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HomeMy WebLinkAboutGIBRALTAR CONSTRUCTION CORP- 002614- 1/18/2012 CARMEL REDEVELOPMENT COMMISSION 002614 Gibraltar Construction Corp Check: 2614 2932 N. Webster Ave. Date: 1/18/2012 Indianapolis, IN 46219 Vendor: GIBR1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4-10 4,890.00 4,890.00 0.00 0.00 4,890.00 Lofts Streetscape P47 4,890.00 4,890.00 0.00 0.00 4,890.00 ',`', THE KEY•TO'DOCUMENT SECURITY•>HEAT ACTIVATED THUMEiPRINT*,ADDITIONAL SECURITY FEATURES INCLUDED SEE EIWaK FOR DETAILS , Ai'04 DI••�,. Carmel Redevelopment Commission r� ! ° -." 30 West Main Street REGIONS OJO G 614 ., Suite 220 , 201421/740 p'cnTR\L Carmel, IN 46032 \sy9�. 2614 DATE AMOUNT 1/18/2012 ***********4,890.00 PAY THE SUM OF FOUR THOUSAND EIGHT HUNDRED NINETY DOLLARS AND NO CENTS********"*** TO THE ORDER OF Gibraltar.Construction Corp 2932 N Webster"Ave. ,E„S„ Indianapolis, IN 46219 �P hP 11'00 26141)' 1:0 740 14 2 1 31: 008 7 504 I I LI!' CARMEL REDEVELOPMENT COMMISSION 002614 Gibraltar Construction Corp Check: 2614 2932 N. Webster Ave. Date: 1/18/2012 Indianapolis, IN 46219 Vendor: GIBR1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4-10 4,890.00 4,890.00 0.00 0.00 4,890.00 Lofts Streetscape P47 4,890.00 4,890.00 0.00 0.00 4,890.00 K-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 :T-37228 C'L.* tL&iADocument G702/CMaTM — 1992 \"'"\ , Application and Certificate for Payment Construction Manager-Adviser Edition 4 ,,,\ 9. . TO OWNER: PROJECT: APPLICATION NO: Distribution ,o: City of Carmel Carmel Lofts Streetscape-Parcel 47 4-10 One Civic Square PERIOD TO: 12/31/11 OWNER ❑ Carmel,IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: CONTRACT DATE: 2/4/11 ARCHITECT ❑ 2932 N.Webster Ave. PROJECT NOS: / / CONTRACTOR ❑ Indianapolis, IN 46219 VIA ARCHITECT: FIELD ❑ CSO Architects, Inc. CONTRACT FOR: Parcel 47-Carmel Lofts Streetscape ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contrac r certifies that to the best of the Contractor's knowledge, information and Application is made for payment, as shown below, in connection with the Contract. belief the Work covered this Application for Payment has been completed in accordance with the is attached. Contract Documents, t.'at Il amounts have been paid by the Contractor for Work for which previous Continuation Sheet, AIA Document G703 Certificates for Pay nt ere issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 1,373,700.00 payment shown her ills ow due. 2. Net change by Change Orders $ 246,999.00 CONTRACTOR: ,• :I :r Construction Corp 3.CONTRACT SUM TO DATE(Line l ±.2)'. $ 1,620,699.00 By /r Date: /�--/. 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 1,620,699.00 State of: '�� /► ,� 5.RETAINAGE: County of: /r�/��r» ° E jr?, R. NICBRIDE a. c7 of Completed Work Subscrib-. . 'orw•/ to Are 7.° r (Column D+Eon G703) $ 70,435.00 me this _ , day of 1- �� -= COCk County b. %of Stored Material Not '_..:.., i_ M;., C0TT tom 11-29-2017 (Column F on G703) $ My Commission expires: + 'D a~ CO—,•r'nc'CO # 611862 Total Retainage(Lines 5a+Sb or Total in Column I of G703). $. CERTIFICATE FOR PAYMENT TOTAL EARNED LESS RETAINAGE $ 1,550,264.00 In accordance with the Contract Documents, based on on-site observations and the data comprising this application, the Constn ct>cr.Mznager ar:d A.r.hitect certify to.bP Owner that to the best of their _ (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,545,374.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CER'lltlJ✓D. 8.CURRENT PAYMENT DUE $ 4,890.00 AMOUNT CERTIFIED 00 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied Initial all figures on this 70,435.00 Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ CONSTRUCTION MANAGER: By: Date: PfaC ADDITIONS DEDUCTIONS f CHANGE ORDER SUMMARY ARCHITE C chi c Total changes approved in previous months by Owner $ $ By Date j 2,123A Total approved this Month _$ $ This Certificate is. ❑ot negotiable. The AMOUNT CERIL!LED is payable only to the Contractor TOTALS $ $ named herein. Issuance; payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order 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/CMarm—1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA' Document is protected by U.S.Copyright Law and International Treaties. CONTINUATION SHEET Page 2 of 4 - APPLICATION NO. : 10 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 12/31/2011 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO. 12/31/2011 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND '%o BALANCE TO AINAGE N0. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) FINISH (IF IF V VARIABLE (D+E) D OR E) (D+E+F) (C-G) RATE) 1 Allowance No. 1 - Base Bid Contingency $5,000.00 $5,000.00 $5,000.00 100% - 2 Allowance No. 2-Winter Conditions $30,000.00 $30,000.00 $30,000.00 100% - 3 Allowance No. 3-Alternate 1 Contingency $5,000.00 $5,000.00 $5,000.00 100% - 4 Allowance No. 4-Alternate 2 Contingency $5,000.00 $5,000.00 $5,000.00 100% - 5 Allowance No. 5-Alternate 3 Contingency $5,000.00 $5,000.00 $5,000.00 100% - 6 Allowance No. 6-Alternate 4 Contingency $5,000.00 $5,000.00 $5,000.00 100% - 7 Bond $18,500.00 $18,500.00_ $18,500.00 100% - 8 General Conditions $86,000.00 $86,000.00 $86,000.00 100% - 9 Site Clearing/Selective Site Demo $29,200.00 $29,200.00 $29,200.00 100% - 10 Earthwork $114,500.00 $114,500.00 $114,500.00 100% - 70,435.00 11 Stuctural Soil $7,800.00 $7,800.00 $7,800.00 100% - 12 Erosion/Sedimentation Control $500.00 $500.00 $500.00 100% - 13 Water Distribution $48,200.00 $48,200.00 $48,200.00 100% - 14 Storm Drainage $139,700.00 $139,700.00 $139,700.00 100% - 15 Asphalt Paving $16,900.00 $16,900.00 $16,900.00 100% - 16 Cast-in-Place Concrete-Mt'I $7,750.00 $7,750.00 $7,750.00 100% - - _ 17 Cali-in-Place Concrete-Labor.. -- _ -- --$6,350.00 --... .$6,356:00 __ �_._. _._-- $6350:00----100% 18 Trench Drains-Mt'I $7,500.00 $7,500.00 $7,500.00 100% - 19 Trench Drains-Labor $2,300.00 $2,300.00 $2,300.00 100% - 20 Concrete Paving $156,454.00 $156,454.00 $156,454.00 100% - 21 Concrete Footing and Walls $43,900.00 $43,900.00 $43,900.00 100% - - 22 Paving Joint Sealants $3,700.00 $3,700.00 $3,700.00 100% - 23 Unit Paver-Concrete $79,000.00 $79,000.00 $79,000.00 100% - 24 Permeable Unit Paving System -Concrete $65,000.00 $65,000.00 $65,000.00 100% - 25 Segmental Rataining Wall $25,000.00 $25,000.00 $25,000.00 100% - _ CONTINUATION SHEET Page 3 of 4 • APPLICATION NO. : 10 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 12/31/2011 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 12/31/2011 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS ITEM FROM PREVIOUS TOTAL COMPLETED BALANCE TO DESCRIPTION OF WORK SCHEDULED VALUE PRESENTLY AND STORED TO °0 FINISH RETAINAGE NO. APPLICATION THIS PERIOD STORED(NOT IN (G/C) (IF VARIABLE RATE) (D+E) DORE) DATE(D+E+F) (C-G) 26 Bollards- Mt'I $5,050.00 $5,050.00 $5,050.00 100% - 27 Bollards- Labor $800.00 $800.00 $800.00 100% - 28 Masonry $9,000.00 $9,000.00 $9,000.00 100% - 29 Brick Masonry $7,000.00 $7,000.00 $7,000.00 100% - 30 Cast Stone $7,000.00 $7,000.00 $7,000.00 100% - 31 Pipe&Tube Railings-Steel $49,500.00 $49,500.00 $49,500.00 100% - 32 Water Repellants $700.00 $700.00 $700.00 100% - 33 Thermoplastic Membrane Waterproofing $76,000.00 $76,000.00 $76,000.00 100% - 34 Hi•h Performance Pond Coatings- Mt'l $1,000.00 $1,000.00 $1,000.00 100% - 35 High Performance Pond Coatings- Labor $1,000.00 $500.00 $500.00 $1,000.00 100% - 36 Post&Panel Signs $5,300 5,300 $5,300.00 100% - 37 Fountain Structure- Mt'l $28,100 28,100 $28,100.00 100% - 38 Fountain Structure-Labor $800 800 $800.00 100% - 39 Fountain Plumbing- Mt'l $12,000 12,000 $12,000.00 100% - 40 Fountain Plumbing- Labor $3,000 3,000 $3,000.00 100% - 41 Electrical $223,000 218,610 4,390 $223,000.00 100% - ____ .. ...42 .Exterior Plants $8,200 ____ 8,200_. . .. _ $8,200.00 _._100% __ __ . -- 43 Tree Gates- Mt'l $9,846 9,846 $9,846.00 100% - 44 Tree Gates- Labor $1,400 1,400 $1,400.00 100% - 45 Bike Racks- Mt'I $900 900 900 100% - 46 Bike Racks- Labor $600 600 600 100% - _ 47 Planters- Mt'I $9,500 9,500 9,500 100% - 48 Planters- Labor $750 750 750 100% - 49 Change Order#1 $35,000 35,000 35,000 100% - 50 Change Order#2 $116,941 116,941 116,941 100% - CONTINUATION SHEET Page 4 of 4 APPLICATION NO. : 10 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 12/31/2011 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts PERIOD TO: 12/31/2011 where variable retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE N0. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) FINISH (IF VARIABLE RATE) (D+E) DORE) (D+E+F) (C G) 51 Change Order#3 -$20,000 (20,000) (20,000) 100% - 52 Change Order#4 $32,386 32,386 32,386 100% - 53 Change Order#5 $59,972 59,972 59,972 100% - 54 Change Order#6 $0 - 55 Change Order#7 $8,960 8,960 8,960 100% - 56 Change Order#8 $6,571 6,571 6,571 100% - 57 Change Order#9 -$10,600 (10,600) (10,600) 100% - 58 Change Order#10 $17,769 17,769 17,769 100% - 59 60 61 62 63 64 65 66 6•� _ _ . _.. _ _ . _ .- _._. - - _ _ 68 69 70 71 . 72 73 74 75 $1,620,699 $1,615,809 $4,890 $0 $1,620,699 100% $0 $70,435 ISA Form# 1-402 AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL. ® PARTIAL ® PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and/or labor for a project known as Carmel Arts District Lofts Streetscape, Parcel 47 and owned by City of Carmel,,Indiana. and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the Owner the sum of Four Thousand Eight Hundred Ninety and No/100 Dollars ($4,890.00) ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as 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 Dollars ( ) ❑ receipt of which is hereby acknowledged; or n the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THERFORE, the undersigned waives and releases unto the O n r of said premises, any and all lien or claim whatsoever on the above-described property and improvements ther-on ac o nt of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions 1 pres e/d herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work • t orm d or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. I / Gibraltar Construction Corp By Title President f ''i. WITNESS MY HAND AND NOTORIAL SEAL, n 'h d- of December, 2011. (Notary Public) C 1979 tNO*N► SUSCO TRACTOR5 ASSOCIATION INCOPPORLTrO 71,:::-`-1.7.'6.1('\\ r..s.F'iA R MCBRIDE BRIDE i, : 2. iGlcoc{ County Umrtulrl0,4i6 RecooduCIKln Pronrba sd Rev 1t.N7 '` SEAL * My Comm rc.x2, 11-29-2017 \,/,',L,, -* -mission # 611862 • Prescribed 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 (71—e°% Co n51Lrvc f;' ' o-'/ Purchase Order No. 22 32 ((/P6,/ ��'�r Terms 1��� h��✓d �.`s, /42 `a2/ Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /2/30 h'--/U /" / 2 - z� y 59 .(>o 4 Total 4-/,(5.9e7.63 .7 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct . -. - in accordance - with IC 5-11-10-1.6. "1r er asurer VOUCHER NO. WARRANT NO. //'' ALLOWED 20 C9 !/J K.C7/// O/ CUnj�✓f C C/» CQ r✓J IN SUM OF $ ;2.9 3 2 - 5/ < /ice' .4'6 2/. $ '� � ,06 • ON ACCOUNT OF APPROPRIATION FOR JG2. Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify DEPT.# I hereb certif that the attached invoice(s), or g�z 471—M 44 c2 7 LI 9oc'6 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 /— 20 /1- Signature Executive Directo Title Cost distribution ledger classification if claim paid motor vehicle highway fund Cannel Redevelopment Commission