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228131 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 366043 Page 1 of 1 0 ONE CIVIC SQUARE RUST CONSTRUCTION CHECK AMOUNT: $3,822.20 CARMEL, INDIANA 46032 418 W STATE ROAD 258 •, .off�o SEYMOUR IN 47274 CHECK NUMBER: 228131 CHECK DATE: 1/14/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 R4462838 4 3 , 822 . 20 STORM WATER PHASE II CITY OF CARMEL PROJECT NO. 12-02 Wetland Mitigation Site - Bray Homestead Progress Estimate Summary Sheet Et Signature Page Progress Estimate No 4 Partial Final x Earned to date $ 70,756.88 Previous payments $ 70,756.88 Earnings this estimate $ ,��� Retainage $ (3,822.20) ��� Amount due Contractor $ 3,822.20 CONTRACTOR: DATE: RLISF ONSTRUCTION, INC. Phone: (812) 497-2400 418 West State Road 258 Fax: (812)497-2460 Seymour, IN 47274 CONSULTANT: DATE: /—tO•- 1 ERICAN STRUCTUREPOINT, INC. Phone: (317) 547-5580 7260 Shadeland Station Fax: (317) 543-0270 Indianapolis, Indiana 46256-3957 APPROVED BY: DATE: CITY OF CARMEL Construction Pay Estimate Report 12/23/2013 1:03 PM City of Carmel Engineering FieldManager 4.5a Contract: _Carmel 12-02,Wetland Mitigation Site Bray Homestead Estimate Estimate Entered Estimate Managing No. Date By Type Office 4 12/23/2013 David Machala FINAL American Structurepoint, Inc. All Contract Construction Prime Contractor Work Completed Started Date Rust Construction 10/4/2012 5/7/2012 418 West State Road 258 Seymour IN 47274 Comments Time Charges Site Site Description Site Method Days Charged Liq.Damages 00 Overall Contract Site Working Days 0 $0 Total Liquidated Damages: $0 Pre-Voucher Summary Stockpile Project Voucher No. Item Payment Adjustment Dollar Amount 12-02,Wetland Mitigation Site Bray Homestead 0004 $0.00 $0.00 $0.00 Voucher Total: $0.00 Summary Current Voucher Total: $0.00 Earnings to date: $70,756.88 -Current Retainage: ($3,822.20) -Retainage to date: $0.00 -Current Liquidated Damages: $0.00 -Liquidated Damages to date: $0.00 -Current Adjustments: $0.00 -Adjustments to date: $0.00 Total Estimated Payment: $3,822.20 Net Earnings to date: $70,756.88 Payments to date: $66,934.68 Net Earnings this period: $3,822.20 Estimate Certif' tion RPR merican Structurepoint, Inc. (Date) Rust Construction (Date) T City of Carmel (Date) Contract ID: _Carmel 12-02 Estimate:4 Page 1 of 1 S V' Construction Pay Estimate Amount Balance Report Estimate:4 12/23/2013 1:03 PM City of Carmel Engineering FieldManager 4.5a Contract: _Carmel 12-02,Wetland Mitigation Site Bray Homestead Project: 12-02,Wetland Mitigation Site Bray Homestead Category: 1,Wetland Mitigation Prop. Item Authorized Quantity This Qty.Paid Total Qty. Dollar Amt. Line Item Description Code Qty. Unit Estimate To Date Placed %Cpt Unit Price Paid To Date 0001 Construction Engineering _0273 1.000 LS 1.000 1.000 100% 2,530.00000 $2,530.00 0002 Mobilization And Demobilization _0151 1.000 LS 1.000 1.000 100% 6,000.00000 $6,000.00 0003 Excavation,Common _3081 1,830.000 CYD 1,830.000 1,630.000 100% 3.50000 $6,405.00 0004 Erosion Control Blanket _3082 912.000 SYD 912.000 912.000 100% 1.50000 $1,368.00 0005 Temporary Construction Entrance/Exit _3083 0.000 LS 0.000 3,000.00000 0006 Temporary Mulching _3084 4.125 TON 4.125 4.125 100% 435.00000 $1,794.38 0007 Temporary Silt Fence _0123 950.000 LFT 950.000 950.000 100% 4.00000 $3,800.00 0006 Geotextiles _3085 120.000 SYD 120.000 120.000 100% 3.00000 $360.00 0009 Riprap,Uniform _3086 41.980 TON 41.980 41.980 100% 25.00000 $1,049.50 0010 Mobilization and Demobilization for _0114 1.000 EACH 1.000 1.000 100% 500.00000 $500.00 Seeding 0011 Seed Mixture,Prairie Grass _3087 35.000 LBS 35.000 35.000 100% 70.00000 $2,450.00 0012 Seed Mixture,Native _3088 70.000 LBS 70.000 70.000 100% 100.00000 $7,000.00 0013 Seed Mixture,Emergent Wetland _3089 73.800 LBS 73.800 73.800 100% 100.00000 $7,380.00 0014 Plant,Deciduous Tree,Single Stem,1.25 _3090 380.000 EACH 380.000 380.000 100% 68.00000 $25,840.00 In.or Under 0015 Sign,DO NOT MOW OR SPRAY _3091 8.000 EACH 8.000 8.000 100% 85.00000 $680.00 0016 Pipe,Draintile,8 In. _3092 600.000 LFT 600.000 600.000 100% 4.00000 $2,400.00 0017 Pipe,Plug Existing 3093 3.000 EACH 3.000 3.000 100% 400.00000 $1,200.00 Subtotal for Category 1: $70,756.88 Subtotal for Project 12-02: $70,756.88 Percentage of Contract Completed(curr): 100% Total Amount Earned This Estimate: $0.00 (total earned to date/total of all authorized work) Total Amount Earned To Date: $70,756.88 Contract: _Carmel 12-02 Estimate:4 Page 1 of 1 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 Rust Construction Purchase Order No. 418 West State Road 258 Terms Seymour, IN 47274 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 1/6/2014 4 Bray Homestead Wetland Construction $ 3,822.20 Totall $ 3,822.20 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 VOUCHER NC WARRANT NO. Rust Construction ALLOWED 20 418 West State Road 258 IN SUM OF $ Seymour, IN 47274 $ 3,822.20 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 25840 4 211-R4462838 $ 3,822.20 or 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 1/13/2014 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund