The URL can be used to link to this page

Home My WebLink About06 Pay Application #5C1~v-~~ lrec~~x~-' • Jeffersonville BOW January 17, 2007 River Hills EDD & RPC will be presenting the following items at this meeting: • Ken Ellis Senior Center Kevco Construction -Pay Application #5 Total Pay Application - $199,343 (Grant - $119,366.59 Local Match - $79,976.41) $189,375.85 -paid to Kevco Construction Retainage of $9,967.15 will be withheld • - Indiana Office of Community and Rural Affairs (IOCRA) Disclosure Report ,. Y • Kevco Construction, LLC P.O. Box 3243 Louisville, KY 40201-3243 Bill To CITY OF JEFFERSONVILLE 500 QUARTERMASTER CT. JEFFERSONVILLE, IN 47130 ~r ~_l1 ~~ Invoice Date Invoice # 12/28/2006 K4654 P.O. No. Terms Project 2325 Due on receipt 2325 CITY OF JEFF... Quantity Description Rate Amount RE: KEN ELLIS SENIOR CENTER AIA APP #5 -NOVEMBER 2006 189,375.85 189,375.85 Phone # Fax # (502)635-1641 (502)635-1634 Total $189,375.85 I I X05, ~~ -~`~I q q,3'-I 3.00 ~P Kevco Construction LLC 812 West Magnolia Ave: #2 Louisville K .40208 Telephone (502) 635-1641 Fax (502) 635-1634 PARTIAL WAIVER OF LIEN: MATERIAL AND LABOR PROJECT: Ken Ellis Senior Center DATE: 12/30/06 TO WHOM IT MAY CONCERN: Whereas the undersigned Kevco Construction has been employed by City of 7effersonville to furnish labor, services and/or materials or both in and for the construction of improvements of the premises known as Ken Ellis Senior Center Now, therefore, know ye, that the undersigned for and in consideration of the sum of $189,375.85 which is hereby acknowledged to be the fulUpartial amount payable for the work hereinabove described, the undersigned, subject only to receipt of said amount, does hereby waive and release any and all liens, or claim or right to lien of said above described building and premises under the Statues of the State of Ky relating to liens, on account of said firm or individual therein named for said building or premises. Thai all labor and materials used by the undersigned I respect to said building or premises have been fully paid for and discharged. Given under the undersigned's hand Subscribed. and sworn before me on DATE 12/30/2006 1.~~~oi,n.~ D,~.~ ~~, dCY~o BY: '~ Notary Publi _ My Commissi Expires ~f a~r~ TITLE: Vice President (Seal of Notary Public) ~' ~~ ` ~trea,SC,~rek R I V E R H I L L S • ECONOMIC DEVELOPMENT DISTRICT & REGIONAL PLANNING COMMISSION Serving the Indiana Counties of: Clark, Floyd, Harrison, Scott and Washington MEMORANDUM DATE: January 17, 2007 TO: Mary Sue Ellenbrand Redevelopment Commission CC: /Peggy Wilder Clerk-Treasurer Barbara Hollis Clerk-Treasurer's Office FROM: Melissa Woods River Hills EDD & RPC • RE: City of Jeffersonville CFF Grant No. CF-05-226 -Ken Ellis Senior Center -Draw Request #5 I have enclosed a copy of the original Draw Request No. 5 for $119,366.59. This draw request, along with $79,976.41 in local match funds, will be used to pay Kevco Construction, LLC (enclosed). I will forward the original draw request to IOCRA for processing. Once you receive the check from the State, the following checks must be written no more than 3 days after the state check is deposited: Kevco Construction, LLC -Pay Application #5 $189,375.85 Kevco Construction, LLC - Retainage Fund $9,967.15 Total $199,343.00 Please mail or fax me copies of the State Auditor check, City deposit receipt, fully executed accounts payable voucher/s and checks written to vendor/s. If you have any questions, please call me. Thank you. • 300 Springy Street, Suite 2A • Jeffersonville, IN 47130 Ph: 812.288.4624 , • Fdx: 812.288.8105 ~,~ .,,n ~r `-. `~ CLAIM -VOUCHER *~ ` . State Form 11294 (R5 / 4-04) ate„ ~,+ • ~~~• Approved by State Board of Accounts, 2004 Name of agency personnel who prepared this claim. Name: Lee Webb Phone: 233-3559 INSTRUCTIONS: This aaencv is reauestina disclosure or vour Social Security Number in accordance with I.C. 4-1-8. VENDOR INFORMATION AGENCY INFORMATION Document Number Date (Month, Day, Year) Agency Name Lieutentant Governor's Office Vendor Name Cit of Jeffersonville Agency Number 38 Address (Number, Street) 500 Quartermaster Court Social Security Number or 1099 CODE Address (P.O. Box Number) Federal I.D. Number 1099 CODE 35-6001067 EX City, State and ZIP Code (00000-0000) Jeffersonville, IN 47130 Vendor Number AREA BELOW TO BE COMPLETED BYAGENCY. DATE AMOUNT FUND OBJECT CENTER LOAN / INV / NBR QTY. UNIT DESCRIPTION 1.17.2007 $ 119,366.59 6000 572500 113800 CF-05-226 Construction Services (12/1/2006 to 12/30/2006) GROSS AMOUNT: $ 119,366.59 Furnished to: (Name of State Agency) ify that this claim is correct and valid and is a proper charge against the State Agency, Fund and Center indicated. Authorized Signature of State Agency Date (Month, Day, Year) Pursuant to the provisions and penalties of Indiana Code 5-11-10-1, 1 hereby certify that the foregoing Fund and Center is just and correct, that the amount claimed is legally due, after allowing all just credits, and that no part of the same has been paid. 'g ature of Vendor Date (Month, Day, Year) • Date CITY OF JEFFERSONVILLE KEN ELLIS SENIOR CENTER DRAW REQUEST WORKSHEET CF-05-226 Draw #5 Vendor Invoice # Invoice Amount Admin./ER/Labor Standards $ - $ - Inspection Services $ - CONSTRUCTION OF FACILITY 12.28.2006 Kevco Construction LLC PR #5 $ 546,365.35 PR #4 $ 347,022.35 $ 199, 343.00 $ 199,343.00 X 5% Retainage $ 9,967.15 $199, 343.00 $ 9,967.15 Payment $189,375.85 Payment $ 189,375.85 Retainage $ 9,967.15 $ 199,343.00 Total Draw Request $ 119,366.59 Local Match $ 79,976.41 Total 199,343.00 CHECKS TO BE WRITTEN Paid From Payable To: LM River Hills EDD & RPC LM The Estopinal Group CFF & LM Funds Kevco Construction LLC Retainage Kevco Construction LLC Check Amount $ - $ - $ 189,375.85 $ 9,967.15 Total $ 199,343.00 r~ U Kevco Construction, LLC P.O. Box 3243 Louisville, KY 40201-3243 Bill To CITY OF JEFFERSONVILLE 500 QUARTERMASTER CT. JEFFERSONVILLE,IN 47130 u • Invoice Date Invoice # 12/28/2006 K4654 P.O. No. Terms Project 2325 Due on receipt 2325 CITY OF JEFF... Quantity Description Rate Amount RE: KEN ELLIS SENIOR CENTER AIA APP #5 -NOVEMBER 2006 189,375.85 189,375.85 Total $189,375.85 Phone # Fax # ( 502) 635-1641 (502) 635-1634