Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Ebenisterie Beaubois Ltee - $919,225.72
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 Arn o OAS + 6e d,iJ `y Vi)Iece Fintincid� Appi (e,+ien 17 (Bedlam's) June 2o10 4µi 375. 77 Aplii +;oh i B (Beau Ibis) duty MO Pis* 09,95 Total Authorized Disbursement 91 22 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, LLC Dated: q 27 `° CITY OF CARMEL REDEVELOPMENT COMMIS ION Printed Les jS. O'cJS Title � xecufiVe Direcfor • 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 reimbursed to CRC $ 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 Paid by Village Financial $ 18,041.74 January 2010 Paid by Village Financial $ 10,717.61 February 2010 Paid by Village Financial $ 300,531.36 March 2010 Paid by Village Financial $ 256,445.90 April 2010 Paid by Village Financial $ 169,791.37 May 2010 Paid by Village Financial $ 415,953.29 June 2010 Amount to be paid by Village Financial $ 464;375.77 July 2010 Amount to be paid by Village Financial $ 454,849.95 • °°° CR AiA Document 702/CMaTM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition L1 ' , TO OWNER: PROJECT: APPLICATION NO: 011 Distribution to: n PERIOD TOJ _ oZO IG OWNER ❑ rdypiCr✓�1 C r I K QC a/116+ • CONSTRUCTION MANAGER ❑ • FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ S Yl Ie 1 c on PROJECT NOS: 2 05 l 6070 I CONTRACTOR ❑ -ph 1.-le1n e ►'a u r- -Zi frrT ,si;. - . . VIA ARCHITECT: FIELD ❑ CQffititTfli'. - 'i e.' 1K Y Of 2 C5 ) Grchi+ I5 ❑ 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 Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Document G703,is attached. o Certificates for Payment were issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $,3 179 0/0 payment shown herein is now due. 2. Net change by Change Orders $ 37,2)9'6 CONT TOR:j - 3.CONTRACT SUM TO DATE'(Ltne 1 ±2) $•j /36 Pb/ oo By �'` Date: 0(p I a I aQJI d 4.TOTAL COMPLETED&STORED TO DATE(Column.G on G703) $4ô7 791/ L7 State of!' I,e,e;e0 ' 5.RETAINAGE County of: a. To of Completed Work / Subscribed and sworn to before Commissaire a.I'Assermentation (Column D.+Eon G703) $ /6-t.£g ,,? 66 me this 22►ad da of.Juile x01 0 Commissioner for oath b. %of Stored Material ( Notary Public: G� �(igt,ti--- / Manon Poulin (Column F on G703) $ My Commission expires:MQ Il^) , 0i3 # 163 850 Total Retainage(Lines 5a+5b or Total in.Column I of 6703).. $ 5 65 CERTIFICATE FOR PAYMENT District Bnneau��cQQe-Quucceb,,..e��c 9/0 9 e In accordance with the Contract Documents, based ono rs-AAR sCaktl�tt�YYata comprising 6.TOTAL EARNED LESS RETAINAGE $_ 7 7 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 $/ i5O �� 77 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. Co a 96 8.CURRENT PAYMENT DUE $ o X61. 61- AMOUNT CERTIFIED $1Y(a;' y87 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from e amount applied.Initial all figures on this Application and o te Continuation She that a e=ch.nged to conform with the amount c rtified.) (Line 3 less Line 6) $ I��g9s, ,a CONS UCTION M r, By: ∎1;1 M if"idty . • Date: •0 49■ ADDITIONS DEDUCTIONS - CHANGE ORDER SUMMARY ARCHI Total changes approved in previous months by Owner $ $ By Date: '14 ?4(fi' Total approved this Month $ $ This Certificate i of • gotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ $ named herein. alai — payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner or o• actor 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 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. 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:17 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:06/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:06/01/2010-06/30/2010 ARCHITECT'S PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D 1 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 (0*E) (not in D or E) (D+E+F) (G/C) (C-G) MAT BASEMENT LEVEL 52 098.35$ 36 468.85$ 2 604.92$ 0.00$ 39 073.76$ 13 024.59 $ 3 907.38$ LAB 11 883.71 $ 0.00$ 4753.48$ 0.00$ 4753.48$ 7130.23 $ 475.35$ MAT North 6 886.93$ 4 820.85$ 344.35$ 0.00$ 5 165.19$ 1 721.73$ 516.52$ MAT Miscellaneous items 45 211.43$ 31 648.00$ 2 260.57$ 0.00$ 33 908.57$ 11 302.86$ 3 390.86$ LAB North 1 257.05$ 0.00$ 502.82$ 0.00$ 502.82$ 754.23$ 50.28$ LAB Miscellaneous items 10 626.66$ 0.00$ 4 250.66$ 0.00$ 4 250.66$ 6 376.00$ 425.07$ MAT PLENUM LEVEL 49 668.53$ 34 653.62$ 0.00$ 0.00$ 34 653.63 $ 15 014.91 $ 3 465.36$ LAB 42 456.67$ 0.00$ 16 982.67$ 0.00$ 16 982.67$ 25 474.00$ 1 698.27$ 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$ 23 594.73$ 0.00$ 0.00$ 23 594.73$ 13 786.14$ 2 359.47$ LAB Miscellaneous items 26 524.29$ 0.00$ 10 609.72$ 0.00$ 10 609.72$ 15 914.57$ 1 060.97$ LAB South 15 932.38$ 0.00$ 6 372.95$ 0.00$ 6 372.95$ 9 559.43$ 637.30$ MAT ORCHESTRA LOW LEVEL 884 071.73 $ 462 049.18$ 202 083.43 $ 0.00 $ 664 132.61 $ 219 939.13 $ 66 413.26$ LAB 317 235.98 $ 134 422.03 $ 0.00$ 0.00$ 134 422.03$ 182 813.95$ 13 442.20$ MAT Auditorium 536 641.30$ 249 173.97$ 166 630.75$ 0.00$ 415 804.72$ 120 836.58$ 41 580.47$ MAT East 137 103.55$ 105 292.23$ 0.00$ 0.00$ 105 292.23$ 31 811.32$ 10 529.22$ Page 1 CONTINUATION SHEET AIA Document 6703 For root AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO:17 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:06/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:06/01/2010-06/30/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D I E F _ G I 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 North 101 619.95$ 17 033.97$ 35 452.68$ 0.00$ 52 486.66$ 49 133.29$ 5 248.67$ MAT West 50 922.96$ 38 806.30$ 0.00$ 0.00$ 38 806.30$ 12 116.66$ 3 880.63$ MAT Miscellaneous items 57 783.98$ 51 742.71$ 0.00$ 0.00$ 51 742.71$ 6 041.28$ 5 174.27$ LAB Auditorium 161 191.08$ 98 351.31$ 0.00$ 0.00$ 98 351.31$ 62 839.77$ 9 835.13$ 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$ 36 070.72$ 0.00$ 0.00$ 36 070.72$ 36 070.72$ 3 607.07$ MAT ORCHESTRA HIGH LEVEL 132 847.59$ 103 826.73$ 0.00$ 0.00$ 103 826.73 $ 29 020.86 $ 10 382.67$ LAB 92 280.19$ 0.00 $ 36 912.08$ 0.00$ 36 912.08$ 55 368.11 $ 3 691.21 $ MAT Auditorium 4 621.74$ 3 697.39$ 0.00$ 0.00$ 3 697.39$ 924.35$ 369.74$ MAT East 485.32$ 388.26$ 0.00$ 0.00$ 388.26$ 97.06$ 38.83$ MAT South 101 013.48$ 76 032.68$ 0.00$ 0.00$ 76 032.68$ 24 980.80$ 7 603.27$ MAT West 485.32$ 388.26$ 0.00$ 0.00$ 388.26$ 97.06$ 38.83$ MAT Miscellaneous items 26 241.73$ 23 320.14$ 0.00$ 0.00$ 23 320.14$ 2 921.59$ 2 332.01$ Page 2 CONTINUATION SHEET AlA Document G703 Format AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO:17 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:06/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:06/01/2010-06/30/2010 ARCHITECTS 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 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$ 904.87$ 0.00$ 904.87$ 1 357.31$ 90.49$ LAB East 381.52$ 0.00$ 152.61$ 0.00$ 152.61$ 228.91$ 15.26$ LAB South 40 723.56$ 0.00$ 16 289.42$ 0.00$ 16 289.42$ 24 434.14$ 1 628.94$ LAB West 381.52$ 0.00$ 152.61 S 0.00$ 152.61$ 228.91$ 15.26$ LAB Miscellaneous items 48 531.41$ 0.00$ 19 412.56$ 0.00$ 19 412.56$ 29 118.85$ 1 941.26$ MAT BOX TIER LEVEL 326 347.94$ 265 415.50$ 0.00$ 0.00$ 265 415.51 $ 60 932.44$ 26 541.55$ LAB 278 078.48$ 0.00$ 111 231.39$ 0.00$ 111 231.39$ 166 847.09$ 11 123.14$ MAT Auditorium 11 727.05$ 9 381.64$ 0.00$ 0.00$ 9 381.64$ 2 345.41$ 938.16$ MAT East 44 650.44$ 38 291.25$ 0.00 5 0.00$ 38 291.25$ 6 359.19 5 3 829.13$ MAT North 16 580.44$ 12 632.76$ 0.00$ 0.00$ 12 632.76$ 3 947.68$ 1 263.28$ MAT South 81 787.06$ 62 932.94$ 0.00$ 0.00$ 62 932.94$ 18 854.12$ 6 293.29$ MAT West 82 441.76$ 61 931.84 5 0.00$ 0.00$ 61 931.84 5 20 509.92$ 6 193.18$ MAT Miscellaneous items 89 161.20$ 80 245.08 5 0.00$ 0.00$ 80 245.08 5 8 916.12 5 8 024.51$ LAB Auditorium 6 058.74$ 0.00$ 2 423.50$ 0.00$ 2 423.50$ 3 635.24$ 242.35$ LAB East 26 800.35$ 0.00$ 10 720.14$ 0.00$ 10 720.14$ • 16 080.21 $ 1 072.01$ LAB North 6 898.68$ 0.00$ 2 759.47$ 0.00$ 2 759.47$ 4 139.21$ 275.95 S 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: 17 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:06/20/2010 Use Column I on Contracts where variable retainage for line items may apply. APLICATION PERIOD:06/01/2010-06/30/2010 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) LAB South 37 667.50$ 0.00$ 15 067.00$ 0.00$ 15 067.00$ 22 600.50$ 1 506.70$ LAB West 42 037.97$ 0.00$ 16 815.19$ 0.00$ 16 815.19$ 25 222.78$ 1 681.52$ LAB Miscellaneous items 158 615.24$ 0.00$ 63 446.10$ 0.00$ 63 446.10$ 95 169.14$ 6 344.61$ MAT BALCONY LOW LEVEL 30 066.12$ 25 869.10$ 0.00$ 0.00$ 25 869.10$ 4 197.02$ 2 586.91 $ LAB 48 121.87$ 0.00$ 19 248.75$ 0.00$ 19 248.75$ 28 873.12$ 1 924.87$ MAT Auditorium 5 584.31$ 4 467.45$ 0.00$ 0.00$ 4 467.45$ 1 116.86$ 446.74$ MAT East 849.32$ 679.45$ 0.00$ 0.00$ 679.45$ 169.86$ 67.95$ MAT North 242.66$ 194.13$ 0.00$ 0.00$ 194.13$ 48.53$ 19.41$ MAT South 4 378.44$ 3 502.75$ 0.00$ 0.00$ 3 502.75$ 875.69$ 350.27$ MAT West 849.32$ 679.45$ 0.00$ 0.00$ 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 2 674.80$ 0.00$ 1 069.92$ 0.00$ 1 069.92$ 1 604.88$ 106.99$ LAB East 667.66$ 0.00$ 267.06$ 0.00$ 267.06$ 400.60$ 26.71$ LAB North 190.76$ 0.00$ 76.30$ 0.00$ 76.30$ 114.46$ 7.63$ LAB South 2 740.40$ 0.00$ 1 096.16$ 0.00$ 1 096.16$ 1 644.24$ 109.62$ LAB West 667.66$ 0.00$ 267.06$ 0.00$ 267.06$ 400.60$ 26.71$ Page 4 • 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:17 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:06/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:06/01/2010'06/30/2010 ARCHITECT'S PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D L 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 Miscellaneous items 41 180.59$ 0.00$ 16 472.24$ 0.00$ 16 472.24$ 24 708.35$ 1 647.22$ MAT BALCONY HIGH LEVEL 143 538.52$ 110 447.56$ 0.00$ 0.00$ 110 447.56 $ '33 090.95$ 11 044.76$ LAB 105 766.53$ 0.00$ 42 306.61 $ 0.00$ 42 306.61 $ 63 459.92$ 4 230.66$ MAT Auditorium 6 701.17$ 5 360.94$ 0.00$ 0.00$ 5 360.94$ 1 340.23$ 536.09$ MAT East 8 672.67$ 6 691.47$ 0.00$ 0.00$ 6 691.47$ 1 981.20$ 669.15$ MAT North 121.33$ 84.93$ 0.00$ 0.00$ 84.93$ 36.40$ 8.49$ MAT South 85 647.88$ 62 711.64$ 0.00$ 0.00$ 62 711.64$ 22 936.24$ 6 271.16$ MAT West 5 840.25$ 2 698.88$ 0.00$ 0.00$ 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$ 1 401.68$ 0.00$ 1 401.68$ 2 102.52$ 140.17$ LAB East 5 910.02$ 0.00$ 2 364.01$ 0.00$ 2 364.01$ 3 546.01$ 236.40 5 LAB North 95.38$ 0.00$ 38.15$ 0.00$ 38.15$ 57.23$ 3.82$ LAB South 39 165.15$ 0.00$ 15 666.06$ 0.00$ 15 666.06$ 23 499.09$ 1 566.61$ LAB West 3 896.68$ 0.00$ 1 558.67$ 0.00$ 1 558.67$ 2 338.01$ 155.87$ LAB Miscellaneous items 53 195.10$ 0.00$ 21 278.04$ 0.00$ 21 278.04$ 31 917.06$ 2 127.80$ 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:17 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:06/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:06/01/2010-06/30/2010 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 5 0% 25 000.00$ 0.00$ 5070 CAD Allowance 5 000.00 S 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 5 0% 5 000.00$ 0.00$ SUB TOTAL 2 619 462.22$ 1 173 152.58$ 436 123.33$ 0.00$ 1 609 275.91 $ 1 010 186.31 $ 160 927.59$ Administration Fees - MAT Shop Drawings 174 383.84$ 174 383.84$ 0.00$ 174 383.84 5 100% 0.00$ 17 438.38$ INST MAT Engeneering and cutting sheet 116 255.86$ 98 817.48$ 0.00$ 98 817.48$ 85% 17 438.38$ 9 881.75 5 INST MAT Bond 20 325.26$ 20 325.26$ 0.00 5 20 325.26$ 100% 0.00$ 2 032.53$ INST MAT ProjetManagement/Living/Travel 125 378.55$ 81 496.06$ 12 537.86$ 94 033.91$ 75% 31 344.64$ 9 403.39$ INST MAT Superintendant/Living/Travel 118 264.27$ 59 132.14$ 11 826.43$ 70 958.56$ 60% 47 305.71$ 7 095.86$ INST TOTAL BASE CONTRACT 3 174 070.00$ 1 607 307.35$ 460 487.62$ 0.00$ 2 067 794.96$ 1 106 275.04$ 206 779.50$ Chan.e Orders ■Change order#001 $ 5 156.00 0.00$ 0.00$ t-. 5 156.00$ 0.00$ Change order#002 $ 17 479.00 0.00$ 0.00$ _ . 17 479.00$ 0.00$ Change order#003 $ (65 000.00) Change order#004 Change order#005 $ 5 146.00 Page 6 CONTINUATION SHEET AIA Document G703 Format AIA Doc.0702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO: 17 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:06/20/2010 Use Column I on Contracts where variable retainage for line items may apply. APLICATION PERIOD:06/01/2010-06/30/2010 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 (0+El (not in D or E) (D+E+F) (G/C) (C-G) TOTAL CHANGE ORDERS $ (37 219.00) $ • $ - $ - $ - $ 22 635.00 $ - I TOTAL I$ 3 136 851.00 I$ 1 607 307.35 I$ 460 487.62 I$ - I$ 2 067 794.96 I I $ ! 1 128 910.04 I $ 206 779.50 Calculer MatnceY" 1 Page 7 INTERIM LIEN/CLAIM WAIVER From:. Ebenisterie Beaubois Ltee Project: Carmel Regional Performing Arts Center (Name of Firm Giving Release) (Project Name) 521, 6th Ave Carmel, IN (Business Address) (Project Address) St-Georges (Quebec G5Y OH1 (City,State,Zip Code) Contact Person: Steeve Lapointe Project Manager : Contact Telephone: 418-228-5104 Project Telephone : CONDITIONAL RELEASE UNCONDITIONAL RELEASE The undersigned does hereby acknowledge that The undersigned does hereby acknowledge that the upon receipt by the undersigned of a check from (Name of undersigned has received progress payments in the sum Firm writing check): The Pedcor Companies of$ 860,831.98 in the sum of$ 460,487.a. for labor, services, equipment or materials furnished to the and when the check has been properly endorsed and has above referenced job and does hereby release pro tanto been paid by the bank upon which it was drawn, this any and all claims and rights of lien which the document shall become effective to release pro tanto any undersigned has on the above referenced job. This and all claims and rights of lien which the undersigned release covers all payment for labor services, equipment, has on the above referenced job. This release covers a materials furnished and/or claims to the above referenced progress payment for labor, services, equipment, job through (date) 03/31/2010 materials furnished and/or claims through (date) only and does not cover any retention or items furnished June 30th, 2010 after that date. only and does not cover any retention or items furnished after that date. Before any recipient of this document NOTICE: THIS DOCUMENT WAIVES RIGHTS relies on it said party should verify evidence of payment to UNCONDITIONALLY AND STATES THAT YOU HAVE the undersigned. BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. I CERTIFY UNDER PENALTY OF PERJURY UNDER LAWS OF THE STATE OF QUEBEC THAT THE I CERTIFY UNDER PENALTY OF PERJURY UNDER ABOVE IS A TRUE AND CORRECT STATEMENT. LAWS OF THE STATE OFQuebec THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT. Sign- . e: #0. ,,.. . Signature: (Authorize_ orporate Officer/Partner/Owner) (Authorized Cor orate Officer/Partner/Owner) Germain Alexandre, Ass.General Manager (rule) a-rmain Alexandre, Ass.General Manager (Idle) Dated this 22nd day of June , 2010 Dated this 22nd day of June , 2010 at: St-Georges, Beauce Quebec . at: St-Georges, Beauce, Quebec . Subscribed and sworn before me day and year first above Subscribed and sworn before me day and year first above written: written: Commissaire I'Assermer tation _ Commissioner for oa Commissaire a I'Assermerrtation ii` i/��. Oo _ Commissioner for oats Notary Public Not"la7)//72-6_blic ,‘,/,--\._ Manon Poulin My commission expires : May 10.21 850 y commission expires : May 10 2013 # 163 f150 lstrre duce-Q ebe Beauce-Quebec Distt ct District Beauce-Quebec Beauce-Quebec District WAIVER OF LIEN The undersigned is the duly authorized officer of Ebenisterie 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 Eight hundred sixty thousand eight hundred thirty one dollars and ninety eight cents DOLLARS ($860,831.98) 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 22nd day of June 2010 1' I main Alexandre,Ass.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 22nd day of June_, 2010 My Commission Expires : Commissaire a i'Assermenta. May 10,2013 Commissioner for oath% ,Manon Poulin Notary Public My County of Residence : # 163 850 District Beauce-Quebec _Beauce Beauce-QUebeC DtStljnon Poulin (Printed Name of Notary Public) x, ® r TM' '' ...-�. Document-,G ent G702/CMa . -1992 Application and Certificate for Payment Construction Manager:Adviser;Edition TO:OWNER :, PROJECT APPLICATION NO - 4 ;n PERIOD TO l ._31 °�-201' Distribution OWNER ❑ C, y o Carte �Qrlrnel9:: >� ctC ( sfi Uyx t - CONSTRUCTION MANAGER ❑ FROM GONTRACTOR: VIACONSTRUCTION.,MANAGER: CONTRACT DATE , ARCHITECT ❑ I �(� �jh12 n. PROJECT NOS: 2(0q5 / X070 l CONTRACTOR ❑ .2� I f�Tf4,14 Sr'et got�4�/C>�, �>VIA ARCHITECT FIELD ❑_ _..... . ,ew; Dr , ,, .. CONTRACTOR'S`APPLICATION'FOR PAYMENT The undersigned Contractor cerUlies that to the best of theiContractors knowledge,information and belief the Work covered.:by t is Application for Pa ment F as:been com leted°;in accordance with the Application ismade-for payment as shown below;iii connection with the;Cohtract =: _ ..Y P :, Confinuation.:Sheet,'AIA DocuinetitiG703 is:attached. . ` Contract Documents that all amounts have been paid by theContractor for:Work for=which';previous -,. Certificates for r'Paymei t were;issued and payments received"from:the:'Owner, and that current 1 ORIGINAL CONTRACT SUM. ? $;2j)/ olo paymen e. in isnow due: 2.Net change by Change Orders $ / _. ?u7 6o CONT- tCTOR: ' 3 CONTRACT.SUM TO DATE(Line 1,±2)' $ ,, By: Date / 0 4 TOTAL COMPLETED 8 STORED TO DATE(Column G on G703) $o o , , State o IP( fJ2C J 5 RETAINAGE. 7 .unty ofluC e a . %,of Completed Work. 5 Subscribed and sworn to b fore V (Column D+E"on G703)? $+:6 � me this da of s+, 10 �:�. �� ti0 °? 2nd: Commissaire ;I•Assermenta n b To of Stored Material• Notary Public.; (Column F on G703) $ h My Commission ex ues Commissioner for oat _ V - Total Retamage(Lines Sa+Sb or Total in Column I of.G703).. .$J ' 42 CERTIFICATE FOR PAYMENT # 163 850 In accordance with the"ContractDocument`s based on on=site risiri 6.TOTAL EARNED LESS RETAINAGE = Gtr g (Line 4'ANED Line S:Tota1 .- 8° ' this application;:the Consttuctio'n Manager_and Architect certify .9i ..1- o then tf�8toB8 ( s ): ,�/D knowledge information.and belief the Work has progressed as i r k 0`Work is.in 7 LESS PREVIOUS:CERTIFICATES`FOR PAYMENT $ '� /C3, .,, accordance with the Contract Documents-and the Contractor is entitled to.payment of;the AMOUN J�;(Line 6 from prior Certificate) CERTIFIED. . 8 CURRENT PAYMENT DUE ;$ •/' i g7/ AMOUNT CERTIFIED « $ ..�s�': 9"`• he:mo' - (Attach explanau. amount certified di -rs from`t t a 9 BALANCE';TO FINISH.INCLUDING RETAINAGE -.- applied Initial all figures'on this Applicateon and • Contini.lion Sh-• at are ch nged o conform with the amo(nt cer ified.) (Lme 3 less Line 6) $ G CONS- ,. CT F` 7:7 66 U I Q G ; '. � � 13Y: v®�7 '1�... �®i ''� Date. ��J �; © CHANGE ORDER`S SUMMARY ' ADDITIONS DEDUCTIONS ARCH' Total•changes approved•ui previous months by Owner $• $ By _fir Q t Date V 2-.. L Total approved.tlus Month _ $, $ - This - ficat:.is not negotiable The AMOUNT CERTIFIED is,-payable only to.the Contractor TOTALS $`: name,.here .•Issuance"payment:and acce 'tance of payment are without'prejudice to an rig hts of •: $ t. PY P J any NET CHANGES by.Change Order: $:'. the �• or Contractor under this Contract:' CAUTION You should sign an'original AIA Contract Document,on which this text.app ears:in RED.An original assures that';changes;will not be obscured. AIA Document,G702/GMaTA, 1992.Copyright©1992 byThe American Institute of Architects All rights reserved.WARNING:This AlA®-:Document is 'rotected:b U.S. ® p by S Cop right.Law,and.lnternational Treaties. Unauthorized'"reproduction or distribution of this AIA Document.or.any portion of it,may result in severe:civil and criminal penalties and:will be prosecuted to the maximum extent ossibrie under the law. P Purchasers are permittedSto reproduce ten(10)copies of this document whencorripleted.To report copyright violations of AIA Contract Documents email The'American Institute of Architects'legal counsel,copyright @aia:org. CONTINUATION SHEET MA Document G703 Format • MA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenlsterle Beaubols Ltee containing Contractors signed Certification Is attached. APPLICATION NO:18 In tabulations below,amounts are stated to the nearest dollar. ; APPLICATION DATE:07/20/2010 Use Column Ion Contracts where variable retalnage for line Items may apply, APUCATION PERIOD:07/01/2010•07/31/2010 ARCHITECTS PROJECT NO: . Cannel Regional Performing Arts Center,Cannel,IN A B C D E F G H ' I • Work Completed Material Total • Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 5% No. of work (0+E) (not In D or E) (D+E+F) (G/C) (C-G) MAT BASEMENT LEVEL 52 098.35$ 39 073.76$ 0.00$ 7 814.75$ 46 888.52$ 5 209.84$ 2 604.92$ LAB 11 883.71 $ 4 753.48$ 4 753.48$ 0.00$ 9 506.97$ 21376.74$ 594.19$ MAT North 6 886.93 S 5 165.19$ 0.00$ 1 033.04$ 6 198.23$ 688.69$ 344.35$ . MAT Miscellaneous items 45 211.43$ 33 908.57$ 0.00$ 6 781.71$ 40 690.28$ 4 521.14$ 2 260.57$ • LAB North 1 257.05$ 502.82$ 502.82$ 0.00$ 1 005.64$ 251.41$ 62.85$ • LAB • Miscellaneous items 10 626.66$ 4 250.66$ 4 250.66$ 0.00$ 8 501.33$ 2 125.33$ 531.33$ MAT PLENUM LEVEL 49 668.53$ 34 653.62$ 0.00$ 10 048.06$ 44 701.68$ 4 966.85$ 2 483.43$ LAB 42 456.67$ 16 982.67$ 14 859.83$ 0.00$ 31 842.50$ 10 61.4.17$ 2 122.83$ MAT Miscellaneous items 12 287.66$ 11 058.89$ 0.00$ 0.00$ 11 058.89$ 1 228.77$ 614.38$ MAT South 37 360.88$ 23 594.73$ 0.00$ 10 048.06$ 33 642.79$ 3 738.09$ 1 869.04$ LAB_ Miscellaneous items 26 524.29$ 10 609.72$ 9 283.50$ 0.00$ 19 893.22$ 6 631.07$ 1 326.21$ LAB South 15 932.38$ 6 372.95$ 5 576.33$ 0.00$ 11 949.29$ 3 983.10$ 796.62$ MAT ORCHESTRA LOW LEVEL 884 071.73$ 664 132.61 $ 0.00$ 52 449.71 $ 716 582.32$ 167 489.41 $ 44 203.59$ LAB 317 235.98$ 134 422.03$ 84 346.05$ 0.00$ 218 768.08$ 98 467.90$ 15 861.80$ MAT Auditorium 536 641.30$ 415 804.72$ 0.00$ 23 805.77$ 439 610.49$ 97 030.81$ 26 832.06$ MAT East 137 103.55$ 105 292.23$ 0.00$ 18 100.97$ 123 393.19$ 13 710.35$ 6 855.18$ • • Page 1 CONTINUATION SHEET AIA Document G703 Format • AIA Doc.0702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenlsterie Beaubols Ltee containing Contractor's signed Certification is attached. APPLICATION NO:18 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:07/20/2010 Use Column I on Contracts where variable retalnage for line Items may apply. APLICATION PERIOD:07/01/2010-07/31/2010 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 5% No. of work (D+E) (not inDorEl (D+E+F) (G/C) (C-G) MAT North 101 619.95$ 52 486.66$ 0.00$ 3 518.61$ 56 005.27$ 45 614.68$ 5 081.00$ • MAT West 50 922.96$ 38 806.30$ 0.00$ 7 024.37$ 45 830.66$ 5 092.30$ 2 546.15$ • MAT Miscellaneous items 57 783.98$ 51 742.71$ 0.00$ 0.00$ 51 742.71$ 6 041.28 S 2 889.20$ LAB Auditorium 161 191.08$ 98 351.31$ 22 116.83$. 0.00$ 120 468.14$ 40 722.94$ 8 059.55$ • LAB East 40 499.18$ 0.00$ 21 880.35$ 0.00$ 21 880.35$ 18 618.83$ 2 024.96$ LAB North 16 932.65$ 0.00$ 5 895.83$ 0.00$ 5 895.83$ 11 036.83$ 846.63$ LAB West 26 471.63$ 0.00$ 16 417.68 5 0.00 S 16 417.68$ 10 053.95$ 1 323.58$ LAB Miscellaneous items 72 141.44$ 36 070.72$ 18 035.36$ 0.00$ 54 106.08$ 18 035.36$ 3 607.07$ • - • 'MAT ORCHESTRA HIGH LEVEL 132 847.59$ 103 826.73$ 0.00$ 15.736.10$ 119 562.83$ 13 284.76$ 6 642:38$ LAB 92 280.19$ 36 912.08$ 31 136.91 $ 0.00$ 68 048.99$ 24 231.20$ 4 614.01 $ MAT Auditorium 4 621.74 S 3 697.39$ 0.00$ 462.17$ 4 159.56$ 462.17$ 231.09$ MAT East 485.32$ 388.26$ 0.00 S 48.53$ 436.79$ 48.53$ 24.27$ MAT South 101 013.48 5 76 032.68$ 0.00$ 14 879.45$ 90 912.13$ 10 101.35$ 5 050.67$ MAT West 485.32$ 388.26 5 0.00 5 48.53 5 436.79$ 48.53$ 24.27$ MAT Miscellaneous items 26 241.73$ 23 320.14$ 0.00$ 297.41$ 23 617.56$ 2 624.17$ 1 312.09 5 . Page 2 CONTINUATION SHEET AIA Document G703 Format AIA Doc.6702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenlsterle Beaubois Ltee containing Contractor's signed Certification Is attached. APPLICATION NO:18 In tabulations below,amounts are stated to the nearest dollar. • APPLICATION DATE:07/20/2010 Use Column 1 on Contracts where variable retalnage for line Items may apply. APLICATION PERIOD:07/01/2010•07/31/2010 ARCHITECT'S PROJECT NO: • Cannel Regional Performing Arts Center,Cannel,IN A B C • D 1 E F G H I • Work Completed Material Total • Item Description Scheduled Previous This Presently Complete % Balance Retalnage Value application Period Stored and stored to Finish 5% • No. of work (D+E) (not In D or E) (D+E+F) (G/C) •(C•G) LAB Auditorium 2 262.18$ 904.87$ 791.76$ 0.00$ 1 696.64$ 565.55$ 113.11$ I LAB East 381.52$ 152.61$ 133.53$ 0.00$ 286.14$ 95.38$ 19.08$ LAB South 40 723.56$ 16 289.42$ 13 092.09$ 0.00$ 29 381.52$ 11 342.04$ 2 036.18$ LAB West 381:52$ 152.61$ 133.53$ 0.00$ 286.14$ 95.38$ 19.08$ LAB Miscellaneous items 48 531.41$ 19 412.56$ 16 985.99$ 0.00$ 36 398.56$ 12 132.85$ 2 426.57$ MAT BOX TIER LEVEL 326 347.94$ 265 415.50$ 0.00$ 28 739.97$ 294 155.47$ 32 192.47$ 16 317.40$ LAB 278 078.48$ 111 231.39$ 96 286.78$ 0.00$ 207 518.17$ 70 560.31 $ 13 903.92$ • MAT Auditorium 11 727.05$ 9 381.64$ 0.00$ 1 172.70$ 10 554.35$ 1 172.71$ 586.35$ • MAT East 44 650.44$ 38 291.25$ 0.00$ 2 336.47$ 40 627.72$ 4 022.72$ 2 232.52$ • MAT North. 16 580.44$ 12 632.76$ 0.00$ . 2 289.64$ '14 922.39$ 1 658.04$ 829.02$ MAT South 81 787.06$ 62 932.94$ 0.00$ 10 675.42$ 73 608.36$ 8 178.71$ 4 089.35$ MAT West • 82'441.76$ 61 931.84$ 0.00$ • 12 265.75 S 74 197.58$ 8 244.18$ 4 122.09$ MAT Miscellaneous items 89 161.20$ 80 245.08 S 0.00 S 0.00$ 80 245.08$ 8 916.12$ 4 458.06$ • LAB Auditorium 6 058.74$ 2 423.50$- 2 120.56$ 0.00$ 4 544.06$ 1 514.69$ 302.94$ LAB East 26 800.35$ 10 720.14$ 9 380.12$ 0.00$ 20 100.26$ 6 700.09$ 1 340:02$ . LAB North 6 898.68$ 2 759.47 S 2 414.54$ 0.00$ 5 174.01 S 1 724.67$ 344.93$ Page 3 CONTINUATION SHEET AIA Document G703 Format AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie 8eaubols Ltee containing Contractor's signed Certification Is attached. APPLICATION NO:18 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:07/20/2010 Use Column I on Contracts where variable retainage for line Items may apply. APLICATION PERIOD:07/01/2010-07/31/2010 • ARCHITECTS PROJECT NO: • Carmel Regional Performing Arta Center,Cannel,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 5% No. of work (D+E) (not In D or E) (D+E+F) (G/C LAB South 37 667.50$ 15 067.00$ 13 183.63$ 0.00$ 28 250.63$ 9 416.88$ 1 8B3.38$ LAB West 42 037.97$ 16 815.19$ 13 672.60$ 0.00$ 30 487.79$ 11 550.18$ 2 101.90$ LAB Miscellaneous items 158 615.24$ 63 446.10$ 55 515.33$ 0.00$ 118 961.43$ 39 653.81$ 7 930.76$ MAT BALCONY LOW LEVEL 30 066.12$ 25 869.10$ 0.00$ 1 190.41 $ 27 059.51 $ 3 006.61 $ 1 503.31 $ LAB 48 121.87$ 19 248.75$ 16 842.65$ 0.00$ 36 091.40$ 12 030.47$ 2 406.09$ • MAT Auditorium 5 584.31$ 4 467.45$ 0.00$ 558.43$ 5 025.88$ 558.43$ 279.22$ MAT East 849.32$_ 679.45$ 0.00$ 84.93$ 764.39$ 84.93$ 42.47$ MAT North 242.66$ 194.13$ 0.00$ 24.27$_ 218.40$ 24.27$ 12.13$ MAT South 4 378.44$ 3 502.75 S 0.00$ 437.84$ 3 940.59$ 437.84$ 218.92$ MAT West 849.32$ 679.45$ 0.00 S 84.93 S 764.39 S • 84.93$ 42.47$ • MAT Miscellaneous items 18 162.07$ 16 345.87 S 0.00 5 0.00$ 16 345.87$ 1 816.21$ 908.10$ LAB Auditorium 2 674.80$ 1 069.92$ 936.18$ 0.00$ 2 006.10$ 668.70$ 133.74$ LAB East - 667.66$ 267.06$ 233.68$ 0.00$ 500.75$ 166.92$ 33.38$ • LAB North 190.76$ 76.30$ 66.77$ 0.00$ 143.07$ 47.69$ 9.54$ LAB South 2 740.40$ 1 096.16$ 959.14$ 0.00$ 2 055.30$ 685.10$ 137.02$ • LAB West 667.66$ • 267.06$ 233.68$ 0.00$ 500.75$ 166.92 S 33.38$ Page 4 . CONTINUATION SHEET AIA Document G703 Format • AIA Doc.6702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenlsterie Beaubols Ltee • containing Contractor's signed Certification is attached. APPLICATION NO:18 t In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:07/20/2010 Use Column I on Contracts where variable retainage for line items may apply. APLICATION PERIOD:07/01/2010•07/3172010 . ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Cannel,IN . A B C D 1 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 5% ' No. of work ID+E) (not In 0 or E) (D+E+F) (G/C) (C-G) LAB Miscellaneous items 41 180.59$ 16 472.24$ ' 14 413.21$ 0.00$ 30 885.44$ 10 295.15$ 2 059.03$ MAT BALCONY HIGH LEVEL 143 538.52$ 110 447.56$ .0.00$ 18 737.10$ 129 184.67$ 14 353.85$ 7 176.32$ LAB 105 766.53$ 42 306.61 $ 35 717.42$ 0.00$ 78 024.04$ 27 742.50$ 5 288.33$ MAT Auditorium 6 701.17$ 5 360.94$ • 0.00$ 670.12$ 6 031.05$ 670.12$ 335.06$ MAT East 8 672.67$ 6 691.47$ 0.00$ 1 113.93$ 7 805.40 S 867.27$ 433.63$ MAT North 121.33$ 84.93$ 0.00$ 24.27 S 109.20$ 12.13 S 5.46 5 • MAT ;) South 85 647.88$ 62 711.64$ 0.00 S 14 371.45$ 77 083.09$ 8 564.79$ 4 282.39$ MAT West 5 840.25$ 2 698.88$ 0.00$ 2 557.34$ 5 256.22$ 584.02$ 292.01 S . MAT Miscellaneous items 36 555.23$ 32 899.70$ 0.00$ 0.00$ 32 899.70$ 3 655.52 S 1 827.76$ LAB Auditorium 3 504.20$ 1 401.68$ 1 226.47 5 0.00$ 2 628.15$ 876.05$ 175.21$ • . LAB East 5 910.02$ 2 364.01$ 2 068.51$ 0.00$ 4 432.52$ 1 477.51 5 295.50 5 • LAB North 95.38$ 38.15$ 33.38 S 0.00$ 71.54$ 23.85 5 4.77 5 LAB South 39 165.15 5 15 666.06$ 12 406.94$ 0.00$ 28 073.00$ 11 092.15$ 1 958.26$ LAB West 3896.685 1 558.675 1 363.84$ 0.00$ 2 922.51$ 974.17$ 194.83$ LAB Miscellaneous items 53 195.10$ 21 276.04$ 18 618.29$ 0.00$' 39 896.33$ 13 298.78$ 2 659.76$ MAT ALLOWANCE 105 000.00$ 0.00$ 0.00$ 0.00$ 0.00$ 105 000.00$ 5 250.00$ Page 5 • CONTINUATION SHEET AIA Document G703 Format AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterle Beaubols Ltee containing Contractor's signed Certification Is attached. , APPLICATION NO:18 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:07/20/2010 . Use Column I on Contracts where variable retainage for line items may apply. APLICATION PERIOD:07/01/2010-07/3112010 ARCHITECTS PROJECT NO: • • Cannel Regional Performing Arts Center,Cannel,IN A B C D 1 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 5% No. of work (Os 6) (not In D or E) (D+E+F) (G/C) (C-G 5060 General Allowance 50 000.00$ 0.00$ 0.00$ 0% 50 000.010$ 2 500.00$ 5060 CAD Allowance 5 000.00 5 0.00$ 0.00$ 0% 5 000.00 5 250.00$ 5070 General Allowance 25 000.00$ 0.00$ . 0.00$ 0% 25 000.00$ 1 250.00$ 5070 CAD Allowance 5 000.00$ 0.00$ 0.00$ 0% 5 000.00$ 250.00 S 5080 General Allowance 15 000.00$ 0.00$ 0.00 S 0% 15 000.00$ 750.00$ 5080 CAD Allowance 5 000.00$ 0.00$ 0.00$ 0% 5 000.00$ 250.00$ SUB TOTAL 2 619 462.22$ 1 609 275.90$ 283 943.13$ 134 716.10$ 2 027 935.14$ 591 527.08$ 130 972.50$ Administration Fees MAT Shop Drawings 174 383.84$ 174 383.84$ 0.00$ 174 383.84$ 100% 0.00$ 8 719.19$ INST • MAT Engeneering and cutting sheet 116 255.86$ 98 817.48$ .0.00$ 98 817.48$ 85% 17 438.38$ 5 812.79$ INST MAT Bond 20 325.26$ 20 325.26$ 0.00$ 20 325.26$ 100% D.00$ 1 016.26$ INST MAT Projet Management/Living/Travel 125 378.55$ 94 033.91$ 12 537.86$ 106 571.77 5 85% 18 806.78$ 6 268.93$ INST MAT Superintendent/Living/Travel 118 264.27$ 70 958.56$ 23 652.85$ 94 611.42$ 80% 23 652.85$ 5 913.21$ • INST TOTAL BASE CONTRACT 3 174 070.00$ 2 067 794.96$ 320 133.84$ 134 716.10$ 2 522 644.90$ 651 425.10$ 158 702.89$ Change Orders Change order#001 $ 5 156.00 0.00$ 0.00$ 0% 5 156.00 5 257.80$ Change order#002 S 17 479.00 0.00$ 0.00$ 0% 17 479.00$ 873.95$ Change order#003 $ (85000.00) -3 250.00$ • Change order#004 0.00$ • Change order#005 $ 5 148.00 257.30$ • Page 8 • • CONTINUATION SHEET AIA Document G703 Format AIA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenlsterie Beaubols Ltee containing Contractor's signed Certification Is attached. APPLICATION NO:18 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:07/20/2010 Use Column I on Contracts where variable retainage for line Items may apply. APUCATION PERIOD:07/01/2010-07/31/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Cannel,IN A B C D E F G H Work Completed Material Total • Item Description Scheduled Previous - This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 5% No. of work (D•El (not in D or E TOTAL CHANGE ORDERS S (37 219.00) S - $ - S - S - S I 22 635.00 S (1 860.95) TOTAL 1$ 3 136 851.00 I$ 2 067 794.96 1$ 320 133.84 1$ 134 716.10'S 2 522 644.90 1 1 $ 674 060.10 I$ 156 842.55 1(ra.., irgii1810 Page 7 WAIVER OF LIEN The undersigned is the duly authorized officer of_Ebenisterie 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 One One million four hundred forty six thousand five hundred sixty seven dollars and sixty five cents DOLLARS ($_1,446,567.65) 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 2nd day of_August 2010 G ain Alexan ,Ass.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 2nd day of August_,_2010 My Commission Expires: May 10,2013 C01111T11SS8if @d l' i.%'" i11/ f OG'- � t i �� • Commissioner for oath o ary Public My County of Residence: • Manon Poulin # 1638 • _Beauce District Beane-wi �'oulin Beauce-Quebec DistriE rinted Name of Notary Public) INTERIM LIEN/CLAIM WAIVER From:. Ebenisterie Beaubois Ltee Project: Carmel Regional Performing Arts Center (Name of Firm Giving Release) (Project Name) 521, 6th Ave Carmel, IN (Business Address) (Project Address) • St-Georges(Quebec) G5Y OH1 (City,State,Zip Code) Contact Person: Steeve Lapointe Project Manager: . Contact Telephone: 418-228-5104 Project Telephone : CONDITIONAL RELEASE UNCONDITIONAL RELEASE The undersigned does hereby acknowledge that The undersigned does hereby acknowledge that the upon receipt by the undersigned of a check from (Name of undersigned has received progress payments in the sum Firm writing check): The Pedcor Companies of$ 1,446,567.65 in the sum of$ 454,849.95 for labor, services, equipment or materials furnished to the and when the check has been properly endorsed and has above referenced job and does hereby release pro tanto been paid by the bank upon which it was drawn, this any and all claims and rights of lien which the • document shall become'effective to release pro tanto any undersigned has on the above referenced job. This and all claims and rights of lien which the undersigned release covers all payment for labor services, equipment, has on the above referenced job. This release covers a materials furnished and/or claims to the above referenced progress payment for labor, services, equipment, job through(date) 05/31/2010 materials furnished and/or claims through (date) only and does not cover any retention or items furnished July 31st, 2010 after that date. only and does not cover any retention or items furnished after that date. Before any recipient of this document NOTICE: THIS DOCUMENT WAIVES RIGHTS relies on it said party should verify evidence of payment to UNCONDITIONALLY AND STATES THAT YOU HAVE the undersigned. BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS • DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. I CERTIFY UNDER PENALTY OF PERJURY UNDER LAWS OF THE STATE OF QUEBEC THAT THE I CERTIFY UNDER PENALTY OF PERJURY UNDER ABOVE IS A TRUE AND CORRECT STATEMENT. LAWS OF THE STATE OF QUEBEC THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT. Sig Signatu (AUtho Corporate Othcer/Partner/Owner) (Authorized ' orate Officer/Partner/Owner) -Germain Alexandre,Ass.General Manager (rue) Germain Alexandre,Ass.General Manager (Title) Dated this 2nd day of A ugust , 2010 Dated this 2nd day of August , 2010 at: St-Georges, Beauce Quebec . • at: St-Georges, Beauce, Quebec . Subscribed and sworn before me day and year first above written: Subscribed and sworn befor�� r ���,isermenation written: Commissioner for oath �Commissaire I'Assermentation Gdanon Poulin "144 ,, %y„'r yt_, Commissioner for oath Ndt'ai Public Manon Poulin p��, ` # 163 850 My commission expires: W4\630013 Notary Public Disiriet Beauce-Quebec District Beau8B-Quebec My commission expires: May 10 -Quebec District Beauce-Quebec District •