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Home My WebLink AboutSpohn Associates - $23,443Disbursement 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 Amount to be paid as per the Interior Ornamental installment purchase contract Application 17 (Spohn) December 2010 $ 23,443.00 Grand Total . Total Due, . . $' 23;443.00 " CRC has inspected the portions of the PAC Equipment completed by Borrower to confirm the Percent Complete in the applicable column above. C CRC either has received or waived receipt of conditional lien 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: B CITY OF CARMEL REDEVELOPMENT COMMISSION 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 $ 7,358.50 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 Paid by Carmel Theater Development Company $ 141,741.00 September 2010 Paid by Carmel Theater Development Company $ 49,183.35 October 2010 Paid by Carmel Theater Development Company $ 98,010.00 November 2010 Paid by Carmel Theater Development Company $ 52,083.00 December 2010 Amount to be paid by Carmel Theater Development Company $ 23,443.00 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 CONTRACT FOR: VIA CONSTRUCTION MANAGER: ornamental rail j n IA ARCHITECT: CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown hclow, in connection with (he Contract_ Continuation Sheet, AIA Document G703, is attached. 1. 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 0703) 5. R.ETA[NAGE: a. % of Completed Work S (LoTrnn D 4- E on G703) b. % of Stored Material S (Column F 0703) Total Relainage (Lines 5a 4- 5b or Total in Column I of 0703) 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Linc 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE S (Line 3 less Line 6) $2_;173.370.00 S (109.936.00) 52.063.434.00 32,045,377.00 101,999.55 S 101:999.55 1.943.377.45 S1,919014 45 S 73,443.00 120,056.55 APPLICATION NO: 17 PERIOD TO: 12/31/10 PROJECT NO: CONTRACT DATE: 11/17/08 Distribution to: OWNER CONSTRUCTION MANAGER ARCHITECT CONTRACTOR l CHA RUE URU RSUMMARY ADDIIIONS UEDUCI IONS Total changes approved in previous months by Owner 133.379.00 Total approved this Month 23,443.0C TOTALS 23,443.00 (109.936.0Q) 133,379 On NET CHANGES by Change Order 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 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. CONTRACTOR: SPOHN ASSOCIATES, INC. By: State of Indiana ' Subscribed and svo to bcfo Notary Public: My Commission expires: Date: 12/27 /10 ql County of: Marion m /�- this Li7t day of Dec., 2010 1/ 99 /16 CERTIFICATE FOR PAYMENT In accordance wish 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 \York 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 S (Attach explanation if amount certified dijjers figures on this Application and on the Con amount certified CO STRU yy3 Sza rom the amount applied for. Initial all ion Sheet that changed to conform to the /►! By: i: at:i.4/.La. ALL......011. s Date: AR By: Date: This Certificate 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. v A1A I7iILlAl.ER TT; ,Wit hia u WTI ICATTOR AADI RRTTr ICAl UJN F I7ilP rEfff1D COM 1 RUL. HUN hWTAGER-ACViS LJi EDUUJN II+J' -f2 E[7TTTTOTT 7tRTib TNZ THE M ERIC IIrSTrrUTE OF ARCHITECTS, 1745 NEW YORK AVE.. IIW., WAS HINGTO11, DC 2006 -5292 7 6JC14a• t sae r 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 Steel and Railings Application Number: 17 Period To: 12/31/2010 Spohn Project No: 28 -1062 A B C D J E F G H I Item No. Description of work Scheduled Value Work Completed Materials Presently Stored (Not in D or E) Total Completed to Date (D + E) Com- plate (C /G) Balance to Finish (C -G) Retainage From Previous Application This Period 1 Performance and Payment Bonds $ 13,860 $ 13,860 $ - $ - $ 13,860 100% $ - $ - 2 Engineering - Submittal $ 105,000 $ 105,000 $ - $ - $ 105,000 100% $ - $ - 3 Engineering - File and Field $ 102,944 $ 102,944 $ - $ - $ 102,944 100% $ - $ - 4 Contract Allowance $ 100,000 $ 90,329 $ - $ - $ 90,329 90% $ 9,671 $ - 5 CAD - as built drawings $ 10,000 $ 5,000 $ - $ - $ 5,000 50% $ 5,000 Temporary Rail Removal $ 6,000 $ 2,614 $ - $ - $ 2,614 44% $ 3,386 6 Bronze Elevator Cladding $ 90,670 $ 90,670 $ - $ - $ 90,670 100% $ - $ - Steel Stairs Stair #9 7 Material $ 72,565 $ 72,565 $ - $ - $ 72,565 100% $ - $ - 8 Labor $ 26,816 $ 26,816 $ - $ - $ 26,816 100% $ - $ - Stair #10 9 Material $ 72,565 $ 72,565 $ - $ - $ 72,565 100% $ - $ - 10 Labor $ 26,816 $ 26,816 $ - $ - $ 26,816 100% $ - $ - Stair #15 11 Material $ 20,034 $ 20,034 $ - $ - $ 20,034 100% $ - $ - 12 Labor $ 4,283 $ 4,283 $ - $ - $ 4,283 100% $ - $ - Stair #16 13 Material $ 20,034 $ 20,034 $ - $ - $ 20,034 100% $ - $ - 14 Labor $ 4,283 $ 4,283 $ - $ - $ 4,283 100% $ - $ - Stair #29 15 Material $ 19,850 $ 19,850 $ - $ - $ 19,850 100% $ - $ - 16 Labor $ 5,125 $ 5,125 $ - $ - $ 5,125 100% $ - $ - Stair #30 17 Material $ 19,850 $ 19,850 $ - $ - $ 19,850 100% $ - $ - 18 Labor $ 5,125 $ 5,125 $ - $ - $ 5,125 100% $ - $ - Ornamental Railings Orchestra Low 19 Material $ 18,200 $ 18,200 $ - $ - $ 18,200 100% $ - $ - 20 Labor $ 7,800 $ 7,800 $ - $ - $ 7,800 100% $ - $ - Sub - Totals $ 751,820 $ 733,763 $ - $ - $ 733,763 0% $ 18,057 $ - 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 Steel and Railings Application Number: 17 Period To: 12/31/2010 Spohn Project No: 28 -1062 A B C D E F G H I Rem No. Description of work Scheduled Value Work Completed Materials Presently Stored (Not in D or E) Total Completed to Date (D + E) Complet e (C /G) Balance to Finish (C -G) Retainage From Previous Application This Period Orchestra High - Hall 21 Material $ 32,500 $ 32,500 $ - $ - $ 32,500 100% $ - $ - 22 Labor $ 20,800 $ 20,800 $ - $ - $ 20,800 100% $ - $ - Box Tier - Hall $ - 23 Material $ 78,000 $ 78,000 $ - $ - $ 78,000 100% $ - $ - 24 Labor $ 32,500 $ 32,500 $ - $ - $ 32,500 100% $ - $ - Balcony Low - Hall $ - 25 Material $ 58,500 $ 58,500 $ - $ - $ 58,500 100% $ - $ - 26 Labor $ 32,500 $ 32,500 $ - $ - $ 32,500 100% $ - $ - Balcony High - Hall $ - 27 Material $ 78,000 $ 78,000 $ - $ - $ 78,000 100% $ - $ - 28 Labor $ 58,500 $ 58,500 $ - $ $ 58,500 100% $ - $ - Railing @ Stairs & Ramps in Hall $ - Ramps & Stairs #11, 12, 13, and 14 $ - 29 _ Material $ 26,000 $ 26,000 $ - $ - $ 26,000 100% $ - $ - 30 Labor $ 16,900 $ 16,900 $ - $ - $ 16,900 100% $ - $ - Railing @ Monumental Stairs $ - Stair #9 $ - 31 Steel /Bronze Material $ 160,000 $ 160,000 $ - $ - $ 160,000 100% $ - $ - 32 Steel \Bronze Labor $ 70,000 $ 70,000 $ - $ - $ 70,000 100% $ - $ - 33 Glass Material $ 5,000 $ 5,000 $ - $ - $ 5,000 100% $ - $ 34 Glass Labor $ 2,000 $ 2,000 $ - $ - $ 2,000 100% $ - $ - Stair #10 $ - 35 Steel /Bronze Material $ 160,000 $ 160,000 $ - $ - $ 160,000 100% $ - $ - 36 Steel /Bronze Labor $ 70,000 $ 70,000 $ - $ - $ 70,000 100% $ - $ - 37 Glass Material $ 5,000 $ 5,000 $ - $ - $ 5,000 100% $ - $ - 38 Glass Labor $ 2,000 $ 2,000 $ - $ - $ 2,000 100% $ - $ - Stair #15 $ - 39 Steel /Bronze Material $ 12,500 $ 12,500 $ - $ - $ 12,500 100% $ - $ - 40 Steel /Bronze Labor $ 5,500 $ 5,500 $ - $ - $ 5,500 100% $ - $ - 41 Glass Material $ 1,500 $ 1,500 $ - $ - $ 1,500 100% $ - $ - 42 Glass Labor $ 500 $ 500 $ - $ - $ 500 100% $ - $ - Stair #16 $ 43 Steel /Bronze Material $ 12,500 $ 12,500 $ - $ - $ 12,500 100% $ - $ - 44 Steel /Bronze Labor $ 5,500 $ 5,500 $ - $ - $ 5,500 100% $ - $ - 45 Glass Material $ 1,500 $ 1,500 $ - $ - $ 1,500 100% $ - $ - 46 Glass Labor $ 50D $ 500 $ - $ - $ 500 100% $ - $ - Sub- Totals $ 1,700,020 $ 1,681,963 $ - $ - $ 1,681,963 0% $ 18,057 $ - 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 Steel and Railings Application Numbe 17 Period To: 12/31/2010 Spohn Project No: 28 -1062 A B C D 1 E F G H I Item No. Description of work Scheduled Value Work Completed Materials Presently Stored (Not in D or E) Total Completed to Date (D + E) Comple to (C /G) Balance to Finish (C -G) Retainage From Previous Application This Period Railing @ Monumental Stairs (Con't) Stair #29 47 Steel /Bronze Material $ 12,500 12,500 $ - $ - $ 12,500 100% $ - $ - 48 Steel /Bronze Labor $ 5,500 5,500 $ - $ - $ 5,500 100% $ - $ - 49 Glass Material $ 1,500 1,500 $ - $ - $ 1,500 100% $ - $ - 50 Glass Labor $ 500 500 $ - $ - $ 500 100% $ - $ - 51 Steel /Bronze Material $ 12,500 12,500 $ - $ - $ 12,500 100% $ - $ - 52 Steel /Bronze Labor $ 5,500 5,500 $ - $ - $ 5,500 100% $ - $ - 53 Glass Material $ 1,500 1,500 $ - $ - $ 1,500 100% $ - $ - 54 Glass Labor $ 500 500 $ - $ - $ 500 100% $ - $ - Railing @ Lobby Balconies East Lobby 55 Steel /Bronze Material $ 85,000 85,000 $ - $ - $ 85,000 100% $ - $ - 56 Steel /Bronze Labor $ 40,100 40,100 $ - $ - $ 40,100 100% $ - $ - 57 Glass Material $ 1,400 1,400 $ - $ - $ 1,400 100% $ - $ - •58 Glass Labor $ 500 500 $ - $ - $ 500 100% $ - $ - West Lobby 59 Steel /Bronze Material $ 80,600 80,600 $ - $ - $ 80,600 100% $ - $ - 60 Steel /Bronze Labor $ 38,250 38,250 $ - $ - $ 38,250 100% $ - $ - 61 Glass Material $ 1,000 1,000 $ - $ - $ 1,000 100% $ - $ - 62 Glass Labor $ 500 500 $ - $ - $ 500 100% $ - $ - South Lobby 63 Steel /Bronze Material $ 84,000 84,000 $ - $ - $ 84,000 100% $ - $ - 64 Steel /Bronze Labor $ 34,500 34,500 $ - $ - $ 34,500 100% $ - $ - 65 Glass Material $ 1,000 1,000 $ - $ - $ 1,000 100% $ - $ - 66 Glass Labor $ 500 500 $ - $ 500 100% $ - 67 Field Survey Stairs $ 16,000 16,000 $ - $ - $ 16,000 100% $ - $ - 68 Field Survey Rails $ 50,000 50,000 $ - $ - $ 50,000 100% $ - $ - 69 Change Order #1 $ (55,412) (55,412) $ - $ (55,412) 100% $ - $ - 70 Change Order #3 $ (77,967) (77,967) $ - $ (77,967) 100% $ - Change Order $ 23,443 $ 23,443 $ 23,443 100% $ - 1 Totals 1 $ 2,063,434 1 $ 2,021,934 1 $ 23,443 1 $ - I$ 2,045,377 1 99 %j $ 18,0571 $101,999.55 AFFIDAVIT AND WAIVER OF LIEN Final X Partial X Payment to follow State of Indiana, County of MARION . SS SEAN O. BARNETT being duly sworn states that he is the CHIEF FINANCIAL OFFICER of (Name of Officer) (Title) SPOHN ASSOCIATES, INC. 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 Twenty Three Thousand Four Hundred Forty Three ( ( X Dollars ($23,443.00) ) Receipt of which is hereby acknowledged: or ) The payment of which has been promised as the sole consideration of this Affidavit and partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned: (FINAL WAIVER) that the final balance due from the contractor is the sum of ( ( n/a Dollars ($ ) ) 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. SPOHN ASSOCIATES, INC. By (Finn) (Authorize presentative) Title CHIEF FINANCIAL OFFICER WITNESS MY HAND AND NOTARIAL SEAL this 27th day of Dec. 2010 My Commission Expires: 1/9/2016 Residing in MORGAN County Printed: SANDRA F. ZOOK