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Home My WebLink About2012 CRC Nash Building pay request 02 QE�ELOPMENT PE CO,� Public/4rivate .� PerenersTlp N I5 CRC z City.of Carmel Indiana CARMEL REDEVELOPMENT COMMISSION Disbursement Number#2 E-Mail the signed Disbursement Direction to: James Brainard Mayor Huntington National bank Corporate Trust Department (INHP22) Commissioners Attn: Kim Wilson kim.wilson @huntington.com (317) 229-4094 William Hammer Ellen Campbell Ellen.campbell @huntington.com (616) 235-5941 President David Bowers Vice President Re: Depository Agreement between the City of Carmel and Huntington National Bradley Meyer Bank, dated December 31, 2012-Trust#4087000414 Secretary Tom Crowley Commissioner Dear Kim: Jeff Worrell On November 12, 2013, you are hereby authorized and directed, as the Depositary Commissioner 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 Gregory Phillips Commissioner checks to: Carmel Redevelopment Commission Attention: Mike Lee Les Olds,AIA 30 W Main Street, Suite 220 Executive Director Carmel, IN 46032 City of Carmel, IN .69-aufe By: Diana L. Cord ray, Clerk-Treasurer 30 WEST MAIN STREET, SUITE 220, CARMEL, IN 46032 OFFICE 317.571.ARTS (2787) FAX 317.571.2789 CARMEL REDEVELOPMENT COMMISSION Register of Claims 11/12/2013 Payment Request #2 Amount of Wire Vendor Address Invoice Description Instructions 720 3rd Ave SW Carmel,IN pay app 2,Nash garage Signature Construction Services 46032 $ 37,101.14 construction mgt IF NEEDED 2601 N Arlington Ave Maxwell Electric Indianapolis,IN 46218 $ 33,256.80 Pay app 1,Garage&ramp IF NEEDED Total: $ 70,357.94 ALLOWANCE OF CLAIMS We have examined the claims listed on the above Register of Claims,consisting of 1 page(s),and except for claims not allowed as shown on the register such claims are hereby allowed in the total amount of: $ 70,357.94 ,./ )4, ,//°l,° '/ Director`of the CRC Date L4 Nik_ AIAType Document Application and Certification for Payment Page 1 of 2 TO(OWNER):City of Carmel PROJECT: Parking Garage and Ramp APPLICATION NO: 3314-1 DISTRIBUTION Redevelopment Commission ONE PEDCOR SQ TO: 9-54 Parking Garage&Ramp 720 3RD AVE. S.W. PERIOD TO:10/15/2013 _OWNER IN 46032 CARMEL, IN 46032 ARCHITECT __CONTRACTOR FROM(CONTRACTOR):MAXWELL ELECTRIC VIA(ARCHITECT): ARCHITECT'S 2601 N ARLINGTON AVE PROJECT NO: INDIANAPOLIS, IN 46218 RECEIVED OCT 2 1 2013 CONTRACT FOR: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The Undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the work covered by this application for Payment has been completed in accordance with the Application is made for Payment,as shown below, in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner,and that current payment shown herein is now due. 1.ORIGINAL CONTRACT SUM $ 157,244.00 2.Net Change by Change Orders $ 0.00 CONTRACTOR MAXWELL ELECTRIC 01 N ARLINGTON/ E IN IANAPOLIS, IN 46218 3.CONTRACT SUM TO DATE (Line 1 +2) $ 157,244.00 / ( 4.TOTAL COMPLETED AND STORED TO DATE $ 36,952.00 By. 1C� Date: /t1/./ /3. J Paul Hood I Project Manager 5.RETAINAGE: a. 10.00%of Completed Work $ 3,695.20 State of: IN County of Marion ' b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me this g.1.-- Day of A„„IfirPrIi‘ 3 Mk tit . Y 4 5a+5b Notary Public: Total retainage(Line , ^ g { ) $ 3,695.20 ,r My Commission Expires: Z'27,1w 6 • t •.i t`. 'DV IF t°) , lope 6.TOTAL EARNED LESS RETAINAGE $ 33,256.80 * (Line 4 less Line 5 Total) ARCHITECT'S CERTIFIC A E R PAYM ' IN .' P 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract.Documents, b-sed o on-site observations and the ad to corn- (Line 6 from prior Certificate) $ 0 00 prising the above application, the Architect certi ie o owner that to the best of the Architect's knowledge,information and belief the Work has progressed as indicated,the quality of the work 8.CURRENT PAYMENT DUE $ 33,256.80 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 9.BALANCE TO RETAINAGE FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED. / (Line 3 less Line 6) $ 123,987.20 AMOUNT CERTIFIED $ 33Zs6.80 (Attach explanation if a ,L. •;i. ified differs from the amount applied. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and o e Contin) ion Sheet that are changed to conform to the amount certified.) Total changes approved in 1 9 PP ARCHITECT: previous months by Owner 0.00 0.00 By: ` ,I Date: (C17- 4 3 Total approved this Month 0.00 0.00 This Certificate is of negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named here . =uance, Payment and acceptance of payment are without prejudice to any TOTALS 0.00 0.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 0.00 SUBCONTRACTOR'S AND SUPPLIER'S AFFIDAVIT, WAIVER OF LIEN AND AGREEMENT FOR INDEMNIFICATION FINAL XX PARTIAL Paul Hood being duly sworn stated the following: Name of Subcontractor or Supplier: Maxwell Flectric Name of General Contractor: Signature Construction Project Location: Kroger J933 PARTIAL WAIVER: that the balance due from the General Contractor is the sum of Dollars (" $4.966.74 ) receipt of which is hereby acknowledged;or XX the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given,effective upon receipt of such payment; FINAL WAIVER: That the final balance due from the General Contractor is the sum of Dollars( $ ) 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 is given,effective upon receipt of such payment; THEREFORE,the undersigned waives and releases the Owner of said premises,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,and further certifies that no other party has nay claim or right to a lien on account of any work performed or material furnished to the undersigned for said project,and within the scope of this affidavit and waiver. Unconditional Agreement to Indemnify. Upon the condition that Subcontractor receives payment of the above listed amount,and in consideration of that payment,Subcontractor/Supplier agrees to indemnify and hold Owner and Contractor harmless against all claims and mechanic's liens on or against the Premises for any labor,materials,equipment,tools or services performed or provided by or through Subcontractor/Supplier relating to the Project. CONTRACTOR By: did Printed: / / OW Title: Project Manger/Agent STATE OF Indiana )SS: COUNTY OF Marion ) Subscribed and sworn to before me,a Notary Public in and for said County and State,this 18th day of October ,2013. nxP : My commission expires: 2/22/20 I AP SEAL, o• Residing in Hancock County,IN Sig ature �# Pri ted: Jacki Hough OTARY PUBLIC A :,j APPLICATION AND CERTIFICATION FOR PAYMENT AAA DOCUMENT G702 PAGE ONE OF 2 PAGES 2 TO OWNER CRC at City of Carmel PROJECT: Nash Garage APPLICATION NO:Application 5 2 Distribution to: Carmel Indiana 46032 Signature costs OWNER ]ARCHITECT PERIOD TO: 10/25/2013 X CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design Signature Construction Services LL,C 720 3rd Avenue S,W, PROJECT NOS: Carmel,Indiana 46032 CONTRACT FOR: CONTRACT DATE: 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 $ 156,776.00 2. Net change by Change Orders $ 0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line I f 2) S 156,776.00 4. TOTAL COMPLETED&STORED TO S 108,960.90 / j B . J Date: AQ Z t, 5. RETAINAGE: Thomas II, oontz,President ._ a. 10%of Completed Work $ 0 subscribed an.sworn to before me this 7 3 day of /t7 //3 (Column D+E on G703) 'P LINDA G. k C County b. %of Stored Material $ _:neunv:- Hancock County Column F on G703 . sEAL.?;= My Commission Expires Total Retainage(Lines 5a+5b or " "' N;` August 20,2019 Total in Column l of G703) $ 0,00 ARCHITECT'S CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 108,960.90 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) $ 71,859.76 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 37,101.14 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 47,815.10 (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 and onthe Continuation Sheet that are changed to confirm with the amount cert fed.) in previous months by Owner ARCHITECT: Total approved this Month By: Date' TOTALS $0.00 $0.00 This Certificate is not negotiable. The AMOUNT CER'T'IFIED is payable only to the Contractor named herein,Issuance,payment and acceptance of payment are without NET CHANGES by Change Order 50.00 prejudice to any rights of the Owner or Contractor under this Contract. AtA 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. SIGNATURE CONSTRUCTION LLC 720 3rd Avenue, S. W. Carmel, Indiana 46032 Application # 2 10/25/13 Nash Garage Carmel, Indiana Revised WORK COMPLETED TOTAL BALANCE TO DESCRIPTION OF SCHEDULED Change SCHEDULED FROM PREVIOUS THIS COMPLETED AND FINISH WORK VALUE Orders VALUE APPLICATIONS PERIOD STORED TO DATE LESS RETAINAGE RETAINAG General Conditions 92,161.00 92,161.00 57,644.46 34,516.54 92,161.00 100% 0.00 0.01 Construction Management Fee 64,615.00 64,615.00 14,215.30 2,584.60 16,799.90 26% 47,815.10 0.01 156,776.00 0.00 156,776.00 71,859.76 37,101.14 108,960.90 70% 47,815.10 0.01