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ERMCO - $705,763
Disbursement Instructions (PAC Lighting and Generator) Regions Bank hereby is instructed to make a disbursement of Loan Proceeds from the Borrower Loan Account to(or for the account of) Borrower In: (a)the amount of the "Total Authorized Disbursement"line in the "Amount of Authorized Disbursement"column below;and (b)accordance with the terms and conditions of the Agreement, the other Loan Documents, and the Disbursement Instructions. Purpose of Authorized Disbursement Amount of Authorized Disbursement J& o r'1 &moua+ -1-0 612 M'1,1 I)Y Y;1/A,c Rngr,c;a1 1 13 j 8 O.00 Februnry AmRurd- •}a be p(\ti \,y WI p Fn(lhr;4', i SXQ,5)3,0e Pro i wiNat tU ‘i is cftllart ��I �O�.Qo Total Authorized Disbursement -Vi""µ o,�j.�60 .:>'r, f?�r All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (PAC Lighting and Generator), dated January 28, 2010, by and between Lender and Village Financial, LLC. Dated: 4A/9 CITY OF CARMEL REDEVELOPMENT COMMISSION By AP. Printed e,$ S. ()Ns Title FXccL4 'ive ®irec±or Draft PAC Lighting and Generator (Ermco, Inc.) Up Through November 2009 IPC Amounts through application 19 Completed and Stored to date $ 1,100,000.00 Retention held(based on 10% retention) $ 110,000.00 Paid to date $ 990,000.00 New Amount Requested $ 990,000.00 December 2009 IPC Amounts for application 20 Completed and Stored to date $ 204,500.00 Retention held(based on 10% retention) $ 20,450.00 To be paid $ 184,050.00 New Amount Requested $ 184,050.00 January 2010 IPC amount for application 21 Completed and stored to date $ 146,500.00 Retention held(based on 10%retention) $ 14,650.00 January amount for Village Financial to pay $ 131,850.00 February 2010 IPC Amounts for application 22 February amount for Village Financial to pay $ 580,513.00 Adjustment for previous payment retention $ (6,600.00) Draft PAC Lighting and Generator 1/31/10 Contractor Equipment Contract Total Previously Completed Completed This Period Completed to Date Remaining Balance ERMCo,Inc. 21 Lighting°R-M $ 7,000.00 $ 7;000.00 $ 22 Lighting R-L $ 9;000:00 $ $ 7,000.00 $ - 23 Lighting F-M $ 7,000:00 9.000.00 $. - $ 9;000.00 $ 24 Li htin F-L $ $ 7,000.00 $ 7,000.00 $ - 9 9 3;000.00 $ 3,000.00 $ 66 Gen R-M $ 265,000.00 $ 265;000.00 $ 3,000.00 $ 67 Gen R-L $ 75,000.00 $ - $ .00 $265;000.00 S. 6 - 8 Gen F-M 67;000.00. $ $ 67;000;000.00 $ 550;000.00 $ $ 8;000:00 $ 550 69 Gen F-L $ 25,000.00 $ 19,500:00 $ 550,000.00 $ - 128 Lighting R-M $ 25,000.00 $ 19,000.00 $ 19,500.00 $ 5,500.00 129 Lighting R-L $ 30,000:00 $ 2 5 $ 2;000:00 $ 21,000.00 $ 12,500.00 $ 4,000:00 5 4,000.00 76;500:00 $ 13,500:00 130 Lighting F-M $ 350,000:00 $ 88;000:00 $ 131 Lighting F-L $ 25,000:00 $ 5,000.00 $ 93,000.00 $ 257,000:00 133 Lighting R-M 7,500:00 ,$ $ 7;500.00 $ $ 25;000.00 $ 1.7,500.00 $ 2,000.00 $ 17,500:00 134 Lighting:R-L S 30,000.00 $ 14;500:00 $ 5 19;500.00 $ 5,500.00 135.Lighting.F M S. 350,000.00 $ 5,000.00 $' 19,500.00 $ 10,500.00 136 Lighting F-L 48,000.00. $ 12,000.00 $ 60;000:00 $ $ 25,000.00 $ 2,500.00 $ - $ 290,500.00 138 Lighting R-M $ 12,000.00 $ 4,100.00 $ 2,500.00 $ 22,500.00 139 Lighting R=L $ 10;000.00 $ 2,000.00 $ 6,100.00 $ 5,900:00 140 Lighting F-M 2,000.00 $ 2;000.00 $ 4,000.00 $ $ 310,000.00 $ 30,000:00 $ $ 8,000.00 141 Lighting F-L $ 20,000.00 $ - 30,000.00 $ 280,000.00 148.Lighting R-M $ 20,000.00 ,5. 16;400.00 $ $ 20;00.0.00 149 Lighting R-L. $ 30,600.00 $ $ 16,400.00 $ 3,600.00 150 Lighting F-M 13,500.00 $ 1,500.00 $ 15,000.00 $ 9 9 $ 350;000.00 $ -40,000.00 $ 46,500.00 .$ 15,000.00 151 Lighting F-L $ 22,000.00 $ 2,500.00 $ 86,500.00 $ 263,500.00 153Lighting R-M $ 15;000.00 :$ - $ 2;50000 $ 19;500.00 154 Lighting R=L $ 17,000.00 $ 10;300:00 $ $ 10,300.00 $ 8;500.00 $ _ $ 4,700.00 155 Lighting F-M $ 350,000.00. .$ 40;000.00 $ 8,500:00 $ 8;500.00 156 Lighting F-L $ 20,000:00 $ 41,500.00 $ 81,500.00 $ 268,500.00 158 Lighting R-M $ 2,500:00 $ - $ 2;500.00 $ 9 9 10,000.00 $ 4,200.00 $ 1,000.00 $ 17,500.00. 159 Lighting R-L $ 12,000:00' $ 1,500:00 $ 5,200.00 $ 4,800.00. 160 Lighting'F-M $ 25,000.00 $ 3,500.00 $ 5,000.00 $ 7;000.00 161 Lighting F-L $ 2,000.00 $ 8,500.00 $ 10;500.00 $ 9 9 10,000:00 $ 14,500.00 - S 10,000.00 Total $ 3,034,000.00 $ 1,304,500:00 $ 146;500.00 $ 1,451,000:00 $ 1,583,000.00 Amount.Completed $ 146,500:00 m...... \ipio ..c,ipd \ I,�- 1 Document 6702/C[ aTM o 1992 Application and Certificate for Payjn�ent Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment Com 'Iss#i �1ECT: Parcel 7A, Regional Performing Arts APPLICATION NO: 21 ' 1 Civic Square `1\C\ Distribution to: C)�U - ,1�\�\k Center Interior Rough PERIOD TO: 1/31/2010 Carmel, IN 46032 ' v OWNER ❑ ..\\\H\-.C �' LC,. Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONTI INC. ,I, '• VIA CONST U'TION MANAGER: CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 \�� �Shiel Sexton PROJECT NOS: 2695-4/320 / CONTRACTOR ❑ Indianapolis, IN 46206 IA ARCHITECT: CONTRACT \I CSO Architects FIELD ❑ �gctrical Installation Prolect#25310H ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and Applicalian is made for payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Conlication Sheet,AIA Document G703,is attached. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous 1.ORIGINAL CONTRACT SUM Certificates for Payment were issued and payments received from the Owner, and that current 1%539,000.00 payment shown herein is now clue. 2.Net change by Change Orders X454,712.00) CONTRA E , CO C 3.CONTRACT SUM TO DATE(Line I ±2) 1%084,288.00 By: . i L�J` ` 'J 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703 Date: 1/15/ZO10 61837,041.32 State of: Indiana 5.REI AINAGE: County of: Marlon a• °.n of Completed Work Subscribe/1,41d sworn to before (Column D+E an G703) 504,27x4.40 me this I il day of January,2010 b. Go of Stored Material Notary Public: -v' . '---.-e:— P���C�4( (Column F on 0703) Si My Commission expires: 12/19/2015 Total Rctninagc(Lines 5a+5b or Total in Column I of G703).. $ 504,214.40 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 6,332,826.92 In accordance with the Contract Documents,based on on-site observations and the data comprising (Line 4 Less Line 5 Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 5,919,565.02 accordance with the Contract Documents,and the Contractor is entitled to (Line 6 from prior Certificate) CERTIFIED. o payment of the AMOUNT 8.CURRENT PAYMENT DUE I$ 413,261.90 I AMOUNT CERTIFIED S �i 3 , &/, 7 r) 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs front the amount applied.initial all figures on this Application and ml the C natatorial,Sheet that are changed to conform trial the amount certified.) (Line 3 l e s s Line 6) $ 3,751,461.08 CONSTRUC .I. 1 MA2•9 ': CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS By: j I Date: /. ay.Z6 i O ARCHITECF:v, / r Total changes approved in previous months by Owner 54,409.00 (1b 09,121.00) By: V ��1� Total approved this Month $ S ✓ Date: (Ja O . 0��0201 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 511,409.00 (:509,121.00) named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ (454,712.00) the Owner or Contractor under this Contract. I 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. AIA Document G702/CMaTrt—1992 Copyright 9)1999 by Tho American Institute of Architects.All rights reserved.,WARNING:This AIA°Document is protected by US.Copyright Lao and International Treaties. Unauthorized reproduction or distribution of this Ale Document,or any portion of It,may mull in sovere civil and criminal penalties,and will be prosecuted to tho maximum extent possible under the lam. Purchasers are permitted to reproduce len(10)copies of This document when completed.To report copyright violations of AIA Contract Documents,e-mail The American institute al Architects'legal counsel,copyright @aia.org. *�`�f� Ate) ERI�1CO Contract ll 2695-4320 —IQ�. , T61 124070 Document G7D3 o 1992 Continuation Sheet AIA Document G702.APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: ., containing Contractor's signed certification is attached. 1 in tabulations below-amounts are stated to the nearest dollar. APPLICATION DATE: 1/15/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 1/31/2010 ARCHITECT'S PROJECT NO: A B C D I E F a H 1 WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED BALANCE ITEM DESCRIPTION OF WORK FROM PREVIOUS r� 1.O RETAiNAGE VALUE STORED AND STORED iG_C) FINISH NO. APPLICATION THIS PERIOD (NOT IN TO DATE (IF VARIABLE (D+E) D OR E) (D+E+F) IC-G) RATE) 0.001 VIOBILIZATION 15,000.00 15,000.00 15,000.00 100 10.002 2.M. 200,000.00 149,124.00 4,625.00 153,749.00 77 46,251.00 10.003 SAD ENG 80,000.00 80,000.00 80.000.00 100 10.004 TEMP-L 75,000.00 57,093.00 2,985.00 60,078.00 80 14,922.00 t 0.005 TEMP-M 45,000.00 39,875.00 1,000.00 40,875.00 91 4,125.00 00.006 LEAN UP 15,000.00 6,650.00 1,000.00 7,650.00 51 7,350.00 '0.007 3OND 72,000.00 72,000.00 72,000.00 100 00.008 TESTING 18,000.00 12,000.00 12,000.00 67 6,000.00 00.009 SITE OFFICE 23,000.00 22,050.00 22,050.00 96 950.00 00.010 iDEMOBILIZATION 5,000.00 5,000.00 00.011 ALLOWANCE 12 550,000.00 451,772.00 5,000.00 456,772.00 83 93,228.00 00.012 ALLOWNACE 13 350,000.00 110,361.42 10,901.90 121,263.32 35 228,736.68 0.013 ALLOWANCE 14 100,000.00 75,000.00 75,000.00 75 25,000.00 0.014 ALLOWANCE 15 5,000.00 5,000.00 5,000.00 100 10.015 ALLOWANCE 16 10,000.00 10,000.00 10,000.00 100 0.016 EO.11 • 0.017 VIAT 10,000.00 10,000.00 10,000.00 100 0.018 _ABOR 6,000.00 6,000.00 6,000.00 100 0.019 EXCAVATION 35,000.00 35,000.00 35,000.00 100 10.020 0.12 0.021 _IGHTiNG R-M 7,000.00 7,000.00 7,000.00 100 0.022 LIGHTING R-L 9,000.00 9,000.00 9,000.00 100 0.023 LIGHTING F-M 7,000.00 7,000.00 7,000.00 100 CAUTION:You should sign an origina AlA C l ontract Document,on which this text appears in RED:.An original assures that changes will not,be obscured. AIA Document G703n—1992.Copyright 0 1963,1965,1966,1967.1970,1978.1983 and 1992 by The American Institute of Architects.All rights reserved WARNING:,This AIA0Dacument Is protected by U.S.Copyright Law,and International Treaties.Unauthorized reproduction or distribution of this AIAr'Document,or any portion of it;may,result in severe.eivil and criminal penettles.end will be prosecuted to the mattImuin extent possible under.the law.Purchasers are permitted to reproduce ten(10)copies at this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copydphl @ala.org. IN. ERr1CO Contract # 2695-4320 a:1.1M p 1 p ply `� na 11 Document en14 G !I 03 ° 1992 124070 Continuation Sheet AlA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. APPLICATION NO: 1 In tabulations below.amounts arc stated to the nearest dollar. APPLICATION DATE: 1/15/2010 Use Column I on Contracts where variable retainuge for line items may apply. PERIOD TO: 1/31/2010 A ARCHITECT'S PROJECT NO:B C D I E F WORK COMPLETED G H I MATERIALS TOTAL ITEM DLSCRIPTIONOFIVORIC SCHEDULED FROM PREVIOUS PRESENTLY COMIPLETLD BALANCE RETAWAGE NO. SCHEDULED APPLICATION THIS PERIOD STORED AND STORED `" TO (IF VARIABLE fD+EI (NOT IN TO DATE (G=C) FINISH D OR E) (D+E+F) (C-0) RAT[) 00.024 JGHTING F-L 3,000.00 i 0.025 3RANCH R-M 3,000.00 3,000.00 100 00.026 3RANCH R-L 500.00 500.00 500.00 100 00.027 3RANCH F-M 1,500.00 1,500.00 1,500.00 100 toms 9RANCH F-L .00 20000.00 100.00 00.029 E1.01 200.00 00.030 FEEDER M 975,000.00 955,750.00 00.031 FEEDER L 15,000.00 970,750.00 100 4,250.00 600,000.00 000 567, .00 15,000.00 582,000.00 97 00.032 E1.02 18,000.00 00.033 EQ M 250,000.00 242,500.00 10.034 EQ L 3,500.00 246,000.00 98 4,000.00 150,000.00 120,000.00 15,000.00 135,000.00 90 15,000.00 00.035 E1.03 00.036 EQ R-M 10,000.00 8,500.00 00.037 EQ R-L 15,000.00 7,500.00 8,500.00 85 1,500.00 00.038 EQ F -M 5,000.00 12,500.00 83 2,500.00 30,000.00 25,000.00 3,000.00 28,000.00 93 0.039 EQ F-L 8,000.00 1,000.00 2,000.00 0.040 E1.04 4,000.00 5,000.00 63 3,000.00 0.041 EQ R-M 10,000.00 7,500.00 0.042 EQ R-L 7,500.00 75 2,500.00 15,000.00 7,500.00 7,500.00 50 0.043 EQ F-M 25,000.00 20,000.00 7,500.00 0.044 EQ F-L 20,000.00 80 5,000.00 8,000.00 3,000.00 3,000.00 38 10.045 E1.05 5,000.00 10.046 EQ R-M 5,000.00 2,500.00 1,500.00 4,000.00 80 1,000.00 CAUTION:You should sign an original_AIA,Contract Document,on which this text appears In RED.An original assures,thai changes will not be obscured. AIA Document G703m—1992.Copyright 0 1963.1965.1966,1967.1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Dacument Is protected by U.S.Copyright Law and Internalionai Treaties.Unauthorized.roproduction or distribution at this AlA°Document,,or any portion of II,may result In severe civil and criminal penalties;and will be prosecuted to the maximum extent possible opyrig the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of ALA Contract Documents,email The American lnsllWte of.Aichilecls'legal 9 counsel.Gunder th aia.arg. m 1 'l;: ERMCO Contract it 2695-4320 o Document 6703 e 1992 124070 Continuation Sheet MA Document 0702.APPLICATION AND CERTIFICATION FOR PAYIv1ENT, APPLICATION NO containing Contractor's signed certification is attached. 21 In tabulations below.amounts are stated to the nearest dollar. APPLICATION DATE: I/15/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 1/31/2010 ARCHITECT'S PROJECT NO: A B C D I E F G I•I I \VORK COMPLETED MATERIALS TOTAL SCHEDULED PRESENTLY COMPLETED BALANCE ITEM DESCRIPTION OF WORE FROM PREVIOUS 56 TO (IF VARIABLE VALUE STORED AND STORED (G+C) F(NISIi NO. APPLICATION THIS PERIOD (NOT IN TO DATE (IF VARIABLE (D+E) D ORE) (D+C•+F) (C-G) RATE) (0.047 EQ R-L 5,000.00 1,000.00 1,000.00 20 (0.04(1 EQ F-M 4,000.00 35,000.00 25,000.00 25,000.00 71 10,000.00 1 0.049 EQ F-L 8,000.00 4,500.00 4,500.00 56 3,500.00 10.050 E2.00&A&P 10.051 RIGGING 35,000.00 35,000.00 35,000.00 100 10.052 EQ R-M 30,000.00 30,000.00 30,000.00 100 0.053 EQ R-L 20,000.00 18,000.00 18,000.00 90 10.054 EQ F-M 2,000.00 575,000.00 565,000.00 5,000.00 570,000.00 99 5,000.00 10.055 EQ F-L 30,000.00 20,000.00 5,000.00 25,000.00 83 5,000.00 10.056 BRANCH R-M 17,000.00 15,350.00 15,350.00 90 1,650.00 0.057 3RANCH R-L 13,000.00 9,800.00 9,800.00 75 3,200.00 10.058 3RANCH F-M 7,000.00 10,059 BRANCH F-L 7,000.00 5,000.00 5,000.00 10.060 =EEDER R-M 550,000.00 530,500.00 17,000.00 547,500.00 100 � 2,500.00 10.061 =EEDER R-L 250,000.00 15,500.00 25,000.00 240,500.00 96 9,500.00 0.062 FEEDER F-M 6,000.00 3,500.00 3,500.00 58 10.063 =EEDER F-L 2,500.00 10,000.00 5,500.00 5,500.00 55 4,500.00 10.064 _2.01 E2.02 0.065 RIGGING 10,000.00 10,000.00 10,000.00 100 0.066 3EN R-M 265,000.00 265,000.00 265,000.00 100 1 0.067 GEN R-L 75,000.00 67,000.00 67,000.00 89 8,000.00 x0.068 GEN F-M 550,000.00 550,000.00 u D.069 GEN F-L , 550,000.00 100 25,000.00 19,500.00 19,500.00 78 5,500.00 CAUTION:You'should sign an'original AIA Contract Document,on which this text appears in FLED.An original assures that changes will not be obscured. AIA Document G70.3111—1992.Copyright e.)1963.1965,1966,1967,1970,1978,1983 and 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 AIA°Document;or any portion of,it:may result in severe civil and criminal penalties;end'will be-prosecuted to the maximum extent possible under the lam.Purchasers are permitted to reproduce ten(10)caples of this document when completed.To report copyright violations of AK Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. m \ � ERNCO Contract # 2695-4320 D TM Document 6703 o 1992 124070 Continuation Sheet MA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. 21 In tabulations below,amounts arc stated to the nearest dollnr. APPLICATION DATE: 1/15/2010 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO: 1/31/2010 ARCHITECT'S PROJECT NO: A B C D I E F G H 1 WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED BALANCE SCHEDULED FROM PREVIOUS r (IF I!AGE ITEM DESCRIPTION OF WORK STORED AND STORED ° TO (IF VARIABLE VALUE (G:C) FINISH NO. APPLICATION'!ON TIi1S PERIOD (NOT 1N TO DATE RATE) D ORE) (D+E+F) (C-G) 1 0.070 3RANCH R-M 15,000.00 11,050.00 11,050.00 74 3,950.00 10.07) 3RANCH R-L 8,000.00 6,080.00 6,080.00 76 1,920.00 r 0.072 3RANCH F-M 2,500.00 2,500.00 0.073 BRANCH F-L 3,500.00 3,500.00 10.074 E2.03&A 10.075 BRANCH R-M 20,000.00 9,400.00 6,000.00 15,400.00 77 4,600.00 00.076 BRANCH ' R-L 16,000.00 7,320.00 4,000.00 11,320.00 71 4,680.00 00.077 BRANCH F-M 1,000.00 1,000.00 00.078 BRANCH F-L 2,500.00 2,500.00 00.079. FEEDER R-M 65,000.00 54,300.00 8,000.00 62,300.00 96 2,700.00 00.080 FEEDER R-L 45,000.00 25,900.00 16,000.00 41,900.00 93 3,100.00 00.081 FEEDER F-M 2,500.00 1,000.00 1,000.00 40 1,500.00 00.082 FEEDER F-L 5,000.00 1,000.00 1,000.00 20 4,000.00 00.083 E2.04 00.084 BRANCH R-M 6,000.00 3,420.00 1,000.00 4,420.00 74 1,580.00 00.085 BRANCH R-L 8,000.00 2,660.00 1,500.00 4,160.00 52 3,840.00 00.086 BRANCH F-M 1,000.00 1,000.00 10.087 BRANCH F-L 2,500.00 2,500.00 00.088 E2.05 00.089 BRANCH R-M 15,000.00 7,550.00 3,500.00 11,050.00 74 3,950.00 00.090 BRANCH R-L 14,000.00 1,780.00 2,000.00 3.780.00 27 10,220.00 0.091 BRANCH F-M 800.00 800.00 10.092 BRANCH F-L 1,500.00 1,500.00 CAUTION:You sh'ould'sign an original,AIA Contract Document,on which this text appears in RED:•An,original assures that changes will not be obscured. AIA Document 6703W—1992.Copyright©1963,1965,1986,1967.1970.1970,1983 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.Unautharizad"reproduction or distribution of this AIA°Document,or any portion of It may result In sovore civil and criminal;penalties;and will be proseiuted to the maximum extent possible under llto law.Purchasers are permitted to reproduce len(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,a-mall The American Institute of Architects'legal counsel,copyright @aia.org. \ -e:) pp pp��55yy�� yy'�� `� 1992 ER111CO Contract # 2695-4320 - r�RF Document �!! ®�nt 992 124070 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT. APPLICATION N0: containing Contractor's signed certification is attached. ?► In tabulations below.amounts arc stated to the nearest dollar. APPLICATION DATE: 1/15/2010 Use Column 1 on CuntracLs where variable retainage for line items may apply. PERIOD TO: 1/31/2010 ARCHITECT'S PROJECT NO: A 0 C D I E F 0 1'1 1 WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED BALANCE r, TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (G=C) FINISH (IF VARIABLE ID+E) (NOT IN TO DATE RATE) D OR El (D+E+F) (C-G) 0.093 ,=2.06 10.094 BRANCH R-M 4,000.00 280.00 0.095 BRANCH R-L 750.00 1,030.00 26 2,970.00 6,000.00 1,500.00 1,500.00 25 4,500.00 10.096 BRANCH F-M 600.00 10.097 pRANCH F-L 1 600.00 ,200.00 1,200.00 10.098 E2.07 10.099 BRANCH R-M 8,000.00 3,560.00 3,560.00 45 4,440.00 10.100 BRANCH R-L 10,000.00 2,000.00 2,000.00 20 8,000.00 00.101 BRANCH F-M 1,000.00 - '0.102 BRANCH F-L 2,500.00 1,000.00 00.103 E2.07A 2,500.00 0.104 BRANCH R-M 15,000.00 7,550.00 00.105 BRANCH R-L 7,550.00 50 7,450.00 00.106 BRANCH F-M 0,000.00 3,500.00 3,500.00 18 16,500.00 00.107 BRANCH F-L 9,000.00 9,000.00 00.108 E2.08 10,000.00 10,000.00 00.109 BRANCH R-M 6,000.00 1,920.00 #0.110 BRANCH R-L 1,920.00 32 4,080.00 8,000.00 1,500.00 1,500.00 19 6,500.00 40.111 BRANCH F-M 2,000.00 00.112 BRANCH F-L 3,500.00 2,000.00 #0.I 13 E2.09 3,500.00 10.114 Fa R-M 8,000.00 7,000.00 0.115 EQ R-L 7.000.00 88 1,000.00 10,000.00 5,000.00 2,500.00 7,500.00 75 2,500.00 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 G703T11-1992.Copyright 0 1963.1965,1966.1967,1970,1970,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document is'protecled by U.S.,Copyright Law and International Treaties.Unauthorised reproduction or distribution of this AlA Document,or any portion.of II may reouit.in severe civil and'criminol penalties,and Will be prosecuted to the maximum extent possible under the taw.Purchasers are permitted to reproduce ten(10►coples of this document when completed.To tenon copyright violations al AIA Contract Documents,a-mail The American institute oI Architects'legal counsel,copydghl @aia.org. W,—;„ p y G703Th' Contract 1/ 2695-4320 `: Doc u mt nit G703T1 ° 1992 124070 Continuation Sheet ALA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. APPLICATION NO: 21 In tabulations below.amount.~are stated to the nearest dollar. APPLICATION DATE: 1!15/2010 Use Column 1 on Contracts where variable rettlinage for line items may apply. PERIOD TO: 1/31/2010 ARCHITECTS PROJECT NO: A B C D I E F WORK COMPLETED O H l MATERIALS TOTAL ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COhIPLEI ED BALANCE 'o TO (IF V A I AGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (IF VARIABLE (D+E) (NOT IN TO DATE (CI=C) FINISH D OR E) (D+E+F) (C-0) RATE) 10.116 -Q F-M 2500.00 40.117 _Q F-L 3,000.00 2,500.00 10.118 E2.10 3,000.00 '0.119 BRANCH R-M 1,000.00 1,000.00 0.120 BRANCH R-L 2,500.00 500.00 1,000.00 100 10.121 BRANCH F-M 100.00 500.00 20 2,000.00 0.122 BRANCH F-L 500.00 100.00 )0.123 Q R-M 6,000.00 500.00 0.124 EQ R-L 10,000.00 0,000.00 0.125 EQ F-M 1,500.00 10,000.00 10.126 EQ F-L 2,000.00 1,500.00 '0.127 E3.00&P 2,000.00 10.128 JGHTING R-M 25,000.00 19,000.00 2,000.00 '0.129 _IGHTING R-L _1,000.00 8'I 4,000.00 '0.129 JGHTING F-M 30,000.00 12,500.00 4,000.00 16,500.00 55 350,000.00 88,000.00 13,500.00 '0.131 JGHTING F-L 5,000.00 93,000.00 27 257,000.00 ?5,000.00 7,500.00 7,500.00 30 17,500.00 '0.132 =3.01 '0.133 JGHTING R-M 25,000.00 17,500.00 2 '0.134 _IGHTING R-L ,000.00 19,500.00 78 5,500.00 '0.134 IGHTING F-M 30,000.00 14,500.00 5,000.00 19.500.00 65 10,500.00 350,000.00 48,000.00 12,000.00 60,000.00 17 2 '0.136 -IGHTING F-L 25,000.00 2,500.00 92,000.00 '0.137 E3.02 2.500.00 10 22,500.00 0.138 _IGHTING R-M 12,000.00 4,100.00 2,000.00 6,100.00 51 5,900.00 'CAUTION:You should'sign an originalAIA Contract Document,on which this text appears in RED.An original a'ssures:thal changes III not be obscured. AlA Document Q703*u—1992.Copyright a 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WAFINING:,This.AleDocument is protected,!y_U:S.Copyright Law end Internallonel Treaties.Unauthorized reproduction or distribution of.this AIA Document,or any portion of It may result In severe civil and criminal penalties,end Will be prosecuted to the maximum extent possible under the tow.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American institute of Architects'legal counsel.copyrighl@aia.org. _ — \` ERNCO Contract II 2695-4320 ti.04:i. i m TM o 1.992 124070 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. 21 In tabulations below,amounts arc stated to the nearest dollar. APPLICATION DATE: 1/15/... Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 1/31/2010 ARCHITECT'S PROJECT NO: A B C D I E F G H I \VORIi COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED BALANCE SCHEDULED FROM PREVIOUS r. REl'AINACE ITEM DESCRIPTION OF WORK STORED AND STORED ° TO VALUE (NOT IN TO DATE (O+CI FINISH NO. APPLICATION THIS PERIOD (IF VARIABLE (D+E) (C-O) RATE) D OR El (D+E+F) 1 0.139 _IGHTING R-L 10,000.00 2,000.00 2,000.00 4,000.00 40 6,000.00 10.140 _IGHTING F-M 310,000.00 30,000.00 30,000.00 10 280,000.00 0.141 _IGHTING F-L 20,000.00 20,000.00 10.142 =3.03 0.143 _IGHTING R-M 30,000.00 19,600.00 2,000.00 21,600.00 72 8,400.00 0.144 _IGHTING R-L 35,000.00 15,000.00 3,000.00 18,000.00 51 17,000.00 0.145 _IGHTING F-M 350,000.00 67,000.00 4,500.00 71,500.00 20 278,500.00 0.146 _IGHTING F-L 22,000.00 2,500.00 2,500.00 I I 19,500.00 0.147 :3.04 0.148 _IGHTING R-M 20,000.00 16,400.00 16,400.00 82 3,600.00 10.149 _IGHTING R-L 30,000.00 13,500.00 1,500.00 15,000.00 50 15,000.00 0.150 _IGHTING F-M 350,000.00 40,000.00 40,000.00 6,500.00 86,500.00 25 263,500.00 i.0.151 _IGHTING F-L 22,000.00 2,500.00 2,500.00 I I 19,500.00 10.152 :3.05 10.153 _IGHTING R-M 15,000.00 10,300.00 10,300.00 69 4,700.00 '0.154 _IGHTING R-L 17,000.00 8,500.00 8,500.00 50 8,500.00 '0.155 _IGHTING F-M 350,000.00 40,000.00 35,000.00 6,500.00 81,500.00 23 268,500.00 00.156 IGHTING F-L 20,000.00 2,500.00 2,500.00 13 17,500.00 00.157 _3.06&.07&.08&.09 '0.158 _1GHTING R-M 10,000.00 4,200.00 1,000.00 5,200.00 52 4,800.00 '0.159 _IGHTING R-L 12,000.00 1,500.00 3,500.00 5,000.00 42 7,000.00 00.160 _IGHTING F-M 25,000.00 2,000.00 6,000.00 2,500.00 10.500.00 42 14,500.00 2 0.16 1 _IGHTING F-L 10,000.00 10,000.00 CAUTION:You should sign an original AIA Contract Document,on which this lent appears in RED.An original assures that changes will•not be obscured. AIA Document G703111—1992.Copyright®1963,1965.1966,1957,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Documont is protected by U.S.Copyright, Law and International Treaties.Unauthorized reproduction or distribution of this:AIA°Document,or any.portion alit,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under(he law.Purchasers are permuted to reproduce ten(10)copies at this document when completed.To report copyright violations at AIA Contract Documents,e-mail The American indium of Architects'legal counsel,copyright @aia.org. m : ,oPd n n ry�y `� n1 ERNICO Contract 11 2695-4320 ° Document GU O3 — 1992 124070 Continuation Sheet AR Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT. containing Contractor's signed certification is attached. APPLICATION NO: 1 In tabulations below.amounts arc stated to the nearest dollar. APPLICATION DATE: 1/152010 Use Column Ion Contracts where variable rctninage for line items may apply. PERIOD TO: 1/31/2010 ARCHITECT'S PROJECT NO: A _ B C D I E F G H 1 WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED BALANCE .c To IF V RETAINAGE AGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (G_C) FINISH (IF VARIABLE (D+E) (NOT IN TO DATE RATE) D ORE) (D+E+F) (C-G) 00.162 ^4.00&A&P a0.163 SOUND R-M 75,000.00 67,500.00 0 67,500.00 90 7,500.00 0.164 SOUND R-L 60,000.00 50,500.00 50,500.00 84 9,500.00 0.165 E 4.01 &A r0.166 SOUND R-M 40,000.00 25,500.00 �0.I67 SOUND R-L 25,500.00 64 14,500.00 25,000.00 16,500.00 4,000.00 20,500.00 82 4,500.00 0.168 E4.02&A 0.169 SOUND R-M 40,000.00 13,300.00 +0.t70 SOUND R-L 13,300.00 33 26,700.00 25,000.00 4,500.00 3,000.00 7,500.00 30 00.171 E4.03 17,500.00 0.172 SOUND R-M 25,000.00 14,000.00 10.173 14,000.00 56 1 1,000.00 0.173 SOUND R-L 18,000.00 3,900.00 2,000.00 5,900.00 33 n0.174 E4.04 12,100.00 00.175 SOUND R-M 25,000.00 15,000.00 u 15,000.00 60 10,000.00 0.17G SOUND R-L 18,000.00 8,000.00 6,000.00 14,000.00 78 4,000.00 10.177 E4.05&.06&.07&.09 0.178 SOUND R-M 80,000.00 58,100.00 0.179 SOUND R-L 58,100.00 73 21,900.00 65,000.00 32,000.00 5,000.00 37,000.00 57 28,000.00 0.180 E5.00&P 0.181 F.A. R-M 15,000.00 6,750.00 10.182 F.A. R-L 6,750.00 45 8,250.00 9,000.00 2,000.00 5,000.00 7.000.00 78 10.183 F.A. F-M 20,000.00 15,000.00 2,000.00 10,1 s4 F.A. F-L 15.000.00 75 5,000.00 5,000.00 5,000.00 CAUTION:You.should sign an,orlginal-AIA Contract Document,on which this text'appearsin RED:An original assures that changes will not be obscured. AIA Document 0703m—1992.Copyright 01963,1955,1966,1967,1970,19713.1983 and 1992 by Tho American Institute of Architects.All rights reserved.WARNING:Thle AIAe Document Is protected by U.S.copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it may result In severe'civii and criminal penalties,and will be prosecuted lo the maximum extat possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute or Architects'legal counsel,copyright @ala.org. • I WA m �t1 / ERPICO Contract II 2695-4320 T Document G703TM e 1992 124070 Continuation Sheet AIA Document G702.APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. 21 In tabulations below.amounts arc staled to the nearest dollar. APPLICATION DATE: I/15/3010 Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO: 1/31/2010 ARCHITECT'S PROJECT NO: A B C D I E F C, H I WORK COMPLETED MATERIALS TOTAL SCHEDULED PRESENTLY COMPLETED BALANCE ITEM DESCRIPTION OF WORK FROM PREVIOUS rG TO RETAINAGE VALUE STORED AND STORED NO. APPLICATION THIS PERIOD (NOT IN TO DATE (G_C) FINISH I (IF VARIAIIt�. ID+E) D OR El (D+E+� (C-G) RATE) 0.185 =5.01 &.02&.03 10.186 =.A. R-M 17,000.00 6,840.00 6,840.00 40 10,160.00 10.187 =.A. R-L 10,000.00 2,000.00 2,000.00 30 8,000.00 10.188 =.A. F-M 20,000.00 15,000.00 15,000.00 75 5,000.00 10.189 F.A. F-L 5,000.00 10.190 E5.04&.05&.06 5,000.00 10.191 -.A. R-M 20,000.00 7,400.00 7,400.00 37 1� � 12,600.00 10.192 =.A. R-L 17,000.00 2,000.00 2,000.00 12 15,000.00 10.193 F.A. F-M 20,000.00 15,000.00 15,000.00 75 5,000.00 10.194 F.A. F-L 5,000.00 x0.195 E5.07&.08&.09&.10 5,000.00 10.196 .A. R-M 20,000.00 4,400.00 4,400.00 2 '0.I97 F.A. R-L 22 15,600.00 15,000.00 1,000.00 1,000.00 7 14,000.00 0.198 r.A. F-M 16,000.00 11,000.00 11,000.00 69 5,000.00 '0.199 -.A. F-L 3,000.00 00.290 E6.02 3,000.00 '0201 tQ M 55,000.00 45,000:00 45,000.00 82 '0202 EQ L 20,000.00 10,000.00 20,000.00 00203 CABLE M 35,000.00 30,000.00 30,000.00 86 5,000.00 '0.204 CABLE L 45,000.00 10205 GR M 5,000.00 100.00 100.00 2 45,000.00 10.206 GR L 2,000.00 2 2,900.00 2,000.00 )0.207 E6.03 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. AIA Document G703*r1-1992.Copyright©1963,1965.1966.1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING;Ttils•A,A"Documont Is protected by U.S.Copyright Law and iniernatlonol Treaties.Unauthorized reproduction or distribution of this Ale Document,or ony portion of It,may result In severo'civil and criminal penalties,andsvill be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce len 1101 copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute o1 Archllecis'legal counsel,copyright @ala.org. ��.1 `� �j (Q� 1;RNCO Contract 4> 2695-4320 d°' Document �.0 0371" o U 992 124070 Continuation Sheet AIA Document G702.APPLICATION AND CERTIFICATION FOR PAYMENT. APPLICATION NO: 21 containing Contractor's signed certification is attached. In tabulations below.amounts are stated to the nearest dollar. APPLICATION DATE: I/15/2010 Use Column 1 on Contracts where variable retainuge for line items may apply. PERIOD TO: I/31/2010 ARCHITECT'S PROJECT NO: A B C D I E F G H 1 WORK COMPLETED MATERIALS TOTAL SCHEDULED PRESENTLY COMPLETED BALANCE ITEM DESCRIPTION OF WORK [7[0141 PREVIOUS ro• TO IFVA [AGE VALUE STORED AND STORED NO. APPLICATION THIS PERIOD (NOT IN TO DATE (G;C) FINISH (IF VARIABLE (D+El IC G) RATE) D OR E) (D+E+F) 00.208 SECURITY R-M 40,000.00 800.00 2 800.00 0 39,200.00 00.209 SECURITY R-L 20,000.00 ,000.00 2,000.00 10 18,000.00 0.210 SECURITY F-M 18,000.00 10.211 SECURITY F-L 6,000.00 18,000.00 '0.212 =6.05 6,000.00 10.213 DIMMING M 60,000.00 54,000.00 10214 DIMMING L 54,000.00 90 6,000.00 45,000.00 16,350.00 00215 E6.06 10,000.00 26,350.00 59 18,650.00 00.216 OPTIC SENSOR M 8,000.00 '0.217 4,000.00 17 OPTIC SENSOR L 8,000.00 00218 ;7.09 4,000.00 00.219 S&C M 100,000.00 70,000.00 20,000.00 90,000.00 90 10,000.00 00.220 S&C L 80,000.00 40,000.00 15,000.00 00.221 E8.00 55,000.00 69 25,000.00 00.222 JGHTNING PRO M 42,000.00 27,300.00 27,300.00 65 14,700.00 00.223 _IGHTNING PRO L 18,000.00 11,700.00 10.224 ALLOWANCE 17 11,700.00 65 6,300.00 40,000.00 10,765.00 10,765.00 27 29,235.00 00.225 CHANGE ORDER#1 '0.226 OCULUS ALTERNATE 1,000.00 00.227 CHANGE ORDER#2 1,000.00 0.228 1AACHINELESS ELEVATOR 11,500.00 8,500.00 8,500.00 74 3,000.00 0129 CHANGE ORDER#3 10.230 RCP 4 (58,852.00) (58,852.00) (58,852.00) 100 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. AIA Document G703Ti0—1992.Copyright©1963,1965.1966.1967,1970,1978,1983 and 1992 by Tho American Institute of Architects.All rights reserved.WARNING:This AIA°Documont is pratectad by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA°Document,or any portion of It may result in;severe civil and criminal penalties,and will be prosecuted to the maxtmum extent possible under the law.Purchasers are permitted to reproduce ten(101 copies of this document when completed'To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel.copyrighi@aia.org. ©� ERNCO Contract # 2695-4320 .1g....' A.: Document 670314 o 1992 124070 Continuation Sheet AIA Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. APPLICATION NO: I In tabulations below,amounts arc stated to the nearest dollar. APPLICATION DATE: Use Column Ion Contracts where variable retainage for line items may apply. 1/31/2010 PP x PERIOD TO: 1/3 t/2DI0 A 13 ARCHITECT'S PROJECT NO: C D I E F G WORK COMPLETED H 1 MATERIALS TOTAL ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED BALANCE RETAWAGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED rO TO fD+EI (NOT IN TO DATE (G=C) FINISH (IF VARIABLE D OR EI (D+E+F) (C-G) RATE) 0.231 CHANGE ORDER#004 NO COAT (0.232 CHANGE ORDER#005 00.233 AS1-037,RCP-006 23,177.00 16,500.00 00.234 CHANGE ORDER#006 16,500.00 71 6,677.00 00.235 RCP-011 (7,554.00) (7,554.00) 00.36 CHANGE ORDER#007 (7,554.00) 100 X0.237 ASI-038 18,732.00 14,500.00 00.238 CHANGE ORDER#008 14,500.00 77 4,232.00 00.239 ALLOWANCE 4320A ELEC GENEF (350,000.00) (350,000.00) 00.240 ALLOWANCE 4330A FIRE ALARM (75,000.00) (75,000.00) (350,000.00) 100 00.241 ALLOWANCE 43308 FIRE/SECUR (5,000.00) (5,000.00) (75,000.00) 100 00.242 ALLOWANCE 4320D ELECTRICAL (10,000.00) (10,000.00) (5,000.00) 100 00.243 3OND REDUCTION FOR ALLOW I (10,000.00) 100 00.244 CHANGE ORDER#009 {-,715.00) (2,715.00) (2,715.00) 100 0.245 NORK DIRECTIVE 4320-001 NEW 10,084.288.00 6.423.779.42 374261.90 37.000.00 6.837.041.32 68 2i CAUTION:You should sign an original AIA Contracf Document,on which this text appears in RED:An original assures that.changes will not be obscured. 3 47._14.48 AIA Document G70311.1—1992.Copyright 01963.1965,1966;1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:Thhi AIA'Document is protected by U.S:Copyright Law and Internet:onet Treaties.Unauthorized reproduction or distribution.of this-AlA°Document,'or any portion of it may result in severe civil and criminal.penalties,and will be prosecuted to the maximum extent• possible underlies law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents.e•mail The American Institute of Architects'legal counsel.copyr(ghl @ala.arg. . Document G7 0O2/CMa 0 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment CommisiaBOJECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO: 22 Distribution to: 1 Civic Square Center Interior Rough PERIOD TO: 2/28/2010 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONTP,j, INC. VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-41320 / CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CONTRACT F CSO Architects @iTctrica)Installation Project#25310H ❑ 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 Application for Pnyment has been completed in accordance with the Continuation Sheet,AIA Document G703.is attached. 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 that current 1.ORIGINAL CONTRACT SUM 3,034,000.00 payment shown herein is now due. 2.Net change by Change Orders $ CONTRACTOR. ERMCO C. 3.CONTRACT SUM TO DATE(Line I ±2) 3,034,000.00 By: Date: 2/10/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) 3,031,513.00 State of: Indiana AVUCKEri, 5.RETAINAGE: County of: Marion a. So of Completed Work SubscribelAng sworn to before OR 151,7 0.00 me this IuuI day of February,2018 0 (Column D+Eon G703) � � b. %of Stored Material Notary Public: �J�~i t � (Column F on G703) $ My Commission expires: 12/19/2015 ,,,,,,,,,00,,,/* .C>t Total Retttinage(Lines 5a+5b or Total in Column I of G703). $ 151,700.00 CERTIFICATE FOR PAYMENT FAO 6.TOTAL EARNED LESS RETAINAGE $ 1,879,813.00 in accordance with the Contract Documents,based on on-site observations d the dal,_ .t (sing this application,the Construction Manager and Architect certify to the Owner . tjt of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the qu. • .1-the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT S 1,299,300.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 7` 8.CURRENT PAYMENT DUE $ 580,513.00 AMOUNT CERTIFIED $ :01 5 9.BALANCE TO FINISH,INCLUDING RETAINAGE Munch etpin» don if amount certified differs front the amount applied.Initial all figures on this Application a.• on the -attinuatinn Sheer that are changed to ca fans with the amount certified.) (Line 3 less Line 6) $ 1,154,187.00 CONSTRUC I N NIA' 1 By: 4 t` t. . Date: 3. c.zo 0 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT Total changes approved in previous months by Owner $ $ • I t , By: it Date: -2-v t 0 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 AM Contract Document,on which this.text'appears in RED.An original assures that changes will not be obscured. AlA Document G702JCMa '—1992.Copyright©1992 by The American Institute at Architects.All rights reserved.WARNING:This Ale Document Is•protected by U.S.Copyright Law and International Treaties. Unauthorized raproductlon:or distribution of this AIA°Document,or any portion of it,may result In severs civil and criminal penaltiee.and will be pioseculed to the maximum extent possible under the low. Purchasers are permitted to reproduce ten(10)apples of this document when completed.To reporl copyright violations ol AlA Contract Documents,e-mail The American institute of Arctiifects'legal counsel,copyrlghl@ala.org. y k®��tit;,, p `� d� (Q� "° # Document ll ©3 n, p 9 124D70C Continuation Sheet AIA Document G702.APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 22 containing Contractor's signed certification is attached. ?/10/2010 In tabulations below.amounts are stated to the nearest dollar. APPLICATION DATE: Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 2/2813010 ' ARCHITECT'S PROJECT NO: A D C D I E F G I-I WORK COMPLETED MATERIALS TOTAL SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED DALi1NCE ITEM DESCRIPTION OF WORK STORED AND STORED `r TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD (NOT M TO DATE (G+C) FINISH (IF VARIABLE ID+E) DOREI (D+E+F) (C-G) RATE) 0.020 E0.12 10.021 _IGHTING R-M 7,000.00 7,000.00 7,000.00 100 0.022 _IGHTING R-L 9,000.00 9,000.00 9,000.00 100 10.023 _IGHTING F-M 7,000.00 7,000.00 5 7,000.00 100 0:024 _IGHTING F-L 3,000.00 3,000.00 3,000.00 100 50.064 E2.01 E2.02 50.066 GEN R-M 265,000.00 265,000.00 265.000.00 100 (0.067 GEN R-L 75,000.00 67,000.00 67,000.00 89 8,000.00 10.068 GEN F-M 550,000.00 550,000.00 550,000.00 100 (0.069 GEN F-L 25,000.00 19,500.00 (0.127 E3.00&P 19,500.00 78 5,500.00 50.128 _IGHTING R-M 25,000.00 21,000.00 21,000.00 84 4,000.00 00.129 _IGHTING R-L 30,000.00 16,500.00 16,500.00 55 13,500.00 00.130 _IGHTING F-M 350,000.00 93,000.00 113,103.00 206,103.00 59 143,897,00 00.131 _IGHTING F-L 25,000.00 7,500.00 7,500.00 30 17,500.00 00.132 F3.01 00.133 _IGHTING R-M 25,000.00 19,500.00 19,500.00 78 5,500.00 00.134 _IGHTING R-L 30,000.00 19,500.00 19,500.00 65 10,500.00 00.135 IGHTING F-M 350,000.00 60,000.00 113,102.00 173,102.00 49 176,898.00 00.136 _IGHTING F-L 25,000.00 2,500.00 5,000.00 7,500.00 30 17,500.00 00.137 E3.02 00.138 _IGHTING R-M 12,000.00 6,100.00 6.100.00 51 5,900.00 60.139 _IGHTING R-L 10,000.00 4,000.00 4.000.00 40 6,000.00 CAUTION:You should-sign an original AIA,Conlract Documenf'on which this tent appears in RED.An original assures that changes will not be obscured. AIA DocumenlD703111-1992.Copyright©1963,1965,1956,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document is protacted by;U:5.Copyright Law and International Treaties:Unauthorized reproduction or dIstrlbution of this'AIA'Documant;or any portion of It may result in severe civil and crlminnl:penalties,and will be'Prosecuted to the maximum extent possible under the lace.Purchasers are permitted to reproduce len(10)copies of this document when completed.To report copyright violations al AIA Contract Documents,e-mail The American Insltule of Archltecls'legal counsel,copyright @aia.org. ,f14. / Document T61 �� 124070C 6703 - 1992 2 Continuation Sheet AIA Document G702.APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: ' containing Contractures signed certification is attached. ?/102010 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 2/28/2010 ARCHITECT'S PROJECT NO: A • D C D l E I: G II \VORK COMPLETED MATERIALS TOTAL SCHEDULED PRESENTLY COMPLETED BALANCE ITEM DESCRIPTION OF 1VORI( I RO>41 PREVIOUS r, I O (IF VARIABLE AGE VALUE STORED AND STORED NO. APPLICATION THIS PERIOD IG+C) FINISH tIF VARIADLC ID+El (NOT TO DATE IC"G) RATE) D OR R E)E) (D+E+F) 110.140 LIGHTING F-M 310,000.00 30,000.00 113,103.00 143,103.00 46 166,897.00 110.141 LIGHTING F-L 20,000.00 5,000.00 5,000.00 25 15,000.00 10.147 E3.04 10.148 LIGHTING R-M 20,000.00 16,400.00 16,400.00 82 3,600.00 10.149 LIGHTING R-L 30,000.00 15,000.00 15,000.00 50 15,000.00 )0.150 LIGHTING F-M 350,000.00 86,500.00 113,103.00 199,603.00 57 150,397.00 30.151 LIGHTING F-L 22,000.00 2,500.00 2,500.00 5,000.00 23 17,000.00 10.152 E3.05 10.153 LIGHTING R-M 15,000.00 10,300.00 10,300.00 69 4,700.00 )0.154 LIGHTING R-L 17,000.00 8,500.00 8,500.00 50 8,500.00 10.155 LIGHTING F-M 350,000.00 81,500.00 113,102.00 194,602.00 56 155,398.00 10.156 LIGHTING F-L 20,000.00 2,500.00 2,500.00 5,000.00 25 15,000.00 10.157 E3.06&.07&.08&.09 )0.158 LIGHTING R-M 10,000.00 5,200.00 5,200.00 52 4,800.00 30.159 LIGHTING R-L 12,000.00 5,000.00 5,000.00 42 7,000.00 30.160 LIGHTING F-M 25,000.00 10,500.00 10,500.00 42 14,500.00 30.161 LIGHTING F-L 10,000.00 10,000.00 3,034,000.00 1.451,000.00 15,000.00 565,513.00 2,031,513.00 67 1,002,487.00 "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. AIA Document G703=-1992.Copyright ID 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved:WARNING:This AlA"Document is protected by U.S:Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA°Document,or any portion of it,may result In severe chill and criminal penalties,'and will be prosecuted to the maximum extent possible under'ihe law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violalions of AIA Contract Documents,email The American Institute of Architects'legal counsel,copyright @ala.org. Disbursement Instructions (PAC Lighting and Generator) 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 Am0(AV)- *c h jiaic 6y U;IIQye Findr,cial PlArck work { Er o ro) t +1-9+ 880.6D Total Authorized Disbursement3 '1 `-M1dt$ '?� All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (PAC Lighting and Generator), dated January 28, 2010, by and between Lender and VillageFinancial, LLC. Dated: /r/P C ITY OF CARMEL REDEVELOPMENT COMMISSION By--111111PAY'-illbt4011119--0°.- - Printed Les ,S, nn 0 (d 5 Title E xe c u+i v 1 re 6+0 t Draft PAC Lighting and Generator (Ermco, Inc.) Up Through November 2009 IPC Amounts through application 19 Completed and Stored to date $ 1,100,000.00 Retention held(based on 10% retention) $ 110,000.00 Paid to date $ 990,000.00 New Amount Requested $ 990,000.00 December 2009 IPC Amounts for application 20 Completed and Stored to date $ 204,500.00 Retention held (based on 10% retention) $ 20,450.00 To be paid $ 184,050.00 Amount to be paid by Village Financial $ 184,050.00 January 2010 IPC amount for application 21 Completed and stored to date $ 146,500.00 Retention held(based on 10% retention) $ 14,650.00 Amount to be paid by Village Financial $ 131,850.00 February 2010 IPC Amounts for application 22 Amount to be paid by Village Financial $ 580,513.00 Adjustment for previous payment retention $ (6,600.00) March 2010 Amount to be paid by Village Financial $ 494,880.00 O ERMCO Contract # 2695-4320 . . wo Document G703TM ® 1992 1240700 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 23 containing Contractor's signed certification is attached. APPLICATION DATE: 3/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion.Contracts where variable retainage for line items may apply. PERIOD TO: 3/31/2010 ARCHITECT'S PROJECT NO: A B C D E F G H 1 WORK COMPLETED MATERIALS TOTAL BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % TO RETAINAGE ITEM DESCRIPTION OF WORK STORED AND STORED VALUE APPLICATION THIS PERIOD (G-C) FINISH ([F VARIABLE NO. (NOT IN TO DATE 12ATE) (D+E) D OR E) (D+E+F) (C-G) 00.020 E0.12 00.021 LIGHTING R-M 7,000.00 7,000.00 7,000.00 100 00.022 LIGHTING R-L 9,000.00 9,000.00 9,000.00 100 00.023 LIGHTING F-M 7,000.00 7,000.00 7,000.00 100 00.024 LIGHTING F-L 3,000.00 .3,000.00 3,000:00 100 00.064 E2.01 E2.02 00.066 GEN R-M 265,000.00 265,000.00 265,000.00 100 00.067 GEN R-L 75,000.00 67,000.00 67,000.00 89 8,000.00 00.068 GEN F-M 550,000.00 550,000.00 550,000.00 100 00.069 GEN F-L 25,000.00 19,500.00 19,500.00 78 5,500.00 00.127 E3.00&P 00.128 LIGHTING R-M 25,000.00 21,000.00 21,000.00 84 4,000.00 00.129 LIGHTING R-L 30,000.00 16,500.00 4,500.00 21,000.00 70 9,000.00 00.130 LIGHTING F-M 350,000.00 206,103.00 92,576.00 298,679.00 85 51,321.00 00.131 LIGHTING F-L 25,000.00 7,500.00 5,000.00 12,500.00 50 12,500.00 00.132 E3.01 00.133 LIGHTING R-M 25,000.00 19,500.00 19,500.00 78 5,500.00 00.134 LIGHTING R-L 30,000.00 19,500.00 3,500.00 23,000.00 77 7,000.00 • 00.135 LIGHTING F-M 350,000.00 173,102.00 92,576.00 265,678.00 76 84,322.00 0.136 LIGHTING F-L 25,000.00 7,500.00 7,500.00 30 17,500.00 l0.137 E3.02 0.138 LIGHTING R-M 12,000.00 6,100.00 2,000.00 8,100.00 68 3,900.00 0.139 LIGHTING R-L 10,000.00 4,000.00 2,500.00 6,500.00 65 3,500.00 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. AIA Document G703TM—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 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 Ale 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.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. • AIA ERMCO Contract # 2695-4320� Document C703TM - 1992 124070C Continuation Sheet • AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. 23 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 3/15/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 3/31/2010 ARCHITECT'S PROJECT NO: A B C D E F G H WORK COMPLETED MATERIALS TOTAL SCHEDULED COMPLETED BALANCE PRESENTLY C ITEM DESCRIPTION OF WORK FROM PREVIOUS % RETAINAGE VALUE STORED AND STORED (G_C) FINISH NO. APPLICATION THIS PERIOD (NOT IN TO DATE (IF VARIABLE (D+E) D OR E) (D+E+F) (C-G) RATE) 00.140 LIGHTING F-M 310,000.00 143,103.00 92,576.00 235,679.00 76 74,321.00 00.141 LIGHTING F-L 20,000.00 5,000.00 5,000.00 25 15,000.00 00.147 E3.04 00.148 LIGHTING R-M 20,000.00 16,400.00 16,400.00 82 3,600.00 00.149 LIGHTING R-L 30,000.00 15,000.00 5,000.00 20,000.00 67 10,000.00 00.150 LIGHTING F-M 350,000.00 199,603.00 92,576.00 292,179.00 83 57,821.00 00.151 LIGHTING F-L 22,000.00 5,000.00 5,000.00 23 17,000.00 00.152 E3.05 00.153 LIGHTING R-M 15,000.00 10,300.00 1,500.00 11,800.00 79 3,200.00 )0.154 LIGHTING R-L 17,000.00 8,500.00 3,000.00 11,500.00 68 5,500.00 00.155 LIGHTING F-M 350,000.00 194,602.00 92,576.00 287,178.00 82 62,822.00 )0.156 LIGHTING F-L 20,000.00 5,000.00 5,000.00 25 15,000.00 00.157 E3.06& .07& .08& .09 00.158 LIGHTING R-M 10,000.00 5,200.00 2,500.00 7,700.00 77 2,300.00 )0.159 LIGHTING R-L 12,000.00 5,000.00 2,500.00 7,500.00 63 4,500.00 00.160 LIGHTING F-M 25,000.00 10,500.00 10,500.00 42 14,500.00 00.161 LIGHTING F-L 10,000.00 10,000.00 3,034 000.00 _ 2,031,513.00 32,000.00 462,880.00 2,526,393.00 83 507,607.00 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. AIA Document G703TM—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAx'Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAaDocument,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.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. I.-' . e= Document 67021CNiaTM ® 199.2 . • Application and Certificate for Payment Construction Manager-Adviser Edition 3c. TO OWNER: Carmel Redevelopment Commis$iBOJECT: Parcel'7A, Regional Performing ArtsAPPLICATION NO 23 6 Distribution to 1 Civic Square Center.Interior Rough PERIOD TO 3/31/2010 OWNER ❑ Carmel IN 46032 Construction Package.P4 CONSTRUCTION MANAGER ❑ FROM CONTWO5, INC. VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑. P.O. Box 1507 Shiel Sexton ' PROJECT NOS: 26954320 / CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ • CSO Architects CONTRACT F@I ctrical Installation Project#25310H ❑ 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 Application for Payment has been completed in accordance with the Contract.•Documents,that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Document G703,is attached. Certificates for Payment were issued and payments received from the-Owner, and that current 1.ORIGINAL CONTRACT SUM 3,034,000.00 payment shown herein is now due. 2. Net change by Change Orders $ CONTRACTOR RMCO,, I 3.CONTRACT SUM TO DATE(Line I ±2) 3,034,000.00 By: �'� e i',( ,//� 4 Date: 3/15/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) 3,526,393.00 State of: Indiana '' 5.RETAINAGE County of Marion a. To of Completed Work Subscribed and sworn to before 151,7 0.00 me this 15th day of arch, 2010 (Column D+Eon G703) �b. %of Stored Material Notary Public: •-." �"f✓` pi• (Column F on G703) $ My Commission expires: 12/1-9/2015 Total Retainage(Lines 5a+5b or Total.in Column I of G703).. $ 151,700.00 CERTIFICATE FOR PAYMENT 2,374,693.00 n accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ 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 of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,879;813.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. er 8.CURRENT PAYMENT DUE $ 494,880.00 AMOUNT CERTIFIED $ / qcj �N J�J�' 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differ• -om the amount;applied. Initial all figures on this Application and on Continuation She l changed to conform with the amount certified.) (Line 3 less Line 6) $ 659,307.00 CONSTRUCTION M' GE ' BY: ∎... 1%-ii. iii` Date: Y5 Z )119 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHI s1/' '/ , Total changes approved in previous months by Owner $ ,$ r By: / Date: �1 �10 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 Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G702/CMaTM—1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA' Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this Ale 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. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org.