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HomeMy WebLinkAboutERMCO - $346,250 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. Purpono of.Authori od Dlcburcomont Amount of AuthorInod Dlcburcomonl AmotvrFs fo le pdiJ ViI/49e. FihAnr,;,1 Ap/11(1tfinn z .( Ermco) Apri 2010 179)500.Od A li.c�-F,oh 25 CErrn(0 fl 200 516 6, 75d.0 a T t Authortzod Dlcburcam ant ISM '�1a12r- , aof a d All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (PAC Lighting g and Generator), dated January.28, 2010, by and between Lender and Village Financial, LLC. Dated: . 7//j71//0 CITY OF CARMEL REDEVELOPMENT COMMIS ION By NV!�Lf Printed f_e1S S Olds• Title. Execy/i re DiPe del' 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 Amount reimbursed to CRC $ 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 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 Paid by Village Financial $ 131,850.00 February 2010 IPC Amounts for application 22 Paid by Village Financial $ 580,513.00 Adjustment for previous payment retention $ (6,600.00) March 2010 Paid by Village Financial $ 494,880.00 April 2010 Amount to be paid by Village Financial. $ • 179;500:00 May 2010 Amount to be paid by Village Financial $ • 166,750.00 Document 6702/CMa 1992 Application and Certificate for Payment Construction Manager -Adviser Edition TO OWNER: Carmel Redevelopment CommisilBAJECT: Parcel.7A, Regional'Performing;ArtsAPPLICATION NO 24 6 Distribution to • 1 Civic Square Center Interior Rough PERIOD TO 4/30/2010 OWNER ❑ Carmel IN 46032 Construction.Package P4 CONSTRUCTION MANAGER ❑ FROM CONT INC. VIA CONSTRUCTION'MANAGER: CONTRACT DATE: ARCHITECT El P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 / CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CONTRACT F CSO Architects �rectrical Installation Protect#2531 OH ❑ 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 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 3034,000.00 payment shown herein is now due. 2.Net change by Change Orders $ CONTRACTO ERMCO, I C. 3.CONTRACT SUM TO DATE(Line l ±2) 3,034,000.00 By: ( .2 V Date: 4/15/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) Z 705,893.00 State of Indiana 5.RETAINAGE: County of Marion a. To of Completed Work Subscribed and sworn to b efore (Column D+Eon G703) 151,710.00 me this 15th day of . 0 April, 2010 ' b. %of Stored Material Notary Public. 1l�jl�. y . (Column F on G703) $ My Commission expires:" 12/19/2015 Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ 15,1,700.00 CERTIFICATE FOR PAYMENT 2,554,193.00 In 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 $ 2,374,693.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE $ . 179,500.00 AMOUNT CERTIFIED $ �1 I �S0 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied. Initial all figures on this. • Application and one he Conan anon Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ 479,807.00 CONSTRUCTION , �NAGF I By: ,... I _ B : Date: 2..:1 - 2_0 l a CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner $ $ By . Date: q-z1. iJ ', 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 G702ICMaTM-1992.Copyright ©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 AIA' 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. ® ERMCO Contract # 2695-4320 �`1T/�' TM 124070C Document 6703 - 1992 P' Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 24 containing Contractor's signed certification is attached. 4/15/2010 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 4/30/2010 Use Column 1 on.Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D E F.: G H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (IF VARIABLE (G_C) FINISH (D+E) (NOT IN TO DATE RATE) D OR E) (D+E+F) (C-G) 00.020 E0.12 00.021 LIGHTING R-M 7,000.00 7,000.00 7,000.00 100 350.00 00.022 LIGHTING R-L 9,000.00 9,000.00 9,000.00 100 . 450.00 00.023 LIGHTING F-M 7,000.00 7,000.00 7,000.00 100 350.00 00.024 LIGHTING F-L 3,000.00 3,000.00 3,000.00 100 150.00 00.064 E2.01 E2.02 00.066 GEN R-M 265,000.00 265,000.00 265;000.00 100 13,2 50.00 00.067 GEN R-L 75,000.00 67,000.00 2,500.00 69,500.00 93 5,500.00 5,910.00 00.068 GEN F-M 550,000.00 550,000.00 550,000.00 100 27,500.00 00.069 GEN F-L 25,000.00 19,500.00 19,500.00 78 5,500.00 1,9 50.00 00.127 E3.00&P )0.128 LIGHTING R-M 25,000.00 21,000.00 2,000.00 23,000.00 92 2,000.00 1,000.00 00.129 LIGHTING R-L 30,000.00 21,000.00 2,500.00 23,500.00 78 6,500.00 1,650.00 )0.130 LIGHTING F-M 350,000.00 298,679.00 25,000.00 323,679.00 92 26,321.00 15,000.00 )0.131 LIGHTING F-L 25,000.00 12,500.00 1,000.00 13,500.00 54 11,500.00 750.00 )0.132 E3.01 00.133 LIGHTING R-M 25,000.00 19,500.00 2,500.00 22,000.00 88 3,000.00 1,000.00 )0.134 LIGHTING R-L 30,000.00 23,000.00 3,500.00 26,500.00 88 3,500.00 1,000.00 )0.135 LIGHTING F-M 350,000.00 265,678.00 45,000.00 310,678.00 89 39,322.00 f 7,310.00 30.136 LIGHTING F-L 25,000.00 7,500.00 1,000.00 8,500.00 34 16,500.00 750.00 30.137 E3.02 )0.138 LIGHTING R-M 12,000.00 8,100.00 2,500.00 10,600.00. 88 1,400.00 610.00 30.139 LIGHTING R-L . 10,000.00 6,500.00 1,500.00 8,000.00 80 2,000.00 400.00 89,380.00 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 Ale 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. ® ERMCO Contract # 2695-4320 \` ��� TM 1240700 .14 == Document 6703 - 1992 Continuation Sheet ALA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION','NO: 24 containing Contractor's signed certification is attached. 4/15/2010 APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 4/30/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D E F G II 1 WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED BALANCE RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS To TO VALUE APPLICATION THIS PERIOD STORED AND STORED (IF VARIABLE NO. (NOT IN TO DATE (G_C) FII\ISI1 RATE) (D+E) D ORE) (D+E+F) (C-G) 00.140 LIGHTING F-M 310,000.00 235,679.00 25,000.00 260,679.00 84 49,321.00 14,310.00 00.141 LIGHTING F-L 20,000.00 5,000.00 1,000.00 6,000.00 30 14,000.00 500.00 00.147 E3.04 00.148 LIGHTING R-M 20,000.00 16,400.00 1,500.00 17,900.00 90 : 2,100.00 1,640.00 00.149 LIGHTING R-L 30,000.00 20,000.00 3,500.00 23,500.00 78 6,500.00 1,500.00 00.150 LIGHTING F-M 350,000.00 292,179.00 25,000.00 317,179.00 91 32,821.00 19,960.00 00.151 LIGHTING F-L 22,000.00 5,000.00 1,000.00 6,000:00 27 16,000.00 500.00 00.152 E3.05 00.153 LIGHTING R-M 15,000.00 11,800.00 1,500.00 13,300.00 89 1,700.00 1,030.00 00.154 LIGHTING R-L 17,000.00 11,500.00 1,000.00 12,500.00 74 4,500.00 850.00 00.155 LIGHTING F-M 350,000.00 287,178.00 30,000.00 317,178.00 91 32,822.00 19,460.00 00.156 LIGHTING F-L 20,000.00 5,000.00 1,000.00 6,000.00 30 14,000.00 500.00 00.157 E3:06& .07& .08& .09 00.158 LIGHTING R-M 10,000.00 7,700.00 7,700.00 77 2,300.00 520.00 00.159 LIGHTING R-L 12,000.00 7,500.00 7,500.00 63 4,500.00 500.00 )0.160 LIGHTING F-M 25,000.00 10,500.00 10,500.00 42 14,500.00 1,050.00 )0.161 LIGHTING F-L 10,000.00 10,000.00 3,034,000.00 2,526,393.00 179,500.00 2,705,893.00 89 328,107.00 151,700.00 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 AIA'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. \.721/, o Document 6702/CMaTM - 1992 •Application and Certificate for Payment Construction Manager%Adviser Edition 3 6 . TO OWNER: Carmel Redevelopment CommisRROJECT: Parcel 7A; Regional Performing ArtsAPPLICATION NO 25 L3 Distribution to 1 Civic Square Center Interior.Rough PERIOD TO 5/31/2010 OWNER ❑ Carmel', IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONTR INC. VIA.CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 / CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CONTRACT F CSO'Architects ctricai 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 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 $,034,000.00 payment shown herein is now due. 2.Net change by Change Orders $ • CONTRALTO ERMCO' C. 3.CONTRACT SUM TO DATE(Line 1 ±2) $,034,000.00 By Date: 5/14/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) 2,872,643.00 State of Indiana 5.RETAINAGE: County of: Marion a. %of Completed Work Subscribed and sworn to before (Column D+Eon G703) 151,760.00 me this 14th day of May, 2010 b. %of Stored Material Notary Public: --� (Column F on G703) $ My Commission expires: 12/10/2016 Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ 151,700.00 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ 7,790,943 00 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 $ 9,554,193 00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. P 8.CURRENT PAYMENT DUE $ • 166,750 00 AMOUNT CERTIFIED $ I l it 1 750 9.BALANCE TO FINISH,INCLUDING RETAINAGE..., (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application at on the ontinuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ ' CONSTRU TI•N M n CHANGE ORDER By: - �� � Date: S^ Z�_ ZU'a SUMMARY ADDITIONS DEDUCTIONS ARCHITE Total changes approved in previous months by Owner $ $ By: � lit Date: p 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 Ale 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. �` �l%�p ERMCO Contract # 2695-4320 124070C --LP Document 6703" — 1992 .m.o Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO 25 containing Contractor's signed certification is attached. 5/14/2010 APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 5/31/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE SCHEDULED PRESENTLY COMPLETED RETAINAGE ITEM DESCRIPTION OF WORK FROM PREVIOUS % TO NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (�VARIABLE (G_C) FINISH (NOT IN TO DATE RATE) (D+E) D OR E) (D+E+F) (C-G) 00.020 E0.12 )0.021 LIGHTING R-M 7,000.00 7,000.00 7,000.00 100 350.00 30.022 LIGHTING R-L 9,000.00 9,000.00 9,000.00 100 450.00 30.023 LIGHTING F-M 7,000.00 7,000.00 7,000.00 100 350.00 30.024 LIGHTING F-L 3,000.00 3,000.00 3,000.00 100 150.00 30.064 E2.01 E2.02 30.066 GEN R-M 265,000.00 265,000.00 265,000.00 100 13,250.00 00.067 GEN R-L 75,000.00 69,500.00 1,500.00 71,000.00 95 4,000.00 5,910.00 00.068 GEN F-M 550,000.00 550,000.00 550,000.00 100 27, 500.00 00.069.GEN F-L 25,000.00 19,500.00 19,500.00 78 5,500.00 1,950.00 00.127 E3.00&P 00.128 LIGHTING R-M 25,000.00 23,000.00 1,000.00 24,000.00 96 1,000.00 1,000.00 00.129 LIGHTING R-L 30,000.00 23,500.00 2,500.00 26,000.00 87 4,000.00 1,650.00 00.130 LIGHTING F-M 350,000.00 323,679.00 20,000.00 343,679.00 98 6,321.00 15,000.00 00.131 LIGHTING F-L 25,000.00 13,500.00 13,500.00 54 11,500.00 750.00 30.132 E3.01 30.133 LIGHTING R-M 25,000.00 22,000.00 1,500.00 23,500.00 94 1,500.00 1,000.00 00.134 LIGHTING R-L 30,000.00 26,500.00 1,000.00 27,500.00 92 2,500.00 1,000.00 00.135 LIGHTING F-M 350,000.00 310,678.00 30,000.00 340,678.00 97 9,322.00 17,310.00 00.136 LIGHTING F-L 25,000.00 8,500.00 8,500.00 34 16,500.00 750.00 00.137 E3.02 00.138 LIGHTING R-M 12,000.00 10,600.00 750.00 11,350.00 95 650.00 610.00 00.139 LIGHTING R-L 10,000.00 8,000.00 750.00 8,750.00 88 1,250.00 400.00 89,380.00 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 Ale 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. �9/, ERMCO Contract # 2695-4320 Document G703TM - 1992 124070C 0 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION'NO: 25 containing Contractor's signed certification is attached. APPLICATION DATE: 5/14/2010 In tabulations below,amounts are stated to the nearest dollar. 5/31/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD T0: ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % TO RETAINAGE NO VALUE APPLICATION THIS PERIOD STORED AND STORED (G_C) FINISH (IF VARIABLE (NOT IN TO DATE RATE) (D+E) D OR E) (D+E+F) (C-G) )0.140 LIGHTING F-M 310,000.00 260,679.00 40,000.00 300,679.00 97 9,321.00 14,310.00 )0.141 LIGHTING F-L 20,000.00 6,000.00 6,000.00 30 14,000.00 500.00 30.147 E3.04 30.148 LIGHTING R-M 20,000.00 17,900.00 750.00 18,650.00 93 1,350.00 1,640.00 00.149 LIGHTING R-L 30,000.00 23,500.00 2,500.00 26,000.00 87 4,000.00 1, 500.00 00.150 LIGHTING F-M 350,000.00 317,179.00 25,000.00 342,179.00 98 7,821.00 19,960.00 30.151 LIGHTING F-L 22,000.00 6,000.00 6,000.00 27 16,000.00 500.00 00.152 E3.05 30.153 LIGHTING R-M 15,000.00 13,300.00 750.00 14,050.00 94 950.00 1,030.00 00.154 LIGHTING R-L 17,000.00 12,500.00 1,500.00 14,000.00 82 3,000.00 850.00 00.155 LIGHTING F-M 350,000.00 317,178.00 25,000.00 342,178.00 98 7,822.00 19,460.00 00.156 LIGHTING F-L 20,000.00 6,000.00 6,000.00 30 14,000.00 500.00 00.157 E3.06& .07& .08& .09 00.158 LIGHTING R-M 10,000.00 7,700.00- 750.00 8,450.00 85 1,550.00 520.00 00.159 LIGHTING R-L 12,000.00 7,500.00 1,500.00 9,000.00 75 3,000.00 500.00 00.160 LIGHTING F-M 25,000.00 10,500.00 10,000.00 20,500.00 82 4,500.00 1,050.00 00.161 LIGHTING F-L 10,000.00 10,000.00 3,034,000.00 2,705,893.00 166,750.00 2,872,643.00 95 161,357.00 151,700.00 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 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. AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) Final Partial X )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with Pedcor (124070.025) to furnish certain materials and/or labor as follows: Electrical Installation for a project known as Parcel 7A, Regional Performing Arts Center Interior Rough Construction Package P4 located in Carmel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of ONE HUNDRED SIXTY SIX THOUSAND SEVEN HUNDRED FIFTY DOLLARS AND NO/100($166,750.00) the receipt of which is hereby acknowledged: or X the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: FINAL WAIVER: That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE, the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. ERMCO, INC.. x' by Ad � l� Rod Burton Controller Witness my hand and notarial seal, this 14th day of Ma 2010, Notary Public My Commission Expires: 12/19//2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) Final Partial X )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with Pedcor (124070.023C) to furnish certain materials and /or labor as follows: Electrical Installation for a project known as Parcel 7A, Regional Performing Arts Center Interior Rough Construction Package P4 located in Carmel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of FOUR HUNDRED NINETY FOUR THOUSAND EIGHT HUNDRED EIGHTY DOLLARS AND NO/100($494,880.00) X the receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: FINAL WAIVER: That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE, the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. ERMCO, INC. by Rod Burton Controller Witness my hand and notarial seal, this 14th day of Ma 2010 0-1644 Notary Public My Commission Expires:. 12/19//2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) Final Partial X )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with City of Carmel (124070.022R) to furnish certain materials and/or labor as follows: Electrical Installation for a project known as Parcel 7A, Regional Performing Arts Center Interior Rough Construction Package P4 located in Carmel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of TWO HUNDRED SIXTY NINE THOUSAND EIGHT HUNDRED EIGHTY EIGHT DOLLARS AND 34/100($269,888.34) X the receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: FINAL WAIVER: That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE, the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. ERMCO, INC. by ige4f4.4 Rod Burton Controller Witness my hand and notarial seal, this 14th day of Ma . 201 Notary Public My Commission Expires: 12/19/2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion