2012 Sewer Bond pay request 24 CITY OF CARMEL
7_& .---.,,,,,,,-,-.:r ,., 1- 'v:vg a e, .AV,I v8 -`"` p ;'rte"'
r
�,`\ATER WASTEWATER UTOLOTHES 760 3RD AVENUE 5.W., STE. 110 • CARMEL, INDIANA 46032
(31 7) 571-2443 • FAX (317) 571-2265
EXHIBIT B
Disbursement Direction#24
E-Mail or FAX the signed Disbursement Direction to:
The Huntington National Bank Corporate Trust Department(INHP22) Attn: Kim Wilson Tel: (317)229-
4094 Fax: (317) 229-4094 E-Mail: Kim.Wilson(w.huntington.com
Re: Depositary Agreement between the City of Carmel and The Huntington National Bank,
dated May 16, 2012 -Trust 44087000067
Dear Kim:
On January 4, 2014 , 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 o-Opvernightchecks to:
Carmel Utilities
Attn: Lisa Kempa
30 West Main Ste 220
Carmel, IN 46032
City of Carmel, Indiana
By: .%:, _ ,� d:;: ''
Name: Diana L. Cordray Title: C1: Treasurer
(*)Your Alternate contact at Huntington National Bank will be:
Ellen Campbell-Tel# (616)235-5941 Ellen.Campbell@huntington.com
huntington.com
CITY OF CARMEL
>1. f�'.5#�"4 '�'+' '' ,. -" -�xa'�3ki�+x.• g ..� saa`^ n c .:gam-
. ;",`'�..'.°`� '� � r r �sr'° Y 5 .t +" 3r'. ';,.'�-
WATER-WASTEWATER UTThIT ES 760 3RD AVENUE S.W., STE. 110 • CARMEL, INDIANA 46032
(317) 571-2443 • FAX (317) 571-2265
EXHIBIT B
Disbursement Direction #24
E-Mail or FAX the signed Disbursement Direction to:
The Huntington National Bank Corporate Trust Department(INHP22)Attn: Kim Wilson Tel: (317)229-
4094 Fax: (317)229-4094 E-Mail: Kim.Wilson(w.huntington.com
Re: Depositary Agreement between the City of Carmel and The Huntington National Bank,
dated May 16, 2012 -Trust#4087000067
Dear Kim:
On January 4, 2014 , 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 o-Opvernight checks to:
Cannel Utilities
Attn: Lisa Kempa
30 West Main Ste 220
Cannel, IN 46032
City of Carmel, Indiana
By:
a
Name: Diana L. Cordray Title: Clerk-Treasurer
(*) Your Alternate contact at Huntington National Bank will be:
Ellen Campbell-Tel # (616)235-5941 Ellen.Campbell @huntington.com
CARMEL UTILITIES
Register of Claims
1/4/2014
PAYMENT REQUISITION NO 24
AMOUNT OF Wire
VENDOR ADDRESS FUND CLAIM MEMORANDUM Instructions
PO Box 2533
MK Betts Engineering Anderson, IN 46018 Cons $ 426,215.60 construction
1625 North Post Road
United Consulting Indianapolis,IN 46219 Cons $ 295.00 engrg services
TOTAL $ 426,510.60
ALLOWANCE OF CLAIMS
We have examined the claims listed on the foregoing Register of Claims,consisting of 1 page,and except for claims not allowed as
shown on the registers ch cla s are hereby allowed in the total amount of $426510.6
John D j„,Utility Di c Date
PLEASE OVERNIGHT CHECKS TO:
Carmel Utilities
Attn: Lisa Kempa
30 West Main St Ste 220
Carmel,IN 46032
APPLICATION AND CERTIFICATE FOR PAYMENT AlA DOCUMENT G702 (instructions on reverse side: PACE ONE OF PAGES
APPLICATION NOine (9) Distribution to:
TO (OWNER): City of Carmel PROJECT: Final Clarifier & Misc. Distribution
Once Civic Square Improvements — Contract 79 11/30/13 C EL ARCHITECT
PERIOD TO:
Carmel, TN 46032 ❑ CONTRACTOR
ARCHITECT'S C
VIA4lti't�: C
FR (CONTRACTOR): Engineer: Jones & Henry Engineers PROJECT NO:
M. K. Betts Engineering
& Contracting, Inc.
CONTRACT FOR Invoice 13-124.09
CONTRACT DATE;
Application is made for Payment, as shown below, in connection with the Contract.
CONTRACTOR'S APPLICATION FOR PAYMENT Continuation Sheet, AlA Document G703, is attached. 5 3 423,000.00,__
1�1 I 1. ORIGINAL CONTRACT SUM ...• . _0�
CHANGE ORDER S1JfvlMAR1 2. Net change by Change Orders $
I 4DDITI ON5 DE[�UCTIONS $ 3,423,000.00
Change Orders approved in 3. CONTRACT SUM TO DATE (Line 1 -�2) $ 1 ,791,486.50
previous months by Owner 4. TOTAL COMPLETED & STORED TO DATE
TOTAL (Column G on G703)
Approved this Month �. (Column
e . _.'.
Number I Date Approved a. 3c of -r.' cTtpIctec: -�'�'
j (Column 0±E on G703)
h. ______ % of Stored Material $
(Column F on G703)
j I ` Total Retainage tLine 5a 4 SP or $ 171,150.00
Total in Column I of G703) $ 11620,336.50
TOTALS { 6. TOTAL EARNED LESS RETAINAGE
Net chan•e by Change Orders (Line 4 less Line 5 Total)
The undersigned Contractor certifies that to the best of the Contractor's knowledge, 7. LESS PREVIOUS CERTIFICATES FOR $ 1,194,120.90
information and belief the Work covered by this Application for Payment has been PAYMENT (Line 6 from prior Certificate) 426,215.b0
completed in accordance with the Contract Documents, that all amounts have been g _
paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE $ 1 422 215.60
issued and payments received from the Owner, and that current payment shown 9. BALANCE TO FINISH, PLUS RETAINAGE
herein is now due. (Line 3 less Line b)
State of: Indiana County of; Madison
CONTRACT*— M. K. Betts Engineering & Contracting, Yne. Subscribed and sworn to before me this 30th day of Nov. , 2013
Notary Public;�,2�'4�-� '`� `S--
, � =r November 30, .2013 My Commission expires: October 28 , 2015 . _
//f,J /f_ Date; S
AR ITECT'S ERT1F PAYMENT AMOUNT CERTIFIED
' ATE FOR PAYME (Attach explanation if amount certified differs from the amount applied tot)
� observations and the ARCHITECT:
In accordance with the Contract Documents, based on on-site obse a —17 _
data comprising the above application,the Architect certifies to the Owner that to the Date:
best of the Architect's knowledge,information and belief the Work has progressed as By:is,Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
indicated,the quality of the Work is in accordance with the Contract Documents, and
the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance,payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
�, r • t. cn4 P,VMF VT • AY 19ai EDITION'AcA• • c 14)10 6702-1983
1625 North Post Road
Bus. (31p7)1895-258519 ETED 9
Consulting= Fax (317)895-2596
Carmel Utilities Invoice number 1390101-11
John Duffy Date 12/10/2013
Director
760 Third Avenue S.W. Project 13-901 Carmel -Cool Creek Bank
Carmel, IN 46032 Stabilization Project
For Professional Services Rendered Through: November 29, 2013
Project No.: 13-901-01 Carmel Utilities-Task Order No. 2013-1
Project Description:Cool Creek Bank Stabilization Project
Professional Engineering Services in connection with the above referenced project. This period we continued
1 erosion control design, plan preparation and other engineering tasks.We also continued the permit application
process. We also assisted with the right of entry pursuits by preparing right of entry forms for your use. PLEASE
NOTE THAT AS WE DISCUSSED,WE WILL ASSIST WITH THE TEMPORARY RIGHT OF ENTRY SERVICES
AND TRACK OUR COSTS—THESE WILL BE BILLED UNDER OUR ORIGINAL HOURLY PLUS COST
AGREEMENT AND A SUPPLEMENT WILL ONLY BE REQUESTED FOR THIS SCOPE CHANGE IF WE
EXCEEED THE ORIGINAL CONTRACT PHASE AMOUNT.
We appreciate having the opportunity to work with Carmel Utilities.
Please feel free to contact our office if you have questions about this invoice or project.
Invoice Summary
Contract Percent Prior Total Current
Description Amount Complete Billed Billed Billed
13-901-01 Survey&Right of Way/Property Line 6,300.00 100.00 6,300.00 6,300.00 0.00
Services
13-901-01 Design &Permitting Services 53,100.00 47.68 25,024.80 25,319.80 295.00
13-901-01 Bid Phase Services 10,500.00 0.00 0.00 0.00 0.00
13-901-01 Construction Phase Services 34,300.00 0.00 0.00 0.00 0.00
13-901-01 Additional Temporary Land Acess 5,000.00 32.60 1,630.00 1,630.00 0.00
Services
Total 109,200.00 30.45 32,954.80 33,249.80 295.00
Design&Permitting Services
Professional Fees
Billed
Hours Rate Amount
CADD Designer
Darcy A. Robinette
Project Time 2.50 118.00 295.00
Invoice total 295.00
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
1390101-11 12/10/2013 295.00 295.00
Total 295.00 295.00 0.00 0.00 0.00 0.00
Carmel Utilities Invoice number 1390101-11
Page 1 of 2
Carmel Utilities Invoice number 1390101-11
Project 13-901 Carmel-Cool Creek Bank Stabilization Project Date 12/10/2013
Approved by:
....04C
Keith Bryant
Vice President
Carmel Utilities Invoice number 1390101-11
Page 2 of 2