Loading...
HomeMy WebLinkAboutGibraltar; August, 2011 - $6,957.90 Regions Bank hereby is instructed to make a disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of) Borrower in: (a) the amount of the "Total Authorized Disbursement" line in the "Amount of Authorized Disbursement" column below; and (b) accordance with the terms and conditions of the Agreement, the other Loan Documents, and the Disbursement Instructions. Purpose of Authorized Disbursement Amount of Authorized Disbursement Amount to be paid by Carmel Theater Development Company as per the PAC Retaining WallNault Cladding installment purchase contract Application 8(Gibraltar) August 2011 $ 6,957.90 Total Authorized Disbursement All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (Equipment and Improvements), dated July 22, 2010, by and between Regions Bank and Carmel Theater Development Company, LLC. Dated: ®1/1 0 CITY OF CARMEL REDEVELOPMENT COMMISSION By. I� Les S. Olds Printed: Executive Director Title: It is acknowledged and agreed by the parties that CRC has reserved the right to require, as a condition of authorizing disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of) Borrower: (a) completion of a satisfactory inspection by CRC of the portions of the Equipment and/or the Improvements to which the disbursement relates; and (b) receipt of customary submittals. Draft Retaining WallNault Cladding (Gibraltar) September 2010 (application 1) Paid by the Carmel Theater Development Company $ 87,345.00 November 2010 (application 2) Paid by the Carmel Theater Development Company $ 130,966.20 December 2010 (application 3) Paid by the Carmel Theater Development Company $ 9,252.00 January 2011 (application 4) Paid by the Carmel Theater Development Company $ 30,821.80 February 2011 (application 5) Paid by the Carmel Theater Development Company $ 6,015.20 April 2011 (application 6) Paid by the Carmel Theater Development Company $ 6,957.90 June 2011 (application 7) Paid by the Carmel Theater Development Company $ 2,600.00 August 2011 (application 8) Amount to be paid by the Carmel Theater Development Companyf $ 6,957.90 1rr('rrrlrrmrr'�r/ �;......®.. �4 Document G7 2/C aTM ® 1992 _w . Application and Certificate-for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment Commission PROJECT: Parcel7A, Regional Performing Arts CenteMIP CATION NO 8 Distribution to One Civic Square 8/31/1 T PERIOD TO OWNER ❑ Carmel,IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: CONTRACT DATE: 4/13/10 ARCHITECT ❑ 2932 N.Webster Ave. PROJECT NOS: / / CONTRACTOR ❑ Indianapolis,IN 46219 VIA ARCHITECT: FIELD ❑ CSO Architects,Inc. CONTRACT FOR: Masonry Cladding Pkg P11 ❑ 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,as shown below,in connection with the Contract. belief the Work covered by this Ap.il ication for Payment has been completed in accordance with the Continuation Sheet,AIA Document G703,is attached. Contract Documents, that all a.+ou Is have been paid by the Contractor for Work for which previous Certificates for Payment wev: iss�•d and payments received from the Owner, and that current Y P Y 1.ORIGINAL CONTRACT SUM $ 335,000.00 payment shown herein is nowi e. 2. Net change by Change Orders $ -54,084.00 CONTRACTOR: Gibraltar c:„0.M fiction Corp • 3.CONTRACT SUM TO DATE(Line 1 +2) $ 280,916.00 By: J Date: �S�l� 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 280,916.00 State of: ��j�,� .` �I� cs It.' BR/A,W R. 5.RETAINAGE County of:lijfd„/1/ ! MCBRIDE a. %q of Completed Work Subscribed an swo.�t f re ` * �`` C` 2+iCOC, Court 0.00 2 / tY (Column D+Eon G703) $ me tins y of v y / .,.ems. , 0©mm. Ftl, 11-29 2017 b. %of Stored Material Notary Public COfnm ssiOO # 611862 (Column F on G703) $ My Commission expires: 77- -f-/ Total Retainage(Lines 5a+5b or Total in Column I of G703).. $. CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 280,916.00 In accordance with the Contract Documents, based on on-site observations and the data comprising this application,the Construction Manager and Architect certify to the.Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the quality ofthe Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 273,958.10 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CER I1N'LED. 8.CURRENT PAYMENT DUE $ 6,957.90 AMOUNT CERTIFIED $ .615 7 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified di ers fro a amount;applied.Initial all figures on this 0.00 Application and on • Continuation S, _, that, " anged to conform with the amount certified) (Line 3 less Line 6) $ CONS CTION M P: By ��� Ir!.i�. ,n.° Date: j CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHI CT: , Inc: 0 /z6 Total changes approved in previous months by Owner $ $ By; Date: 4!-P l Total approved this Month $ ,$ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ $ named herein. Issuance,'payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner or Contractor under this Contract. CAUTION:You should sign an original AIA Contract Docurnent,.on which this text appears in RED..An original assures that changes will not be obscured. AlA Document G702ICMan"-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved:WARNING:This Ale Document is protected by U.S.Copyright Law and International,Treaties. Unauthorized reproduction or distribution of this Ale Document,or any of it,may result.in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. CONTINUATION SHEET Page 2 of 2 APPLICATION NO. : 8 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 8/31/2011 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 8/31/2011 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) (D+E) D OR E) (D+E+F) (C-G) RATE) 1 General Allowance $25,000.00 $11,314.00 $13,686.00 $25,000.00 100% - 2 Additional Scope Allow. $50,000.00 $0.00 $50,000.00 $50,000.00 100% - 3 ;Supervision $2,300.00 $2,300.00 $2,300.00 100% - 4 Bonds $3,800.00 $3,800.00 $3,800.00 100% - 5 Submittals $8,500.00 $8,500.00 $8,500.00 100% - 6 Misc. General Conditions $1,200.00 $1,200.00 $1,200.00 100% - 7 Rebar Material $1,500.00 $1,500.00 $1,500.00 100% - 8 Concrete Wall $15,000.00 $15,000.00 $15,000.00 100% - 9 Masonry and Limestone $150,000.00 $150,000.00 $150,000.00 100% - 10 Ornamental Railings and Gates $65,000.00 $65,000.00 _ $65,000.00 100% - 1• ,Painting $1,600.00 $1,600.00 $1,600.00 100% - 12 Waterproofing $1,500.00 $1,500.00 $1,500.00 100% - 13 Joint Sealants $1,500.00 $1,500.00 $1,500.00 100% - 14 Earthwork $8,100.00 $8,100.00 $8,100.00 100% - 15 Change Order#1 $9,602.00 $9,602.00 $9,602.00 100% - 16 Change Order#2 -$63,686.00 -$63,686.00 -$63,686.00 100% - $280,916.00 $280,916.00 $0.00 $0.00 $280,916.00 100% $0.00 $0.00 ISA Form#I-402 AFFIDAVIT AND WAIVER OF LIEN ,, ® FINAL ❑ PARTIAL ® PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and/or labor for a project known as Parcel 7A, Regional Performing Arts Center, Masonry Cladding Package P11 and owned by Village Financial, LLC. and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the Owner the sum of Dollars ($.00) ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER)that the final balance due from the Owner is the sum of Six Thousand Nine Hundred Fifty Seven and 90/100------- Dollars ($6,957.90) ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THERFORE,the undersigned waives and releases unto the owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon .account of LABOR or material or both,furnished by the undersigned thereto, subject to limitations of conditions e pr=used herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work p jJ or ed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. j Gibraltar Construction Corp By , // Title President WITNESS MY HAND AND NOTORIAL SEAL, - . 17 d. of August, 2011. (Notary Public) �v ._ BRIAN R, MCBRIDE C 1979 INDIANA SUBCONTRACTORS ASSOCf*TMON INCORPORATED ,t * Res, of Hancock COunry una.ano..tad neaoavetton v.afirhtisa My Comm. 'Ex . 11.2g-201? Rev WO D I O CCmm1SS!Cn # 611862