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Legacy TIF draw request 12 121714
FALCON NEST II , LLC (111111j,P December 11, 2014 :Diana L. Cordray Carmel Clerk Treasurer (317)571-2414 Via E-mail: Deordrayacarmelin.qov; csheeks@carmelinegov; John.alexanderAreglons.corn; jake.taylorastarfinancial.com P3 ; Legacy TIF Pow#12 Dear Diana: Attached please find the Legacy TIF:draw for the rreht rrionth. If;sverythIng is In order, please sign the;Request:for Ditbursernent:Forrn and forward this draw to the Trustee. Also attached Is a budget sheet that will track all costs to date. Pleaseletnne know if you have any questions. Sincerely, ROOF Zu mot kernber of SALT, LLC 1356 BEVERLY RD SUITE 250 • MCLEAN, VA •22101 PHONE: (703) 893-7233 • FAX: (703) 893-5267 STATEMENT NO. 2 REQUESTING DISBURSEMENT OF FUNDS FROM PROJECT FUND PURSUANT TO SECTION 4.3 OF THE TRUST INDENTURE BETWEEN THE CITY OF CARMEL, INDIANA AND REGIONS BANK, AS TRUSTEE Pursuant to Section 4.3 of the Trust Indenture (the "Indenture") dated as of December 1, 2013, between the City of Cannel, Indiana (the "Issuer") and Regions Bank (the "Trustee"), the undersigned, as the Authorized Representative (as defined in the Indenture) of the Company, hereby requests and authorizes the Trustee, as depository of the Project Fund created by and as defined in the Indenture to pay to the Company or to the person(s) listed on the Disbursement Schedule attached hereto out of the moneys on deposit in the Project Fund, the aggregate sum of $37,313.83 to pay such person(s) or to reimburse the Company in full, as indicated in the Disbursement Schedule, for advances, payments and expenditures made by it in connection with the items listed in the Disbursement Schedule. In connection with the foregoing request and authorization, the undersigned hereby certifies that: (a) the costs of an aggregate amount set forth in this written request have been made or incurred and were necessary for the construction of the Project and were made or incurred in accordance with the construction contracts, plans and specifications, or purchase contracts therefor then in effect or that the amounts set forth in such written request are for allowable Costs of Construction of the Project; (b) the amount paid or to be paid, as set forth in this written request, is reasonable and represents a part of the amount payable for the Costs of Construction of the Project all in accordance with the cost budget; and that such payment was not paid in advance of the time, if any, fixed for payment and was made in accordance with the terms of any contracts applicable thereto and in accordance with usual and customary practice under existing conditions; (c) no part of said costs was included in any written request previously filed with the Trustee under the provisions hereof; and (d) such costs are appropriate for the expenditure of proceeds of the Bonds under the Act. This statement and all exhibits hereto, including the Disbursement Schedule, shall be conclusive evidence of the facts and statements set forth herein and shall constitute full warrant, protection and authority to the Trustee for its actions taken pursuant hereto; and This statement constitutes the approval of the Company of each disbursement hereby requested and authorized. IN WITNESS WHEREOF, the authorized representative of the Company has set his NO as of the__day of__ ,20. Pursuant to Section 4.3 of the Indenture the foregoing disbursement request is hereby FALCON NEST II LLC, an Indiana limited liability company By: SALT, LLC,M ber By: Rajai Zumot,Member of SALT,LLC approved: CITY: F CARMEL,, TRr1D ANA ' `"/0-eL-) n C"Crteli/C477 Diana L.Cordray,TAMC,Clerk-Treasure{ 6 i. { • i Zs i Y. i 1 1 Legacy TIF Draw 1 " ' --- 1 ; _ , Application No.: . _ 11 . .._ ___ . .. . _ ........ Application Date: 11-Dec-14 . _ Prepared By: Kathy Telephone No: (317)863-2052 _ Amount f $ 37,313.83 Reference or Total Retainage Invoice Work This 1 Invoice .... Code! Contractor/Payee Number Completed Period i Amount 2 CrossRoads Engineers, PC 14922 $ 2850.00 $ _ $ 2,850.00 Nelson & Frankenberger 43886 $ 1,909.00 $ - 1 $ 1,909.00 (Nelson &Frankenberger 43895 $ 39.00 $ - 1 $ 39.00 • 3 4,798.00 $ - 1 $ 4,798.00 3 ICrossRoads Engineers, PC 14922 $ 6,300.00 $ - 1 $ 6,300.00 $ 6,300.00 $ - I $ 6.300.00 I 1- I I 4 1,Weihe Construction 4011 $ 4,360.00 $ (436.00)1 $ 3,924,00 ---1 . $ 4,360.00 $ (43600)! $ 3,924.00 I . I ,•• 8 .Weihe Construction Inc. 3998 $ 21,876.15 $ (2,187.61)1 $ 19,688,54 . _ $ 21,876.15 $ (2,187.61)1 $ 19,688.54 --i 1 I ... . ,Management 1071 S 2,800.06 $ (196.77)1 $ 2.603.29 1 $ 2,800.06 $ (196.77)1 $ 2,603.29 --1 Total $ 40,134.21 $ (2,820.38)1 $ 37,313.83 1 ... _ 1 $ (0.00) • 1 of 1 PLATINUM PROPERTIES MANAGEMENT COMPANY, LLC INVOICE 1071 December 11, 2014 Zumot Real Estate Management, Inc. rzumot @zumot.net Falcon Nest II, LLC 1356 Beverly Road Suite 300 McLean, VA 22101 Re: Development Service Fees - The Legacy TIF Draw Summary of December 2014 Construction Costs: CrossRoads Engineers, PC $ 9,150.00 Nelson & Frankenberger $ 1,948.00 Weihe Construction, Inc. $ 23,612.54 Total Monthly Costs $ 34,710.54 Development Fee @ 7.5% $ 2,603.29 Please remit payment to: Platinum Properties Management Company, LLC 9757 Westpoint Drive,Ste 600 Indianapolis, IN 46256 9757 Westpoint Drive,Suite 600,Indianapolis, IN 46256 (317) 818-2900 NELSON & FRANKENBERGER A PROFESSIONAL CORPORATION 3105 EAST 98TH STREET, SUITE 170 INDIANAPOLIS, INDIANA 46280 PHONE: 317-844-0106 FACSIMILE: 317-846-8782 November 10, 2014 Platinum Properties, LLC Attn: Kathy Tekulve 9757 Westpoint Drive, #600 Indianapolis, IN 46256 INVOICE Matter ID: PLATIN-0093 Carmel Bond Ordinance Invoice#43895 Federal ID# 35-1442210 For Professional Services Rendered: 10128!2014 jcd Ordinance research 0.20 hr $39.00 Total Professional Services: $39.00 INVOICE SUMMARY Producer Role Rate Hours Amount Jon Dobosiewicz Land Use Professional $195.00 0.20 $39.00 For Professional Services: 0.20 Hours $39.00 Total Due: $39.00 Balance in Trust: $0.00 Balance in Retainer: $0.00 Page 1 NELSON & FRA.NKENBERGER P .,( A PROFESSIONAL CORPORATION 3105 EAST 98TH STREET, SUITE 170 INDIANAPOLIS, INDIANA 46280 PHONE: 317-844-0106 FACSIMILE: 317-846-8782 November 10,2014 Falcon Nest II, LLC c/o Platinum Properties,Attn: Kathy Tekulve 9757 Westpoint Drive,#600 Indianapolis, IN 46256 INVOICE Matter ID: FALCON-0033 Legacy Right of Way from Conner Prairie Invoice# 43886 Federal ID# 35-1442210 For Professional Services Rendered: 10/06/2014 cdf Review legal description for proposed right of way grant 0.70 hr $206.50 10/06/2014 cdf Telephone conferences-T.Walter and preparation of notes regarding status 0.70 hr $206.50 10/06/2014 cdf Work on getting deeds 0.30 hr $88.50 10/07/2014 cdf Telephone conference- P. Rioux 0.20 hr $59.00 10/07/2014 cdf Telephone conference and email-B.Tyner 0.20 hr $59.00 10/07/2014 cdf Telephone conference- K.Wargler 0.20 hr $59.00 10/07/2014 cdf Continue working on dedication of right of way 1.70 hr $501.50 10/07/2014 cdf Email-City Engineer 0.40 hr $118.00 10/07/2014 Ijk Research vesting deeds on Dox Pop 1.50 hr $375.00 10/15/2014 cdf Review email from P. Rioux and email-City Engineer and title company 0.50 hr $147.50 10/22/2014 cdf Email-City attorney about right of way grant forms 0.30 hr $86.50 Total Professional Services: $1,909.00 INVOICE SUMMARY Producer Role Rate Hours Amount Lawrence Kemper PARTNER $250.00 1.50 $375.00 Charlie Frankenberger PARTNER $295.00 5.20 $1,534.00 For Professional Services: 6.70 Hours $1,909.00 Total this Invoice: $1,909.00 Page 1 f � _ CI uss Rum CrossRoad Engineers,PC 3417 Sherman Drive Beech Grove, IN 46107 317-780-1555 Platinum Properties Management Co., LLC Invoice number 14922 Timothy Walter, P.E. Date 12/03/2014 9757 Westpoint Drive, Suite 600 Indianapolis,IN 46256 Project RIVER ROAD RECONSTRUCTION-TALL TIMBER RUN TO 146TH ST. For services performed November 1,2014 through November 28,2014. PROMPT PAYMENT OF INVOICE IS APPRECIATED!! The services were provided in accordance with our proposal dated February 14,2014, and our Professional Services Agreement dated March 20,2014. Amount 1.Topographic Survey Contract Amount 16,500.00 Percent Complete 100.00 • Total Billed 16,500.00 Current Billed 0.00 2.Preliminary Design Contract Amount 8,100.00 Percent Complete 100.00 Total Billed 6,100,00 Current Billed 0.00 4.Phase I Final Design Contract Amount 37,50000 Percent Complete 90.00 Total Billed 33,750.00 Current Billed 0.00 5.Phase I Drainage Permitting Contract Amount 2,000.00 Percent Complete 90.00 Total Billed 1,800.00 Current Billed 1,300.00 7.Phase I Rule 5 Permit Application Contract Amount 1,000,00 Percent Complete 90.00 Total Billed 900.00 Current Billed 400.00 Pattrum Properties Management Co.,LLC Invoice number 14922 Invoice date 12/03/2014 Page 1 of 3 • Platinum Properties Management Co.,LLC Invoice number 14922 Project RIVER ROAD RECONSTRUCTION-TALL TIMBER RUN TO 146TH ST. Date 12/03/2014 Amount 8.Roadway Legal Descriptions Contract Amount 3.00 5,400.00 Percent Complete 66.67 Total Billed 2.00 3,600.00 Current Billed 0.00 0.00 9. Phase I Monumentation Contract Amount 1,500.00 Percent Complete 0.00 Total Billed 0.00 Current Billed 0.00 10.Preliminary Design for RAB @ Cherry Creek Blvd. Contract Amount 9,500.00 Percent Complete 100.00 Total Billed 9,500.00 Current Billed 0.00 13.Maintenance of Traffic to close traffic during Construction {; Contract Amount 3,000.00 Percent Complete 90.00 Total Billed 2,700.00 Current Billed 1,200.00 -r 14. Meetings Contract Amount 3.00 1,200.00 Percent Complete 100.00 Total Billed 3.00 1,200.00 Current Billed 1.00 400.00 16.Wetland Permitting Contract Amount 2,000.00 Percent Complete 0.00 Total Billed 0.00 Current Billed 0.00 16a.Williams Creek-Natural Resource Assessment Contract Amount 3,100.00 Percent Complete 100.00 Total Billed 3,100.00 Current Billed 0.00 16b.Williams Creek-Stormwater Consultation Contract Amount 5,700.00 Percent Complete 100.00 Total Billed 5,700.00 • Current Billed 2,850.00 . 17.Construction Cost Estimate-Preliminary Design Area Contract Amount 1,500.00 Percent Complete 100.00 Total Billed 1,500.00 Current Billed 0.00 Platinum Properties Management Co.,LLC Invoice number 14922 Invoice date 12/03/2014 Page 2 of 3 Platinum Properties Management Co.,LLC Invoice number 14922 Project RIVER ROAD RECONSTRUCTION-TALL TiM6EK RUNT()146TH sr. Date 12/03/2014 Amount 18.Construction Cost Estimate-Final CD Area ? Contract Amount 3,000.00 Percent Complete 90.00 Total Billed 2,700.00 Current Billed 1,200.00 19.Project Manual Contract Amount 2,500.00 • Percent Complete 90.00 Total Billed 2,250.00 Current Billed 1,000.00 21.Topographical Information-Final CD Area Contract Amount 800.00 Percent Complete 100.00 Total Billed 800.00 Current Billed 800.00 23. 12"Water Main Relocation Design-new Eliz.Warner culvert to Community Dr. Contract Amount 4,900.00 Percent Complete 0.00 Total Billed 0.00 Current Billed 0.00 Total 9,150.00 Invoice total 7 9,150.00 Aging Summary ' — Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120 i ilt° (( 14922 12/03/2014 9,150.00 9,150.00 Total 9,150.00 9,150.00 0.00 0.00 0.00 0.00 Q.0k� ?-1)) °� _ � �>o y 2 " Ti f t lv c?" VI)) 1cc �� Piatinum Properties Management Co.,LLC Invoice number 14922 Invoice date 12;03/2014 Page 3 ot 3 APPLICATION FOR PAYMENT PROJECT NAM The Meadows at The Legacy Section 3 OWNER' Falcon Nest It.LLC CONSTRUCTION MANAGER:Platinum Properties Mgmt Co.,LLC CONTRACTOR:Welhe Construction,Inc. INVOICE NO: 4011 CONTACT: CONTACT:Tim Walter CONTACT:15215 Stony Creek Way APPLICATION DATE: 11/30C2014 ADDRESS: 1356 Beverly Road,Suite 300 ADDRESS:9757 Westpolnt Drive,Suite 600 ADDRESS:#REF? RETAINAGE: .. McLean,VA 22101 ' Indianapolis,IN 46256 Noblesville.IN 4606C APPROVE°BY: v-i .4 Phone- _ Phoney Jr347)818-2900,5_90-8&17(M Phone:317-776-2966(0),7763050 I) DATE: 17,1v�'t A B CI Cu 0 E 1_ F G H=E+F+G 1=H/D J K L=J+K M=D-H+L N Project Cost Work Description (Alt Scheduled a Work Completed Meterlals Total Completed % Previous - Retainage Total BAL.TO Net Pay Code Code Price Value Previous This Stored And stored To Date Compl. Retainage This Period Retained PAY This Month The Meadows at The Legacy Section 3 On-site construction _gy O: 4c Stripping Topsoil NA $5,179.00 $5,179.00 $5,179.00 100% $517.90 $51290 $517.90 _gy 0: 4d Prelim Erosion Control NA $9,181.00 $9,181.00 $9,181.00 100% $918.10 $918.10 $918.10 _gy O; 4e Mass Excvation and Mounding NA $41,544.27 $41,544.27 $41,544.27 100% $4,154.43 $4,154 43 $4,154.43 ...gy O: 411 Soil Stabilization NA $19,442,50 $19,442.50 519,442.50 100% $1,944.25 $1,944.25 $1,944.25 gy O: 4g Site&Finish Grading NA $10,841.00 $5,841.00 $3,000.00 $8,841.00 82% $584,10 $300.00 $884.10 $2,884.10 $2,700.00 _gy O: 5b Sanitary Sewer Mains NA $75,730.20 $75,730.20 $75,730.20 ion ro $7,573.02 $7,573.02 $7,573.02 _gy O, 5c Sanitary Sewer Laterals NA 532,895.00 $32,895.00 $32,895.00 100% $3,289.50 $3,289.50 $3,289.50 _gy O; 6a Storm Sewers NA $36,051.80 $36.051.80 $36,051.80 100% $3,605.18 $3,605.18 $3,605.18 _gy O; 6b Subsurface Drains NA $50,532.00 $10,000.00 $40,532.00 $50,532.00 100% $1,000.00 54,053.20 $5,053.20 $5,053.20 $36,478.80 _gy 0; 7b Water Mains NA $108,516.40 $108,516.40 $108,516.40 100% $10,851.64 $10,851.64 $10,851.64 _gy O; 7e Water Service Laterals NA $26,837.60 $26,837.60 $26,837.60 100% $2,683.76 $2,683.76 $2,683.76 _.gy O; 8a Roll Curb and Gutter $7.00/if $22,344.00 $22,344.00 $22.344.00 100% $2,234.40 $2.234.40 $2,234.40 $20,109.60 _gy O; 8b 5'Wheel Chair ramps $600/ea $1,200.00 $1,200.00 _gy 0: 8b Common Area Sidewalk $3.50/sf $2,625.00 82,625.00 Cherry Creek Blvd Constructic _gy T1. 4c Stripping Topsoil NA $3,184.00 $3,184.00 $3,184.00 100% $318.40 $318.40 $318.40 _gy TI, 4e Mass Excvation and Mounding NA $8,641.00 $8,841.00 $8,641.00 100% $864.10 $864.10 $864.10 _gy TIE 4h Soil Stabilization NA $12,428.50 $12,428.50 $12,428.50 100% $1,242.85 $1,242.85 $1,242.85 _gy Ti, 4g Site&Finish Grading NA $13,253.00 52,253.00 $2,253.00 17% $225.30 $225.30 511,225 30 _gy Tit 6a Storm Sewers NA $24,225.60 $24,225.60 $24,225.60 100% $2,422.56 $2,422.56 $2,422.56 _gy TI. 8a Chair Back Curb and Gutter $7.60/1f $12,600.80 $12,600.80 _gy T1t 8b Multi Use Path Wheel Chair Rari$1,100/e' $4,400.00 $4,400.00 _gy TB 8b Common Area Sidewalk $3.50Isf $4,287.50 $4,287 50 CO111-Chi Creek Blvd _gy P.4h Multi-use Path Stabilization NA $4,360.00 $4,360.00 $4,360.00 100% $436.00 $436.00 $436.00 $3,924.00 C0#2-Conduit Crossings _gy 0: 6e Utility Conduits NA 511,017.50 $11,017-50 $11,017.50 100% $1,101.75 51,101.75 $1,101.75 $9,915.75 TOTAL _ ;$541,317.67 $421,950.87 $81,253.50 $503,204.37 93% $42,195.09 $8,125.35 $50,320.44 $88,433.74 S73,128.15 caw tt, (4,,r �` Document �7�2 �.�'� 1992 Application and Certificate for Payment TO OWNER'platinum Properties PROJECT: Meadows(aii Leeacv Section 3 APPLICATION NO4011 Distribution to; 9757 1Vestpoint Drive PERIOD TO OWNER Suite 600 IInndds� oo''is„IN 46256 CONTRACT FOR: ARCHITECT ❑ FROM CON TRA �R: Weihe Construction,Inc. VIA ARCHITECT: CONTRACT DATE 15215 Stony Creek Way CONTRACTOR ❑ PROJECT NOS701422-01 / r Noblesville,IN 46060 FIELD ❑ OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information Application is made for payment,as shown below,in connection with the Contract and belief the Work covered by this Application for Payment has been completed in accordance App Document made for Continuation Sheet,is attached. with the Contract Documents, that all amounts have been paid by the Contractor for Work for 1.ORIGINAL Document G7O3CT SUM $ which previous Certificates for Payment were issued and payments received from the Owner,and 525,940.17 that current payment shown herein is now due. 2.NET CHANGE BY CHANGE ORDERS $ 15 177 0 CONTRACTOR:Weihe Construction,Inc. 3.CONTRACT SUM TO DATE(Line I+2) $ 441,417 67 By: ., 14e,...... Date: \\I 1«- 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 50 ,204.37 State of Indiana 1 , 5.RETAINAGE: County ofHamilton - alO.Ol) %of Completed Work Subscribed and sworn to before �. (Columns.D+Eon G703) $ 50,320A4 me this "6O day of OW b. %of Stored Material A;;'i" 1. (Column F on G703) $ Notary Public:- (j n ) y r V Total Retainage(Lines 5a+5b,or Total in Column l of G703 $ My commission expires: to(2 o I5 y ,,>`r f ) 50,320.44 ( 6.TOTAL EARNED LESS RETAINAGE $ 452,883.93 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 minus Line 5 Total) In accordance with the Contract Documents,based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 379.755.78 this application,the Architect certifies to the Owner that to the best of the Architect's knowledge, (Line 6 from prior Certificate) information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 8.CURRENT PAYMENT DUE I$ 73,128.15 AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED $ J 7# , (Line 3 minus Line 6) $ (Attach explanation ifamoun:certified differs from the amount applied.Initial w/ al tgures on rthiis Application and on the Continuation Sheet that are changed to conform with the amount certified) CHANGE ORDER SIJI MAI Y ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved ip previous months by Owner- Date: �$ $ By: Z//U/, j '� Y Total approved►.hisaionth $ $ This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor ..,\ TOTAL $ S named herein.Issu a Issuance,payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order S the Owner or Contractor under this Contract. — CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AlA Document G702r"-1992.Copyright ©1953.1963,1985,1971,1978,1983 and 1992 by The American institute of Architects.All rights reserved.WARNING:This AIA°Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.r=o■,-haser are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AtA Contract Documents,a-mail The American institute of Architects'legal counsel,copyright@ale.org. CONTINUATION SHEET AIA DOCUMENT G703 (tnstructions on reverse side) PAGE OF PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: containing Contractor's signed Certification, is attached. APPLICATION DATE: 4011 In tabulations below, amounts arc stated to the nearest dollar. PERIOD TO: 11/30/2014 Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO.: 7n►d77dl1 A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY STORE LY COMPLETED % TO RETAINAGE NO. VALUE STORED AND STORED APPLICATION . THIS PERIOD ! (NOT IN TO DATE (G + C) FINISH (IF VARIABLE) (D + E) ( 0 OR E) (D+E•+F) (C-G) • 01-00 o n-Site 0'-00 'tripping Topsoil 5,179.00 5,179.00 5,179.00 100.00 517.90 0: '0 •rein Erosion Control 9,181.00 9,181.00 9,181.00 100.00 918,10 I• 00 ass Etc&Mounding 41,544.27 41,544,27 41,544.27 100.00 4,154.43 '6-00 '•oil Stabilization 19,442.50 19,442.50 19,442.50 100.00 1,944.25 ': 00 'te&Finish Grading 10,841.00 5,841.00 3,000.00 8,841.00 81.55 2,000.00 884.10 0'-00 '.anitary Sewer Mains 75,730.20 75,730.20 75,730.20 100.00 7,573.02 0: 00 '•-nitary Sewer Laterals 32,895.00 32,895.00 32,895.00 100.00 3,289.50 I t-00 '• arm Sewers 36,051.80 36,051.80 36,051.80 100.00 3,605.18 11-00 ubsurface Drains 50,532.00 10,000.00 40,532.00 50,532.00 100.00 5,053.20 1,-00 atermain 108,516.40 108,516.40 108,516.40 100.00 10,851.64 1'-00 ater Service Lateral 26,837.60 26,837.60 26,837.60 100.00 2,683.76 1:-00 'oil Curb and Gutter 22,344.00 22,344.00 22,344.00 100.00 2,234.40 1—00 'Wheel Chair ramps 1,200.00 1,200.00 1.-00 ommon Area Sidewalk 2,625.00 2,625.00 1.-00 herry Tree Blvd Construction 1 -00 tripping Topsoil 3,184.00 3,184.00 3,184.00 100.00 318.40 1: 00 ass Exc&Mounding 8,641.00 8,641.00 8,641.00 100.00 864.10 1 -00 oil Stabilization 12,428.50 12,428.50 12,428.50 100.00 1,242.85 200 ite&Finish Grading 13,253.00 2,253.00 2,253.00 17.00 11,000.00 225.30 21-00 torm Sewer 24,225.60 24,225.60 24,225.60 100.00 2,422.56 2 -00 hair Back Curb&Gutter 12,600.80 12,600.80 2 0 ulti Use Path Wheel Ramps 4,400.00 4,400.00 2 0 ommon Area Sidewalk 4,287.50 4,287.50 C 01 ime Path 4,360.00 4,360.00 4,360.00 100.00 43600 tAIA DOCUMENT 0703 • CONTINUATION SHEET FOR G702• 1992 EDITION• Ale • ®1992:THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.200065292•WARNING:Unfcensed photocopying violates U.S.copyright laws and will subject the violator to legal prosecution. G703-1992 ifdra a CAUTION:You should use an original AlA document which has this caution printed In red.An original assures that changes will not be obscured as may occur when documents are reproduced. CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE OF PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: containing Contractor's signed Certification, is attached. APPLICATION DATE: 4611 in tabulations below, amounts are stated to the nearest dollar_ PERIOD TO: I1/30/2014 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO.: ' I A E C D F G { H I I WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED PRESENTLY COMPLETED BALANCE DESCRIPTION OF WOEK VALUE FROM PREVIOUS STORED AND STORED 't TO RETAINAGE APPLICATION . THIS PERIOD (NOT IN TO DATE (p ' C) FINISH (IF VARIABLE) (D + 5) n OR E) (D+E+F) (C-G) RATE) CO-02 onduitCrossings 11,017.50 11,017.50 11,017.50 100.00 1,101.75 I t 1 9 i 1 I I . • l i 1 jI 1 rotas 511.317.67 421.950.87 81.253.50 503,204.37 , 92..96 38 MB 320.• AlA DOCUMENT G7ti3•CONTINUATION SHEET FOR G702• 1992 EDITION•AIAe • 0)1992•THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK !IA AVENUE.NSF,WASHINGTON,DC.20006-5292•WARNING:Unlicensed photocopying violates U.S.copyright laws and will subject the violator to iege}prosecution- 6703-1992 CAUTION:You should use an original AIA document which has this caution printed in red.An original assures that changes will not be obscured as may occur when documents are reproduced. APPLICATION FOR PAYMENT AND PARTIAL RELEASE OF LIEN Subcontractor or Supplier Name Weihe Construction,Inc. Subcontractor or Supplier Address Noblesville,IN 46060 Phone (317)776-2966 _ Type of Service Furnished Construction Construction Cost Division Number _ Project(Building Number) Meadows @ Legacy Sec 3 Owner Platinum Properties Application Number 4011 Date 11/30/2014 Period From 11/1/2014 To 11/30/2014 Original Contract Sum $ 525,940.17 Net Change by Approved Change Orders $ 15,377.50 Contract Sum to Date $ 541,317.67 Total In-Place Work Completed $ 503,204.37 Value of Material Stored on Slte $ Total Earned to Date $ 503,204.37 Retained Percentage $ 50,320.44 Total Earned Less Retainage $ 452,883.93 Less Previous Certificates for Payment.. $ 379,755.78 Current Payment Due $ 73,128.15 The undersigned hereby certifies that the amount Earned and Due the Undersigned for all materials,supplies furnished,and tabor and services of every nature performed by the Undersigned for the use on or in connection with the above named Project. 1) Has been paid in full as per shown(except Amount Due as listed below)through the above-mentioned pay period;and 2) The Undersigned hereby warrants that the premises of the above-named job cannot be made subject to any valid lien or claim by anyone who furnished materials,supplies, labor or services to the Undersigned for use In the above-named Project;and 3) The Undersigned hereby waives any and all claims of whatsoever kind or nature against the General Contract,and the Owner,and against the building(s),improvements or Project,and the land on which same Is located for any labor,materials,or supplies furnished or services performed through the above-mentioned pay period. This release Is given in order to induce payment In the Amount Due of$ $ 73,128.15 and on receipt of Amount Due by the Undersigned,this release as to the Amount Due becomes valid,enforceable and of full effect. Upon attachment of the legal description of the Project,the release my be recorded by the Owner or Mortgagee of the Project Notwithstanding the foregoing,the Undersigned does hereby unconditionally waive and release any and all liens or rights to liens upon the premises,Improvements thereto,or monies due In connection therewith, with respect to monies due the Undersigned for previous payment requests In the total sum of $ 73,128.15 ,the receipt and sufficiency of which is hereby acknowledge. Dated this 30 day of Nov _ 2014 Welhe Construction,Inc. ubcon Supplier Name) State of Indiana ) B SS: (OM County of Hamilton ) Tide: HR/Safety Before me,a Notary Public In and for said County and State,this 30 day of Nov 2014, personalty appeared Brian Nifong known to me to be the HR/Safety of the Undersigned who acknowledge the execution of the foregoing for and on behalf of the Undersigned. WITNESS my hand and Notarial Seal. Dated this 30 day of Nov 2014 My commission expires: Oct 2015 ( -LtALTO Notary Public My county of residence Is: Hamilton Michelle Garcia (Printed) APPLICATION FOR PAYMENT PROJECT NAM Legacy TIF-Cherry Creek Blvd and Cherry Tree Road Improvements OWNER: Falcon Nest II,LLC CONSTRUCTION MANAGER: Platinum Properties Mgmt Co.,LLCCONTRACTOR:Weihe Construction INVOICE NO 3998 CONTACT: RaJai Zumot CONTACT:Tim Walter CONTACT:Alan Small APPLICATION DATE: 11/30/2014■ ADDRESS: 1356 Beverly Road,Suite 300 ADDRESS:9757 Westpoint Drive,Suite 600 ADDRESS: 15215 Stony Creek Way RETAINAGE 1Q j--(i.) McLean,VA 22101 Indianapolis,IN 46256 Noblesville,IN 46060 APPROVED BY: t L 4,e!, Phone: Phone: 317)818-2900,590-8817(ML Phone: 317-776-29660)776-3050(t)._ DATE: A B C, C2 D E [ F G H=E+F+G I=H/D J K L=J+K M=D-H+L _ N Project Cost Work Doscriptlon Unit Scheduled Work Completed Materials Total Completed % Previous Retainage Total 8AL.TO Net Pay Code Code Price Value Previous This Stored And stored To Date Comp!. Retainage This Period Retained PAY _ This Month Legacy TIF-Cherry Creek Blvd and ;herry Tree Road Improvements • _gy Tif, 8a Roll Curb and Gutter $10.75/If $1,967.25 $1,967.25 $1,967.25 t00% $196.73 $196.73 $196.73 _gy TI1 8a Chairback Curb and Gutter $8.70/if $43,752.30 $21,876.15 $21,876.15 $43,752.30 100% $2,187.62 $2,187.62 $4,375.23 $4,375.23 $19,688.54• _gy TII 15b Maintenance Bond NA $263.45 $263.45 CO#1-Streamside Dr Sidewalk gy TIF 8b Sidewalk and ADA Ramp NA $880.00 $880.00 i I 1 1 TOTAL $46,863.00 $23,843.40 $21,876.15 $45,719.55 - 98% $2,384.34 $2,187.62 $4,571.96 $5,715.41 $19,688.54 egtUS? , 4.,. ..AI ..,. Document G7021" 1992 Application and Certificate for Payment TO OWNERPlatinum Properties PROJECT: Cherry Tree Blvd Widenine/Curb APPLICATION N03998 Distribution to: 9757 Westpoint Drive PERIOD TO.: OWNER ND Suite 600 Indianapolis„IN 46256 CONTRACT FOR: ARCHITECT ❑ FROM CONTRACTOR: Weihe Construction,Inc. VIA ARCHITECT: CONTRACT DATE: CONTRACTOR ❑ 15215 Stony Creek Way Noblesville,iN 46060 PROJECT NOS:2°1482-01 / i FIELD ❑ OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT • The undersigned Contractor certifies that to the best of the Contractor's knowledge,information . Application is made for payment,as shown below,in connection with the Contract, and belief the Work covered by this Application for Payment has been completed in accordance ALA Document made for,Continuation Sheet,is attached. with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner,and I.ORIGINAL CONTRACT SUM $ 45,983.00 that current payment shown herein is now due. 2,NET CHANGE BY CHANGE ORDERS S 0.00 CONTRACTOR: Weihe Construction,Inc. 3.CONTRACT SUM TO DATE(Line]±2) $ 45,983.00 BY:,� Date: V1 f 14-- 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 45,983.00 Stat -afh [ndiana 5.RETAINAGE: County of. a10.00 %of Completed Work Subscribed and sworn to before (Columns D+Eon G703) $ 4,598.32 me this .- 0 day of ).bbJ - b. ,%of Stored Material �'� (Column F on 0703) $ Notary Public:' &L�1.. ) ,, .Ni V:1---) '' ." My commission expires: ‘,p i ���S ' Total Retainage(Lines.5a+.5b,or Total.in Column I of 0703)...... $ 4,598.32 1 -- 8.TOTAL EARNED LESS RETAINAGE $ 41,384.68 ARCHITECT'S CERTIFICATE FOR PAYMENT • . - (Line 4 minus Line.5 Total) In accordance with the Contract Documents,based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 21,459.05 this application,the Architect certifies to the Owner that to the best of the Architect's knowledge, (Line 6 from prior Certificate) information and belief the Work has progressed as indicated, the quality of the Work is in ' accordance with the Contract Documents, and the Contractor is entitled to payment of the 8.CURRENT PAYMENT DUE ($ 1, AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED $ iq 'oiti,1 �i (Line 3 minus Line 6) $ 4,598.32 (Attach explanation if amount certified dyers from the amount applied.Initialrall figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner $ S .T' Date. l L By: a 1Z /C.- I Total apprQueii Otis grionth $ $ This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor TOTAL $ $ named herein.Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order $ CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. . AIA Document G701TM.-1992 Copyright®1953,1963,1965.1971,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Lahr and International Treaties.Unauthorized reproduction or distribution of this AIA Document,or any portion of It,may result in severe civil and criminat penalties.and will be prosecuted to the maximum extent possible under the taw.r'u.uhaser,are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AtA Contract Documents,e-mail The American Institute of Architects'legal counsel.copyright @ale.org. • CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE OF PAGES AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: containing Contractor's signed Certification, is attached. APPLICATION DATE: 3998 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 11125/2014 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO.: • I— 10482-0 11 A B C D E F G 1 H l WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED PRESENTLY COMPLETED BALANCE NO. DESCRIPTION OF VrrORK VALUE FROM PREVIOUS STORED AND STORED % TO RETAIL AGE APPLICATION THIS PERIOD (NOT IN TO DATE (G = C) FINISH (IF VARIABLE) (D + E) 0 OR E) (D+E+F) (C-G) RATE) 0'-00 Poll Curb and Gutter 1,967.25 1,967.25 1,967.25 100.00 " 196.73 02-00 Chairback Curb and Gutter 43,752.30 21,876.15 21,876.155 43,752.30 100.00 4,37524 01-00 Maintenance Bond 263.45 45 100.00 i -T 101.3 16,883.E ,7?'8a3 MI 79 1 RQ nn •5 •83.00 100.00 4,598.32_ Ti4AIA DOCUMENT G703•CONTINUATION SHEET FOR G702 • 1992 EDITION•AIAs • ©1992•THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE,N.W.,WASHINGTON,D.C.20006-5292•WARNING:Unlicensed photocopying violates U.S.copyright laws and will subject the violator m legal prosecution. G703-1992 CAUTION:You should use an original ALA document which has this caution printed In red.An original assures that changes will not be obscured as may occur when documents are reproduced. APPLICATION FOR PAYMENT AND PARTIAL RELEASE OF LIEN Construction Inc. — tr Subcontractor or Supplier Name Weihe Cons Phone 3I7 776 2_ 966 Subcontractor or Supplier Address Noblesville,Is H 46U60 Type of Service Furnished Construction Constriction Cost Division Number Project(Building Number) Cherry Tree Blvd Widening/Cur__. Owner Platinum Pro. roes 11/30j2014 3498 Date Application Number To 11/30/2014 11 1 2014 Period From ____----------- "—J — $ 45,983.00 Original Contract Sum $ Net Change by Approved Change Orders $ 45,983.00 Contract Sum to Date 85,983,00 Total In-Place Work Completed Value of Material Stored on Site $ 45,983.00 Total Earned to Date 4 598.32 Retained Percentage . $ ql 3.84.66 Total Earned less Retainage $ 21 459.05 Less Previous Certificates for Payment.. $$ 1�— Current Payment Due The undersigned hereby certines that the amount Earned and D�t the Undersigned Undersigned for for the use on or in by furnished,and labor and services of every nature pert connection with the above named Project. 1) Has been paid In full as per shown(except Amount Due as listed below)through the above-mentioned pay period;and 2) The Undersigned hereby warrants that the premises of bone-nnamed job cannot npties,who be made subject to any vaild lien or claim by anyone labor or services to the Undersigned any and use hi the of above-named kind d r nature against 3) The Undersigned hereby Improvements e or the General Contract,and the Owner,and against the building(s), Project,and the land on which same is located for any labor,materials,or supplies furnished or services performed through the above-mentioned pay period. This release Is given in order to induce payment in the Amount Due of$ $ 19,925.63 and on receipt of Amount Due by the Undersigned,this release as to the Amount Due becomes valid,enforceable and of full effect. Upon attachment of the legal description of the Project,the release my be recorded by the Owner or Mortgagee of the Project. Notwithstanding the foregoing,the Undersigned does hereby unconditionally waive and release any and all liens or rights to liens upon the premises,improvements thereto,or monies due in connection therewith, with respect to monies due the Undersigned for previous payment requests In the total sum of $ 19,925.63 ,the receipt and sufficiency of which is hereby acknowledge. Dated this 30 day of Nov 2014 Weihe Construction Inc. (Subcontractor r oiler Name By: State of Indiana ) (Undersign SS: Title: HR Safe County of Hamilton ) 2014, Before me,a Notary Public 30 day of Nov ic in and for said County and State,this of the Undersigned personally appeared Brian—known to me to be the HR Saf who acknowledge the execution of the foregoing for and on behalf of the Undersigned. t t o my hand and Notarial Seel. Da Nov 2014 Gated ed this 30 day of My commission expires: Oct 2015 Nocary Public Michelle Garcia My county of residence is: Hari n (Printed)