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223021 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367400 Page 1 of 1 ONE CIVIC SQUARE INDIANAPOLIS CONCRETE CARMEL, INDIANA 46032 4869 W.106TH STREET CHECK AMOUNT: $8,549.50 "? ZIONSVILLE IN 46077 CHECK NUMBER: 223021 CHECK DATE: 8113/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460805 31349 1 8, 122 . 50 SIDEWALKS PARCEL5 CRC 902 4460805 31349 2 427 . 00 SIDEWALKS PARCEL5 CRC APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OFTWO TO OWNER: CS=.0 PROJECT: Motor Court Stairs APPLICATION NO: 1 Distribution to: 30 W ..'sk kv1 y-ST.Sw"Tf-1-A.0 =OWNER Carmel,IN 46032 Carmel,Indiana 46032 ke =ARCHITECT � /V�O PERIOD TO: =CONTRACTOR FROM CONTRACTOR: Indianapolis Concrete Inc VIA CONSTRUCTION MANAGER: A�R 252013 4869 W 106th Street Signature Construction,LLC �01i� Zionsville,IN 46077 720 Third Avenue,SW PROJECT NO: 317-733-4200 Carmel,Indiana 46032 CONTRACT DATE: 3/25/2013 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,AIA Document G703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner,and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $ 8,550.00 2. Net change by Change Orders $ 0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line I t 2) $ 8,550.00 4. TOTAL COMPLETED&STORED TO DATE $ 8,550.00 / `-1 1 Y Z�I ' By, Date: 5. RETAINAGE: a. 5 %of Completed Work $ 427.50 Subscribed and swom to before me this day of (Column D+E on G703) b. 5 %of Stored Material $ 0.00 Ouv�� ��i"� ANGELA BROWN (Column F on G703) NOTARY PUBLIC Total Retainage(Lines 5a+5b or �an AL Total in Column I of G703) $ 427.50 G E anuary 24,2018 6. TOTAL EARNED LESS RETAINAGE $ 8,122.50 In accordance with the Contract Documents,based on on-site observations t e a'-fa (Line 4 Less Line 5 Total) comprising the application,the Engineer certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Engineer's knowledge,information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) $ 0.00 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 8,122.50 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 427.50 I� (Line 3 less Line 6) AMOUNT CERTIFIED .........................................................................................$ F0 b CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explana ont a tion if ount certified differs from the amount applied.Initial all figures on this Total changes approved Application a uation Sheet that are changed to conform with the amount certified in previous Change Orders $0.00 $0.00 ENGINEER. JA Total approved this Change Order $0.00 $0.00 Date: TOTALS $0.00 $0.00 is Certificat is of nego ble. The AMOUNT CERTIFIED is payable y the U tractor n ed nerem.Issuance,payment and acceptance of payment are wi out NET CHANGES by Change Order $0.00 prejudl any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702-APPLICATION AND CERTIFICATION FOR PAYMENT-1992 EDITION•AIA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,DC 20006-5292 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. G703 CONTINUATION SHEET Page 2 of 2 From: Project: Application No. To: : 1 Signature Construction,LLC Indianapolis Concrete Inc Motor Court Stairs Application Date: 720 Third Avenue,SW 4869 W 106th Street Period To: Carmel,Indiana 46032 Zionsville,IN 46077 Carmel,Indiana 46032 Engineer's Project No.: 0 A B C D E F G H I Work Com leted Materials Total Presently Completed Balance Retainage Item Scheduled From Previous Stored and Stored % To If # Description of Work Value Application This Period (Not in To Date (G/C) Finish Variable D or E) (D+E+F) (C-G) I Sidewalk at Motor Court Stairs 8,550.00 0.00 8,550.00 0.00 8,550.00 100% 0.00 427.50 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 8,550.00 0.00 8,550.00 0.00 8,550.00 100% 0.00 427.50 INTERIM LIENfCLAIM WAIVER Fran: U I.f)c ?dLtS ( Project ) oxeme r, Umng ease) o�ecT,amen Y)( , 1 t7 knA G„.T Carmel. IN m-ss A0QTQSGj rote ss) iL-Imyl bTftl ZIP Lome) Contact Person: �.a>-O-.5�! `i (17C? Project Manager: Contact Telephone: 1--Z'� Y zz)c) Project Telephone: ?1 l CONDITIONAL RELEASE UNCONDITIONAL RELEASE The undersigned does hereby acknowledge that The undersigned does hereby acknowledge that the upon receipt by the undersigned of a check from(Name of undersigned hoc. received progress payments in the sum Firm writing check)-The Pedcor Companies of$ in the sum of$ 1'ZZ_ for labor, services, uipment or materials furnished to the and when the check has been properly endorsed and has above referenced and does hereby release pro tanto been paid by the bank upon which it was drawn, this any and all claims and rights of lien which the document shall become effective to release pro tanto any undersigned has on the above referenced job. This and all claims and rights of lien which the undersigned release covers all payment for labor services, equipment, has on the above referenced job_ This release covers a materials furnished and/or claims to the above referenced progress payment for labor, services, equipment, job through (date) ' materials furnished and/or claims through (date) only and does not cover any retention or items fumished LL �A ti— 1 F, after that date, only and does not_cover any retention or items furnished after that date. Before any recipient of this document NOTICE: THIS DOCUMENT WANES RIGHTS relies on it said party should verify evidence of payment to UNCONDITIONALLY AND STATES THAT YOU HAVE the undersigned. BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID_ IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. I CERTIFY UNDER PENALTY CIF pFRJURY UNDER LAWS OF THE STATE OF 1 THAT THE t CERTIFY UNDER PENALTY OF PERJURY UNDER ABOVE IS A TRUE AND CORRECT STATEMENT. LAWS OF THE STATE OF THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT. Signor i� Signature: Y. -Zip--- Dated this 2 u day of Dated this day of at: at: Subscribed and sworn before me day and year first above written: Subscribed and sworn before me day and year first above written: Notary Public My commission expires :_��(�,r? 2-�.2,4::)I8 Notary Public My commission expires: ANGELA BROWN NOTARY PUBLIC StAt STATE OF INDIANA My Comm.Expires January-24,2018 APR-25-2013 THU 08:32 AM FAX N0. P. 07 SUBCONTRACTOR'S SWORN STATEMENT OF INDEBTNESS&WAIVER OF LIEN STATE OF Indiana COUNTY OF Hamilton A/4\w, km Being duly sworn upon his/her oath disposes and says that: 1. He/she is MLnP r' (inserting sole proprietor, partner or corporate office held, as the case maybe), of INDIANAPOLIS CONCRETE. INC. hereafter called the "Subcontractor". He/she is over the age of twenty-one. He/she is authorized to make this affidavit on behalf of Subcontractor. 2. Subcontractor is the (t)n r.,Q�& Subcontractor for the construction of the development known as CARMEL CITY CENTER-- MOTOR COURT STAIRS located in CARMEL, INDIANA, hereafter referred to as the "Development", pursuant to the contract between the Subcontractor and Signature Construction,LLC,the Construction Manager, 3. This affidavit is made for the express purpose of inducing Signature Construction, LLC, to make payment to Subcontractor of the invoice submitted herewith for labor and materials furnished pursuant to said Contractor. Upon receipt of said payment the Subcontractor hereby waives any lien rights to which Subcontractor is entitled for labor or materials furnished for the development to the date hereof, 4. Listed below are all suppliers or other persons who either has furnished or might furnish the Subcontractor with materials, appliances, machinery, fixtures or furnishing placed upon or installed on the development. Marie (X) in the appropriate column for EACH supplier listed. Place an (X) in column: 1) If a waiver of lien by supplier conditioned by payment of a specified amount is attached hereto. (In this case also show the amount owed the supplier). 2.) If a FULL (final) lien release has been signed and delivered to the General Contractor. 3.) If the initial delivery has not been made. Supplier List Add if necessary) 1. Amount Owed 2 3 #1 and 2 correspond to the same numbered choices on the waiver format. Signature Construction,LLC is hereby authorized to make payment to each such unpaid creditor either directly or by check jointly payable to Subcontractor and such creditor, as Signature Construction, LLC shall determine. 5. There are no bills, charges, costs or expenses for labor or material which could now or hereafter result in lien being filed against the Development or a claim being asserted against the General Contractor except the persons or businesses named in Paragraph 4 above. IN WITN SS WHEREOF,affiant has signed this document on behalf of the Subcontractor this 2-5 day of , 20 t `Auth nzed Representative of Subcontractor) County of?-L)V3 E ) RECEIVED APR 2 5 2013 State of A t�,J ) Subscribed and sworn to before me, a Notary Public in and for said Geuaty and State,This 25 Day of , 20 ANGELA BROWN NOTARY PUBLIC �fy PU )` �� STATE OF INDIANA (Printed Name) My Comm.Expires January 244,Hi My Commission Expires: NOTARY SEAL MUST APPEAR ON THIS FORM. (Revised 10/2000 Signature) 6 APR-25-2013 THU 03;20 PM 0000 FAX N0, 513 422 6678 P, 03 APR-25-2013 THI1 08;31 AM FAX N0. P. 02 X GIVER g C-MANI,CIS LIE A GNT BY SgPPL,IER WHERE AS' the undersigned fumiehed materials andlor services to the insured cievelopnnent known as CARM '�CI' Y QF.NTER— 0T0R GCURT ATAM—located at 720 S.RANIGEUNE ROAR, In the city of cAIZIWEL,:county of HA_ ,state of INIMANA. WHERE As,::the undersigned desires to Naive, Ielaase and quit-realm to Owner, all lion rights, Including the right to file a noUca of Mec hanies Lien or hemeftar a Mechanic's lien upon time above described real estate to the°extant for which the undersigned has received payment and to the extent permitted by the laws of the state of INDtAM Now,THEgEFORE,In coneideretlon of the sum of One Dollar(;1,00)and ocher valuable considevatlon, receipt of which hereby 80nowledge, the undersigned has hereby waived, released and quit-iaim to Owner,(indigate either(1)at(2)). 1. All lien rights as descnbed above which It has or could have under the laws of the state of INDIANA to the data hereof for or an account of materials,appliances, machinery, fuf;tures,or furnishings,placed upon or installed nn the above•descfibed real estate woor is effective upon receipt of Dollars 2, All lien rights as descxfbed above which Is has or could have under the laws of the slaw of NDI IANA to the date hereof for or on account of materials,appliances, machinery,fixtures, of furnishings placed upon or installed an the abov"escribed real estate. This shall constitute a full and final waiver of the undersigiMM's rights to a Mechanic's Lien on the abovecdescrlbed real estate, A` - 'LL ` DATED Thiq .a day of � 2013, maino (Name of Supplier) INDIANAPOUS CQNC j INC. (Name of SOcontractor) (Revised IC12000 Signature) RECEIVED Arid 2 52013' b'd 99Zb-££L-L L£ alejouoC)syodeueipui eZb:60£L SZ idd A?R-25-2013 THU 08 :12 AM FAX N0. R 05 NOTICE-INITIAL MATERIAL OEL_IVERY PEDCOR SQUARE 72D 3 R AVENUE, S.W, CARMEL,INDIANA ATTN: Accounts ;'ayable-Construction The initial material delivery was made: TO: IQY1iCA - re_ � (Subcontractor Name 81 Address) FOR:I eCi Co - M6 4o r (-nti S I Y CJ (Project Name �& City) ON. (Date) BY: r(Q S (Sub,Pick-up,prop shipment to lobs0te,Ishipped to sub.,or other) I will notify you 0 Subcontractor's account is not kept current by direct payments from him or by joint checks from Sip iature Construction, LLC. DATE: 5-I SIGNED: Aut orized epresentati Supp@ s Name 8 Address jam, Wd. F r;L. • 4 £'d 9bZ11;-££L-L i,£ a;aJou00 sgodeueipul eZt7:60 0 6 SZ Ddb' APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF TWO TO OWNER: C�Nc__ PROJECT: Motor Court Stairs APPLICATION NO: 2 Distribution to: ` 30 W• `AN%N =OWNER Carmel,IN 46032 Carmel, Indiana 46032 =ARCHITECT PERIOD TO: =CONTRACTOR FROM CONTRACTOR: Indianapolis Concrete Inc VIA CONSTRUCTION MANAGER: 4869 W 106th Street Signature Construction,LLC Zionsville, IN 46077 720 Third Avenue, SW PROJECT NO: 317-733-4200 Carmel, Indiana 46032 CONTRACT DATE: 3/25/2013 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,AIA Document G703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner,and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $ 8,550.00 2. Net change by Change Orders $ 0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line I f 2) $ 8,550.00 C�/� �� 4. TOTAL COMPLETED&STORED TO DATE $ 8,550.00 V v gY � � `nL;1 Date: 5. RETAINAGE: . a. 5 %of Completed Work $ 0.00 day of (Column D+E on G703) ANGELA BROWN b. 5 %of Stored Material $ 0.00 NOTARY PUBLIC Ct�V-�CIi� (Column F on G703) STATE OF INDIANA Total Retainage(Lines 5a+5b or Total in Column I of G703) $ 0.00 R PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 8,550.00 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Engineer certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Engineer's knowledge,information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) $ 8,122.50 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 427.00 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 0.00 (Line 3 less Line 6) AMOUNT CERTIFIED $ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied Initial all figures on this Total changes approved Application an ndnuation Sheet that are changed to conform with the amount certified in previous Change Orders $0.00 $0.00 ENGINEER: Total approved this Change Order $0.00 $0.00 ' Date:�� TOTALS $0.00 $0.00 This Certificat i not negotia le. The AMOUNT CERTIFIED is payable oily t�the Contractor n ed nerem.Issuance,payment and acceptance of payment are wit out [7NET CHANGES by Change Order L $0.00 prejudice to any rights of the Owner or Contractor under this Contract. V AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT 1992 EDITION AIA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,DC 20006-5292 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. G703 CONTINUATION SHEET Page 2 of 2 To: From: Project: Application No.: 2 Signature Construction,LLC Indianapolis Concrete Inc Motor Court Stairs Application Date: 720 Third Avenue,SW 4869 W 106th Street Period To: Carmel,Indiana 46032 Zionsville,IN 46077 Carmel,Indiana 46032 Engineer's Project No.: 0 A B C D E F G H I Work Completed Materials Total Presently Completed Balance Retainage Item Scheduled From Previous Stored and Stored % To If # Description of Work Value Application This Period (Not in To Date (G/C) Finish Variable D or E) (D+E+F) (C-G) 1 Sidewalk at Motor Court Stairs 8,5.50.00 8,550.00 0.00 0.00 8,550.00 100"/ 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0! 0.00 0.00 8,550.00 8,550.00 0.00 0.00 8,550.00 1 100%1 0.00 1 0.00 INTERIM LIEN/CLAIM WAIVER Fromm)N K-21 AtzJQ CCoK-0K -R-C-E,/91JC, Project U70(Z erne rrtrtr mr+g Release) �oje rwne) CP-rkA S�" Carmel. IN mess ressl (Project sal , C,Zip C;' I Contact Person: ,,1 r , LLLtf1 Project Manager: Contact Telephone: O Project Telephone; 3 CONDITIONAL.RELEASE UNCONDITIONAL RELEASE The undersigned does hereby acknowledge that The undersigned does hereby acknowledge that the upon receipt by the undersigned of a check from(Name of undersigned her- received progress payments in the sum Firm writing check): The Pedcor Companies of$ S S! O . O i.7 in the sum of$ for labor, services,equipment or materials furnished to the and when the check has been properly endorsed and has above referenced job and does hereby release pro tanto been paid by the bank upon which it was drawn, this any and all claims and rights of lien which the document shall become effective to release pro tanto any undersigned has on the above referenced job. This and all claims and rights of lien which the undersigned release covers all payment for labor services, equipment, has on the above referenced job. This release covers a materials furnished and/or claims to the above referenced progress payment for labor, services, equipment, job through (date) -materials furnished and/or claims through (date) only and does not cover any retention or items famished after that date. only and does not.cover any retention or items furnished after that date. Before any recipient of this document NOTICE: THIS DOCUMENT WAIVES RIGHTS relies on it said party should verify evidence of payment to UNCONDITIONALLY AND STATES THAT YOU HAVE the undersigned. BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT SEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. I CERTIFY UNDER PENALTY OP pPRJURY UNDER -LAWS OF THE STATE OF __ THAT THE I CERTIFY UNDER PENALTY OF PERJURY UNDER ABOVE IS A TRUE AND CORRECT STATEMENT, LAWS OF THE STATE OF I N THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT, Signature: Signature: orastl tans r f,(,�� Dated this day of Dated this 2-!E) day of at: at: Subscribed and sworn before me day and year first above written: Subscribed and swom before me day and year first above written: Notary Public My commission expires : Notary Public My commission expires:���� 1� __N7l� ANGELA BROWN NOTARY PUBLIC SEAL STATE OF INDIANA My Comm.Expires January 24,2018 APR-25-2013 THU C9:3' Ail FAX Nil. P. 02 WAIVER OF MECHANIC'S LIEN RIGHT BY SUPPLIER WHERE AS, the undersigned fumished matenals,and/or services to the insured development known as CARMEL CITY :ENTER—MOTOR COURT STAIRS—located at 720 S.RANGELItNE ROAD, in the city of CARMEL, county of HAMILTON,state of INDIANA. WHERE A5, the undersigned desire$to waive, release and quit-claim to Owner, all lien rights, including the right to file a notice of Mechanic's Lien or hereafter a ,Mechanic's lien upon the above described real estate to the extent for which the undersigned has received payment and to the extent permitted by the laws of the state of INDIANA NOW, THEREFL)RE, in consideration of the sum of One Dollar($1,00)and other valuable consideration, receipt cf wh ci, hereby acknowledge, the undersigned has hereby waived, released and quit-claim to Owner, (indicate either(1)or(2) ). 1. All lied rights as described above which it has or could have under the laws of the state of INDIANA to the date hereof for or on account of materials,appliances, machinery, fixtures, or furnishings, placed upon or installed on the above-described real es Qh�n.waiver is effective upon receipt of Dollars 2. All lien rights as described above which is has or could have under the laws of the state of INDIANA to the date hereof for or on account of materials,appliances, machinery, fixtures, or f�r1 ishings placed upon or Installed on the above-described real estate. This shall constitute a fu'l and final waiver of the undersigned's rights to a Mechanic's Lien on the above-described real estate. DATED This MLh day of 6 1 2013. ur I i n o Ma 6 Gt! S- (Name of Supplier) INDIANAPOLIS CONCRETE, INC. (flame of Subcontractor) (Revised 10!2000 Signature) I b'd 9bZb-��L-L l� eja_vouoo sllodeue!pul eZb 60 SZ vdb' Attachment A TRANSFER OF TITLE ("Contractor") transfers to Village Financial, LLC any and all right, title and/or interest that Contractor has in any labor and/or materials described in (i) that Affidavit of Waiver of Lien executed by the Contractor on 20 , and (ii) in +k^ o.,,ni ant of this Request„ section of that Affil avit executed by the Contractor or, 3©2 , 20 f'2, "CONTRACTOR" By: Printed: _�✓lC(r, ��v �' L �v�c� � L✓(< �� Title: / /l5 3 RECEIVED Ju,i 1 ► 2013 INDANAPOUSCONCRETE, INC. INDIANAPOLIS CONCRETE LIMITED WARRANTY Indianapolis Concrete Inc.,warranties all concrete surfaces for one year from placement to remain free of defects due to poor workmanship performed during the construction period.This warranty includes surface spalling (more than the 5%acceptable delaminating), cracking over 3/16" wide and 1/8" in vertical displacement and humps over 3/8" out of plane in 32". This warranty does not include chipping due to damage from equipment, spalling due to de-icing salt, cracks from unsettled sub-grade not installed by Indianapolis Concrete Inc., normal sealer wear or weathering or any other warranty not included above. Indianapolis Concrete Inc. is dedicated to providing 100%customer satisfaction and we will try to resolve any concrete issues noted in the first year. Please Note: *Yard grading is required to cause water slope away or off all concrete surfaces. Indianapolis Concrete is not responsible for pooling of water on concrete due to yard grade. *The homeowner has several responsibilities for maintaining healthy concrete work including annual washing and sealing. Also a 28 day cure time is needed before any use drives by automobiles or equipment. Note: most residential drives,walks and patios are 4" concrete, not designed for heavy equipment such as moving vans or skid loaders. *All exterior concrete is designed to slope away from home. However, a slope toward the garage may be necessary when a home sits lower than the road. In this circumstance, the driveway shall be constructed so as to prevent water from running into the garage or home under normal weather conditions. All standards fall under required and are in accordance with BAGI, NAHB and ACIS standards. Thank you very much for the opportunity to provide a high quality concrete construction project. William C. Lakeman President- Indianapolis Concrete, Inc. Customer Name: Carmel City Center/ Palladium Job Address: 760 3`d Ave. SW. Carmel IN 46032 Warranty valid thru: 5/1/2014 4869 NEST 106TH STREET • ZIONSVILLE,INDIANA 46077 • OFFICE(317)733-4200 • FAX(317)733-4245 60 ON THE WEB(a),If'WI3:1SUL,IA IPOLISCOSCRE%'L'.AAET Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201 (Rev.1995) 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 / An Mp06 l l)r(rC+e r Purchase Order No. f J V j''U Terms 2 05v i d , l d JOT Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Vr7 6r .� r I S ki rs c�url� g 2Z. G 2-- Wi� 6i" ( �27 Total 5 S L 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. y, ALLOWED 20 IN SUM OF $ Jul V �;or�sVil ;1/J/ � 77 $ ON ACCOUNT OF APPROPRIATION FOR gaz- 9os Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or �. �_ 60 bill(s) is (are) true and correct and that the Z } 27,de materials or services itemized thereon for which charge is made were ordered and received except 7-2-)- 2013 nature Title Cost distribution ledger classification if claim paid motor vehicle highway fund