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HomeMy WebLinkAboutSpohn Associates - $270,759.60Disbursement 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 Dim" 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. Doocrlptlon of Work Scheduled Volvo or Contract Amount Porcont Comploto or Contract Am oust Dwod Amount of Prior Authorized Dleb uraomont Amount of Current Aulhorizod Dta buraomont p own rrt'vinusly tnA.de Lr(nt 2.045, )3,10 f•A,iments -f-,1 %e mjc 64,22G,S0 Grand Total 7otatiouol S�29.0: --- - - 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 ofJune 30, 2009, by and between Lender and Carmel Theater Development Company, LLC., as amended by that certain Amendment to Loan Agreement, dated - anuary 28, 2010, by and between the same parties. Dated: 2.2 CITY OF CARMEL REDEVELOPMENT COMMISSION By OS 5, e !-P - Printed rxaZt'7iiia- F /iloC?dK- Title Draft Spohn Associates and Leach and Russell Up Through November 2009 Spohn Associates Leach and Russell $ 204,533.10 $ Amount Requested $ 204,533.10 December 2009 Spohn Associates Leach and Russell $ 66,226.50 $ ■ Amount Requested $ 66,226.50 Overall Amount Requested $ 270,759.60 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 Requested $ 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 Amount Requested $ 66,226.50 Overall Amount Requested $ 270,759.60 Draft Energy Center (Leach and Russell) Up Through November 2009 Total Contract Amounts through application 19 Completed and Stored to date $ Retention held $ Paid to date $ Amount Requested $ December 2009 Total Contract Amount for application 20 Completed and Stored to date $ Retention held $ To be paid $ ■ ■ Amount Requested $ Overall Amount Requested $ `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 One Civic Square Arts Center Carmel, IN 46032 FROM CONTRACTOR: Spohn Assoicates, Inc. 7150 Winton Drive, Suite 100 Indianapolis, IN 46268 VIA CONSTRUCTION TANAGER: 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 0703, is attached. 1. ORIGINAL CONTRACT SUM 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line 1 f 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G an 0703) 5. RETAINAGE: a. 10 %ofComplcted Work (Coluumn D + E on G703) b. 10 % of Stored Matctiat (Coturnn F on 0703) Total Relainage (Lines Sa + 5b or Total in Column I of 0703) 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTfFICATES FOR PAYMENT (Lint 6 front prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) 5 28,337.20 $ 2.173,370.00 .00 $ 2.173.170.00 $ 300,844.00 $ 1,747.20 $ 30,084.40 $ 270.759.60 $ 204.533.10 S. 16,26.50 $ 1.902.610.40 APPLICATION NO: 6 PERIOD TO: 12/31/09 PROJECT NO: 2695 CONTRACT DATE: 11/17/08 Distribution to: OWNER CONSTRUCTION MANAGER ARCHITECT CONTRACTOR CHANGE ORDER - SUMMARY- ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner Total approved this Month TOTALS 50.00 $0.00 NET CHANGES by Change Order $0.00 -aJ 1r '1' Z• ;fl , -U 1.. 1• .,., 1, 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 swom'to before me this Notary Public: My Commissior►�expires: Date: 12/14/09 County of: Marion 14th dB of Dec. , 2009 1/9/20161 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, infomration 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 (Attach ezplanarion if amount certified diijJera fro figures on this Application and on the Conlin amount certified, Cs �STRU �,I. ,0P By: ■ .;, C. � icAl _ 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. e amount applied for. Initial all heel that changed lo conform lo the Dale: • w a. r, o. • ,. 1 .p THE AAtERK:AN n1STnLTE OF ARCHITECTS, 1745 NEW YORK AVE.. ILYJ., WASHINGT011, DC 200066292 r. 1 ••• - 71',1.11 It IT I I IIJ``(' • rl T SCHEDULE OF VALUES Project: City of Cannel. Indiana One Civic Square Carmel, IN 46032 Job No: 2695 Trade Item: Contract 5030 - Interior Ornamental Steel and Millings SPOHN ASSOCIATES INC. Application Number: 6 Period To: 12/31/2009 Spohn Project No: 28 -1062 A 6 C D E F G H I dem No. Description orvn d( Scheduled Value Worts Completed Materials Presently Storad (Natin D a £) Total Complobed to Date (0 + E) Garrote( a (CG) Balance to Fivah (G.G) Reralnage Fran Previous Application This Period Orchestra High - Hall 21 Material $ 32,500 S - $ - 5 - 5 - 0% $ 32,500 50.00 22 Labor $ 20,800 $ - $ - S - S - 0% $ 20,800 50.00 Box Tier - Hall 23 Material 5 78,000 $ - $ - $ - $ - 0% $ 78,000 30.00 24 Labor 5 32,500 $ - $ - S - $ - 0% $ 32,500 50.00 Balcony Low - Hall 25 Material S 58,500 3 - 5 - 3 - 5 - $ 58,500 30.00 26 Labor $ 32,500 $ - $ - $ - 5 - 0% $ 32,500 50.00 Balcony High - Hat 27 Malarial $ 78,000 5 - 3 - $ - $ - 0% 5 78,000 50.00 28 Labor $ 58,500 $ - 5 - $ - $ - 0% S 58,500 $0.00 Railing @ Stairs & Ramps in Hall Ramps & Stairs #11. 12, 13. and 14 29 Material $ 26,000 $ - S - $ - $ - 0% 5 26,000 50.00 30 labor 5 16,900 $ - $ - $ - $ - 0% 3 16,900 50.00 Railing @ Monumental Stairs Stair #9 31 Steel Material $ 180,000 $ 4,800 $ 11,200 $ - $ 16,000 10% $ 144,000 51,600.00 32 Steel Labor $ 70,000 $ 2,190 $ 610 $ - $ 2,800 4% $ 67.200 5280.00 33 Gass Material $ 5,000 S - $ - S - 5 - 0% $ 5,000 50.00 34 Glass Labor $ 2,000 S - $ - S - $ - 0% $ 2,000 50.00 Stair #10 35 Steel Materlal $ 160.000 $ 4,800 $ 11.200 S - S 16,000 10% $ 144,000 $1,600.00 36 Steel Labor $ 70.000 $ 2,190 $ 610 $ - S 2,800 4% $ 67,200 3280.00 37 Glass Material S 5.000 $ - $ - S - 3 - 0% $ 5,000 50.00 38 Glass Labor S 2,000 $ - $ - 3 - 3 - 0% $ 2.000 50.00 Stair #15 39 Steel Material 5 12,500 $ 375 $ - $ - $ 375 3% 5 12,125 537.50 40 Steel Labor 5 5,500 $ 165 S - $ - $ 165 3% S 5,335 316.50 41 Glass Material 3 1,500 $ - 5 - $ - $ - 0% 3 1,500 $0.00 42 Glass Labor $ 500 $ - 3 - $ $ - 0% 3 500 50.00 Stair #16 43 Steer Material $ 12,500 $ 375 $ - $ - $ 375 3% Si 12,125 $37.50 44 Steel labor $ 5,500 $ 165 $ - $ - $ 165 3% $ 5,335 516.50 45 Glass Materiel $ 1,500 $ - $ - $ - $ - 0% $ 1,500 - 50.00 46 Glass Labor $ 500 $ - $ - $ - $ - 0% $ 500 50.00 Sub - Totals $ 1,700.020 $ 199,306 $ 51,113 $ - $ 250,419 0% $ 1,449,601 525,041.90 r,. r i.. i 'rt11Vltl MItlV AIA DOCUMENT G7021Cma TO (OWNER): r.+GR I IrIVH I G rum r'HT IVICIV I CONSTRUCTION MANAGER - ADVISER EDITION PAGE ONE OF 4 PAGES 2z72259 00 City of Carmel, Indiana One Civic Square Carmel, IN 46032 FROM (CONTRACTOR): SPOHN ASSOCIATES, INC. 7150 WINTON DR., SUITE 100 INDIANAPOLIS, IN 46268 CONTRACT FOR: Ornamental Railing 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. PROJECT: REGIONAL PERFORMING ARTS CENTER VIA CONSTRUCTION MANAGER: VIA ARCHITECT: APPLICATION NO.: 05 PERIOD TO: 11/30/09 PROJECT NOS: 28 -1062 CONTRACT DATE: 11/17/08 Distribution to: OWNER CONSTRUCTION MANAGER ARCHITECT CONTRACTOR 1. ORIGINAL CONTRACT SUM $ 2,173,370.00 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. 10 % of Completed Work (Column D +E on G703) $ 22,725.90 b. 10 % of Stored Material (Column F on G703) $ Total Retainage (Line 5a +5b or Total in Column I of G703) 2,173,370.00 227,259.00 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 22.725.90 8. CURRENT PAYMENT DUE 204,533.10 181, 278.00 j $ 23,255.10 I 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $ 1,968,836.90 i 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. State of: Indiana County of: Marion Subscribed and sworn to before me this 25th day of NOVEMBER, 2009 Notary Public: �(r �( - My CommissifSn xpires: 02 -05 -2015 Date: 11/25/09 ARCHITECT'S 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 certifies 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. AMOUNT CERTIFIED ................... ... (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Con on Sheet that are changed to conform to the ' • ounl certified.) - C I STRU T O • �� ` AGER: �� 5 l� B . ►.i: ,°%•7:1- , :� -ALA.. . --..� Date: 7 (J g•: Date: ll'79)"12543t . •, A. A . This Ce '', .'e is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. ter ALA DOCUMENT G702 /CNIa APPLICATION AND CERTIFICATION FOR PAYMENT () CONSTRUCTION MANAGER- ADVISER EDITION 0 1992 EDITION O AIA O 1992 G702 /Cma - 1992 THE AMERICAN INSTITUTE OF ARCHITECTS. 1745 NEW YORK AVE., ILW., WASHINGTON, DC 20006 -5292 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: 5 Period To: 11/30/2009 Spohn Project 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- 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% $ - $ 1,386 2 Engineering - Submittal $ 105,000 $ 99,750 $ - $ - $ 99,750 95% $ 5,250 $ 9,975 3 Engineering - File and Field $ 102,944 $ 30,883 $ 0 $ - $ 30,883 30% $ 72,061 $ 3,088 4 Contract Allowance $ 100,000 $ - $ - $ - $ - 0% $ 100,000 $ - 5 CAD -AS BUILT $ 10,000 $ - $ - $ - $ - 0% $ 10,000 $ - 6 Elevator Cab Cladding $ 90,670 $ - $ - $ - $ - 0% $ 90,670 $ - Steel Stairs Stair #9 7 Material $ 72,565 $ 5,080 $ 9,433 $ - $ 14,513 20% $ 58,052 $ 1,451 8 Labor $ 26,816 $ 1,877 $ 3,486 $ - $ 5,363 20% $ 21,453 $ 536 Stair #10 9 Material $ 72,565 $ 5,080 $ 9,433 $ - $ 14,513 20% $ 58,052 $ 1,451 10 Labor $ 26,816 $ 1,877 $ 3,486 $ - $ 5,363 20% $ 21,453 $ 536 Stair #15 11 Material $ 20,034 $ - $ - $ - $ - 0% $ 20,034 $ - 12 Labor $ 4,283 $ - $ - $ - $ - 0% $ 4,283 $ - Stair #16 13 Material $ 20,034 $ - $ - $ - $ - 0% $ 20,034 $ - 14 Labor $ 4,283 $ - $ - $ - $ - 0% $ 4,283 $ - Stair #29 15 Material $ 19,850 $ - $ - $ - $ - 0% $ 19,850 $ - 16 Labor $ 5,125 $ - $ - $ - $ - 0% $ 5,125 $ - Stair #30 17 Material $ 19,850 $ - $ - $ - $ - 0% $ 19,850 $ - 18 Labor $ 5,125 $ - $ - $ - $ - 0% $ 5,125 $ - Ornamental Railings Low / High Orchestra Lobby 19 Material $ 18,200 $ - $ - $ - $ - 0% $ 18,200 $ - 20 Labor $ 7,800 $ - $ - $ - $ - 0% $ 7,800 $ - Sub - Totals $ 745,820 $ 158,407 $ 25,839 $ - $ 184,246 0% $ 561,574 $ 18,423 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: 5 Period To: 11/30/2009 Spohn Project 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) Complet e (C /G) Balance to Finish (C -G) Retainage From Previous Application This Period Orchestra High - Hall 21 Material $ 32,500 $ - $ - $ - $ - 0% $ 32,500 $ - 22 Labor $ 20,800 $ - $ - $ - $ - 0% $ 20,800 $ - Box Tier - Hall 23 Material $ 78,000 $ - $ - $ - $ - 0% $ 78,000 $ - 24 Labor $ 32,500 $ - $ - $ - $ - 0% $ 32,500 $ - Balcony Low - Hall 25 Material $ 58,500 $ - $ - $ - $ - $ 58,500 $ - 26 Labor $ 32,500 $ - $ - $ - $ - 0% $ 32,500 $ - Balcony High - Hall 27 Material $ 78,000 $ - $ - $ - $ - 0% $ 78,000 $ - 28 Labor $ 58,500 $ - $ - $ - $ - 0% $ 58,500 $ - Railing @ Stairs & Ramps in Hall Ramps & Stairs #11, 12, 13, and 14 29 Material $ 26,000 $ - $ - $ - $ - 0% $ 26,000 $ - 30 Labor $ 16,900 $ - $ - $ - $ - 0% $ 16,900 $ - Railing @ Monumental Stairs Stair #9 31 Steel Material $ 160,000 $ 4,800 $ - $ - $ 4,800 3% $ 155,200 $ 480 32 Steel Labor $ 73,000 $ 2,190 $ - $ - $ 2,190 3% $ 70,810 $ 219 33 Glass Material $ 5,000 $ - $ - $ - $ - 0% $ 5,000 $ - 34 Glass Labor $ 2,000 $ - $ - $ - $ - 0% $ 2,000 $ - Stair #10 35 Steel Material $ 160,000 $ 4,800 $ - $ - $ 4,800 3% $ 155,200 $ 480 36 Steel Labor $ 73,000 $ 2,190 $ - $ - $ 2,190 3% $ 70,810 $ 219 37 Glass Material $ 5,000 $ - $ - $ - $ - 0% $ 5,000 $ - 38 Glass Labor $ 2,000 $ - $ - $ - $ - 0% $ 2,000 $ - Stair #15 39 Steel Material $ 12,500 $ 375 $ - $ - $ 375 3% $ 12,125 $ 38 40 Steel Labor $ 5,500 $ 165 $ - $ - $ 165 3% $ 5,335 $ 17 41 Glass Material $ 1,500 $ - $ - $ - $ - 0% $ 1,500 $ - 42 Glass Labor $ 500 $ - $ - $ - $ - 0% $ 500 $ - Stair #16 43 Steel Material $ 12,500 $ 375 $ - $ - $ 375 3% $ 12,125 $ 38 44 Steel Labor $ 5,500 $ 165 $ - $ - $ 165 3% $ 5,335 $ 17 45 Glass Material $ 1,500 $ - $ - $ - $ - 0% $ 1,500 $ - 46 Glass Labor $ 500 $ - $ - $ - $ - 0% $ 500 $ - Sub-Totals $ 1,700,020 $ 173,467 $ 25,839 $ - $ 199,306 0% $ 1,500,714 $ 1,508 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 5 Period To: 11/30/2009 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 Material $ 12,500 375 $ - $ - $ 375 3% $ 12,125 $ 38.00 48 Steel Labor $ 5,500 165 $ - $ - $ 165 3% $ 5,335 $ 16.00 49 Glass Material $ 1,500 - $ - $ - $ - 0% $ 1,500 $ - 50 Glass Labor $ 500 - $ - $ - $ - 0% $ 500 $ - Stair #30 51 Steel Material $ 12,500 375 $ - $ - $ 375 3% $ 12,125 $ 38.00 52 Steel Labor $ 5,500 165 $ - $ - $ 165 3% $ 5,335 $ 16.00 53 Glass Material $ 1,500 - $ - $ _ - $ - 0% $ 1,500 $ - 54 Glass Labor $ 500 - $ - $ - $ - 0% $ 500 $ - Railing @ Lobby Balconies East Lobby 55 Steel Material $ 85,000 2,550 $ - $ - $ 2,550 3% $ 82,450 $ 255.00 56 Steel Labor $ 40,100 1,203 $ - $ - $ 1,203 3% $ 38,897 $ 120.00 57 Glass Material $ 1,400 - $ - $ - $ - 0% $ 1,400 $ - 58 Glass Labor $ 500 - $ - $ - $ - 0% $ 500 $ - West Lobby 59 Steel Material $ 80,600 2,418 $ - $ - $ 2,418 3% $ 78,182 $ 242.00 60 Steel Labor $ 38,250 1,147 $ - $ - $ 1,147 3% $ 37,103 $ 115.00 61 Glass Material $ 1,000 - $ - $ - $ - 0% $ 1,000 $ - 62 Glass Labor $ 500 - $ - $ - $ - 0% $ 500 $ - South Lobby 63 Steel Material $ 84,000 2,520 $ - $ - $ 2,520 3% $ 81,480 $ 252.00 64 Steel Labor $ 34,500 1,035 $ - $ - $ 1,035 3% $ 33,465 $ 103.00 65 Glass Material $ 1,000 - $ - $ - $ - 0% $ 1,000 $ - 66 Glass Labor $ 500 67 Field Survey Stairs $ 16,000 16,000 $ - $ - $ 16,000 100% $ - $ 1,600.00 68 Field Survey Rails $ 50,000 - $ - $ - $ - 0% $ 50,000 $ - Totals $ 2,173,370 $ 201,420 $ 25,839 $ - $ 227,259 10% $ 1,946,111 $ 22,726 APPLICATION AND CERTIFICATE FOR PAYMENT AIR DOCUMENT G702 /CMa CONSTRUCTION MANAGER- ADVISER EDITION PAGE ONE OF PAGES TO OWNER: PROJECT: City of Carmel, Indiana Regional Performing One Civic Square Arts Center Carmel, IN 46032 FROM CONTRACTOR: Spobn Associates, Inc. 7150 Winton Drive, Suite 100 Indianapolis, IN 46268 VIA CONSTRUCTION MANAGER: CONTRACT FOR: Contract 5030— VIA ARCHITECT: CONTRACTOW'APPbCAtTieNtYlk Pkirtibrts Application is made for payment, as shown below, in connection with the Contract Continuation Sheet, MA Document G703, is attached. I. ORIGINAL CONTRACT SUM 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line I ±2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on 0703) 5. RETAINAGE: a. i.n % of Completed Work 5 (Corumn D + E on G703) b. % of Stored Material (Co(wnn F an 0703) Total Relatnage (Lines 5a + 5b or Total in Column( of 0703) 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Linc 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) 52,17'1,170.00 _nn $2,173.370.00 $ 201.,420.00 70,142 on APPLICATION NO: 4 PERIOD TO: 10/31/09 PROJECT NO: 2695 CONTRACT DATE: 11/17/08 Distribution to: OWNER CONSTRUCTION MANAGER ARCHITECT n CONTRACTOR 1 5'1'9 $ 20.142.00 $ 181.278.00 $ 140.961.60 $: 0 316.4c 1 ,9_2,0g2.0n CHANGE ORDER SUMMARY ADDI1IONS T DEDUCTIONS Total changes approved in previous months by Owner Total approved this Month TOTALS $0.00 $0.00 NET CHANGES by Change Order $0.00 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 A By: ates, Inc. State of: Indiana Subscribed and swoin to bcfo Notary Public: My Commissio Date: 10/20/09 County of Marion me this 201 d�ay of 0 . , 2009 cxpirrs: 1/9/2016 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, inComtation 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 (Attach explanation if amount certified di,(Jers from (he amount applied for. initial all figures on this Application and on the Co.linualion Sheet that changed to conform to the amount cerlifre• CO TR (( - NAGE `114 :ow/ By: `: /_I t . — ifi a• — /���_ Date: AR By: 0 Date: l (2:043k 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. AIAUOLU! /kNIC.!021 IAauFFFL ICAIIUHFORpAYilENTOCON] 1IUL "T'GNTVITAGERTAWISEREURRIRT31b4 EDITION-1J ALciTO12 THE AMERICAN IIISTITuTE OF ARCHITECTS.1746 NEW YORK AVE., U.W.. WASHINGTON. DC 711006.6292 RIWI.Ieha -19aa2 tlrrLlvtl l IVI' t11•L1 ‘...Lt1 i trll,tl1 L. r Vf1 rt1 1 IYILI'4.1 AIA DOCUMENT G702 /CMa t../N , 1 KUL I ION r1ANA(iER- ADVISER EDITION PAGE ONE OF PAGES TO OWNER: City of Carmel, IndiarPRTtOJECT: Regional Performing One Civic Square Arts Center Carmel, IN 46032 FROM CONTRACTOR: CONTRACT FOR: CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Shcct, AIA Document G703, is attached. Spohn Associates, Inc. 7150 Winton Drive, Suite 100 Indianapolis, IN 46268 Contract 5030— VlI ARCH1TE�T Intori r 4rnarxonto. tee an Raili VIA CONSTRUCTION MANAGER: 1. ORIGINAL CONTRACT SUM 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line t +2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) 5. RETA[NAGE: a- 10 %ofComplcicd Work ( oumnD +EonG703) b. % of Stored Material (Column F on G703) Total Relainagc (Lints Sa + 5b or Total in Column I of 0703) 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, fNCLUDING RETAINAGE S (Line 3 less Line 6) S 15,662.40 $ APPLICATION NO: 3 Distribution lo: OWNER PERIOD T0: 6/30/09 'CONSTRUCTION PROJECT NO: 26,95 D MANAGER ARCHITECT CONTRACT DATE: 11 /17 /08 I (CONTRACTOR 1 5c' `', $ 2,173.370.00 $ .00 $ 7,171,170.00 $ 156.624.00 $ 5. 15,662_.40 140,961.60 107,661.60 11,300 00 2,032,408.40 CHANGE ORDER SUMMARY ADD1( IONS DEDUCITONS Total changes approved in previous months by Owner Total approved this Month TOTALS 50.00 50.00 NET CHANGES by Change Order $0.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief (hc 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 1Voik 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 swo Notary Public: My Commission to before me this cxplrrs: 1/9/2016 Date: 6/19/09 County of: MARION 9th day of June, 2009 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. 51,1 3f2fa (Attach explanation if amount certified di(fThrs from the amount applied for. Initial all AMOUNT CERTIFIED figures on this Application and on the m,uotion Sheet that changed to conform to the amount cerli CO ' TRUC By: 'h; Date: AR tro r� By s`a= Date: This Certi6ca "" s 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. UULU1 /.Ei Uti:OLIiau K I ItICAI IUN F UR PRSIAERT 0 cONSTRUCTTIATIGMAGtR- AUUISEN tUI I tUN 1.1 W41 E DITIQAJ AIA IIiaFr-G THE AMERICAN IIISTTTUTE OF ARC H I I ECTS, 1745 NEW YORK AVE.. ILW.. WASH INGTOII. DC 2/0066292 U7�YU -l.)li -1492 APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER- ADVISER EDITION AMA DOCUMENT G702 /CMi (Instructions on res'crsc l'M.1 (1NF OF TO r )WNI_R: CITY OF CARMEL, INDIANA ONE CIVIC SQUARE CARMEL, IN 46032 V120) E• CT: REGIONAL PERFORMING ARTS CENTER APPLICATION NO.: 2 PERIOD TO: 4/30/09 PROJECT NOS.: 2695 FItO. \f CONTRACTOR: SPOHN ASSOCIATES, INC. 7150 WINTON DRIVE, SUITE 100 INDIANAPOLIS, IN . 46268 \ IA CONS'T'RUCTION CONTRACT 1'OR Contract 5030 - Interior \ IA ARCHITECT: Ornamental Steel and Railings CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown brtow, in connectior with the Contract. Continuation Shc- :t, ALA Document G703, is attached: 1. 2. i ORIGINAL CONTRACT SUM Net Change E:y Change Orders CONTRACT SUM TO DATE (Line 1 t 2) S 2,171,170.00 s .00 s 2,173,370.00 4. TOTAL COMPLETED Si STORED TO DATE S 119, 624.00 (Culunut G on G7(12) S. RETAINAGE: a_ 10 % of Completed Work (Colnrons D t ti on 67031 'X, of Stored Material (Column F on G703) Total Retainage (Line 5a + 5b or • Total in Column 1 of G703) 11;962.40 1 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Linc 5 'aural) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) $ 83,349.00 fl. CURRENT PAYMENT DUE I S S 11,962.40 $ 107,661.60 24,312.60 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Lille i less Line 6) f 2.065, 708.40 • CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner Total approves! this Month TOTALS NI "t' CIIANGES by Change Order MANAGER_ Distribution to: ❑ OWNER ❑ CONSTRUCT MANAGER CONTRACT DATE: 11/17 jog ❑ ARCI ITt;CT ❑ CONTRACT( The under-signed Contractor certifies that to the hc:;i or Mc Guurtctor knowledge, i motion and belief the Work covered h\' this Application for Payment has been comp in accordance with the Contract Documents, that all arnotrnts have been p:lid b, Contractor for \Xhrk for which previous Certificates for Payment were issued and menu received from the Owner, and that current payment showlt herein is now CONTRACTOR_ By: Stine of: Indiana County of: Marion Subscribed and sworn to before nw this 20th clay (1f April, 2009 Negate I'uhhc: My Comrnis.sion expire.:: 1/9/2016 Date: 4/ 20/09 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents. based on on -site observations and the comprising this application, the Construction Manager and Architect certify to the Os\ that to the best of their knowledge. information and belief the \Thrk has p rogressr, indicated, the quality of the \X'ork is in accordance with the Contract Documents. the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED $ �" .( Z. forlorn e.Cp lain:tion if antrum: certified differs jr(11n the an1(1J1/l1 applied fro: hri nil figures on this Application eruct on tI.w Cortlilrrr(jlrnl, Silee'r 11.1(11 e11nnggt'd n. eu,rll to We unrurrlr! Certified.) CONtiTRUCTIO 1(y. ARCHITI: Br This tra nr. Datc- lc is not negotiable. The AMOUNT CER"T"IFIED is payable only to the Cc .tined herein. Issuance, payment and acceptance of navmenr 1•, PPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION 141ANAGER- ADVISER EDITION A DOCUMENT 6702 /CMa (instructions on reverse side) tOWNER: CITY OF CARMEL, INDIANA ONE CIVIC SQUARE CARMEL, IN 46032 O\S CONTRACTOR: SPOHN ASSOCIATES, INC. 3935 N. MERIDIAN STREET INDIANAPOLIS, IN 46208 )NTRACT TOR Contract 5030— Interior PROJECT: REGIONAL PERFORMING NTER APPLICATION NO.: 1 PERIOD TO: 3/31/09 PROJECT NOS.: 2695 \ IA CONSTRUCTION MA R R. IA ARCIIITFCT: - ONTRACFOR'S APPLICATION FOR PAYMENT )plication is made for payment, as shown below, in connection with the Contract. -mtinuation She :t, MA Document G703, is attached. ORIGINAL CONTRACT SUM s 2,173, 370.00 s .00 Net Change Ey Change Orders CONTRACT SUM TO DATE (Line t t 2) S 7,173,370.00 TOTAL COMPLETED & STORED TO DATE S 92.610.00 (Column G on G702) RETAINAGE: 1 O 't. of Completed \Vork $ 9,761.00 (Columns D + F. on C703) h. 'X, of Stored Material 1 (Column F on 0.705) Total Rctainagc (Line 53 + 5b or Total in Column 1 of G703) S . TOTAL EARNED LESS RETAINAGE (Line 4 Less Linc 5 'total) LESS PREVIOUS CERTIFICATES FOR PAYMENT (Linc 6 from prior Certificate) 3 CURRENT PAYMENT DUE S 83,349.00 9.261:00 83,349.00 .00 1. BALANCE TO FINISH, INCWDING RETAINAGE (Linc 5 less Linc 6) $ 2,090,021.00 • CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous month; by Owner Total approved this Month TOTALS NET CHANGES by Change Order CONTRACT DATE: I'A<ai ONE OF PACES Distribution w: ❑ OWNER ❑ CONSTRUCTION MANAGER 11/17/0$) ARCHITECT ❑ CONTRACTOR The `" rt-signed Ca intru•u+r certifies that to the hest of the Contractors knctwleclge. infor nation and Iklirf the Work covered by this Application for Payment h:cs been completed in accordance with the Contract Documents. that 311 amounts have been paid by the Contractor for \`('nrk for which previous Certificates for Payment were issued and pay- ments received from the Owner, and that current payment shown herein is now due. State of: INDIANA County of: MARION Subscribed and sworn to before roc this 27th Notare Public: hly Cone I. iuti cepires: day of February, 2009 1/9/2016 Date- 2/27/09 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents. hosed on on -site observations and thc data comprising this application, the Construction Manage! and Architect certify to the Owner that to the hest 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 �� fit, (Auacl.> t vplanntir >n if amount certified differs from the an,r,rr,tr applied Jru: initial all figures nn ibis Application rout r,,, the f:(i,rualu),, .SLec't Oat dimmed to cn„lnrin In (be unwind certified.) AMOUNT CERTIFIED CONSTR(:CT e \ NAGE1 Ily• IL& . `" ,f . ' :istt **,_. — ARC By: This Ceriificatc is .." egotiable. The AMOUNT CER'T'IFIED is partblc only to the Con. tractor named , :- sin. Issuance. p:rymcnt and acceptance of payment arc without prejudice to any rights of the Owner nr C'ontrac'tor under this Contract. n O 01 O 0 0 to l0