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HomeMy WebLinkAboutERMCO - $8,250 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. Purpose of Authorized Disbursement Amount of Authorized Disbursement Ameuq+ 'b dt ti V111 0f, FihtintialiLL _Apll.rki-;ch '3(? (Ermro) Oc o,er 2oi0 $• 8, 25-0.80 • Total Authorized Dlsbursomont r C St j + � 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 nancial, LLC. Dated: 3 24. 1( CITY OF CARMEL REDEVELOPMENT COMMISSION By Printed L e 5. i d> Title Fxe 1l (Ye ►/irecfor 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 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 • Paid by Village Financial $ 64,750.00 July 2010 Paid by Village Financial $ 59,357.00 August 2010 Paid by Village Financial $ 17,000.00 September 2010 Paid by Village Financial $ 12,000.00 October 2010 Amount to be paid by Village Financial I$ 8,250.00 I ® � Document:G702/CMaTM�- 1992 • Application and Certificate for Payment Construction Manager-Adviser Edition , 3 co TO OWNER:_.Carmel Redevelopment Commisg�,��•JECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO 30.i'5 Distribution to: • 1 Civic,Square Center Interior Rough PERIOD TO 10/31/2010 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONT INC. VIA CONSTRUCTION MANAGER: . - CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 Shiel Sexton PROJECT NOS: 26954'320 /- • • CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: ' FIELD ❑ CSO Architects CONTRACT F�lectrical Installation ' Project#25310H . o CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifi; hat 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 Wo covered,by this A.. cation for Payment has been completed in accordance with the Continuation Sheet,AIA Document G703;is attached. Contract Do ents,that all o, have been paid ey die Contractor for Work for which,previous Certificates or Payment ;,- i. -• an paym- s received from the Owner, and that current 1.ORIGINAL CONTRACT SUM - 3,034,000.00 payment s a .r herein is a d 2.Net change by Change Orders $ CONTRAC •�/ RMC i,,; •. 3.CONTRACT SUM TO DATE(Line 1 ±2) 3,034,000.00 By U`J/`�-' j I Date: 10/15/2010 4.TOTAL COMPLETED&STORED TO DATE(Column•G on G703) 3,034,000.00 State of Indian- II 5.RETAINAGE County .f: Mario I a. %of Completed Work • Subscribed and sworn to befo e (Column D+Eon G703) 151,760 00 me this 15th t day of II to,, b. %of Stored Material Notary Public: i (Column F on G703) $ My Commission expires: 1 /10/2016 Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ CERTIFICATE FOR PAYMENT . 151,700.00 In accordance with the Contract Documents, based on on-site observations and the data comprising ' 6.TOTAL EARNED LESS RETAINAGE $ 2 :82 3n0 nn 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 $ 2,874,050 on accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. Q � 8.CURRENT PAYMENT DUE $ AMOUNT CERTIFIED $ �{ '8250 00 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs f• the amount,applied. Initial all figures on this Application and on the Continuati n Sheet th, e-changed to conform with the amount,certified.) (Line 3 less Line 6) $ • 151,700.00 CONS -UCTION4 NA R:/. By )1.,;J:<_._ �• 0 (." . ■, _ _. Date: I P l f D CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS A • � . Total changes approved in previous months by Owner $ $ By 111, 1 1 Date: lerIZAlta Total approved this $ $ 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. TIT ® ERMCO Contract # 2695-4320 Document G703TM - 1992 124070C Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 30 containing Contractor's signed certification is attached. APPLICATION DATE: 10/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD'TO. 10/31/2010 ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION. THIS PERIOD STORED AND STORED (G_C) FINISH (If variable rate) NO. (D+E) (Not inDorE) (D TO DATE +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 75,000.00 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 24,000.00 1,000.00 25,000.00 100 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 350,000.00 350,000.00 350,000.00 100 00.131 LIGHTING F-L 25,000.00 23,750.00 1,250.00 25,000.00 100 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 350,000.00 350,000.00 350,000.00 100 00.136 LIGHTING F-L 25,000.00 23,750.00 1,250.00 25,000.00 100 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 G703'M—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,a-mail The American Institute of Architects legal counsel,copyright @aia.org. ® ERMCO Contract # 2695-4320 TM 124070C ���r"'== Document G703 - 1992 Continuation Sheet AEA Document G7O2TM,Application"and Certification for Payment, APPLICATIONNO: 30 containing Contractor's signed certification is attached. APPLICATION DATE: 10/15/2010 In tabulations below,amounts are stated to the nearest dollar. 10/31/2010 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 TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED VALUE NO. APPLICATION THIS PERIOD STORED TO DATE (G-C) FINISH (If variable rate). (p+E) (Noon D or E) (D+E+F) (C—G) 00.140 LIGHTING F-M 310,000.00 310,000.00 310,000.00 100 00.141 LIGHTING F-L 20,000.00 19,000.00 1,000.00 20,000.00 100 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 350,000.00 350,000.00 350,000.00 100 00.151 LIGHTING F-L 22,000.00 21,000.00 1,000.00 22,000.00 100 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 350,000.00 350,000.00 350,000.00 100 00.156 LIGHTING F-L 20,000.00 18,500.00 1,500.00 20,000.00 100 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 25,000.00 25,000.00 100 00.161 LIGHTING F-L 10,000.00 8,750.00 1,250.00 10,000.00 100 GRAND TOTAL 3,034,000.00 3,025,750.00 8,250.00 3;034,000.00 100 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 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 ) Darrell Gossett being duly sworn states that he is the President of ERMCO, INC. having contracted with City of Carmel (124070.030)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 EIGHT THOUSAND TWO HUNDRED FIFTY DOLLARS AND NO/100($8,250.00) 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 . is on account of any work performed or material furnished to he undersigned or -aid project, and within the scope of this affidavit and waiv:r. ERMC I, I by Lt,u IL ?I�► D. ell Gossett P eside I,, i Witness my hand and notarial seal, this 15th day of •ctober, 2010 Notary Public My Commission Expires: 121191/2015 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 ) Darrell Gossett being duly sworn states that he is the President of ERMCO, INC. having contracted with City of Carmel (124070.027C) 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) 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 cl.'m or right to al.- on account of any work performed or material furnished to t : undersigne fo . d I project, and within the scope of this affidavit and waive ERMCO, �l a 4I_by Darrell Gossett 're•ident ��11W Witness my hand and notarial seal, this 15`h day of October, 010 VIA kv--,-"(--- 0,‘jkLyt Notary Public My Commission Expires: 12/19/2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion Ermco, Inc. Check: 21 PO Box 1507 Date: 3/29/2011 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 30B 36 8,250.00 8,250.00 0.00 0.00 8,250.00 Application 30B 8,250.00 8,250.00 0.00 0.00 8,250.00 21 3/29/2011 ***********8,250.00 THE SUM OF EIGHT THOUSAND TWO HUNDRED FIFTY DOLLARS AND NO CENTS ***************** Ermco, Inc. PO Box 1507 Indianapolis, IN 46206 Ermco, Inc. Check: 21 PO Box 1507 Date: 3/29/2011 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 30B 36 8,250.00 8,250.00 0.00 0.00 8,250.00 Application 30B 8,250.00 8,250.00 0.00 0.00 8,250.00