HomeMy WebLinkAboutWaltek - $117,500 Disbursement Instructions
(PAC Acoustical Equipment)
Regions Bank hereby is instructed to make a disbursement of Loan Proceeds from the Borrower Loan
Account to (or for the account of) Borrower in:(a)the amount of the"Total Authorized Disbursement" line in
the "Amount of Authorized Disbursement"column below;and (b)accordance with the terms and conditions
of the Agreement, the other Loan Documents, and the Disbursement Instructions.
Purpose of Authorized Disbursement Amount of Authorized Disbursement
Amtlir+ l0 6e pail ty Vii/A9e Fintlnlidl
as per the AcouS*4d\ Ectu:gi\e�� Z PC
M1)40310 16 (Walfek) nr.-- 1et' 2010 4 1!$ 117 500. 00
S '!7'50 U s Total Authorized Disbursement ''',, Y 4' „ i
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 Fina cial, LLC.
Dated:1/4 l� CITY OF CARMEL REDEVELOPMENT
Co it t ISSION
BY��i�i
Printed Les S. Olds
Title E1(e Ccsfi Ve Direi4or
Draft
PAC Acoustical Equipment
(Waltek)
Up Through November 2009
Total Contract Amounts through application 9
Completed and Stored to date $ 141,830.00
Retention held $ 14,183.00
Paid to date $ 127,647.00
Amount reimbursed to CRC $ 127,647.00
December 2009
Total Contract Amount for application 10
Completed and Stored to date $ 5,750.00
Retention held $ 575.00
To be paid $ 5,175.00
Paid by Village Financial $ 5,175.00
January 2010
Paid by Village Financial $ 1,350.00
February 2010
Paid by Village Financial $ 2,340.00
June 2010
Paid by Village Financial $ 662,918.00
August 2010
Paid by Village Financial $ 10,000.00
September 2010
Paid by Village Financial_$ 117,500.00
October 2010
Amount to be paid by Village Financial $ 117,500.00
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702/CMa (Instructions on reverse side) PAGE ONE OF 2 PAGES
TO CONSTRUCTION MGR::Carmel Redevelopment PROJECT'Carmel Performing Arts Center APPLICATION NO.: #16 Distribution to: .
Commission PERIOD TO: ❑ OWNER
777 Third Avenue, S W 10-3 l-2010
One Civic Square
Carmel, IN 46032 PROJECT NOS.: 2695 ❑ CONSTRUCTION
Carmel,IN 46032 Subcontract#2695-5550 MANAGER
FROM SUB-CONTRACTOR: WALTEK&Company,Ltd. CONTRACT DATE: 02-27-2009 ❑ ARCHITECT
2130 Waycross Road III 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 Payrnent 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
$1,360,000.00 ments received from the Owner, and that current payment shown herein is now due.
2. Net Change By Change Orders _______$ ($257,920.00)
CONTRACTOR:
$1,102,080.00 By: ?�°� iAw i's`-^'C�Date: 10-14-2010
3 CONTRACT SUM TO DATE (Line I ± 2)_____.__.$ �P s°�,,
State of:
4 TOTAL COMPLETED&STORED TO DATE $ $1,102,080.00 Ohio _2���e s EUGENIE MARIE TOPPUTO
Hamilton
(Column G on G702) Subscribed and sworn to before 'N_ _4� *` Notary Public,�of Ohio
O My Commission Expires 02/19/2013
5. RETAINAGE: Inc this 14th da of October, "°' `���'�
a. %of Completed Work S $57,650.00
y 9,.'``
(Columns D +E on G703)
b. %of Stored Material $ $0.00
(Column F on G703) %� !I Li 1.r/i r\ My Commission expires:
Total Retainage(Line 5a+5b or
Notary Public:
Total in Column I of 0703) $ $57,650.00 CERTIFICATE FOR PAYMENT
6. TOTAL EARNED LESS RETAINAGE $ $1,044,430.00 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) _._ _ $ $926,930.00 indicated,the quality of the Work is in accordance with the Contract Documents. and
the Contractor is entitled to payment of the AMOUNT CERTIFIED. Od
8. CURRENT PAYMENT DUE ___. __ S $117 500.00 $ 1'11500'''"—
AMOUNT CERTIFIED
9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs.from the amount applied for.lnitial
(Line 3 less Line 6) S $57,650.00 all figures on tbis Application and on t,c ContinuationSheet that changed to conform
to the amount certified.)
CHANGE Ot DER SUMMARY ADDITIONS DEDUCTIONS CONS1'RUCT,u MAC AGF.R:,
Total changes approved in BY:.N111...e _,'46..4.46.1_,. j Date: ,/0 2.q/e9
previous months by Owner ,r /
$0.00 ($207,000.00) AR
Total approved this Month t. I- _. -
TOTALS $0.00 ($257,920.00)
By: -� � � Date:
Con-
NET CHANGES by Change Order This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con-
($257,920.00) tractor named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
- ALA DOCUMENT G702/CMa-APPLICAI ION AND CERTIFICNI F FOR RoWMENT-CONSTRUCTION MANAGER-ADVISH EDITION
-\.._ 'L 1992 EDITION-AIA'—-K1992-THE AMERICAN INSTITUTE OF ARCHITECTS,I-i—NE\X YORK AVENUE.N.w.\XAS'IIINGA-ON'
DC 20006--292-WARNING:Unlicensed photocopying violates U.S.copyright laws and will subject the violator to legal prosecution. 0702/CMa-1992
CARMEL PERFORMING ARTS CENTER AIA DOCUMENT G703
Construction Manager: Shiel Sexton
Job# 2695 Contract # 2695-5550 APPLICATION NUMBER : 16 .
AIA DOCUMENT G702, APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING APPLICATION DATE: 14-Oct-2010
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED. PERIOD TO: 31-Oct-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 R.ETAINAGE
NO VALUE • FR PREVIOUS THIS PRESENTLY COMPLETED & (G/C) TO FINISH
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% - 9,416.86
2. MOBILIZATION 10,000.00 10,000.00 - 10,000.00 100% - -
3. SPACE FRAME SYSTEM:
Material 269,000.00 269,000.00 - - 269,000.00 100% - 3.8,093.82
4. LAMINATED ACOUSTICAL GLASS:
Material 446,000.00 446,000.00 - - 446,000.00 100% - 29,999.42
5. ON-SITE INTALLATION 235,000.00 117,500.00 117,500.00 235,000.00 100% - -
6. OWNER ALLOWANCE 1 250,000.00 2,080.00 - 2,080.00 1% 247,920.00 139.90
7. OWNER ALLOWANCE 2 10,000.00 - - - 0% 10,000.00 -
8. C/O #1 - Allowance Reduction (257,920.00) - - - 0% (257,920.00) -
9. C/O #2 - Work Performed in C/O #1 - - - - 0% - -
TOTAL - THIS APPLICATION 1,102,080.00 984,580.00 117,500.00 - 1,102,080.00 100% - 5'.',650.00
PARTIAL LIEN WAIVER - SUBCONTRACTOR/SUPPLIER
WALTEK & Company, Ltd (Subcontractor), upon receipt and clearance of payment of One
Hundred Seventeen Thousand Five Hundred & 00/100 Dollars ($117,500.00) from Shiel
Sexton (Contractor) paid in connection with the construction of the Carmel Performing Arts
Center (the project) hereby executes this Partial Lien Waiver and waives and releases any and
all lien rights accruing for materials and services furnished through October 31, 2010 (except for
the applicable retention balance of $57,650.00 as of October 31, 2010), for which the above
payment is made. The undersigned represents that all employees, laborers, materialmen and
subcontractors employed by the undersigned in connection with the Project and all bills currently
due for labor, materials, supplies and taxes furnished in connection with the Project, have been
fully paid their respective portions of previous payments. This Partial Lien Waiver is executed in
consideration of the payment of said amount and is effective only to the extent of such payment.
Dated this /y day of 0Ce.-- , 2010.
WALTEK & Corn , td Sworn to and subscribed before me this
By: � l�n /"i day of c , 2010
(Officer Signature)
A /2
•
(Printed Name) (Notary Public)
, I� Q ",N1{IIIIN/I/
�
(Title-Officer of the Company) o t` EUNIE MARIE
Notary Public,State of Ohio
CommGEission Expires TOPPUTO 013
02/1812