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2102 CRC Nash Building pay request 11 OE�ELOPME'yT. 04 c0* APubtk/P.in i le N P,rtn.nnip CRCI City Of Calmli Indiana CARMEL REDEVELOPMENT COMMISSION Disbursement Number#11 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.campbellCa7huntington.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: Corrie Meyer On October 14, 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 d 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 10/14/2014 Payment Request #11 Amount of Wire Vendor Address Invoice Description Instructions 720 3rd Ave SW Carmel,IN Pay app 11,Nash garage Signature Construction Services 46032 5 3,190.75 construction mgt IF NEEDED 2932 N.Webster Ave Gibraltar Construction Corp Indianapolis,IN 46219 $ 84,200.00 Pay app 7,Garage&ramp IF NEEDED 2747 N Emerson Ave Robert Haines Company Indianapolis,IN 46218 $ etild Pay app 7,Garage&ramp IF NEEDED Cs Total: $ qW 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: $ 96,503.25 (1 iitut MIZAT l c /v //-r Director of the CRC Date APPLICATION AND CERTIFICATION FOR PAYMENT ALA DOCUMENTG702 PAGE ONE OF 2 PAGES2 TO OWNER CRC at City of Carmel PROJECT: Nash Garage APPLICATION NO:Application it+2- (I Distribution to: Carmel Indiana 46032 Signature costs JOWNER r—(ARCHITECT PERIOD TO: 09/24/2014 r X CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design Signature Construction Services LLC 720 3rd Avenue S.W. PROJECT NOS: Cannel,Indiana 46032 CONTRACT FOR: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contracto?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 1±2) $ 156,776.00 4. TOTAL COMPLETED&STORED TO $ 156,756.00 / f- _ 9/ y By: ` i sate: . 5. RETAINAGE: Thomas E. .ntz,President / a 10%of Completed Work $ 0 .ubscribed and s om to before me this .241 day of q(/41f (Column D+Eon G703) ++�� ,. ,; LINDA G.BUCI IANAN b. %of Stored Material $ '""'• (Column F on G703) ' '"0.r".'"'':' Hancock County Total Retainage(Lines 5a+5b or , ` .. My Commission Expires Total in Column I of G703) $ 0.00 AR HITECT' ERTIFI AT. •R PAYME x.2019 6. TOTAL EARNED LESS RETAINAGE $ 156,756.00 In accordance with the Contract Documents,based on on-site observations and the data ~�"O' (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) $ 153,565.25 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 3,190.75 is entitled to payment of the AMOUNT CERTIFIED. 9, BALANCE TO FINISH,INCLUDING RETAINAGE $ 20.00 4 (Line 3 less Line 6) AMOUNT CERTIFIE 4 D $ 1 L1 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 o•th- 'ontinua r, . 1t that are changed to conform with the amount certWed.) in previous months by Owner ARCHITECT: .1 r, Total approved this Month By: `l1� 11 Date: O TOTALS $0.00 $0.00 This Ce -lease is no ne:,liable. The - S•UNT CERTIFIED is payable only Contracto •- ed he,•in.Issuance,payment and acceptance of payment are withou NET CHANGES by Change Order $0.00 prejudice to any 1.. of the Owner or Contractor under this Contract. AIA DOCUMENT G702•APPLICATION AND CERTIFICATION FOR PAYMENT-1992 EDmON•AIA•51992 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. Cannel, Indiana 46032 Application # 11 8/26/11 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 Pee 64,615.00 64,615.00 61,404.25 3,190.75 64,595.00 100% 20.00 0.00 156,776.00 0.00 156,776.00 153,565.25 3,190.75 156,756.00 100% 20.00 0.00 LIIL&L& Document G732TM — 2009 -r Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER: City of Carmel-Redevelopment CommPROJECT: Parcel 9-54 Parking Garage&Ramp APPLICATION NO: -B'7 DISTRIBUTION TO: One Civic Square OWNER Carmel, IN 46032 PERIOD TO: 5120/13 CONSTRUCTION MANAGER _ FROM Gibraltar Construction Corp VIA CONSTRUCTION CONTRACT DATE: 512(13 ARCHITECT CONTRACTOR: 2932 N,Webster Ave. MANAGER: PROJECT NOS: / / CONTRACTOR — Indianapolis,IN 46219 FIELD — CONTRACT FOR: Nash Parking Garage VIA ARCHITECT: OTHER 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 th ,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 a 1• Founts have been paid by the Contractor for Work for which previous AIA Document G703rm,Continuation Sheet,is attached Certificates for Payment N-- e -.wed and payments received from the Owner,and that current pa■ment 1.ORIGINAL CONTRACT SUM $ 1,476,000.00 shown herein is now due 2.NET CHANGES IN THE WORK . ........... .. ._. ........... $ 0.00 CONTRACTOR: Go..:tar' onstruction Corp / 3.CONTRACT SUM TO DATE(Line I±2) $ 1�7r,nnrt By: Date; 9�19�/ 7 4.TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $ 1 p7Fpui1r nn State of:.. "j ,AR ,cr&tl Pf BRIAN R. MCBR I DE 5.RETAINAGE County of: t :Or a. %of Completed Work Subscribed an /, I it. -fore Res. . Exp.Hancock 29-2 County p , My Comm, Exp. 11-29-2017 (Column D+Lon G°i13) 5 73,800.00 me the, /9 day oI f/' ♦ 2Q�� 010X4 CC!r rn'SS10rl #611862 b. %of Stored Material Notary Pubh. (Column F on G'03) $ My Commission expires. ,1• 1011,gi%--' Total Retainage(Lines 5a+5b,or Total in Column/on G"'03) . .$ CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 1,402,200 00 In accordance with the Contract Documents,based on evaluations of the Work and the data comprising (Line 4 mlrnU Line 5 Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT. . 1.318,000.00 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in (Line 6 from prior Certificate) accordance n ith the Contract Documents,and the Contractor is entitled to payment of the AMOUNT 8 CURRENT PAYMENT DUE ,.,,,,, Is 1 CERTIFIED. 8V/11A0 I o 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED $ , (Attach explanation if amount certified differs from the amount applied Inc al all figures on this (Line 3 mimrs Line 6) $ 73,800 00 Application and on the Continuation Slice that are changed to conform Kith the amount certified) CONSTRUCTION MANAGER: By: Date: SUMMARY OF CHANGES IN THE WORK. ADDITIONS DEDUCTIONS ARCHITEC :(NO _ , ltiplc 'rime Contractors we responsible for performing portion.of the Total changes approved in previous months by Owner $ S P:oject,thr 're it. •t's C die his rear It-qua-ed.) Total approved this month.including Construction By ` '���i'_....., Date: it i Change Directives _$ $ Thi Cettific e is no nego 7 e AMO IT CERTIFIED is payable.n, to e Contractor named TOTALS $ $ , herei Issu e,payment and acceptance of payment are without prejud' e o any rights of the Owner • NET CHANGES IN THE WORK $ or Contra or under this Contract. CAUTION'You should sign an eriginar AlA Contract Document,on which this text appears in RED An ocig:rrat assures that changes will net be obscured AIA Document G732T"—2009(formerly G702TMCMa—1992)-Copyright Cr 1992 and 2009 by The American Institute of Architects All rights reserved,WARNING-This AIA'Doerrntent is protected by U S Copyright Law and international Trea*,es.Unauthorized reproduction or distribution of this A€AC Document-or any portion of it,may insult in severe civil son criminal penalties and will be prosecuted to the maximum extent passibie under the law Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Dot uments,e-mail The American Institute of Architects'legal counsel copyright©aia.org. CONTINUATION SHEET Page 2 of 2 APPLICATION NO. : 7 - APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION DATE: 9/19/2014 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 9/19/2014 ARCHITECT'S PROJECT NO. : A B C D 1 E F G H I •WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G!C) (D+E) D OR E) (D+E+F) (C-0) RATE) 1 Mobilization 25,000 $25,000- $25,000, 100% - 2,500 2 General Conditions 42,000 $40,000 $2,000.00 $42,000 100% - 4,200 3 Engineering and Layout 8,100 $8,100 $8,100 100% - 810 4 Mass Excavation 135,000 $135,000 $135,000 100% - 13,500 5 Mass Backfill 86,000 $38,900 $47,100.00 $86,000 100% - 8,600 6 Foundations-Material 52,000 $52,000 $52,000 100% - 5,200 7 Foundations- Labor 42,000 42,000 $42,000 100% - 4,200 8 Cast in Place Walls-Material 76,000 76,000 _ $76,000 100% - 7,600 9 Cast in Place Walls- Labor 124,000 124,000 $124,000 100% - 12,400 10 Elevator Pit- Material 2,000 2,000 _ $2,000 100% - 200 11 Elevator Pit- labor 3,000 3,000_ _ $3,000 100% - 300 12 Slab on Grade-Material 41,000 37,000 4,000 $41,000 100% - 4,100 13 Slab on Grade- Labor 31,000 28,500 2,500 $31,000 100% - 3,100 14 Topping Slab-Material 55,000 50,000 5,000 v $55,000_ 100% - 5,500 15 Topping Slab-Labor 22,000 20,000 2,000 $22,000 100% - 2,200 16 Metal Pan Stairs-Material 2,400 1,800 600 $2,400 100% - 240 17 .Metal Pan Stairs- Labor 6,500 5,500 1,000 $6,500 100% - 650 18 Precast Hollow Core Planks 161,000 161,000 $161,000 100% - 4,920 19 Masonry 142,000 137,000 5,000 $142,000 100% - 20 Structural Steel Material 195,000 195,000 $195,000 100 % - 21 Structural Steel Labor 34,000 34,000 _ $34,000 100% - 22 Earthwork and Site Utilities 85,000 70,000 15,000 $85,000 100% - 23 Rebar Material 52,000 52,000 $52,000 100% - 24 Rebar Install 29,000 29,000 $29,000 100% - 25 Allowances 25,000 25,000 $25,000 100%- - $1,476,000 $1,391,800 $84,200 $0 $1,476,000 100% $0 $80,220 ISA Form# 1-402 AI AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ® PARTIAL ® PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and/or labor for a project known as Parcel 9-54 Garage & Ramp and owned by City of Carmel—Redevelopment Commission and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the Owner the sum of . Eighty Four Thousand Two Hundred and ---------------------No/100 Dollars ($84,200.00) ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER)that the final balance due from the Owner is the sum of Dollars ($ .00) ❑ 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 shall become effective upon receipt 1 such payment. THERFORE,the undersigned waives and releases unto the Ow ter of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions ex.resse' herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work pe ormed il or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. iiii G ibraltar Construction Corp By Title President WITNESS MY HAND AND NOTORIAL SEAL, t 1 of STtember, 2014. l (Notary Public) �u,,Y Fife BRIAN R, MCBRIDE c iv, 0N¢+ANA SueCONTRACtOAS ASSO(Ar'ON iNCONeolimoED 2� 4 R . of Hancock County Urauih0,ttd Pi 'oevci∎on►7en<a>tile *�* My Comm. Exp. 11-29-2017 ��. ':a, 010 Co m,ss'.on #611662 APPLICATION AND CERTIFICATE FOR PAYMENT AM DOCUMENT G702 Page ONE of 2 pages TO(OWNER): Carmel Redevelopment Commission PROJECT: CCC-Parcel 9-54 Garage&Rar APPLICATION NO: 7 Distribution to: 30 W.Main Street,Suite 220 ////// Carmel, IN 46032 PERIOD TO: ,� nARCHrTECT FROM: VIA(ARCHITECT): ARCHITECTS NO: nCONTRACTOR (Contractor) Robert Haines Company PROJECT NO: Q 2747 N.Emerson Avenue RHC#: 13C275 [] Indianapolis,IN 46218 CONTRACT FOR: CONTRACT DATE: May 23,2013 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 $210,000 Change orders approved in ADDITIONS DEDUCTIONS 2.Net change by Change Orders previous months by Owner 3.CONTRACT SUM TO DATE(Line 1+-2) $210,000 TOTAL 4.TOTAL COMPLETED&STORED.TO DATE $210,000 Approved this Month (Column G on G703) Number Date Approved 5.RETAINAGE: a. 10 %of Completed Work $21,000 (Column D+E on G703) b. %of Stored Material Column F on G703) Total Retainage(Line 5a+5b or Approved this Month TOTALS Total in Column I of G703) $21,000 Net change by Change Orders 6.TOTAL EARNED LESS RETAINAGE $189,000 The undersigned Contractor certifies that to the best of the Contractors 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) $179,888 paid by the Contractor for Work for which previous Certificates for Payment were 8.CURRENT PAYMENT DUE $9,112 issued and payments received from the Owner,and that current payment shown 9.BALANCE TO FINISH,PLUS RETAINAGE $21,000 herein is now due. (Line 3 less Line 6) CONTRACTOR:Robert Haines Co. State of: Indiana County of: Marion Subscribed an s wn to befforr�e me s day Sep 16,2014 - . Notary Public: . 5e, A-5,7' \\\�\Y'11A11ii11ff1/f,,/ B-�'`- `-. -- Date: September 16,2014 My Commission expires: 9/17/2 1Yr• H1,[) 10 AMOUNT CERTIFIED ARCHITECT'S CERTIFICATE FOR PAYMENT -1 N (Attach explanation if amo • - '�•�; .lifers from the amount applied fe'r.p-r SEAL In accordance with the Contract Documents,based on on-site observations and the ARCHITECT: _ ilr SEA data comprising the above application, the Architect certifies to the Owner that to the 1`1 PUBLIC B L i G best of the Architects knowledge,information and belief the Work has progressed as :y: �_�� �,_ :. . ` ` indicated,the quality of the Work is in accordance with the Contract Documents,and This Certificate, not *.•le. T -A•s ..' R11FIED,.payable only to The 'j. •.• .••. ': the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contactor nam-• 'erein. I . •-,payment a •acceptance of payment are without �'� �• ��� prejudice to any nigh,. : II.- er or Contractor under this Contract �''�, � t.,,��\ . Rev-11118/94 AIA 13C275 CCC Parcel 9-54 Garage&Ramp 7 CONTINUATION SHEET AIA DOCUMENT G703 Page 2 of 2 pages • AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NUMBER: 7 Contractor's signed Certification is attached. APPLICATION DATE: Sep 16,2014 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: Sep 30,2014 Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECTS PROJECT NO: A B C D I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM THIS PERIOD PRESENTLY COMPLETED (G/C) TO FINISH PREVIOUS STORED AND STORED (C-G) APPLICATION (NOT IN TO DATE (D+E) D ORE) (D+E+F) 1 Submittals,Bonding&Insurance 7,500 7,500 7,500 100% 750 2 Firestopping 146,000 138,700 7,300 146,000 100% 14,600 3 071700 Bentonite Waterproofing 56,500 53,675 2,825 56,500 100% 5,650 210,000_ 199,875 10,125 210,000 100% _ 21,000 R011/18/94 , AIA 13C275 CCC Parcel 9-54 Garage&Ramp 7 SUBCONTRACTOR'S SWORN STATEMENT OF —}NDEB S9-&-£9ND,TIONAL VttAIVER3Fi 1EN – — �l M PR I D 6 EN Being duly sworn upon his/heroaih disposes and says that: 1. He/she is the PR ES/PL—.7t1 r (inserting sole proprietor, partner or corporate office held, as the case maybe),of ROBERT HAINES CO.INC. (hereafter called the"Subcontractor.Helshe is over the age of twenty-one. He/she is authorized to make this affidavit on behalf of Subcontractor. 2. Subcontractor is theFll,?t%S` ?P/k&-r Subcontractor for the construction of the BUILDING development known as NASH BUILDING, located in CARMEL (City), IN (state), hereafter referred to as the "Development", pursuant to the contract (the "Trade Contract) between the Subcontractor and Signature Construction,LLC,the General Contractor. 3. This affidavit is made for the express purpose of inducing Signature Ccnslruction, LLC, to make payment to Subcontractor in the amount of $ 4//a- 0 O representing Payment Application # '7 dated q--/0-/y- for labor and materials furnished pursuant to said Trade Contract through this date. Upon receipt of said payment the Subcontractor shall be paid in full, exclusive of retainage,for all services, labor and materials furnished to, provided for or used in connection with the Development through the date noted above and hereby waives any lien rights to which Subcontractor is entitled through the above data. Subcontractor further acknowledges that upon receipt of said payment the receipt of$17'r, 8''b'.OD to date. 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. Mark(X) in the appropriate column for EACH supplier listed. Place an (X) in column: 1) If a waver 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 list if necessary) 1.Amount Owed 2 3 Na Su BS use-r7 ,S1W1 R ► A-1 Fe o M P D /dl FJLL— 61dGK #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 Ilen 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 WITNESS WHERE OF,affiant has signed this document on behalf of the Subcontractor this /&Thi day of Fie- reAl.gF2 (Authoriz=: eprese : ive o ar) County ofki RtD Ni State of / D /tik- IsFA, ) Subscribed and sworn to before me,a Notary Public in and for said County and State, this ril4 day of Sr FmBC� ,zo (Notary Public) `\\‘\���� r)iii,,� . G�/5A- /1 . 4/4-gin )4 ��p. (Printed Name) �2 �U.' N piARY My Commission Expires: ` SEAL NOTARY SEAL MUST APPEAR ON THIS FORM. =el.'. PUBLIC