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222951 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366790 Page 1 of 1 ` ONE CIVIC SQUARE GERIG OTTENWELLER CONTRACTING LLLLB� CARMEL, INDIANA 46032 3010 INDEPENDENCE WAY LTiECK AMOUNT: $242,287.00 o FT WAYNE IN 46808 CHECK NUMBER: 222951 CHECK DATE: 8/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 R4462300 26567 242, 287 . 00 RIVER ROAD CULVERT RE CONSTRUCTION PROJECT INVOICE DATE: July 13, 2013 COMPANY NAME: Gerig-Ottenweller Contracting, LLC AND ADDRESS 3010 Independence Dr. Fort Wayne, IN 46808 TELEPHONE NO.: (260) 484-9183 FAX NO.: (260) 484-9187 PROJECT NAME: River Road Culvert Replacement over Elizabeth Warren Drain. PROJECT NO.: 11-07 PURCHASE ORDER: 26567, dated 02/06/2013 INVOICE NO.: 2 TOTAL EARNINGS TO DATE: ............................... $ 279,364 RETAINAGE :....................................................... (-) 13,968 MINUS PERVIOUS PAYMENTS:............................. (-) 23,109 TOTAL NOW DUE:................................................$ 242,287 o July 13, 2013 Stephen A. Moore—VS Engineering, Inc. Date APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE 1 OF PAGES APPLICATION NO: 2 Distribution to: TO (Owner): City of Carmel PROJECT: River Road Culvert Replacement OWNER PERIOD FROM: 1-Apr-13 ARCHITECT TO: 30-Jun-13 CONTRACTOR CONTRACTOR: Gerig-Ottenweller Contracting, LLC ATTENTION: Gary R Duncan 3010 Independence Drive ARCHITECT'S Cripe City of Carmel Fort Wayne IN 46808 PROJECT NO: 11_07 CONTRACT DATE: 2/27/2013 CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment,as shown below,in connection with the Contract. CHANGE ORDER SUMMARY Continuation Sheet,AIA Document G703,is attached. Change orders approved ADDITIONS DEDUCTIONS in previous months by The present status of the account for this Contract is as follows: Owner TOTAL ORIGINAL CONTRACT SUM........................................ $659,671.00 Approved this Month Number Date Approved Net change by Change Orders....................................... $0 1 2 CONTRACT SUM TO DATE ......................................... $659,671.00 3 4 TOTAL COMPLETED&STORED TO DATE...................... $279,364 5 (Column G on G703) 6 TOTALS $0.00 Retainage 5 % ............................................. $13,968 Net change by Change Orders or total in Column I on G703 TOTAL EARNED LESS RETAINAGE.................................. $265,396 The undersigned Contractor to the best of his knowledge, \������illi information and belief the Work covered by this Application for LESS PREVIOUS CERTIFICATES FOR PAYMENT����..... ...Ig�� � $23,109 Payment has been completed in accordance with the Contract Docu- ments,that all amounts have been paid to him for Work for which \` �0,,.\��pl SEq�.• Q:`�t previous Certificates for Payment were issued and payments received CURRENT PAYMENT DUE........................._. .o....... \f+Hp '•. $242,287 from the Owner,and that current payment shown herein is now due. = E\�� _ CON CTO Ottenweller Contracting, LLC State of: Indiana Able-'nom Subscribed an worn to B Date: 0-7/0q/0013 Notary Public: CD TgRV Man --.-n . .artner �i� �/!1/SSi n expires:D I v--1 ),5 - ARCHITECT'S CERTIFICATE FOR PAYMENT II 0, In accordance with the Contract Documents,based on on-site obser- AMOUNT CERTIFIED................... 2 442 7 a a 8 / vations and the data comprising the above application,the Architect (Attach explanation if amount certified differs from the amount applied for.) certifies to the Owner that the Work has progressed to the point Engineer: indicated;that to the best of his knowledge,information and belief, the quality of the Work is in accordance with the Contract Docu- By: ��U`c k5 cv"11':v-e(^'Date: ments;and that the Contractor is entitled to payment of the AMOUNT This Certifica a is not negotiable. the AMOUNT CERTIFIED is payable only to the Contractor CERTIFIED. named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract AIA DOCUMENT G702 • CONTINUATION SHEET • APRIL 1978 EDITION AIA® • ©1978 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W.,WASHINGTON, D.C.2006 PART 3 CONTRACT ITEMS AND UNIT PRICES [This Part to be used only for Bidding on Unit Price Contracts for the Contract Items shown] Project No.11-07-River Road Culvert Replacement Over Elizabeth Warren Drain BASE BID Prices in Figures Contract Estimated Unit Current Total Price Item No. lem Quantity Unit Price Quantity For Item 1 Construction Engineering 1 LS $ 3,000.00 0.33 $ 1,000.00 2 Mobilization and 1 LS $ 36,000.00 0.43 $ 15,600.00 Demobilization 3 Third Party Agency Testing 1 LS $ 3.000.00 0.50 $ 1,500.00 4 IMaintaininq Traffic 1 LS $ 2,000.00 0.50 $ 1,000.00 5 Con-Span Bridge S stem 1 LS $281,000.00 0.40 $ 112,400.00 6 Precast Concrete Footing 1 LS $135,800.00 0.50 $ 67,900.00 7 Cast-in-Place Concrete 1 LS $ 8,000.00 $ Footing 8 Dewaterin 1 LS $ 10,000.00 1.00 $ 10,000.00 9 Temporary Pum around 1 EACH $ 3,000.00 1.00 $ 3,000.00 10 Clearinq Ri ht of Way 1 LS $ 7.500.00 $ 11 Guardrail,Remove 256 LFT $ 6.00 256.00 $ 1,536.00 Existing Concrete Culvert and 12 Associated Foundations, 1 LS $ 14,000.00 1.00 $ 14,000.00 Remove 13 Ri ra ,Remove 1 LS $ 5,500.00 1.00 $ 5,500.00 14 Asphalt.Remove 220 SYS $ 15.00 220.00 $ 3,300.00 15 Tree and Vegetation,Remove 1 LS $ 2,000.00 1.00 $ 2,000.00 16 Sign and Post,Remove 6 EACH $ 100.00 6.00 $ 600.00 17 Sign and Post,Remove and 0 EACH $ 300.00 $ - Re-install 18 Excavation,Common 1350 CYS $ 7.00 675.00 $ 4,725.00 19 Excavation,Waterway 550 CYS $ 11.00 275.00 $ 3,025.00 20 Excavation,Foundation, 650 CYS $ 9.00 325.00 $ 2,925.00 Unclassified 21 Linear Ditch Grading 158 LFT $ 7.00 $ 22 Compacted Aggregate,53, 0 TONS $ 40.00 $ - Base 23 Saw Cut,Asphalt 68 LFT $ 3.50 68.00 $ 238.00 24 Milling,Asphalt,2 Inch 560 SYS $ 10.00 $ 25 HMA Bituminous Surface, 80 TONS $ 115.00 $ Type"C" 9.5mm 26 HMA Bituminous, 55 TONS $ 113.00 $ - Intermediate,Type"C",19mm 27 HMA Bituminous Base,Type 75 TONS $ 111.00 $ - "C" 25mm 28 Handrail 197 LFT $ 178.00 $ - 29 Filter Fabric 530 SYS $ 2.50 $ 30 Ri ra ,Class 1 720 TONS $ 37.00 $ 31 Seed Mixture,R(170 Ibs per 100 LBS $ 35.00 $ acre 32 Fertilizer 300 LBS $ 1.00 $ 33 Re-spread Topsoil 1 LS $ 2,000.00 $ 34 Erosion Control Blanket 2300 SYS $ 1.75 $ 35 Concrete Washout 1 EACH $ 750.00 $ 36 Temporary Ditch Inlet 0 EACH $ 750.00 $ - Protection 37 Temporary Silt Fence 475 LFT $ 3.00 $ 38 Mobilization and 1 EACH $ 750.00 $ - Demobilization for Seedin 39 Bicycle and Diagonal Arrow 2 EACH $ 500.00 $ - Sign and Post 40 Construction Sign,Type A 8 EACH $ 140.00 4.00 $ 560.00 41 Construction Sign,Type C 8 EACH $ 250.00 4.00 $ 1,000.00 42 Standard Barricade,Type IIIA 100 LFT $ 15.00 50.00 $ 750.00 43 Detour Route Marker 24 EACH $ 150.00 12.00 $ 1,800.00 Assembly 44 Road Closure Sign Assembly 8 EACH $ 170.00 4.00 $ 680.00 45 4 Inch White Epoxy Line with 560 LFT $ 2.00 $ - Reflective Glass Beads 46 4 Inch Yellow Epoxy Line with 560 LFT $ 2.00 $ - Reflective Glass Beads 47 Left Curve Warning Sign and 1 EACH $ 500.00 $ Post 48 End School Zone Sign and 1 EACH $ 500.00 $ Post 49 Bicycle Warning Sign, 2 EACH $ 600.00 $ Diagonal Arrow and Post 50 Bicycle Warning Sign and 1 EACH $ 600.00 $ - Post 51 EWA Coir Los 1 1 LSUM $ 1,975.00 0.00 $ Subtotal $ 255,039 Carmel Project No.11-07 1 Retains e % 5% $ 13,968 Tota Previous Pa ments $ 23,109 11 1T J �Carmel Project No. -07 l $ 242 287 7 "I CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NUMBER: 2 Contractors signed Certlficatlon Is attached. APPLICATION DATE: 30-Jun-13 In tabulation below,amounts are stated to the nearest dollar. PERIOD FROM: 1-Apr-13 Use Column I on Contracts where variable retainage for line items may apply. TO: 30-Jun-13 PROJECT NO: 1107 A B C D E___F F G H I ITEM DESCRIPTION OF WORK SCHEDULED PERCENTAGE WORK COMPLETED TOTAL COMPLETED RETAINAGE No. VALUE OF This Application AND STORED BALANCE SUM Previous I Stored Materials TO DATE % TO FINISH Applications Work in Place (not in D or E) (D+E+F) G/C C-G 1 Construction Engineering 1 LS $3,000.00 $3,000 0.45% $1,000.00 $1,000.00 $2,000 $1,000 $100 2 Mobilization and Demobilization 1 LS $36,000.00 $36,000 5.46% $14,400.00 $15,600.00 $30,000 $6,000 $1,500 3 Third Party Testing Agency 1 LS $3,000.00 $3,000 0.45% $1,500.00 $1,500 $1,500 $75 4 Maintaining Traffic 1 LS $2,000.00 $2,000 0.30% $1,000.00 $1,000 $1,000 $50 5 Con-Span Bridge System 1 LS $281,000.00 $281,000 42.60% $112,400.00 $112,400 $168,600 $5,620 6 Precast Concrete Footing 1 LS $135,800.00 $135,800 20.59% $67,900.00 $67,900 $67,900 $3,395 7 Cast-in-Place Concrete Footing 1 LS $8,000.00 $8,000 1.21% $0 $8,000 $0 8 Dewatering 1 LS $10,000.00 $10,000 1.52% $10,000.00 $10,000 $0 $500 9 Temporary Pumparound 1 EACH $3,000.00 $3,000 0.45% $3,000.00 $3,000 $0 $150 10 Clearing Right of Way 1 LS $7,500.001 $7,500 1.14% $7,500.00 $7,500 $0 $375 11 Guardrail,Remove 256 LFT $6.00 $1,536 0.23/ $1,536.00 $1,536 $0 $77 12 Existing Concrete Culvert Removal 1 LS $14,000.00 $14,000 2.12% $14,000.00 $14,000 $0 $700 13 Riprap Remove 1 LS $5,500.00 $5,500 0.83% $5,500.00 $5,500 $0 $275 14 Asphalt Remove 220 SYS $15.00 $3,300 0.50% $3,300.00 $3,300 $0 $165 15 Tree and Vegetation Remove 1 LS $2,000.00 $2,000 0.30% $2,000.00 $2,000 $0 $100 16 Sign and Post Remove 6 EACH $100.00 $600 0.09% $600.00 $600 $0 $30 17 Sign and Post Remove and Reinstall 0 EACH $300.00 $0 0.00% $0 $0 $0 18 Excavation Common 1350 CYS $7.001 $9,450 1.43% $4,725.00 $4,725 $4,725 $236 __19 Excavation-Waterway - _- -550 CYS _ $11.00 $6,050 0.92% - _$3,025.00 --$3;025 -- $3;025 $151 - 20 Excavation Foundation Unclassified 650 CYS $9.00 $5,850 0.89% $2,925.00 $2,925 $2,925 $146 21 Linear Ditch Grading 158 LFT $7.00 $1,106 0.17% $0 $1,106 $0 22 Compacted Aggregate 53 Base 0 TONS $40.00 $0 0.00% $0 $0 $0 23 Saw Cut Asphalt 68 LFT $3.50 $238 0.04% $238.00 $238 $0 $12 24 Milling Asphalt 2 inch 560 SYS $10.00 $5,600 0.85% $0 $5,600 $0 25 HMA Bituminous Surface,Type"C"9.5mm 80 TONS $115.00 $9,200 1.39% $0 $9,200 $0 26 HMA Bituminous Intermediate,Type"C"19mm 55 TONS $113.00 $6,215 0.94% $0 $6,215 $0 27 HMA Bituminous Base,Type"C',25mm 75 TONS $111.00 $8,325 1.26% $0 $8,325 $0 28 Handrail 197 LFT $178.00 $35,066 5.32% $0 $35,066 $0 29 Filter Fabric 530 SYS $2.50 $1,325 0.20% $0 $1,325 $0 30 Riprap Class 1 720 TONS $37.00 $26,640 4.04% $0 $26,640 $0 31 Seed Mixture,R(170 Ibs per acre) 100 LBS $35.00 $3,500 0.53% $0 $3,500 $0 32 Fertilizer 300 LBS $1.00 $300 0.05% $0 $300 $0 33 Re-spread_T_opsoil A._.___LS___ $2,000.00.. $2,000 0.30% _ $0 - - $2,000 $0--.- 34 Erosion Control Blanket 2300 SYS $1.75 $4,025 0.61% $0 $4,025 $0 35 Concrete Washout 1 EACH $750.00 $750 0.11% $0 $750 $0 36 Temporary Ditch Inlet Protection 0 EACH $750.00 $0 0.00% $0 $0 $0 37 Temporary Silt Fence 475 LFT $3.00 $1,425 0.22% $1,425.00 $1,425 $0 $71 38 Mobilization and Demobilization for Seeding 1 EACH $750.00 $750 0.11% $0 $750 $0 39 Bicycle and Diagonal Arrow Sign and Post 2 EACH $500.00 $1,000 0.15% $0 $1,000 $0 40 Construction Sign,Type A a EACH $140.00 $1,120 0.17% $560.00 $560 $560 $28 41 Construction Sign,Type C 8 EACH $250.00 $2,000 0.30% $1,000.00 $1,000 $1,000 $50 42 Standard Barricade,Type IIIA 100 LFT $15.00 $1,500 0.23% $750.00 $750 $750 $38 43 Detour Route Marker Assembly 24 EACH $150.00 $3,600 0.55% $1,800.00 $1,800 $1,800 $90 44 Road Closure Sign Assembly 8 EACH $170.00 $1,360 0.21% $680.00 $680 $680 $34 45 4 Inch White Epoxy Line with Reflective Beads 560 LFT $2.00 $1,120 0.17% $0 $1,120 $o 46 4 Inch Yellow Epoxy Line with Reflective Beads 560 LFT $2.00 $1,120 0,17% $0 $1,120 $0 47 Left Curve Warning Sign and Post 1 EACH $500.00 $500 0.08% $0 $500 $0 48 End School Zone Sign and Post 1 EACH $500.00 $500 0.013% $0 $500 $0 49 Bicycle Warning Sign,Diagonal Arrow and Post 2 EACH $600.00 $1,200 0.18% $0 $1,200 $0 50 Bicycle Warning Sign and Post 1 EACH $600.00 $600 0,09% $0 $600 $0 $659,671 l00%j $24,3251 $255,039 $279,364 $380,307 $13,968 AIA DOCUMENT G702 • CONTINUATION SHEET • APRIL 1978 EDITION • AIA® ©1976 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,D.C.2006 i AFFIDAVIT AND WAIVER OF LIEN State of Indiana, County Allen SS Ryan Ottenweller Being duly sworn states that he is the Managing Partner of (Name of Officer) (Title) i Geri g-Ottenweller Contracting, LL C. having contractel with City of Carmel, IN to furnish certain materials and/or labor as follows: installing new water treat I ent plant. Labor for the project known as: River Road Culvert Replacement Over Elizabeth Warren Drain—Project No. 11-07 (Description) located at River Road and owned by City of Carmel, IN and does hereby further state on behalf of the aforementioned subcontractor/supplier: (Owner) (PARTIAL WAIVER)that there is due from the CONTRACTOR is the sum of Two Hundred Forty Two Thousand Two Hundred Eighty Seven Dollars & 00/100-------------- ($242,287.00) ( ) receipt of which is hereby acknowledged: or (x) 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 CONTRACTOR is the sum of ( ) 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 is given solely with respect to said amount and which waiver shall be effective only upon receipt of such payment THEREFORE, the undersigned waives and releases unto the OWNER of said premises, and any and all lien or claim whatsoever on the above-described property and improvements thereon on account of LABOR or material or both, 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 or material furnished to the undersigned for said project, anJ within the scope of this affidavit and waiver. I Geri g-Ottenweller Contracting, LLC. By Managing Partner (Firm) h rized Representative) WITNESS MY HAND AND NOTARIAL SEAL this A day of , 20 6101 Angela S. Wedler My Commission Expires 1�U ru r'}-(11 Fj Printed �� 1.E F INDIANA Residing in \\�„� county I I i Gerig-Ottenwefler invoice C 0 N T R A C T 'I N G uc. Date Invoice# 6/28/13 716 Bill To Carmel Board of Public Works&Safety 1 Civic Square Carmel,IN 46032 i .U. No.- Terms Resolution# 132935 Net 30 Project No. 11-07 Description Qty Rate Amount Construction Engineering 0.33333 3,000.00 1,000.00 Mobilization&Demobilization 0.43333 36,000.00 15,600.00 Third Party Testing Agency 0.5 3,000.00 1,500.00 Traffic Maintenance 0.5 2,000.00 1,000.00 Con-Span Bridge System 1 0.4 281,000.00 112,400.00 Precast Concrete Footing 0.5 135,800.00 67,900.00 Dewatering 1 10,000.00 10,000.00 Temporary Pumparound 1 3,000.00 3,000.00 Guardrail,Remove 1 1,536.00 1,536.00 Existing Concrete Culvert Removal 1 14,000.00 14,000.00 Riprap Remove 1 5,500.00 5,500.00 Asphalt Remove 1 3,300.00 3,300.00 Tree&Vegetation Remove 1 2,000.00 2,000.00 Sign&Post Remove 1 600.00 600.00 Excavation Common 1 0.5 9,450.00 4,725.00 Excavation Waterway 0.5 6,050.00 3,025.00 Excavation Foundation Unclassified 0.5 5,850.00 2,925.00 Saw Cut Asphalt 1 238.00 238.00 Construction Sign,Type A 0.89286 627.19799 560.00 Construction Sign,Type C 0.375 2,666.66667 1,000.00 Standard Barricade,Type ILIA 1.2 625.00 750.00 Detour Route Marker Assembly 0.5 3,600.00 1,800.00 Road Closure Sign Assembly 0.5 1,360.00 680.00 5%Retainage Withheld -1 12,752.00 -12,752.00 i I Total $242,287.00 We appreciate your business. 3010 Independence Dr. Fort Wayne, IN 46808 Ph: (260)484-9183 Fx: (260)484-9187 www.gocllc.com VOUCHER NO. WARRANT NO. Geriz-Ottenweller Contracting, LLC ALLOWED 20 IN SUM OF $ 3010 Independence Drive Fort Wayne, IN 46808 $242,287.00 ON ACCOUNT OF APPROPRIATION FOR Carmel PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2I+ 1 hereby certify that the attached invoice(s), or 26567 I I I $242,287.00 �7IfiZ 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 Monday, August 12, 2013 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/31/13 $242,287.00 1 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