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Home My WebLink AboutCertified Floorcovering - $606 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 to be paid by Carmel Theater Development as per the Carpet,Tile,and Access Flooring installment purchase contract Application 10(Certified Floorcovering) January 2011 $ 606.00 rY c ` Total Authorized Disbursement $� A0au t^. w�s�h ;! 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: 3 fie // CITY OF CARMEL REDEVELOPMENT COMMISSION By: Les S. Olds Printed: Executive Director Title: Draft Carpet and Resilient Flooring (Certified Floorcovering) April 2010, Paid by Carmel Theater Development Company $ 4,320.00 May 2010 Paid by Carmel Theater Development Company $ 61,153.20 June 2010 Paid by Carmel Theater Development Company $ 75,598.80 July 2010 Paid by Carmel Theater Development Company $ 14,248.56 August 2010 Paid by Carmel Theater Development Company $ 10,977.75 September 2010 Paid by Carmel Theater Development Company $ 102,812.04 October 2010 Paid by Carmel Theater Development Company $ 141,552.90 November 2010 Paid by Carmel Theater Development Company $ 31,985.50 January 2011 Amount to be paid by Carmel Theater Development Company $ 606.00 APPLICATION AND CERTIFICATE FOR PAYMENT PAGE ONE OF AIA DOCUMENT G702/CMa PARCEL 7A, REGIONAL PERFORMING ARTS CENTER . To Contr. Project: Carmel Redevelopment Commission(Owner) Application#: 10 Distribution to One Civic Square Carmel,IN 46032 Application Date: 1/4/2011 OWNER _ Attn: Les Olds,AIA,Director of Redevelopment CONSTRUCTIO MGR From Contractor: Period Ending: 12/4/4752 ARCHITECT Certified Floorcovering Services,Inc VIA Construction Manager: Shiel Sexton Co., Inc. CONTRACTOR 5150 West 84th Street Indianapolis,IN 46268 Via Architect: CSO,Inc. Contract For Contract Date#: 07/29/09 Carpet&Resilient Flooring-Contract#2695-5130 Pencil copy to Geoff Pratt(gpratt @shielsexton.com)by 15th of the month. Billing due 20th of the month One original to the project site. CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment as shown below,in connection with the Contract information and belief the Work covered by this application for payment has been Continuation Sheet,AIA Document G703 attached 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 1.Original Contract Sum $440,900.00 payments received from the Owner and that current payment shown is herein now due 2.Net Change by Change Orders 26,625.00 Contractor: Certified Floorcovering Services,Inc Carol illi,Vi Pres'd t. 3.Contract Sum To Date 467,525.00 By: DATE: January 4, 2011 4m,63�®o State of: De ra County Of: Marion 4.Total Completed&Stored to Date 4510,...5243-60 �(/ Notary Public: Deborah A.Allison p „Y My Commission Exp 09/18/14 5.Retainage a. 5.00%of Completed Work $23,376.25 ARCHITECT'S CERTIFICATION b. 5.00%of Stored Material $0.00 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 Total Retainage: 23,376.25 the best of their knowledge,information and belief the Work has progressed as indicated,the uality of the work is in accordance with the Contract Documents,and the Contractor 6.Total Earned Less Retainage 5 L3 'pis entitled to payment of the AMOUNT CERTIFIED. ((�� 7.Less Previous Certificates for Payment 442,648.75 ' AMOUNT CERTIFIED G KJU 64 8.Current Payment Due I 00 &Cs& �+��r(Attach explanation if amount certified differs fro -:amount applied for. lfjlnitial all figures on this application and on th- onti ation sheet that are 9.Balance Due to Finish,Including Retainage �23r4�fi F 2 1 changed to conf. to the amount certified. Change Order Summary Additions Deductions By: 1,i;.:;.1'-�./ .e • i Date: I g rY .4r C Total changes approved in 1 (��'' � ' + y �Z 1 previous months by owner 26,625.00 ARCHI V l J Total approved this month(December-52) - - By: y Date: ` Totals 26,625.00 - Net change by Change Order: 26,625.00 This certificate is not negotiable The amount certified is payable only to the Contractor named herein.Issuance,payment&acceptance of payment are without prejudice to any rights cf the owner or contractor under this contract. APPLICATION AND CERTIFICATE FOR PAYMENT PAGE ONE OF • AIA DOCUMENT G702/CMa PARCEL 7A, REGIONAL PERFORMING ARTS CENTER . To Contr: Project: Carmel Redevelopment Commission(Owner) Application#: 10 Distribution to: One Civic Square Carmel,IN 46032 Application Date: 1/4/2011 OWNER _ Attn: Les Olds,AIA,Director of Redevelopment CONSTRUCTIO MGR From Contractor: Period Ending: 12/4/4752 ARCHITECT Certified.Floorcovering Services, Inc VIA Construction Manager: Shiel Sexton Co.,Inc. CONTRACTOR 5150 West 84th Street Indianapolis,IN 46268 Via Architect: CSO,Inc. Contract For: Contract Date 4: 07/29/09 Car.et&Resilient Floorin. -Contract#2695-5130 APPLICATION FOR PAYMENT-CONTINUATION SHEET A B C D E F G H I ITEM SCHEDULED PREVIOUS COMPLETED STORED TOTAL CP& % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK VALUE WORK THIS PERIOD MATERIALS STORED TO DATE (G/C) FINISH(C-G) 5.00% 1 BASEMENT 0.00 0.00 0.00 0.00 0.00 0.00% 0:00 0.00 2 Resilient Material 5,500.00 5,500.00 0.00 0.00 5,500.00 100.00% 0.00 275.00 3 Resilient Labor 3,000.00 3,000.00 0.00 0.00 3,000.00 100.00% 0.00 150.00 4 Carpet Material 17,000.00 17,000.00 0.00 0.00 17,000.00 100.00% 0.00 850.00 5 Carpet Labor 3,100.00 3,100.00 0.00 0.00 3,100.00 100.00% 0.00 155.00 6 Grout System Material 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 7 Grout System Labor 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 8 PLENUM 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 9 Resilient Material 2,400.00 2,400.00 0.00 0.00 2,400.00 100.00% 0.00 120.00 10 Resilient Labor 1,300.00 1,300.00 0.00 0.00 1,300.00 100.00% 0.00 65.00 11 Carpet Material 29,000.00 29,000.00 0.00 0.00 29,000.00 100.00% 0.00 1,450.00 12 Carpet Labor 6,100.00 6,100.00 0.00 0.00 6,100.00 100.00% 0.00 305.00 13 Grout System Material 4,680.00 4,680.00 0.00 0.00 4,680.00 100.00% 0.00 234.00 14 Grout System Labor 3,600.00 3,600.00 - 0.00 0.00 3,600.00 100.00% 0.00 180.00 15 ORCHESTRA'LOW " - - 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 16 Resilient Material 8,500.00 8,500.00 0.00 0.00 8,500.00 100.00% 0.00 425.00 17 Resilient Labor 4,400.00 4,400.00 0.00 0.00 4,400.00 100.00% 0.00 220.00 18 Carpet Material 12,000.00 12,000.00 0.00 0.00 12,000.00 100.00% 0.00 600.00 19 Carpet Labor 2,100.00 2,100.00 0.00 0.00 2,100.00 100.00% 0.00 105.00 20 Grout System Material 2,600.00 2,600.00 0.00 0.00 2,600.00 100.00% 0.00 130.00 21 Grout System Labor 2,000.00 2,000.00 0.00 0.00 2,000.00 100.00% 0.00 100.00 22 ORCHESTRA HIGH 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 23 Resilient Material 900.00 900.00 0.00 0.00 900.00 100.00% 0.00 45.00 24 Resilient Labor 400.00 400.00 0.00 0.00 400.00 100.00% 0.00 20.00 25 Carpet Material 36,000.00 36,000.00 0.00 0.00 36,000.00 100.00% 0.00 1,800.00 26 Carpet Labor 6,300.00 6,300.00 0.00 0.00 6,300.00 100.00% 0.00 315.00 27 Grout System Material 3,510.00 3,510.00 0.00 0.00 3,510.00 100.00% 0.00 175.50 28 Grout System Labor 2,700.00 2,700.00 0.00 0.00 2,700.00 100.00% 0.00 135.00 29 BOX TIER 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 30 Resilient Material 5,100.00 5,100.00 0.00 0.00 5,100.00 100.00% 0.00 255.00 31 Resilient Labor 2,900.00 2,900.00 0.00 0.00 2,900.00 100.00% 0.00 145.00 32 Carpet Material 56,000.00 56,000.00 0.00 0.00 56,000.00 100.00% 0.00 2,800.00 33 Carpet Labor 10,500.00 10,500.00 0.00 0.00 10,500.00 100.00% 0.00 525.00 34 Grout System Material 42,770.00 42,770.00 0.00 0.00 42,770.00 100.00% 0.00 2,138.50 APPLICATION FOR PAYMENT-CONTINUATION SHEET • APPLICATION AND CERTIFICATE FOR PAYMENT PAGE ONE OF AIA DOCUMENT G702/CMa PARCEL 7A, REGIONAL PERFORMING ARTS CENTER . To Contr: Project: Carmel Redevelopment Commission(Owner) Application#: 10 Distribution to: One Civic Square Carmel,IN 46032 Application Date: 1/4/2011 OWNER Attn: Les Olds,AIA,Director of Redevelopment CONSTRUCTIO MGR From Contractor Period Ending: 12/4/4752 ARCHITECT Certified Floorcovering Services, Inc VIA Construction Manager: Shiel Sexton Co.,Inc. CONTRACTOR 5150 West 84th Street Indianapolis,IN 46268 Via Architect: CSO,Inc. Contract For: Contract Date#: 07/29/09 Carpet&Resilient Flooring-Contract#2695-5130 A B C G E F G H I ITEM SCHEDULED TOTAL CP& COMPLETED STORED TOTAL CP& % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK VALUE TORED TO DAT THIS PERIOD MATERIALS STORED TO DATE (G/C) FINISH(C-G) 5 35 Grout System Labor 31;056.00 31,056.00 0.00 0.00 31,056.00 100.00% 0.00 1,552.80 36 BALCONY LOW 0.00 37 Resilient Material 1,500.00 1,500.00 0.00 0.00 1,500.00 100.00% 0.00 75.00 38 Resilient Labor 800.00 800.00 0.00 0.00 800.00 100.00% 0.00 40.00 39 Carpet Material 19,800.00 19,800.00 0.00 0.00 19,800.00 100.00% 0.00 990.00 40 Carpet Labor 4,000.00 4,000.00 0.00 0.00 4,000.00 100.00% 0.00 200.00 41 Grout System Material 7,800.00 7,800.00 0.00 0.00 7,800.00 100.00% 0.00 390.00 42 Grout System Labor 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 300.00 43 BALCONY HIGH 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 44 Resilient Material 1,300.00 1,300.00 0.00 0.00 1,300.00 100.00% 0.00 65.00 45 Resilient Labor 800.00 800.00 0.00 0.00 800.00 100.00% 0.00 40.00 46 Carpet Material 26,800.00 26,800.00 0.00 0.00 26,800.00 100.00% 0.00 1,340.00 47 Carpet Labor 5,200.00 5,200.00 0.00 0.00 5,200.00 100.00% 0.00 260.00 48 Grout System Material 20,384.00 20,384.00 0.00 0.00 20,384.00 100.00% 0.00 1,019.20 49 Grout System Labor 14,100.00 14,100.00 0.00 0.00 14,100.00 100.00% 0.00 705.00 50 ATTIC 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 -" ..-51 Resilient Material 600.00 600.00 0.00 0.00 600.00 100.00% 0.00-- -- ---- 30:00-• - 52 Grout System Labor 400.00 400.00 0.00 0.00 400.00 100.00% 0.00 20.00 53 ALLOWANCE#5 15,000.00 15,000.00 0.00 9O 0.00 15,000.00 100.00% 0.00 DO 750.00 54 ALLOWANCE#6 CAD DRAWINGS 5,000.00 3,500.00 ,j,r69C1.6D &l a" 0.00 5,000.00 100.00% ...keg.$ -- 325.00 55 BOND/SUBMITTALS/CLOSEOUT 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 300.00 56 CO#1 RCP PAC 006 Changes 2,885.00 2,885.00 0.00 0.00 2,885.00 100.00% 0.00 144.25 57 CO#2 TIME EXTENTION $0.00 0.00 0.00 0.00 $0.00 0.00% $0.00 0.00 58 CO#3 PAD CHANGES $23,740.00 23,740.00 0.00 0.00 $23,740.00 100.00% $0.00 1,187.00 59 CO# Change VCT color($606) $0.00 0.00 0.00 0.00 $0.00 0.00% $0.00 0.00 0.00 0.00 0.00 TOTALS: $467,525.00 $466,025.00 $ 0 `ji io6�$0.00 :7++7*�371t $0.00 $23,451.25 • AFFIDAVIT AND WAIVER OF LIENS ❑ Final X Partial ❑ Payment to Follow State of Indiana, SS County of Marion Carol S. Milli, being duly sworn states that she is the Vice-President of Certified Floorcovering Services, Incorporated having contracted with Carmel Redevelopment Commission to furnish certain materials and/or labor as follows: FLOORING; for a project known as: Parcel 7A, Regional Performing Arts Center and owned by Carmel Redevelopment Commission and does hereby further state on behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the contractor sum of One Thousand Five Hundred Dollars and 00/100 ($1,500.00). • [X] receipt of which is hereby acknowledged; or • [ ] the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER)that the final balance due from the contractor is the sum of ($ [ ] receipt of which is hereby acknowledged; or [ ] the payment of which has been promised as the sole.consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon on account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project and within the scope of this affidavit and waiver. Certified Floorcovering Service, Incorporated By Harry Milli, President Signed: iQ:it Carol S. Milli/Vice-President WITNESS MY HAND AND NOTARIAL SEAL, this 4th day of January , 20 11 . My Commission Expires: 09/18/2010 rah A. Allison Residing in Johnson County _ • Check: .38 Show: Current Register To: 38 I Checking Account: 1621012 Check Register Page 1 Carmel Redevelopment Comm 513111109:32 5/31/2011 Company:L0 Payable/ Workers Check Check Date Vendor Number and Name Voucher Invoice Payroll Retention Cash Discount Comp. 38 3/18/2011 CERTIFI1 Certified Floorcovering Servic 9460 10 606.00 0.00 -606.00 0.00 0.00 G/L Mar,2011 5150 W 84th Street Indianapolis,IN 46268 606.00 0.00 -606.00 0.00 0.00