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Home My WebLink AboutPoynter Sheet Metal - $66,690 Disbursement Instructions (PAC Air Handler Equipment) Regions Bank hereby is Instructed to make a disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of)Borrower in: (a)the amount of the "Total Authorized Disbursement" line in the "Amount of Authorized Disbursement"column below; and (b)accordance with the terms and conditions of the Agreement, the other Loan Documents, and the Disbursement Instructions. Purpose of Authorized Disbursement Amount of Authorized Disbursement A NU/1f h le 1 4:1 4 y Y 1499. FinitntiAl Fe LiNary work ( Ptointet) ,$ �', 869.2p Merct work (Pbyn'ep) .s7 820.80 Total Authorized Disbursement lt` 0B- l: ', All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (PAC Air Handler Equipment), dated January 28, 2010, by and between Lender and Vil g Financial, LLC. Dated: 5 5- CITY OF CARMEL REDEVELOPMENT -- E ELOPMENT COMMISSION ►��`�'' By ------- Printed Les S. b(a s Title EXEC;Ai IY'e Direc-f ar Draft PAC Air Handling Equipment (Poynter) Up Through November 2009 IPC Amounts through application 16 Completed and Stored to date $ 934,800.00 Retention held (based on 5% retention) $ 46,740.00 Paid to date $ 888,060.00 Amount reimbursed to CRC $ 888,060.00 February 2010 Application 19 Completed and Stored $ 9,336.00 Retention held (based on 5% retention) $ 466.80 Amount to be paid by Village Financial $ 8,869.20 March 2010 Application 20 Completed and Stored $ 60,864.00 Retention held (based on 5% retention) $ 3,043.20 Amount to be paid by Village Financial $ 57,820.80 APPLICATION AND CERTIFICATION FOR PAYMENT Ali.DOCUMENT G702 PAGE ONE OF 1 PAGES 2 TO OWNER: PROJECT: Parcel 7A.Regional Performing APPLICATION NO 19-A Distribution to: Carmel Redevelopment Commission Arts Center DOWNER One Civic Square PERIOD TO: 28-Feb-l0 nARCIIITECT Carmel-IN 46032 FROM CONTRACTOR: VIA CONSTRUCTION MANAGER:Shiel-Sexton Co.,Inc PROJECT NO: 2695-4310 F.—ICON/TRACTOR Poynter Sheet Metal,Inc. Alt: Lynda Weaver I'SM 4: 14065 0 8768 N.SR 37 902 N.Capital Avenue El Bloomington.IN 4741)4 Indianapolis,IN 46204 CONTRACT DATE 18-Apr-08 CONTRACT FOR: 18163-1570-0(1-00133 CONTRACTOR'S APPLICATION FOR PAYMENT rite undersigned Contractor certifies that to the best of the Contractor's knowledge. Application is made for payment.as shown below.in connection with the Contract information and belief the Work covered by this Application for Payment has beer Continuation Sheet,AIA Document G703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received front the Owner,and that current payment shown herein is now due. I. ORIGINAL CONTRACT SUM $ '1,005.000 2. Net change by Change Orders $ 0 CONTRACTOR:Poynt reel Metal 3. CONTRACT SUM TO DATE(Line I .±2) $ 1,005.000 � 4. TOTAL COMPLETED&STORED TO $ 934,800 9 .,1: . ^' h /O DATE (Column G on G703) By: & Date: U3/O- / 5. RETAINAGE: Joseph La sdcll,PO a. 5 %of Completed Work $ 50,250 State of:Indiana County of: Man . (Column D+Ii on G703) Subscritxd and sworn to before me,hiss day of M f . �fiB3-• o2,O 1Q h. %or Stored Material $ 0 E '�iel'��l, 4 (Column F on G703) Notary Public: �J� ./ My Commission expires: n / / Total Rctainngc(Lines Sa+56 or Oa o2 I;rte'/o2Q Total in Column 1 of G703) $ 50,250 ARCHITECT'S RT ICAT FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 884,550 In accordance with the Contract Documents,based on on-site observations and the date (Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge.information and belief the Work has progressed as indicated PAYMENT(Line 6 from prior Certificate) $ 875.214 the quality of the Work is in accordance with the Contract Documents.and the Cnntraetot 8. CURRENT PAYMENT DUE $ 9.336 is entitled to payment.of the AMOUNT CER'T'IFIED: p` 9. BALANCE TO FINISH.INCLUDING RETAINAGE $ 120,450 (Line 3 less Line 6) AMOUNT CE TIFIE $ 11"314P•. p AMOUNT �fYS'r.dtgl ik4 rr14l 3.113•L0I 0 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (A web l ra r r L u from the amount apphe J. 'Taal fight, t his Total changes approved ,Ipplicmio,,ft d on to 'ontinnation Sheet that are changed so conform with the amount certified) in z ::s by:tcr $0 $0 ARCH1 ),� i. _.- 0 �r I ) 1 ' 3 j � M $0 $0 By: • -'r -' Date: TOTALS $0 SO This Certificate is not negotiable. The AMOUNT CERTIFIED is.payable only to the Lunttheun muueu=eat.Issulmce.paynlein uuu ueceputnee of payulem sic%imam' NET CHANGES by Change Order $0 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702.APPLICATION AND CERTIFICATION FOR PAYMENT'1992 EDITION•AIA•01992 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE..N.W..WASHINGTON.OC 20000-5292 CONTINUATION SHEET AM DOCUMENTG703 2 PAGE OF PAGES 2 A1ADocamcntG702'.APPLICATION"AND:CIR CERTIFICATION FOR PAYMENT;containing APPLICATION NO: 19-A Contractor's signed certifiention is attached. APPLICATION DATE: 2/10/2010'. In tabulations below.amounts are stated;to the nearest'dollitr• PSM JO134: 14065 PERIOD`TO:' 2/28/.2010' Use.Column.1 on Contracts where variable relainage for line items may apply. NAME:' Carmel PAC CONTRACT"NO::2695-4310 A 13 C D. E F G 1I 1. LINE DESCRIPTION,OF-WORK SCIIEDULED WORK COMPLETED MATERIALS TOTAL BALANCE RETAINAGE NO VALUE FROM PREVIOUS .THIS PERIOD PRESENTLY COMPLETED (G4"C) TOITNISII (IF VARIABLE APPLICATION STORED AND STORED' (C-G) RATE) (D.+E) (NOT IN TO DATE D.ORE): (DIE F) 5% 1 GENERAL CONDITIONS 2 BOND:&INSURANCE 3 MOBILIZATION 4 ALLOWANCE NO 11 BP 4310 5 ALLOWANCE NO 16 CAD AS-BUILTS fi DRAWINGS/COORDINATION 7 EQUIPMENT 8 AIR HANDLERS 550,000:00 550,000.00 $0 $0 $550,000 100% $27,500 9 LOUVERS 27,000.00 27,000:00 $0 $0 $27.000 100% $1,350 10 GRILLES/REGISTERS/DIFFUSERS' 62,200.00 0.00 $9;336 $0 $9:336 15% $52.864 $467. I I FIRE DAMPERS 23,200.00 23,200.00 $0 $23,200 100% $1.160 12 VOLUME'DAMPERS 6,600:00 6,600:00 $0 $0 $6.600 100% $330 13 SOUND ATTENUATORS. 66,000:00 66,000.00 $0 $0 $66;000 100% $3.300, 14 FANS 192,000.00 192,000.00 $0 $0 $192.000 100% $9.600.. 15 CHIMNEY FANS 8,000.00 0.00 $0 $0 $0 0% $8,000 $0 16 VAVIBOXES 70,000.00 70,000.00 $0 $0 $70.000 100% $3:500' 17 18 19 20 21 23 24 25 $1,005,000' 934;800; 9,336 0 944,136 94% 60,864 50,250 ti P IFI-LIVP11 IV1I1 Mltl✓ VL111 III-IVM1 L s-V11 1 M 11VIG1V 1 I.VINJ1KW..IIVIV IVIH1NHbCK-HUVIJCK CIA 1KAN AIA DOCUMENT 6702/CMa PAGE ONE OF 4 PAGES TO OWNER: PROJECT: Parcel 7A, Regional Performing APPLICATION NO: 20A Distribution to: Carmel Redevelopment Commission Arts Center y �• OWNER One Civic Square � PERIOD TO: 3/31/10 (CONSTRUCTION Carmel, IN 46032 �\"�" PROJECT NO: 2695-4310 MANAGER FROM CONTRACTOR: VIA CONSTRUCTION M�,, \, 6 'R: ��SQhhict4 �UCo., nc\ (PSM#14065) ARCHITECT POYNTER SI IEET METAL ATTN: Lynda Weaver,902 N. Capitol. • e.Olh`dnapolis, IN 4620 CONTRACT DATE: 04/18/08 (CONTRACTOR 8768 N. STATE RD. 37 VIA ARCHITECT: BLOOMINGTON.IN 47404 CONTRACT FOR: Bid Package#4310-HVAC Sheet Metal ` 'i•„-''- . CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,AIA Document G703, is attached. completed in accordance with the 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 payment shown herein,is now due. I. ORIGINAL CONTRACT SUM $ 1,005,000.00 2. Net change by Change Orders $ 0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line I ±2) $ 1,005,000.00 lig 4. TOTAL COMPLETED&STORED TO DATE $ 1,005,000.00 . we (Column G on G703) By: '" Date: 3/o/Q5//d 5. RETAINAGE: 5%of Contract Total Joseph V.Larval-Pre-:dent a. 5 %of Completed Work 5 50,250.00 State of: M , ►.. County of MONRO' (Column D+E on G703) Subscribed and sore me this •• r� day of Mar, cti.2Q/Q b. 10 %of Stored Material $ 0.00 Notary Public: ' (Column F on G703) My Commission expires: August 29,2114 Total Retainage(Lines 5a+5b or Total in Column I of G703) $ 50,250.00 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE 954,750.00 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 less Line 5 I otal) S comprising this application,the Construction Manager and Architect certity to the 7. LESS PREVIOUS CERTIFICATES FOR Owner that to the best of their knowledge,information and belief the Work has PAYMENT(Line 6 from prior Certificate) $ _893;886:00 progressed as indicated,the quality of the Work is in accordance with the Contract 8. CURRENT PAYMENT DUE $ 60,861.00 Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 50,250.00 //__ WI (Line 3 less Line 6) AMOUNT CERTIFIED $ 4D f t7�o CHANGE ORDER SUMMARY ADDI I IONS DEDUC DONS (Attach explanation if amount certified differs frc the amount applied for. Initial all Total changes approved figures on this Ap, 'cation and on the .ntinu• ion S eet that changed to conform to the in previous months by Owner $0.00 amount certified. Total approved this Month $0.00 $0.00 BO TRUC,. ...g ' 9.3 0 pp Y� ��r.i..:. �ii�/� � Date: BR .. III ' V' 4/� TOTALS $0.00 $0.00 AR t Date: NET CHANGES by Change Order $0.00 This Certi icate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance,payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIAUOLUMEN C, 12CMa- - C• •' •'ICE- C• •' •- •••M N C•ipI2 -IC, •' .•'A,E--•• SER U UN 1992 ED IION- •A 01992 C,102ICMa-1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1745 NEW YORK AVE.,N.W.,WASHINGTON,DC 20006-5292 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity l CONTINUATION SHEET AL4 DOCUMENT G703 2 PAGE OF PAGES 2 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 2 OA Contractor's signed certification is attached. APPLICATION DATE: 3,%12;2010 In tabulations below,amounts are stated to the nearest dollar. PSM JOB#: 14065 PERIOD TO: 3/31/2010 Use Column I on Contracts where variable retainage for line items may apply. NAME: Carmel PAC CONTRACT NO: 2695-4310 A B C D I E F G H I LINE DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G=C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D ORE) (D+E+F) 5% 1 GENERAL CONDITIONS 2 BOND&INSURANCE 3 MOBILIZATION 4 ALLOWANCE NO 11 BP 4310 5 ALLOWANCE NO 16 CAD AS-BUILTS 6 DRAWINGS/COORDINATION 7 EQUIPMENT 8 AIR HANDLERS 550,000.00 550,000.00 $0 $0 $550,000 100% $27,500 9 LOUVERS 27,000.00 27,000.00 $0 $0 $27,000 100% $1,350 10 GRILLES/REGISTERS/DIFFUSERS 62,200.00 9,336.00 $52,864 $0 $62,200 100% $3,110 1 I FIRE DAMPERS 23,200.00 23,200.00 $0 $0 $23,200 100% $1,160 12 VOLUME DAMPERS 6,600.00 6,600.00 $0 $0 $6,600 100% $330 13 SOUND ATTENUATORS 66,000.00 66,000.00 $0 $0 $66,000 100% $3,300 14 FANS 192,000.00 192,000.00 $0 $0 $192,000 100% $9,600 15 CHIMNEY FANS 8,000.00 0.00 $8,000 $0 $8,000 100% $400 16 VAV BOXES 70,000.00 70,000.00 $0 $0 $70,000 100% $3,500 17 18 19 • 20 21 22 23 24 25 / $1,005,000 944.136 60,864 0 1,005,000 100% 0 50,250