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Home My WebLink AboutIndianapolis Stage and Sales - $40,500 Disbursement instructions (PAC Stage Equipment) 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 Disbursements ` Amount of Authorized Disbursement t 4irk MA— ` N\I m P A C-v \iw rte t\t C ( 1+0).) 0 0 , V U J . i—L C �„A.Total Authorized Disbursement r All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement(PAC Stage Equipment),dated January28,2010,by and between Lender and Village Financial, L . Dated: 2/23 /4) CITY OF CARMEL REDEVELOPMENT CO ISSilO By��Ii•�/ — Printed L FS S • aLOS Title 47 h''-'77yd '/tt1' 7 Draft PAC Stage Equipment (Indianapolis Stage and Sales) December 2009 Total Contract Amounts for application 1 Completed and Stored to date $ 45,000.00 Retention held $ 4,500.00 To be paid $ 40,500.00 Amount Requested $ 40,500.00 Ll Document G702/CMa TM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition ;,. TO OWNER: PROJECT: 1 APPLICATION NO Distribution to: Carmel Redevelopment Commission Parcel 7A PERIOD TO 15-Dec-09 OWNER ❑ One Civic:Square Regional Performing Arts Center Carmel:, IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 17-Feb-09 ARCHITECT ❑ Indianapolis Stage Shiel-Sexton Sexton PROJECT NOS: 2695 / 6010 CONTRACTOR ❑ 905 Massachusetts Ave. VIA ARCHITECT: FIELD ❑ Indianapolis, IN 46202 CSO Architects CONTRACT FOR: Bid Package#6010-Production Lighting loo/ �' ,N ❑ 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 Docu r•nts,that all amounts have been p• i iy the Contractor for Work for which previous Certificates fsr Pay ent were -ssued and received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 3 �8,3 payment sh. n h- ein is ` . •e. 2.Net change by Change Orders $ 50, 2 0 0 CONTRAC'0:. 3.CONTRACT SUM TO DATE(Line:I ±2) : $ -1(0B, 034 By: - ' . ./ , Date: . _. D • 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ L45; 6 0 0 State o . Ind ict not, NMary.hrbile- teal 5.RETAINAGE: ' Coun� of: Mae 1 t7yl.. Mato Of Minna a. 10 %of Completed Work Subscribed and sworn to before My Comrn1mlon Expires Jan 28.2016 (Column D.+Eon G703) $ i-L.5-0 0 me this Ji+t‘ da of b • • . ••�-••- a,Op9 b. %of Stored Material Notary Pub / ��" (Column F on 0703) $ My Commission •pt es: / a a Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ L4, So 0 CERTIFICATE FOR PAYMENT �0 0 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ y 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 $ accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. fiD 8.CURRENT PAYMENT DUE $ 1-401 S-00 AMOUNT CERTIFIED $ 1-10 Sg - 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount;applied. Initial allfgures on this Application and o. he Continuation -et that 0 • hanged to conform with the amount certified.) (Line 3 less Line 6) $ 7 2 Si 0 3 4 CON TRUCTION : A - By: "►; ( Date: E9 I ' ` t CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARC EC • 1�� Total changes approved iii previous months by Owner $ $ By: �� Date: l Total approved-this'Month $ $ 50,300 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable onl to the Contractor TOTALS $ $ 5-0, 3 00 • named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ —5 O the Owner or Contractor under this Contract. 13 D 0 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/CMan,-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 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.