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Home My WebLink AboutSMOCK FANSLER CORPORATION- 001364- 11/18/2010 Smock Pander Corporation Check: 1364 2910 W Minnesota Street Date: 11/18/2010 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice ' P.O. Num. Invoice Amt Balance Retention Discount Amt. Pal 2950 49,678.92 49,678.92 0.00 0.00 49,678.9 P111 Pavers - 49,678.92 49,678.92 0.00 0.00 49,678.9 • • .-, *,.,a-a=A THISICHEC . i -` P,. 7i'11; Carmel Redevelopment Commission 0 013'6 4 A er S West Main Street A REGIONS. L Suite 220 20-1421 n40 oc""ME S Carmel, IN 46032 STRIc 1364 DATE • AMOUNT 11/18t2010 «. ++49,678.92 ,f PAY THE SUM OF FORTY NINE THOUSAND SIX HUNDRED SEVENTY•EIGHT DOLLARS AND 92 CENTS i TO THE .. - ` ORDER - • r °F Smock Fansler Corporation *, 2910 W Minnesota Street :""c'% • Indianapolis, IN 46241-4541 • _ - ?q„off _ n'0013Din' 1:07401ti 2 L31: 008 7 504 I. 11u' CARMEL REDEVELOPMENT COMMISSION 001364 Smock Fansler Corporation Check: 1364 2910 W Minnesota Street Date: 11/18/2010 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pa 2950 49,678.92 49,678.92 0.00 0.00 49,678.5 P111 Pavers • 49,678.92 49,678.92 0.00 0.00 49,678.. i. 1i? x II's2LID C(ITFn1erE.se Forms oralson (077)577.57E1 INECE700 REQUEST FOR PAYMENT From' Smock Fansler Corporation To CARMEL•REDEVELOPMENT COMMISSION Invoice' 2950 2910 W Minnesota Street 30 W.MAIN ST. Draw: APP00002 Indianapolis, IN 46241-4541 CARMEL, IN 46032 Invoice date' 9(17(2010 Period ending date. 9(30(2010 Contract For: Request for payment: Original contract amount $805,860.00 Approved changes $0.00 Project: 10081 Revised contract amount $805,860.00 P. 111 PAVERS Contract completed to date $71,316.00 Contract date: Add-ons to date $0.00 Taxes to date $0.00 Architect Less retainage $7,131.60 Total completed less retainage $64.184.40 Scope: Less previous requests $$14,505,48 Current request for payment $49,678.92 Current billing 555,196.80 Current additional charges $0.00 Current tax $0.00 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Less current retainage $5,519.88 Changes approved in previous Current amount due $49,678.92 months by Owner Total approved this Month Remaining contract to bill $741,675 60 TOTALS NET CHANGES by Change Order I hereby certify that the work performed and the materials supplied to date,as shown on the above represent the actual value of the accomplishment under the terms of the Contract that the all contractor has paid changes thereof)amounts between the billed undersigned ned and the oCCVARMEL REDEVELOPMENT COMMISSION relating to the above referenced project. I also �� „SlA lf?Y��PVB,..?„ CONTRACTOR: Smock Fansler Corporation State Of INDIANA County Of MORGAN y2 �7 A By: R\Y 7 Vi �/Ll Subscribed and sworn to before me this lit t day of �yn (0 - SEA ' /�/ 7 47, <1.Ct � Date: %f /lv _ Notary Public 9 r L My commission expir { /�� (/��Oj%4T�1• •..•. 4Lai\\. t 1 6 LLL i nizlllaim)1M111P��w �`5► ��2'] YO CorVSTRvcrwJ Mhulc � c� � �1 � 1/0 CCa) sa*t rr acrs : riffo D 4t) 497d22)7_ Director of Redevelopment r 4Lkzeo — REQUEST FOR PAYMENT DETAIL Project: 10081/P.111 PAVERS Invoice: 2950 Draw:APP00002 Period Ending Date: 9/30/2010 Detail Page 2 of 2 Pages Item ID Description Total Previously Work Presently Completed h Balance Retainage Contract Completed Completed Stored And Stored Comp To Balance Amount Work This Materials To Date Finish Period 01 MOBILIZATION 10,000.00 200.00 300.00 500.00 5.00 9,500.00 50.00 02 FIELD ENGINEERING 10,000.00 200.00 300.00 500.00 5.00 9,500.00 50.00 03 ASPHALT BASE 165,400.00 3,308.00 4,962.00 8,270.00 5.00 157,130.00 827.00 04 UNIT PAVERS 620,460.00 12,409.20 49,636.80 62,046.00 10.00 558,414.00 6,204.60 Totals 805.860.00 16,117.20 55,198.80 71,316.00 8.85 734,544.00 7.131.60 • AFFIDAVIT AND WAIVER OF LIEN [ ] Final [X] Partial [X] 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#10-981 P. 111 Pavers 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: ($49,678.92) • Forty Nine Thousand Six Hundred Seventy Fight Dollars and 92/109 [ ] receipt of which is hereby acknowledged; or [X] the payment of which has been promised as the soleconsideration 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 receiptof 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 � ,C\� '� ` .itle CEO M. ansler WITNESS MY HAND AND NOTARIAL SEAL, this 17th day of September ,2910. ytiwuuitti w oO O/ ,/ PRY PU@ "%, Melissa J. Bishop Notar y Public SEAL 3 My commission expires November 30, 2016 Residing in Morgan County