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2014 2010 COIT Bond pay request 7 041515 JU1U 0 0 0 L+.1 1±,1±11, ulna 000 a ® e 1 1 CITY 0 ARMEL JAMES BRAINARD, MAYOR CITY OF CARMEL,INDIANA LEASE RENTAL REVENUE BONDS OF 2010 CONSTRUCTION FUND DRAW REQUISITION Disbursement Direction No. 7 The Huntington National Bank Corporate Trust Department Attn: Maranda LujaJohnson 45 N.Pennsylvania St. INHP22 Indianapolis,IN 46207 312-229-4039 via email: Maranda.LujaJohnson@huntington.com Date: 13th of April ,2015 RE: City of Carmel (Indiana)Lease Rental Revenue Bonds of 2010—Depository Account Account#4087001459 Dear Maranda: 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 to overnight the checks to the individual as set forth on the attached register. The undersigned certifies that: (a) The undersigned is an officer of the City of Carmel,Indiana; (b) The amounts set forth on Schedule A are requested to be paid from the City of Carmel (Indiana)Lease Rental Revenue Bonds of 2010—Depository Account(#4087001459) (c) Each obligation as reflected by the amounts set forth on Schedule A has been properly incurred, is a proper charge against the City of Carmel (Indiana)Lease Rental Revenue Bonds of 2010—Depository Account and has not been the basis of any previous withdrawal from the Depository Account; and (d) Supporting information with respect to each payee designated on Schedule A as to the amount owing is attached hereto. CITY OF CARMEL, INDIANA BY: 414:10g 1 Diana L. Cordray,Clerk-Treasurer Authorized Officer DEPARTMENT OF ENGINEERING ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2441 FAX 317.571.2439 E_MAII. engineering @carmel.in.gov REGISTER OF CLAIMS CITY OF CARMEL, INDIANA LEASE RENTAL REVENUE BONDS OF 2010 CONSTRUCTION FUND PAYMENT REQUISITION DISBURSEMENT DIRECTION NO.7 13-Apr-15 AMOUNTS PAYEE'S NAME&MAILING ADDRESS REQUISITIONED COST ITEMIZATION American Structurepoint, Inc. $29,000.00 Main St. from Illinois St to Old Meridian St 7260 Shadeland Station Construction Inspection Indianapolis, IN 46256-3957 Proj. 14-06 P.O.#31847 Inv.#76486 Rundell Ernstberger Associates,LLC $4,675.50 Keystone Ave/Main Street RAB 618 E. Market Street Landscape Design&Construction Inspection Indianapolis, IN 46202 P.O. 31846 Inv.#141370-3 Sub-Surface of Indiana, In.c $185,582.56 Bridlebourne Drainage Modification 7225 West 700 South Proj. 13-07 Morgantown, IN 46160 P.O.#27496 Inv.#2&3 The Huntington National Bank $750.00 Annual Trustee Administration Fee Kim Willson-Corporate Trust All Projects 45 N. Pennsylvania Street Inv.#A06665-4082000013 INHP22 �� �� Indianapolis, IN 46204 lv Keller Macaluso, LLC V 65 Misc. Legal Invoices related to Main St. Project 770 3rd Avenue SW Proj. No. 14-06 Cannel, IN 46032 Inv.#2015-1931 &#2015-1932 St.Christopher's Episcopal Church of Cannel $39,900.00 Main Street Reconstruction-R/W Acquisition Attn: Father Stephen Fale Parcel 5 1402 W. Main Street Parcel Tax I.D.29-09-26-00-005.001-018 Cannel, IN 46032 1x05 Total $2 , 18.71 ALL CHECKS LISTED thEREON TO BE MAILED TO: • CrossRoad Engineers,PC Attn:Jill Newport • 3417 Sherman Drive Beech Grove,IN 46107 A-1 Remit to: ® 7260 Shadeland Station E' 1 Indianapolis, IN 46256-3957 O----j AMERICAN TEL 317.547.5580 FAX 317.543.0270 STRUCTUREPOINT www.structurepoint.com INC. Federal Tax ID: 35-1127317 III March 19,2015 Invoice No: 76486 Mr.Jeremy Kashman City of Carmel D ORIGINAL One Civic Square Carmel, IN 46032 Total Due This Invoice (see breakdown below): $29,000.00 Project 0002014.00444.0002 Main Street from Illinois Street to Old Meridian Street-Cl-Project No. 14-06, PO /3I847 Services from February 01,2015 throueh February 28,2015 Phase 00100 Construction Inspection Professional Services Hours Rate Amount Resident Project Representative Lancet, David 1 16.50 95.00 11,067.50 Lenglade, Jon 4.00 95.00 380.00 Reeves;Jeffery 8.00 95.00 760.00 Construction Inspector Walker, Melissa 49.50 80.00 3.960.00 Totals 178.00 16,167.50 Professional Services Total 16,167.50 Billing Limits Current Previous Total Total Billings 16,167.50 73,017.50 89,185.00 Maximum 355,226.61 Under Maximum 266,041.61 TOTAL THIS PHASE 516,167.50 Phase 00200 Engineering Support Professional Services Hours Rate Amount orl,`' 2��� .5 Senior Engineer n1 ��� Lau, Wing 26.50 125.00 3,312.50 cn R5CE 1VED 1.3 on Registered Land Surveyor McGill,Tracy 12.00 110.00 1,320.0008 �0�� O Project Engineer CARMEL Co Johnson, Amanda 2.00 105.00 210.00 ca` CiN LNGINI Ef7' / Mekky, Hatem 20.50 105.00 2,152.50 li ASV Senior Technician ��B a L 9 5- Full payment of this invoice is clue within 30 days from invoice date_ Interest at the rate of 1.5% per month($25_00/month minimum)plus any/all collection costs/attorney costs may be charged if payment is not received within 60 days from the invoice date. Project 0002014.00444.0002 Invoice 76486 Kuntz, Eric 11.00 95.00 1,045.00 Staff Engineer Murillo,Jose 35.75 90.00 3,217.50 Tiger,James 13.50 90.00 1.215.00 Walker,Melissa 4.00 90.00 360.00 Totals 125.25 12,832.50 Professional Services Total 12,832.50 Billing Limits Current Previous Total Total Billings 12,832.50 6,420.89 19,253.39 Maximum 19,253.39 TOTAL THIS PHASE $12,832.50 TOTAL DUE THIS INVOICE $29,000.00 Outstanding Invoices: Number Date Balance 75746 2/16/2015 1E266.25 Very truly yours. Todd Rutledge Full payment of this invoice is due within 30 clays from invoice date. Interest at the rate of 1.5% per month($25.00/month minimum)plus anyfall collection costaf&ttorney costs may be charged if payment is not received within 60 days from the invoice date. Page 2 TimeSheet for the Period Ending 2/15/2015 Wednesday, March 04,2015 7:48:47 AM American Structurepoint, Inc. Employee DLANCET Lancet,David Signed Lancet, David Posted Approved Reeves,Jeffery Project Phase Task Labor Total Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 2/1 212 2/3 2/4 215 2/6 2/7 2/8 2/9 2110 2/11 2/12 2113 2/14 2/15 0000000.00000.0010 00300 00 Reg 7.00 3.00 4.00 Labor Category: OVT 0.00 0002012.00579.0004 00100 IN090 00 Reg 2.0 1.50 0.50 Labor Category: Resident Project Representative OVT 0.00 0002013.00414 0001 00600 00630 00 Reg 1.0c 1,00 Labor Category: Resident Project Representative OVT 0.0 0002014.00444.0002 00100 IN090 00 Reg 69.50 ` 6.50 7.00 5.00 8.00 3.00 8.00 8.001 8.00 8.001 8.00 Labor Category:Resident Project Representative OVT 0.00 0002014 01960.0001 00100 IN090 00 Reg 0.50 0.50 Labor Category. Resident Project Representative OVT 0.00 Daily Totals Reg 80.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 OVT 0.00 March 04 2015 Time Sheet for the Period Ending 2/28/2015 Wednesday, 7:51:44 AM American Structurepoint, Inc. Employee DLANCET Lancet, David Signed Lancet,David P O S n SL�� (l��ttf e n Approved Reeves,Jeffery Project Phase Task Labor `Total Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Code Hr 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 0000000.00000.0010 00300 00 Reg 11.00 4.00 4.00 1.00 2.00 Labor Category: OVT 0.00 0000000.00000.0040 00300 00 Reg 17.00 1.00 8.00 8.00 Labor Category: OVT 0.00 0002012,00579.0004 00100 IN090 00 Reg 2.00 1.00 1.00 Labor Category: Resident Project Representative OVT 0.00 0002013.00414.0001 00600 00630 00 Reg 2.00 1.00 1.00 Labor Category:Resident Project Representative OVT 0.00 0002014.00444.0002 00100 IN090 00 Reg 47.00 2,00 4.00 6.00 8.00 7.00 8.00 6.00 6.00 Labor Category: Resident Project Representative OVT 0.00 0002014.01960.0001 00100 IN090 00 Reg 1.00 1.00 Labor Category:Resident Project Representative OVT 0.00 Daily Totals Reg 80.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 OVT 0.00 March 04,2015 TimeSheet for the Period Ending 2/15/2015 Wednesday, Mar7:48:47 AM American Structurepoint, Inc. Employee JLENGLADE Lenglade,Jon Signed Lenglade,Jon P O S n 51�� (1r�1�Jl 8 n Approved J Reeves,Jeffery Project Phase Task Labor Total Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 _ 2/15 0000000.00000.0010 00304 00 Reg 21.00 1.00 8.00 8.00 4.00 Labor Category: OVT 0.00 0002010.00179.0001 00401 00401 00 Reg 6.00 6.00 Labor Category:Resident Project Representative OVT 0.00 0002013.00802.0001 00100 IN090 00 ' Reg 33.00 7.50 6.50 5.5d 3.5d 1.00 6.50 0.50 2.00 Labor Category:Resident Project Representative OVT 0.00 0002013.02348.0001 00100 IN090 00 Reg 4.50 1.00 3.50 Labor Category:Resident Project Representative OVT ' 0.00 0002014.00444.0002 00100 IN090 00 Reg 4.00 4.00 Labor Category: Resident Project Representative OVT 0.00 01N2000.00103.0005 30000 10900 00 Reg 7.50 0.5C 1.50 0.50 0.50 3.00 1.50 Labor Category: Resident Project Representative OVT . 0.00 PRO2014.01355.0000 00100 IN090 00 Reg 4.00 4.00 Labor Category: Resident Project Representative OVT 0.00 Daily Totals Reg 80.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 OVT 0.00 TimeSheet for the Period Ending 2/15/2015 Wednesday, March 04,2015 7:48:47 AM American Structurepoint, Inc. Employee JREEVES Reeves,Jeffery Signed Reeves,Jeffery Posted Approved Snyder,Charles Project Phase Task Labor Total Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 _ 2/15 0000000.00000.0010 00300 00 Reg 23.00 4.00 3.00 1.00 6.00 6.00 3.00 Labor Category: OVT 9.00 3.00 2.00 2.00 2.00 0000000.00000.0010 00300 00 Reg 7.0 2.00 2.00 2.00 1.00 Labor Category:Resident Project Representative OVT 0.00 0002011.01169.0003 00300 IN090 00 Reg 6.00 2.00 1.00 1.00 1.00 1.00 Labor Category:Resident Project Representative OVT 0.00 0002013.00211.0002 51000 00590 00 Reg 12.0 3.00 1.00 1.00 3.00 3.00 1.00 Labor Category:Resident Project Representative OVT 0.00 0002013.00802.0001 00100 IN090 00 Reg 3.00 1.00 1.00 1.00 Labor Category:Resident Project Representative OVT 0.00 0002013.01287.0001 00300 IN090 00 Reg 10.0 2.00 1.00 1.00 5.00 1.00 Labor Category: Resident Project Representative OVT 1.50 1.50 0002014.00444.0002 00100 IN090 00 Reg 6.00 2.00 1.00 1.00 1.00 1.00 Labor Category: Resident Project Representative OVT 0.00 0002014.00743.0001 00100 IN090 00 Reg 3.0 1.00 1.00 1.00 Labor Category: Resident Project Representative OVT 0.00 01N2000.00103.0005 30000 10900 00 Reg 5.00 1.00 1.00 2.00 1.00 Labor Category: Resident Project Representative OVT ' 0.00 01N2008.00200.0009 00100 IN090 00 Reg 5.0 2.00 1.00 1.00 1.00 Labor Category: Resident Project Representative OVT 0.00 TimeSheet for the Period Ending 2/28/2015 Wednesday,March 04,2015 7:51:45 AM American Structurepoint,Inc. Employee JREEVES Reeves,Jeffery Signed Reeves,Jeffery POStOd • Approved Snyder,Charles Project Phase Task Labor Total Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Code Hr 2116 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 0000000.00000.0010 00300 00 Reg 2.00 2.00 Labor Category:Resident Project Representative OVT 0.00 0000000.00000.0010 00300 00 Reg 43.50 8.00 5.00 1.00 6.50 3.00 4.00 3.00 1.00 8.00 4.00 Labor Category: OVT 0.00 0002011.01169 0003 00300 1N090 00 Reg 4.00 1.00 2.00 1.00 Labor Category:Resident Project Representative OVT 0.00 0002013.00211.0002 51000 00590 00 Reg 8.00 3.00 1.00 3.00 1.00 Labor Category:Resident Project Representative OVT 0.00 0002013.00802.0001 00100 IN090 00 Reg 3.50 1.00 1.50 1.00 Labor Category: Resident Project Representative OVT j 0.00 0002013.01287.0001 00300 IN090 00 Reg 13.00 1.00 5.00 2.00 1.00 4.0 Labor Category:Resident Project Representative OVT 7.50 3.00 3.00 1.5 0002014.00444.0002 00100 IN090 00 Reg 2.01 1.00 1.00 Labor Category: Resident Project Representative OVT 0.0 0002014.00743.0001 00100 IN090 00 Reg 2.00 1,00 1.00 Labor Category:Resident Project Representative OVT 0.00 01N2008.00200.0009 00100 IN090 00 Reg 2.00 1.00 1.00 Labor Category:Resident Project Representative OVT 0.00 TimeSheet for the Period Ending 2/15/2015 Wednesday,March 04,2015 7:48:47 AM American Structurepoint, Inc. Employee MWALKER Walker, Melissa Signed Walker,Melissa Approved Poste d1 Reeves,Jeffery Project Phase Task Labor Total Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 0000000.00000.0010 00300 00 Reg 3.00 3.00 Labor Category: OVT 0.00 0002011.00886.0002 CPS30 8100B 00 Reg 4.25 0.75 0.50 0.25 1.00 0.50 0.50 0.25 0.50 Labor Category:Staff Engineer OVT 0.0C 0002011.00886.0002 CPS50 8100B 00 Reg 1.00 1.00 Labor Category:Staff Engineer OVT 0.00 0002011.00886.0005 CPS60 00006 00 Reg 0.0 Labor Category:Staff Engineer(Overtime) OVT 1.00 1.00 - 0002011.00886.0005 CPS60 8100B 00 Reg 1.00 0.50 0.50 Labor Category:Staff Engineer OVT 0.00 0002011.00886.0005 CPS60 8100R 00 Reg 0.25 0.25 Labor Category:Staff Engineer OVT 0.00 0002012.01260.0001 00330 00300 00 Reg 4.00 3.00 1.00 Labor Category:Staff Engineer OVT 0.00 0002013.01287.0001 00100 IN090 00 Reg 52.51 7.25 6.00 1.00 6.50 7.50 8.00 7.75 1.00 7.5d Labor Category:Construction Inspector OVT 0.0 0002014.00444.0002 00100 IN090 00 Reg 14.0 1.50 6.50 6.00 Labor Category:Construction Inspector OVT 0.00 TimeSheet for the Period Ending 2/28/2015 Wednesday,March 04,2015 7:51:45 AM American Structurepoint,Inc. Employee MWALKER Walker, Melissa Signed Walker,Melissa P0St@(1�1�J1 n Approved Reeves,Jeffery Project Phase Task Labor Total Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Code Hr 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 0002011.00886.0002 CPS30 8100B 00 Reg 0.00 Labor Category:Staff Engineer(Overtime) OVT 0.50 0.50 0002011.00886.0002 CPS30 8100B 00 Reg 0.75 0.25 0.25 0.25 Labor Category:Staff Engineer OVT 0.00 0002011.00886.0002 CPS30 8100R 00 Reg 0.5 0.50 Labor Category:Staff Engineer OVT 0.00 0002011.00886.0002 CPS50 81008 00 Reg 0.75 0.50 0.25 Labor Category:Staff Engineer OVT 0.00 0002011.00886.0005 CPS40 8100R 00 Reg 0.00 Labor Category:Staff Engineer(Overtime) OVT 0.50 0.50 0002011.00886.0005 CPS60 81008 00 Reg 1.00 0.50 0.50 Labor Category:Staff Engineer OVT 0.00 0002011.00886.0005 CPS60 8100R 00 Reg 1.00 0.50 0.50 Labor Category:Staff Engineer OVT 0.00 0002013.01287.0001 00100 IN090 00 Reg 39.50 8.00 0.50 7.5d 8.00 7.50 8.00 Labor Category:Construction Inspector OVT 0.00 0002013.01287.0001 00100 IN090 00 Reg 0.00 Labor Category:Construction Inspector(Ovt) OVT 1.00 1.00 0002014.00444.0002 00100 IN090 00 Reg 35.50 8.00 6.75 7.50 6.50 6.75 Labor Category:Construction Inspector OVT 0.00 TimeSheet for the Period Ending 07/30/2014 4:06:20 PM American Structurepoint,Inc. Employee WLAU Lau,Wing Signed Lau,Wing Posted Approved Posted Jasinski, Kevin Project Phase Task Labor Total Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Wed Code Hr 7116 7/17 7/18 7/19 7/20 7/21 7/22 7/23 7124 7/24 7/25 7/26 7128 7129 7/307/31 0002014 00444.0002 00200 IN030 00 Reg 2.00 0.50 1.5 Labor Category:Senior Engineer OVT 0.00 Daily Totals Reg 2.00 _ 0.50 1.50 OVT 0.00 TimeSheet for the Period Ending 08/30/2014 4:06:20 PM American Structurepoint, Inc. Employee WLAU Lau,Wing Signed Lau,Wing POSItad Approved Jasinski,Kevin Project Phase Task Labor Total Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Code Hr 8/1 8/2 8/3 8/4 8/5 8/6 8/7 8/8 8/9 8/10 8/11 8/12 8/13 8/14 8/15 0002014.00444.0002 00200 IN030 00 Reg 13.50 1.00_ 0.50 2.00 1.00 1.50 2.25 2.25 1.50 1.50 Labor Category:Senior Engineer OVT 0.00 Daily Totals Reg 13.50 1.00 0.50 2.00 1.00 1.50 2.25 2.25 1.50 1.50 OVT 0.00. TimeSheet for the Period Ending 08/15/2014 4:06:20 PM American Structurepoint, Inc. Employee WLAU Lau,Wing Signed Lau,Wing Posted n Approved Jasinski, Kevin Project Phase Task Labor Total Sat Sun8 Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 8/16 /17 8/18 8/19 8/20 8/21 8/22 8/23 8/24 8/25 8/26 8/27 8/28 8/29 8/30 8/31 0002014.00444.0002 00200 IN030 00 Reg 4.50 3.00 0.50_ 0.50_ 0.50 _ Labor Category:Senior Engineer OVT 0.00 Daily Totals Reg 4.50 3.00 0.50 0.50 0.50 OVT 0.00 TimeSheet for the Period Ending 2/15/2015 Wednesday,March 04,2015 7:48:47 AM American Structurepoint, Inc. Employee WLAU Lau,Wing Signed Lau,Wing Approved Poste`mil Jasinski,Kevin Project Phase Task Labor Total Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 2/1 2/2 2/3 2/4 2/5 , 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 0002011.00886.0005 CPS60 8100R 00 Reg 3.50 0.50 0.25 1.25 0.50 0.50 0.50 Labor Category:Senior Engineer OVT 0.00 0002014.00444.0002 00200 IN030 00 Reg 3.75 0.50 0.50 1.25 1.50 Labor Category:Senior Engineer OVT ' 0.00 0002014.02356.0001 00101 00001 00 Reg 1.50 1.5d Labor Category:Senior Engineer OVT 0.00 0002014.02496.0001 00102 00001 00 Reg 12.50 4.50 1.00 1.5d 3.50 2.00 Labor Category:Senior Engineer OVT 0.00 01N2004.00304.0001 00212 00001 00 Reg 1.75 0.75 0.5d 0.5d Labor Category:Senior Engineer OVT 0.00 01N2004.00304.0001 00340 00001 00 Reg 9.5 2.25 2.00 1.75 1.50 1.00 1.00' Labor Category:Senior Engineer OVT . 0.00 Daily Totals Reg 80.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 OVT 0.00 , TimeSheet for the Period Ending 2/28/2015 Wednesday,March 04,2015 7:51:45 AM American Structurepoint,Inc. Employee WLAU Lau,Wing Signed Lau,Wing Posted n Approved 11 Jasinski,Kevin Project Phase Task Labor Total Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Code Hr 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 0002011.00567.0001 00304 00001 00 Reg 1.50 1.00 0.50 Labor Category:Senior Engineer OVT 0.00 0002011.00886.0002 CN42B 01040 00 Reg 1.00 0.50 0.50 Labor Category:Senior Engineer OVT 0.00 0002011.00886.0002 CN42R 01040 00 Reg 1.00 0.50 0.50 Labor Category:Senior Engineer OVT 0.00 0002011.00886.0002 MGT10 08100 00 Reg 1.25 0.50 0.50 0.25 Labor Category:Senior Engineer OVT 0.00 0002011.00886.0005 CPS10 8100R 00 Reg 0.75 0.50 0.25 Labor Category:Senior Engineer OVT 0.00 0002011.00886.0005 CPS40 8100R 00 Reg 2.75 0.75 0.50 0.50 0.75 0.25 Labor Category:Senior Engineer OVT 0.00 0002011.00886.0005 CPS60 8100R 00 Reg 3.50 1.00 0.50 0.25 0.50 1.25 Labor Category:Senior Engineer OVT 0.00 0002013.01275.0001 00201 00001 00 Reg 7.00 1.00 2.00 2.00 2.00 Labor Category:Senior Engineer OVT ' 0.00 0002014.00400.0001 00200 00001 00 Reg 1.00 1.00 Labor Category:Senior Engineer OVT 0.00 0002014.00444.0002 00200 IN030 00 Reg 2.75 0.75 1.00 0.50 0.50 Labor Category:Senior Engineer OVT 0.00 TimeSheet for the Period Ending 12/15/2014 Monday, December 29,2014 4:06:20 PM American Structurepoint, Inc. Employee TMCGILL McGill,Tracy Signed McGill,Tracy PcDsted Approved Snyder, Charles Project Phase Task Labor Total Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Code Hr 12/1 12/2 12/3 12/4 12/5 12/6 12/7 12/8 12/9 12/10 12/11 12/12 12/13 12/14 12/15 0002014.00444.0002 00100 IN090 00 Reg 12.00 8.00 4.00 Labor Category: Resident Project Representative OVT 0.00 Daily Totals Reg 12.00 8.00 4.00 OVT 0.00 March 04,2015 TimeSheet for the Period Ending 2/15/2015 Wednesday, 7:48:47 AM American Structurepoint, Inc. Employee AJOHNSON Johnson,Amanda Signed Johnson,Amanda Approved Posted Grenard,Jeromy Project Phase Task Labor Total Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 2/1 2/2 2/3 2/4 2/5 _ 2/6 2/7 2/8 2/9 2/10 . 2/11 2/12 2/13 2/14 2/15 0000000.00000.0010 00411 00 Reg 16.00 1.00 1.00 2.50 2.00 2.00 1.00 2.50 1.00 3.00 Labor Category: OVT 0.00 0002009.00201.0002 00900 00910 00 Reg 5.50 5.50 Labor Category: Project Engineer OVT 0.00 0002011.00886.0005 CPS60 8100R 00 Reg 2.50 1.50 1.00 Labor Category:Project Engineer OVT 0.00 0002011.01637.0001 00800 00001 00 Reg 4.00 4.00 Labor Category:Project Engineer OVT ' 0.00 0002011.01637.0001 00900 00003 00 Reg 1.00 1.00 Labor Category:Project Engineer OVT 0.00 0002012.01260.0001 00350 00300 00 Reg 6.00 4.00 2.00 Labor Category:Project Engineer OVT 0.00 0002013.01416.0002 00100 00100 00 Reg 7.0 1.5d 2.00 1.50 2.00 Labor Category:Project Engineer OVT 0.00 0002014.00444.0002 00200 IN030 00 Reg 2.00 2.00 Labor Category:Project Engineer OVT 0.00 0002014.00572.0001 00100 00001 00 Reg 12.50 1.00 2.50 1.00 4.00 4.00 Labor Category:Project Engineer OVT 0.00 0002014.02356.0001 00101 00001 00 Reg 5.00 1.00 1.00 2.00 1.00 Labor Category:Project Engineer OVT 0.00 TimeSheet for the Period Ending 08/15/2014 4:06:20 PM American Structurepoint, Inc. Employee HMEKKY Mekky, Hatem Signed Mekky,Hatem POO St d Approved Jasinski,Kevin Project Phase Task Labor Total Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Code Hr 8/1 8/2 8/3 8/4 8/5 8/6 8/7 8/8 8/9 8/10 8/11 8/12 8/13 8/14 8/15 0002014.00444.0002 00200 IN030 00 Reg 13.50 1.00 3.00 2.00 2.00 2.50 3.00 • Labor Category:Senior Engineer OVT 0.00 Daily Totals Reg 13.50 1.00 3.00 2.00 2 2.50 3.00 • OVT 0.00 TimeSheet for the Period Ending 08/15/2014 4:06:20 PM American Structurepoint, Inc. Employee HMEKKY Mekky, Hatem Signed Mekky, Hatem Posted Approved Jasinski, Kevin Project Phase Task Labor Total Sat Sun8 Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 8/16 /17 8/18 8/19 8/20 8/21 8/22 8/23 8/24 8/25 8/26 8/27 8/28 8/29 8/30 8/31 0002014.00444.0002 00200 IN030 00 Reg 7.00 3.00 4.00 Labor Category:Senior Engineer OVT 0.00 — Daily Totals Reg 7.00 3.00 4.00 • - OVT 0.00 _ • TimeSheet for the Period Ending 08/15/2014 4:06:20 PM American Structurepoint, Inc. Employee EKUNTZ Kuntz, Eric Signed Kuntz, Eric POStOd Approved Jasinski,Kevin Project Phase Task Labor Total Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Code Hr 8/1 8/2 8/3 8/4 8/5 8/6 8/7 8/8 8/9 8/10 8/11 8/12 8/13 8/14 8/15 0002014.00444.0002 00200 IN030 00 Reg 11.00 3.00 4.00 2.00 1.00 1.00 Labor Category:Senior Engineer OVT 0.00 Daily Totals Reg 11.00 3.00 4.00 2.00 1.00 1.00 • OVT 0.00 TimeSheet for the Period Ending 08/15/2014 4:06:20 PM American Structurepoint, Inc. Employee JMURILLO Murillo,Jose Signed Murillo,Jose P° OoStGo1 Approved Jasinski,Kevin Project Phase Task Labor Total Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Code Hr 8/1 8/2 8/3 8/4 8/5 8/6 8/7 8/8 8/9 8/10 8/11 8/12 8/13 8/14 8/15 0002014.00444.0002 00200 IN030 00 Reg 25.50 1.50 7.50 4.50 1.00 1.00 7.00 3.00 Labor Category:Senior Engineer OVT 0.00 Daily Totals Reg 25.50 1.50 7.50 4.50 1.00 1.00 7.00 3.00 OVT 0.00 TimeSheet for the Period Ending 08/311/2014 4:06:20 PM American Structurepoint, Inc. Employee JMURILLO Murillo,Jose Signed Murillo,Jose Posted Approved Jasinski, Kevin Project Phase Task Labor 'Total Sat Sun8 Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 8/16 /17 8/18 8/19 8/20 8/21 8122 8/23 8/24 8/25 8/26 8127 8/28 8/29 8/30118/31 0002014.00444 0002 00200 IN030 00 Reg 10.25 6.00 2.25 2.00 Labor Category:Senior Engineer OVT 0.00 Daily Totals Reg 10.25 6.00 2.25 2.00' OVT 0.00 TimeSheet for the Period Ending 08/15/2014 4:06:20 PM American Structurepoint,Inc. Employee JTIGER Tiger,James Signed Tiger,James P OSISCA Approved Jasinski,Kevin • Project Phase Task Labor Total Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Code Hr 8/1 8/2 8/3 8/4 8/5 8/6 8/7 8/8 8/9 8/10 8/11 8/12 8/13 8/14 8/15 0002014.00444.0002 00200 IN030 00 Reg 4.00 3.00 1.00 Labor Category:Senior Engineer OVT 0.00 Daily Totals Reg 4.00 3.00 1.00 - OVT r 0.00 TimeSheet for the Period Ending 2/15/2015 Wednesday,March 04,2015 7:48:47 AM American Structurepoint, Inc. Employee JTIGER Tiger,James Signed Tiger,James Posted _n Approved J Jasinski,Kevin Project Phase Task Labor Total Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Code Hr 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 0000000.00000.0010 00407 00 Reg 6.50 0.50 1.50 1.50 2.00 1.00 Labor Category: OVT 0.00 0002004.00304.0004 00201 00001 00 Reg 40.00 3.00 8.00 5.00 7.50 8.00 2.50 1.00 5.00 Labor Category:Staff Engineer OVT 1.00 0.50 0.50 0002011.00567.0001 00301 00001 00 Reg 5.50 4.50 1.00 _ Labor Category:Staff Engineer OVT 0.00 0002011.01006.0001 00300 00100 00 Reg 0.5 0.50 Labor Category:Staff Engineer OVT 0.00 0002013.01869.0002 00200 00210 00 Reg 0.50 0.50 Labor Category:Staff Engineer OVT 0.00 0002013.01895.0001 00100 00100 00 Reg 7.00 4.00 1.00 2.00 Labor Category:Staff Engineer OVT 0.00 0002013.02115.0003 00100 00110 00 Reg 10.50 0.50 4.00 2.00 4.00 Labor Category:Staff Engineer OVT . 0.00 0002014.00444.0002 00200 IN030 00 Reg 9.50 2.00 5.00 2.50 Labor Category:Staff Engineer OVT 0.00 Daily Totals Reg 80.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 OVT ' 1.00 0.50 0.50 TimeSheet for the Period Ending 08/15/2014 4:06:20 PM American Structurepoint, Inc. Employee MWALKER Walker, Melissa Signed Walker, Melissa POStaid Approved Jasinski,Kevin Project Phase Task Labor Total Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Code Hr 8/1 8/2 8/3 8/4 8/5 8/6 8/7 8/8 8/9 8/10 8/11 8/12 8/13 8/14 8/15 0002014.00444.0002 00200 IN030 00 Reg 4.00 1.00 2.00 1.00 Labor Category:Senior Engineer OVT r 0.00 Daily Totals Reg 4.00 1.00 2.00 1.00 OVT 0.00 Invoice Rundell Ernstberger Associates, LLC 618 E. Market Street DATE INVOICE# Indianapolis, IN 46202 ORIGINAL 3/9/2015 141370-3 BILL TO ��01112/37gj City of Carmel tb Department of Engineering b 4'1 —.• Attn: Jeremy Kashman RECEI D Co VE One Civic Square �p Cannel, IN 46032 MAR 2015 0 CARA �O CINNGINE-ER �tin' s2eeLZ9Z51,V PROJECT Keystone Ave/Main Street RAB Item Description Prior Billed Total Billed Current Billed Additional Services Amendment#4 PO#31846 Schematic Design Fee: $16,500.00(hourly) Construction Documentation Fee: $14,500.00(hourly) Bidding Fee: $2,500.00(hourly) Construction Admin Fee: $6,000.00(hourly) Total Fee: $39,500.00 Plus expenses REA Time Feb I, 2015 to Feb 28,2015 Schematic Design Schematic Design Fee: $16,500.00(hourly) $2,656.50 $7,332.00 4,675.50 Chalfant: 14.75 hrs @$138.00/hr=$2,035.50 Bronowski:27.5 hrs @$96.00/hr=$2,640.00 Expenses Reproductions, Printing, Postage and Mileage $3.33 $3.33 0.00 Phone# Fax# Total Due $4,675.50 317-263-0127 317-263-2080 17 PM Runde!! Ernstberger Associates, LLC /06/15 Time by Job Detail February 2015 Date Name Duration Notes City of Carmel:Keystone Ave I Main Street Roundabouts Design:General 02/09/2015 Chalfant,Cheryl L 3.00 02/11/2015 Chalfant,Cheryl L 2.00 02/13/2015 Chalfant,Cheryl L 3.75 02/16/2015 Chalfant,Cheryl L 1.50 02/17/2015 Chalfant,Cheryl L 3.75 02/20/2015 Chalfant,Cheryl L 0.25 02/27/2015 Chalfant,Cheryl L 0.50 Total Design:General 14.75 Design:Graphics 02/19/2015 Bronowski,Samantha 0.25 02/20/2015 Bronowski,Samantha 0.75 02/24/2015 Bronowski,Samantha 7.00 02/25/2015 Bronowski,Samantha 7.25 02/26/2015 Bronowski,Samantha 7.50 02/27/2015 Bronowski,Samantha 4.75 Total Design:Graphics 27.50 Total City of Carmel:Keystone Ave/Main Street Roundabouts 42.25 TOTAL 42.25 { CONSTRUCTION PROJECT INVOICE DATE: February 26, 2015 COMPANY NAME: Sub-Surface of Indiana, Inc. AND ADDRESS 7225 West 700 South Morgantown, Indiana 46160 ORIGINAL TELEPHONE NO.: (812)-597-4195 FAX NO.: (812)-597-4196 PROJECT NAME: Bridlebourne Drainage Modifications PROJECT NO.: 13-07 INVOICE NO.: 2 TOTAL EARNINGS TO DATE: $ 240,295.84 MINUS 10% RETAINAGE: (-) 17,879.75 (After 50% of Work Completed - 0% Retainage) TOTAL EARNED MINUS RETAINAGE: $ 222,416.09 MINUS PREVIOUS PAYMENTS: (-) 94,413.00 TOTAL AMOUNT DUE: $ 128,003.09 ditj II an Greskam./ Construction Manager City of Carmel CUSTOMER-City of Carmel PROJECT-Bridlebourne Drainage Modifications, Project No. 13-07 CONTRACTOR-Sub-Surface of Indiana, Inc. PROGRESS PAY ESTIMATE NO.2 For work done during the period of: 1/21/2015 through 2/21/2015 Quantity t Quantity Bid Unit Scheduled Installed in Total Quantity Total Pay to Total Pay this m Description Bid Quantity Installed this Pay Price Amount Previous Pa To Date Date Estimate Estimates Pay Estiamte 1 Construction Engineering 1 LS $ 9,000.00 $9,000.00 1 LS LS 1.00 LS $9,000.00 $ - 2 Mobilization&Demobilization 1 LS $ 25,000.00 $25,000.00 0.50 LS LS 0.50 LS $12,500.00 $ - 3 Clearing of Right of Way 1 LS $ 17,000.00 $17,000.00 0.50 LS 0.25 LS 0.75 LS $12,750.00 $ 4,250.00 4 Common Excavation 17,975 CYS $ 7.00 $125,825.00 3135.00 CYS 13788.00 CYS 16923.00 CYS $118,461.00 $ 96,516.00 5 Tree,Remove and Replace 14 EA $ 785.00 $10,990.00 3.50 EA EA 3.50 EA $2,747.50 $ - 6 Fence,Remove and Restore 54 LFT $ 60.00 $3,240.00 13.50 LFT LFT 13.50 LFT $810.00 $ - 7 Stone Paver,Salvage and Replace 55 SYD $ 185.00 $10,175.00 SYD 10.00 SYD 10.00 SYD $1,850.00 $ 1,850.00 8 Storm Structure,Remove 6 EA $ 600.00 $3,600.00 1 EA 4.00 EA 5.00 EA $3,000.00 $ 2,400.00 9 Pipe,12"RCP,Remove 117 LFT $ 20.00 $2,340.00 LFT 120.00 LFT 120.00 LFT $2,400.00 $ 2,400.00 10 Pipe,15"RCP,Remove 222 LFT $ 10.00 $2,220.00 LFT 232.00 LFT 232.00 LFT $2,320.00 $ 2,320.00 11 Pipe,18"RCP,Remove 232 LFT $ 10.00 $2,320.00 168.00 LFT 34.00 LFT 202.00 LFT $2,020.00 $ 340.00 12 Pipe,24"RCP,Remove 151 LFT $ 15.00 $2,265.00 LFT 56.00 LFT 56.00 LFT $840.00 $ 840.00 13 Curb,Concrete,Remove 44 LFT $ 18.00 $792.00 LFT 50.00 LFT 50.00 LFT $900.00 $ 900.00 14 Curb,Concrete 44 LFT $ 57.00 $2,508.00 LFT 40.00 LFT 40.00 LFT $2,280.00 $ 2,280.00 15 Coarse Aggregate,#2 Stone 210 TON $ 20.00 $4,200.00 210.7 TON TON 210.70 TON $4,214.00 $ - 16 Structural Backfill 34 CYS $ 40.00 $1,360.00 CYS 17.00 CYS 17.00 CYS $680.00 $ 680.00 17 Pipe,Circular,RCP,18 IN 140 LFT $ 43.00 $6,020.00 LFT LFT 0.00 LFT $0.00 $ - 18 Pipe,Circular,RCP,30 IN 151 LFT $ 57.00 $8,607.00 LFT 48.00 LFT 48.00 LFT $2,736.00 $ 2,736.00 19 Pipe,Circular,RCP,36 IN 586 LFT $ 57.00 $33,402.00 416 LFT 136.00 LFT 552.00 LFT $31,464.00 $ 7,752.00 20 Manhole,Type J 5 EA $ 4,100.00 $20,500.00 3.00 EA 1.00 EA 4.00 EA $16,400.00 $ 4,100.00 21 Concrete End Section,18 IN 2 EA $ 400.00 $800.00 EA EA 0.00 EA $0.00 $ - 22 Concrete End Section,30 IN 1 EA $ 600.00 $600.00 EA EA 0.00 EA $0.00 $ - 23 Concrete End Section,36 IN 2 EA $ 850.00 $1,700.00 1 EA 1.00 EA 2.00 EA $1,700.00 $ 850.00 24 Compacted Agreggate,No.8 29 TON $ 18.00 $522.00 80 TON 36.47 TON 116.47 TON $2,096.46 $ 656.46 25 Maintenance of Traffic 1 LS $ 1,700.00 $1,700.00 LS 1.00 LS 1.00 LS $1,700.00 $ 1,700.00 26 Mobilization&Demobilization for Seeding 2 EA $ 500.00 $1,000.00 EA EA 0.00 EA $0.00 $ - 27 Catch-All Inlet Protection 4 EA $ 250.00 $1,000.00 EA 4.00 EA 4.00 EA $1,000.00 $ 1,000.00 28 Silt Fence Inlet Protection 3 EA $ 100.00 $300.00 EA EA 0.00 EA $0.00 $ - 29 Silt Fence 2,860 LFT $ 1.33 $3,803.80 1840.00 LFT LFT 1840.00 LFT $2,447.20 $ - 30 Erosion Control Blanket 3,957 SYS $ 1.52 $6,014.64 SYS SYS 0.00 SYS $0.00 $ - 31 Rip Rap,Class 2 305 TON $ 45.00 $13,725.00 TON 40.49 TON 40.49 TON $1,822.05 $ 1,822.05 32 Rock Check Dam 3 EA $ 825.00 $2,475.00 EA EA 0.00 EA $0.00 $ - 33 Seeding&Restoration 31,417 SYS $ 0.90 $28,275.30 SYS SYS 0.00 SYS $0.00 $ - 34 Dewatering 1 LS $ 4,315.26 $4,315.26 0.50 LS LS 0.50 LS $2,157.63 $ - 35 T&M Waterline Work 1 LS $0.00 LS LS 0.00 LS $0.00 $ - 36 T&M Street Light Pole 1 LS $0.00 LS LS 0.00 LS $0.00 $ - 37 38 39 40 $357,595.00 $240,295.84 $135,392.51 TOTAL PAY THIS ESTIMATE $135,392.51 TOTAL PAY TO DATE $240,295.84 DEDUCT 10%RETAINAGE, UNTIL 50%COMPLETE THEN 0%RETAINAGE,5%AT END OF PROJECT $17,879.75 DEDUCT PREVIOUS NET PAY ESTIMATE(S)NO. 1 $94,413.00 NET PAY ESTIMATE NO.02 $128,003.09 City of Carmel Signature Date k2 - 2.4* - 1r� City of Cannel nspecto ignatur ( Date A joy:it_ Sub-Surface of Indiana Si(1.. Date Please make checks payabub-Surface of Indiana,Inc. Payment is expected within 30 days unless other mutually agreeable arrangments have been made. 1 CONSTRUCTION PROJECT INVOICE DATE: April 1, 2015 COMPANY NAME: Sub-Surface of Indiana, Inc. AND ADDRESS 7225 West 700 South ORIGINAL Morgantown, Indiana 46160 TELEPHONE NO.: (812)-597-4195 FAX NO.: (812)-597-4196 PROJECT NAME: Bridlebourne Drainage Modifications PROJECT NO.: 13-07 INVOICE NO.: 3 TOTAL EARNINGS TO DATE: $ 298,041.59 MINUS 5% RETAINAGE: (-) 18,046.03 (5% of Total Contract Price $360,920.62) TOTAL EARNED MINUS RETAINAGE: $ 279,995.56 MINUS PREVIOUS PAYMENTS: (-) 222,416.09 TOTAL AMOUNT DUE: $ 57,579.47 Va4 '6Z5taila Dan Greskamp Construction Manager City of Carmel CUSTOMER-City of Carmel PROJECT-Bridlebourne Drainage Modifications, Project No. 13-07 CONTRACTOR-Sub-Surface of Indiana, Inc. PROGRESS PAY ESTIMATE NO. 3 For work done during the period of: 2/21/2015 through 3/21/2015 Quantity quantity Bid Unit Scheduled Installed in Total Quantity Total Pay to Total Pay tt Description Bid Quantity Price Amount Previous Pay Installed this Pay To Date Date Estimate Estimates Estiamte 1 Construction Engineering 1 LS $ 9,000.00 $9,000.00 1.00 LS LS 1.00 ' LS $9,000.00 $ 2 Mobilization&Demobilization 1 LS $ 25,000.00 $25,000.00_ 0.50 LS 0.25 LS 0.75 LS $18,750.00 $ 6,250.0 3 Clearing of Right of Way 1 LS $ 17,000.00 $17,000.00 0.75 LS 0.25 LS 1.00 LS $17,000.00 $ 4,250.0 1 Common Excavation 17,975 CYS $ 7.00 $125,825.00 16923.00 CYS 1052.00 CYS 17975.00 CYS $125,825.00 $ 7,364.0 5 Tree,Remove and Replace 7 EA $ 785.00 $5,495.00 3.50 EA EA 3.50 EA $2,747.50 $ 3 Fence,Remove and Restore 54 LFT $ 60.00 $3,240.00 13.50 LFT LFT 13.50 LFT $810.00 $ 7 Stone Paver,Salvage and Replace 55 SYD $ 185.00 $10,175.00 10.00 SYD 40.00 SYD 50.00 SYD $9,250.00 $ 7,400.0 3 Storm Structure,Remove 6 EA $ 600.00 $3,600.00 5.00 EA 1.00 EA 6.00 EA $3,600.00 $ 600.0 3 Pipe,12"RCP,Remove 120 LFT $ 20.00 $2,400.00 120.00 LFT LFT 120.00 LFT $2,400.00 $ 0 Pipe,15"RCP,Remove 232 LFT $ 10.00 $2,320.00 232.00 LFT LFT 232.00 LFT $2,320.00 $ 1 Pipe,18"RCP,Remove 232 LFT $ 10.00 $2- -ri-20.(-)C7 202.00 LFT 44.00 LFT 246.00 LFT $2,460.00 $ 440.0 2 Pipe,24"RCP,Remove 151 LFT $ 15.00 $2,265.00 56.00 LFT 88.00 LFT 144.00 LFT $2,160.00 $ 1,320.0 3 Curb,Concrete,Remove 44 LFT $ 18.00 $792.00 _ 50.00 LFT 4.00 LFT 54.00 LFT $972.00 $ 72.0 4 Curb,Concrete 44 LFT $ 57.00 $2,508.00 40.00 LFT 14.00 LFT 54.00 LFT $3,078.00 $ 798.0 5 Coarse Aggregate,#2 Stone 210 TON $ 20.00 $4,200.00 210.70 TON TON 210.70 TON $4,214.00 $ 6 Structural Backfill 34 CYS $ 40.00 $1,360.00 17.00 CYS CYS 17.00 CYS $680.00 $ 7 Pipe,Circular,RCP,18 IN 140 LFT $ 43.00 $6,020.00 0.00 LFT 140.00 LFT 140.00 LFT $6,020.00 $ 6,020.0 8 Pipe,Circular,RCP,30 IN 151 LFT $ 57.00 $8,607.00 48.00 LFT 96.00 LFT 144.00 LFT $8,208.00 $ 5,472.0 9 Pipe,Circular,RCP,36 IN 586 LFT $ 57.00 $33,402.00 552.00 LFT LFT 552.00 LFT $31,464.00 $ :0 Manhole,Type J 5 EA $ 4,100.00 $20,500.00 4.00 EA 1.00 EA 5.00 EA $20,500.00 $ 4,100.0 1 Concrete End Section,18 IN 2 EA $ 400.00 $800.00 0.00 EA 2.00 , EA 2.00 EA $800.00 _ $ 800.0 :2 Concrete End Section,30 IN 1 EA $ 600.00 $600.00 0.00 EA 1.00 EA 1.00 EA _ $600.00 $ 600.0 :3 Concrete End Section,36 IN 2 EA $ 850.00 $1,700.00 2.00 EA EA 2.00 EA $1,700.00 $ :4 Compacted Agreggate,No.8 129 TON $ 18.00 $2,322.00 116.47 TON 81.25 TON 197.72 TON $3,558.96 $ 1,462.° :5 'Maintenance of Traffic 1 LS $ 1,700.00 $1,700.00 1.00 LS LS 1.00 LS $1,700.00 $ !6 Mobilization&Demobilization for Seeding 2 EA $ 500.00 $1,000.00 0.00 EA EA 0.00 EA $0.00 $ :7 Catch-All Inlet Protection 4 EA $ 250.00 $1,000.00 4.00 EA EA 4.00 EA $1,000.00 $ :8 Silt Fence Inlet Protection 3 EA $ 100.00 $300.00_ 0.00 EA EA 0.00 EA $0.00 $ :9 Silt Fence 2,860 LFT $ 1.33 $3,803.80 1840.00 LFT LFT 1840.00 LFT $2,447.20 $ ;0 Erosion Control Blanket 3,957 SYS $ 1.52 $6,014.64 0.00 SYS SYS 0.00 SYS $0.00 $ ;1 Rip Rap,Class 2 305 TON $ 45.00 $13,725.00 40.49 TON 21.20 TON 61.69 TON $2,776.05 $ 954.0 ;2 Rock Check Dam 3 EA $ 825.00 $2,475.00 0.00 EA 1.00 EA 1.00 EA $825.00_ $ 825.0 ;3 Seeding&Restoration 31,417 SYS $ 0.90 $28,275.30 0.00 SYS SYS 0.00 SYS $0.00 $ ;4 Dewatering 1 LS $ 4,315.26 $4,315.26 0.50 LS 0.50 LS 1.00 LS $4,315.26 $ 2,157.E ;5 Change Order No.1-Waterline Work 1 LS $ 6,860.62 $6,860.62 0.00 LS 1.00 LS 1.00 LS $6,860.62 $ 6,860.E ;6 T&M Street Light Pole 1 LS $0.00 _ 0.00 LS LS 0.00 LS $0.00 $ ;7 ;8 ,g 0 1 $360,920.62 $298,041.591 $57,745.7: TOTAL PAY THIS ESTIMATE $57,745.75 TOTAL PAY TO DATE $298,041.59 DEDUCT 10%RETAINAGE, UNTIL 50%COMPLETE THEN 0%RETAINAGE, 5%AT END OF PROJECT $18,046.03 DEDUCT PREVIOUS NET PAY ESTIMATE(S)NO. 1 &NO. 2 $222,416.09 NET PAY ESTIMATE NO 03 $57,579.47 ty of Cannel Signature Date /� /��-av 09 T'.,1- 1.5 ty of Cannel In peotor St afore ri,/, Date 3�- I S ib-Surfac Indiana Signature Date ease ntak becks payable to Sub-Surface of Indiana,Inc. Payment is expected within 30 days unless other mutually agreeable arrangments have been made. The Huntington National Bank INVOICE Date: 02/19/2015 Division: Corporate Trust Invoice No.: A06665-4082000013 Diana L. Cord ray, Clerk-Treasurer City of Carmel D ORIGINAL One Civic Square Carmel, Indiana 46032 City of Carmel Redevelopment Authority, Indiana County Option Income Tax Lease Rental Revenue Bonds,Series 2010 Annual Trustee Administration Fee (per year or any portion thereof) S 750.00 For period 03/01/2015—02/28/2016 Total Amount Due: S 750.00 Please note that this fee can be paid out of the Operation Fund by submitting a Payment Affidavit or you can remit payment to: The Huntington National Bank Kim Wilson —Corporate Trust 45 N. Pennsylvania Street INHP22 Indianapolis, IN 46204 Terms: Invoices are payable within 30 days of receipt. This is a non-refundable fee which covers those services which The Huntington National Bank would expect to perform under a typical Trust Indenture. If the duties of the Trustee significantly deviate from the norm, The Huntington reserves the right to amend or withdraw this fee as stated in the fee proposal. Sri #, , Keller Macaluso LLC Date 3/16/2015 760 3rd Avenue SW, Suite 210 Invoice Invoice# 1931 Carmel, Indiana 46032 Phone# 317-660-3400 (317) 660-3400 Fax# 317-660-3401 www.kellermacaluso.com Bill To Federal ID:27-1716316 City of Carmel ORIGINAL Douglas C.Haney Esq. Department of Law One Civic Square Carmel,Indiana 46032 03-16-15 P06 :39 I N 01007-084:Engineering-KG Main LLC-Right of Way- 131st and Old Meridian Professional Fees Service Date Initials Description of Services Time Amours 02/25/2015 TH Research regarding right of way issues;review agreement. 1.40 483.00 02/26/2015 EL Search GIS for information on property;search Hamilton County 1.20 198.00 treasurer for transfer information;email to and from Bart at Hamilton Co regarding information on the City of Carmel Deed for this right of way;obtain Order of Appropriation from Doop. Sub-total Fees: $681.00 Expenses Units Price Amount 02/26/2015 Recorded document fee. 1.00 12.15 12.15 Sub-total Expenses: $12.15 Total Current Billing: $693.15 Page 1 of 1 TK-Too Keller EN-Eric Neidlinger SO-Shari Owens MM-Matthew R.Macaluso JS-Jennifer Schulz KH-Kaye Howard TH-Tammy Haney EL-Erica Leath Keller Macalus® LLC Date 3/16/2015 760 3rd Avenue SW, Suite 210 Invoice Invoice # 1932 Carmel, Indiana 46032 Phone# 317-660-3400 (317) 660-3400 Fax# 317-660-3401 www.kellermacaluso.corn Bill To Federal ID:27-1716316 City of Cannel Douglas C.Haney Esq. ORIGINAL Department of Law One Civic Square Carmel,Indiana 46032 03-16- 15 P06 : 39 I N 01007-098:Engineering-Exchange with Edward Rose f..°6 Professional Fees - Sertiice Date Initials Description of Services Time Amount 02/13/2015 TH Telephone conferences and correspondence regarding 0.40 138.00 exchange agreement and appraisals. 02/20/2015 TH Telephone conferences and correspondence regarding 0.70 241.50 appraisals required;research regarding same. Sub-total Fees: $379.50 Payments 02/20/2015 Payment Payment received,thank you. 770.50 Sub-total Payments: $770.50 Total Current Billing: $379.50 Previous Balance Due: $908.50 Total Payments: $770.50 Terms:Upon Receipt Total Now Due: $517.50 Page lofI TK-Too Keller EJN-Eric Neidlinger SO-Shari Owens MM-MatthewR.Macaluso JS-Jennifer Schulz KH-Kaye Howard TH-Tammy Haney EL-Erica Leath El AMERICAN • STRUCTUREPOINT INC. April 2, 2015 Jeremy Kashman City of Carmel Carmel Engineering Department One Civic Square Carmel IN 46032 Re: Project Name: Main Street ORIGINAL DES Number: 1400673 Parcel Number: 5 Dear Jeremy: The subject parcel has been secured. Number of Accounts Payable Vouchers enclosed: 1. 1. Please process payment. Backup documentation is attached. 2. After the check is processed, please forward to me at 8314 Wicklow Way, Brownsburg, IN 46112 for distribution. 3. Special Notes/Instructions: • Please sign the Sales Disclosure • Please forward along with the check to me at 8314 Wicklow Way, Brownsburg, IN 46112. 4. Documents To Be Recorded: American Structurepoint will record documents upon receipt of check. © None The parcel packet should be retained by your office for five(5) years after completion of construction. Also, 1099S should be provided to property owner in January of the year following land acquisition payment. If you have any questions or need additional information, please let me know. Best regards, S •° Sylvia "Skip" Tennancour 8425 Wicklow Way Brownsburg IN 46112 317-973-0677 phone 317-858-8082 fax sennancour@structurepoint.com eo Shadeland Indianapolis,0146256-3957 ISLE !7(7.5580 1 39I1T7.543.02170 www.structurepoint.com 0 Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL, INDIANA 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 St. Christopher's Episcopal Church of Carmel Purchase Order No. Attn.; Father Stephen Fale Terms 1402 W. Main Street Date Due Carmel, IN 46032 Invoice Invoice Description Date number (or note attached invoice(s)or bill(s)) Amount DES. NO.: 1400673 PROJECT: Main Street Reconstruction PARCEL: 5 COUNTY: Hamilton Compensation for Permanent(Fee Simple) Right-of-Way Total $39.900.00 I hereby certify that the attached invoice(s), 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 7�4c� 1 2065 . 13 : • 'r�,/ ) ' By: Gam. Si.nature: Tit By: act a)(L Signaturre: Title I 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. Clerk-Treasurer Sean M. Clapp, LLC 8766 South Street, Suite 220 Fishers,IN 46038 Telephone: (317)578-9966 Fax: 317-578-9967 September 25, 2014 Rod Giedt Invoice No. 23933 ST.CHRISTOPHER'S EPISCOPAL CHURCH 1440 W. Main St. Carmel, IN 46032 Client Number: STCHOI ST.CHRISTOPHER'S EPISCOPAL R Matter Number: STCH01-004 STCHOI ROUNDABOUT RIGHT OF WAY For Services Rendered Through 9/25/2014. Fees Mite Timekeeper Description hours Amount 9/17/2014 SMC Review the Right of Entry,Warranty Deed,and Temporarry 1.40 $413.00 Easement documents,draft email to R.Geidt about my comments and recommendations to the documents 9/22/2014 SMC Meet with R.Geidt and D.Bender regarding the letter to the 0.50 $147.50 City of Carmel and how St.Christopher's wants to respond 9/23/2014 SMC Review and revise letter,draft email to R.Giedt and Father 0.30 $88.50 Steve with the letter 9/24/2014 SMC Review email from R.Giedt,draft response email to R. 0.20 $59.00 Giedt,review email from D.Bender,revise letter and send Billable Hours/Fees: 2.40 $708.00 Timekeeper Summary Timekeeper SMC worked 2.40 hours at$295.00 per hour,totaling$708.00. Continued On Next Page _,->‘ pv • Client Number: STCHOI 9/25/2014 Matter Number: STCH01-004 Page: 2 Prior Balance: $0.00 Payments Received: $0.00 Current Fees: $708.00 Advanced Costs: $0.00 TOTAL AMOUNT DUE: $708.00 Thank You For Your Prompt Payment. If You Have Any Questions About This Bill, Please Contact Me As Soon As Possible Sean M. Clapp,LLC 8766 South Street, Suite 220 Fishers,IN 46038 Telephone: (317) 578-9966 Fax: 317-578-9967 October 29,2014 Rod Giedt Invoice No. 24202 ST.CHRISTOPHER'S EPISCOPAL CHURCH 1440 W. Main St. Carmel, IN 46032 Client Number: STCHOI ST.CHRISTOPHER'S EPISCOPAL R Matter Number: STCH01-004 STCHOI ROUNDABOUT RIGHT OF WAY For Services Rendered Through 10/29/2014. Fees Date Timekeeper Description flours Amount 9/22/2014 EME Drafted letter to D.Haney of City of Carmel. 0.90 $189.00 10/20/2014 SMC Review the email from T. Haney and the revised Right of 0.40 $118.00 Entry,draft email to R.Geidt and Father Steve 10/21/2014 SMC Review email from R.Giedt,draft email to T.Haney with 0.30 $88.50 our comments 10/23/2014 SMC Review the revised Right of Entry,draft email to R.Giedt, 0.30 $88.50 draft email to T.Haney,review response from T.Haney, draft email to client 10/29/2014 SMC Review email from T.Haney,tcw R.Giedt about his review 0.20 $59.00 of the latest version of the Right of Entry Billable Hours/Fees: 2.10 $543.00 Timekeeper Summary Timekeeper EME worked 0.90 hours at$210.00 per hour,totaling$189.00. Timekeeper SMC worked 1.20 hours at$295.00 per hour,totaling$354.00. Continued On Next Page ' Opp Client Number: STCH01 10/29/2014 Matter Number: STCH01-004 Page: 2 Prior Balance: $708.00 Payments Received: $0.00 Current Fees: $543.00 Advanced Costs: $0.00 TOTAL AMOUNT DUE: $1,251.00 Thank You For Your Prompt Payment. If You Have Any Questions About This Bill, Please Contact Me As Soon As Possible Sean M. Clapp, LLC 8766 South Street, Suite 220 Fishers,IN 46038 Telephone: (317)578-9966 Fax: 317-578-9967 November 25,2014 Rod Giedt Invoice No. 24518 ST.CHRISTOPHER'S EPISCOPAL CHURCH 1440 W. Main St. Carmel,IN 46032 Client Number: STCHOI ST.CHRISTOPHER'S EPISCOPAL R Matter Number: STCH01-004 STCHOI ROUNDABOUT RIGHT OF WAY For Services Rendered Through 11/25/2014. Fees Date Timekeeper Description Hours Amount 11/5/2014 SMC Tcw T.Haney about the remaining issues,tcw R.Giedt 0.30 $88.50 about the approval of the Diocese,draft email to T.Haney 11/5/2014 SMC Tcw T.Haney about the remaining issues,tcw R.Giedt 0.30 $88.50 about the approval of the Diocese,draft email to T.Haney about the language needed in the agreement 11/6/2014 SMC Review the revised Right of Entry,review email from R. 0.30 $88.50 Giedt about Diocese approval,draft email R Giedt about Diocese approval, 11/11/2014 SMC Review emali from T.Haney,draft follow up email to R. 0.10 $29.50 Giedt 11/14/2014 SMC Tcw R.Giedt about the status of the Right of Entry,revise 0.30 $88.50 Right of Entry,draft email to T.Haney,review response email from T.Haney,meet with R.Giedt to get agreement signed,draft email to T.Haney Billable Hours/Fees: 1.30 $383.50 Timekeeper Summary Timekeeper SMC worked 1.30 hours at$295.00 per hour,totaling$383.50. Continued On Next Page C 0 73:1_, • Client Number: STCH01 11/25/2014 Matter Number: STCH01-004 Page: 2 Payment Detail DA It Pescrintion Amount 11/10/2014 Check Number 70562935 ($708.00) 11/25/2014 Check Number 19644 ($543.00) Total Payments Received: ($1,251.00) Prior Balance: $1,251.00 Last Payment: 11/25/2014 Payments Received: ($1,251.00) Current Fees: $383.50 Advanced Costs: $0.00 TOTAL AMOUNT DUE: $383.50 Thank You For Your Prompt Payment. If You Have Any Questions About This Bill, Please Contact Me As Soon As Possible O Form 11119 Request for Taxpayer Give Form to the (Rev.August 2013) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service Name(as shown on your income tax return) St.Christopher's Episcopal Church of Carmel csi Business name/disregarded entity name,if different from above m rn m ° Check appropriate box for federal tax classification: Exemptions(see instructions): ° ❑Individual/sole proprietor ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate CD o. o Exempt payee code(if any) c47, 111 Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exemption from FATCA reporting code(if any) li ❑ Other(see instructions)► Address(number,street,and apt.or suite no.) Requester's name and address(optional) a 1402 W.Main Street City,state,and ZIP code d Carmel, IN 46032 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line I Social security number to avoid backup withholding.For individuals,this is your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - - entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number number to enter. Part II Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S.citizen or other U.S.person(defined below),and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividend ou are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. Sign Signature of /J ern.'vj Here U.S.person► ��/ irve�� Date■ General Instruction withholding tax on foreign partners'share of effectively connected income,and 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are Section references are to the Internal Revenue Code unless otherwise noted. exempt from the FATCA reporting,is correct. Future developments.The IRS has created a page on IRS.gov for information Note.If you are a U.S.person and a requester gives you a form other than Form about Form W-9,at www.irs.gov/w9.Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substantially affecting Form W-9(such as legislation enacted after we release it)will be posted similar to this Form W-9. on that page. Definition of a U.S.person.For federal tax purposes,you are considered a U.S. Purpose of Form person if you are: A person who is required to file an information return with the IRS must obtain your •An individual who is a U.S.citizen or U.S.resident alien, correct taxpayer identification number(TIN)to report,for example,income paid to •A partnership,corporation,company,or association created or organized in the you,payments made to you in settlement of payment card and third party network United States or under the laws of the United States, transactions,real estate transactions,mortgage interest you paid,acquisition or •An estate(other than a foreign estate),or abandonment of secured property,cancellation of debt,or contributions you made to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7). Use Form W-9 only if you are a U.S.person(including a resident alien),to Special rules for partnerships.Partnerships that conduct a trade or business in provide your correct TIN to the person requesting it(the requester)and,when the United States are generally required to pay a withholding tax under section applicable,to: 1446 on any foreign partners'share of effectively connected taxable income from such business.Further,in certain cases where a Form W-9 has not been received, 1.Certify that the TIN you are giving is correct(or you are waiting for a number the rules under section 1446 require a partnership to presume that a partner is a to be issued), foreign person,and pay the section 1446 withholding tax.Therefore,if you are a 2.Certify that you are not subject to backup withholding,or U.S.person that is a partner in a partnership conducting a trade or business in the 3.Claim exemption from backup withholding if you are a U.S exempt payee.If United States,provide Form W-9 to the partnership to establish your U.S.status applicable,you are also certifying that as a U.S.person,your allocable share of and avoid section 1446 withholding on your share of partnership income. any partnership income from a U.S.trade or business is not subject to the Cat.No.10231X Form W-9(Rev.8-2013) ` Form _ '9 Request for Taxpayer Give Form to the (Rev.January 2011) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service Name(as shown on your income tax return) Business name/disregarded entity name,if different from above a ST. CHRISTOPHER'S EPISCOPAL CHURCH Ca °- Check appropriate box for federal tax c ° classification(required): ❑ Individual/sole proprietor El C Corporation S Corporation = p p' p ❑ p ❑ Partnership ❑Trust/estate ar T eL o ❑Exempt payee 0 ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,Pr-partnership)P. `o • • C N a` ❑ Other(see instructions)■ Address(number,street,and apt.or suite no.) Requester's name and address(optional) 6 2. 1402 WEST MAIN STREET City,state,and ZIP code a) cn CARMEL, IN 46032 List account number(s)here(optional) Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line I Social security number to avoid backup withholding.For individuals,this is your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - - entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose I Employer identification number number to enter. Mila Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S.citizen or other U.S.person(defined below). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 4. Sign Signature of / / Here U.S.person► ;y � Date IN. Qy`r /r( General.Instructions Note.If a requester gives you a form other than Form W-9 to request your TIN,you must use the requester's form if it is substantially similar Section references are to the Internal Revenue Code unless otherwise to this Form W-9. noted. Definition of a U.S.person.For federal tax purposes,you are Purpose of Form considered a U.S.person if you are: A person who is required to file an information return with the IRS must •An individual who is a U.S.citizen or U.S.resident alien, obtain your correct taxpayer identification number(TIN)to report,for •A partnership,corporation,company,or association created or example,income paid to you,real estate transactions,mortgage interest organized in the United States or under the laws of the United States, you paid,acquisition or abandonment of secured property,cancellation •An estate(other than a foreign estate),or of debt,or contributions you made to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7). Use Form W-9 only if you are a U.S.person(including a resident alien),to provide your correct TIN to the person requesting it(the Special rules for partnerships.Partnerships that conduct a trade or requester)and,when applicable,to: business in the United States are generally required to pay a withholding tax on any foreign partners'share of income from such business. 1.Certify that the TIN you are giving is correct(or you are waiting for a Further,in certain cases where a Form W-9 has not been received,a number to be issued), partnership is required to presume that a partner is a foreign person, 2.Certify that you are not subject to backup withholding,or and pay the withholding tax.Therefore,if you are a U.S.person that is a 3.Claim exemption from backup withholding if you are a U.S.exempt partner in a partnership conducting a trade or business in the United payee.If applicable,you are also certifying that as a U.S.person,your States,provide Form W-9 to the partnership to establish your U.S. allocable share of any partnership income from a U.S.trade or business status and avoid withholding on your share of partnership income. is not subject to the withholding tax on foreign partners'share of effectively connected income. Cat.No.10231X Form W-9(Rev.1-2011) Page 4 DES. NO. / PROJECT 1400673; Main Street Reconstruction PARCEL 5 If you decide to accept the offer of$37,900.00* made by the City of Carmel, Indiana, sign your name(s) below and mail this form to the address indicated above. An additional copy of this offer has been provided for your file. ACCEPTANCE OF OFFER St. Christopher's Episcopal Church of Carmel owner of the above described property or interest in property, hereby accept the offer of $ 37,900.00 * made by the City of Carmel, Indiana, on this 11 day of March , 2015 • * Appraised Value: $37,900.00 Administrative Settlement: $ 2,000.00 Total: $39,900.00 St. Christopher's Episcopal Church of Carmel By: Wi (.By: S •nat e: Signature: NOTARY'S CERTIFICATE STATE OF j-w4.ata,t-- ) SS: COUNTY OF ) Subscribed and sworn to before me this 114' day of Moxch , 2016 My Commission Expires: Al 4, 2or7 My County of Residence is: tY1ax..o^..) 71 (Signat ) r ~,. NANCY HERMANN • : Marion County ',11 11,, My Commission Expires Nah OKI hn ''• '? August 4,2016 �( s (Printed) NOTARY PUBLIC A copy MEMORANDUM TO: City of Carmel FROM: Nancy E. Hermann, Acquisition Agent RWS South, Inc. 5214 South East Street, Suite D-2 Indianapolis, IN 46227 DATE: December 18, 2014 RE: Des. No.: 1400673 Project: Main Street Reconstruction Parcel: 5 County: Hamilton Owner: St. Christopher's Episcopal Church of Carmel SUBJECT: Recommendation for Administrative Settlement The City's fair market value determination of $37,900.00 for 0.094 acres of permanent (fee simple) right-of- way, 0.092 acres of temporary easement, and land improvements was offered to the owner. During the negotiation process, the property owner rejected this offer stating they should have an additional $2,000.00. The requested compensation is for reimbursement of attorney's fees incurred when the City initially approached them for the Right of Entry. We believe it is in the best interest of the City to settle this parcel for$39,900.00. We believe a great deal of time and money can be saved by settling this parcel as opposed to rescinding the offer and reappraising the property. Therefore, the City's acquisition agent is directed to offer $39,900.00 to the owner. Should they not accept, then the additional $2,000.00 will be withdrawn and the $37,900.00 figure will remain the approved amount. THIS RECOMMENDATION APPROVED: The City of Carmel By: Printed: P• 66-74 /A- Title: . 4 6�" od p 10/08 STATEMENT OF THE BASIS FOR JUST COMPENSATION Code N/A REV-29 1. This is a written statement of, and summary of the basis for, the establishment of the amount believed to be, through a valuation process,just compensation for the purchase of this right-of-way for highway purposes. The amount set forth in Item 5 below is not less than the approved estimate of value. In accordance with Public Law 91-648 as amended,the `Uniform Act°,and as codified in Indiana at IC 8-23-17-1 through 8-23-17-35,this value disregards any decrease or increase in fair market value of the property prior to the date of valuation caused by the public improvement for which the property is acquired other than physical deterioration within reasonable control of the owner. 2.The legal description of this acquisition is set forth in the instrument of conveyance in the following identified parcel and this acquisition is identified in the Acquiring Agency's records as: Des.# N/A Parcel 5 Road Main Street County Hamilton Owner(s) Saint Chrlstophers Episcopal Church of Carmel 3.The area and type of interest being acquired: 0.094 Acres of Fee Simple and 0.092 Acres of Temporary RAN The amount In Item 5 below includes payment for the purchase of all interests in the real property and no separately held • interest is being acquired separately in whole or part,except as may be explained in Item 8 below. 4.This acquisition is(Check one): a. ❑ A total acquisition of the real property. b. ® A partial acquisition of the real property. 5.The Agency's Offer: Just compensation has been determined to be and the Acquiring Agency's offer for the purchase of this real property is as follows: a.Total Land,Land Improvements and Buildings $29,900.00 b.Severance Damages(i.e.: Setback,Loss in Value to the Residues,etc) $ 0.00 c.Other Damages(Itemize) Cost-To-Cure estimates: $ 0.00 Temporary RNV . $8,000.00 Total Damages $ 8,000.00 d. Perpetual Easement $ 0.00 Total amount believed to be Just Compensation offered for this Acquisition is: $37,900.00 6. The-amount in Item 5 above may include payment for the purchase of certain buildings and improvements and their ownership shall pass to the Acquiring Agency. These buildings and improvements are identified as follows: None 7.The amount in Item 5 above may include payment for the purchase of certain Land Improvements, Fixtures, Equipment, Machinery,Signs, Etc.,and their ownership shall pass to the Acquiring Agency. These hems are Identified as follows: Lawn 8.Items owned by others(i.e.:lessee,tenants, etc.) included in Item 5 above are identified as follows: 9.Remarks: Acquiring Agency Approval: Reviewer: Signature: Signature: Name Printed: y�24u t Name Printed: Julie M.West Title: 1�22 ��y�1/J Company: Appraising Indiana Date: ( Z/3/ -o 6 Date: 11/13/2014 © 0 MI E ,, SALES DISCLOSURE FORM qJa State Form 46021(Rl1/12-11) SDF ID 5 ;,:t, l f Prescribed by Department of Local Government Finance County Year Unique ID \ ,`tL Pursuant to IC 6-1.1-5.5 » . �' SDF Date: tete PRIVACY NOTICE:The telephone numbers and Social Security numbers of the parties on this form are confidential according to IC 6-1.1-55.3td1. INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1807077 Page 1 PART.,1 To lie completed'by BUYER/GRANTEE,and SELLER/GRANTOR i •A;'PROPERT•Y TRANSFERRED;='MUST 13E.CONVEYED ON_kSINGLE CONVEYANCE DOCUMENT, ,., r ..` 1.Property Number Check box if applicable to 5.Complete Address of Property 6.Complete Tax Billing Address(if different from parcel arcel property address) 1 © 2.Split 1402 W.Main Street One Civic Square 29-09-26-000-005.001-018 ® 3.Land Carmel,IN 46032 Carmel, IN 46032 ❑ 4.Improvement 7.Legal Description of Parcel A part of the Northeast Quarter of Section 26,Township 18 North,Range 3 East,Hamilton County, Indiana. ) ❑ 2.Split ❑ 3.Land ❑ 4.Improvement 7.Legal Description of Parcel ;13:7'60N DITIONS IDENTIFY ALIL THAT APPLY i C SALES DATA=`DISCLOSE VALUE OF.1TEMS LISTED INIITABLE B °: t• ` .^. :. . ..€ 5 ..; .. , r: If condition 1 applies,filer is subject to disclosure and a disclosure filing fee. 1.Conveyance date(MM/DD/MT): 03/17/2015 YES NO CONDITION © ❑ 1.A transfer of real property interest for valuable 2.Total number of parcels: 1 consideration. 3.Describe any unusual or special circumstances related to this ❑ © 2.Buyer is an adjacent property owner. sale,including the specification of any less-than-complete © ❑ 3.Vacant land. ownership interest and terms of seller financing. ❑ © 4.Exchange for other real property("Trade"). Permanent right-of-way acquired in conjunction with the Main Street 5.Seller paid points.(Provide the value Table Cltem I2.) Reconstruction project. © ❑ 6.Change planned in the primary use of the property?(Describe in special circumstances in Table C Item 3.) ❑ © 7.Existence of family or business relationship between buyer and seller.(Complete Table Item 4.) ❑ ® 8.Land contract. Contract term(n1: and contract date(MAvoo,'ry in: ❑ © 9.Personal property included in transfer.(pro,.i,Ie the vole Yes NO CONDITION I Table C kern 5.) ❑ © 10.Physical changes to property between March 1 ❑ © 4.Family or business relationship existing between and date of sale.(Describe in special circumstances in Table buyer and seller? ❑ © Amount of discount: $ 0.00 11.Partial interest.(Describe in special circumstances in Table C Item 3.) Disclose actual value in money,property,a service,an agreement,or other consideration. ❑ © 12.Easements or right-of-way grants. If conditions 13-15 apply,filers are subject to disclosure,but no disclosure filing fee. 5. Estimated value of personal property: $ 0.00 YES NO CONDITION 6.Sales price: $ 29,900.00 © ❑ 13.Document for compulsory transactions as a YES NO CONDITION result of foreclosure or express threat of ❑ © 7.Is the seller financing sale? If yes,answer foreclosure,divorce,court order,judgment, questions(8-13). condemnation,or probate. ❑ 14.Documents involving the partition of land ❑ © 8. Is buyer/borrower personally liable for loan? between tenants in common,joint tenants,or ❑ © 9.Is this a mortgage loan? tenants by the entirety. 10.Amount of loan: $ 0.00 © ❑ 15.Transfer to a charity,not-for-profit organization, 11.Interest rate: o or government. 0.00 /o 12.Amount in points: $ 0.00 13.Amortization period: 0.00 INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;D:.PREP,ARER '. x _ Nancy E. Hermann Land Agent Preparer of the Sales Disclosure Form Title 5214 S. East Street, Suite D-2 RWS South, Inc. Address(Number and Street) Company Indianapolis, IN 46227 317.781.9723 nancy(a rwssouth.com City,State,and ZIP Code Telephone Number E-mail ,E:SELLER(S)'/.GRANTOR(S) :_,''::,1::::;;,;-z,:::* : .- ''t 1 St.Christopher's Episcopal Church of Carmel Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document ' 1402 W.Main Street Address(Number and Street) Address(Number and Street) Carmel IN 46032 City,State,and ZIP Code City,State,and ZIP Code 317.846.8716 Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ani,aul plete a r•uir•d e law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ii 01? .• £ ♦. Sig,a --ofSeller 1 ' , Signature of Seller - On/EL 14/i 67E07 03/17/2015. Printed Name of Seller Sign date(M /DD/YYYY) Printed Name ofSeller Sign Date(MMLD(YYY)) F BUYERS)%GRANTEE(S)i APPLICATION,`EOR PROPERToY_;TAX,D WOO IONS. IDEN.ir1 AL :TitMS=THATrAOPPLY ;,- ,g,,_*, , ,t,a City of Carmel, Indiana Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document One Civic Square Address(Number and Street) Address(Number and Street) Cantle),IN 410032 City,State,and ZIP Code City,State,and ZIP Code 317.571.2400 Telephone Number E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ ZI 1.Will this property be the buyer's primary ❑ Z 3.Homestead residence? Provide complete address of primary ❑ 121 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device One Civic Square Address,(Number..andStreet) ❑ 0 6.Hydroelectric Power Device Carmel, 714 tIl<032 Hamilton ❑ ] 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Ig ❑ 0 2.Does the buyer have a homestead in Indiana to be r] 8•Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 1 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) City,State ZIP Code County Primary property owner contact name E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) Signature of Buyerl Signature of Buyer2/Spouse E__ M MAIV `f/8f 1 S Printed Legal Name of Buyer 1 Sign Date MM/DD/YYYY) Printed Legal Name of Buyer 2/Spouse Sign Date(MM/DD/YYYY) a ry o - CADAEL.- Last 5 digits of Buyer 1 Driver's State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last S Digits of Social Security License/ID/Other Number Number License/ID/Other Number INDIANA SALES DISCLOSURE FORM SDF ID SDO II) 1807077 Page 3 I;PART 2'-COUNTY ASSESSOR - J The county assessor must verify and complete items 1 through 14 and stamp the sales disclosure form before sending to the auditor: 1.Property 2.AV Land 3.AV Improvement 4.Value of Personal 5.AV Total 6.Property 7.Neighborhood B.Tax District 9.Acreage Property Class Code Code A.) B.) 10.Identify physical changes to property between March 1 and YES I No I CONDITION Assessor Stamp date of sale. ❑ ❑ 11.Is form completed? ❑ ❑ 12.State sales fee required? 13.Date of sale(MM/Do/vvn): 14.Date form received(MM/DD/YYFY): Items 15 through 18 are to be completed by the assessor when validating this sale: 15-If applicable,identify any additional special circumstances relating to validation of sale. YES I NO I CONDITION ❑ ❑ 16-Sale valid for trending? ❑ ❑ 17,Validation of sale complete? 18.Validated by: • • I PART:3 CCOUNTLY AUDITOR''.'. Auditor Stamp 1.Disclosure fee amount collected:$ YES NO CONDITION 2.Other Local Fee: $ ❑ ❑ 6.1s form completed? 3.Total Fee Collected:$ ❑ ❑ 7.Is state fee collected? 4.Auditor receipt book number: ❑ ❑ B.Attachments complete? 5.Date of transfer(MM/DD/vnr): PART 42..RECEIPT FOR.STATEMENT'OF•DEDUCTION:OFASSESSED VALUATION SDF ID SDF Date(MM/DD/rvnY) Buyer l-Nome as appears on conveyance document Parcel Number Address of Property(Number and Street) Check all that apply: City,State,and ZIP Code of Property • Homestead El Solar Energy Wind Power I] Hydroelectric ['Geothermal ❑ Rental Property Auditor Signature Date(MAI/DD/MT) n Electronic Statement(e-mail) A person who knowingly and intentionally falsifies value of transferred real property,or omits or falsifies any information required to be provided in the sales disclosure form commits a Class C felony. • INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1807077 Page I Parcel Addendum Sheet 1.Property Number Check box if applicable to 5.Complete Address of Property 6.Complete Tax Billing Address(if different from parcel property address) 1 ) © 2.Split 1402 W.Main Street One Civic Square 29-09-26-000-005.001-018 ® 3.Land Carmel,IN 46032 Carmel,IN 46032 ❑ 4.Improvement 7.Subdivision Name&Lot Number 8.Deductions El Homestead ❑Solar Energy ❑Wind Power ❑Hydroelectric ❑ Geothermal 9.Rental Property El 10.Parcel Acreage 0.09 /0.Legal Description A part of the Northeast Quarter of Section 26,Township 18 North,Range 3 East.Hamilton County,Indiana. Signature Date INDIANA SALES DISCLOSURE FORM SDF II) SDO ID 1807077 Page 2 SellerAddendum Sheet Ronel W.Giedt St.Christopher's Episcopal Church of Carmel Seller-Name as appears on conveyance document 1402 W.Main Street Address(Number and Street) Carmel,IN 46032- City,State,and ZIP Code 317-846-8716 Telephone Number E-mail IN Last 5 digits of Seller Driver's State Last 5 Digits of Social Security Number License/ID/Other Number Signature Date INDIANA SALES DISCLOSURE FORM SDF ID SDO II)_ 1807077 Page 3 Buyer Addendum Sheet City of Carmel,Indiana Buyer-Name as appears on conveyance document One Civic Square Address(Number and Street) Carmel,IN 46032- City,State,and ZIP Code 317-571-2441 Telephone Number E-mail IN Lust 5 digits of Buyer Driver's State Last S Digits of Social Security Number License/ID/Other Number Signature Date