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Home My WebLink AboutSpohn Associates - $50,000Disbursement 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 by Carmel Theater Development as per the Interior Ornamental installment purchase contract Application 20 (Spohn) October 2011 $ 0.00 Application 21 (Spohn) November 2011 $ 50,000.00 Grand Total Total Due $ 50,000.00 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 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: 1/tu CITY OF CARMEL REDEVELOPMENT COMMISSION Printed Title Les S. Olds Executive Director Up Through November 2009 Total Contract Amounts through application 5 Completed and Stored to date Retention held Paid to date Draft PAC Interior Ornamental (Spohn Associates) $ 227,259 00 $ 22,725 90 $ 204,533 10 Amount reimbursed to CRC $ 204,533.10 December 2009 Total Contract Amount for application 6 Completed and Stored to date Retention held To be paid $ 73,58500 7,35850 66,22650 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 Paid by Carmel Theater Development Company $ 23,443.00 June 2011 Paid by Carmel Theater Development Company $ 51,771.70 June 2011 (2) Paid by Carmel Theater Development Company $ 55,007.85 October 2011 Amount to be paid by Carmel Theater Development Company $ November 2011 Amount to be paid by Carmel Theater Development Company $ 50,000.00 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 /CMa • TO OWNER: CITY Or CARMEL, INDIANA ONE CIVIC SQUARE CARMEL, INDIANA 46032 CONSTRUCTION MANAGER- ADVISER EDITION PAGE ONE Of PAGE'S FROM CONTRACTOR: SPOHN ASSOCIATES, INC. 7150 WINTON DRIVE, SUITE INDIANAPOLIS, IN 46268 PROJ 13CT: REGIONAL PERFORMING' ARTS CENTER VIA CONSTRUCTION MANAGER: CONTRACT FOR: Ornamental railing:VIA ARCHITECT: APPLICATION NO: 20 PERIOD TO: PROJECT NO; 10/31/11 CONTRACT DATE: Distribution (o: I OWNER CONSTRUCTION MANAGER ARCHITECT 11/17/08 (CONTRACTOR CONTRACTOR'S APPLICATION FOR PAYMENT Application is made R.ir payment, as shown tmlow, in connection with (he Contract. Continuation Sheet, AIA Document 0703, is attached. I. ORIGNAI. CONTRACT SUM 2. •cl change by Change Orden 3. CONTRACT SUM TO DATE (Line I 1 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on 0703) 5. RETAINAGE: % of Completed Work S 50,000.00 (Column D -t- E on 0703) b. • % of Stored Material 5 (Column F on 0703) Total Rclainagc (Lines 5o a• 5b or Total In Colurnn I of 0703) 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Lint 5 Total) 7, LESS PREVIOUS CERTIFICATES FOR t'AYMEN1' (Lint 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9, I3ALANCI, TO FINiSH, iNCLUD(NG Rn1'AINAGi3 (Lint 3 Icss Line 6) $ 2'173,370.00 S (73,213.00) S 2,100.157.00 2,100,157.00 $ 50.000.00 5; 2,050,157.00 $ 2,050,157,00 .00 S 50,000,00 CRA NCI ORD . I • • II • 1 • 65, 831.00 1 • I 133,379.00 lot ol Tilarigcs approved In previous months by Omer Total approved his Month 5 , 665 .00 'O1'ALS 65,831.00 139,044.00 1 NCI CI- (ANGES by Change Order (73,213.00) The uncle signed Contractor certifies Thal to Me best of the Contractor's knowledge, infomia(ion and belief the Work covered by This Application for Payment has been completed in accordance with the Contract Documents, that all amotm(s have been paid by the Contractor for Work for which previous Certificates for Payment svcre issued and payments received from the Owner, and (hat curtcnl payment shown ilcteiI,i- §,0.91)',.(iuc• CONTRACTOR: SPOHN ASSOCIATES, INC. b,' Stare of: Indiana Subscribed and swo to before c this Notary Public: My Commission,0 pires: 1/9/16 1.1/3/0 1.:.- County of: •.Ma`on 3rd day of CERTIFICATE FOR F'AY VENT Irk accordance with the Contract Doctunenls, based on on -site observations and the data comprising this application, Ule Construction Manager and Architect certify to the Owner that to the best of their knowledge, infomlalion and belief the Work has progressed as indicated, the quality ache Work is in accordance with the Contract Documents, and the Contractor is entitled to payment date AMOUNT CERTIFIED. AMOUNT CERTIFIED S (Attach explanation if anrorrnt certified di3Oers fr, figures on This 4p )licatiorr ona' on the Conlint anrorrnl certified Cb,� STRU - elt (3Y. ,��r �r (. 4, By: % �` /(� Date: re amount applied for. initial all Street That changed to conform to the This Certificate is not negotiable. The AMOUNT CERTIFIED is pa .blc onl to the Contractor named herein. Issuance, payment and acceptance of payment are wilhoul prejudice to any rights of the Owner or Contractor under this Contract. `RT7■176C1017117` .77i377na L1 APFLICAr107t71731)ln R11f-(CAI10}71-00 PAY(T[Nr 0 GONS'TRUITILFTR1JTACldl.AUV1SUI [011(014 o 15Ir4 E01non 0 AIA U 01532 THE NdERICN1 IIISTrrUTE. OF Anita OCIS,1745 NEV,, YORK AVE., ILW,, V ASHINGTOIi, DC 20006-6232 L w4C1lw•1tE2 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: 20 Period To: 10/31/2011 Spohn Protect No: 28 -1062 A B C D 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- pieta (C /G) Balance to Finish (C -G) Relainage 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 $ 97,738 $ 2,262 $ - $ 100,000 100% $ - $ - 5 CAD - as built drawings $ 10,000 $ 9,983 $ 17 $ - $ 10,000 100% $ - Temporary Rall Removal $ 6,000 $ 2,614 $ 3,386 $ - $ 6,000 100% $ - 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% $ - $ - Stalr #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 $ 751820 $ 746155 $ 5665 $ - $ 751,820 0% $ - $ - SCHEDULE OF VALUES SPOHN ASSOCIATES INC. Project: City of Carmel, Indiana One Civic Square Carmel, IN 46032 Job No: 2695 Trade Item: Contract 6030 - Interior Ornamental Steel and Rallings Application Number: 20 Period To: 10/31/2011 Spohn Project No: 28 -1062 A B C- D E F G H I Item No. Description of work Scheduled Value ' Work Completed Matarials Presently Stored (Not In D or E) Total Completed to Date (0 + E) Complet a (C /G) Balance to Finish (C -G) Retalnago 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 $ 58,600 $ - $ - $ 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 Stoel /Bronze Material $ 12,500 $ 12,500 $ - $ - $ 12,600 100% $ - $ - 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 Stool /Bronze Labor $ 5,500 $ 6,500 $ - $ - $ 5,500 100% $ - $ - 45 Glass Material $ 1,500 $ 1,500 $ - $ $ 1,500 100% $ - $ - 46 Glass Labor $ 500 $ 500 $ - $ - $ 500 100% $ - $ - Sub - Totals $ 1,700,020 $ 1,694,355 $ 5,665 $ - $ 1,700,020 0% $ - $ - SCHEDULE OF VALUES SPOHN ASSOCIATES INC. Project: City of Carmel, Indiana One Civic Square Carmel, IN 46032 Job No: 2695 Trade Item: Contract 6030 - Interior Ornamental Steel and Railings Application Numbe 20 Period To: Spohn Project No: 10/31/2011 28 -1062 A B C D E F G l� Compl ete (C /G) H Item No. Description of work Scheduled Value Work Completed Materials Presently Stored (Not in D or E) Total Completed to Date (D + E) Balance to Flnish (C -G) Retalnage From Previous Application This Perlod 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 99% $ - $ - 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 Materlal $ 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% $ - 71 Change Order #4 $ 23,443 23,443 $ - $ - $ 23,443 100% $ - 72 Change Order #5 (RCP PAC -042) $ 21,263 21,263 $ - $ 21,263 100% $ - 73 Change Order #6 (ASI #180) $ 8,008 8,008 $ - $ 8,008 100% $ - 74 Change Order #7 (ASI #130) $ 13,117 13,117 $ - $ 13,117 100% $ - 75 Change Order #8 $ 5,665) $ 5,665 $ - $ 5,665 100% $ - $ - Totals $ 2,100 157 $ 2,100,157 $ - $ - $ 2,100157 100% $ - $50,000.00 AFFIDAVIT AND WAIVER OF LIEN Final X Partial X Payment to follow State of Indiana, County of MARION . SS SEAN 0. 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 railings (Description) for a project known Regional Performing Arts Center located at Carmel. IN and owned by City of Carmel (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 Zero Dollars (50.00 ) ( ) 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. SPOIEN ASSOCTA 1'ES. INC. By ^' / e `�� Title CHIEF FINANCIAL OFFICER (Firm) v (Authorize(Repissintative) WITNESS MY HAND AND NOTARIAL SEAL this 3rd day of November- 2011 My Commission Expires: 1/9/2016 Residing in MORGAN County APPLICATION AND CERTIFICATE FOR PAYMENT AM DOCUMENT G702 /CMa CONSTRUCTION MANAGER- ADVISER EDITION PAGE ONE OF f'AGtiS TO OWNER: PROJECT: CITY OF CARMEL, INDIANA REGIONAL PERFORMING ARTS CENTER ONE CIVIC CENTER CARMEL, IN 46032 FROM CONTRACTOR: SPOHN ASSOCIATES , INC , 7150 WINTON DRIVE, SUITE INDIANAPOLIS, IN 46268 100 VIA CONSTRUCTION MANAGER: CONTRACT FOR: Ornanlenta7. rai7.in SVIA ARCHITECT: APPLICATION NO: 21 FINAL Distribution lo: lOWNER PERIOD TO: FINAL RETENTION CONSTRUCTION ' MANAGER 1 jARCFI[TECT 11/17/08 r1cONTRACTOR PROJI3CT NO: CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in cormectlon with the Contract. COnt.inuaiion Sheol, A(A Document 0703, is attached. 1. ORIGINAL CONTRACT SUM 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line 12) 4. 'TOTAL COMPLETED & STORED TO DATE (Column 0 on 0703) 5. REFAINAGE: rr. % of-Completed Work 5 (Column D t L' on 0703) b. % of Storod Material S (Coition P on G'103) Total Relainagc (Litres Sa+ 5b or Total in Column 1 1'0703) 6. TOTAL EARNED LESS RETAINAGE (Lino 4 less Lino 5'Total) 7, LESS PREVIOUS CFR.TIFICATES FOR PAYMENT (Line 6 front pr for Certificate) 8, CURRENT PAYMENT DUE 5; (73,213.00)_ $' 2,100,157.00 2, 100 157 00 .00 (10 2,100,157.00 1 2,050,157.00 1- 9. 13ALANCE TO FINISH, INCLUDING RhLA[NAGE i .00 (Line 3 Line 6) 1 II11:RS'iTMii J(' AUDI 1R . 11,11 Iota changes approved in previous months by Owner 65,831.00 133,379.00 Total approved this Mon(h 5,665.00 TOTALS 65,831.00 (73 , 213.00 139,044.00 ? NET CHANGES by Change Order "(ho, undcl,igncd Contractor certifies that to the best of the Contractor's knowledge, Inforniation and holicf the Work covered by this Application for Payment has been •omplcled in e,ceortfoncc with the Contract Documents, that nt1 amounts have boon 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: SPORN ASSOCIATES, INC. Stale' of: Incl3laha Subscribed and swj% to before m • (his 3rd da Notary Public: \ i My Commission oxpin -s: 1/9/16 -C.Er-Z.TIFICATE FOR P7r'fi In accordance with the Contract Documents, based on on -site observations and the Bala crnnprising this application, (he Construction Manager and Architect certify to the Owner that to the best of their knowledge, intonation and belief the Work has progrrsscd as indicated, l)re quality of the Work is in accordance with I/O t Contract Documents, and 1114 Contactor is entitled to payment of the, AMOUNT CERTIFIED. AMOUNT cEivri TED (4i(ncil e.xp(ana(ion' Janlount certified di(Jers from the amp 1 applied for. Initial all figures on this Apply ton and on the Conlin! (on Sl1 ant I rarl cerllf ed.) COI RUM' • �ij, By: ►�j AR `." \' ' By: ..1i r Date: changed to conform to the /1 'Ellis Certificate is not negotiable. The AMOUNT CERTIFIED is payable ono to the Contractor named Therein. Issuance, payment and accep(eneo of-payment arc, without prejudice to any rights of the Owner or Contractor under this Contract. "ATiUT1t17(7 1171 7uvcL4o 11 1,1 'P11CA1TITITITTIT TintAi1UN I U>Z'T I7ENf O CUM 1ROLI 3TUTUTACLIC7T1 ETtlUl'tTOTT Ttt'I2 EOlit0A U /,IA U (aI90o 111E AAIERIC1J 11115111Uhr. OFARCI111EC1 'G,1745ttr YYOrtKAyC„ II.W,,1.'A5JINOTO11,DG7UWC,52.92 1,1COLTx,- (01,2 0 1. c 1, 1. 3 Lt r r C SCHEDULE OF VALUES Project: City of Carmel, Indiana One Civic Square Carmel, IN 46032 Job No: 2695 Trade Item; Contract 5030 - Interior Ornamental Steel and Railings SPOHN ASSOCIATES INC, Application Number: 21 Period To: 10/31/2011 Spohn Project No: 28 -1062 A B C D 1 E F G H I Item No, Description of work Scheduled Value Work Completed This Period Materials Presently Stored (Not in D or E) Total Completed to Date (D + 8) Corn - pieta (C /G) Balance to Finish (C -G) Retainage From Previous Application 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 $ 100,000 $ - $ - $ 100,000 " 100% $ - $ - 5 CAD - as built drawings $ 10,000 $ 10,000 $ - $ - $ 10,000 100% $ - Temporary Rail Removal $ 6,000 $ 6,000 $ - $ - $ 6,000 100% $ - 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% $ - $ - Stalr #10 9 Material $ 72,565 $ 72,565 $ - $ - $ 72,565 100% $ - $ - 10 Labor $ 26,816 $ 26,816 $ - $ - $ 26,816 100% $ - $ - Sta1r #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 $ 751,820 $ - $ - $ 751,820 0% $ - $ - SCHEDULE OF VALUES Project: City of Carmel, Indiana One Civic Square Carmel, IN 46032 Job No: 2695 Trade Item: Contract 6030 - Interior Ornamental Steel and Railings SPOHN ASSOCIATES INC. Application Number: 21 Period To: 10/31/2011 Spohn Project No: 28 -1062 A B C D E E G H I Item No. Description or work Orchestra High - Hall Scheduled Value Work Completed Materials Presently Stored (Not in 0 or E) Total Completed to Date (0 + E) Complet e (C /G) Balance to Finish (C -G) Retalnage From Previous Application This Period 21 Material $ 32,500 $ 32,500 $ - $ - $ 32,500 100% $ - $ - 22 Labor $ 20,800 $ 20,800 $ - $ - $ 20,800 100% $ - $ - Box Tler - Hall $ - $ _ 23 Materlal $ 78,000 $ 70,000 $ - $ - $ 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 Materlal $ 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 $ 500 $ 500 $ - $ - $ 500 100% $ - $ - Sub- Totals $ 1,700,020 $ 1,700,020 $ - $ - $ 1,700,020 0% $ - $ - 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 21 Period To: 10/31/2011 Spohn Protect No: 28 -1062 A B C D ] E F G H Item No. Description of work Scheduled Value Work Completed Materials Presently Stored (Not In D or E) Total Completed to Date (D + E) Compl ele (C /G) Balance to Finish (C -G) Retalnage 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 99% $ - $ - 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% $ - $ - 71 Change Order #4 $ 23,443 23,443 $ - $ - $ 23,443 100% $ - $ - 72 Change Order #6 (RCP PAC -042) $ 21,263 21,263 $ - $ 21,263 100% $ - $ - 73 Change Order #6 (ASI #180) $ 8,008 8,008 $ - $ 8,008 100% $ - $ - 74 Change Order #7 (ASI #130) $ 13,117 13,117 $ - $ 13,117 100% $ - $ - 75 Change Ofder #8 $ (5,665) (5,6651 $ - $ - $ 5,665) 100% $ $ - Totals $ 2,100,157 $ 2,100,157 $ - $ - $ 2,100,157 100% $ - $0.00 AFFIDAVIT AND WAIVER OF LIEN X Final Partial X Payment to follow State of Indiana, County of MARION . SS SEAN O. BARNETT being duly sworn states that he is the CHIEF FLNANCIAL OFFICER of (Name of Officer) (Title) SPOIENT ASSOCIA 1 bS. INC. (Subcontractor/Supplier) having contacted with Citv of Carmel Indiana to furnish (Contractor) certain materials and/or labor as follows interior ornamental steel and railings (Description) for a project known Regional Performing Arts Center located at Carmel. ENT and owned by City of Carmel (Owner) and does hereby further state on behalf of the aforementioned subcontract/supplier: (PARTLk_L WAIVER) that there is due from the contractor the sum of n a Dollars (50.00 ) ( ( ) 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: (FLNAL WAIVER) that the final balance due from the contractor is the sum of Fifty Thousand Dollars (5 50,000.00) ( ( X ) 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 perfosuled or material furnished to the undersigned for said project and within the scope of this affidavit and waiver. SPOHN ASSOCIATES. INC. (Firm) Byc� /�fi� °" • ' j//j f (Authorizet'R - Sentative) Title CHIEF FINANCIAL OFFICER WITNESS MY HAND AND NOTARIAL SEAL this 3rd day of Noveer>�. _. 2011 My Commission Expires: 1/9/2016 Residing in MORGAN County