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Invoice Date:
2/5/03
Invoice Number:
03-0513
JACOBI, TOOMBS AND LANZ, INC. •
Consulting Engineers
120 Bell Avenue
Clarksville, Indiana 47129
(812) 288-6646
JEFFERSONVILLE BOPW
c/o BOB MILLER
CITY-COUNTY BLDG, 4TH FLOOR
JEFFERSONVILLE, IN 47130
CUStomer ID: JEFFBOPW
Professional Services
Description
JOB #9603CE - VETERANS PARKWAY INSPECTION - PROJECT N0. SIB-C730(), DES NO.
9880130
Total Invoice Amount
Amount
21,990.26
21,990.26
•
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{'rescribed by the State Board of Accounts
CLAIM
A CLAIM, TO BE PROPERLY ITEMIZED, MUST SHOW: KIND OF SERVICE, WHERE PERFORMED, DATES SERVICE RENDERED, BY WHOM,
RATE PER DAY, NUMBER OF HOURS, RATE PER HOUR, PRICE PER FOOT, PER YARD, PER HUNDRED, PER POUND, PER TON, ETC.
DEPARTMENT OF REDEVELOPMENT, CITY OF JEFFERSONVILLE
•On Account of Appropriation for 'I'o JACOBI, TOOMBS AND LANZ, INC
DATE
2003 ORDER
NO. ITEMIZED CLAIM DOLLARS CTS.
2/S Job #9603CE -Veterans Parkway Inspection
Project No. SIB-C730Q, DES. No. 9880130 $21,990.26
Total Charges to Date $89,301.34
Total Previous Charges $67,311.08
Total Due This Claim $21,990.26
Address 120 BELL AVENUE, CLARKSVILLE IN 47129
City Form No. 201 (Rev. 1964)
Pursuant to the provisions and penalties of Chapter 1 Acts of 1953.
I hereby certify that the foregoing account is just and rrec that the amount claimed is
all just credits, and that no part of the same has been pai
Date
Feb 5
20 03
due, after allowing
President
TITLE
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•
AGENCY:
Federal Share Reimbursable
Total Local Share Split
Jeffersonville
Clarksville
VETERANS PARKWAY INSPECTION
PROJECT NO. SIB-C730(), DES. NO. 9880130
JOB NO. 9603CE
INVOICE 4
Billing Date: February 5, 2003
FUNDING SUMMARY
SHARE OF AMOUNT DUE
REIMBURSEMENT THIS INVOICE
80.00% $ 17,592.20
20.00% $ 4,398.05
60.00% $ 2,638.83
40.00% $ 1,759.22
TOTAL THIS INVOICE $21,990.26
TOTAL REIMB
TO DATE
$71,441.08
$17,860.26
$10,716.16
$7,144.11
$89,301.34
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TOTAL THIS INVOICE
/~ $21,990.26
• VETERANS PARKWAY INSPECTION
PROJECT NO. SIB-C730(), DES. NO. 9880 130
JOB NO. 9603CE
INVOICE 4
Billing Date: February 5, 2003
CLASSIFICTIONS REG HRS OT HRS RATE TOTAL
SENIOR ENGINEER (JHT) $43.25 $0.00
SENIOR ENGINEER (JIL) 1.00 $43.25 $43.25
PROJECT MANAGER (TLS) 5.50 $33.50 $184.25
DESIGN ENGINEER (MCH) $28.75 $0.00
DESIGN ENGINEER (HLH) $27.55 $0.00
DESIGN ENGINEER (HU) 21.00 $24.75 $519.75
CADD MANAGER (BTB) $27.55 $0.00
DETAIL ENGINEER (ARS) 11.00 $18.00 $198.00
CADD TECH QAM, KLP, LAH) 30.00 $16.00 $480.00
CADD TECH (RVL) $13.00 $0.00
RES PROJ REP (VLL) 155.00 12.50 $22.00 $3,685.00
RES PROJ REP (JMC) 141.00 3.00 $18.25 $2,628.00
RES PROJ REP (JSS) 102.50 2.00 $16.85 $1,760.83
LAND SURVEYOR (KWJ) $19.75 $0.00
SURVEY TECH (RLC) $16.15 $0.00
. SURVEY TECH (DES) $16.15 $0.00
SURVEY TECH (jAT) $14.50 $0.00
SURVEY TECH (CWO) $13.25 $0.00
SURVEY TECH (KH) $12.50 $0.00
SURVEY TECH (SBS) $12.50 $0.00
LAB OR TOTAL $9,499.08
OVERHEAD % 99.04 $9,407.88
TOTAL LABOR COSTS $18,906.96
DIRECT NON-SALARY COSTS:
MILEAGE 252.00 $0.28 $70.56
OVERTIME PREMIUM (OT brs x Hrly Rate/2) 17.50 $181.73
OTHER EXPENSES 0.00 $0.00
TOTAL DIRECT NON-SALARY COSTS $252.29
TOTAL FIXED FEE ALLOWED PER CONTRACT $102,000.00
FIXED FEE CHARGED TO THIS INVOICE $2,831.01 $2,831.01
FIXED FEE CHARGED TO PREVIOUS INVOICES $5,315.77
FIXED FEE BALANCE $93,853.22
TOTAL THIS INVOICE
$21,990
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'. INDIANA DEPARTMENT OF TRANSPORTATION
• LPA CLAIM VOUCHER
State Form 40340 (R6/5-99) Approved by State Board Accounts 1999
in~~.~~rHnnc• Tl.ic ~..e..n.~ it r ecfinn riierlnenrn of vnnr Cnri~l Rocnrity nitmhar in acnnrrianeP with I C 4-1-R
VENDOR INFORMATION AGENCY INFORMATION
CUMENT NUMBER Date (MM,DD,YY) AGENCY NAME
CBOO 02/05/03 INDOT
VENDOR NAME AGENCY NUMBER
JEFFERSONVILLE DEPARTMENT OF REDEVELOPMENT 800
ADDRESS SOCIAL SECURITY NUMBER
CITY-COUNTY BLDG, ROOM 403 0
FEDERAL I.D. NUMBER
0
CITY STATE ZIP VENDOR
JEFFERSONVILLE IN 47130 0
HKCH CCLVW 1 V CC GVMYLC I CU DT Ab CIVI.T
,
NO
NO
EXEMPT PER I.C. 5-17-5-2
TOTAL AMOUNT: $0.00 DOC I.D.: PV 800
INDOT ACCOUNT ING LINE DI STRIBUTION
INVOICE JOB/PROJECT
LN NUMBER FUND AGCY ORG APPR UNIT ACTV OBJ NUMBER PRTY AMOUNT
01 800
02 800
800
LINE NO.
1 Claim No. 4 ProjecUJob No. SIB-C730Q, DES NO. 9880130
2 This claim voucher is for: (Preliminary) (R/W) (Const.) Engineering, Force Account or R/VV Costs
3 Project Description: VETERANS PARKWAY INSPECTION
4 Period covered by this claim voucher: From 12/20/2002 To 01 /30/03
5 Gross amount of previous claims $67,311.08
6 Net amount of previous claims $53,848.86
7 This (is) (is not) a final claim voucher
8 Gross amount of this Local Agency Claim $21,990.26
9 Federal Share Reimbursable (Line 8 x fed %) 80.00% $17,592.21
10 Net amount of Claim Voucher $17,592.21
RECOMMENDED FOR APPROVAL
INDOT OFFICIAL INITIATING THE CHARGE DATE
I certify 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, 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 poi
Signof Vendor Official Title Date (Month, Day, Year)
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