HomeMy WebLinkAbout08 DrawRequest #6C k~~. `~v~v~r
•
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: March 7, 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 #6
I have enclosed a copy of Draw Request No. 6 for $32,242.60: This draw request, along with
$22,686.86 in local match funds, will be used to pay Kevco Construction, LLC and The Estopinal
Group (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 (The Estopinal Group may be paid now, as they are paid by
local match funds):
Kevco Construction, LLC -Pay Application #6 $51,153.09
Kevco Construction, LLC - Retainage Fund $ 2,692.27
The Estopinal Group - rwoice #108485 $ 1,084.10
:Total.. $54,929.46
.Please mail or fax to 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 Spring Street, Suite 2A • Jeffersonville, IN 47130
Ph: 812.288.4624 Fax: 812.288.8105
~•4 CLAIM -- VOUCHER
a
State Form 11294 (RS / 4-04)
._ ~= =:
.,` d,~ Approved by State Board of Accounts, 2004.
s.
ame o agency personne w o prepare is c aim.
Name:
Lee Webb Phone:
233-3559
INSTRi/CTIANS~ This aaenr_v is reauestina disclosure Of VOUr SOCIaI SeCUrIfV Number In aCCOfdanCe Wlth /.C. 4-1-8.
VENDOR INFORMATION AGENCY INFORMATION
Document Number a e mon ay, year Name of agency
Lieutenant Governor's Office
Name of vendor
City of Jeffersonville Agency Number
ress um er, ree
500 Quartermaster Court Social Security Number 1099 CODE
ress ox um er Federal I. D. Number
35-6001067 1099 CODE
EX
I y, a e, an o e -
Jeffersonville, IN 47130 Vendor Number
DATE AMOUNT FUND OBJECT CENTER LOAN/INV/NBR QTY. UNIT DESCRIPTION
3.7.2007
32,242.60
6000
572500
113800
CF-05-226 Construction Services
(1.1.2007 to 1.31.2007)
~7
GROSS AMOUNT $ 32,242.60 urnls a o: ame o a e gency
ify that this claim is correct and valid and is a proper charge against the State Agency, Fund, and Center indicated.
orized Signature of State Agency ate monf ,day, year
Pursuant to the provisions and penalties of Indiana Code 5-11-10.1, I 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 pai
Signature of Vendor ate mont , ay, year
Presented by State Board of Accounts Town Form No. 17 (Rev. 1996)
l ACCOUNTS PAYABLE VOUCHER
• City of Jeffersonville ,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
The Estopinal Group
903 Spring Street
Jeffersonville, IN 47130
• 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
March 7, 2007
Purchase Order No
. Invoice #108485
Terms Ken Ellis Senior Center CF-05-226
Date Due
Invoice
Date Invoice
Number Description
or note attached invoices or bill s Amount
2.7.2007 108485 Desi nand Ins ection Services 1.1.2007 to 1.31.2007 $ 1,084.10
Total $ 1,084.10
Signature
Community Development Specialist
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 5-11-10-2.
2007 Mayor, City of Jeffersonville
Signature Title
•
Presented by Stale Board of Accounts
Purchase Order No
ACCOUNTS PAYABLE VOUCHER
• City of Jeffersonville ,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
Kevco Construction LLC
P.O. Box 3243
Louisville. KY 40201-3243
Invoice
Date Invoice
Number Description
(or note attached invoices or bill s Amount
2.8.2007 6 Construction Services 1.1.2007 to 1.31.2007 $ 51,153.09
Total
__ _ _ _ aL. .1.. $ 51,153.09
:..1.. w
I hereby certiry that the attached invoicets~, or olu~s~, IS ~idl C) a ur. anu wn c~.~ ai n+ a ~csa ~~ ~~. ~.....~-....•....• -.--~ -.___
itemized thereon for which charge is made were ordered and received except
March 7, 2007 Community Development Specialist
Signature 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 5-11-10-2.
2007
Signature
Town Forth No. 17 (Rev. 1996)
Invoice #6
Terms Ken Ellis Senior Center CF-05-226
Date Due
Mayor, City of Jeffersonville
Title
•
Presented by State Board of Accounts Town Form No. 17 (Rev. 1996)
ACCOUNTS PAYABLE VOUCHER
• City of Jeffersonville ,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
Kevco Construction LLC
Retainage Fund
• 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
March 7, 2007 Community Development Specialist
Signature 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 5-11-10-2.
2007
Signature
Purchase Order No
Invoice #6
Terms Ken Ellis Senior Center CF-05-226
Date Due
Invoice
Date Invoice
Number Description
or note attached invoice(s) or bill s Amount
2.8.2007 6 Construction Services 1.1.2007 to 1.31.2007 - Retsina e $ 2,692.27
Total $ 2,692.27
Mayor, City of Jeffersonville
Title
•
• CITY OF JEFFERSONVILLE
KEN ELLIS SENIOR CENTER
DRAW REQUEST WORKSHEET
CF-05-226
Draw #6
Date Vendor Invoice # Invoice Amount
$ -
Admin./ER/Labor Standards $ -
2.7.2007 The Estopinal Group 108485 $ 1,084.10
Inspection Services $ 1,084.10
CONSTRUCTION OF FACILITY
2.8.2007 Kevco Construction LLC
PR #6 $ 600,210.71
PR #5 $ 546,365.35
$ 53, 845.36
$ 53,845.36
x 5%
~J
Retainage $ 2,692.27
$ 53,845.36
$ 2,692.27
Payment $ 51,153.09
Payment $ 51,153.09
Retainage $ 2,692.27
$ 53,845.36
Total Draw Request $ 32,242.60
Local Match $ 22,686.86
Total 54,929.46
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
$ -
$ 1,084.10
$ 51,153.09
$ 2,692.27
Total $ 54,929.46
~IlVO1Ce The Estopinal Group LLC Architecture,
Engineering and Interiors R~e~~ ~
903 Spring Street ~~ FED ~ ~ Zt°~~~
Jeffersonville, IN 47130
February 7, 2007
Project No: JEFF.022
Invoice No: 0108485
City of Jeffersonville
500 Quartermaster Court
Jeffersonville, IN 47130
Project JEFF.022 Ken Ellis Senior Center DD-CA Original
Fee $51,304
Amendment 1.300 (for interior design services) Revised
Fee $52,604
Professional Services from January 1 2007. to January 31.2007
Fee
Total Fee 52,604.00
Billing Phase
Design Development
Contract Documents
Bidding/Negotiation
Construction Administration
Miscellaneous Expenses
Billing Limits
Expenses
Limit
Remaining
Outstanding Invoices
Number
0108407
Total
Percent Percent
of Fee Fee Complete Earned
15.00 7,890.60 100.00 7,890.60
60.00 31,562.40 100.00 31,562.40
5.00 2,630.20 100.00 2,630.20
20.00 10,520.80 70.00 7,364.56
Total Earned 49,447.76
Previous Fee Billing 48,395.68
Current Fee Billing 1,052.08
Total Fee 1,052.08
32.02
Total this Invoice $1,084.10
Current Prior To-Date
32.02 5,533.06 5,565.08
8,696.00
3,130.92
Date
1 /10/07
Balance
3,285.10
3,285.10
Net 30 Days. Make checks payable to The Estopinal Group LLC
Kevco Construction, LLC
P.O. Box 3243
• Louisville, KY 40201-3243
Bill To
CITY OF JEFFERSONVILLE
500 QUARTERMASTER CT.
JEFFERSONVILLE, IN 47130
Quantity Description
RE: KEN ELLIS SENIOR CENTER
AIA APP #6 -JANUARY 2007
~I
Phone # Fax #
( 502) 635-1641 (502) 635-1634
Invoice
Date Invoice #
2/1/2007 K4747
P.O. No. Terms Project
2325 Due on receipt 2325 CITY OF JEFF...
Rate
51,153.09
Amount
51,153.09
Total ~ ~,~ ~ $51,153.09
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