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HomeMy WebLinkAboutREI CONSTRUCTION, LLC- 003416- 12/27/2012 , CARMEL REDEVELOPMENT COMMISSION 003416 REI Construction, LLC Check; 3416 1016 3rd Ave. S.W., Suite 200 Date: 12/27/2012 Carmel, IN 46032 Vendor: REICONLL Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 122712A 9,745.00 9,745.00 0.00 0.00 9,745.00 Stairs and Limestone 1227128 15,440.00 15,440.00 0.00 0.00 15,440.00 Stairs and Limestone 25,185.00 25,185.00 0.00 0.00 25,185.00 THIEKEYyrOUOCUMENTISECURI7Y 0 HEATLACT,NAIEP.i71RUM8FRINT D AUOITI ONALtSECURI7v FEATURESINCLUOPISSEEAIACK FOR ETACS ISM +•&aii� Carmel Redevelopment Commission 003416 '-~ 30 West Main Street A REGIONS 20-142V/40 a 5 Suite 220 4.: 1::1 14: 1rrnitt Carmel, IN 46032 3416 DATE AMOUNT 12/27/2012 ********25,185.00 Par THE SUM OF TWENTY FIVE THOUSAND ONE HUNDRED EIGHTY FIVE DOLLARS AND NO CENTS ********** TO THE ORDER OF REI Construction, LLC 1016 3rd Ave. S.W., Suite 200 Carmel, IN 96032 M C 1!°003Li 1611■ 1:0 740 14 2 1 31: 0087504 i 1 i!i° CARMEL REDEVELOPMENT COMMISSION 003416 REI Construction, LLC Check: 3416 1016 3rd Ave. S.W., Suite 200 Date; 12/27/2012 Carmel, IN 46032 Vendor: REICONLL Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 122712A 9,745.00 9,745.00 0.00 0.00 9,745.00 Stairs and Limestone 122712B 15,440.00 15,440.00 0.00 0.00 15,440.00 Stairs and Limestone 25,185.00 25,185.00 0.00 0.00 25,185.00 t-11-52 COMPUTEREASE FORMS DIVISION(9771577-5791 7'-71771 !C'Z ■ CONSTRUCTION.at December 27,2012 Carmel Redevelopment Commission 30 W. Main Street Suite 220 Cannel, IN 46032 Atm: Mr. Les Olds Re: Parcel 77—Stairs and Limestone Project Applications for Payment—FINAL Less Retention Mr. Olds: Attached you will find Payment Applications for work performed for the above reference project. REI has reviewed the payment applications, and is in agreement with the payments requested. Verkler Inc.: S89,20150 4 REI Construction: 39,745 Total Amount Due : $98,948.50 Please advise if you have any questions. Sincerely, _e_...1!---d D. Brandon Weddle Sr. Project Manager p �G REI Construction i cc: File p 317.573.6281 f 317.5716857 1016 3RD AVE SW, SUITE 200, CARMEL, IN 46032 — Parcel 7Z Stairs and Limestone Project - BILLING SUMMARY Company 8: Company Name" ContractAmount . 2011 . ® 'September October - - November December 1 Verkker lnc, TOTALS 2 $ 389,550,00 - -5 . 53,000.00, $`- 237.435.00 '$;.99,115.00 $`:;389,550:00', 3 _ _ _- a - 4 $ ' Emma _ _ SUBTOTAL OF ALL CONTRACTS $ 389,550.00 $ $ 53,000. $'. --237A35' $ 99,115.00 • RETENTION FOR ALL' $ ` 385,550.00' $ - - $ 5,300.00:;$ 23,743.50 $r 9,911:50 REI StetFB'General Conditions $ 38,955.60 $ 38,955,00 - $ 4.770 -`.5 $_ _ 15,440 $ 9,745.00 V 38,955.00• .iallatIll • TOTAL BILLING AMOUNT�AFTER RETENTION ��� -$ 428,565.00 ,$ 9,000.00 ?$. r52,470.00 $ 229,131.507 $%_98,948.50!II $ . 389;550.00• ,•, • INVOICE INVOICE: 12-133-04 CRC BILLED Attn.:,Les OMs DATE: 27•Dee-12 30 West Maln Street. TO Sults 220 JOB 0: 12-133 nn Cael,IN 46032 _1 GIL: RE: Construction Management Services-Parcel 77 Stairs and Limestone Retenfion i• 'Project Losatnon: Carmel City Center CM Services: ` General Conditions and Fee $ 9,745.(X1 • • TOTAL;LUMPSUM AMOUNT DUE - $ 9,745.00 • Pfeese remit to: REI Construction;LLC. 1010 aid Ave.S.W.,Suite 200 Carmel,IN.'46032, • TERMS: NET 30 DAYS Thank you for your.business! P , • , • Pm_tM14' — -- — -- - __ , - - - - -. — - • - - APPLICATION AND CERTIFICATE FOR?PAYMEN. tCONSTRUCTION•MANAGER ADVISER'EDfTION.;, ' : te.1:*ct•<..- :=` -.;: ' CONTINUATION SHEET ?A. !A'.DOCUMENTG703,,. m: tuft,DocumentG702;APPLI CATION.AND:CERTIFICATE FOR PAYMENT,'containingt'rn y'j". .APP,L'ICA'TIQNINUNIBER '.;03r ' 16, .si-Si x_r q; e". • m; ;a.ontractor;s signed Corti is attached 1 N. -.t_ z . pr,+ !- • _ _ � " _ . APPCIGATION DATE � ( 'In_tabulations below, amounts_are'stated..tothenearestdolker ,. • _, +,;r _ r ; .�, Lil Use Column I on contracts where variable retainage for.ltne items may apply._` a ;_:'CONTRACTOR'S PROJECTING 12-005 4 . I -' -ARCHITECT StP'ROJECTNO: • > "t i I.; NET CHANGES by Change Order„ i :? . :m.00,_ , _ - I I This:Cenifiate is-not,negotiable. The,AMOUMT CERTIFIED is.payable-only to die- ' - - - - r - - -_Contraetar namcd'herein lssuanoc,�payment ind)aeceptauce of'paymcnt,l+re.lrithoia '.'i - - - preyadice to any rights of du Owner or contracior under this Contract. i ESA CHICIMIEHT G902.ATnitCAnoN AND DEICHRLA7NIH FIR rATAIF.NT 1 992 aan1ON-AM•09111•THE e.111 RISTIME OF ARCHITECTS,ens ln^a•von - •• - -__ ,y - -7 Aveiro!.1'.R N�ASTDNGTOA.DC Wlfi.111.Ows iv 'SKIM rsllaaban elthkdonititut for reaeusectmam,pleted aaaoammort DC a EM7Hrt4E - -• _ - • - - _ utl®Wrf4 aomthE ante*. •„ , G702-1992 . . _ • A. gr C O :E•` - F ,Grc _ ' . _ :St tDesotiption of 'Scheduled 'Previous Work". :Work ;Fresenity.' - ,Total % " - • .Balance to -Total Relainage I .Wink."' Value, r, - !Complete Completed from ¶Stored•,.. Completed& , .Finish - - ' _ __ - - _ . - -` This Period ' - ' ' - .:' 'Stored to Dale. . - • General ._ , Collations .j • - re or ..Bondsand- ` .$9,000.00 = '39,000.00 $000 . '50:00 - $9,000.00- 10000% .$0.00 " '$90000- - 02- _ Al owa ce _ - I$1.55 000_-_ -_ _ .: - - $8,185.00. - $12,365-00 'Sf}:QO $18,550.00 ';100.00%' $0.00 _ - _ `51,855.00 02 7 f $3,000.00 - :--t 10.00- _ - _ 90.00 _ $3,000.00 7 _ 100.00% . __ 730.00, - ..- _ ;$300.00. - - . ` 04 ;Submillals _-. :§9,000.00;_ 18100.00 - 1900.00_ - .$0.00 - 1 $9,000.00. 110000% $0.00_-. .$800.00-. -- 105' � _ :Demobilization 12,000.00 - _ ': 150.00' $2,000.00:. `50.001 --. $2,000.00, •- °100.00% .30.00. __ _ $2oo.o0LL • 06 - Project--- 52,000.29; tri $O.00-- °;;$2,000.00 -$0.00- --' 52 000.00;_- ',100,00%-- - $0.00 -- -$200,00; `- fa laOSeotut._ ' , ,_ .: _ .. = _ General =- ` tSublotat .- - 4143,550.0077- $28,285:00 $17,265.00' $0.00" 543,550.00` ;100.00%'- $0.00' x$4,355.00: t . Conditions- - - _ - _ .... - -- ._. - - - - _l _ .. _ . ._Cd y al Carmel°.: -. c --- - - ,� - -- - . Patcel877; t ; . in Stairs._-. . .... _ is °m tar- t- :Earthworkat" . ,$8,000_00 ---- i$8,o0od0 " $0.00 : :$0.00 $8,000.00- -100.00%- - $0ioo: $800.00 •., Stairs"',,. . cn Materials - r.-. -•, 1 M1 :067--- - Eerthwakat.-1`$22,000:00 * ;$22,00600 -" ;$0.00 - . '$0.00' -- ' $22,000_00.- $22,000 0 0. ;100.00% - - '$0.00 c , ' ••SlaiFsLeo¶_ = . -L-- : , _ . , , _• " - 7I 09- - Plumbing - $3,000-00_ -1 -32.700.00 - 1$300.00 -.$0,00 $3,000.00 i i 100.00% ;$0.00` - $300,00 --- , 'Material _-_ _ m 110- - a (:Plumbing 1-43,000.00-.---- $2,700.00 1$30000 $000 - : '$3,000:00. ,-. '100.00% - . ¶$0.00 - .$3O0:0o d (Labor _ . . :,.! r1. - 7- - Stalr,COrxrete .a $15,000.00: -". _315,000.00 130.00 :; 90.00 --- ".-$15,000-00 -7 '100:00%' _ ,$0.00'- -° 31,500-00. - Material:_ ._ m '-12' " ' �_t ISialrCtmtrele=- ;$20,000.00 -- x, ;,$20,000.00 - - t$0.001-c -- ` $0.00' .._ ; ;920,000:00.- M x100,00%,---- - c$000n - -- , t$?A00.00, ": 1 - - '13 "-- - 1 .CdnraeteWalksr43;000.00 ` - $3,000.00 . 1$000 ,$0_OOL .93,000:00: i 100.00% -.`, ,$0.00 -- :$300.00r ---' 7 Material , , i 1 ,-, "14 -- ConcreteWalls' $300000.: $3000:00 ' ;$000 _ •- -$0.00¶ ' a ?53,000.00 - - ',100.00%- 4 " 1$0.00= .;: ,$300.00. - - L„ • ''.' =Labor." n. CONTINUATION`$HEET - __AMt;D.00UMENT 6703 . 'PAGE -2 OF 4 `PAGES itl;-AIA Document.G702:APPLICASIONfAND''CERTIFICATE yoR PAYNEN7 contalning il' qr;rTAP_PLICATION6NUMBER "03 = -' = s 4...k: 9 Contracto ,i slgried,Cei1lfcaf on ls.attaclied u,...- - vr' Ll t . a': t-',7. -, APP.UCATION DATE'•' s -:, ; _ ' '_:• ; in tabulations below, amounts are staled to the nearest dollar, .. + y f I„ 4:L�. . _ �- -,TO: # - _ Use Column I.on conlracs where variable retainage for Tine items may apply. :- r CONTRACTOR S„P,ROJECT NO 12005 ' -...•„2.•••;:w ~:- ,. - i. _ ARCHtTECT'S.PROJECT N-6: `• t I 15- ;:Lin,esrnne: , .$55.000.00 +$30,000.00, $o 00 425,000.00 _ , '$55,000.00 -1' '_700.00% -1:7,- -$o.00:-.% „ IBaWstrad8S-and h I :+ j, ,-. T f; y $5,500 00 . • RaOa-Matedats - _ " - .:> t; 3i t 15 - + ,Limestone ;- $50,000.00-.. $25,000.00 7$25.000 00 " b $0.00 : '$50,000.00 100.00% $0.00 $5,000.00 1,.• r iBabislradesam' •''' - r 4- je - _ t Rails=Labor _ - - - '17- - Waterproofing'- $1,000:00 '$0.00 ; 41,000.00• .1- $0.00- $1,000-00- 1 100.00% $0.00 5100.00 _. - _ _ ;118, - ' 'Waterprotlp $1,000.00•- $0.00 - -51,000.00 ', .$0.00 '51,000.00 100.00% _ '$0.00' $100:00' . 1Labor-_ 19 - -- Sealants $50000 --" '$0:00" 't' $500.00 -" S0.00, • '$500,00 - 100.00% $0.00 "$50.00 - .Material - . . . _ - 20 - -" 'Sealants-- :5500.00 -- v$0-00 $500.00' $0.00 $50000 - -- 100.00% $0.00 •$5000 ,Labor ' - 21 ',Steel Railings • -' ;$5,00000 '$0.00 $0.0 $5000 100.00% $0-00 '$500.00 Y . Material . 2' 22' - +Steel Rallings -$1.000.00' -40.00 IS,.000.00 $0.00 : 11,000.00 - - 100.00%' - , '$0.0o - .$100.00 ,, Labor _ - - - 23 'Pafnling.- - $500.00 $0.00 1$500.00" $0,00 $50000 '10000% -$0.00 $50.00 • Material . _ _, . :24 - Painting-Lath): $500.00_ $0.00 .. $500.00- _ - _ _$000 -. . -.:�_r$500.00•:• - 100.00% - - 1$0.00.- - -: $50.00 .- - - 25- -- : -- , ISIairess Steel= '$9,00000 - _. '$0.00. $9,000.00 $0.00 = - $9,000.00 '100.00%` : 40.00 - $900.00- A loin-i wend' -- - ' Pans-Mterial . 25- - - - 'Stainless Steel;= $2.000.00 $0.00 - - - ,$2,000.00 - $0:00 • $200000 - -100.00% ' -` .•$0.00- - $20000• - Mchors and _ Pans-Labor -. _ - - -- _ - - 27: ' Retaining Wall $5000-00 - 40.00 -$5,000.00 $0.00 $5,000.00 - '100.00% ;$0:00- ;550000 n Earthwork= • v a Materiel - - _ n 28 RedhniingkWall ' .$5,00a00 - $0.00 •$5,00000 •$0.00 $5,000.00 -- 100.00% $0.00 - $500-001 - - Labor _ . _ 29 • Limestone '$70,000.00 _ '$17,500.00_ $0.00 - - $52,500.00 $70,000.00 - 100.00% - $0.00 = $7,000:00. " '! RelairdngWar- '. . p ,tNatenal_ _r .e _ _ - _ - _. , s, •30-- ' - Limestone'. ' ,$20,000.00 $5,000.00 $f5.000.00'_ • ,$0.00. - ' 20,000.00 - .- k100.00% ' 10:00 - '$2,000110 - Retain ig Wall - . . I Labor v ;3v - .Irngalion'- - $2,000.00. - -- `$500.00 151:500.00"' - ` _ • r5o.ao:. �• s2,06o.on .. .100.00% ::$0.00 6200.00+.- _ 1 t - n Material I ` --- --- - - --. I 32 -- Irrigabnri .. 1$1,000:00) 0$250.06-' - ,$750.00' -- :$0.00 - - - - _$1;000.00 r,11m_00%-. . - .'50.00 !$100.00' .,. { . -v: ' •-. .__., -. - y33= -, - `Topsail: _ "$2000.00` -..-' $0:00_ __.. $2,00000.: 2$0.00- -- .';; j$2,000.00 - `10000% 1 ,$0100. I1$200.00. . Material • ; ' I -34 - - _ - `T0p50il;Labors ($1000'00.'... l$0.00.- _ '+$1,000.00 -r: .50:00 _ 1$1}000.00`. ':10000%_- :$0.00. t'` 1$100.00 _ . ',,�. - - - - CON TINUATION;SHEET. .. AlA DOCUMENT,G703 - , ', r'f` 3' '«' :'{ PAGE 3 OF 4 #pAGESt• E..2 MA Document 0702?APPWCATION^'ANp CERTIFICATE FOR'PAYMENT,contatning.' '" -' -- 4.41_. APPLICATION NUMBER: 03�` ' -' m Contractor's signed,Certification'is attached „.. t " t:;it _r! ` APPLICATION DATE: - in tabulations below.amounts are stated to:fie nearest dollar. r - = - Use1Columml'on contracts where variable retain a for line items may apply. T N O: a9 Y CONTRACTOR'S NO: 42 005 ARCHITECTS•PROJECT,NO: - 'so Q=ualE1S�'. :$z000.00� __ 5z,000.00 -_ $o.On $z,00o.00 - , i10o.0ov; '$0.00 $200.00 0- 36- Sod;Labor $1!000.00 -,, .$0.00 $1,000.00 $0.00 1$1,000.00 . L100.00% i '$0.00 _ :$100.00 37 Elecheral= Materiel_ '$20,000.00 -$5,0000 $0.00 '$15,000.00 ±$20,000.00. " 1100.00% $0.00- $2,000_00 • - 38 - ' ,.Elachical- - -$14,000.00 - $7,000.00 . -$7,000.00. $0.00 " - ,$14,000.00 -100.00% , .$0.00 -- '$1,400.00 Labor. -City of Carmel: Subtotal:- - ,$346,000.00 $171,650.00 $81,850.00 ' -$92,500.00 $348,000.00 100.0096" $0.00 ' ;$34,600.00- Parcel 477 - - Stairs _ GRAND TOTAL $389,550.00 •$197,935.00 $99,115-00 $92,500.80 $389,550.00.: '100.00%- - '$0.00 - - - _ - ' - - -- •- '_ ' -' . _. - $38,955.00 • • • _l ID • CA m (4 N - m Cl • m N r, N N 12/2112-01. — 3172987045 VERKLER PAGE 01/05' •t , ., • Nr. ERKLER Transmittal # :12-D05=00041 • December 21; 2012. TO : .REI Construction,LLC FROM : Cecily,Parrish • . ATTNt:Brandon:Weddle Verklerilnoorporated • •1016 30 Avenue SW.,. 7240.GeorgetowntRoad Carmel;IN 48032 ,, Indiandpolis,.ItI- 46268 Phone': (3i7)'5731-6255——Fax';1(317)573-6857 Phone' (317),297-7054.7 Fax,.(317)298-7045' 'PROJECT: CityrofCarmel- Moron Sturs and Limestone Walls Carmel,iN . Items are being'sent via : UPS Ground Service SUBJECT': Appl,#3-City of Carmel- M•onon Stairs • • We are sending the tollotiring to you : ( No aDescription Copies (Reason_ ' 01 ,Application#3'-City,of Carmel - Moron Stairs($89;203,50) 3"• For Payment Brandon; • I have enclosed,(1)'origInal pay,application and(2)copies of application No 3 for the:City of Carmel,-Moroni Stairs and Llmestone,Walls project: Thank your rr , Copies to • •Sonl'by,,r `Ceoiiy Parrish _ CCMS 1.15 ' 4 , • CONSTRUCTI0N.LC December 19,2012 Cannel Redevelopment Commission 30 W. Main Street Suite 220 Carmel, IN 46032 Attn: Mr. Les Olds Re: Parcel 77—Stairs and Limestone Project Applications for Payment Mr. Olds: Attached you will find Payment Applications for work performed for the above reference project. REI has reviewed the payment applications, and is in agreement with the payments requested. Verkler Inc.: $213,691.50 1 REI Construction: $15,440.00 Total Amount Due : $229,131.50 Please advise if you have any questions. Sincerel' , D. Brandon Weddle Sr. Project Manager REI Construction cc: File p 317.573.6281 f 317.573.6857 1016 3RD AVE SW, SUITE 200, CARMEL, IN 46032 • Parcel 77 Stairs and L_imestone_Project BILLING SUMMARY Contract Amount I. "I 2011 - . Company# Company Name September I October - I November I December " I TOTALS 1 Verkler Inc. $ 389,550.00 '$ 53,000.00 $ 237;435.00 $. 290,435.00 - 2 - 3 $ - 4 S. $ .$ SUBTOTAL OF ALL'CONTRACTS $ 389,550.00 [ $ - �'$" 53,000 1 $ .237,435 1 $ - I $ 290,435.00' RETENTION FOR ALL I $ - 1 $ 5,300.00 11 23,743.50 - I $ 29,043.50 REI Staff&General Conditions $ 38,955.00 $ 9,000 $ 4,770 $ 15;440 $ - 29,210.00 $ $ . . TOTAL BILLING AMOUNT AFTER RETENTION $ 428,505.00 I $ 9,000.00 I $ 52,470.00 1.$ -29,131.50 1 $ - I 1 $ 290,601150 I • I N V O I C E • INVOICE: 12.133-03 CRC BILLED Ann.: Las Olds DATE: 19-Dec-12 30 West Maln Street TO Suite 220 JOB 8: 12-133 Cerme 1,IN 48032 ' CUL: • . - . RE: Construction Management Services-Parcel 77 Stairs and Limestone Retention Project Location: Carmel City Center ._• CM Services:, General Conditions and Fee $ 15,440.00 TOTAL LUMP-SUM AMOUNT DUE -1 15,440.00 I ` Please remit to: REI.Construction,LLC 1018 aid Ave.S.W.,Suite 200 Carmel,IN 48032 TERMS: NET 30 DAYS • • Thank you for your business! p. • . Submitted by: Approved by: I 1 REI Construetloe,LLC Director of the CRC , • Signed Signed } /2i;q - Date - Date 1• 1 - , I f - ' APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION _ AL4 DOCUMENT G702/CMa PAGE ONE OF PAGES TO: City of Cannel Redevelopment Commission PROJECT: City of Carmel-Mono __. •• . , •n ails APPLICATION NO: 02 Distribution To: 30 West Main Street City Center Drive. . . raj PERIOD TO: 11/30/2012 DOWNER Carmel,IN 46032 Cannel,IN 46032 RECEIV ED PROJECT NOS: 12-005 ❑CONSTRUCTION FROM: Verkler Incorporated ANAGER Nov�� 1 5 Z��Z CONTRACT DATE: 6/22/2012 ❑ARCHITECT 7240 Georgetown Road ❑CONTRACTOR Indianapolis,IN 46268 VIA CONSTRUCTI S MANAG . ..t,; ,• 41 , s • CONTRACT FOR: Parcel 77 VIA ARCHITECT: C Oa,•. . CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor'sknowledge,Infor- Applieation is made for payment, as shown below, in connection with the Contract. Infor- mation and belief the Work covered by this Application fa Payment has ban completed in Continuation Sheet, for Document G703, is below, ed. ounce 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 1. ORIGINAL CONTRACT SUM $ $389,550.00 received from the Owner,and that ctrrrmt payment shown herein is now due. 2. Net Change by Change Orders .$ $0.00 3. CONTRACT SUM TO DATE (Line 1 ±2) .$ $389,550.00 CONTRA R. �( 4. TOTAL COMPLETED 8 STORED TO DATE $ $290,435.00 By Dare: !r/• I r-3d/7-' (Column G on 6703) 5. REF/LINAGE: State of: Indiana a. 10.00%of Completed Work $ $19,793.50 (Columns D+Eon G703) Subscribed of: Marion Subscribed and sworn to before b. 10.00%of Stored Material me this 14th day of November,2012 (Column F e( ine 5a $ $9,250.00 Total Retainage(Line a+56 or Total in Column I on G703) $ $29,043.50 6. TOTAL EARNED LESS RETAINAGE .$ $261,391.50 Notary Public: Janeane Arbuckle (Line 4 less Line 5 Total) My commission empires: March 20 ,3 LESS PREVIOUS CERTIFICATE FOR PAYMENT CERTIFICATE FO AYMENT 7. . . .$ $47,700.00 8. CURRENT PAYMENT DUE SI $213,691.50 In accordance with the Contract Documents, based on on-site observations and the data 9, BALANCE TO FINISH INCLUDING RETAINAGE comprising the application,the Construction Manager and Architect certifies to the Owner (Line 3 less Lira 6) $128,158 50 that to the best of the their knowledge, 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 AMOUNT CERTIFIED. AMOUNT CERTIFIED $ 2/3 (9/ Zr CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach erplanation jf amount certified differs from i e amount ap fled for. Initial all Total changes approved in figures on this Application and on the Continuado• : eet that are changed to conform to the amount certified.) / previous months by Owner CONSTRU r • - - AGER: / ' //� Total approved this Month $0.00 By: - / Date: U� TOTALS ARCHITECT: $0.00 $0.00 By: Date: This Certificate is not negotiable. The AMOUNT CERTIFIED is payabk only to the NET CHANGES by Change Order $0.00 Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Co.Tval. AEA DOCUMENT 12702/0U•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 FDMON•NA•01992•THE AMERICAN ENSTmJTE OF ARCHITECTS.Ms NEW YORK AVENUE.N.W.,WASHINGTON.DC 29906]292.Unit won SSW wOaAtlte dfhb anew*M 1•ta••ittha•m•WS•a AEA P'. . . DC01-CMmotlm of Datemsenta Autheallety bum Ms Errea- ''CONTINUATION SHEET . _ A/A DOCUMENT.G703 PAGE 1 OF A PAGES . AM Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION.NUMBER: 02 ' Contractor's signed.Certlficatiomis attached: • APPLICATION DATE: In tabulations below,amounts are'stated to the nearest dollar. TO: Use Column I on contracts where variable retainage for line items may apply. CONTRACTORS PROJECT NO : 12-005 ARCHITECT'S PROJECT NO: NET CHANGES by Change Order I $0.00 I 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 rights of the Owner or Contractor under this Contract. AMA DOCUMEITT 6702•APPLICATION AND CERTOICA11ON FOR PAYMENT•1992 ED ON•MA•01992•THE AMERICAN INSTITUTE OP ARCHITECTS.1733 NEW YORK AVENUE,N.W.,WASHINGTON,DC 2'0063292•Mtn• 7 eahei vaOE•tlm el this RD acme*by P •asemskutotl MA Ooamient IMP 1-CaH3. tlm ccoame w,AuOleRtldt7 front the'ioOUao G702-1992 A •B C D- E - F G H I # 'Description of -.Scheduled Previous Work Work Presently Total % Balance to Total Retainage Work Value Complete Completed from Stored Completed& Finish This Period Stored to Date- General Conditions 01 Bonds and $9,000.00 $9,000.00 $0.00 $0.00 $9,000.00 ,100.00% $0.00 $900.00 Insurance ,02 - .. Allowance , $18,550.00 $0.00 .$6,185.00 '$0.00 $6,185.00 33.34% $12,365.00 $618.50 -03 'Mobilization "' $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 '100.00% '$0.00 a $300.00 '04 - 'Submittals -$9,000.00. " $8,100.00 $0.00 - $0.00 $8,100.00 r90.00%- -- - $900.00 $810.00 05 -- •Demobilization $2,000.00 " '$0.00 $0.00 $0.00 $0.00 - 0.00% $2,000.00 - . '$0.00 06 - .Project . $2,000.00: $0.00 $0.00 $0.00 $0.00 0.00% $2,000.00 - $0.00 Closeout _ . General Subtotal: .$43,550.00 $20,100.00 $6,185.00 '$0.00 $26,285.00 60.36% $17,265.00 $2,628.50 Conditions - Cityaf Cannel- - Parcel#77- Stairs 07 Earthwork at $8,000.00 $2,000.00 $6,000.00 $0.00 $8,000.00 100.00% $0.00 $800.00 Stairs- Mateiials (08 -Earthwork at $22,000.00 $5,500.00 x$16,500.00 $0.00 $22,000.00 100.00% $0.00 '$2,200.00 .Stairs- Labor 09 Plumbing- $3,000.00 $450.00 $2,250.00 $0.00 $2,700.00 90.00% ' " '$300.00 $270.00 Material - _ _ 10 Plumbing: - '$3,000.00- - $450.00 $2,250.00 $0.00 $2,700.00 .90.00% '$300.00 $270.00 Labor - - 11 Stair,Concrete- , '$15,000.00 , 110,500.00 $4,500.00 $0.00 •$15,000.00 - 100.00% $0.00' ' $1,500.00 Material _ _ 12 - Stair Concrete'- $20,000.00 $14,000.00 - $6,000.00 -$0.00 $20,000.00 100.00% $0.00 $2,000.00 - Labor . 13 Concrete Walks $3,000.00 10.00 -$3,000.00 $0.00 $3,000.00 100.00% $0.00 $300.00 -Material _ 14 Cana-eta Walks ' '$3;000.00 $0.00 $3,000.00 $0.00 $3,000.00 '100.00% $0.00 $300.00 Labor. .: 1 'CONTINUATIONSHEET A'IA DOCUMENT G703 - PAGE. 2 OF 4 PAGES - MA Document G702 APPLICATION'AND CERTIFICATE FOR PAYMENT, containing - APPLICATION NUMBER: 02 • Contractors signed Certification Is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. - TO: Use Column Ion contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT NO : 12-005 ARCHITECTS PROJECT NO: 15 Limestone $55,000.00 - ' $0.00 $30,000.00 $25,000.00 $55,000.00 100.00% - $0.00 $5,500.00 Balustrades and Rails-Materials . 16 -Limestone 450,000.00 $0.00 $25,000.00 $0.00 $25,000-00 50.00% $25,000.00 $2,500.00 Balustrades and Rails-Labor 17 Waterproofing 41,000.00 $0.00 $0.00 $0.00 $0.00 '0.00% $1,000.00 10.00 Material 18 - Waterproofing- 41,000.00 $0.00 $0.00 "$0.00 $0.00 :0.00% $1,000.00 $0.00" Labor _ 19 'Sealants- `$500.00 , "$0.00 $0.00 $0.00 $0.00 0.00% $500.00 $0.00 Material 20 - 'Sealants- $500.00 $0.00 - $0.00 $0.00 $0.00 - 0.00% $500.00- $0.00 Labor 21 -SteelRaiigs- $5,000.00 $0.00 $5,000.00 $0.00 $5,000.00 - 100.00% $0.00 $500.00 Material .. 22 Steel Railings- $1,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $1,000.00 ' $0.00 Labor 23 Painting- 1500.00 -$0.00 $0.00 $0.00 $0.00 '0.00% $500.00 - $0.00 Material .24 'Painting-Labor: .$500.00 . $0.00- $0.00 $0.00 $0.00 0.00% $500.00 '$0.00. 25 Stairdess Steel:1 '$9,000.00' $0.00 $0.00 $0.00 ; '$0.00 0.00% $9,000.00 $0.00 Anchors and Pans-Material _ 26 Stainless Steel'- t$2,000.00 - ,$0.00 - $0.00 $0.00 $0.00 0.00% $2,000.00 -$0.00 Anchors and Pans-Labor 27 Retaining Wall +$5,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $5,000.00 $0.00 Earthwork- Material 28 Retaining Wall $5,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $5,000.00 $0.00 Earthwork- Labor '29 L'anestone $70,000.00 $0.00 $17,500.00 '$52,500.00 $70,000.00 - 100.00% $0.00 $7,000.00 Retaining Wall- _ '.Material` _ -30- Limestone " -$20,000.00 "$0.00 $5,000.00 $0.00 $5,000.00 25.00% ' '•$15,000.00 $500.00 Retaining Wall- 'Labor _ 31 irrigation- $2,000.00 '$0.00 $500.00 -.$0.00 $500.00 25.00% $1,500.00 $50.00 Material - 32 Irrigation- $11,000.00 ' $0.00 $250.00 $0.00 $250.00 25.00% $750.00 $25.00 Labor 33 Topsoil- - $2,000.00 $0.00 $0.00 $0.00' ?$0.00 X0.00% $2,000.00 $0.00 Material 34 Topsoil Labor 11,000.00" _ . $0.00'-- -$0.00 - 10.00 '$0.00 0.00% $1',000.00 $0.00 • 'CONTINUATION SHEET- - . 'AlA"DOCUMENT1G 703: - PAGE 3. OF -4 .`PAGES I. 'AIA Document_6702,, AP.PL'ICATION'AND,CERTIFIGATE•FOR PAYMENT;containing .- ' --APPLICATION NUMBER'. `02- . Contractor's signed:t ertlflcation'Is'attacl ed: _ . , APPLICATION DATE: - In tabulations°below,-amounts are stated to The nearest dollar. TO , Use Column l on contracts where variable retainage for line items may apply. CONTRACTOR'S PROJECT.NO,: 12-005 _ . - _ - ARCHITECTS,PROJECT'NO. . 35 Sod-Material" 42,000.00 _ .- rso oo : ". 'soma- $0.00 '$0.00 ' - 0.00% -- -_$2,000.00 $0.00- 36 Sod=Labor 11,000.00 _ .. i$0.00 ' $0-00 _. $0.00' - $0.00 0.00% i$1,000.00r $0.00 37 •Elecbical $20,00000 --- .$0.00 $5.000.00 $15,000.00 $20,000'00 `.100.00% $0.00 $2,000.00 .. - . Material: - . . - - .. 38' - .. .Ei ctdcal - -$14,000.00 - $0-00 . - .$7,000.00 •• $0.00 - $7,000.00 50-00% 17,000.00 $700.00'' i.Labor. .- Cityof.Carmel-- Subtotal: - ,$346,000.00. $32,900.00 - '.$138,750.00 '$92,500.00 . $264;150.00"- '7634% $81,850.00 - $26:415.00 I :Parcel#77 ■Stair8 - . -- - - GRAND TOTAL' $389,550.00 $53,000.00 $144,935.00 0. - _$92,500.00 "$290,435.0 _74.56%ry $99,115.00 $29,043.50 I I Proscnbed by Stale 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. r Payee Reyes, 5*. Purchase Order No. /0/6 ?Y?d , i1 e; 54/ 7`o 20e Terms C.i .l,�/, /w Eld.P(2.3-2 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /2/27/17 / z 27/2g r 9 -7y-5- 12/27//2 /'22-7/2 e RA--A" g /S.1/2267.CO Total 25/g-5, 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. f.a 12--2-1 , 2012, Lifer