2012 CRC Nash Building pay request 14 a�oE�f�ovmE,yr
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City of Carmel
Indiana
CARMEL REDEVELOPMENT COMMISSION
James Brainard Disbursement Number#14
Mayor E-Mail the signed Disbursement Direction to:
Huntington National bank Corporate Trust Department (INHP22)
Commissioners Attn: Kim Wilson kim.wilson @huntington.com (317) 229-4094
William Hammer Ellen Campbell Ellen.campbell @huntington.com (616) 235-5941
President
Re: Depository Agreement between the City of Carmel and Huntington National
David Bowers Bank, dated December 31, 2012-Trust#4087000414
Vice President
Jeff Worrell Dear Kim:
Secretary
William Brooks On May 20, 2015, you are hereby authorized and directed, as the Depositary under
Commissioner the above referenced Agreement, to pay the amounts set forth on the attached
Register of Claims from the above-referenced Trust account and overnight checks
Bob Dalzell to:
Commissioner
Michael Kerschner Carmel Redevelopment Commission
Commissioner Attention: Mike Lee
30 W Main Street, Suite 220
Carmel, IN 46032
Corrie Meyer
Executive Director City of Carmel, IN
44.juk
By: u, s
Diana L. Cordray, Clerk-Treasura;
30 WEST MAIN STREET, SUITE 220, CARMEL, IN 46032 OFFICE 317.571.ARTS (2787) FAX 317.571.2789
CARMEL REDEVELOPMENT COMMISSION
Register of Claims
5/20/2015
Payment Request#14
Amount of Wire
Vendor Address Invoice Description Instructions
2601 N Arlington Ave Pay app 10,Garage&
Maxwell Electric Indianapolis,IN 46218 $ 15,724.40 ramp-retention IF NEEDED
Total: $ 15,724.40
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: $ 15,724.40
6///2/U: PIMA 1/7_,t"-,t//
Director of the CRC Date
AIA Type Document.
Application and Certification for Payment _ • -
Pagelof2 "
TO(OWNER):City of Carmel p�{�ECT,CITY CENTER GARAGE
Redevelopment Commission' ONE PEDCOR SQ APPLICATION NO: 3314-t0 :DISTRIBUTION'
9-54 Parking Garage&Ramp 720 3RD AVE.S.W.: PERIOD TO:3/6/2015 TO:".•IN 46032 CARMEL,IN 46032
_ARCHITECT_
FROM(CONTRACTOR):MAXWELL ELECTRIC ••- VIA
2601 N ARLINGTON AVE
(ARCHITECT). A�ctir�Crs CONTRACTOR
INDIANAPOLIS,IN 46218 PROJECT NO:
CONTRACT FOR: CONTRACT DATE:
CONTRACTOR'S:APPLICATION!.FOR PAYMENT The Undersigned Contractor certifies that to the best of the Contractor's knowledge,information and
Application is made for Payment; shown below,in connection with the Contract: belief the work covered by this application for Payment has been completed m accordance with the
Continuation Sheet,AIAType Document is attached. Contract Documents,that all amounts have been.patd by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the owner,and that
.: 1.ORIGINAL CONTRACT SUM ,..-. • $ : - 157,244.00,.. • current payment herein is now
rent payme t shown h rei due. .
2.Net Change by Change'Orders .;::.$ 000 • CONTRACTOR CL ELI_GTRIC•
- - WV-.. AVE.1044/41APOIA IN 4621 Ei
a AfiLINGTt?IV
3.CONTRACT SUM TO DATE (Line 1*2)... $ 157,24400 /
f
4.TOTAL COMPLETED AND STORED TO DATE ,.$ ., .157,244.0d.:' �` , _•S.RETAINAGE. Paul Hood -. ' / Project Manager .•
a. 0.00 46 of Completed Work State of IN
$-:.. • 0.00 .
County of. Marion ? e "•b.•• : 0.00%of Stored Material $ 000 Subscribed and Sworn to before me this ✓} Day• b� ,.."� `:I.'...'.•r ,- ,•■
Total retainage(Line 5a+5b) .. $ . .. 000 • Notary Public: �`�
. . My Commission Expires, ' 't / /�
6.TOTAL EARNED LESS RETAINAGE..._ • $ 157,244.00'. «.ax
(Lined less Line 5 Total), • ' ARCHITECT'S C. RTIFICATE FOR'PAYMENT
7.LESS PREVIOUS CERTIFICATES FOR PAYMENT • • • InAccc.rdaiice With'the Contract Documents,based on on-site observations and the data'corrti
(Etna 6 tom prior Certificate}. • $ 141,5i8_tia prising the above application, theArchfect certifies to owner that to the best of the Architect's •.
knowledge,information and belief the Work has progressed as indicated,the quality of the work.
8.CURRENT PAYMENT DUE .DUE.......................... . $ - • . 15,724.40 Is in accordance with the Contract Documents; and the Contractor is entitled to payment of the.. -
9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED...
{Una 31ess Line 6) $ "t)00
AMOUNT CERTIFIED .:..:•.• $-.
4 Ap
CHANGE ORDFJ2 SUMMPiRY ADDITIONS, DEDUCTIONS r • (Attach explanation if amount certified difers(ruin the amount applied. Initial all figures bn this• Application and o _. Cr tinuation Sheet that are changed to conform to the amount certified,)
Toter cdienges approved in
previous months by Owner , " '0.00 0 0-.6 " . bC• ARCHiTEC!`�
BY.. Date:`
Total a roved this Month e "
� OAO 000. : This Certifi�-'=45it1' negotiable, TheAMOUNTCERTIFIED is payable Only to the Contractor
named herein.Issuance,Payment and acceptance of payment are without prejudice to any
TOTALS.. . ; 0.00.. . •• 0.00 : rights of the Owner or Contactor under this Contract • ": ..
NET CHPNGES by Change Order 0 00
_,,,: ,i. . .. . .
AEA Type Document
Application and Certification for Payment Page 2 of 2
•
TO(OWNER):City of Carmel PROJECT: CITY CENTER GARAGE APPUCATION NO: 3314-10 DISTRIBUTION
Redevelopment Commission ONE PEDCOR SC) TO:
9-54 Parking Garage&Ramp 720 3RD AVE.S.VV. PERIOD TO:3/6/2015
IN 46032 CARMEL, IN 46032 �_A CHITECT
_CONTRACTOR
FROM(CONTRACTOR): MAXWELL ELECTRIC VIA(ARCHITECT): ARCHITECTS
2601 N ARLINGTON AVE PROJECT NO:
INDIANAPOLIS,IN 46218
CONTRACT FOR: CONTRACT DATE:
SCHEDULE PREVIOUS COMPLETED STORED COMPLETED
ITEM DESCRIPTION V ALUE APPLICATIONS THIS PERIOD MATERIAL STORED a BALANCE RETAINAGE
'
1 Light Fixtures 17,200.00 17,200.00 0.00 0.00 17,200.00 100.00 0.00 0.00
2 Lighting Installation 16,440.00 16,440.00 0.00 0.00 16,440.00 100.00 0.00 0.00
3 Gear/Panels 37,900,00 37,900.00 0.00 0.00 37,900.00 100,00 0.00 0.00
4 Gear!Panel Installation 21,364.00 21,364.00 0.00 0,00 21,364.00 100.00 0.00 0.00
5 General Material 41,300.00 41,300.00 0.00 0.00 41,300.00 100.00 0.00 0.00
6 General Material Installation 23,040.00 23,040.00 0.00 0.00 23,040.00 100.00 0.00 0.00
REPORT TOTALS $157,244.00 $157,244.00 $0.00 $0.00 $157,244.00 100.00 $0.00 $0.00
SUBCONTRACTOR'S AND SUPPLIER'S AFFIDAVIT,
-.WAIVER OF LIEN
AND AGREEMENT FOR INDEMNIFICATION
Xx FINAL PARTIAL
Paul Hood being duly sworn stated the following
Name of Subcontractor or Supplier: 5,1 n tura Constructioni
Name of General Contractor: _e Electric
Project Location: Nash Garde
PARTIAL WAIVER: that the balance due from the General Contractor is the sum of
Dollars l l .
receipt of which is hereby acknowledged;or
the payment of which has been promised as the sole consideration for this Affidavit and
Partial Waiver of Lien which is given,effective upon receipt of such payment
FINAL WAIVER: That the final balance due from the General Contractor is the sum of
4
receipt of which is hereby acknowledged;or
X thc payment of which has been promised as the sole consideration for this Affidavit and
Final Waiver of Lien which is given,effective upon receipt of such payment;
THEREFORE,the undersigned waives and releases the Owner of said premises,any and all lien or claim
whatsoever on the above-described property and Improvements thereon on account of labor or material or
both,furnished by the undersigned,and further certifies that no other party has nay claim or right to a lien
on account of any work performed or material furnished to the undersigned for said project,and within the
scope of this affidavit and waiver.
Unconditional Agreement to Indemn fy. Upon the condition that Subcontractor receives payment of the
above listed amount,and in consideration of that payment,Subcontractor/Supplier agrees to indemnify and
hold Owner and Contractor harmless against all claims and mechanic's liens on or against the Premises for
any labor,materials,equipment,tools or services performed or provided by or through
Subcontractor/Supplier relating to the Project.
Printed: Paul Hood
Title: Project Manager
STATE OF .Indiana )
)SS:
COUNTY OF Marion )
Subscribed and sworn to before me,a Notary Public in and for said County
6th day of March `,2015.. �� ` .
t
My commission expires 2 22.20 :t 1"` 1� rA
Residing in :Hancock �j7grtattut t,rS`""
l Tinted Jackt Hough
Nt�7TARY PUBLIC