Loading...
HomeMy WebLinkAboutCincinnati Floor - $4,911.30 The National Bank of Indianapolis 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 Amount previously paid by CRC. To be reimbursed by Carmel Theater Development Company. Application 1(Cincinnati Floor Company) $4.911.30 Total Authorized Disbursement ZIfri tan ; 1 All terms used in these Disbursement Instructions without definition shall have the Meanings ascribed thereto in that certain.Loan Agreement(Equipment and Improvements), dated February 23, 2010, by and between The Nati nal Bank of Indianapolis and Carmel Theater Development Company, LLC. Dated 7 �2 lo. CITY OF CARMEL REDEVELOPMENT COMMISSION By: Les S. O lds Printed: Executive Director Title: Draft Wood Flooring (Cincinnati Floor Company) May 2009(Application 1) To be reimbursed by Carmel Theater Development Company $ 4,911.30 , IA.2 a t, _ Document G702/C 1 992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: APPLICATION NO: 1. Distribution to: Carmel.Redevelopment Commission Carmel Regional Performing Arts Center One Civic Square. 777 3rd Ave.SW PERIOD TO OWNER ❑ May 31,2009 Carmel, In 46032 CFC JOB# IW443 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR:. VIA CONSTRUCTION MANAGER: CONTRACT DATE: March 23,2009 ARCHITECT ❑ Cincinnati Floor Company,Inc PROJECT NOS: 2695 8320 Brookville.Rd,Suite;M l CONTRACTOR ❑ CFC Indianapolis,in 46239 317-357-3562 VIA ARCHITECT:s,In OF'INV: 5/15/2009 FIELD ❑ CONTRACT FOR: SALESMAN: KAP ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and Application is made for payment,as shown bel ow,in connection with the Contract. belief the Work covered by;this Application for Payment has been completed in accordance with the Continuation Sheet,AlA Document G703.is attached. 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 1.ORIGINAL:CONTRACT SUM $_4850g__ payment shown herein is now duc. 2.Net change by Change Orders $ CONiRACJ.GR 3.CONTRACT SUM TO DATE(Line 1 ±3 r, ati Floor Co,'Inc. 689.495.00 Bys.. iy� %1/ Dntc:--514-5/2900 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) $ 5,457.00 State of: Tim Caldwell,Superintendent 5.RETAINAGE: 10070 County of: MARION n'EG—GY LeRUE ] a �b,oFComplcted W°rl` Subscribed and sworn to before CTARY PLBL/D (Column D.+Eon 0703) $ 545.70 me this 15 day of M 2009 b10% rio of.Stored Material Notary Public:P 7, G: mijlo OF INDIANA I �� L Lammlaalon Euplran Juty4,�Dtl1 (Column F on G703) $ My Commission — Total Retainage(Lines 5a+5b or Total in Column r of G703). $ 545.70 CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE In accordance with the Contract Documents,bused on on-site observations and the data comprising S 4,911:30 this application,tic Construction Manager and Architect certfy to the Owner that to the best of their (Line 4'Less Line Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT • $ accordance with the Contract Documents,:and the Contractor is entitled to p:iyment of the AMOUNT (Line 6 from prior Certificate) CERTCFIED. I).CURRENT PAYMENT DUE 5 4,9.11.30 VAMOUNT CERTIFIED II BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation anrorum certified:difers from the amount applied.`Initial all figurer on this Application and an the.Cantintration Sheer that are changed to conform with rite amnion certified.) (Line.3 less Linc 6) $ 684,583.70 CONST•,CTION irili AG CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS By: .20",t„, �'� Date:i 2 r1 ARCHITECT: 7. if- l Total changes approved in previous months by,Owner $ $ B} ' Date: /? +: 01' Total approved•this Month $ $ This Certificate is no'egotiable. The AMOUNT CERTIFIED is payable,only to the Contractor TOTALS $ S named Frcin. Issuort no/negotiable. and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order thc.Ow ter or Contractor under this Contract. CAUTION:You should sign an original AIA:Contract Document,;on which this text appears In RED.An.original assures that changes will not be obscured. AIA;Document G792iCMaTu-1992 Copyright ©1992 by The American Institute of Architects.All rights'reserved.WARMI■IG:This AIA"'Document is protected by U.S.Copyright Law and international Treaties. Unauthorized reproduction or distribution of this:Ale Document,or any portion of it,may result,in severe civil and criminal penalties:end will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce len 110)copies of this document when completed.To report copyright violations oi'AIA Contract Documents;e-mail The American Institute of Architects'legal counsel,copyright@ata.org. Document G703 1992 ,-----", . t A an Continuation Sheet •1 Al A Document G702.APPLICATION:AND-CERTIFICATION FOR PAYMENT. APPLICATION NO: 5/18/2009 containing Contractors signed ccrtifiedim rs attached. I tabulations-below..amounts arc:stated Wile nearest dollar. APPLICATION DATE 5131/2009 UscColumn I un Contracts where variable reiainagc'foraine items,mavapply. PERIOD TO: - ARCHITECT'S PROJECT NO: A 13 C D E F. G 11 1" WORIi:CO[v1P1 E1ED tv[ATERIAIS TOTAL armel.Re Zonal Performin Arts Center BALANCE g Performing SCHEDULED ,FROM PREVIOUS PRLSChrR_l?, CONIP.ULTED' r RETAINAGE ITEM DESCRIPTION OF WORK STORED AND STORED TO (IF VARIABLE NO. 'VALUE APPLICATION THIS PERIOD tG=C) FINISH' /NOT:IN TO DATE RATE) 7773rd:Ave.SW (ID+EI D'ORE) (D+E-F) IC-G) • Bonds $ 5,457.00. $ •5,457.00 $ 5,457.00 100% Materials Platform $ 175,162.00 Brazilian Cherry Sleeper/Sub $ 175,162.00 Stage Wood`Flooring-General. '$ 10,000.00 Labor Platform $: 30,007.00 Brazilian Cherry Direct Apply $; 30,007.00 Stage Wood Flooring-CAD $ 5,000.00 $ .329,978.00 Materials Auditorium&Suites $ 329,978.00 Brazilian Cherry over.3/4 Ply NonStage Wood Flooring-General. $ 1.0,000.00' $ 74,137.00 Labor Auditorium'&Suites $ 74,137:00 Non-Stage Wood Flooring-CAD, 8 5;000.00 • Material DonorAmenity $ 54,278.00 • $ 54,278.00 $ 20,476.00 Labor Donor Amenity $ 20,476:00 $ 689,495.00 $ - $ 5,457,.OE $ - I $ 5,457.00 1% $ 684,038.00 $. - 'CAUTIOI.1:You.should sign an original AIA.Contraci'Document,on which this text appears'In RED.An original,assures'that changes,will not be obscured. AIA Document G7037,1—1992.Copyright G 1963,1965..1966,.1967;1970,'1978,1983 and1992 by The American:institute o1 Architects.All rlghts•re.served.WARNING:This Ale Document Is protected by U.S.Copyright Law and International Treaties:Unauthorized reproduction or distribution of this AIA"Document,or any portion ol,it,may resu)tin severe civil anct criminal penalties.-::inrl:will be prosecuted to the'niarlmum n-lent possible under the low.Purchasers are permitted to reproduce ten(10)copios of this document when completed:To report copyright violations of AIA Contract Documents,e-mail.The American Institute of Architects'legal counsel.copyright @aia.org. ( 17 8320 Brookville Road ta7^;�i v;} TELEPONE: (317)357-3582 Indianapolis,IN 46238 CINCINNATI FLOOR FA :. (317)351:533$ COMPANY AFFIDAVIT AND PARTIAL WAIVER OF MECHANICS UEN I,Tim Caldwell .:being first duly sworn,state that I em the Superintendent of Cincinnati Floor Company(hereafter referred to as the"Company')panyy and am familiar with the following facts stated herein: 1.The undersigned,in consideration of,and upon receipt of payment in the sum of g. 4,911.30 does hereby waive,release and relinquish anyand all liens and Claims for lie ns for labor or work performed"and/or material furnished through the 31 day of MAY, 2009'to the construction project commonly known as Cannel Regional Performing Arts Center located at 777 3rd Ave.SW Cannel,In 46032 (hereinafter the"Project.). 2.All laborers,material men,and subcontractors or the Company have been pald,for all sums which were due for work,labor and/or material machinery provided by said parties for the Project and for which the Company has received payment. 3:The Company represents that it is not aware of any.Mechanic's Ilan having been filed by or presently threatened to be filed against the Project by any party having performed work and labor for the Company arid/of furnished material,machinery, equipment,and fuel to the,Company for the project. 4.This waiver excludes retainage withheld and any change order work not yet billed. Tim Caldwell Superintendent STATE OF INDIANA COUNTY OF MARION Swom to and subscribed in my presence this 15 day of MAY, 2009 0 + " V^ My Commission Eirpires: PEGpYURUE •• j • Ptoraut,RA U: u OFMANA Cominlbston ems