 3,875.00 3,875.00 0.00 0.D0 3,875.00 100.00 0-00 0.00 16 CHANGE ORDER#2 4,500 00 4,500.00 0_00 0.00 4,500_00 100.00 0.00 0.00 17 CHANGE ORDER#3 11,810.00 11,810.00 0.00 0.00 11,610.00 100.00 0.00 0.00 18 CHANGE ORDER#4 6,500.00 6,500.90 0.00 0.00 6,500.00 100.00 0.00 0.00 19 CHANCE ORDER#5 16,490.00 16,490.00 0.00 0.00 16,49000 100.00 0.00 0.00 20 CHANGE ORDER#6 10,350.00 10,350.00 0.00 0.00 10,350.00 100.00 0.00 0.00 21 CHANGE ORDER#7 14,650.00 14,650.00 0.00 0.00 14,650.00 100.00 0.00 0_00 AIA Type Document Application and Certification for Payment Page 3 of 3 TO(OWNER):CARMEL THEATER DEVELOPMNT CORP PROJECT:CARMEL PARCEL 73 HARDSCAPE APPLICATION NO: 16 DISTRIBUTION 11711 N. PENNSYLVANIA ST. TO: PERIOD 70:1 0/3112 0 1 1 _OWNER CARMEL, IN 46032 _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 22 CHANGE ORDER#8 6,825.00 6,825.00 0.00 0.00 6,825.00 100.00 0.00 0.00 23 Veneer Falswork for Pavers at 3,500.00 3,500.00 0.00 0.00 3,500.00 100.00 0.00 0.00 entry 24 Topsoil and Irrigation for NE 12,430.00 12,430.00 0.00 0.00 12,430.00 100.00 0.00 0.00 Planter 25 Bond Increase 2,726.01 2,726.01 0.00 0.00 2,726.01 100.00 0.00 0.00 26 Ice Melt System Exterior Work 3,590.00 3,590.00 0.00 0.00 3,590.00 100.00 0.00 0.00 REPORT TOTALS $1,348,696.01 $1,348,696.01 50.00 50.00 $1,348,696.01 100.00 50.00 $0.00 AFFIDAVIT AND WAIVER OF LIEN ' [X] Final 1 1 Partial [X] Payment to Follow State of Indiana County of Marion F.M.Fansler , being duly sworn states that he is the _ CEO of SMOCK FANSLER CORP. having contracted with: Carmel Theater Development Corp. to furnish certain labor, materials, andlor services as follows: Misc. Construction for a project known as: SFC#10-052 Carmel Parcel 73 Hardscape 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: ($0.00) [ ] receipt of which is hereby acknowledged; or [ ] the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiverof 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($67,434.80) Sixty Seven Thousand Four Hundred Thirty Four Dollars and 80/100, [ 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, andror 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 V.A. �itc CEO T. M. Pander ,ah�„a�;,nmiunrurury WITNESS MY HAND AND NO•IARIAL SEAL,this 19th of October,2011. Melissa J. Bishop Notary tbhc = SEAL . • My commission expires November 30,2016_ Residing in Morgan County %,.?),&OFt4t�";c� '��iIIIYII911fd4P`?1Ati��• Prestrib^tl 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 Snuck Fanil el' Purchase Order No. 2110 k/. fl fl Sofa S-frees' Terms IhkIdinqQ!IS) tJ(/ ti7624J Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10-1 \ I 0 rem&ininp pritjhagp $or w tL °h l' 73 7 005. ' 1 • • ill es Cr J' Total I0 I5,61'1 c I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I •- ' s diied'same in accor- dance with IC 5-11-10-1.6. H-24 , 2012-- s?' - reasurer