The URL can be used to link to this page

Home My WebLink AboutWaltek - $3,445 r: . Disbursement Instructions ' '/75 (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 Dlaburoomont Amount of Authorized Disbursement Amtv,'i, 4-o t )nia �1 \iJk 9f I"hiiah(M)j LLC AH,li(jior 17 (Wdfek) PecNirkr2610 13,t-fLt500 Total Authorized Dleburoement "f�l:: .W _ ;yb 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 Fi nci I, LLC. Dated: 3 2a /( CITY OF CARMEL REDEVELOPMENT COM SION By Printed Le s' S. a ld S Title E XP c u+i \ee VI rec+of^ 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 Paid by Village Financial $ 117,500.00 December 2010 Amount to be paid by Village Financial I$ 3,445.00 I • APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702/CMa(Instructions on reverse side) PAGE ONE OF 2 PAGES TO CONSTRUCTION MGR::Carmel Redevelopment PROJECT: APPLICATION NO.: #17 Distribution to: , - Carmel Performing Arts Center Commission PERIOD TO: ❑ OWNER One Civic Square 777 Third Avenue, SW 12 31 2010 ❑ CONSTRUCTION Carmel, IN 46032 Carmel, IN 46032 PROJECT NOS.: 2695 MANAGER FROM SUB-CONTRACTOR: WALTEK&Company,Ltd. Subcontract#2695-5550 CONTRACT DATE: 02-27-2009 ❑ 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 the Owner, and that current payment shown herein is now due. 2. Net Change By Change Orders $ ($207,000.00) CONTRACTOR 4 $1,153,000.00 By' Date: 12-15-2010 3 CONTRACT SUM TO DATE (Line I + 2) $ State of: Ohio „,, 4 TOTAL COMPLETED&STORED TO DATE -..___ $ $1,105,525.00 ,,, PatA�s;,,, County of: Hamilton ;o� � �9-.' EUGENIE MARIE TOPPUTO (Column G on G702) Subscribed and sworn to before =2 „!�;^,�-,� 5. RETAINAGE: me this 15th day of December, 0 "rt.,'"�"'*1 Notary Public,State of Ohio %of Completed Work $57,650.00 y •J My Commission Expires 02!1812013 a. (Columns D+E on G703) ''nnA__ � �' , '''';2•E'"' ' rF OF 9,V b. %of Stored Material $_ $0.00 (Column F on G703) v '`� My Commission expires: Total Retainage(Line 5a+5b or Notary Public: Total in Column I ofG703) $ $57,650.00 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ $1,047,875.00 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) $ $1,044,430.00 indicated,the quality of the Work is in accordance with the Contract Documents- and the Contractor is entitled to payment of the AMOUNT CERTIFIED. I ty'ar 8. CURRENT PAYMENT DUE __ S $3,445.00 AMOUNT CERTIFIED -$ Sg4S 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Attach explanation if amount certified differs.from the amount applied for.Jnitial (Line 3 less Line 6) S $105,125.00 all figures on tbis Application and on the 'intinuationSheet that changed to conform to the amount certified.) CI STRUCTI I M AGER: CH'N(;F ORDER SUMMARY ADDITIONS DEDUCTIONS / Total changes approved in By: r,er� i;z� _ A _ Date: D previous months by Owner $0.00 ($207,000.00) ARCI-IIT, i Total approved this Month $0.00 $0.00 , ! -- - - By: Date: TOTALS $0.00 VAS AP This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- NET CHANGES by Change Order ($207,000.00) 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-ADVISH EDITION '4t1.,,, 1992 EDITION-AIA'--K1992-THE AMERICAN INSTITUTE OF ARCHITECTS,I-i-NE\X YORK AVENUE.N .\XAS'IIINGA-ON' 1`I :'a DC 20006--292-WARNING:Unlicensed photocopying violates U.S.copyright laws and w II subject the violator to legal prosecution. G702/CMa-1992 CARMEL PERFORMING ARTS CENTER AIA DOCUMENT G703 Construction Manager: Shiel Sexton Job# 2695 Contract # 2695-5550 APPLICATION NUMBER : 17 AIA DOCUMENT G702, APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING APPLICATION DATE: 15-Dec-2010 CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED. PERIOD TO: 31-Dec-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 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% - 18,093.82 4. LAMINATED ACOUSTICAL GLASS: Material 446,000.00 446,000.00 - - 446,000.00 100% - 29,999.42 5. ON-SITE INTALLATION 235,000.00 235,000.00 - 235,000.00 100% - - 6. OWNER ALLOWANCE 1 250,000.00 2,080.00 203,445.00 205,525.00 82% 44,475.00 139.90 7. OWNER ALLOWANCE 2 10,000.00 - 7,000.00 7,000.00 70% 3,000.00 - 8. C/O #1 - Allowance Reduction (207,000.00) - (207,000.00) (207,000.00) 100% - - 9. C/O #2 - Work Performed in C/O #1 - - - - 0% - - TOTAL - THIS APPLICATION 1,153,000.00 1,102,080.00 3,445.00 - 1,105,525.00 96% 47,475.00 57,650.00 PARTIAL LIEN WAIVER - SUBCONTRACTOR/SUPPLIER WALTEK & Company, Ltd (Subcontractor), upon receipt and clearance of payment of Three Thousand Four Hundred Forty Five & 00/100 Dollars ($3,445.00) 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 December 31, 2010 (except for the applicable retention balance of $57,650.00 as of December 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 /ff/Sday of /2e( , 2010. WALTEK &Comb.. . , Ltd Sworn to and subscribed before me this By: 4,44%9 C'45 t day of -, 2010 Office . re) (Printed Name) (Notary Public) (Title-Officer of the Company) P EUGENIE MARIE TOPPUTO .1 Notary Public,State of Ohio N,r ,, moo,: My Commission Expires 02118/2013 Waltek& Company, Ltd. Check: 19 2130 Waycross Road Date: 3/29/2011 Cincinnati, OH 45240-2719 Vendor: WALTEK Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-17 50 3,445.00 3,445.00 0.00 0.00 3,445.00 app 17 on Acoustical Canopy 3,445.00 3,445.00 0.00 0.00 3,445.00 19 3/29/2011 ***********3,445.00 THE SUM OF THREE THOUSAND FOUR HUNDRED FORTY FIVE DOLLARS AND NO CENTS ******* Waltek& Company, Ltd. 2130 Waycross Road Cincinnati, OH 45240-2719 Waltek& Company, Ltd. Check: 19 2130 Waycross Road Date: 3/29/2011 Cincinnati, OH 45240-2719 Vendor: WALTEK Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2-17 50 3,445.00 3,445.00 0.00 0.00 3,445.00 app 17 on Acoustical Canopy 3,445.00 3,445.00 0.00 0.00 3,445.00