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HomeMy WebLinkAboutERMCO - $124,107 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 Amoun+s fo de p ■id by VtJlMMe Financial App. 2 C ( Erinco) Juhe 2010 $ Cif 75o. °o A . 2.7 ( Etinco) July 2.018 $59357, °o Total Authorized Disbursement -- 07 1° d ±y . 5-z'i . . s .i. 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 Vill ge F nanclal, LLC. Dated: tO Zt+ IO CITY OF CARMEL REDEVELOPMENT COMMISSION By Printed L e s S. Olds Title ExecutiVe Director 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 $ 573,913.00 Adjustment for previous payment retention $ (6,600.00) March 2010 Paid by Village Financial $ 494,880.00 April 2010 Paid by Village Financial $ 179,500.00 May 2010 Paid by Village Financial $ 166,750.00 June 2010 Amount to be paid by Village Financial $ • 64,750.00 July 2010 Amount to be paid by Village Financial $ . .59,357.00 21 / ' D�ocu.ment. 6702/CMa Tfd ®1992 • Application and'Certificate for.Payment Construction°Manager-Adviser Edition TO•.OWNER: Carmel Redevelopment Commisgi iaJECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO '26 i3 Distribution to: •1 Civic Square Center Interior Rough PERIOD TO 6/30/2010 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONT IW , 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 Protect#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 $ CONTRACT ER CO; INC. 3.CONTRACT SUM TO DATE(Line 1 ±2) $,034,000.00 By: �' jr Date: 6/11/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) 2,937,393.00 State of Indiana 5.RETAINAGE: County of: Marion a. %of Completed Work Subscribed and sworn to before (Column D+Eon G703) 151•,7150.00 me this 11th day of. June, 2010 b. %of Stored Material Notary Public: d "1 (Column F on G703) $ My Commission expires: 12/19/2815 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 $ 9,789,693 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 $ 2,790,943 00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. (Line 6 from prior Certificate) // � 0� 8.CURRENT PAYMENT DUE $ 64,750 00 AMOUNT CERTIFIED $ b`l S� 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from th' :mount applied. Initial all f -750 gures on this Application and on Continua_tion Sheet that ar, chan.ed°to conform with the amount certified.) (Line 3 less Line 6) $ 248,307.00 CONST: CTION M'��" CO `P„. N M■,i ,. � '- / Date: �b CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHI —: Total changes approved in previous months by Owner $ $ By: __ . Date: aC0/?0110 Total approved this Month $ $ This Certificate is not negot'•.ale. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ $ named herein Issuance, p- 'ment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner or ontr or 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. o ERMCO Contract # 2695-4320 124070C X10/ Document 6703 rM - 1992 Continuation Sheet 26 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 6/11/2010 containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 6/30/2010 Use Column I on Contracts where variable retainage for line items may apply. P.ERIOD TO: ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE PRESENTLY COMPLETED RETAINAGE SCHEDULED FROM PREVIOUS To TO ITEM DESCRIPTION OF WORK STORED AND STORED (IF VARIABLE NO. VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (0_C) FINISH RATE) (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 71,000.00 71,000.00 95 4,000.00 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 24,000.00 1,000.00 25,000.00 100 00.129 LIGHTING R-L 30,000.00 26,000.00 4,000.00 30,000.00 100 00.130 LIGHTING F-M 350,000.00 343,679.00 3,000.00 346,679.00 99 3,321.00 00.131 LIGHTING F-L 25,000.00 13,500.00 13,500.00 54 11,500.00 00.132 E3.01 00.133 LIGHTING R-M 25,000.00 23,500.00 1,500.00 25,000.00 100 00.134 LIGHTING R-L 30,000.00 27,500.00 2,500.00 30,000.00 100 00.135 LIGHTING F-M 350,000.00 340,678.00 4,500.00 345,178.00 99 4,822.00 00.136 LIGHTING F-L 25,000.00 8,500.00 5,000.00 13,500.00 54 11,500.00 00.137 E3.02 00.138 LIGHTING R-M 12,000.00 11,350.00 650.00 12,000.00 100 00.139 LIGHTING R-L 10,000.00 8,750.00 1,250.00 10,000.00 100 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 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 if Zb95-4iZU a.o.o kr 124070C Document G7O3TM - 1992 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 26 containing Contractor's signed certification is attached. APPLICATION DATE: 6/11/2010 L1 tabulations below,amounts are stated to the nearest dollar. 6/30/2010 • 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 WORK COMPLETED MATERIALS TOTAL BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED RETAINAGE ITEM DESCRIPTION OF WORK STORED AND STORED % TO (IF VARIABLE VALUE APPLICATION THIS PERIOD (G-C) FINISH NO. (D+E) (NOT IN TO DATE (C G) RATE) D OR E) (D+E+F) 00.140 LIGHTING F-M 310,000.00 300,679.00 4,500.00 305,179.00 98 4,821.00 00.141 LIGHTING F-L 20,000.00 6,000.00 5,000.00 11,000.00 55 9,900.00 00.147 E3.04 . 00.148 LIGHTING R-M 20,000.00 18,650.00 1,350.00 20,000.00 100 00.149 LIGHTING R-L 30,000.00 26,000.00 4,000.00 30,000.00 100 00.150 LIGHTING F-M 350,000.00 342,179.00 3,500.00 345,679.00 99 4,321.00 00.151 LIGHTING F-L 22,000.00 6,000.00 7,000.00 13,000.00 59 9,000.00 00.152 E3.05 00.153 LIGHTINGR-M 15,000.00 14,050.00 950.00 15,000.00 100 00.154, LIGHTING R-L 17,000.00 14,000.00 3,000.00 17,000.00 100 00.155 LIGHTING F-M 350,000.00 342,178.00 3,500.00 345,678.00 99 4,322.00 00.156 LIGHTING F-L 20,000.00 6,000.00 6,000.00 30 14,000.00 00.157 E3.06& .07& .08& .09 00.158 LIGHTING R-M 10,000.00 8,450.00 1,550.00 10,000.00 100 00.159 LIGHTING R-L 12,000.00 9,000.00 3,000.00 12,000.00 100 00.160 LIGHTING F-M 25,000.00 20,500.00 2,500.00 23,000.00 92 2,000.00 00.161 LIGHTING F-L 10,000.00 1,500.00 1,500.00 15 8,500.00 3,034,000.00 2,872,643.00 64,750.00 2,937,393.00 97 96,607.00 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 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,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(124070.026) 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 SIXTY FOUR THOUSAND SEVEN HUNDRED FIFTY DOLLARS AND NO/100($64,750.00) 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, IN by Rod Burton Controller Witness my hand and notarial seal, this 11th day of June 2011 a, • 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, . by Rod Burton Controller Witness my hand and notarial seal, this 11th day of June 201.1 r. Notary Public My Commission Expires: 12/19//2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion Document G702/CMaTM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition �'� TO OWNER: Carmel Redevelopment CommisgROJECT:' Parcel.7A, Regional Performing ArtsAPPLICATION NO: 27. (3 . _ Distribution.to: 1 Civic Square Center Interior Rough PERIOD T0: 7/31/2010 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONT VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ �0, INC: P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 / CONTRACTOR ❑ Indianapolis, IN-46206 VIA ARCHITECT: FIELD ❑ CONTRACT F CSO Architects 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 tor 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 4.,034,000 00 payment shown herein is now due. 2.Net change by Change Orders $ CONTRACTOR: M O, INC 3.CONTRACT SUM TO DATE(Line 1 ±2) 5,034,000.00 By Date 7/15/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) ?,996,750.00 State of Indiana 5:RETAINAGE: County of: Marion a. To of Completed Work Subscribed and sworn to before (Column D+Eon 0703) 151,7®0.00 me this 15th day of c iIy, 010 �h� b. %of Stored Material Notary Public: G,r�_ (Column F on G703) $ My Commission expires: 19/1 Q1701 c Total Retainage(Lines:5a+5b or Total in Column I of G703). $ 151700 0o , CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ 2,845.050.00 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 $ 2.785.693.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. (Line 6 from prior Certificate) �� 1 s�� ea 8.CURRENT PAYMENT DUE $ ' 59,357.00 AMOUNT CERTIFIED $ 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differ 'on the amount applied.Initial all figur es on this Application and on he Continuation Sheet tat n e changed to conform with the amount certified.) (Line'3 less Line 6) $ 188,950 00 CONSTRUCTION M;ya / I BY _��1a:: ,iLAA _�... Date: t7/23/1D CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITEI T k ((( Total changes approved in previous months by Owner $ $ By. Date 10 130,140 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 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. \��COMM I AIA ERMCO Contract # 2695-4320 ' ",l 1 TM ,,,.... A Document 6703 ® 1992 124070C Continuation Sheet AIA Document G702TM,Application and Certification for Payment, , APPLICATION NO: 27 containing Contractor s signed certification is attached. APPLICATION DATE: 7/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion:Contracts where variable retainage for line items may apply. PERIOD TO 7/31/2010 ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED TOTAL ' MATERIALS COMPLETED BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (G--C) FINISH (If variable rate) (D+E) (Not in D or E) TO DATE (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 71,000.00 4,000.00 75,000.00 100 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 25,000.00 25,000.00 100 00.129 LIGHTING R-L 30,000.00 30,000.00 30,000.00 100 00.130 LIGHTING F-M 350,000.00 346,679.00 3,321.00 350,000.00 100 00.131 LIGHTING F-L 25,000.00 13,500.00 5,750.00 19,250.00 77 5,750.00 00.132 E3.01 00.133 LIGHTING R-M 25,000.00 25,000.00 25,000.00 100 00.134 LIGHTING R-L 30,000.00 30,000.00 30,000.00 100 00.135 LIGHTING F-M 350,000.00 345,178.00 4,822.00 350,000.00 }00, 00.136 LIGHTING F-L , 25,000.00 • 13,500.00 5,750.00 19,250.00 77 5,750.00 00.137 E3.02 00.138 LIGHTING R-M 12,000.00 12,000.00 12,000.00 100 00.139 LIGHTING R-L 10,000.00 10,000.00 10,000.00 100 GRAND TOTAL 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 AlAe 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.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. VII�% ® ERMCO Contract # 2695-4320 /a, Tm • 124070C Document 6703 ® 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 27 containing Contractor's signed certification is attached. APPLICATION DATE: 7/15/2010 In tabulations below,amounts are'statedto the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 7/31/2010 ARCHITECT'S PROJECT NO: A B C D E 'F G H 1 WORK COMPLETED TOTAL • MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE AND STORED NO. APPLICATION THIS PERIOD STORED (G=C) FINISH (If variable rate) (D+E) (Not in D or E) TO DATE (D+E+F) (C G) 00.140 ,LIGHTING F-M 310,000.00 305,179.00 4,821.00 310,000.00 100 00.141 LIGHTING F-L 20,000.00 11,000.00 4,500.00 15,500.00 78 4,500.00 00.147 E3.04 00.148 LIGHTING R-M 20,000.00 20,000.00 20,000.00 ` 100 00.149 LIGHTING R-L 30,000.00 - 30,000.00 30,000.00 100 00.150 LIGHTING F-M 350,000.00 345,679.00 4,321.00 350,000.00 100 00.151 LIGHTING F-L 22,000.00 13,000.00 4,500.00 1.7,500.00 80 4,500.00 00.152 E3.05 00.153 LIGHTING R-M 15,000.00 15,000.00 15,000.00 100 00.154 LIGHTING R-L 17,000.00 17,000.00 17,000.00 100 00.155 LIGHTING F-M 350,000.00 345,678.00 4,322.00 350,000.00 100 00.156 LIGHTING F-L 20,000.00 6,000.00 7,000.00 13,000.00 65 7,000.00 00.157 'E3.06& .07& .08& .09 00.158 LIGHTING R-M 10,000.00 10,000.00 10,000.00 100 00.159 LIGHTING R-L 12,000.00 12,000.00 12,000.00 100 00.160 LIGHTING F-M 25,000.00 23,000.00 2,000.00 25,000.00 100 00.161 LIGHTING F-L 10,000.00 1,500.00 4,250.00 5,750.00 58 4,250.00 GRAND TOTAL 3,034,000.00 2,937,393.00 59,357.00 2,996,750.00 • 99 37,250.00 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 AlA®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 City of Carmel (124070.027) 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 FIFTY NINE THOUSAND THREE HUNDRED FIFTY SEVEN DOLLARS AND NO/100($59,357.00) 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.. by L /f`v d Rod Burton Controller Witness my hand and notarial seal, this 156h day of July, 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 City of Carmel (124070.024C&25C) 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 THREE HUNDRED FORTY SIX THOUSAND TWO HUNDRED FIFTY DOLLARS AND NO/100($346,250.00) 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, INCby /4' 4,4-- Rod Burton Controller Witness my hand and notarial seal, this 16th day of July, 2010 6---9---9jaft- Notary Public My Commission Expires: 12/19//2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion