HomeMy WebLinkAboutM.A.B. & ASSOCIATES, INC. - 1010 0 43,630.00 - 8/2/2010 CARMEL REDEVELOPMENT COMMISSION
M.A.B, & Associates, Inc. Check: 1010
7648 Camelback Drive . Date: 8/2/2010
Indianapolis, IN 46250 Vendor: MAB & Al
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
7 40 43,630.00 43,630.00 0.00 0.00 43,630.00
Application 7
43,630.00 43,630.00 0.00 0.00 43,630.00
-1 7 '824717 CumputarEase Forms L... Ion (677),:577-5797 1N506700
IAIEA Document G702/CMaW — 1992
Application and Certificate for Payment Construction Manager-Adviser Edition yo
PROJECT: /J 2.4....:s L. 'x APPLICATION NO: Q.P,n�-'-`--- Distribution to:
TO OWNER: 7-�rM1Nde CAQMrL f0
Cd•ZMrC 7cOr�,l'eys.•••. PERIOD TO: ✓a
5r/ro OWNER ❑
adt< C w '. IF CONSTRUCTION MANAGER ❑
Cilewee. S. cf/pa32 Z 27 o5'
VIA C N UCTI M GER: CONTRACT DATE: I ARCHTECT ❑
FROM CONTRAC Lfe CST/R• •6/'aloe� PROJECT NOS: Z69SI 31 20 ! CONTRACTOR Cl
/N �r;'�ryfOCfe rr -A...<'. JlAlr.l satin �PJ
A.
-765(F ado,'t�4 Viz f VIA ARCHITECT: CSD Mc d:To cTS FIELD ❑
v.IAA p,j•j Vie.. ❑
CONTRACT FOR: Ftren, Ofc4 ace T4/ (1q 'Pc-.1c1
APPLICATION FOR PAYMENT 'The undersigned Contractor certifies that to the best of the Contractor's knowledge.infcrmation and
belief the Work covered by this Application for Payment has been completed In accordaace with the
Application is made for payment as shown blow,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous
Continuation Sheet,AIA Document 0703.is attached. r^� Certificates for Payment were issued and payments received from the Owner, and that current
1.ORIGINAL CONTRACT SUM $ 2531 d6 L payment shown heroin is now duce
$ jbl 27
2,Net change by Change Orders ' CONTRACTOR: /{ 1 1i d /J c'
3.CONTRACT SUM TO DATE(Line I ±2) .. $ Z(eat, 157 By Dam: S/r//e
4.TOTAL COMPLETED 8 STORED TO DATE(Column G on G703) $ i i 3t 55 3 State of
S RETAINAGE
County of: ' '-fl4-+•=
. : 1 J/ -e-714- ZCr C'
a. %of Completed Work Subscribed and sworn to before
P Ammer
(Column D+Eon 6703) $_ me this ay of
b. 91 of Stored Material Notary Public: tit+!. i1tl10ata QI•
(Column F on G703) S My Commission expires: i� �"ea�se... era Dowdy
65 CERTIFICATE FOR PAYMENT m .,
Total Retainage(Lines 5a+56 or Total in Column I n(0703). $ t�7�7•
r j In accordance with the Contract Documents,base. - rvaaons and the data comprising
6.TOTAL EARNED LESS RETAINAGE $ /et) 3 J]• this application,the Construction Manager and Architect certify to the 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 $ /3G,7 is-• /C accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT
CERTIFIED.
(Line 6 from prior Certificate) io O
I$ X1,3 ta3C, '�I AMOUNT CERTIFIED
8.CURRENT PAYMENT DUE ""a' $� I t.P3
(Attach explanation if amount certfieAd fees fro the a tint applied.lnieinf allfigureson this
9.BALANCE TO FINISH,INCLUDING RETAINAGE G e Application and a e Continuation SI that r re elm ged ro conform with the amgant certified.)
(line 3 less Line 6) $ �3l d i/. 6 5" CON UCTIO 1p, /
�'-ai ' Daze: 95- O
By: ��d. .,i.`�-/ffa
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH
Total changes approved in previous months by Owner S s By: _ '" Date: o w(/
2S/t0
Total approved this Month $ $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
TOTALS $ $ named herein. Issuance, payment and acceptance of payment are without prejudice to say rights of
the Owner or Contractor under this Contract.
NET CHANGES by Change Order $
CAUTION:You should sign an original AIA Contract Document,on which tills text appears In RED.An original assures that changes will not be obscured. •
a
AIA Document G7o9CMa^'-1992 Copyright 01992 ny The American Institute of ArW tests.All rights reserved.WARNING:Thb AIA Document Is protected by U.S Copyright Law and Oatumtbrel7rmtes.
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 bw.
Methzrers are oemi tted to reproduce tan(col copes d this document when emplaced.To report copyright violations of AIA Contrail Documents,a-flail The American Institute of Architects legal ovmsd,copyright@aiaorg.
P A I D AUG - 4 2010
CONTINUATION SHEET Date 5/1812.010 _
APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NUMBER: six
Contractors signed Certification is attached. APPLICATION DATE: 4/15/2010
In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 5/31/2010
Use Column Ion Contracts where variable retainage for line Hems may apply. ARCHITECT'S PROJECT NO. 19/22
A B C G E F G H 1
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % &MANCE REINNAGE
NO VALUE FFOM PRENpI$ THIS PERIOD PRESENT'_T COMPLETED IOCI TO FASM
MPPLIG➢ON STOF ED AND STORED /COI
(Ort) (NOT IN TO DATE ftlyv
0 OR El 10.84,
0100 Base Contract
0101 Pertomanco 8 Payment Bone $ 3,87000 $ 3,870.00 S 3,87000 0% $ - 38700
0102 Oeta'mo a Engineenno S 16.695 00 S 16,695 00 5 113815 00 0% $ - 1669.50
0103 _ Material MT la rail S 15,96200 S 15,962.00 5 15,962.00 0% $ 1596.20
0104 Fabncation MT Is S 68 111 00 S 54,969.00 $ 13,22200 S 68,19100! 0% S - 8819.10
0105 Installation $ 15,600.00 5 3 750 00 S 490).00 S 7750.00 0% S 785000 77500
0106 Matenal MT lb 5 9.27100 S 9.271 00 $ 9 271.00 0% 5 - 927.10
0107 Fabncatinn MT lb S 2820200 $ 8460.00 $ 6,46000 0% $ 1974200 84600
0108 Installation $ 8,70000 0% S 8,700.00 0.00
0109 Material MT lc S 9,52800 S 9,52800 $ 9.52E00 0% S - 0.00
0110 Feet-gallon MTlc S 29,952.00 S 19488.00 $ ]488.00 $ 26,95600 0% S 2,996.00 289560
Installation 5 7.990.00 $ 375000 $ 3,75000 0% S 4.24000
Material 1-line $ 3,724 00 $ 3,724.00 $ 3124 00 $ -
FabAcation 5 5,916.00 $ 5,916.00
Installation $ 2,183,00 $ 2.183.00
Powder Coat MT 1A $ 11.091.00 $ 1,12100 5 3.000.00 $ 4.121.00 $ 7,000.00
Powder Coat MT 16 $ 3.482.00 $ 3.482.00
Powder Coat MT 1C 5 7.352.00 $ 7,352.00
Ponder Coat Single line 5 1,173.00 $ 1.173.00
Change Order in 5 6,46000 $ 4,000.DO 5 446000 $ 8480.00 5
Cash Albwanca AUtfwnzauon $5,000 S 2000.00 5 3.000W $ 5000.00 $ -
Change Oroer#3 $1,815 $ 181500_ $ 1.81500 $ -
I TOTAL $ 264,157.00 $ 149,923.00 $ 43,630.00 S - S 193,553.00 0% $ 70.634.00
1
AFFIDAVIT AND WAIVER OF LIEN
• Final A7 Partial Payment to follow
STATE OF INDIANA, COUNTY OF 7161. 41-'1 . SS: « tip
being duly sworn states that he/she is the
-- A � of 41,J. 3 ---
(tide) (supplier or subcontractor) • •
having contracted with e C to furnish certain material
contractor) ,
and/or labor as follows: I, /. , --( 6, 6, r �r, c '�o..i y /r31/Z c'
n
(description),_,
for the prof 9 kno as (0-4,1Wt I t-ihAl (g,L
located at 0)-(410/ <( J andtwned by e� L��� ����:.» '
architect (I CC. Z and does hereby ftuflier state on behalf
of the aforementioned subcontractor/supplier.
PARTIAL WAIVER that the balance due from contractor is the sum of -0
dollars(S 76� 5�— )
( receipt of which is hereby acknowledged; or
( )the payment of which has been promised as the sole consideration for this affidavit
and partial Waiver of Lien, which is given to and for said amount, effective upon receipt for
such payment;
FINAL WAIVER that the final balance due from the contractor is the sum of
dollars(S )
( ) receipt of which is hereby acknowledged: or
( )the payment of which has been promised as the sole consideration for this affidavit
and partial Waiver of Lien which shall become effective upon receipt for such payment.
THEREFORE,the undersigned waives and releases unto the owner of said premises,any and
All lien of claim whatsoever on the above described property improvements thereon on account
of labor and materials, or both, furnished by the undersigned thereto, and further certifies that no
other party has any claim or right to-a-lienron account of any work performed or material
furnished to the undersigned fg said payment, : within the scope of this affidavit and waiver.
A. (3,4 Q2dec,44 .J. ' ''
(name of claimant) (authorizediepresentativE) " (title)
2o ,D
Witness my hand and notarial se , this / t day of , . / 19
My commission-expires: -y/ >.: /
/'r • // _ e
(srgt dture of notary)
Residing in < County Printed
a
ja a
NIVID15
Cleveland, Don H
From: Ryan Anderson [rnderson @shielsexton.com]
Sent: Tuesday, July 27, 2010 3:26 PM
To: Cleveland, Don H
Cc: Mike Anderson; Tony Eisenhut
Subject: Carmel RPAC -2695-3120 - Exterior Ornamental Railing - MAB &Associates
Importance: High
Don,
As verbally discussed, SSC recommends that the City withholds all payment(s) from MAB &Associates until further
notice. This is due to quality issues that are currently being addressed onsite. Feel free to contact me with any
questions.
Respectfully,
Ryan Anderson
Project Engineer
Spiel Sexton Co., Inc.
Work: 317.688.6854
Fax: 317.423.6300
Mobile: 317.945.4710
it
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THE PALLADIUM
♦„N 6wu.,V,b4 4OO4MV.I"II
1
Prescribed by Stela 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
/l"I 6 Y M;;;oc, qTO' , he - Purchase Order No.
764/1 day/'-deere 9 Terms
�a�4 90/l04.9 /4Y 'Y4250 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
513/40 49,/, '0•7 63&/-Oa
Total U3,G yo.p0
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
//gJ q /P:56'° ?/- - IN SUM OF $
7G q r p C9,�//z,!
7
/Np i .74,,,07% 7, //V 4'G2 5-0
$- '/3, 6 3o
ON ACCOUNT OF APPROPRIATION FOR
027Azi eos,O7
Board Members
PO"or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
s
9s-2 7 Wbo?o7 '13,63oCe) 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
-.9 20/a
Signature
Directouef ittel
Cost distribution ledger classification if I e
claim paid motor vehicle highway fund