The URL can be used to link to this page

Home My WebLink About221128 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367177 Page 1 of 1 ` ONE CIVIC SQUARE LENEX STEEL COMPANY CARMEL, INDIANA 46032 250 E 96TH ST SUITE 150 CHECK AMOUNT: $50,940.00 INDIANAPOLIS IN 46240 CHECK NUMBER: 221128 CHECK DATE: 6118/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460807 2 50, 940 . 00 STEEL RETROFIT TM Document G702 ® 1992 Application and Certificate for Payment TO OWNER: Carmel Redevelop. Commission PROJECT:" Palladium Steel Retrofit APPLICATION NO:; 2 Distribution to: 30 W.Main St.,Suite 220 PERIOD TO:,, 06/30/2013 OWNER ❑ Carmel IN 46032 CONTRACT FOR: Structural Steel ARCHITECT ❑ FROM CONTRACTOR:, VIA ARCHITECT: Lenex Steel Company CONTRACT.DATE: CONTRACTOR 250 East 96th,Street PROJECT NOS: 561-13 / / FIELD ❑ Suite 150 Indianapolis IN 46240 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 ibis 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................................................. $ 82,000.00 that current payment shown herein is now due. 2. NET CHANGE BY CHANGE ORDERS.............................. $ 0.00 CONTRACTOR. Lenex Steel JPompany 3.CONTRACT SUM TO DATE(Line 1.t_) $ 82,000.00 By: Date: 4.TOTAL COMPLETED&.STORED TO DATE(Column G on G703) ...... $ 73,850.00 State of: Indiana 5.RETAINAGE: County of. Hamilton a. 10.0o%of Completed Work Subscribed and sworn to before (Columns D+6 on G703) $ 7,385.00 me this qi- day of �21 02013 b. 10"00%of Stored Material �� n v 0.00LL6 ry / �CfU r' TAMMY L.DEAN(Column F on G703) $ Notary Public: i _=`�orAAr`� Marion Count ' My commission expires: / y Total Retain e(Lines 5a+5b,or Total in Column I o G703 ...... $ 7 385.00 �/ k- My Commission Expires k:...• 6.TOTAL EARNED LESS RETAINAGE .................................... $ 66,465.00 ARCHITECT'S CERTIFICATE FOR PAY - (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 $ 15,525.00 this application,the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in (Line 6 from prior Certificate)" accordance with the Contract Documents, and the Contractor is entitled to payment of the 8.CURRENT PAYMENT DUE ............................................. $ 50,940.0 AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED .........................:................................................... $ Sey 94-0 (Line 3 minus Line 6) $ 15.535.00 (Attach explanation if amount certified.d ffers frotn the amount applied Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) RANGE ORDER SUMMARY ADDITIONS DEDUCTIONS 0,c;lt$ Total changes approved in previous months by Owner $ $ 13y; pate: Total approved this month $ $ This Certif icate is nonnegotiable.The.AMOUNT CERTIFIED is payable only to the Contractor le TOTAL $ 0,00 $ named herein.Issuance,payment and acceptance of payment are without prejudice to any rights of ET CHANGES by Change Order $ 0.00 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 G702' —1992.Copyright @ 1953,1963,1965,1971,1978,1983 and 1992 by The Amekan Institute of Architects.All rights reserved.WARNING:This AIA" 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(1o)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. 010711ACO TM Document: 6703 1992 oe®.. F Continuation.Sheet T 19,9—,`A lication and Certificate for Payment,or G732 AIA Document G702;"� pp y TM-2009, APPLICA_ TION:NO:. 2 Application and Certitcate for;Payment,Construction Manager as Adviser Edition, - -' "` 05-29-2013. APPLICATION DATE: containing Contractors suited certification is attached,:: 06/30/2013 . In tabulations below,amounts are in US dollars..' PERIOD TO: 561-13 Use Cotumn.I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C .. .:: :. D E F G WORK COMPLETED MATERIALS 'TOTAL - BALANCE"CO ITEM SCHEDULED`,�` PRESENTLY COMPLETED AND % RETAINAGE DESCRIPTION OF WORK FROM PREVIOUS FINISH NO. VALUE. STORED STORED TO DATE (G C) (C_G) (If variable rate)' APPLICATION THIS PERIOD (Not in D or E) (DE+F) (D+E) General Conditions 6,500.00 3,500.00 2,675.00 6,175.00 95.00.: 325.00 617.50 and 7,500.00 7,500.00 7,500.00: - 100.00 750.00 Mobilization 2,500.00: 1,250.00 . 625.00 1;875;00 75.00 625.00 187.50 Retrofit T2, . Material. 7,500.00 1,500.00 6,000.00 7,500.00 100.00 750.00 Labor 30,000.00 27,000.00 27,000.00 90.00 3,000.00 2,700.00 etrofit T3 - Material 4,000.00 ;. 2,000.00 2,000.00 4,000.00 100.00 400.00 - abor 12,000.00 7,800.00 7,800.00 65.00 4,200.00 780.00 . Retrofit T4 Material 3,000.00 1,500.00 1,500.00 3,000.00 100.00 300.00. abor 9,000.00 9,000.00 9,000.00 100.00 900.00 Totals: 82,000.00 17,250.00 56,600.00 .73,850.00 90.06. 8,150.00 7,385.00, GRAND TOTAL 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 G703TI—1992.Copyright @ 1963,1965,1966,1967;1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA"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. ,or,°nco Attachment DA � SHIEL SEXTON CO., INC. INTERIM WAIVER AND RELEASE OF LIENS AND CLAIMS UPON PAYMENT STATE OF COUNTY OF Whereas, LENEX STEEL COMPANY ("Subcontractor")who has furnished certain materials, equipment,services,and/or labor pursuant to a subcontract agreement or purchase order with Shiel Sexton Co., Inc. ("Contractor')for the project known as LEBANON COMMUNITY SCHOOL CORPORATION("Project"),which is located at_, IN (collectively referred to as the"Property"),and is owned by LEBANON COMMUNITY SCHOOL fN C'O-�RPORATION ("Owner"). 1x0 Upon receipt of the sum of$ ti 9- '' [insert sum requested in current pay application) ("Current Payment"), the Subcontractor waives and releases any and all liens or claims of liens and all claims, demands,actions,causes of action or other rights against the Contractor, Owner and the Property or any right against any labor and/or material payment bond it has or may have through the date of a i 20_!I), [insert last date of work performed that corresponds to Current Payment] ("Current Date") and reserving those rights and liens that the Subcontractor might have in any retainage on account of materials,equipment,services and/or labor furnished by the undersigned to or on account of the Contractor. Further,the Subcontractor covenants and agrees to apply sums received as the Current Payment first,and in no event later than 15 days after the receipt of the Current Payment,to pay all employees, laborers, materiaimen, sub-subcontractors and sub-subconsultants employed by the undersigned in connection with the Project and all bills or indebtedness incurred through the Current Date for materials, equipment, services, and/or labor and taxes, furnished by such parties to the undersigned in connection with the execution of the Subcontractor's work on the Project. The Subcontractor further represents that all employees, laborers, materiaimen, subcontractors and subconsuitants employed by the Subcontractor in connection with the Project and all bills incurred through J(kl'�,k 3D , 20_L�', [insert the last date of work performed that corresponds to the last pay application) for materials, equipment, services and/or labor, and taxes, furnished by such parties to the Subcontractor in connection with the execution of the Subcontractor's work on the Project, have been fully paid and that no obligation, legal, equitable or otherwise, are owed by the Subcontractor to such parties. Subcontractor further agrees to indemnify, defend and hold harmless the Owner and the Contractor for and against any and all liabilities, losses, costs, expenses and fees, including reasonable attorney's fees and court costs by reason of claims or liens for any labor, materials or services furnished for the Project. The Subcontractor acknowledges that this Waiver and Release is given to induce the payment recited above, and that this Waiver and Release is in substantial conformance with the requirements of applicable law. The undersigned executing this Waiver and Release hereby represents and warrants that he/she has full power and authority to bind the Subcontractor to the terms hereof. Applicable to Payment Request(s) No._ (or) Invoice(s) No. Given under hand and seal this _16 _ day of Maa 2013. Company LENEX STEEL COMPANY Signed (SEAL) By:- -Amq 60,k Title _ 6rPIhol U? E/1OA-) SUBSCRIBED AND SWORN TO before me this r ' day of 20 L , My commission expires N 6 ftiry Publ'E Subcontract#:4164-203 }^' TAMMY L.DEAN !; ` Marion Gounty 902 N. Capitol, Indianapolis, IN 46204 Page 44 of 4 C-". :'' g 9 kI PAy Gomrr�ission Exp.re.. phone: 317-423-6000 fax: 317-423-6300 F ?S July 27,2016 �.'•��i�!RSmp',A�YS/�.IM1�YK.'4a'Sa,INYoKOb,Y'f.'•..• Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.7995) 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 �eney 54ef_ Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6-3U-I� 2 iu 5�e rofi SD 97V,,00 Total SU I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 -ehP�C 7 �e1 �0�1�Q�ly IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR qO 2,«6a g07 Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# WOW I I hereby certify that the attached invoice(s), or �02 2- WOW 4 ,�� bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 6-17- 2015 ature le Cost distribution ledger classification if Tit ea�tuli�(l O�il�2s✓, claim paid motor vehicle highway fund