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Spohn Associates - $194,484.35
Disbursement Instructions 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 Due" line in the "Amount of Current Authorized Disbursement' column below; and (b) accordance with the terms and conditions of the Agreement, the other Loan Documents, and the Disbursement Instructions. Description of Work Scheduled Value,or Contract_ Amount Percent Complete or Contract Amount Owed Amount of Prior Authorized Disbursement Amount of ,Current Authorized Disbursement Amounts to be paid by Carmel Theater Development Company, LLC as per.the Interior Orrianienlal Installment purchase contract Application 13 (Spann) August 2010 $ 141,741.00 Application 14 (Spohn), September2010, $ 49,183.35 Application 7 (Leach and Russell) September 2010 $ 3,560.00 Grand Total {TotaliDue a �' , , _ J ,$i9d!484:35t CRC has inspected the portions of the PAC Equipment completed by Borrower to confirm the Percent Complete in the applicable column above. CRC either has received or waived receipt of conditional hen waivers and other submittals required to be made by Borrower in connection with a disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of) Borrower. All terms used in these Disbursement Instructions without:definition shall have the meanings ascribed thereto in that _certain Loan Agreement (Theater Building Base Structure), dated as of June 30, 2009, by and between Lender and.Carmel Theater Development Company, LLC., as amended by that certain Amendment to Loan Agreement, dated January 28, 2010, by and between the same parties. Dated: - o CITY OF CARMEL REDEVELOPMENT COMMISSION By Printed Title Les S. Olds Executive Director Draft PAC Interior Ornamental (Spohn Associates) Up Through November 2009 Total Contract Amounts through application 5 Completed and Stored to date $ 227,259.00 Retention held $ 22,725.90 Paid to date $ 204,533.10 Amount reimbursed to CRC $ 204,533.10 December 2009 Total Contract Amount for application 6 Completed and Stored to date $ 73,585.00 Retention held $ 7,356.50 To be paid $ 66,226.50 Paid by Carmel Theater Development Company $ 66,226.50 January 2010 Paid by Carmel Theater Development Company $ 559,738.80 February 2010 Paid by Carmel Theater Development Company $ 110,212.20 March 2010 Paid by Carmel Theater Development Company $ 120,136.50 April 2010 Paid by Carmel Theater Development Company $ 96,047.00 May 2010 Paid by Carmel Theater Development Company $ 100,869.00 July 2010 Paid by Carmel Theater Development Company $ 321,154.00 August 2010 Amount to be paid by Carmel Theater Development Company $ 141,741.00 September 2010 Amount to be paid by Carmel Theater Development Company $ 49,183.35 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 /CMa CONSTRUCTION MANAGER - ADVISER EDITION PAGE ONE OF PAGES TO OWNER: PROJECT: CITY OF CARMEL, INDIANA REGIONAL PERFORMING ARTS CENTER ONE CIVIC SQUARE CARMEL, IN 46032 FROM CONTRACTOR: SPOHN ASSOCIATES, INC. 7150 WINTON DRIVE, STE #100 INDIANAPOLIS, IN 46268 VIA CONSTRUCTION MANAGER: CONTRACT FOR: Ornamental Railing VIA ARCHITECT: CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract Continuation Sheet, AiA Document G703, is attached. I. ORIGINAL CONTRACT SUM 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line 1 ± 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) 5. RETAINAGE: a. %of Completed Work 5 (,CCo1 innD +Eon.G703) b. % of Stored Material S (Coimmn F on G703) Total Relainagc (Lines Sa + 5b or Total in Column I of G703) 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR. PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH,•rNCL1JDING RETAINAGE (Linea less Line 6) APPLICATION NO: 13 Distribution lo: 1 OWNER PERIOD TO: 8/31/10 1 CONSTRUCTION PROJECT NO: MANAGER ARCHITECT CONTRACT DATE: 11/17/08 nCONTRACTOR 2,173,370.00 (55,417 (la) S9,117,95R_00 105,897.90 5 105,897.90 5 1,720,658.10 S1,578,917.10 S 11.741 no S 39.7_299.90 CHANCE ORDER SUMMARY ADDl1IONS DEDUCTIONS Total changes approved in previous months by Owner 55,412.00 Total approved this Month TOTALS 55.412.-00 I ) NET CHANGES by Change Order (55 , 412.00 A!A UDLw .RF&sO2ICMAa u APFLiCATioTTpJ u e Tu- CAT1DN FUWPYYTTEN ?i The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that atl amounts have been paid by the Contractor for Work for which previous Certificates for Payment %vere issued and payments received from the Owner, and that current payment shown herein is now due. CONTRACTOR: Spohn Associates, Inc. State of: Indiana Subscribed and swotrito before me this Notary Public: My Commission PIm*: 1/9/16 Date: R /25/10 County of: Marion 25th day f August, 2010 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their knowledge, infomTation and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED ea 5 1(-1 ,--N1 (Attach explanation if amount certified dijThrs from the amount applied for. Initial all figures on this Application and on the Continual • n Sheet that changed to conform to lire amount cerlifie • Crs • TRU AGER: AR By: Date: Date: This Certificate is oliable. The AMOUNT CERTIFIED is payable only to the Contractor nam • crein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. • • 1 i • ,a a•. r. J. , , • , •••• 1 • p. 1 • THE AMERTCFH INSTrTUTE OF ARCHITECTS, 1745 HEW YORK AVE., ILW„ WASHINGTOII DC 200063292 SCHEDULE OF VALUES SPOHN ASSOCIATES-INC. Project: ,City of.Carmel, Indiana One Civic "Square Carmel, IN 46032 Job,No: 2695 Trade Item.:Contract 5030 - Interior Ornamental Steet.and Railings Application, Number 13 ,Period To: 8/31/2010 Spohn Project No:. 28 -1062 A B C D I E F G. H I !tam No. Description of work Scheduled Value Work Completed Materials Presently Stored, (Nat in.D ar,E), Total Completed: to Delo (EH- E) .Com- plate (CJG); 'Balance to Finish (C -G) Ratainage From Previous Application Tie Period 1 Performance,and:Payment Bonds .5 13 ;860 '5 13,860' '5 - ' 5 - $ 13,860 .100% 5' - 5 - 2 Engirieering"- Submittal 5 105;000 : S 105,000 :5 - 5 - $ 105;000 100% 5, - $ - 3 Engineering.- File:and Field 5; 102;944 :$ 77 ;208 5 25;736 $ - $' 102,944 100% S. - S - 4 Contract Allowance 5 100.000 :g 87,04. .:a 6,475,, ,.5 - 5 93,949 94% 5 6,051' 8 - 5 CAD. - as built,drawings 5 10,000 '8 5 ;000 .5 - 'S - S 5,000 50% S 5 ;000 Tomporary.Rail Removal $ 6;000 .5 , 2,614 '5 - 5 2,614 44% $ 3;386 6 Elevator Cab Cladding 5 90;670 .S - $ - 5 - $ - 0% 5 90,670 5 - SteolStairs Stair #9 7 Material 5 72,565 $ 72,565 $ - 5 - $ 72 ;565 -100% $ - 5 - 8 Labor 5 26,816 5 26;816 .5 - S - 5 26,816 100% 5 - S - Stair 410 9 Material 5 72,565 tS 72,565 .S - 5 - 5 72;565 100% 5' - 5 - 10 ,Labor $ 26,816 ;5 26;816 5 - '5 - S 26,816 100% 5 - $ - Stair #15 11 Material 5 20,034 5 20,034 S - '5 - .5 20,034 -100% S - 5 - 12 Labor 5 4;283 -5 4;283 5 - $ - 5 4 ;283 100% 5 - S - Stair #16 13 Material 5 20,034 $ 20,034 S - 5 - $ 20,034 100% 5, - S. - 14 Labor 5 '4,283 ,5 4;283 .5 - 5 :S 4,283 100% 5 - 5. - Stair #29 15 Material 5 19,850 -$ 19:850 5 - iS - $ 19;850 100% 5 - S - 16 Labor 5- 5.125 -5 5,125 S S 5 5,,125 100 %u $ - 5 - Stair #30 . 17 Material S 19,850 5 19,850 S - 5 - 5 19,850 -100% 5 - 5 - 18 Labor 5 5,125 S 5,125 S - :5 5 5,125' '100% S - 5. - Ornamental Railings Orchestra Low 19 Material 5 18;200 5 18;200 5- - ;$ - .5 18,200 100% 5 - 5 - 20. 'Labor 5 7,800 S 1,950 5 1,950 5 - 5 3,900. 50% S' 3,900 5• - Sub- Totals S 751;820 $ ,608,652 5 34;161. :5 - '5 642,813. 0% 5' 109,007' 5' - SCHEDULE OF- VALUES' SPOHN ASSOCIATES INC. Project: City or Carmel, Indiana One ;Civic ;Square, Carmel, IN 46032 Job No: 2695 Trade Item: Contract 5030 - Interior Ornamental Steel and. Railings Application Number. 13 Period To:. 8/31/2010 Spohn Project No: 28 -1062' A B C o 'E F G H I Item No. Description or vioik - Schooulod Value Work Complelod Materials 'Presendy,Slored (Not in 0 or Ej Total Contnlotaa to Data .(0 + Et Campta! c (C pt 'Balance io Finish (-G( Retairiapo From Previous Application This Poriod Orchestra:High - Hall ' 21 Material S 32,500 _$ 32:500 $ - •5 - $ 32,500 100% S - 5. 2;275' 22 Labor Box Tier -- Hall $ 20,800 ' 5 8 ;320, 5 2,080 .S - '5 10,400 50% $ 10;400' $ 104 23 Material S 78,000 $ 78,000 S - S - S 78,000 100% S - S 5;460, 24 Labor S: 32 ;500 ,S 13;000 5, 3,250 S - 5 16,250 50 %. $ 16;250 $ 163'• Baicony.Low- Hall 25 Material S 58,500 $ 58,500. 5 - S - S 58,500 100% S - S 4,095: 26 Labor S 32;500 :5 13 ;000 5: 3,250 5 - S 16,250 50% 5 16;250 $ 163; Balcony High -- Hall „ 27 Material 5' 78,000 $ 78,000' 5, - •5 - 5 78,000 100% 5 - 5. 5,460: 28 Labor $ •58,500 S 23,400. S. 5,850 .5 - S 29,250 50% S 29,250 $ 293 Railing @ Stairs,,.& Ramps In Hall Ramps: & - Stairs #11, 12, 13, and :14 29 Material S 26,000 $ 26 ;000: $ - S - $ 26,000 100% $ - S 1',820 30 Labor 5- 16,900 '5 - S 4,225 $ - 5 4,225 25% S 12,675 S - Railing @,Monumental- Stairs .Stair #9 31 :Steel /Bronze,Malerial S- 160,000 .5 160 ;000 5 -. S - 5 160,000 100% 5 - S 1:120 32 SteelhBrorize Labor $ 70,000 :5 14;000 $ 21,000 .5 - S 35,000 50% '5 35;000' S 280' 33 Glass-Material 6 5,000 S 1,506. 5 - 5 6 1,500 30% .5 3,500 5 - 34 .Glass Labor $. 2,000 $ - S' - $ - 5, - 0% „$ 2,000 S - Stair-#.10l 35 'SteeliBronze;Material $ 160,000 :5 160,000- 5 - ,$ - 5' 160,000 100% ,S - S 1 ;120' 36 Steel/Bronze Labor 5 70,000 $ , 35,000: $ 17 ;500 '5 - $ 52,500 75% 5 17.500 5 280 37 Glass Material 5' 5,000 -5 1 ;500 5 - 'S - $ 1,500 30 %'5 3,500 $ - 38 :Glass Labor S .2,000 5 S $ $. 0 %' $ 2:000 $ 'Stair. #15 39'• Steel /8ronze`Material $ 12,500 S 12:500. - -S - S 12;500 100% S - 5 875. 40, Steel /Bronze Labor S -5;500 $ 2,750 $ 1,375 -S - 5, 4,125 75% $ 1,375 5 17 -41, Glass Material $ 1,500 '5 - S - .5 - S -- 0% 5 1,500 5 - 42: .Glass'Labor S 500 '5 - 5 - 5 - 5 - 0% "5 500' 5 - :43: - Stair. #16, SIeeUBronze,Material 5 12,500 :S 12,500. 5 '5 - $ 12,500 '100% $ - 5 -675 44: Steel/Bron2@,Labor $ .5:500 $ 2,750' S 1,375 '5 - 'S' 4,125 75% 5 1,375 $ 17' -45' Glass- Material S 1;500 :5 - 5' - ;5 - $ - 0% l5 1,500 S - .46i Glass Labor S' 500 5 - $ - -5 - 5' - 0% '5 500 5 - Sub-Totals' 5' 1.700,020 -5 1 ;341,872 5 94,066 5 - $ 1,435,938 0% $ 264;082. $ 24 ;417 SCHEDULE OF VALUES SPOHN ASSOCIATES INC, Project: City of Carmel,, Indiana One Civic:Square Carmel, IN 46032. Job No: 2695, Trade Item: Contract-6030 - InteriorOrnamentai Steel and Railings' Application Numbe 13 Period To: 8/31/20.10 Spohn Project No: 28 -1062 A B :C D I E F 'G: H .1. Item No. Description of work Scheduled Value'' Work Completed Materials Presently.Stored (Not in',D or E) Total :Completed to,Date• (D.+ E) Comple le (CIG)• Balance toFinish (C-G) Retainage From Previous Application' This Period Railing @ MonumentatStairs,(Con't) Stair #29 , 47 Steel /Bronze Material 5 12,500 12,500 5 - 5 - 5 12,500: 100° 5 - 5 48. Steel /Bronze:Labor S" .5,500 2;750., 5 1,375; 5' - '5 025 7,5% $ 1,375 ,S - 49. Glass Material Sr 1,500 - .S 1,500 S - 5 1,500' 100' 15 - ,S - 50 Glass-tabor 5' 500 - 5 - S - 5 - 0% 5 '500 S - Stair #30 51 Steel /Bronze Material 5 12,500 12;500 ,S - 5 - .5 12;500 100% 5 - 5 - 52 Steel/Bronze, „Labor S 5,500 2;750 5 1,375 S - $ 4,125 75% .5 1;375 S - 53 Glass Material 5 1,500, : 5 1,500. $ - 5 1;500. 100% 5 - S - 54' Glass Labor 5 500 - S - 5 - 5 - 0% 5 500 .5 - Railing @'Lobby.Balconles East Lobby 55 Steel /Bronze Material $ 85,000 •85,000 5 - 5 - S 85,000 100% ,'S - 5 - 56 Steel(Brdnze Labor $ 40;100 32;080; $ - S - S 32,080 80% 'S '8;020 S - 57 'Glass Material S' 1,400 1;400; 5 - 5 - $ .1,400 100% 5 - 5 - 58 Glass. Labor 5. 500 375; ,$ 125. 5 - 5 500 100% '5 - 5 - West Lobby 59 Steel/Bronze Material S 80,600 80,600' .5 - $ - 5 80,600 100% 5 - 5 - 60 Steel /Bronze,Laber 5 38,250. 30',600 'S - .5 - 5 30;600 '80% :5 7,650 S.. - 61 Glass Material 5. 1,000 1,000 .5 - $ - S 1,000 100% `S - 5 - 62 Glass Labor 5 500' - 5 - 5 -' 5 - 0% 5 500 S - South Lobby 63 Steel /Bronze :Material $ ;84,000; 67 ;200 '5 16,800 .5 - 5. 84,000 100% 5 - S; - 64 Steet/Bronze,Labor 5 34,500- .27;600 5 - '5 -• 5. 27;600 80° • 5 6,900 5' - 65 Glass Material $ 1,000 1,000 :5 - S - 5: 1;000 100% -5 - s - 66 Glass Labor $ 500 5 - 0 °4 5 500 67 Field ,Survey Stairs $ 16;000 16,000 -5 - 5 - 5 16;000 100% S - 5 - 68 Field'Survey Rails S. 50,000' 25;000 '5 .25 ;000 '5 - S 50,000 100 %' =S - 5 - 69 Change Order #1. 5 (55,412) (55 ;412) 5 5 (55,4121 100% -S - 5' - Totalst 5, 2,117,958°' "5 '1 :684;815 '5 141,741 '5 - $ 1;826,556 .86% •$ .291 ;402. 5105,897.90 AFFIDAVIT AND WAIVER OF LIEN Final X Partial X Payment to follow State of Indiana, County of MARION . SS SEAN O. BARNETT (None of Officer) SPOI-iN ASSOCIATES, INC. being duly sworn states that he is the CHIEF FINANCIAL OFFICER of (Title) having contracted with CITY OF CARMEL. INDIANA to furnish (Subcontractor /Supplier) (Contractor) certain materials and /or labor as follows INTERIOR ORNAMENTAL STEEL AND RAILING (Description) for a project known as REGIONAL PERFORMING ARTS CENTER located at CARMEL. IN and owned by SAME (Owner) and does hereby further state on behalf of the aforementioned subcontract/supplier: (PARTIAL WAIVER) that there is due from the contractor the sum of ONE HUNDRED FORTY ONE THOUSAND SEVEN HUNDRED FORTY ONE ( ( Dollars ($141,741.00) ) Receipt of which is hereby acknowledged: or ) The payment of which has been promised as the sole consideration of this Affidavit and partial Waiver of Lien which is given solely witli respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned: (FINAL WAIVER) that the final balance due from the contractor is the sum of N/A ( ( Dollars ($ ) ) 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 shall become effective upon receipt of such payment. TI-IEREFORE, the undersigned waives and released unto the Owner of said premises, any and all lien or claim whatsoever on the above - described property and improvements thereon account of LABOR or material or both; furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any: and further Certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project and within the scope of this affidavit and waiver. SPOHN ASSOCIATES. INC. By (Firni) (Authorized l'cscntative) WITNESS MY HAND AND NOTARIAL SEAL this My Commission Expires: 1/9/2016 Title CHIEF FINANCIAL OFFICER Residing in MORGAN County Printed: SANDRA F. ZOOK APPLICATION AND CERTIFICATE FOR PAYMENT AM DOCUMENT G702 /Clvla CONSTRUCTION MANAGER - ADVISER EDITION r'q PAGE ONE OF PAGES 7 TO OWNER: PROJECT: CITY OF CARMEL, INDIANA REGIONAL PERFORMING ARTS CENTER ONE CIVIC SQUARE CARMEL, IN 46032 FROM CONTRACTOR: SPOHN ASSOCIATES, INC. 7150 WINTON DR., STE 100 INDIANAPOLIS, IN 46268 VIA CONSTRUCTION MANAGER: CONTRACT FOR: Ornamental railing VIA ARCHITECT: APPLICATION NO: 14 Distribution lo: nOWNER PERIOD TO: 9/30/10 CONSTRUCTION PROJECT NO: MANAGER ARCHITECT CONTRACT DATE: 11/17/08 CONTRACTOR CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document 0703, is attached. I. ORIGINAL CONTRACT SUM 2. Net change by Change Orden 3. CONTRACT SUM TO DATE (Line 1 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G an 0703) 5. RETAINAGE: a. % of Completed Work S 101,999.55 (Column D + E on G703) b. % of Stored Material 5 (Zo i nri F on G703) Total Retainagc (Lints 5a + 5b or Total in Column 1 of 0703) 6. TOTAL EARNED LESS RETAfNAGE (Line. 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) S 2,173,370.00 5 (133,379.00) S 7,09,991 00 S 1,871,841.00 S 101,999.55 5 1,769,841.45 S 51,720,658.10 S 49,183 'I5 S 970,149 5S CHANiiE ORDER SUMMARY ADU1 I IONS DEDUCTIONS Total changes approved in previous months by Owner 55,412 Total approved This Month 7 7.9 6_7 TOTALS 133,379- t. NET CHANGES by Change Order (_133 ,3791 'V. 11 1. r Of • u 1• • 1• . \• e M • The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that off amounts have been paid by the Contractor for Work for which previous Certificates for Payment %verc issued and payments received from the Owner, and that current payment shown herein is now due. CONTRACTOR: Spohn Associates, Inc. By: Date: 9/77/10 Statc of: Indiana County of :� of Subscribed and sw to before me this 22nd da Sept . , 2010 Notary Public: My Commission expires: 1 /9/16 CERTIFICATE FOR PAYMENT In accordance with the Contract.DoculnenLs, based on on -site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to poyntcnt of the AMOUNT CERTIFIED. AMOUNT CERTIFIED S �-=-t '1 1,r4;c13) (Attach explanation if amount certified dialers from the amount applied for. Initial all figures on This Application and on the Cordial, ..r'Sheet that changer! 10 conform 10 the amount certffr CO' TRUC ', • '•AGER: By: ,I t 4 ' Dale: AR _ 011/ By: 9, Date: This Certi6cale is not negotiable. The AMOUNT CERTIFIED is payab c only to die' Contractor named herein. Issuance, payment and acceptance of payment are tvithout prejudice to any rights of the Owner or Contractor under This Contract. •- ,1 e• r, v 1 1. 1 THE MERICN-1 ntS1TTUTE OF ARCH11ECTG, 1745 NEW YORK AvE., ILW, W;SHINGTO3t, DC C C-6 2 11 •Y1 r-I n J 1-, .n It IT .1 I q -ier-. nr SCHEDULE OF VALUES SPOHN:ASSOCIATESINC. Project: City of Carmel, Indiana One Civic Square Carmel „IN 46032 Job No: 2695 Trade Item. Contract 5030 - Interior Ornamental Steel and Railings Application Number, 14 Period To: 9/30/201b Spohn Project:No: 28 -1062 A 'B C D �- E "F G. H. I Item No. Description of work Scheduled'Velue Wetk Completed Malarials Prosontly Storod" (Nei inn orE) Total Completed .to Date (D +:E) 'Corot oleic' ,(C/a)' Baiancc to Finish (C -G), Rotainaee 'From "Previous AppGcalion This - Period 1 Porforrrfance and Payment Bonds $' 13;860 .5 13;860 '.5 - 5 - 5 13;860 100% S, - $ - 2 Engineering.: Submittal 5 105;000 5 105,000 $ - 5 - 5 105,000 100% 5 - -5 - 3 Engineering - File and. Field 5 '102 ;944 'S 102,944 '5 - 5 - 5 102,944 100% 5 - 5 - 4 Contract Allowance 5 100;000 ''5 93 ;949 '5 - 5 - S 93;949 94% 5' 6,051 5 - 5 CAD.- as built drawings $ 10,000 S 5,000 "5 - 5, - S 5,000 50% $. 5,000 Temporary Rail Removal 5 6;000 $ 2;614 '5 - 'S - 5 2,614 44% $ 3,386 6 Bronze Elevator Cladding 5 90;070 :5 - '5 77 ;967 S - 5 77,967 100% 5- 12,703 5 - Steel:Stairs Stair #9 7 Material $ 72,565 "5 72,565 1 - 5 - 5 72.565 100% $ - $ - 8 Labor 5 26,816 5 26,816 5 - S - 5 26,816 100% S - $ - Stair #10 9 Material 5" 72;565 5 72;565 .5 - 5 - S 72,565 100% 5 - 5 - 10 Labor S 26;816 .5 26,816 S - 5 - S 26,816 10.0% 5 - S - Stair #15 11 Material S 20;034 $ 20,034 `5 - 5 - 5, 20,034 '100% S - 5 - 12 Labor Stair #16 5 4;283 5 4,283, S - S - 5 4,283 100% 5" - 5 13 Material 5- 20;034 5 20,034 '5 - .5 - 5 20,034 100% S - 5 - 14 Labor 5 4;283 .5 4283 „5 - .5 - 5 4,283 100 ° /9 5 - 5 - Stair #29 15 Material 5, 19,850 5 1,9,650 5 - -5 - 5 19,850 100% S - S - 16 Labor 5- 5,125 $ 5,125 S - $ - .S 5,125 100% S - 5 - Stair. #30 17' Material 5' 19 ;850 '5 19,850 5 - 5 - 5 19,850 100% 5' - S - 18' Labor 5 5,125 5 5; 125 5 - $ - S .5,125 100% 5 - 5 - Ornamental Railings Orchestra: Low 19- Material 5 18;200 5 98;200 5 - .5 - 5 18,200 100% S - 5 - '20 Labor 5 7,800 .S 3,900 $ 780 S - 5 4,680 60% 5 3,120 5 - Sub- Totals S' 751 ;820 5 642,813 .5 78,747 '5 - :5 721,560" .0% :5 30,260 5 - SCHEDULE OF VALUES. SPOHN "ASSOCIATES INC. Project: City ot,Carmei, Indiana One Civic Square Carmel, IN 46032 Job No: 2695. Trade Item: Contract 5030 -„Interior Ornamental Steel and Railings' Application Number: ‘14 Period To: 9/30/2010 Spohn Project "No: 28 -1062 A 8 C 0 E F G 11 'Item No.. Descriplion of work Scheduled Value ,Work Completed Materials Ptesenlly'Slored (Not in 0 ar 51 'Total Completed to,Dato 10+ E) Camelot e (C!G) Balance' to EinaIi' IC-GI. Retauwpo From Previous Application This Period OrchestraHlgh - Hall ' 21. Material $ 32,500 :$ 32;500' $ - 5 - 5 32,500 100%' $ - $ - 22 Labor 5 20,800 $ 10,400 5 2,080 $ - '5 '12,480 609'0 •5 8 :320' S - Box T.ier.- Hall 5 - 23 Material S• 78,000 5 78,000 5 - $ - .5 78,000 100% S - 5' - 24. Labor 5 32,500 S 16,250:'• $, 6 :500 'S - '5 22,750 7,0% 5 9;750', 5' - 5 - 25 Material 5 58,500 $ 58,500'. $ - $ $ 58,500 100% 5 - $ - 26 Labor $ '32,500 $ 16,250 S 3,250 5 - S '19,500 60% $ 13,000 5 - Balcony, High -Mall $ - 27 M_ aterial $ '78,000 5 78,000' S - $ - 5 78,000 100% S - S - 28 Labor $ '58,5.00 5 29;250 '5 11,700 $ - $ 40,950 70% $ 17,550 $ - Railing @ Stairs,& Ramps In Hall, 5 - Ramps & Stalrs #11, 12; 13; and 14 5' - 29 Material $ 26,000 5 26,000 5 - 5 - $ 26,000 100% 5 - S. - 30 Labor 5' 16,900 .5 4,225 5 - 5 - 5 .4,225 25% S 12;675 S' - Railing @ Monumental Stairs S Stair #B $ - 31 Steel / Bronze,Material $ 160;000 5 160,000. 5 - $ - '5 160,000 100% $ - S - 32 Steel\Bronze Leber S 70,000 $ 35;000 '5 7,000 $ - 5 '42,000 60 %• $ 28,000. $ - 33 .Glass Material S 5;000 5 1,500 '5 3;500 '5 - $ 5,000 100% $ - $ - 34 Glass.Labdr 5, 2,000 $ - $ - $ - '5 - 0% S 2:000 $ - Stair,#10 • s - 35 Steel /Bronze,Material S 160,000 5 160,000 $ $ - 5 .160,000 100% 5' - S - 36 Steel /Bronze Labor _S 40,000 5 52;500 5. 3;500 S - .5 56,000 80% 5, 14,000. 5 - 37 Glass Material $ 5;000 -5 1 ;500 '5 3,500 $ - 5 5.000 100% 5 - . $ - 38 Glass'Lebor 5 2;00d 5 - S - $ - '5 - •0% 5 2,000' 5 - •Stair4 #15' $ - 39 Steel/Bronze•Material 5 12,500 '5 12,500 '5 - $ - 5 12,500 100% 5- - 5 - 40 Steel /Bronze•Labor 5 5;500 5 4,125 $ - 5 - .5 4,125 75% S 1,375, 5 - 41 Glass,Material 5 1,500 $ - '5 1,500 $ - 5 1,500 100% S - 5 - 42 Glass,Labor $ 500 5 5 - .5 - ,5 - 0% 5 500' $ - Stair "; 16 $ - 43 Steel /Bronze Material 5 12,500 $ 12 ;500 S - 5 - 5 '12,500 100% S - S - 44 SIeel/Bronze Labor 5' 5,500 .5 4,125, 's - $ - 5 4,125 75% S 1,375, 5 - 45 'Glass'Meierial 5. 1,500 5 - 5' 1,500 $ - '5 1,500 100% S - $ - 46' Glass'Labor .S' 500 t5 - :s - 5, - :s - 0% 5: 500. $ - Sub-Totals ' 5' 1,700,020 :S 1,435;938 .5 122,77.7 $ 5 1,558;715 '.0% 5. 14:005'. '.5 - SCHEDULE OF VALUES SPOHN ASSOCIATES INC. Project-City o6Calmel, Indiana One "Civic'Seuare Carmel, IN 46032 Job: No:'2695 Trade Ilem: "Contract 5030 - InteriorOrnamental'Steol and Rallings Application•Numbe 14 Period' To: 9/30/2010 ,Spohn.Project'No: 28 -1062 F G 'H . I Item No. Description or,wrk "Scheduled Vakre Work Completed Materials Presently Stored (Not•in D or. E) Total. Completed 'lo Date (0.t E)' Complo ,lo, (CIG) Balance to Finish (C-G) Retainage From:Provieus .Application This Period Railing @ Monumental Stairs (Con't) Stair. #29 47 Steel/Bronze:Material .5 12;500 .12,500 $ - '5 - 5' 12,500 100% $ -. $ - 48 Steel /Bronze Labor i5 5,500. 4 ;125 $ - :$ - 5 4,125 75% 5 1,375 $ - 49 Glass Material $ 1,500 1;500 5 - 5 - $ 1,500 1d0% $ - 5 - 50 Glass Labor ;5 .500 - -5 - 5 - 5 - 0% 5. 500 5 - 51 Steel /Bronze Material .S 12,500 12,500 5 - '5 - $ 12,500 100% S - 5 - 52 Steel /Bronze Labor S 5,500. 4,125 5 - 5 - 5 4,125 75% 5 1,375 $ 53 Glass Material 5 1,500 1,500 5 - ' 5 - $' 1,500 'i00% $ - $ - 54 Glass Labor •5 500 - '5 - $ - $ - 0% S 500 5 - Railing @'Lobby••Balconies East Lobby 55 'Steel /Bronze Material 5 85,000 85,000 5 - 5 - 5' 85,000 100% 5 - S - 56 Steel /Bronze Labor .5 40 ;.100 32,080 .5 - '5 - 5 32,080 80% 5 8,020 5 - 57 'Glass, Material 5 1,400 1 ;400 .5 - .S - 5 1,400 100% 5. - S - 58 Glass Labor $ 500 500 5 - .5 - '5 500 100' $ - 5 - West Lobby. 59 .Stec) /Bronze;Materiai '$ 80;600 80;600 5 - ,5 - 5 80,600 100° $ - 5 - 60 Steel /Bronze Labor ;5 38 ;250 30,600 $ - 5 - 5 30,600 80% 5. 7,650.. 5' - 61 Glass.Material:$ 1,000 1;000 S - 5 - 5' '1,000 100% $ - 5 - 62 Glass Labor $ 500 - $ - S - $ - 0% S 500 S. - South Lobby 63 Sleei /Bronze,Malerial 5 84,000 84;000 $ - $ - 5 84,000 'i00,% 5 - 5: - 64 Steel /Bronze•Labor :5 34 ;500 27,600 S - 5 - 5' 27,600 80% S 6 :900 5 - 65 Glass Material ;S 1,000 1,000 5 - $ - 5 1,000 100% S - S - 66 Glass Labor '5 '500 S 475 $ 475 95% $ 25 67 Field :Survey Stairs .5 16,000 16;000 5' - 5 - 5 16,000 1,00% $ - 'S - 68 Fielii.SurVey:Raiis S 50,000 50,000 5 - S - 5 50,000 100,% $ - 5 - 69 Ctiange.Order. #1 :5 (55,412) (55,412) S - $ (55,412) 100% $ - S - 70 Change Order #3 :5 (77,967) $ (77,967) .5 -(77,967) 100% $ - Totals 5 2,039,991 5 1,826;556 5 45;285 5 - :S 1,871,84.1 ' 92% .S 168,150_ . 5101,999.55' AFFIDAVIT AND WAIVER OF LIEN Final X Partial X Payment to follow State of Indiana, County of MARION . SS SEAN O. BARNETT (Name of Officer) SPOHN ASSOCIATES. INC. being duly sworn states that he is the CHIEF FINANCIAL OFFICER of (Title) having contracted with CITY OF CARMEL, INDIANA to furnish (Subcontractor /Supplier) (Contractor) certain materials and/or labor as follows located at CARMEL, IN INTERIOR ORNAMENTAL STEEL AND RAILING (Description) for a project blown as REGIONAL PERFORMING ARTS CENTER and owned by SAME (Owner) and does hereby further state on behalf of the aforementioned subcontract/supplier: (PARTIAL WAIVER) that there is due from the contractor the sum of FORTY NINE THOUSAND ONE HUNDRED EIGHTY THREE AND 35/100 Dollars (549,183.35) ) Receipt of which is hereby acknowledged: or X ) The payment of which has been promised as the sole consideration of this Affidavit and partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned: (FINAL WAIVER) that the final balance due from the contractor is the sum of N/A ( ( Dollars (5 ) ) 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 shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and released unto the Owner of said premises, any and all lien or claim whatsoever on the above - described property and improvements thereon account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any: and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project and within the scope of this affidavit and waiver. SPOT -IN ASSOCIATES. INC. By (Firm) (Authorize Title CHIEF FINANCIAL OFFICER WITNESS MY HAND AND NOTARIAL SEAL this My Commission Expires: 1/9/2016 Residing in MORGAN County ntativc) 22ND Printed: SANDRA F. ZOOK Draft Energy Center (Leach and Russell) February 2010 Total Contract Amount for application 1 Completed and Stored to date $ 14,000.00 Retention held $ 1,400.00 Paid by Carmel Theater Development Company $ 12,600.00 March 2010 Paid by Carmel Theater Development Company $ 22,886.00 April 2010 Paid by Carmel Theater Development Company $ 234,233.00 May 2010 Paid by Carmel Theater Development Company $ 221,258.00 June 2010 Paid by Carmel Theater Development Company $ 23,373.00 July 2010 Paid by Carmel Theater Development Company $ 2,000.00 August 2010 Amount to be paid by Carmel Theater Development Company $ 3,560.00 APPLICATION AND CERTDIFDCATE FOR PAYMENT CONSTRUCTION MANAGER- ADVISER EDITION .A.IA DOCUMENT G702 /CMa (Instructions on reverse side) PAGE ONE OF t'AGES TO OWNER:City of Carmel Redevelopment c/o Shiel Sexton Co. 902 N. Capitol Av. Indianapolis, IN 46244 -0107 FROM CONTRACTOR: Leach & Russell Mechanical Contractors, Inc. 9151 Ford Circle, Fishers, IN 46038VIA CONSTRUCTION MANAGER: CONTRACT FOR: Mechanical VIA ARCHITECT: PROJECT: camel Energy Center Parcel 7C Phase II Expansion Shiel Sexton Project #3663 Carmel, Indiana Shiel Sexton Co. APPLICATION NO.:7 PERIOD T0:8_31-10 PROJECT NOS.: 3663 -2000 CONTRACT DATE:, 12/21 /09 INVOICE# 20443 Distribution to: ❑ OWNER ❑ CONSTRUCTION MANAGER ❑ ARCHITECT ❑ CONTRACTOR (367) CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached. I. ORIGINAL CONTRACT SUM s 573,000 2. Net Change By Change Orders S 3. CONTRACT SUM TO DATE (Line I ± 2) $ 573,000 4. TOTAL COMPLETED & STORED TO DATE S 548,560 (Column G on G702) 5. RETAINAGE: a. _L:b of Completed Work (Columns D + E on G703) b. %, of Stored Material S (Column F on G703) Total Retainage (Line 5a + 5b or 28,650 Total in Column I of G703) S 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) S 8. CURRENT PAYMENT DUE s 28,650 519,910 —5-1-6-7a5-0- 5 (6 r25-° s ;1SGnty 9. BALANCE TO FINISH, INCLUDING RETASNAG 3,090 (Line 3 less Line 6) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner Total approved this Month TOTALS NET CHANGES by Change Order The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor- mation and 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 Certificates for Payment were issued and pay- ments received from the Owner, and that current payment shown herein is now due. CONTRA •Leach & Russell Mechanical Contractors, Inc By: " A Date: 8/13/10 State of: Indiana County of:Hamilton Subscribed and sworn to before me this 13th iay of August 2010 `ti✓ Notary Publ My Commissi n e pied 7 (1 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. s ✓�" �Q( CQ IZS fegf AMOUNT CERTIFIED (Attach explanation if amount certified differs from the amount applied for Initial all figures on Ibis Application and on the Continuation Sheet that changed to conform to the amount certified.) C NSTRUCTI EN MA NAGER: / By ARCHITECT. By: Date ®0 Z•l /e Date. This Certifie is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor na led herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702JCMa • APPLICATION AND CERTIFICATE FOR PAYMENT • CONSTRUCTION MANAGEIt-ADVISER EDITION 1992 EDI'T'ION • Ale • ©1992 • THE AMERICAN INSTITUTE OF ARCHITECTS, 17.i5 NEW YORK AVENUE, N.W., WASHINGTON. (y %OZ /CMa -1992 J i D.C. 20006-5292 • WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. CAUTION: You should use an oriainal AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. - CONTINUATION SHEET G703 AIA Document G702; APPLICATION ANEICERTIFICATE FORAAYMENT; containing CONTRACTOR'S signed Certification isattached. In'.tabulations below, amounts.,,are:stated to; the nearest dollar. Use Column I on Contracts -whereyariableretainage for line.items,may apply. Carmel Energy Ctr Phase II ,SSC #3663 PAGE 2 OF 2 "PAGES APPLICATION NUMBER:. APPL_ICATION''DATE PERIOD TO: ARCHITECT'S PROJECT NO: 7 Aug'31,2010 Aug "31;2010 A I B .0 1 D 1 E F G H l WORK COMPLETED TOTAL COMP. ITEM DESCRIPTION OF WORK" SCHEDULED AND STORED % BALANCE TO RETAINAGE NO. VALUE APPLICATIONS REVIIOU THIS' PERIOD (NOT MATERIALS N D OR E) ( TO DATE (P/C) FINISH ( ) 5% (D +E +F.) Bond 14;000 i 14;000 - - 14,000 1.,00% - 700 Allowance 25,000 - 560 - 560 2% 24,440 1,250 HVAC Equipment- Material 422,787 ! 422;787 - - 422,787 100% - 21,139 HVAC•:Equipment- Labor :27,728 27,728 - - 27,728 100% - 1,386 Electrical- Material 9,700 9,700 - - 9;700 1.00% - 485 Electrical- Labor 8,200 ! .6 ;200 - - 8',200 '100% - 41.0 Temp Controls= Material 30,000 30,000 - - 30,000 100% - 1,500 Temp Controls- Labor 25,000" ; 22;500 2,500 - 25;000 100% - 1,250 Sheet Metal - Material 2,991 :2,991 - - 2;991 1,00% - 150 Sheet Metal,Labor 1,994 ! 1,994 - - 1;994 100% - 1,00 Insulation- Material 2,240 ' 2;240 - - 2,240 100% - 112 Insulation- Labor 3,360 . 3 ";360 - - 3,360 100% - 168 TOTAL .573,000 545;500 3,060 - 548;560 :96% 24,4'40 28,650 PARTIAL (XX) AFFIDAVIT AND WAIVER OF LIEN FINAL () PAYMENT TO FOLLOW (XX) State of Indiana, County of Hamilton, SS: Michael S. Russell .being duly sworn states that he is the CFO of Leach & Russell Mechanical Contractors, Inc. having contracted with the CITY OF CARMEL REDEVELOPMENT COMMISSION to furnish certain material and /or labor as follows: BID PSG 2'000 - MECHANICAL AND HVAC for the project known as PARCEL 7C - ENERGY- CENTER: PHASE..II.EXPAPTSION and does hereby further state on behalf of the aforementioned .contractor: (PARTIAL) that there is due from the owner for Payment Application # 7 the sum of THREE THOUSAND SIXTY AND 00 /100 DOLLARS ($3,b60.00). () receipt of which is hereby acknowledged or (X) the payment of Which ha's been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall; be effective only upon receipt of payment thereof by the undersigned: (FINAL) that the final balance due from the owner for above project is the sum of () receipt, of which is hereby acknowledged or O the payment of which has been promised as the sole consideration o this Affidavit and Final Waiver of Lien which shall f be effective only upon receipt of such payment THEREFORE, the undersigned, waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above described. property and • improvements thereon on account of labor or material's, or both, furnished by the undersigned thereto, and further certifies that no other party has any claim, or rights to a. lien on account of any work performed or material furnished to.the undersigned for said project, and within the scope of this affidavit and waiver. CLAIMANT: Leach & Russell Mechanical By: 915.1 Ford Circle Michael S. Russell Fishers, IN 46038 CFO SWORN to and. subscribed before me this 13`' day of August, 2010. My Commission. Expires 03/05/17 Residing in Hamilton County. 'Printed.: Karen C. Brown Seal: