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2012 CRC Nash Building pay request 05 ($ ThO PartrsM1ip 4 N Q O C.RC City of Carmel Indiana CARMEL REDEVELOPMENT COMMISSION Disbursement Number#5 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 Jeff Worrell Commissioner Dear Kim: Cowie Meyer On February 27, 2014, 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 checks to: Commissioner Carmel Redevelopment Commission Attention: Mike Lee 30 W Main Street, Suite 220 Carmel, IN 46032 City of Carmel, IN By: Diana L. Cordray, 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 2/27/2014 Payment Request #5 Amount of Wire Vendor Address Invoice Description Instructions 720 3rd Ave SW Carmel,IN pay app 5,Nash garage Signature Construction Services 46032 $ 1,938.45 construction mgt IF NEEDED 2601 N Arlington Ave Maxwell Electric Indianapolis,IN 46218 $ 15,287.04 Pay app 2,Garage&ramp IF NEEDED 2602 N Arlington Ave Maxwell Electric Indianapolis, IN 46218 $ 11,450.02 Pay app 3,Garage&ramp IF NEEDED Total: $ 28,675.51 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: $ 28,675.51 57, 2. /4/ Director of the CRC Date APPLICATION AND CERTIFICATION FOR PAYMENT AM DOCUMENT G702 PAGE ONE OF 2 PAGES 2 TO OWNER CRC at City of Carmel PROJECT: Nash Garage APPLICATION NO:Application u 5 Distribution to: Carmel Indiana 46032 Signature costs r OWNER ARCHITECT PERIOD TO: 02/24/2014 X 'CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design 1 Signature Construction Services LLC F 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 Contractors 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 1±2) S 156,776.00 4 TOTAL COMPLETED&STORED TO S 137,391.50 l t� B �� Date Z/ y / 5 RETAINAGE: Thoma ,Koontz,Presiderit / /// / a. 10%of Completed Work $ 0 ubscribed d sworn to before me this a day of F�fi. gyp/ , •.. .... ..-- (Column D+E on G703) ~_'e ,., LINDA G.BUCHANAN b. %of Stored Material $ =o'NOTefi5 c'= Hancock County (Column F on G703) N. ser.L.�,` My Commission Expires Total Retainage(Lines 5a+5b or --'1$,,,g y0 ' August 20,2019 Total in Column I of G703) $ 0.00 ARCHITECT'S CERTIFICATE FOR PAYMENT `" - .. _ -----`° 6. TOTAL EARNED LESS RETAINAGE $ 137,391.50 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) $ 135,453.05 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 1,938.45 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 19,384.50 �� (Line 3 less Line 6) AMOUNT CERTIFIED $ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if an urn certified differs from the amount applied.Initial all figures on this Total changes approved Application at .tinuation Sheet that arc changed to conform with the amount certified.) in previous months by Owner ARCHITECT: Total approved this Month By: _ �, Date: 2. ZIG/ 1 4-k TOTALS $0.00 $0.00 This Certi,cate Is, i,�otiaile. The AMOUNT CERTIFIED is payable only i the contractor-amen herein.Issuance,payment and acceptance of payment are without NET CHANGES by Change Order $0.00 prejudice to a , ights of the Owner or Contractor under this Contract. AIA DOCUMENT G702-APPLICATION AND CERTIFICATION FOR PAYMENT•I 99 2 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 # 4 1/22/14 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 RETAINAGE General Conditions 92,161.00 92,161.00 92,161.00 0.00 92,161.00 100% 0.00 0.00 Construction Management Fee 64,615.00 64,615.00 43,292.05 1,938.45 45,230.50 70% 19,384.50 0.00 156,776.00 0.00 156,776.00 135,453.05 1,938.45 137,391.50 88% 19,384.50 0.00 4.•,. AIA Type Document Application and Certification for Payment Page 1 of 2 TO(OWNER):City of Carmel PROJECT:Parking Garage and Ramp APPLICATION NO: 3314-2 DISTRIBUTION Redevelopment Commission ONE PEDCOR SC) TO: 9-54 Parking Garage&Ramp 720 3RD AVE.S.W. PERIOD TO:12/15/2013 OWNER IN 46032 CARMEL, IN 46032 _ARCHITECT CONTRACTOR FROM(CONTRACTOR):MAXWELL ELECTRIC VIA(ARCHITECT): ARCHITECTS 2601 N ARLINGTON AVE PROJECT NO: INDIANAPOLIS, IN 46218 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 601 N ARLINGTON AVE INDIANAPOLIS, IN 46218 3.CONTRACT SUM TO DATE (Line 1 +2) $ 157,244.00 4.TOTAL COMPLETED AND STORED TO DATE $ 53,937.60 By: /� Date: I I {,i(� -/3 Paul Hood / Project Manager 5. RETAINAGE: State of:IN a. 10.00%of Completed Work $ 5,393.76 County of Marion 4 2 b. 0.00%of Stored Material $ 0.00 1 .. .,° J Subscribed and Sworn to before me this Day of "Z Total retainage(Line 5a+5b) $ 5,393.76 Notary Public: ' My Commission Expires: Z/�Zik0 ■ Cy "�X r '� n 6.TOTAL EARNED LESS RETAINAGE $ 48,543.84 /// / I ` N (Line 4 less Line 5 Total) ARCHITECT'S CERTIFI r A E FOR PA4IEfNT'� +` 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents,based on on-site observations and the data corn- (Line 6 from prior Certificate) $ 33,256.80 prising the above application, the Architect certifies to 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 $ 15,287.04 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Line 3 less Line 6) $ 108,700.16 AMOUNT CERTIFIED $ 1 5.4437/ 0*4!i_ (Attach explanation if amount certified differs from the amount applied. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and• the •8inuafion Sheet that are changed to conform to the amount certified.) Total changes approved in ARCHITECT: 12111'previous months by Owner 0.00 0.00 By: �;��� Date: Total approved this Month 0.00 0.00 This Certif-not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, 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 RECEIVED ! '0.; 0 8 20U AIA Type Document Application and Certification for Payment Page 2 of 2 • TO(OWNER):City of Carmel PROJECT: Parking Garage and Ramp APPLICATION NO: 3314-2 DISTRIBUTION Redevelopment Commission ONE PEDCOR SO TO: 9-54 Parking Garage&Ramp 720 3RD AVE.S.W. PERIOD TO:12/15/2013 _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 CONTRACT FOR: CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE 1 Light Fixtures 17,200.00 11,180.00 0.00 0.00 11,180.00 65.00 6,020.00 1,118.00 2 Lighting Installation 16,440.00 0.00 0.00 0.00 0.00 0.00 16,440.00 0.00 3 Gear/Panels 37,900.00 25,772.00 0.00 0.00 25,772.00 68.00 12,128.00 2,577.20 4 Gear/Panel Installation 21,364.00 0.00 3,204.60 0.00 3,204.60 15.00 18,159.40 320.46 5 General Material 41,300.00 0.00 10,325.00 0.00 10,325.00 25.00 30,975.00 1,032.50 6 General Material Installation 23,040.00 0.00 3,456.00 0.00 3,456.00 15.00 19,584.00 345.60 REPORT TOTALS $157,244.00 $36,952.00 $16,985.60 $0.00 $53,937.60 34.30 $103,306.40 $5,393.76 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 Electric Name of General Contractor: Signature C.:onStruction Project Location: Parking Garge & Ramp PARTIAL WAIVER: that the balance due from the General Contractor is the sum of Dollars ( $15,287.04) 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. CONTRA e ,( By: (jJf Printed: aul Hood 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 10th day of ,2013. My commission expires: 2/22/20 .. Residing in Hancock County,IN Signal j Printed i Hough air • TARY PUBLIC 4` 'a ti� ,1—1 ci'4 AIA Type Document RECEIVED f, 2 2 2014 Application and Certification for Payment Page 1 of 2 TO(OWNER):City of Carmel PROJECT: CITY CENTER GARAGE APPLICATION NO: 3314-3 DISTRIBUTION Redevelopment Commission ONE PEDCOR SQ TO: 9-54 Parking Garage&Ramp 720 3RD AVE. S.W. PERIOD TO:1/15/2014 _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 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 6 N AR NGTON AVE INDIANAPOLIS,IN 46218 3.CONTRACT SUM TO DATE (Line 1 +2) $ 157,244.00 )' 7 1 4.TOTAL COMPLETED AND STORED TO DATE $ 66,659.84 gy_ Date: 1—/ / -1 --/ Paul Hood / Project Manager 5. RETAINAGE: State of: IN a. 10.00%of Completed Work $ 6,665.98 County of: Marion / ,".p�- b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me this f'7 Day o ' ,I 4 Notary Public: ' . Total retainage(Line 5a+5b) $ 6,665.98 `` - P #,., My Commission Expires:Z/2212Z I� •� '-`•J c' _ 14.- 6.TOTAL EARNED LESS RETAINAGE $ 59,993.86 !!!!!! (Line 4 less Line 5 Total) ARCHITECT'S CERTIFICAT FO - PAYMEN 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents,base. :. •n-site observations and the data corn- (Line 6 from prior Certificate) $ 48,543.84 prising the above application, the Architect certifies to 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 $ 11,450.02 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED. (Line 3 less Line 6) $ 97,250.14 $ 11 eft-7D D Z. AMOUNT CERTIFIED i LJ (Attach explanation if amount certified differs from the amount applied. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application and•r the Continuation Sheet that are changed to conform to the amount certified.) Total changes approved in ARCHITECT: , ' previous months by Owner 0.00 0.00 gy: _ ` !,, Date: 2_f 14 Total approved this Month 0.00 0.00 This Certifi l not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, 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 AIA Type Document Application and Certification for Payment Page 2 of 2 TO(OWNER):City of Carmel PROJECT: CITY CENTER GARAGE APPLICATION NO: 3314-3 DISTRIBUTION Redevelopment Commission ONE PEDCOR SQ TO: 9-54 Parking Garage&Ramp 720 3RD AVE.S.W. PERIOD TO:1/15/2014 _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 CONTRACT FOR: CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE 1 Light Fixtures 17,200.00 11,180.00 0.00 0.00 11,180.00 65.00 6,020.00 1,118.00 2 Lighting Installation 16,440.00 0.00 0.00 0.00 0.00 0.00 16,440.00 0.00 3 Gear/Panels 37,900.00 25,772.00 7,580.00 0.00 33,352.00 88.00 4,548.00 3,335.20 4 Gear/Panel Installation 21,364.00 3,204.60 1,281.84 0.00 4,486.44 21.00 16,877.56 448.64 5 General Material 41,300.00 10,325.00 2,478.00 0.00 12,803.00 31.00 28,497.00 1,280.30 6 General Material Installation 23,040.00 3,456.00 1,382.40 0.00 4,838.40 21.00 18,201.60 483.84 REPORT TOTALS $157,244.00 $53,937.60 $12,722.24 $0.00 $66,659.84 42.39 $90,584.16 $6,665.98 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: Signature Construction Name of General Contractor: Maxwell Electric Project Location: Parcel 9-54 Parking Garage & Ramp PARTIAL WAIVER: that the balance due from the General Contractor is the sum of Dollars ( $11,450.0? receipt of which is hereby acknowledged;or 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. CONTRAC By: itta Printed: au od Title: Project Manger STATE OF Indiana ) )SS: COUNTY OF Marion ) Subscribed and sworn to before me,a Notary Public in and for said County and State,this 17th day of January ,2014. My commission expires: 2/22/20 Residing in Hancock County,IN Si; ature - '' Pr •ted acki Hough NOTARY PUBLIC *