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HomeMy WebLinkAboutGIBRALTAR CONSTRUCTION CORP - 2755 - 50,435.00 - 3/22/2012 CARMEL REDEVELOPMENT COMMISSION 002755 Gibraltar Construction Corp Check: 2755 2932 N. Webster Ave. Date: 3/22/2012 Indianapolis, IN 46219 Vendor: GIBR1 . Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3-11 50,435.00 50,435,00 0.00 0.00 50,435.00 P47 Lofts Streetscape 50,435.00 50,435.00 0.00 . 0.00 50,435.00 X-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-37228 ==AIA Document G702/CMai4 — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: APPLICATION NO: - Distribution to: City of Carmel Carmel Lofts SUeetscape-Parcel 47 11 One Civic Square PERIOD TO: 2129112 OWNER ❑ Carmel, IN 46032 CONSTRUCTION MANAGER u FROM CONTRACTOR: Gibraltar Construction CorpVIA CONSTRUCTION MANAGER: CONTRACT DATE: 2/4/11 ARCHITECT 0 2932 N.Webster Ave. PROJECT NOS: ! I CONTRACTOR Cr Indianapolis, IN 46219 tt ARCHITECT: i� IA 'CSO Architects, Inc. FIELD 0 CONTRACT FOR: Parcel 47-Carmel Lofts Streetscape ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undeaionedContracorceriliceMai to the but of the Con iractoi's Niowlcdee. information and .4n?hcation is :Wade.or ps•nncut.as shown below, in connection:TA) d1=_C. icset. relief the \Voi cove:id by t is . pplica ton for Payment Ins been cc:npieted,in a corda�nis',tint the ! Contract DOLL'tic Its. that all -1n r tats!tae beol paid by she Conn actor for Wed). for'which tour Continuation Sheet, .4IA i�nnenent G70,,is auached. P•-2/ Ceri6catcs tar Paymam ;.re trued"and payments received front the Owner. and that cur; I.ORIGINAL CONTRACT SUM S 1.373.700.00 payment sho.vn herein is n,1 ■•m 2. Net change by Change orders c, 246,999.00 CONTRACTOR: Gibralt., t9. struction Corp� i 3.CONTRACT SUM TO DATE(Line I =2) s 1,620,699.00 By: //- Date:62i5 /�j�i 4.TOTAL COMPLETED & STORED TO DATE(Cc iumn Con 070'.1 3 1,620,699.00 State CI. are / BRIAN R. MCBRIDE 5.RETAL'.AG E: Coin, of ,, a %o`Completed Work Subscribed and s' to be -re, m _f ( w UfltJ (Column IJ- G on G703) $ 20,000.00 me this 7 .ay o (JGti °J' S / MX, CO ! 1 I-29-201 b. %of Stored Maternal Notary Public - - / '4p1,r/ _S O IBCZ (Column F on 0703) My Commis t expires: -- /f Total Retainagc(Lines Sa+Sb or Total in Column I of 6703). s CERTIFICATE FOR PAYMENT 1,600,699.00 In accordance with the Contract Documents, based on on-site obsen'ations and the data comprising 6.TOTAL EARNED LESS RETANAGE 3 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 S 1,550,264.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. S.CURRENT PAYMENT DUE , .$ 50,435.00 AMOUNT CERTIFIED S 9_BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount censsad dill-tits pant the mmuivit applied. Initial all figurer on rl_c 20,000.00 Applied:ton and on tie Canri.vuatinn Sheer th,e1,ate emrngad to conjoint with the annum:Leith-led.) r.1lr, (Line 3 less Line 6) S -a, - -." t '• -�-,-' a0 fe P(EPRPSENTAr,vE : ;/ _ By: "pa}_•r i Date; _3/Z�/ ��.,- [CHANGE ORDER SUMMARY I ADDF ION S I DEDUCTIONS ARCHITECT' i, arc�' Inc. J I 'Total changes approved in previous months by Owner ' S I S 1 By: , ,l2/` Date: xlizff 1 z Total approved this M-vtth I G i S This Ce it .i not ueeotiuhie Th +SIOL 'T CERTIFIED is payable only to the Con acct - I TOTALS I S I S , namedherein issuance payment and acceptance nf payment are 'without prejudice ,) arty nehts of NTT CF \NGE.S b■ Change r)fdCr I S the Owner ur Conn-acor under Gus 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 G702iCMar4-1992.Copyright ©1992 O's The American Institute as ArcniL=Cs.All rights reserved.WARNING:This Alf Document is protected as U.S.Cuuyr ight Lay:and International Treaties. CONTINUATION SHEET Page 2of4 APPLICATION NO. : 11 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO. 2/24/2012 variable retainage for lire items may apply. ARCHITECTS PROJECT NO. . A B C D E F G H f WORK COMPLETED MATERIALS TOTAL ITEM PRESENTLY COMPLETED AND A) BALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED{NOT IN STORED TO DATE (G 1C) (C-G) RATE) (0tE) DORE) (D+E+F) 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% - a 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% - 20,000.00 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 $10,900.00 100% - 16 Cast-in-Place Concrete-WI $7,750.00 $7,750.00 $7,750.00 100% - 17 Cast-in-Place Concrete-Labor $6,350.00_ $6,350.00 $6,350.00 100% - 18 Trench Drains- Mt'l $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 of4 APPLICATION NO. r 11 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION DATE. 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO 2!24!2012 ARCHITECT'S PROJECT NO. ' A B C D I E F G H I WORK COMPLETED MATERIALS ITEM PRESENTLY TOTAL COMPLETED e, BALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS AND STORED TO FINISH NO. APPLICATION THIS PERIOD STORED(NOT IN (C7 CI (IF VARIABLE RATE) {D+E) CI OR E) DATE(D+EaF) (C-G) ..26 Bollards - Mt'l $5,050.00 $5,050.00 $5,050.00 100% - 27 Bollards- Labor $800.00 $800.00 5800.00 100% - 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°70 - 30 Cast Stone 57,000.00 $7,000.00 57,000.00 100% - 31 Pipe & Tube Railings-Steel $49,500.00 $49,500.00 $49,500.00 100% - 32 Water Repellants $700.00 $700.00 5700.00 100% - 33 Thermoplastic Membrane Waterproofing $76,000.00 $76,000.00 $76,000.00 100% - 34 High Performance Pond Coatings - Mt'l $1,000.00 $1,000.00 $1,000.00 100% - 35 High Performance Pond Coatings - Labor $1,000.00 $1,000.00 $1,000.00 100% - 36 Post& Panel Signs $5,300 5,300 $5,300.00 100% - 37 Fountain Structure-Mt'I $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 $223,000 223,000 $223,000.00 100% - 42 Exterior Plants $8,200 8,200 $8,200.00 100% - 43 Tree Gates- Mt'I $9,846 9,846 $9,846.00 100% - 44 Tree Gates- Labor $1,400 1,400 $1,400.00 100% - 45 Bike Racks - Mt'l $900 900 900 100% - 46 Bike Racks - Labor $600 600 600 100% - 47 Planters - Mt'l $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 Page4of4 APPLICATION NO. : 11 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column Ion Contracts PERIOD TO: 2/24/2012 where variable relainage 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 FINISH VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G IC) ID G) (IF VARIABLE RATE) (0. E) DORE) (D+E+F) 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 67 68 69 70 71 72 73 74 75 $1,620,699 $1,620,699 $0 $0 $1,620,699 100% $0 $20,000 ISA Form # 1-402 AFFIDAVIT AND WAIVER OF LIEN • n 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 Fifty Thousand Four Hundred Thirty Five and No/100 Dollars ($50,435.00) ❑ 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 ( n receipt of which is hereby acknowledged; or ❑ 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 €wner of said premises, any and all lien or claim whatsoever on the above-described property and improvements there.p ..count of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions egd r- ed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work p','o •d or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By /j/� , Title President /19 WITNESS MY HAND AND NOTORIAL SEAL, thin“..,, layl.f February, 2012. (Notary Public) ' °� BRIAN NCBRiDE c 1979 fDUN• SUACONLAACIOAS ASSOCIATION INCOAGOAAItO e"?' t A Res. Hancock County UnJU1nO IM A.DnDAOahDn Roro Dn.D I\ u � /I,IJ Cc" `-Y3 1 1-29-201 i A.y IOW ..J% Con.,,- 511E52 ,`!•Sri A Document G702/CMa1M - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Distribution to: City of Carmel PROJECT: Carmel Lofts Streetscape-Parcel 47 APPLICATION NO: 11 One Civic Square PERIOD TO: 2/29/12 OWNER ❑ Carmel, IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: 11A CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ Gibraltar Construction Corp VIA MANAGER: 2/4/11 2932 N.Webster Ave. PROJECT NOS: 1 / CONTRACTOR ❑ Indianapolis,IN 46219 VIA ARCHI I eCT:CSO Architects, Inc. FIELD CONTRACT FOR: Parcel 47-Carmel Lofts Streetscape ❑ CONTRACTOR'S APPLICATION ION FOR PAYMENT Tire a:ldeisigned Contractor certifies tat io the best of the Contractor's Liowled_e. information and Application is made for payment.ac shown be!O:v, in connection swill the Contract. belief it Work covered by this spill:anon for Payment has been completed in accordance hash the Coittirruatio, Sheer.P.IA Document G7U3.is attached. Contract Documents. that all ar stunt. I ace been lauc by the Contractor for ':':'olk: for ,slush previous Certificates for Payment feet •issu•d and payments received from the Owner. and that rurtent 1.ORIGINAL CONTRACT SLIM .. S 1,373,700.00 payment shown herein is now e. 2. Net change by Change Orders .. .. .... s 246,999.00 COUTFACTOS: Gibraltar st uction Corp �/ 3.CONTRACT SUM TO DATE (Line_ I e-2) 5 1,620,699.00 By: 1 Dar :�42�� — 4.TOTAL COMPLETED& STORED TO DATE(Column C on 0703) s 1,620,699.00 State n` /,A�J9 5.RETAINAGE: Count;:of: ,`//u _ BRIAN R. tnCB TILDE a. To of Comple ed Work Subscribed nd swo 7.dr � ep i _ �ru County (Column D- Eon 6703) c 20,000.00 me this Subscribed d7. ' 'ego/4y 2°�`'•AL • f tr, t m Gc 11-29-2 0 1 b. To of Stored Material Notary Public: / '1;D t>F' Co- n'E c e,i i862 ala(Column P on G7033) S My Cot a i n expires: / -- /f Total Retainage(Lines 5a_Sb or Toted in Column I of G703). $ CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE . 1.600,699.00 In accordance with the Contract Documents, based on on-site observations and the data comprising 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 S 1,550,264.00 accordance with the Contract Dooarpents. and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE 6 50,435.00 AMOUNT CERTIFIED $ 9.BALANCE TO FINISH.INCLUDING RETAINAGE (Attach explanation if amount terrified differs from she amount applied. Initial nil figures or,this 20,000.00 Applice tine ant!on the Contirnra-ion Sheaf that are changed:0 confi nr.with the amount certifer:'.) (Line 3 less Line 6) S : - • a y te5 RepeestNT4Ttut: 1 By: Moat t / Date: .//ZiIT�t� CHANGE ORDER SUMMARY 1DDiTIONS I DEDUCi'IONS ARCHITEC / c c. ! /'Total changes approved in previous months by Oscner I S I SS I By: , Date: 3JZw`J/ 'total approved this Month I < P � 5 I This Certificate is net neeotiahle. The AMOUNT CERTIFIED is payable only to tae Cnnuac;or • I 'TOTALS I S I s l named herein- Issuance. payment and acceptance of payment are without preincice to an rietets el [NET CHANGES by Change Order I S the Owner or Connector under this Conca:t. CAUTION: You should sign an original AIA Contract Document. on which this text appears in RED. An original assures that chances will not be obscured. _____ Ala Document G702tCMan'–1992.Copyright L'+-x992 by Tne American Institute of Architects.All rights reserved.IYARNING:This AIA't Document is protected by U.S.copyright Law and International Treaties. r- CONTINUATION SHEET Page2of4 APPLICATION NO. : 11 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO 2/24/2012 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 FROM PREVIOUS PRESENTLY COMPLETED AND % 6ALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED NOT IN STORED TO DATE (0 IC) (C-0) RATE) (D+E) DORE) (D+E-F) 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% - 20,000.00 11 Stuctural Soil $7,800.00 $7,800.00 $7,800.00 100% - 12 Erosion/Sedimentation Control $500.00 $500.00 5500.00 100% - 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'l $7,750.00 $7,750.00 $7,750.00 100% - 17 Cast-in-Place Concrete-Labor $6,350.00 $6,350.00 $6,350.00 100% - 18 Trench Drains - Mt'l $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 of APPLICATION NO. : 11 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column Ion Contracts where PERIOD TO 2/24/2012 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. A B C D E F G H 1 WORK COMPLETED MATERIALS TOTAL COMPLETED BALANCE TO ITEM FROM PREVIOUS PRESENTLY % RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH NO. APPLICATION THIS PERIOD STORED(NOT IN DATE(D t E 4.F) (G I C) (C G) (IF VARIABLE RATE) (D+E) D OR E) 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 High Performance Pond Coatings- Mt'l $1,000.00 $1,000.00 $1,000.00 100% - 35 High Performance Pond Coatings - Labor $1,000.00 $1,000.00 $1,000.00 100% - 36 Post& Panel Signs $5,300 5,300 $5,300.00 100% - _ 37 Fountain Structure - Mt'I $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 $223,000 223,000_ $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'l $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 Page4of4 APPLICATION NO. . 11 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractors signed Certification, is APPLICATION DATE: 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column Ion Contracts PERIOD TO: 2/24/2012 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 FINISH VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) (IF VARIABLE RATE) (D+E) DORE) (D+E+F) (G-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 67 68 69 70 71 72 73 _ 74 _ 75 $1,620,699 $1,620,699 $0 $0 $1,620,699 100% $0 $20,000 ISA Form# 1-402 • . A • AFFIDAVIT AND WAIVER OF LIEN [I 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 Fifty Thousand Four Hundred Thirty Five and No/100 Dollars ($50,435.00) ❑ 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 owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements therein I rcount of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions e rr ed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work pe Ir :d or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By I , A Title President li ir WITNE SS MY HAND AND NOTORIAL SEAL, this If February, 2012. I (Notary Public) / BRIAN R. MCBRIDE C i9>9 INDIANA SUBCONTB*CIONS •SSOCIATION INCOBPO9a.TED ,'? n9`' �C y!::rico:k County r Unau;Po'•r•d p•p.odurnon P,on.bt.a L My Cc—, X-/ I -C9p'LO�' a .- IGE - ' Cam IiBBL � AIA Document G702/CMai4 - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Distribution to City of Carmel PROJECT: Carmel Lofts Streetscape-Parcel 47 APPLICATION NO: 11 One Civic Square PERIOD TO: 2129/12 OWNER 0 Carmel, IN 46032 CONSTRUCTION MANAGER C FROM CONTRACTOR: VIr{ CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT C Gibraltar Construction Corp VIA MANAGER: CONTRACT 214/11 2932 N.Webster Ave. PROJECT NOS: ' i CONTRACTOR C Indianapolis, IN 46219 VIA ARCHITECT'CSO Architects, Inc. FIELD C CONTRACT FOR: Parcel 47-Carmel Lofts Streetscape C CONTRACTOR'S APPLICATION FOR PAYMENT Tile undersigned: Con:rac;or certifies that r the best of the Contractor's Iulo;oledge. information and belie:the 1 tot h co ed by t i Ap hr IIO I 1 r P } t t t has been culro red in a'ror ant- irh the ;.p> i at �° IS h to i:.^merit as shown bolo...1r. connection s Ili ir.,Ce u.::ct. Co.tray Dr cure^ c that � ail taunts haw b n paid by he Con -at:mi rn Viol I for r L: h ,eat ous Continuation ion Sh c Ir, one.,nem G70 3 is attached. Cenitlea tes for Payment P r issuer' and payments received Earn th Ow net, and that C1.1ItCrlt I.ORIGINAL CONTRACT SUi.i S 1,373,700.00 payment shown herein t r '•� e. 2. Net change by Change Orders . 5 246,999.00 CONTRACTOR Gibr. : �Sonstruction Corp 3.CONTRACT SUM TO DATE(Line l -2) 5 1,620.699.00 By: Date:��er y 4.TOTAL COMPLETED& STORED TO DATE(Coimrr, G on G70 t c 1,620.699.00 .`lute of: �.-/ �t _ 5.RETAINAGE: County of , _ R R MCBRIDE sue' _,-(; a, %of Completed Work �! 1 - c c{County t Subscribed and o bs r. 4i ,. _• (Column D !. t G:G) s 20,000.00 me tl-ds�/J daa:o ' Gy �° `1•` l'" ti CC]. 11-29-2017 b. 5;cif Stored Material Notary Public: `pi& t -ll' cc' n 1E6e (Colurrm Pon C703) S My Commission expires: - -- Total Retainae-(Lines 5a 4 Sb or Total in Column 1 of G703). s CERTIFICATE FOR PAYMENT • E.TOTAL EARNED LESS P•E TALNAGE S 1,600,699.00 in accordance with the Contract Documents, based on on-site observations and the data comprising this application. the Construction Manager and Architect certify to the Owner that to the hest 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 s 1,550,264.00 accordance with The Contract Documents, and the Contractor is entitled to onyment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. S.CURRENT PAYMENT DUE I S 50,435.00 1 AMOUNT CERTIFIED . . ..... .. . . -- - S 3.BALANCE TO FINISH. INCLUDING RETAINAGE (A treeh explanation if amount cert:Vied diiffersfrom the amount applied. Initial all figures on this L 20,000.00 .'pplicarinn and on the Continuation Sheet than are changed to conform with the amount cert( ed.) (Line 3 less Line 6) 7 • _ 9 l4AKI S kgrr €_ iwn.-e / By:CILANGE ORDER SUNINLARI- I ADDITIONS I DEDUCTIONS ARCHIT ��,pit O • c//{��((11//���c. ( ((( Dotal changes approved in previous months by Owner I S I S I By: �C_ c" Date: 3Jzi9lFa • Total :ippruved this Month I S I C Tins Certificate is not nccotia hie. Till' P MOUNT CERTIFIED is payable only to the Cealractor TOTALS i S I n named herein. Issuance. payment and acceptance of payment are without prejudice to any nehts at li�ia L\'E'f <;E3S by Change Order I 5 I the Owner or Contractor under this Contract. :V >AUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An erioinal assures that changes will not be obscured. ?IA Document DrodtMa'"- 1992. Copyright ,yC ;JP2 oy The American Institute of <.¢hitects.All rights reserved.WARNING:This Ale Document is protected by U.H.copyright Law and International Treaties. CONTINUATION SHEET Page 2of4 APPLICATION NO. : 11 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION DATE: 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column Ion Contracts where PERIOD TO: 2/24/2012 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 PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) (C-G) RATE) (D+E) DORE) (D+E+F) 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% - a 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% - 20,000.00 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-WI $7,750.00 $7,750.00 $7,750.00 100% - 17 Cast-in-Place Concrete-Labor $6,350.00 $6,350.00 $6,350.00 100% - 18 Trench Drains - Mt'l $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 Page3of4 APPLICATION NO. : 11 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO. 2/24/2012 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL COMPLETED BALANCE TO ITEM FROM PREVIOUS PRESENTLY % RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH NO APPLICATION THIS PERIOD STORED(NOT IN DATE(0 E•+"r) (G I C) (C G) (IF VARIABLE RATE) (DBE) DORE) 26 Bollards- Mt'l $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 High Performance Pond Coatings - Mt'l $1,000.00 $1,000.00 51,000.00 100% - 35 High Performance Pond Coatings - Labor $1,000.00 $1,000.00 — $1,000.00 100% - 36 Post & Panel Signs $5,300 5,300 $5,300.00 100% - I 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 $223,000 223,000 $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'l $900 900 900 100% - 46 Bike Racks - Labor $600 600 600 100% - 47 Planters- Mt'l $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 APPLICATION NO. . 11 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is APPLICATION DATE: 2/24/2012 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column Ion Contracts PERIOD T0: 2/24(2012 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 BALANCE TO DESCRIPTION CF WORK PRESENTLY COMPLETED AND % RETAINAGE NO, VALUE APPLICATION MS PERIOD STORED(NOT IN' STORED TO DATE (Di!C) FINISH (IF VARIABLE RATE) (D+E) DONE) (D+E*F) l� GJ 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 67 68 69 70 71 72 _ 73 74 75 $1,620,699 $1,620,699 $0 $0 51,620,699 100% $0 $20,000 ISA Form# 1-402 • A V • • :. AFFIDA IT AND WAIVER OF LIEN n 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 Fifty Thousand Four Hundred Thirty Five and No/100 Dollars ($50,435.00) ❑ receipt of which is hereby acknowledged; or N 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 e Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements th- e.n account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditioniexoressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any wor j4-rformed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. If Gibraltar Construction Corp By Title President WITNESS MY HAND AND NOTORIAL SEAL,� J ' •. da of February, 2012. '-i (Notary Public) / _� BRIAN R. ,MCBRIDE \' rtes. c' .H�•a�ncco:k County C 1919 4NOiANa sLIAr.oNrpsc1o8s aSSOLiaTLON iNCOAPCNAtEO i... SEAL . I i7 U no,.e.e A.meenc on P,on m eo \ \� , f Cr---- _r 29-20,, A., ,ov� Prescribed by,Slale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form Na.201,Pe,,.19951 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 Ci ba4'r/ Co,y'fr oc7//to•, Co,-r, • Purchase Order No. 29 32 ti/, /(/,61/,,' 4'. Terms /r%iva,,ca/.,, 4/G229 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/29/(2 1/ Pit? La "/y 5 „74 s � i 5093 Coo • Total , SO/ tt3 Soo I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I h;.rinr: -• same in accor- dance with IC 5-11-10-1.6. , 20_1 r -Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 f-q/1-ef 1 2932 R/.<Y/-„-fP✓�iva, IN SUM OFS //1, :.,n7o/.i, //J 546 2/7 ON ACCOUNT OF APPROPRIATION FOR 96 z, /LfLf 6 0f4f7 Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), DEPT.q ere Y '7 ( ), :> or bill(s) is (are) true and correct and that the materials or services itemized thereon // 4460r'17 5-o435or for which charge is made were ordered and received except `-2 20 /a Executive Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Carmel Redevelopment Commission