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Home My WebLink AboutEbenisterie Beaubois Ltee - $256,445.90 Disbursement Instructions (PAC Millwork) Regions Bank hereby is instructed to make a disbursement of Loan Proceeds from the Borrower Loan Account to(or for the account of)Borrower in:(a)the amount of the"Total Authorized Disbursement"line in the "Amount of Authorized Disbursement"column below;and (b)accordance with the terms and conditions of the Agreement, the other Loan Documents, and the Disbursement Instructions. Purpose of Authorized Disbursement Amount of Authorized Disbursement Aiz.ovax -1`o k 11 cif Vi hi,1)e Ff iic\htci &I fkl rA +gar\. CE bzwistPrie !Ie&Alois.) .$ 25 6,445-.96 Total Authorized Disbursement e All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement(PAC Millwork), dated January 28,2010,by and between Lender and Village Financial, LLCC. Dated: �/S CITY OF CARMEL REDEVELOPMENT !!! COMMISSION/ By—_ __ fir Printed Les 5. uU 5 Title r'XeC�+1 Ve Direc1 t' 45 Draft PAC Mill Work (Ebenisterie) Up Through November 2009 Total Contract Amounts through application 10 Completed and Stored to date $ 305,661.51 Retention held $ 30,566.15 Paid to date $ 275,095.36 Amount Requested $ 275,095.36 December 2009 Total Contract Amount for application 11 Completed and Stored to date $ 20,046.38 Retention held $ 2,004.64 To be paid $ 18,041.74 Amount Requested $ 18,041.74 January 2010 Amount to be paid by Village Financial $ 10,717.61 February 2010 Amount to be paid by Village Financial $ 300,531.36 March 2010 Amount to be paid by Village Financial $ 256,445.90 �I 1AIEA TM Document 6702/CMa ®1992 . Application and Certificate for Payment Construction Manager-Adviser Edition y9 TO OWNER: PROJECT: APPLICATION NO /J 4)-i Distribution to GIA 0} Yrr'd PERIOD TO 06161 p�0)D OWNER ❑ Ct r.{�Y>e( POT E5- • I CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ L bey,5):PV1'e U.b)o k-Leji Sh!e ` ,kir, PROJECT NOS: 2(p q_5 I 7Q I CONTRACTOR ❑ SZ{ 49 bTdvE) VIA ARCHITECT: 51r As es,aleagG,eA E out �1 FIELD ❑ CONTRACT FOR: u i I•Lf 1yK C5o urc rtPC L ❑ 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,MA Document G703,is attached. oa 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 $,2)t Oil U/U. payment shown herein is now due. 2.Net change by Change Orders. $ 1 v� i ?Z(„35 CONT• • TOR: 3.CONTRACT SUM TO DATE(Line 1 ±2) ' $.3,)96x75 pd By: '- — °' Date: Q31 ) 0010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 96/p,11.79.y 7 State . . ;(ea)C I 5.RETAINAGE ounty of: b.rTA Ul'2 a. 1Q %of Completed Work i a L'Assermentetion ,/ oB Subscribed and sworn to before C01'n!TI{SSalre a (Column D.+Eon G703) $ Q �y8 me this 22h j day of; �. a.G)O Commissioner for oath / b. %of Stored Material (Column F on G703) $ Notary Public G�� yLL Manon Poulin Q� My Commission expires:'ND y 10 )0 # 163 850 Total Retainage(Lines 5a+5b or Total in Column I of 6703).. $ R_s (v`I� _ CERTIFICATE FOR PAYMENT District.Bne'auhce-Qnruebrec In accordance with the Contract Documents, based on �'s�rl A bec P St fi`t 6.TOTAL EARNED LESS RETAINAGE $ g60 P2i ''1 7 a ata comprising this application,the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) 07 knowledge, information and belief the:Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ � �' 5 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 $25(.0 yLt5, a a AMOUNT CERTIFIED $ Z•46'6(1 45 q.Cf (Attach explanation if amount certified differs fro,'the amount applied. Initial all figures on this 9.BALANCE TO FINISH,INCLUDING RETAINAGE Application and o the Continuation Sheet tha re changed to conform with the amount certified.) (Line 3 less Line 6) $"9 .3! 8', CONST'UCTION ; AG '• / By: '�.J.i.. ��%`v Date: 03 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: /Zi")/C) B Al' / ,/ Total changes approved in previous months by Owner $ $ y: Date: �!I zie 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 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. i CONTINUATION SHEET AIA Document G703 Format AIA Doc.6702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO:14 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:03/20/2010 Use Column I on Contracts where variable retainage for line items may apply. APLICATION PERIOD:03/01/2010-03/31/2010 ARCHITECT'S PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 10% No. of work (D+E) (not in D or E) (D+E+F) (G/C) (C-G) MAT BASEMENT LEVEL 52 098.35$ 0.00$ 0.00$ 0.00$ 0.00$ 52 098.35$ 0.00$ LAB 11 883.71 $ 0.00$ 0.00$ 0.00$ 0.00$ 11 883.71 $ 0.00$ MAT North 6 886.93$ 0.00$ 0.00$ 0.00$ 0.00$ 6 886.93$ 0.00$ MAT Miscellaneous items 45 211.43$ 0.00 5 0.00$ 0.00$ 0.00$ 45 211.43$ 0.00$ LAB North i 257.05$ 0.00$ 0.00$ 0.00$ 0.00$ 1 257.05$ 0.00$ LAB Miscellaneous items 10 626.66$ 0.00$ 0.00$ 0.00$ 0.00$ 10 626.66$ 0.00$ MAT PLENUM LEVEL 49 668.53 $ 11 058.89$ 0.00 $ 16 224.38$ 27 283.27$ 22 385.26$ 2 728.33$ LAB 42 456.67$ 0.00 $ 0.00$ 0.00$ 0.00 $ 42 456.67$ 0.00$ MAT Miscellaneous items 12 287.66$ 11 058.89$ 0.00$ 0.00$ 11 058.89$ 1 228.77$ 1 105.89$ MAT South 37 380.88$ 0.00$ 0.00$ 16 224.38$ 16 224.38$ 21 156.49$ 1 622.44$ LAB Miscellaneous items 26 524.29$ 0.00 S 0.00 S 0.00$ 0.00$ 26 524.29$ 0.00$ LAB South 15 932.38$ 0.00$ 0.00$ 0.00$ 0.00$ 15 932.38$ 0.00$ MAT ORCHESTRA LOW LEVEL 884 071.73 $ 121 639.88$ 0.00$ 83 133.39$ 204 773.27$ 679 298.46 $ 20 477.33 $ LAB 317235.98$ 0.00$ 0.00$ 0.00$ 0.00$ 317 235.98 $ 0.00$ MAT Auditorium 536 641.30$ 34 919.88$ 0.00$ 38 722.14$ 73 642.01 $ 462 999.29$ 7 364.20$ MAT ' East 137 103.55$ 29 122.48$ 0.00$ 22 784.66$ 51 907.14$ 85 196.41$ 5 190.71$ Page 1 CONTINUATION.SHEET AIA Document G703 Format AIA Doc.6702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractors signed Certification is attached. APPLICATION NO:14 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:03/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:03/01/2010-03/31/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 10% No. of work (D+E) (not in D or E MAT North 101 619.95$ 4 718.84$ 0.00$ 0.00$ 4 718.84$ , 96 901.11$ 471.88$ • MAT West 50 922.96$ 2 056.05$ 0.00$ 21 626.60$ 23 682.65$• 27 240.30$ 2 368.27$ MAT Miscellaneous items 57 783.98$ 50 822.63$ 0.00$ 0.00$ 50 822.63$ 6 961.35$ 5 082.26$ LAB Auditorium 161 191.08$ 0.00$ 0.00$ 0.00$ 0.00$ 161 191.08$ 0.00$ LAB East 40 499.18$ 0.00$ 0.00$ 0.00$ 0.00$ 40 499.18$ 0.00$ LAB North 16 932.65$ 0.00$ 0.00$ 0.00$ 0.00$ 16 932.65$ 0.00$ LAB West 26 471.63$ 0.00$ 0.00$ 0.00$ 0.00$ 26 471.63$ 0.00$ LAB Miscellaneous items 72 141.44$ 0.00$ 0.00$ 0.00$ 0.00$ 72 141.44$ 0.00$ MAT ORCHESTRA HIGH LEVEL 132 847.59 $ 28 900.83 $ 0.00$ 35 288.09$ 64 188.92$ 68 658.67$ 6 418.89$ LAB 92 280.19$ 0.00$ 0.00$ 0.00$ 0.00$ 92 280.19$ 0.00 $ MAT Auditorium 4 621.74$ 0.00$ 0.00$ 3 697.39$ 3 697.39$ 924.35$ 369.74$ MAT East 485.32$ 0.00$ 0.00$ 388.26$ 388.26$ 97.06$ 38.83$ MAT South 101 013.48$ 6 621.64$ 0.00$ 30 814.18$ 37 435.82$ 63 577.66$ 3 743.58$ MAT West 485.32$ 0.00$ 0.00$ 388.26$ 388.26$ 97.06$ 38.83$ MAT Miscellaneous items 26 241.73$ 22 279.19$ 0.00$ 0.00$ 22 279.19$ 3 962.54$ 2 227.92$ Page 2 CONTINUATION SHEET AIA Document G703 Format AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO:14 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:03/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:03/01/2010-03/31/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 10% No. of work (D+E) (not in D or E) (D+E+F) (G/C) (C-G) LAB Auditorium 2 262.18$ 0.00$ 0.00$ 0.00$ 0.00$ 2 262.18$ 0.00$ LAB East 381.52$ 0.00$ 0.00$ 0.00$ 0.00$ 381.52$ 0.00$ LAB South 40 723.56$ 0.00$ 0.00$ 0.00$ 0.00$ 40 723.56$ 0.00$ LAB West 381.52$ 0.00$ 0.00$ 0.00$ 0.00$ 381.52$ 0.00$ LAB Miscellaneous items 48 531.41$ 0.00$ 0.00$ 0.00$ 0.00$ 48 531.41$ 0.00$ MAT BOX TIER LEVEL 326 347.94$ 113 777.16$ 0.00$ 90 752.81 $ 204 529.97$ 121 817.97$ 20 453.00 $ LAB 278 078.48$ 0.00$ 0.00$ 0.00$ 0.00$ 278 078.48$ 0.00 $ MAT Auditorium 11 727.05$ 0.00$ 0.00$ 9 381.64$ 9 381.64$ 2 345.41$ 938.16$ MAT East 44 650.44$ 24 869.14$ 0.00$ 9 323.53$ 34 192.67$ 10 457.77$ 3 419.27$ MAT North 16 580.44$ 0.00$ 0.00$ 8 211.59$ 8 211.59$ 8 368.84$ 821.16$ MAT South 81 787.06$ 8 113.45$ 0.00$ 31 032.08$ 39 145.53$ 42 641.54$ 3 914.55$ MAT West 82 441.76$ 549.50$ 0.00$ 32 803.97$ 33 353.47$ 49 088.29$ 3 335.35$ MAT Miscellaneous items 89 161.20$ 80 245.08$ 0.00$ 0.00$ 80 245.08$ 8 916.12$ 8 024.51$ LAB Auditorium 6 058.74$ 0.00$ 0.00$ 0.00$ 0.00$ 6 058.74$ 0.00$ LAB East 26 800.35$ 0.00$ 0.00$ 0.00$ 0.00$ 26 800.35$ 0.00$ LAB North 6 898.68$ 0.00$ 0.00$ 0.00$ 0.00$ 6 898.68$ 0.00$ Page 3 CONTINUATION SHEET AIA Document G703 Format AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO:14 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:03/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:03/01/2010-03/31/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 10% No. of work (D+E) (not in D or E) (D+E+F) (G/C) (C-G) LAB South 37667.50$ 0.005 0.00$ 0.00$ 0.00$ 37 667.50$ 0.00$ LAB West 42 037.97$ 0.00$ 0.00$ 0.005 0.00$ 42 037.97$ 0.00$ LAB Miscellaneous items 158 615.24$ 0.00$ 0.00$ 0.00$ 0.00$ 158 615.24$ 0.00$ MAT BALCONY LOW LEVEL 30 066.12$ 16 345.87$ 0.00$ 9 523.24$ 25 869.10$ 4 197.02$ 2 586.91 $ LAB 48 121.87$ 0.00 $ 0.00$ 0.00$ 0.00$ 48 121.87$ 0.00 $ MAT Auditorium 5 584.31$ 0.005 0.00$ 4 467.45$ 4 467.45$ 1 116.86$ 446.74$ MAT East 849.32$ 0.005 0.00$ 679.45$ 679.45$ 169.86$ 67.95$ MAT North 242.66$ 0.00$ 0.00$ 194.13$ 194.13$ 48.53$ 19.41$ MAT South 4 378.44$ 0.00 S 0.00$ 3 502.75$ 3 502.75$ 875.69$ 350.27$ MAT West 849.32$ 0.005 0.00$ 679.45$ 679.45$ 169.86$ 67.95$ MAT Miscellaneous items 18 162.07$ 16 345.87$ 0.00$ 0.00$ 16 345.87$ 1 816.21$ 1 634.59$ LAB Auditorium 2674.80$ 0.00$ 0.00$ 0.00$ 0.00$ 2 674.80$ 0.00$ LAB East 667.66$ 0.00$ 0.00$ 0.00$ 0.00$ 667.66$ 0.005 LAB North 190.76$ 0.005 0.00$ 0.00$ 0.00$ 190.76$ 0.00$ LAB South 2 740.40$ 0.00$ 0.00$ 0.00$ 0.00$ 2 740.40$ 0.00$ LAB West 667.66$ 0.005 0.00$ 0.00$ 0.00$ 667.66$ 0.00$ Page 4 CONTINUATION SHEET AIA Document 6703 Format AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO: 14 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:03/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:03/01/2010.03/31/2010 ARCHITECT'S PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish No. of work (D+E) (not in D or E) (D+E+F) (G/C) C-G LAB Miscellaneous items 41 180.59$ 0.00$ 0.00$ 0.00 S 0.00$ 41 180.59$ 0.00$ MAT BALCONY HIGH LEVEL 143 538.52$ 34 624.67$ 0.00 $ 32 023.04$ 66 647.70 $ 76 890.81 $ 6 664.77$ LAB 105 766.53 $ 0.00 $ 0.00$ 0.00 $ 0.00$ 105 766.53 $ 0.00$ MAT Auditorium 6 701.17$ 0.00$ 0.00$ 5 360.94$ 5 360.94$ 1 340.23$ 536.09$ MAT East 8 672.67$ 0.00$ 0.00$ 4 964.82$ 4 964.82$ 3 707.85$ 496.48$ MAT North 121.33$ 0.00$ 0.00$ 0.00$ 0.00$ 121.33$ 0.00$ MAT South 85 647.88$ 1 724.96$ 0.00$ 18 998.40$ 20 723.36$ 64 924.52$ 2 072.34 5 MAT West 5 840.25$ 0.00$ 0.00$ 2 698.88$ 2 698.88$ 3 141.36$ 269.89$ MAT Miscellaneous items 36 555.23$ 32 899.70$ 0.00$ 0.00$ 32 899.70$ 3 655.52$ 3 289.97$ LAB Auditorium 3 504.20$ 0.00$ 0.00$ 0.00$ 0.00$ 3 504.20$ 0.00$ LAB East .5910.02$ 0.00$ 0.00$ 0.00$ 0.00$ 5 910.02$ 0.00$ LAB North 95.38 S 0.00$ 0.00$ 0.00$ 0.00$ 95.38$ 0.00$ LAB South 39 165.15$ 0.00$ 0.005 0.00$ 0.00$ 39 165.15 5 0.00$ LAB West 3 896.68$ 0.00$ 0.00$ 0.00$ 0.00$ , 3 896.68$ 0.00$ LAB Miscellaneous items 53 195.10$ 0.00$ 0.00$ 0.00$ 0.00$ 53 195.10$ 0.00$ MAT ALLOWANCE 105 000.00$ 0.00 $ 0.00$ 0.00 $ 0.00$ 105 000.00$ 0.00 $ Page 5 CONTINUATION SHEET AIA Document 6703 Format AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO:14 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:03/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:03/01/2010-03/31/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 10% No. of work (D+E) (not in D or El (D+E+F) (G/C) (C-G) 5060 General Allowance 50 000.00$ 0.00$ 0.00$ 0% 50 000.00$ 0.00$ 5060 CAD Allowance 5 000.00$ 0.00$ 0.00$ 0% 5 000.00$ 0.00$ 5070 General Allowance 25 000.00$ 0.00$ 0.00$ 0% 25 000.00$ 0.00$ 5070 CAD Allowance 5 000.00$ 0.00$ 0.00$ 0% 5 000.00$ 0.00$ 5080 General Allowance 15 000.00$ 0.00$ 0.00$ 0% 15 000.00$ 0.00$ 5080 CAD Allowance 5 000.00$ - 0.00$ 0.00$ 0% 5 000.00 S 0.00$ SUB TOTAL 2 619 462.22$ 326 347.29$ 0.00$ 266 944.95$ 593 292.24$ 2 026 169.98$ 59 329.22$ Administration Fees MAT Shop Drawings 174 383.84$ 174 383.84$ 0.00$ 174 383.84$ 100% 0.00$ 17 438.38$ INST MAT Engeneering and cutting sheet 116 255.86$ 52 315.14$ 5 812.79$ 58 127.93$ 50% 58 127.93$ 5 812.79$ INST MAT Bond 20 325.26$ 20 325.26$ 0.00$ 20 325.26$ 100% 0.00$ 2 032.53$ INST MAT Projet Management/Living/Travel 125 378.55$ 62 689.28$ 6 268.93$ 68 958.20$ 55% 56 420.35$ 6 895.82$ INST MAT Superintendant/Living/Travel 118 264.27$ 35 479.28$ 5 913.21$ 41 392.49$ 35% 76 871.78$ 4 139.25$ INST TOTAL BASE CONTRACT 3 174 070.00$ 671 540.08$ 17 994.93$ 266 944.95$ 956 479.97$ 2 217 590.03$ 95 648.00$ Change Orders MAT Change order#001 _$ 5 156.00 ' 0.00$ 0.00$ 0% 5 156.00$ 0.00$ INST Change order#002 $ 17 479.00 _ 0.00$ 0.00$ 0% 17 479.00$ 0.00$ MAT INST TOTAL CHANGE ORDERS $ 22 635.00 $ - $ - $ - $ - $ 22 635.00 $ - I I TOTAL I$ 3 196 705.00 I$ 671 540.08 I$ 17 994.93 I$ 266 944.95 I$ 956 479.97 I 1 $ 2 240 225.03 I $ 95 648.00 I b` ''Calculer Malnce f: Page 6 WAIVER OF LIEN The undersigned is the duly authorized officer of Ehenisterie Beaubois Ltee , the general contractor, subcontractor, materialman or other person furnishing the services, labor, material or equipment indicated below in the construction of improvements upon real estate located in_Hamilton County, State of_Indiana ,commonly known as_Carmel Performing Arts Center ,which real estate is owned by_Carmel Redevelopment Commission («Owner»). IN CONSIDERATION of the sum of Two hundred ninety three thousand one hundred thirty seven dollars_and ninecents DOLLARS($_293,137.09)receipt of which is hereby acknowledged,and in order to procure one or more payments for services, labor, material or equipment provided in such construction, the Company does hereby waive, release and quit claim in favor of the Owner of the real estate and the lender or lenders providing funds with which payment of construction costs is or is to be made, and their assigns, all liens or claim or right to liens upon the land or improvements above described which the Company may now have for services, labor, material or equipment furnished in respect of such land or improvements to and including the date hereof. The undersigned warrants that the Company has not and will not assign any claim for payment nor any right to perfect a lien against the real estate, and that he has the right to execute this waiver and release of liens on behalf of himself(herself) and the Company. The undersigned further warrants and represents that the Company has the right to transfer and does hereby transfer title to the services, labor, material or equipment to the Owners or Lenders named above in consideration of the payment received hereunder. The undersigned further states that the consideration received hereunder is the sole consideration received by the Company for said services, labor, material or equipment furnished to date, and that the Company has neither received nor made any security interest, title retention interest or lien rights in the said services, labor,material or equipment other than that released and transferred hereby. The material, labor, services or equipment furnished are more particulary described in the affidavit for payment submitted of even date herewith. The undersigned further warrants and represents that the Company has complied with all prevailing wage requirements under applicable law or as may be set forth in the contract documents. WITNESS the execution hereof this 31st day of March , 2010 ain Alexandre, •ss.General Manager Ebenisterie Beaubois Ltee (Name of Company) State of Quebec County of_Beauce , SS : Before me, the undersigned, a Notary Public in and for said County and State,personally appeared_Germain Alexandre The _Assistant General Manager , of _Ebenisterie Beaubois Ltee , who acknowledged the execution of the foregoing Waiver of Lien on behalf of such Company and that the same is the free act deed of such Company and the free act and deed of said officer. WITNESS my hand and notarial seal this_31st day of_March , 2010 My Commission Expires : Commissaire a I'Asse " ion May 10,2010 Commissioner fore', Manon Poulin / Notary Public My County of Residence: n 163 850 Beauce District Beauce-Quebec Beauce-Quebec Dittlictn Poulin (Printed Name of Notary Public) TRANSFER OF TITLE Ebenisterie Beaubois itee [CONTRACTOR]RACTOR.. �''�' `��i 'j ("Contractor")transfers to Village Financial, LLC any and all right,title and/or interest that Contractor has in any labor and/or materials described in(i) that Affidavit of Waiver of Lien executed by the Contractor on March 31st , ,20 io , and (ii) in the"Amount of this Request" section of that Affidavit executed by the Contractor on March 31st ,20 10 . "CONT OR" '0 By: • Printed: Germain Alexandre Title: Ass.General Manager BE.AUBOJS BILL OF SALE CARMEL PERFORMING ARTS CENTER FOR GOOD CONSIDERATION, and upon payment of Two hundred sixty six thousand nine hundred fourty four 95/100 dollars ($266,944.95) and to extent as billed on Pay Request 14 the undersigned, Ebenisterie Beaubois Ltd., 521, 6th Avenue, Saint-Georges Quebec, G5Y OH1 (« Seller ») hereby sells and transfers to Shiel Sexton Inc (« Buyer »), the following : See breakdown attached Which are stored at : Ebenisterie Beaubois Lee, 511, 6th Avenue, Saint-Georges Quebec, G5Y OH1 (418)228-5104 (418)228-3524 fax The seller warrants it has a good title to said property, full authority to sell and transfer same, and that said property is sold free of all liens, claims and encumbrances. Signed under seal this 22nd day of March 2010 _ •-nisterie Be. bois Ltee Ger ain Alexandre, ssistant General Manager Cornmissaire e i'Assermentation Commissioner for oath Notary Public Ma non Moulin # 163 850 District Beauce-Quebec Beauce-Quebec District REF. N° 09-F017 CERTIFICATE OF INSURANCE;, Aon Reed Stenhouse Inc. Re: Project 5037:Carmel Performing Art Center 700,De La Gauchetiere Street West,Suite 1800 Period from March 01,2010 to March 31,2010 Montreal,Quebec H3B 0A4 tel.: 514-842-5000 fax.:514-842-3456 Stored Material at 511,6th Avenue,St-Georges,Quebec Certificate Holder Shiel Sexton 902 N.Capitol Avenue Indianapolis,IN 46204 Insurance as described herein has been arranged on behalf of the Insured named herein under the following policy(ies)and as more fully described by the terms, conditions,exclusions and provisions contained in the said policy(ies)and any endorsements attached thereto. Insured . EBENISTERIE BEAUBOIS LTD 521,6TH AVENUE ST-GEORGES (QUEBEC) G5Y OH1 Coverage General Liability Insurer: Chartis Insurance company of Canada Policy n°: 6645-7761 Effective December 01,2009 Expiry_: December 01,2010 Perils insured: Limits Bodily injury&Property_Damage,each occurrence 52,000,000 Products and Completed Operations,aggregate - . $2,000,000 Non-Owned Automobile Liability __ $2,000,000 Property Insurance Insurer: Affiliated FM Insurance Company Policy n°: RN-437 Effective: December 01,2009 Expiry.: December 01,2010 Perils insured: All Risks including flood and earthquake Limits All Risks inducting flood and earthquake _ $266,944.95 USD Additional Insured Shiel Sexton and Carmel Redevelopment Commission(as the owner)are add as additional insured,but solely regarding the liability arising out of the Insured's operations with respect to the above project. THIS CERTIFICATE OF INSURANCE CONSTITUTES A STATEMENT OF THE FACTS AS OF THE DATE OF ISSUANCE AND ARE SO REPRESENTED AND WARRANTED ONLY TO THE INSURED. OTHER PERSONS RELYING ON THIS CERTIFICATE DO SO AT THEIR OWN RISK. ``Aon Reed Stenhouse Inc. Date: March 22,2010 1 . Issued by: Marie-Josee Marchand, CIP � _ Tel: 514-840-7715 -._ Sig ature THIS POLICY CONTAINS A CLAUSE THAT MAY LIMIT THE AMOUNT PAYABLE 1 OR,IN THE CASE OF AUTOMOBILE INSURANCE, THE POLICY CONTAINS A PARTIAL PAYMENT OF LOSS CLAUSE •