HomeMy WebLinkAboutWaltek - $3,690 Disbursement Instructions
(PAC Acoustical Equipment)
Regions Bank hereby is instructed to make a disbursement of Loan Proceeds from the Borrower Loan
Account to (or for the account of)Borrower in (a)the amount of the "Total Authorized Disbursement"line In
the "Amount of Authorized Disbursement"column below; and (b)accordance with the terms and conditions
of the Agreement, the other Loan Documents, and the Disbursement Instructions.
Burposo of Authorizod Ulobursomont Amount of Authorizod Dioburoomont
Aii n+s *0 be /,n)J by Y iioc hrilatir,nl
Jr,nunt �I I.;3.10.0b
cbtswoyQ146,00
Totol Authorizod Oloburoomont 3.
P35;93.5-ii
All terms used In these Disbursement Instructions without definition shall have the meanings ascribed thereto.
in that certain Loan Agreement(PAC Acoustical Equipment),dated January 28,2010,by and between Lender
and Village Financial, LLC.
Dated:_ 3/S/,) CITY OF CARMEL REDEVELOPMENT
C• ••■ SSION
Printed tatf s. pLps
Title trX€C071tnr" ,/n6-c26r`
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702/CMa (Instructions on reverse side) PAGE'ONE OF 2 trees
TO CONSTRUCTION MGR::Carmel Redevelopment PROJECT: APPLICATION NO.: #12-R1 Distribution to:
Commission Cannel Performing Arts Center
777 Third Avenue, SW PERIOD TO: 01-98,1010 ❑OWNER
One Civic Square _
Carmel, IN 46032 ❑ CONSTRUCTION
Cannel, IN 46032 PROJECT NOS.: 2695 MANAGER
FROM SUB-CONTRACTOR: WALT)=K&Company,Ltd. Subcontract#2695-5550 CONTRACT DATE: 02-27-2009 ❑ARCHITECT
2130 Waycross Road 0 CONTRACTOR
Cincinnati,OH 45240-2719 VIA ARCI IITECT:CSO ARCHITECTS.
CONTRACT FOR:Acoustical Canopy
CONTRACTOR'S APPLICATION FOR PAYMENT 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
Application is made for payment, as shown below, in connection with the Contract. in accordance with the Contract Documents, that all amounts have been paid by the
Continuation Sheet,AIA Document G703, is attached. Contractor for Work '. revious Certificates for Payment were issued and pay
1. ORIGINAL-CONTRACT SUM . s
$1,360,000.00 mcnts recci • m the Owner,an. at current payment shown herein is now due.
2. Net Change By Change Orders _ _ S ($207,000.00) CONTR Cl'' .
13y: �� C� Date: 02-16-2010
3 CONTRACT SUM TO DATE (Line I± $1,153,000.00 2) S ,,,,,,,,,
$151,680.00 State of: Ohio ,, t.P At.s''',
4 TOTAL COMPLETED&STORED TO DATE $
County of: Hamilton ,,'a° Fs� EUGENIEMARIET1g
(Column G on G702) _a �,J = � �
Subscribed and sworn to before el Notary Public,en.g
5. RETAINAGE: me this 16th day of February,200f ' '54 o= COMM; o11're
a. 10% %of Completed Work S $15,168.00 ,q� �>,1�,,. ��
(Columns D+ E on G703) ''o,,,,„oFaioal' .
b. --_10% %of Stored Material S $0.00 yt
(Column F on G703) 11�lC�IQ c77 t« __ My Commission expires:
Total Rctainage(Line 5a+5b or `t _' Public: 1
Total in Column I oi'G703) S $15,168.00 CERTIFICATE FOR PAYMENT
6. TOTAL EARNED LESS RETAINAGE S $136,512.00 In accordance with the Contract Documents,based on on-site observations and the data
(Line 4 less Line 5 Total) comprising this application. the Construction Manager and Architect certify to the Owner
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT that to the best of their knowledge, information and belief the Work has progressed as
(Line 6 from prior Certificate) _ ___ _ _ _ $134,172.00 indicated, the quality of the Work is in accordance with the Contract Documents.and
the Contractor is entitled to payment of the AMOUNT CERTIFIED. �
8. CURRENT PAYMENT DUE __ S $2,340.00 AMOUNT CERTIFIED _. $ 2 I VtQ y -
9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs.fronz the amount applied for.lnitial
(Line 3 less Line 6) S $1,016,488.00 all figures on ibis Application and on the ContinuationSheel that changed to conform
to the amount certified.)
!'I-IANCiF ORDFR SUMMARY ADDITIONS DEDUCTIONS C NS'I'RUCI'I� MA/ AGER:
Total changes approved in g I
Y ��.. : �.�ri1'L�r . . r. Date: ((
previous months by Owner i i -
$0.00 $0.(l(1 A CI•I T•f
"Total approved this Month $0.00 ($207,000.00) By: It jl 1 e l L '
TOTALS $0.00 ($207,000.00) This Certificate is not negotiable.The AMOUNT CERTIFIED is payabl only to the Con-
NE'1'CHANGES by Change Order ($207,000.00) tractor named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights oldie Owner or Contractor under this Contract.
NABp AIA DOCUMENT G702/CMa•APPLICA.1 ION AND CL•RTI19CNI F FOR I&oWMEiNT.CONSTRUCTION MANAGER-AOVISII EDITION
1992 EDITION-AIA'--K1992-TIIE AMERICAN INSTITUTE OF ARCIIITFC1'S.I-i-NE'X YORK AVENUE.N.w.1XAS'IIINGA•ON'
DC 20006-292.WARNING:ING:Unlicensed photocopying violates U.S.copyright laws and■,al subject the violator to legal prosecution. G702/CMa-1992
CARMEL PERFORMING ARTS CENTER AI:A DOCUMENT G703
Construction Manager.: •Shiel Sexton
Job# 2695' Contract fl 2695-5550 APPLICATION PLUMBER' : 12-R1
AIA DOCUMENT. G702, APPLICATION' AND CERTIFICATE 'FOR PAYMENT, CONTAINING APPLICATION DATE: 10-Feb-2010
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED,
PERIOD TO: 28-Feb-2010
IN 'TABULATIONS BELOW, AMOUNTS ARE STATED TO THE NEAREST DOLLAR. REVISED DATE: 15-Feb-2010•USE. COLUMN I ON CONTRACTS WHERE VARIABLE RETAINAGE FOR LINE ITEMS MAY APPLY. ARCHITECTS -PROJECT• NO:
A B C D E. F G H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED ,MATERIALS 'TOTAL 6 BALANCE RETAIWAGE
NO VALUE FR PREVIOUS THIS PRESENTLY COMPLETED 6 (G/C) TO FINISH 10.0%
APPLICATION PERIOD STORED STORED TO DATE
(D+E) (not in D or F.) (D+E+F) (C-G)
1. ENGINEERING 140,000.00 140,100.00 - 140,000.00 100% - 14,000.00
2. MOBILIZATION 10,000.00 - - - 0% 10,000.00 -
3.. SPACE FRAME SYSTEM:
Material 269,000.00 5,500.00 2,600:00 8,100.00 3% 260,900.00 810.00
4. LAMINATED ACOUSTICAL GLASS:
Material 446,000.00 1,.500.00 - 1,500.00 0% 444,500.00 150.00
5. ON-SITE INTALLATION 235-,000.00 - - 0% 235,000.10 -
6. OWNER ALLOWANCE 1 250,000..00 2,080.00 - 2,080.00 1% 247,920.00 208.00
7. OWNER ALLOWANCE 2 10,000.00 - - - 0% 10,000.00 -
8. C/O ((1 - Allowance Reduction (207,000.00) - - - 0% (207,000.00) -
9. C/O 142. - Work Performed in C/O ((1 - - - - 0% - -
TOTAL - THIS APPLICATION 1,,158,000.00 149,080.00 2,600.00 - 151,680.00 13% 1,001,320.'00 15,168.00
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702/CMa (Instructions on reverse side) PAGE ONE OF 2 PAGES
. `i'O CONSTRUCTION MGR::Cannel Redevelo ment PROJECT: APPLICATION NO.: #11 Distribution to:
p Carmel Performing Arts Center
Commission 777 Third Avenue, SW PERIOD TO: 01-31-2010 OWNER
One Civic Square Carmel, IN 46032 PROJECT NOS.: 2695 0 CONSTRUCTION
Cannel,IN 46032 Subcontract#2695-5550
MANAGER
FROM SUB-CONTRACTOR: WALTEK&Company,Ltd. CONTRACT DATE: 02-27-2009 0 ARCHITECT
2130 Waycross Road ❑ CONTRACTOR
Cincinnati,OH 45240-2719 VIA ARCHITECT:CSO ARCHITECTS.
CONTRACT FOR:Acoustical Canopy
CONTRACTOR'S APPLICATION FOR PAYMENT 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
Application is made for payment, as shown below, in connection with the Contract. in accordance with the Contract Documents, that all amounts have been paid by the
Continuation Sheet,AIA Document G703, is attached. Contractor for Work for which previous Certificates for Payment were issued and pay
1. ORIGINAL CONTRACT SUM.. __ S
$1,360,000.00 ments received from I- ■ Id that current payment shown herein is now due.
2. Net Change By Change Orders _$ $0.00 CONTRACT•4#
/
By: / a- g Date: 01-13-2010
�
3 CONTRACT SUM TO DATE (Line I ± 2) $ $1,360,000.00 � i C
State of: Ohio _:V,r \iT .5� .��.
4 TOTAL COMPLETED&STORED TO DATE $ $149,080.00 ;z ��-_ EUGENIE MARIE TO
(Column G on G702) County of: Hamilton ; Y aI d
Subscribed and sworn to before 51 ±rye-,.
5. RETAINAGE: me this 13th day of January,21 ':.54 - ‘t" �F
a. 10% %of Completed Work S $14,908.00
(Columns D+E on G703) 3/44"' ""0
b. 10% %of Stored Material S $0.00
(Column F on G703) C".. � t isti y Commission expires:
Total Retainage(Line 5a+5b or
Notar"Public:
Total in Column I ofG703) $ $14,908.00 CERTIFICATE FOR PAYMENT
6. TOTAL EARNED LESS RETAINAGE $ $134,172.00 In accordance with the Contract Documents,based on on-site observations and the data
(Line 4 less Line 5 Total) comprising this application, the Construction Manager and Architect certify to the Owner
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT that to the best of their knowledge, information and belief the Work has progressed as
$132,822.00 indicated,the quality of the Work is in accordance with the Contract Documents. and
(Line 6 from prior Certificate) ______ s the Contractor is entitled to payment of the AMOUNT CERTIFIED.
8. CURRENT PAYMENT DUE S $1,350.00
AMOUNT CERTIFIED ____-$ l`/ 357D,OV/1
9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs.from the amount applied for.Initial
(Line 3 less Line 6) S $1,225,828.00 all figures on this Application and on the ContinuationSheet that changed to conform
to the amount certified.)
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS CO STRUCTI�3 MA AGER:
Total changes approved in B `�. _ ' / .
g PP Y �.►.,�ij_,.��Ss�,i� Date: DT�Z91(D
previous months by Owner (((
$0.00 $0.00 ARCHI"I f
Total approved this Month $0.00 _ $0.00 )
By: . A Date: U°�' 0141 20l0
TOTALS $0.00 $0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con-
NET CHANGES by Change Order $0.00 tractor named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702/CMa-APPLICAJ ION AND CERTIFICNI F FOR RoWMENT-CONSTRUCTION MANAGER-ADVISII EDITION
�u. 1992 EDITION-AIA'—-K1992-THE AMERICAN INSTITUTE OF ARCHITECT'S,I-i—NE\X YORK AVENUE.N.w.\XAS'IIINGA-ON'
'..�`'i
.. DC 2000e--292-WARNING:Unlicensed photocopying violates U.S.copyright laws and,ill subject the violator to legal prosecution. G702/CMa-1992
CARMEL PERFORMING ARTS CENTER AIA DOCUMENT G703
Conptruction Manager: Shiel Sexton
Job# 2695 Contract # 2695-5550 APPLICATION NUMBER : 11 .,
AIA DOCUMENT G702, APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING APPLICATION DATE: 13-Jan-2010
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED. PERIOD TO: 31-Jan-2010
IN TABULATIONS BELOW, AMOUNTS ARE STATED TO THE NEAREST DOLLAR. REVISED DATE:
USE COLUMN I ON CONTRACTS WHERE VARIABLE RETAINAGE FOR LINE ITEMS MAY APPLY. ARCHITECTS PROJECT NO:
A B C D E F G H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE
NO VALUE FR PREVIOUS THIS PRESENTLY COMPLETED & (G/C) TO FINISH 10.0%
APPLICATION PERIOD STORED STORED TO DATE
(D+E) (not in D or E) (D+E+F) (C-G)
1. ENGINEERING 140,000.00 140,000.00 - 140,000.00 100% - 14,000.00
2. MOBILIZATION 10,000.00 - - - 0% 10,000.00 -
3. SPACE FRAME SYSTEM:
Material 269,000.00 4,000.00 1,500.00 5,500.00 2% 263,500.00 550.00
4. LAMINATED ACOUSTICAL GLASS:
Material 446,000.00 1,500.00 - 1,500.00 0% 444,500.00 150.00
5. ON-SITE INTALLATION 235,000.00 - - - 0% 235,000.00 -
6. OWNER ALLOWANCE 1 250,000.00 2,080.00 - 2,080.00 1% 247,920.00 208.00
7. OWNER ALLOWANCE 2 10,000.00 - - - 0% 10,000.00 -
TOTAL - THIS APPLICATION 1,360,000.00 147,580.00 1,500.00 - 149,080.00 11% 1,210,920.00 14,908.00
SL Subcontract Billing Report
For Work Invoiced From 01/01/10 to 01/31/10
Subcontract: 2695-5550 5550 Acoustical Canopy
Job: 2695- Carmel-RPAC Construction Vendor: 10042 WALTEK&COMPANY, LTD.
777 3rd Ave. SW
Carmel, IN 46032
Contract :; To Date This Period
Item Units UM Unit Cost Amount Units/% Amount Units/% Amount
1.5550 Acoustical Canopy LS 1,360,000.00 10.96% 149,080.00 0.11% 1,500.00
Total Contract Items 1,360,000.00 149,080.00 1,500.00
***Change Orders***
3 SSC-1227 Allowance LS -207,000.00 0.00% 0.00 0.00% 0.00
reductions
Total Change Order Items -207,000.00 0.00 0.00
Subcontract Totals: 1,153,000.00 149,080.00 1,500.00
Total Billings: 149,080.00 1,500.00
Unpaid Retainage: 14,908.00 150.00
Discounts: 0.00 0.00
Net Billings: 134,172.00 1,350.00
98 SSC-CMa Projects Page 1 01/22/10 08:52:55 AM
Date Format-MM/DD/YY SLSubBillingReport.rpt