HomeMy WebLinkAbout2012 Sewer Bond pay request 19 • a" ..
rmel City of Carmel Utilities
760 Third Avenue S.W.,Ste.110•Carmel,IN 46032
Phone.(317)571-2443•Fax (317)571-2265
www.carmel.in.gov
EXHIBIT B
Disbursement Direction # 19
E-Mail or FAX the signed Disbursement Direction to:
The Huntington National Bank Corporate Trust Department(TNHF22) Attn: Kim Wilson Tel: (317) 229-
4094 Fax: (317)229-4094 E-Mail: Kim.Wilson(w.huntington.com
Re: Depositary Agreement between the City of Carmel and The Huntington National Bank,
dated May 16, 2012 -Trust#4087000067
Dear Kim:
On August 23, 2013 , you are hereby authorized and directed, as the Depositary under the above-
referenced Agreement, to pay the amounts set forth on the attached Register of Claims from the above-
referenced Trust account and overnight checks to:
Carmel Utilities
Attn: Lisa Kempa
760 Third Avenue SW
Carmel, IN 46032
City of Carmel, Indiana
By: �L
Name: Diana L. Cordray Title: Clerk-I reasurer
(*) Your Alternate contact at Huntington National Bank will be:
Ellen Campbell-Tel # (616) 235-5941 Ellen.Campbell @huntington.com
CARMEL UTILITIES
Register of Claims
8/22/2013
PAYMENT REQUISITION NO 19
AMOUNT OF Wire
VENDOR ADDRESS FUND CLAIM MEMORANDUM Instructions
8365 Keystone
Crossing Ste 300
H.J.Umbaugh&Associates Indianapolis, IN 46240 Cons $ 1,234.43 financial svcs
2207 Collections
Center Dr Chicago,IL
Hach Co 60693 Cons $ 2,910.00 testing
8109 Network Dr
JDH Conctracting Inc Plainfield, IN 46168 Cons $ 39,703.00 Fiber install
8109 Network Dr
JDH Conctracting Inc Plainfield, IN 46168 Cons $ 5,404.80 Fiber install
3103 Executive
Parkway Ste 300
Jones&Henry Engineers LTD Toledo,OH 43606 Cons $ 4,768.50 engrg services
3103 Executive
Parkway Ste 300
Jones&Henry Engineers LTD Toledo,OH 43606 Cons $ 10,166.28 engrg services
3103 Executive
Parkway Ste 300
Jones&Henry Engineers LTD Toledo,OH 43606 Cons $ 5,088.00 engrg services
3103 Executive
Parkway Ste 300
Jones&Henry Engineers LTD Toledo,OH 43606 Cons $ 602.43 engrg services
3103 Executive
Parkway Ste 300
Jones&Henry Engineers LTD Toledo,OH 43606 Cons $ 23,733.91 engrg services
3103 Executive
Parkway Ste 300
Jones&Henry Engineers LTD Toledo,OH 43606 Cons $ 9,915.06 engrg services
PO Box 2533
M.K.Betts Engineering Anderson, IN 46018 Cons $ 65,544.38 construction
PO Box 2533
M.K.Betts Engineering Anderson,IN 46018 Cons $ 236,581.65 construction
PO Box 347802
Pittsburgh,PA 15251-
RedZone Robotics Inc 4802 Cons $ 440.00 engrg services
PO Box 347802
Pittsburgh,PA 15251-
RedZone Robotics Inc 4802 Cons $ 19,486.28 engrg services
TOTAL $ 425,578.72
ALLOWANCE OF CLAIMS
We have examined the claims listed on the foregoing Register of Claims,consisting of 1 page,and except for claims not allowed as
shown on the rester • h claims are hereby allowed in the total amount of $425,578.72
n Duffy, it/ Director Date
PLEASE OVERNIGHT CHECKS TO:
Carmel Utilities
Attn: Lisa Kempa
760 3rd Avenue SW
Carmel,IN 46032
H. J. Umbaugh & Associates
Certified Public Accountants, LLP
8365 Keystone Crossing, Suite 300
Indianapolis, IN 46240-2687
(317) 465-1500
City of Carmel
c/o Ms. Diana Cordray, Clerk-Treasurer
City Hall
One Civic Square
Carmel, IN 46032
Invoice No. 133345
Date 07/26/2013
Client No. C00600.WAT2
For professional services for Cash Advisory Services rendered in accordance with the Engagement Letter.
2012 Construction Account
Current Amount Due $ 1,234.43
See attached for detail of fees
INVOICE NUMBER 8407516
HACH= DATE: 07/26/2013
Page: 1
Be Right'"
F $2,910.00
"DET 1CH*TO!'POR7,!.,t�ND,,,1 1Y,Agk l H P�14YDIENT;1 O TOTAL:
Hach Company
2207 Collections Center Drive
-
Chicago, IL 60693 Have you ordered online ?
Phone: (800) 227-4224 Order at WWW.HACH.COM
84075167 008330458 00000291000 072613 _
Sort Seg: 532 Tray: 8 DETACH HERE Original
INVOICE NO 8407516 I DATE: 1 07/26/2013
S 'IIIIIIIIIII1II"I"IIII.IIIIIIIII'IIIIIII"IIIIIJIIII'IIIIII"II PURCHASE DDS102611-01
o
CITY OF CARMEL ORDER
L NUMBER
D Wastewater Treatment Plant Net 45 Days From Invoice Date
760 3rd Ave SW TERMS
T Carmel, IN 46032-2072
O United States FREIGHT
S CARRIER
H CITY OF CARMEL ACCOUNT 833045
l 760 3RD AVE SW RfF. NQ. HACH248387 IRemit to:
P WASTEWATER TREATMENT PLANT Hach Company
CARMEL,IN 46032-2072 2207 Collections Center Dr
T U� ed States
O Chicago,IL 60693
Phone:(800)227-4224
These commodities are sold,packaged,marked,and labeled for destinations in the United States. Exportation of these commodities may require special licensing,packaging,marking or labeling.
LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE
1 DDS SERVICE LEVEL 2 MID TERM Monthly DDS-SL2-MT 1 970.00 970.00
Charge:36:DDS
CONTRACT:02/04/2013:02/03/2014
2 DDS SERVICE LEVEL 2 MID TERM Monthly DDS-SL2-MT 1 970.00 970.00
Charge:1::02/04/2013:02/03/2014
3 DDS SERVICE LEVEL 2 MID TERM Monthly DDS-SL2-MT 1 970.00 970.00
Charge:1::04/26/2013:10/25/2013
ORDER CONTACT: SUBTOTAL 2,910.00
TAX 0.00
Notes: INVOICE TOTAL 2,910.00
PURCHASE AND ACCEPTANCE OF PRODUCTS SUBJECT TO HACH COMPANY'S TERMS AND CONDITIONS OF SALE,
PRODUCT(S) ,
PUBLISHED ON HACH COMPANY'S WEBSITE AT WWW.HACH.COM/TERMS
For order discrepancies or product exchanges please call 800-227-4224 or 970-669-3050 to obtain Return Authorization.
FEDERAL TAX ID#42-0704420
°!� Environmental -- z`� .e •, a
Test Systems 'HAGN: HACH� �� ' Other brands
® �wr �; - from Hach
-" Hydromat Flow Products a Services 4 Hach cc,.w.rry n,ow
J D H 8109 Network Dr. INVOICE
Plainfield IN 46168--902
Phone:(317) 839-0520 Invoice No:44562
Contracting, Inc. Fax:(317) 838-0925 Invoice Date:7/25/2013
Due Date:8/24/2013
Bill To:
City of Carmel
31 1st Ave NW PO No:S03038
Job No: 2013-00730
Carmel IN 46032 Job Description:Carmel Duct & Fiber Placement
RE:March 2013 Fiber Install #1
Quantity IDescription I Unit Price 'Extended Price'
Attn:Terry Crockett-City of Carmel
P.O.#S03038
2013-Fiber optic Cable Supply& Installation Part 1
A.)To supply and install the fiber optic cables.
1.00 Total: $39,703.00 39,703.00 39,703.00
Thank You For Your Business! Amount Due: 39,703.00
Terms: Net Due 30 Days
1
D 8109 Network Dr. INVOICE
Plainfield IN 46168--902
Phone:(317) 839-0520 Invoice No:44563
Contracting,__Inc. Fax:(317) 838-0925 Invoice Date:7/25/2013
Due Date:8/24/2013
Bill To:
City of Carmel
31 1st Ave NW PO No:S03038
Job No: 2013-00730
Carmel IN 46032 Job Description:Carmel Duct & Fiber Placement
RE:2013 Fiber Install Part II
Quantity 'Description I Unit Price I Extended Price I
Attn:Terry Crockett-City of Carmel
P.O. S03038
2013- Fiber optic Cable Supply& Installation
To supply and install three-1 1/4 inch inner ducts in twp short runs of existing 4
inch conduit at the Water Plant#1 site.
1.00 Total: $5,404.80 5,404.80 5,404.80
Thank You For Your Business! Amount Due: 5,404.80
Terms: Net Due 30 Days
Jones & Henry Engineers, Ltd.
3103 Executive Parkway, Suite 300
Toledo, Ohio 43606
"° 419.473. 611
Rawl Ttankage.
CITY OF CARMEL Invoice number 63700
MR.JOHN DUFFY Date 08/09/2013
UTILITY DIRECTOR
760 3rd AVE. S.W. Project 00451-6733 106TH ST. PUMP STATION
CARMEL, IN 46032 INTERCEPTOR
Professional services performed through July 31,2013
Professional engineering services in connection with the design and construction of capacity improvements to
the 106th St. Pump Station and the North-South Interceptor in conformance with our agreement no.4-12.
The project fee is$280,000.
9-001 PUMP STATION IMPROVEMENTS
Labor
Billed
Units Rate Amount
ENGINEER 18.00 85.00 1,530.00
SENIOR ENGINEER 20.00 105.00 2,100.00
TECHNICIAN 16.50 69.00 1,138.50
Labor subtotal 54.50 4,768.50
Phase subtotal 4,768.50
Invoice total 4,768.50
Contract Summary
Prior Current Total
Description Billed Billed Billed
9-001 PUMP STATION IMPROVEMENTS
9-002 N-S INTERCEPTOR
9-003 CONSTRUCTION
Total 87,369.75 4,768.50 92,138.25
Thank you for your business.
Page 1
Jones & Henry Engineers, Ltd.
3103 Executive Parkway, Suite 300
Toledo, Ohio 43606
419.473.9611
CITY OF CARMEL Invoice number 63701
MR. JOHN DUFFY Date 08/09/2013
UTILITY DIRECTOR
760 3rd AVE. S.W. Project 00451-6770 SEWER REHAB
CARMEL, IN 46032
Professional services performed through July 31, 2013
Professional engineering services in connection with the review and evaluation of the collection system and
assistance during sewer rehabilitation projects in conformance with our agreement No.4-12.
The project fee is$130,000.
9-001 SEWER REHAB
Labor
Billed
Units Rate Amount
CONSTRUCTION SERV SPECIALIST 17.00 87.00 1,479.00
CONSTRUCTION SERV SPECIALIST 38.00 87.00 3,306.00
ENGINEER 8.00 87.00 696.00
PRINCIPAL 24.00 142.00 3,408.00
SENIOR ENGINEER 6.00 108.00 648.00
Labor subtotal 93.00 9,537.00
Reimbursable
Cost Billed
Amount Multiplier Amount
EQUIPMENT RENTAL 375.00 1.10 412.50
MAILING COST/UPS COSTS 6.25 1.10 6.88
PRINTING,COPYING,BLUEPRINTING 66.52 1.10 73.17
Transportation Costs 124.30 1.10 136.73
Reimbursable subtotal 572.07 629.28
Phase subtotal 10,166.28
Invoice total 10,166.28
Contract Summary
Prior Current Total
Description Billed Billed Billed
9-001 SEWER REHAB
Total 46,953.20 10,166.28 57,119.48
Thank you for your business.
Page 1
Jones & Henry Engineers,, Ltd.
3103 Executive Parkway, Suite 300
Toledo, Ohio 43606
Ud. 419.473.9611
TM
CITY OF CARMEL Invoice number 63699
MR.JOHN DUFFY Date 08/09/2013
UTILITY DIRECTOR
760 3rd AVE. S.W. Project 00451-6714 106TH ST. PS ELECTRICAL
CARMEL, IN 46032 IMPRV
Professional services performed through July 31,2013
Professional engineering services in connection with the construction of electrical improvements at the 106th St.
Pump Station in conformance with our letter agreement 2-12 dated August 13,2012.The projected is$158,000.
9-001 CONST-106TH ST. PS ELECTR IMPR
Labor
Billed
Units Rate Amount
CONSTRUCTION SERV SPECIALIST 32.00 84.00 2,688.00
INTERN 2.00 45.00 90.00
SENIOR ENGINEER 22.00 105.00 2,310.00
Labor subtotal 56.00 5,088.00
Phase subtotal 5,088.00
Invoice total 5,088.00
Contract Summary
Prior Current Total
Description Billed Billed Billed
9-001 CONST-106TH ST. PS ELECTR IMPR
Total 146,694.66 5,088.00 151,782.66
Thank you for your business.
Page 1
Jones & Henry Engineers, Ltd.
2000 West Central Ave.
Toledo, OH 43606-3996
(419)473-9611
CITY OF CARMEL Invoice number 60124
MR. JOHN DUFFY Date 5/12/2010
UTILITY DIRECTOR
760 3rd AVE. S.W.
SUITE 110
CARMEL, IN 46032
Contract: 00451-6469 Customer ID: 451
ENVIRO CENTER REPORT
Scope of Work: Professional engineering services in connection with the conceptual design of a new
Administrative and Environmental Center in conformance with our Letter Agreement
no. 2-10.
The projected fee is $12,000.
FOR SERVICES PERFORMED THRU 04/30/10
Labor
Employee Hours Cost Amount
JEFFRY M. HERSHA 6.00 156.82
Total cost 5.00 156.82
Rate Basis Markup Amount
DPE 35% 156.82 54.89 211.71
Overhead 130% 211.71 275.22 486.93 486.93
Labor subtotal 486.93
Reimbursable
Activity Cost Mult Amount
TRANSPORTATION 105.00 1.10 115.50
Reimbursable subtotal 115.50
Invoice total 602.43
Contract Summary Prior Current Total
Labor 0.00 486.93 486.93
Reimbursable 0.00 115.50 115.50
Total 0.00 602.43 602.43
Page 1 of 1
Jones.& Henry Engineers, Ltd.
3103 Executive Parkway, Suite 300
Toledo, Ohio 43606
'" , 419.473.9611
CITY OF CARMEL Invoice number 63697
MR.JOHN DUFFY Date 08/09/2013
UTILITY DIRECTOR
760 3rd AVE. S.W. Project 00451-6531 WWTP SECONDARY
CARMEL, IN 46032 EXPANSION
Professional services performed through July 31, 2013
Professional engineering services in connection with a new final calrifier, septage receiving, belt filter press,
diversion structure covers and modifications to final clarifier 1 in conformance with our Letter Agreement No. 1-
12 as authorized by Professional Services Agreement dated November 3,The projected fee is$386,000.
9-001 DSGN-SECONDARY EXPANSION
Labor
Billed
Units Rate Amount
CONSTRUCTION SERV SPECIALIST 2.00 84.00 168.00
INTERN 4.00 45.00 180.00
PROJECT ENGINEER 34.50 95.00 3,277.50
SENIOR ENGINEER 48.00 105.00 5,040.00
SENIOR ENGINEER 1.50 105.00 157.50
TECHNICIAN 10.00 69.00 690.00
Labor subtotal 100.00 9,513.00
Reimbursable
Cost Billed
Amount Multiplier Amount
MAILING COST/UPS COSTS 6.25 6.25
Phase subtotal 9,519.25
9-002 CONST-SECONDARY EXPANSION
Labor
Billed
Units Rate Amount
CONSTRUCTION SERV SPECIALIST 38.00 84.00 3,192.00
PRINCIPAL 6.00 139.00 834.00
PRINCIPAL 13.00 139.00 1,807.00
SENIOR ENGINEER 78.00 105.00 8,190.00
Labor subtotal 135.00 14,023.00
Reimbursable
Cost Billed
Amount Multiplier Amount
MAILING COST/UPS COSTS 191.66 191.66
Phase subtotal 14,214.66
Page 1 of 2
'CITY OF CARMEL Invoice number 63697
Project 00451-6531 WWTP SECONDARY EXPANSION Date 08/09/2013
Invoice total 23,733.91
Contract Summary
Prior Current Total
Description Billed Billed Billed
9-001 DSGN-SECONDARY EXPANSION
9-002 CONST-SECONDARY EXPANSION
• Total 252,604.65 23,733.91 276,338.56
Thank you for your business.
Page 2 of 2
Jones & Henry Engineers, Ltd.
2000 West Central Ave.
Toledo, OH 43606-3996
(419) 473-9611
CITY OF CARMEL Invoice number 60191
MR. JOHN DUFFY Date 6/8/2010
UTILITY DIRECTOR
760 3rd AVE. S.W.
SUITE 110
CARMEL, IN 46032
Contract: 00451-6469 Customer ID: 451
ENVIRO CENTER REPORT
Scope of Work: Professional engineering services in connection with the conceptual design of a new
Administrative and Environmental Center in conformance with our Letter Agreement
no. 2-10.
The projected fee is $12,000.
FOR SERVICES PERFORMED THRU 05/31/2010
Labor
Employee Hours Cost Amount
ANDREW J. BLAISING 36.50 748.67
ANDREW J. BLAISING 20.00 402.27
JEFFRY M. HERSHA 65.00 1,698.87
BRIAN W HOUGHTON 7.00 306.25
Total cost 128.50 3,156.06
Rate Basis Markup Amount
DPE 35% 3,156.06 1,104.62 4,260.68
Overhead 130% 4,260.68 5,538.88 9,799.56 9,799.56
Labor subtotal 9,799.56
Reimbursable
Activity Cost Mult Amount
TRANSPORTATION 105.00 1.10 115.50
Reimbursable subtotal 115.50
Invoice total 9,915.06
Contract Summary Prior Current Total
Labor 486.93 9,799.56 10,286.49
Reimbursable 115.50 115.50 231.00
Total 602.43 9,915.06 10,517.49
Page 1 of 1
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT 6702 (Instructions on reverse sidei PAGE ONE OF PAGES
TO (OWNER): City of Carmel PROJECT: 106th Street Pump Station APPLICATION NO:Ten (10) Distribution to:
Electrical Upgrade EE OWNER
One Civic Square PERIOD TO: 07/31/13 C ARCHITECT
Carmel, IN 46032 C CONTRACTOR
FROM (CONTRACTOR): VIA (ARCHITECT): ARCHITECT'S C
�
M. K. Betts Engineering PROJECT Na:
& Contracting, Inc. CONTRACT DATE:
CONTRACT FOR: Invoice No. 12-238.10
Application is made for Payment,as shown below, in connection with the Contract.
CONTRACTOR'S APPLICATION FOR PAYMENT Continuation Sheet, AIA Document G703, is attached. 1,077,000.00
CHANGE ORDER SUMMARY j 1. ORIGINAL CONTRACT SUM $ 50,150.00
2. Net change by Change Orders $
Change Orders approved in ADDITIONS DEDUCTIONS $ 1 ,127 ,150.00
3. CONTRACT SUM TO DATE (Line 1 ±2) 1,125,450.00
previous months by Owner 4. TOTAL COMPLETED &STORED TO DATE $
TOTAL
(Column G on G703)
Approved this Month I S. RETAINAGE:
Number I Date Approved 1 a. — % of Completed Work $
COIF 1 + $51 ,280.00 – $ 2,250.00
(Column D+Eon G703)
CO 2 + $ 5,170.00 – $ 4,050.00,050.00 b. — % of Stored Material $
(Column F on G703)
Total Retainage (Line 5a+Sb or 56,301.50
+ $56,450.00 – $ 6,300.00 300.00 Total in Column 1 of G703) $ –
TOTALS $ 1,069,148.50
Net change by Change Orders + $50,150.00
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
The undersigned Contractor certifies that to the best of the Contractor's knowledge, 7. LESS PREVIOUS CERTIFICATES FOR 1 ,003,604.12
information and belief the Work covered by this Application for Payment has been PAYMENT PREVIOUS CERTIFICATES
6 from prior Certificate) 5
completed in accordance with the Contract Documents, that all amounts have been S 65,544.38
paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT E PA FINISH, UE RETAINAGE $ 58,001.50
issued and payments received from the Owner, and that current payment shown
herein is now due. (Line 3 less Line 6)
State of: Indiana County of: Madison
CONTRACTOR: M. K. Betts Engineering & Contracting, Inc. Subscribed and sworn to before me this 31st day of July , 2013
Notary Public. v� ,"/"7
4 , L4/ !f4f.i ' Date: _ July 31 , 2013 My Commission expires: October 28 , 2015
By: r
AMOUNT CERTIFIED S
ARCHITECT'S CERTIFICATE FOR PAYMENT (Attach explanation i' certified differs from the amount applied for.)
in accordance with the Contract Documents, based on on-site observations and the ARCH1TE
data comprising the above application,the Architect certifies to the Owner that to the -49-(-3.best of the Architect's knowledge,information and belief the Work has progressed as B.: Date:
indicated,the quality of the Work is in accordance with the Contract Documents,and This Certificate is not ne • e. The AMOUNT CERTIFIED is payable only to the
the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor nascie erein. Issuance,payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
•
AIA nncuIMENT G7o2•.APPLICATIC'N AND CERTIFICATE FOR PAY.»ENT•MAY 1'483 EDITION•.>IA' • c 1983 (,702-1983
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (Instructions on reverse side) PAGE ONE OF PAGES
TO (OWNER): City of Carmel PROJECT: Final Clarifier & Misc. APPLICATION NO: Five (5) Distribution to:
Once Civic Square Improvements – Contract 79 G OWNER
Carmel, IN 46032 PERIOD TO: 07/31/13 C ARCHITECT
0 CONTRACTOR
FROM (CONTRACTOR): VIA (AReRtItt"1: ARCHITECT'S C
M. K. Betts Engineering Engineer: Jones & Henry Engineers PROJECT NO: C
& Contracting, Inc.
CONTRACT FOR: Invoice 13-124.05 CONTRACT DATE:
Application is made for Payment, as shown below, in connection with the Contract.
CONTRACTOR'S APPLICATION FOR. PAYMENT Continuation Sheet, AIA Document G703, is attached.
CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM $ 3,423,000.00
I 2. Net chan e by Change Orders $ –0
Change Orders approved in ADDITIONS DEDUCTIONS S y 8 3 423 000.00
-L-previous months by Owner 3. CONTRACT SUM TO DATE (Line 1 2) , ,
TOTAL
4. TOTAL COMPLETED & STORED TO DATE $ 473,006.50
Approved this Month (Column G on G703)
5. RETAINAGE:
Number I Date Approved a. 10 % of Completed Work $ 28891.80
(Column D+E on G703)
b. 10 % of Stored Material $ 18,408.85
(Column F on G703)
Total Retainage (Line 5a+5b or
TOTALS Total in Column I of G703) $ 47,300.65
Net change by Change Orders
6. TOTAL EARNED LESS RETAINAGE $ 425,705.85
The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total)
information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR
completed in accordance with the Contract Documents, that all amounts have been PAYMENT (Line 6 from prior Certificate) $ 189,124.'20
paid by the Contractor for Work for which previous Certificates for Payment were . 8. CURRENT PAYMENT DUE $ 236,581.65
issued and payments received from the Owner, and that current payment shown 9. BALANCE TO FINISH, PLUS RETAINAGE $ 2,997,294.15
herein is now due. (Line 3 less Line 6)
CONTRACTOR: M. K. Betts Engineering & Contracting, Inc.. State or: Indiana County of: Madison
Subscribed and sworn to before me this 31st day of July , 2013
Notary Public: o a i11
By,.`/� -"5: ' i Date: JUly 31, 2013 My Commission expires: October 28 , 2015
ARC 4ECT'S CERTIFI ATE FOR PAYMENT AMOUNT CERTIFIED $
(Attach explanation if amount certified differs from the amount applied fora
In accordance with the Contract Documents, based on on-site observations and the ARCHITECT:
data comprising the above application,the Architect certifies to the Owner that to the
best of the Architect's knowledge,information and belief the Work has progressed as By: ' Date: _ �� c
indicated,the quality of the Work is in accordance with the Contract Documents,and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
the Contractor is entitled to payment or the AMOUNT CERTIFIED. Contractor named herein. Issuance,payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT C.71T2•APPI ICATIC•N ANF)CFRTIFICATF FOR PAY.1/441\'T•.vAY 14x3 rfIITICTN• AIA• • c iOxt
ICOMMM Invoice
A Divison of RedZone Robotics, Inc.
91 43rd Street,Suite 250 Date Invoice#
Pittsburgh,PA 15201 5/31/2013 907
Phone: 412.476.8980
Bill To Remit To •
City of Carmel Utility Office RedZone Robotics,Inc. •
760 Third Avenue S.W. •
Carmel,In 46032 PO BOX 347802 • .
.Pittsburgh, PA` 15251-4802
P.O. No. Terms Project
Net 30 ICPR50I 109 IN Carmel ICOM3 Train&Config
Quantity Description Rate Amount
4 ICM-201 GIS Data Services 110.00 440.00
0 1CM-402 ICOM3 Custom Report Configuration Services 110.00 0.00
0 ICM-401 1COM3 Form Configuration Services 110.00 0.00
0 ICM-502 1COM3 Onsite Training and Walk-through-Full Day 2,300.00 0.00
0 1CM-501 ICOM3 Remote Training and Walk-through-Full Day 1,000.00 0.00
Sales Tax-Novato-Marin County 9.50% 0.00
Total $440.00
RedZone....
ROBOT I C S
Invoice
91 43rd Street,Suite 250 Date Invoice#
Pittsburgh,PA 15201
412-476-8980 5/31/2013 RZ921 I
Bill To REMIT TO
City of Carmel
Mr.Ed Wolfe RedZone Robotics, Inc.
9604 Hazel Dell Parkway PO BOX 347802 •
CARMEL,IN 46280
PITTSBURGH; PA 15251=4802
P.O. No. Terms Project
Net 30 SOL0501072_IN*Carmel Initial lnsp 8"-36"
1
Quantity Description U/M Rate Amount
0 Mobilization and Demobilization-per asset EA 8,000.00 0.00
25,981.7 SOLO(8"-12")Condition Assessment and Defect Coding LF 0.75 19,486.28
0 MS1(30"-36")Condition Assessment and Defect Coding LF 5.00 0.00
0 ICOM3 Licensing all modules,Hosting,Maintenance,Support- YR 18,500.00 0.00
YR I Included
• 0 GIS Data Services HR 110.00 0.00
0 ICOM3 Custom Report Configuration Services HR 110.00 0.00
0 1COM3 Form Configuration Services HR 110.00 0.00
0 ICOM3 Onsite Training-Full Day Days 2,300.00 0.00
0 ICOM3 Remote Training-Full Day Days 1,000.00 0.00
Total USD 19,486.28
I