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Home My WebLink AboutSMOCK FANSLER CORPORATION- 001503- 12/17/2010 CARMEL REDEVELOPMENT COMMISSION 001503 Smock Fansler Corporation Check: 1503 2910 W Minnesota Street Date: 12117/2010 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt • Balance Retention Discount Amt. Paid 2978 59,492.70 59,492.70 0.00 0.00 59,492.70 Work thru 10/29/2010 . 3001 147,754.80 147,754.80 0.00 0.00 147,754.80 App 4 207,247.50 207,247.50 0.00 0.00 207,247.50 PIAREMOiLfNETHIS'.CHECK HAWAL COLOREOMACKGROUNDTAND'CONTAINSWULTIR.CE SECURIP4FEATURESTSEESACK<FORAETAILSINf6fbafff l �t6 npq,,c1. Carmel Redevelopment Commission - • . G0,1 5 0 3 30 West Main Street A REGIONS III Suite 220 20.14211740 - \°, i Carmel,IN 46032 STA W 1503 ' • DATE AMOUNT 12/17/2010 **********207,247.50 PAY THE SUM OF TWO HUNDRED SEVEN THOUSAND TWO HUNDRED FORTY SEVEN DOLLARS AND 50 CENT TO THE ORDER OF, Smock Fansler Corporation 2910 W Minnesota Street Indianapolis, IN 462414541 c • M. 9gF410 lie 0Di503ii' 1:0740142i31: 00137504iLilo CARMEL REDEVELOPMENT COMMISSION 001503 Smock Fansler Corporation Check: 1503 2910 W Minnesota Street Date: 12/17/2010 Indianapolis, IN 46241-4541 Vendor: SMOCKFA1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2978 59,492.70 59,492.70 0.00 0.00 59,492.70 Work thru 10/29/2010 3001 147,754.80 147,754.80 ._ 0.00 . 0.00 147,754.80 App4 207,247.50 207,247.50 0.00 0.00 207,247.50 ..,-t..rr: REQUEST FOR PAYMENT From: Smock Fansier Corporation To: CARMEL REDEVELOPMENT COMMISSION Invoice. 2978 2910 W.Minnesota Street 30 W. MAIN ST. Draw: APP00003 Indianapolis, IN 46241-4541 CARMEL, IN 46052 ' -A, Invoice date' 10/2012010 Period ending date' 10(2912010 • Contract Far: Request for payment: .. Original contract amount $805,560.00 '-` 7 Approved changes $0.00 ��• i Project: 10081 Revised contract amount $805,860.00 P. 111 PAVERS Contract completed to date $137,419.00 - Contract date' Add-ons to date $0.00 Taxes to date $0.00 Architect: Less retainage $13,741.90 Total completed less retainage $123,677.10 Scope: Less previous requests $64,154.40 Current request for payment 559,492.70 Current billing $65,103.00 Current additional charges $0.00 Current tax 50.00 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Less current retainage $6,610.30 Changes approved in previous Current amount due $59,492.70 months by Owner Total approved this Month Remaining contract to bill $682,182.90 TOTALS NET CHANGES by Change Order the I Contract(and all authorized changes thereof)hbetween the undersigned eaand the hCARMEL REDEVELOPMENT COMMISSION eclat ng to hetalb above refs enced project. I also ..,..eeka-NpJY PU�'9!i.i certify that the contractor has paid all amounts previously billed and paid by the owner. r1 ��O" _ CONTRACTOR: Srno . Fansier Corporation State Of INDIANA County Of MORGAN - - /J�,, /. - S.E.AL .. By'. V`/ '/• Subs.cri6ed and 5wom to before/Jme this Art) day of Q�T7!{`7:�� Rn/n Dale: l bite/0 Notary Public Yv2XX. C4.--(6 • ... My commission expires: i .1 i/c20/.6 44.:t" n i`01 o� "`°^IgdPfril6l9rr11P6�,, ti0, t2.11 ,10 Oh Wit� Pig, 5,447.7P �PPRB kraut Director of RedeVeIOpment/Hl1(pbg4-C' �\D' REQUEST FOR PAYMENT DETAIL Project: 10081 /P. 111 PAVERS Invoice: 2978 Draw:APP00003 Period Ending Date: 10/29/2010 Detail Page 2 of 2 Pages Item ID Description Total Previously Work Presently Completed % Balance Retainage Contract Completed Completed Stored And Stored Comp To Balance Amount Work This Materials To Date Finish Period 01 MOBILIZATION 10,000.00 500.00 1,000.00 1,500.00 15.00 8,500.00 150.00 02 FIELD ENGINEERING 10,000.00 500.00 1,000.00 1,500.00 15.00 8,500.00 150.00 03 ASPHALT BASE 165,400.00 8,270.00 33,080.00 41,350.00 25.00 124,050.00 4,135.00 04 UNIT PAVERS 620,460.00 62,046.00 31,023.00 93,069.00 15.00 527,391.00 9,306.90 Totals 805,860.00 71,316.00 66,103.00 , 137,419.00 17.05 658,441.00 13,741.90 AFFIDAVIT AM) 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 CFO 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#10-081 P. III 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 (559,492.70) Fifty Nine Thousand Four Hundred Ninety Two Dollars and 70/100 [ ] receipt of which is hereby acknowledge;or [X] the payment of which has been promised as the sole crosideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount,and which waiver shall he effective only upon receipt of payment thereof by the undersigned; (FINAL, WAIVER)that the final balance due from the owner is the sum of(511.110) [ ] 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 ofsuch 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 Vim, N444 "tle CEO T.M. Fansler WITNESS MY HAND AND NOTARIAL SEAL,this 20`x' day of October ,2010. ,ionk20:tv br Melissa J. Bisliop Notak Public . My commission expires November 30, 2016 Residing in _:Morgan County `•. OF -4R triIillllifiiit\:A'� REQUEST FOR PAYMENT '; From: Smock Fansler Corporation To: CARMEL REDEVELOPMENT COMMISSION. - Invoice: 3001 2910 W. Minnesota Street 30 W.MAIN ST. Draw: APP00004 Indianapolis, IN 46241-4541 CARMEL, IN 46032 Invoice date: 11/19/2010 Period ending date: 11/30/2010 Contract For: Request for payment: Original contract amount $805,860.00 Approved changes $10,300.00 Project: 10081 Revised contract amount $816,160.00 P. 111 PAVERS Contract completed to date $301,591.00 Contract date: Add-ons to date $0.00 Taxes to date $0.00 Architect: Less retainage $30,159.10 Total completed less retainage $271,431.90 Scope: Less previous requests $123,677.10 Current request for payment $147,754.80 Current billing $164,172.00 Current additional charges $0.00 Current tax $0.00 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Less current retainage $16,417.20 Changes approved in previous Current amount due $147,754.80 months by Owner Total approved this Month 10,300.00 Remaining contract to bill $544,728.10 TOTALS 10,300.00 NET CHANGES by Change Order 10,300.00 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(and all authorized changes thereof)between the undersigned and the CARMEL REDEVELOPMENT COMMISSION relating to the above referenced project. I also -,Ik`9,'?IIP[/IB�� i�� certify that the contractor has paid all amounts previously billed and paid by the owner. 4I-' \x• , • C • CONTRACTOR: Smoc Fansler Co State Of INDIANA County Of MORGAN � --• — ��=•/°M// •_ • *CJ By; Subscribed and sworn to before me this /� day of /00/1P441.4-1 , 20IOI uJ , /� h �lI'/,'a qr-r �///�JJJ`"(111/18/0 A Date: I/ ii 7/M Notary Public /�` �^"�"`y�/ P :�O\•My commission expires: °jmis�l •• -', \P-,'' I l 1311��QIC , �rPnc-�»`,�°yv�*,.. CONS'MU Crde 9 M4A' 6,< /�tt7G t W ` .I 2 "� fivkw.- -ti--J /(/?n�ra II `/�,,t 111 f�l� It y� dildLik.---/ Director of Redevelopment f 11`116°5-GS It 1 Cho A+tcFLrreclf,4?(4.7, 7 44 Yo, /Off 0 �� REQUEST FOR PAYMENT DETAIL Project: 10081 /P.111 PAVERS Invoice: 3001 Draw:APP00004 Period Ending Date: 11/30/2010 Detail Page 2 of 2 Pages Item ID Description Total Previously Work Presently Completed / Balance Retainage Contract Completed Completed Stored And Stored Comp To Balance Amount Work This Materials To Date Finish Period 01 MOBILIZATION 10,000.00 1,500.00 3500.00 5,000.00 50.00 5,000.00 500.00 02 FIELD ENGINEERING 10,000.00 1,500.00 3,500.00 5,000.00 50.00 5,000.00 500.00 03 ASPHALT BASE 165,400.00 41,350.00 33,080.00 74,430.00 45.00 90,970.00 7,443.00 04 UNIT PAVERS 620,460.00 93,069.00 124,092.00 217,161.00 35.00 403,299.00 21,716.10 05 CHANGE ORDER#1 10,300.00 10,300.00 Totals 816,160.00 137,419.00 164,172.00 301,591.00 36.95 514,569.00 30,159.10 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#10-081 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: ($147,754.80) •One Hundred Forty Seven Thousand Seven Hundred Fifty Four Dollars and 80/100 [ ] receipt of which is hereby acknowledged;or [X] the payment of which has been promisedas the sole consideration 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(S0.00) [ ] 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 CORP. By . af.d.k./Title CEO '11 4. Fansler WITNESS MY HAND AND NOTARIAL SEAL, this 19th day of November ,2010. g / Melissa J. Bislfop Not y Public rf SEAL My commission expires November 30, 2016 Residing in Morgan County _._ PAP\ IN�� 74rrrl6AIIIItI;WtlltlllP'r S;a