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HomeMy WebLinkAboutCincinnati Floor - $47,897.88 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 Wood Flooring installment purchase contract Application 6(Cincinnati Floor Company) April 2011 $ 23,174.88 Application 7(Cincinnati Floor Company) April 2011 $ 24,723.00 Total Authorized Disbursement $ 47,897.88 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 National Bank of Indianapolis and Carmel Theater Development Company, LLC. Dated: 5/71/ CITY OF CARMEL REDEVELOPMENT COMMISSION By: Les S. Olds Printed: Executive Director Title: Draft Wood Flooring (Cincinnati Floor Company) May 2009(Application 1) Amount reimbursed by Carmel Theater Development Company $ 4,911.30 August 2010 Paid by Carmel Theater Development Company $ 89,228.70 September 2010 Paid by Carmel Theater Development Company $ 383,103.00 October 2010 Paid by Carmel Theater Development Company $ 94,292.00 November 2010 Paid by Carmel Theater Development Company $ 59,735.00 April 2011 Amount to be paid by Carmel Theater Development Company $ 23,174.88 April 2011 (2) Amount to be paid by Carmel Theater Development Company $ 24,723.00 'AIA Document G702/CMa TM - 1992 0 Application and Certificate for Payment Construction Manager-Adviser Edition TO 0ISlig.F6ivic Square PROJECT: Regional Performing Arts Center APPLICATION NO: b Distribution to: g g April 30, 2011 Carmel, In 46032 777 3rd Ave. S.W. PERIOD TO: OWNER ❑ CFC JOB# IW443 CONSTRUCTION MANAGER ❑ FROIV�CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: March 23, 2009 ARCHITECT ❑ lnclnna I Hoor Company, Inc p���E{T Np 2695 8320 Brookville Rd, Suite M CFC 1N E S" 36740 / / CONTRACTOR ❑ Indianapolis IN 46239 VIA ARCHITECT: CSO DATE OF INV: 4/25/2011 • FIELD ❑ Brazillian Cherry Sleeper/Subfloor SALESMAN: KAP El FOR: 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 below, in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet,AIA Document G703,is attached. 689,495.00 Contract Documents,that all amounts have been paid by the Contractor for Work for which previous 4,963.50 Certificates for Payment were issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM • $ payment shown herein is now due. 694,458.50 2. Net change by Change Orders $ Cincinnati Floor Co, Inc.CONTRACTOR: _ 3.CONTRACT SUM TO DATE(Line l ±2) $ By: ' A.Z. /t' �'``— Date: 689,167.88 4/25/201 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ State of: IN Zack Maricle, Contract Manager . 5.RtiliINAGE: County of: MARION PEG('Y LaRilE a. %of Completed Work 34,723.00 Subscrib2band sworn to befRPRIL, 2011 NOTARY PUfil'IC / " 10 dolumn D+Eon G703) $ me this day of " : SEAL' 4 b. " %of Stored Material Notary Public: t., 4 STATE OF INDIANA `'' ,j My Commission Expires July 4;20111 (Column F on G703) $ My Commission e• + es: .R. ,` 34,723.00 (', Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ CERTIFICATE FOR PAYMENT 654,444.88 In accordance with the Contract Documents, based on on-site observations and'the:data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application,the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) 631270.00 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 payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 90 S.CURRENT PAYMENT DUE $ 23,174.88 AMOUNT CERTIFIED $Z3 74 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from d 11701117r applied. Initial all figures on this 40 013.62 Application and on t, Continuation Sh that cir. ntged to conform with the a/2_9/i aunt certified.) (Line 3 less Line 6) $ CONS • CTIO _ �BY: Date: ( ' CHANGE ORDER SUMMARY • ADDITIONS DEDUCTIONS ARC EC Total changes approved in previous months by Owner $ $ -ac bob BY: `�!)IL Date: 1 Pet it Total approved this Month $ $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $2, 963.5-d $-,45-DbO,//ti named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ 4913.so the Owner 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 G702/CMaTM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies 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. eit:A I A Document G702/CMaTM - 1992 Instructions Application and Certificate for Payment Construction Manager-Adviser Edition A.General Information AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition,is to be used in conjunction with AIA Document G703, Continuation Sheet.These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A201/CMa,General Conditions of the Contract for Construction,Construction Manager-Adviser Edition, 1992 Edition. B.Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702/CMa,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. • C.Completing the G702/CMa Form After the Contractor has completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor should sign G702/CMa,have it notarized and submit it,together with G703,to the Construction Manager and Architect. The Construction Manager and Architect should review G702/CMa and G703 and,if they are acceptable,complete the Certificate for Payment on G702/CMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A201/CMa.They should then initial all figures on G702/CMa and G703 that have been changed to conform to the amount certified and attach an explanation.The completed G702/CMa and G703 should be forwarded to the Owner. - D.Completing the G703 Form Heading:This information should be completed to be consistent with similar information on AIA Document G702/CMa,Application and Certificate for Payment, Construction Manager-Adviser Edition. Columns A,B&C:These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. -- Column D:Enter in this column the amount of completed work covered by the previous application(columns D&E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period). Column G:Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is''pehtifted'ori a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. 3 Change Orders:Although Change Orders could be incorporated by changing the schedule of Ails each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own G703 form of at.the end of the basic schedule.The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702/CMa brat ) Construction Change Directives:Amounts not in dispute that have been included in Cdnstri tion Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201/CMa:•; E.Making Payment y Y i The Owner should make payment directly to the Contractor based on the amount certifie y tt construction Manager and Architect on AIA Document G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completed form contains the name and address of the-Contractor.Payment should not be made to any other party unless specifically indicated on G702/CMa. AIA Document G702/CMa TM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA® Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies 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. ' AlA TM Document 6703 - 1992 Continuation Sheet . 6 AIA Document G702TM,Application and Certification for Payment, APPLICATION NO`. 4/25/2011 containing Contractor's signed certification is attached. APPLICATION DATE: 4/30/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: $ - ARCHITECT'S PROJECT NO: A B C D E F G H Carmel Regional Performing Arts Center WORK COMPLETED MATERIALS TOTAL BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED ITEM 777 3fiI: G% TO RETAINAGE 1Y�12"SCMIOF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED NO TO DATE ( —C) FINISH (If variable rate) (D+E) (Not ill D or E) (C—G) Bonds $ 5,457.00 $ 5,457.00 $ (D+5,4 ...00 100% Materials Platform $ 170,063.00 $ 170,063.00 $ 170,063.00 100% Brazillian Cheery Sleeper/Sub Non-Stage General Allowance $ 15,000.00 $ 15,000.00 $ 15,000.00 100% Non-Stage As Built Allowance $ 5,000.00 $ 5,000.00 $ 5,000.00 100% Labor Platform $ 30,007.00 $ 30,007.00 $ 30,007.00' 100% Brazillian Cherry Direct Apply Materials Orchestra High $ 100,026.00 $ 100,026.00 $ 100,026.00 100% Materials Orchestra Low $ 100,026.00 $ 100,026.00 $ 100,026.00 100% Material Box Tier $ 100,026.00 $ 100,026.00 $ 100,026.00 100% Labor Orchestra High $ 24,712.00 $ 24,712.00 $ 24,712.00 100% Labor Orchestra Low $ 24,712.00 $ 24,712.00 $ 24,712.00 100% Labor Box Tier $ 24,712.00 $ 24,712.00 $ 24,712.00 100% Material Donor Amenity $ 54,278.00 $ 54,278.00 $ 54,278.00 100% Labor Donor Amenity $ 20,476.00 $ 20,476.00 $ 20,476.00 100% • Stage As Built Allowance $ 5,000.00 $ 5,000.00 $ 5,000.00 100% CO#1 $ (25,000.00) $ (25,000.00) $ (25,000.00) 100% CO#2 0.00 0,00 CO#3 T&M $ 14,963.50 $ 14,963.50 $ 14,963 50 100% CO#4 $ 15,000.00 $ 9,709.38 $ 9,709 38 65% $ 5,290.62 . is.. $ 694,458.50 $ 664,495.00 $ -24,672.88 $ - $ 689,167.88 99% $ 5,290.62 $ - GRAND TOTAL 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 G703TM—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright 1 Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies 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. ZIP:ATA Document G703"- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201 TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period.) Column G.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule. The amount of the.original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A B C D E F G H I WORK COMPLETED TOTAL BALANCE COMPLETED ITEM SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE NO. DESCRIPTION OF WORK AND STORED VALUE APPLICATION TIIIS PERIOD STORED (G. C) FINISH al-variable rate/ (D+E) (Aix in Du-El TO DATE (C-G) (D+E+F) 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS 6 MISC.CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRANT)TOTAL 105,000 20,000 10,000 10,000 40.000 65,000 AIA Document G703TM-1992.Copyright©1963, 1965,1966,1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies 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. 8320 Brookville Road since 1894 Suite M TELEPONE: (317) 357-3562 Indianapolis, IN 46239 CINCINNATI FLOOR FAX: (317) 357-5338 COMPANY AFFIDAVIT AND PARTIAL WAIVER OF MECHANIC'S LIEN I, Zack Maricle being first duly sworn, state that I am the Contract Manager of Cincinnati Floor Company (hereafter referred to as the "Company") and am familiar with the following facts stated herein: 1. The undersigned, in consideration of, and upon receipt of payment in the sum of $ 23,174.88 does hereby waive, release and relinquish any and all liens and claims for liens for labor or work performed and/or material furnished through the 30 day of APRIL, 2011 to the construction project commonly known as Carmel Regional Performing Arts Center located at 777 3rd Ave. S.W. Carmel, In 46032 (hereinafter the "Project"). 2. All laborers, material men, and subcontractors or the Company have been paid 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 lien having been filed by or presently threatened to be filed against the Project by any party having performed work and labor for the Company and/or 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. Zack Maricle Contract Manager By: 5pAI STATE OF INDIANA COUNTY OF MARION Sworn to and subscribed in my presence this 25 day of APRIL, 2011 PTA/ ` n PEGG�R�C rA My Commission Expires: ••NOTARY:P;.0LX f . ' STATE OFARA6 NA t CortirnEssion:Exp* f C 5 A , , ., Document G702/CMa — 1992 Application and Certificate for Payment Construction fvlatia9er-Aatirse; Edition TO OWNER PROJECT. APPLICATION NO 7 thstnbritson to; One Cn■Ic Sv ... Cam*:Regional Peden-199j Art.;Cent' AeAr 10,2O1 PERIOD TO 4..i.',NFIN to,It.,frk2 777 3rd Ave S'Al CPO JOB il 1V1443 .`.)"•:: r.,.,;`;'19":.N fkl."tNIER FROM CONTRACTOR VIA CONSTRUCTION MANAGER CONTRACT AiE Matti 23 2006 C. -EC1 Cmcrnnati I-Tor Cerereny trtc PROJECT NOS 2695 , CONTRACTOR ,- 8320 Ete,Av,le Rd,Soso`.1 crc INVOICE 17 )5742 VIA ARCHITECT r ELD Inc-papaw{6.IN 46239 CSO DATE OF tNV: 409=11 COU TRAC I FOR Bra ,Irian;..APsr,SteeeN,Sur fine' SALESMAN: KAF _ _ .--.......— — ......... CONTRACTOR'S APPLICATION FOR PAYMENT p,s k,., ..cs .,.. . , ., _ t...1 . .....,.L, ,, ...,t. _ 0, , :,.0,.I•i NH`I p5 \°.,* ,,, .1,." WI 'IT' 44 434,‘, t,.1,A?? 'A. 4,'tu 7 t,f,t,42.1,..,1 t,. 721.v1 ,,,, 1. ■ ',4..,1 7 1 11 ttto, tt 1 t Ott:t)4 tttrt),I ' to t I II+, t pttritt I, t 4 • •I It , t) t..1'7 .71117' Ph-t;1.77,wt;1 7.; ;7.,.... C.41011.1..77• ,77 . 771't i t,...,1 I;i7 1 7 r 0 7 t'l 7.it i C)89,495 00 t 7,0.1.7 Pt' '`I Pu'2 24' I ‘..,4. ,,,./424! 021 p:.I ie•qt, .,,,el,.(1 1.;,t r IL, f is 1 al.41 1)I: t.t pt.IV 1 ORIGINAL CONTRACT SUM '`' 4.90150 e 04 m■,,h,..f,r cAl 1 • ,..,wr 2 Not clenge,Ln Choice O'fts s r"iSA46.9,•‘_,0 ., CONTRACTOR C,1.:...1 r,,,I,,•-le,,,Co i.r.: 3 CON'TRA'',T SIP;TO D.or 1 . 7 ` ' \NI' rk1 '21?..13.74 42.,4 , rt'te3 187 88 - ,:: , rc 412g201-`- - 4 TOIL....0,'PLL11-3?..z.,70",,,..DT,-.DATI: 1 t,t‘t t t t t 1') La:, Ma."i•-• c_::),vrr,.,...+o*,t--------- --------,- (,,, ,:': fli Y1': 41 It.1,431,04.1 1 f:t0b1:1',Y P...Ccc 4 7, •.•'n ;., • :•Y , .,,,,.0 ';',:,..„e„t:,,,,•4 , ...•■c=.A: :,•: y.,, , 10 00C,OD In I • —3 „, r :: ' hit 701 I 1 ■=f. ,r.t;' , 1 -t,, I 4 8 TATT Ot,,s ,• ,•.)=' 1:k , / I i C!•,,Cirratlptit4,41 f 1.,;.,k,,.1.',,c:r—1 ; , 0% , .1 ‘. . '1 h 11A '''ZIALII u Is 7,°;.'‘°,,, '4'4 ry ft.,- •=. -,1 , '.. - ‘,.1 c.,,..tot-,,n...,,,,I=Itt ..• —- 1 0, - s , .,,„ ,,t• r j“ r i,1, ' 'I 10 CGO nO CERTIFICATE FOR PAYMENT —----------- ',.,. ' .22 3'''' ' t 2 7t2,..2.'4.1 h4 2°1 „4, ,,,,,714Tht u..,4,„ C IOTA,f ARNE': LF SS DE,AP:AGF F370 167 99 0, I I u" ,4 4, at),0,..41.1.? "A4-7■44 4.4'4,414,44 0* 1 1-.4,4t1 Ih:5' ■• , ,441.,f4,,,,,,I,4 444 14....1tA .A.4(.. ■ 4 1 '1144."4 all. 7 LESS PREV 0L s..ERTS C,A=EarOR PAYMENT s 554444 88 /To,1.11..0,,,I,tht?4%tilt .1 It,. ttt ) 4 1.41 P,C 4.554,,4.4 r 1.,,,tild,Ni', , ,,,,,,,,,f 0,, ‘111114...,,.., ' 1 K '':I•1 litAer .0;1,4' t ClUgR.i:.:11 PAYt`Z-NT al" 24 723 00 AMOUNT CERT9",EC '2.4 1Z, g Bk..,,,...: TO i N.S1. !*.■...,..)00'..,,.RFT:-1,,.:..1.;E. +1,., ',, .' .' •• 15?SO 62 CC,,,'"PluCTIO.1-. ....,",/,i 9,. * iiirie;401,/ ' • -. . „...70„,„,.. 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APPLICATION 1.40 409/2011 1 la 4 1 --cr t ,t 1,a t t t I APPItOmTION DATE ...o , r r.r. ■r ,,,,, r Jr ,I, fsr,1 4/30/2011 PERIOD'0 S. ARCHtTEr7 5 Pt-WJECT IX = f , .........._ I C.01=1 R4TIOTIal Podium ro Ant:ex et.t .0 lr I 1 I ,5 t ' 11- ' •1, t.t t I i st ' .t st •I , 1 t 0.' 5 1 '5'777 3rd Ave S W4" • It i 1„,, roQI, ■ ., ■ . 1. t.1 • 1 tn I ' , 1 , 1 1 , $ reatertals Platform IS 170 043 OD 1$ 1 to Jal cc , $ Brazalian Cheery Steeper/Sub kon St,;a GCn•,i1A1100.,trit.e 1$ 15,030 00 $ 15 000(X I S 15 coo oo : 400% 1 t Ft I stdae AZ E Ilt P1'7.¼41X 1$ 5;.‘an 00 1 ,,,000 6 $ 5 Goa OU 100% 1 ' , 1 abo-Platform $ 3) ,,r 3). ,.: ,..,oft,i r, t.,. 2,1 oo- 1 i...„o Brazilhan Cherry Direr t App1y 1 1 t I t`mot s's Orcho a Hap 13 i n0 016 00 16 0'C 02600 ; s 100 026 0, tO..).., Matend's 0 chr r..ra Lo IS 100 026 00 16 100 02600 i 3 100 0;6 01 11 herr rt Bo,T et S 100 02600 IS 10,321r On .I 6 100 026 01 `1' , 11 1 t_aht,t1 0 t 1 e‘tt M...ri 5 24 712 00 z.: 14 412 C.1 $ 7•2-, I. '11104..:,LnKsir. ow 3 li 712 03 S 24 12 CO S 24' 2 0: ; !LA 141b0t Bo‘Tier $ 24 "*2 00 1. 24-7 2 n' 5 2 0+ t. Otr Matert.al Donor Ant} 5 54'78 00 '3 r'27800 ;S 54 2-8 0.1 1 140;1. ' 1 1 t t 1 E.'bor Do la A'n_lr y 20 476 00 $ 20 4 13 0„.1 1 1 S 20 476,00 t00-b c..4.,4o 00114%,,,,4,-,3,r,c S 5 000 00 $ 5 000 00 i$ 5 000 03 / 00* 1 (...,..)M, 6 (15( )'L)00 < PC 000 1.1 $ t, 000 C 042 1 0.00 1 , C.01 1 ' 14 0C.1'.:40 $ 14 9,3 VI. — ).5 I,''t7/4 t,0 ,00 ■ CC/4V ''.. 15 OCC 00 $ 9 709 33 1 . 1 =s ' 700.a.. 65 :f a I 1 I a • 1 • ' -1 S an'07 Et$ 1_9-t-‘,. $ !:.4134,), _ $ 0 i 7 t 0 I I I LAW'Q I ''' W4'Q,. 4 iaidra A t, 1' MA,L, ,{..f nahro, In , 3 r 111. v la Ap, I a. 44.4 4, 1-‘1K n -'.44/. th < 4 3 .1., ..,0. .4-'. v. 55■1 Eh, 5 ill 5 Cr. l''C(4 5 55 1 5 ,51. A 5L i el 1 4 1, 55 . 4 ¼4 ' .¼ AO.II,I' .,t fe, e I'' 3 33333(33 13 r 53 )1 I 5.•i 5 5 "4555. .3 i3 A t 33,3 3 3 ' 5. {5 1. ■ ,a t , 1 0 , 4 1. ."5 5 r. 55• •.44 , ,t5 y 5, 5 / 5. 5 05 .G.5.•5 I Mit 30‘' 13, i 3 i V •.', „de' ,. 0110 1..3t 31 3,3.3 q t 3`.,1. 3 .3.,3 '1 3.3 V 1 3 13,4• ,. , e$la 11,0 ki 8320 Brookville Road Suite m TeLEPONE (317)357-3562 Indianapolis.tr,,( 46239 CINCINNATI FLOOR. FAX (3 I7)357-5334 COMPANY AFFIDAVIT AND PARTIAL WAIVER OF MECHANIC'S LIEN 1,Zack Maricie ,being first duly sworn,state that am the COTIITaCt Manager of Cincinnati Floor Company thereafter referred to as the"Company")and am familiar with the following facts stated herein' 1 The undersigned,in consideration of and upon receipt of payment in the sum of 24,723.00 does hereby vraive. retease and relinquish any and att hens artict claims for liens for labor or work performed and/or material furnished through the 30 day of APRIL, 201 1 to the construction project commonly known as Carmel Regional Performing Arts Center located at 777 3rd Ave.S.W. Carmel,In 46032 nereinatter the"Project") 2. Alt laborers,material men,and subcontractors or the Company have been paid for all sums which were due for work, tabor andior material machinery provided oy 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 hen having been Pled by or presently threatened to be filed against the Project by any party having performed work and labor for the Company andior furnished material. machinery, equipMent,and fuel to the Company for the pro/ed. This waiver excludes refainage withheld and any change.order wore not yet'mired. Zack Maricle Contract Manager • t3v. STATE OF INDIANA COUNTY OF MARION Sworn to and subscribed in my presence this 29 day of APRIL, 2011 f\t • Y rtcn'i-,T1 ' 1746.(„4 17\IA My Com ni;SSIT'in Expires• SS Ai, T j S C TE ORTTIDIANA- CONSENT OF SURETY TO REDUCTION IN OWNER ❑ • OR PARTIAL RELEASE OF RETAINAGE ARCHITECT ❑ A!A Document G707A CONTRACTOR ❑ SURETY ❑ (Instructions on reverse side) Bond No. 1447701 OTHER ❑ . TO OWNER: ARCHITECT'S PROJECT NO.: (Name and address) CITY OF CARMEL, INDIANA BY AND THROUGH ITS REDEVELOPMENT COMMISSION #1 Civic Square CONTRACT FOR: Installation of Wood Flooring in Auditorium Carmel IN 46239 PROJECT: CONTRACT DATED:3/19/2009 (Name and address) Auditorium Wood Flooring Carmel IN In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (insert name and address of Surety) GREAT AMERICAN INSURANCE COMPANY • 580 Walnut Street Cincinnati OH 45202 , SURETY, on bond of (insert name and address of Contractor) CINCINNATI FLOOR COMPANY, INC. 8320 Brookville Road,Suite M Indianapolis IN 46239 , CONTRACTOR, hereby approves the reduction in or partial release of retainage to the Contractor as follows: Partial Retainage Reduction-Down to$10,000.00 The Surety agrees that such reduction in or partial release of retainage to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) • CITY OF CARMEL, INDIANA BY AND THROUGH ITS REDEVELOPMENT COMMISSION #1 Civic Square Carmel IN 46239 , OWNER, as set forth in said Surety's bond. • IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: April 19, 2011 (insert in writing the month followed by the numeric date and year.) GREAT ° Y :.-ICAN INSURANCE COMPANY (SureQ) / , (Signature of authorized rep re entatit e) Attest: Michelle D. Krebs (Seal): Attorney-in-Fact (Printed name and title) AIA DOCUMENT GTC7A•CONSENT OF SURELY TO REDUCTION IN OR PARTIAL.RELEASE OF I II RETAINAGE• 1994 EDITION•°'AIA•01994•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,NW,WASHINGTON,D.C.20006-5292 G707A-1994 GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 580 WALNUT STREET ° CINCINNATI,OHIO 45202 0 513-369-5000 ° FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than SIX No.0 20053 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company.as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power MICHELLE D.KREBS SUSAN R.SCHWARTZ BOTH OF BOTH STELLA A.ADAMS CHRISTINA BARATTI CINCINNATI,OHIO $5,000,000 STEPHANIE L.,KLEARMAN THOMAS U.KRIPPENE This Power of Attorney revokes all previous powers issued on behalf of the attorney(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 7TH day of SEPTEMBER . 2010 . Attest GREAT AMERICAN INSURANCE COMPANY (:*(0:1;,,, , . , . . / ./ ,! i(i ///,//4°///7/,/' ' \ aj Assistant Seeretary Divisional Senior Vice President STATE OF OHIO,COUNTY OF HAMILTON-SS: DAVID C.KITCHIN(513-412-4602) On this 7TH day of SEPTEMBER 2010 ,before me personally appeared DAViD C.KITCHiN,to me known,being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. ""' ,c KAREN L.GROSHEIM NOTARY PUBLIC,STATE OF OHIO -- .5. , •; �,� MY COMMISSION EXPIRES 02-20-11 . - -' `-,_-` -;L-LZ. .,-, ■ ' ''' This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9,2008. RESOLVED: That the Divisional President,the several Divisional Senior Vice Presidents.Divisional Vice Presidents and Divisonal Assistant Vice Presidents,or any one of them,be and hereby is authorized,front time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company, as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof, to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,undertaking,contract of suretyship, or other written obligation in the nature thereof such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION 1,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect. Signed and sealed this /9 day of , ez.. O 7) . ..-..� Assi.nant Serrelm'v