HomeMy WebLinkAboutGibralter, Signature, (Wallach Somers Haas Legal Fees missing) - $434,202.68 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
e-ib2s\+.rn2 G•K,712benct l ce7 �sK4i'2 ueTtc/' ` c4-r-S 331,4 z ,�o
`?iji Nh�rlt}'f-E eows1n2vclnar•SEev4 ct,.u.6 7'4 uel-Mu Co -r-5 24, 0E9, 68
WIN1.4-ACVV+li £.4..3 cf i-L 5/v, 815. oc
Orr cr -4. 14f t. P.f-w-vt1.oy,- -pT (G,44- LO4T 2A, 43i bB
Total Authorized Disbursement
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: !Piz! Ilo CITY OF CARMEL REDEVELOPMENT
COMMISSION
By
Printed L ES s- 01—c)
Title ,e2(tt u yifs y/ 1
J5/1))• I k -�ee5 bkL u
Y ,„k bill
P111 Waterproofing and Paving
(Gibraltar)
May 2010
Application 2
Amount to be paid by Carmel Theater Development $331,812.00
6
,--iir. .• „ ,,
Document G7t2-/C•Ma' — 1992 . •
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. . „.
Application and Ce . 1141541m.Payment Construction Manager-Adviser Edition ,c:\U L .
ormei City Cnir-P111 Waterproofing&AfteltRaPN. ,f41°: `46.6- I'l
4•01■ 4s ... •
TO OWNER; cannel ToittlhAdeponTh- 4 ant compagIOJECT: . EttandkLI to:
- rckilor .
PERIOD TO,.e t d- OWNER 0
ififii,,stci,•-•.:It'it:1- • •I'A l'koz
4_1 -it, • CONSTRUCTION MANAGER 0
e •,- . ,,'.„-t t
FROM CTOR:. CTOR: Gibraltar cartatnradart carp CONSTRUCTIONittANAGER: 41AT DATE: VIVID ARCHITECT 0
4.4RC
2932 N.Webster Ave. • PliOJECT NOS: / ' / CONTRACTOR 0
•
Indianapolis.IN 46219 . FIELD 0
VIA ARCHITECT:
PedowDesign Group,LLD -
CONTRACT FOR Waterproofing&Topping Slabs . .
..
•
.. . • • ' • 0•
CONTRACTOR'S APPUCATION.FOR PAYMENT . .• •
• .• . -
The undersigned:Cc;otraCtor--,•.' es ,..•- to the beat of the Chntractbi%knowledge,Information and
belief the Work coveted'by thin ' . .' •...n for PaymentImi beentompletedia accordance with the
Application is.made for pap:teat,as shown beloW,in connection with the Contract.
'Contract.000111113/10),that ..,.,.,:, .'. -have been Paid by the Contrabtor for Work for which previous
C.ontibuntionSheet.AIA Ducurneet Ci703.16 enacted. • . • tortifioarer for Porno* .4/.11,F1 :I, .., and payments rectecifrom the Owner, and that current
1.DRIGVIAL:CONIRACTSIEW ',10%.,..111,t,ft ' , • $ 1,810.967:40 payment shown — I .,,T:44%4 • • *
L •149t 01=0 by Change(Wait... ':, --AY• TAI3-1 .
CONTRACTOR: ':51":',,'' ' '''' C°!P,I(Hr.. ' . .
v-cN. 16106e:so• - • - 110_4.. .
. /i/ ( 7 ,c,..„7-10 tt . •
3.CiNITRACT SIMI TO DATE.# ., leip - • S ' ' By: •: Date:
r.k It-P
4.TOTAL COMPLETED 111,:1;' ''4:.'I ''• DATE(Column'Ci 032.07031.. - $7.7687381TIT- State of .--o.,,,,,-;--e-- .- - i ,4.91aii,•4) .
9.RETAINADE: ,.€ y,.- . • "11V-
cOUntY.Ijt.APt.Cta .-. It.j •
a Iiiipte. 114ted Wcak .
S6.888.00 Subscribed aid sworn,a i.,:' ,. 4k .. c•Pt% BRIAN R. MCBRIDE
WI+ii an G70).. .. , 3.. -.- "thinle ‘13 >1" ''.''%epi'' 4'. -A'.44.■ 241P- -:46.. ...: it. Res. of Hancock County
1), .-of Stored MaiMial • •
. .
- Notary Public: ', ---• - ..--__;...ir,-
a-
(Colorant on 0703) . $ • • .: - _.....-..
M Co . .,,.c;,.,, ex, ...:,.. ...... lit...! , . . My Comm, Exp. 11-29-2017
- . - •44D., - CommissiOrrritisr
Total Retalhage(Lines 5a4 Sb or Total in Column I of 2703).. $ . . . CeiltiMATE 0011:-PAYlifiEte
•. -
331,812.00 In accordance With.the Contract Documents.based on on-site.observationa and the data comprising
S.TOTAL EARNED LESS RETADAGE • • •.• this application,on,the Construction Managerand Atchitect.certify•to the Owner that to the best of their .
(Linb4 Less Line 5 Total) knowledgepinformation and belief the.Worklas progressed as Milks*,the quality of the Work is in
T.LESS OREtEmiliS CERTIFICATES Os:mm*111En ... • ' ..$ , 0-90 atcordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT
(Line.9 from prior Certificate) :
• • . CERTIFIED.
. '
a ouRREur PAWASIT DUE.....:.......................... ..... Ls;'-'. . 11-"Iii'24°j MT/Wit CERT4tED .. .,. $11714,1141i4.V_____.
........ . _
. . . .
40(4tiadtiiicaom*Dlation and Qa,!tifheamoconlitniageerr4.,4fret thy/tip:pm t.,.._;,0.:,..w,..y,,,,:c,0;ifoplient.lwiotiattheall:ampfiguresontcecmnieed.this )
O.BALANCE FRISK Iliel,MING Mt ;le':1). • . . . . .
..-: = ...., . 1.279,155A0 .
• (Line 3 less Line 6) r .. . • .. $ .- - - • ! ' -. . - -- - - ‘ r ..13.'''. •-..-
. t i• .
tnii4V"' ' • . • Bi:-. '- ' .. ..eent■':.\INiliellif . '="-'1' " ' Date: . 444..//0 .
CHANGE ORDER S, , ... MiDnIONS•. PP-Pticlic°10 ARCHITECT: .7IFIMI!,,k, ,:. . "2 .
Total changes.41,:v.i......1'..1 previous months by Owner k - $ yrilft.'ti,: ; • .
' BY: ' ,..1.,.12;-,.0A1. Date: . . .
Total .;,.,A.1.'7,'s Wields - ' , .This• : • . 4 : oxrr CHR.T FDID18:payable V the Contractor
TOTALS $ $ named
and-acceptance of payment are Without ptsjuthc4 to any rights Of
mad:Armes by Chipiii Oidei : $ : Y ' the°Whir Of -on 4, ,.. underthis Contract.
. •
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. . . .
CAUTION:You should sign.an original AlA Contract Document,onisahle h this text appelps'In RED.An'original assures that changes will not be obscured. • •
AIA Docuniefil 07(12Xxibru-1092.C0911f9ht4 1982 by The American wawa Ot'Archlteicte.-Aa rights reserved.WARNING:This AIM thattinierd Is protected by U.S.CepiTtehtiew end Intermetanal Treatise. •
thmuthotleed reproduction or&Mutton of-this ede Document or any portioned karat/result in severe two end Welled penelffasiond vial be prosecuted to the pstadamith extern panel*under the lee.
Purchasers are permitted toeeproduce um(10)copies of this docunlern when oamptateal'Oreport copyrlitt violations of AlA Contract Documents,agnall The Amelicaninallede Or Aided&legal oothIshl.9091VAPale.olg.
CONTINUATION SHEET Page 2 of 2
APPLICATION NO.: 2
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,Is APPLICATION DATE: 5/19/2010
attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 5!19/2010
variable retalnage for line items may apply.
ARCHITECTS PROJECT NO.:
A B C D I E F G H I
WORK COMPLETED MATERIALS TOTAL
PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE
ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS FINISH (IF VARIABLE
NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) (C-G) RATE)
(D+E) DORE) (D+E+F)
1 Allowance $25,000.00 $0.00 100% 25,000.00 -
2 Supervision $47,500.00 $4,750.00 $4,750.00 10% 42,750.00 475.0000
3 Demobilization $2,000.00 $1,000.00 $1,000.00 50% 1,000.00 100.0000
4 Submittals $18,000.00 $17,000.00 $17,000.00 94% 1,000.00 1,700.0000
5 Misc. General Conditions $32,724.40 $4,500.00 $4,500.00 14% 28,224.40 450.0000
6 Excavation at North Ramp $4,643.00 $0.00, 0% 4,643.00 -
7 Storm Casting Materials $79,000.00 $0.00 0% 79,000.00, -
8 Storm Casting Labor $11,000.00 $0.00 0% 11,000.00 -
9 Trench Drain Material $59,000.00 $59,000.00 $59,000.00 100% - 5,900.0000
10 Trench Drain Labor $15,000.00 $0.00 0% 15,000.00 -
11 Demolition Labor $35,000.00 $22,750.00 $22,750.00 65% 12,250.00 2,275.0000
12 Topping Slabs&Curbs Material $170,000.00 $40,000.00 $40,000.00 24% 130,000.00 4,000.0000
13 Topping Slabs&Curbs Labor $164,900.00 $0.00 0% 164,900.00 -
14 Rebar Material $15,000.00 $15,000.00 $15,000.00 100% - 1,500.0000
15 Masonry $3,000.00 $0.00 0% 3,000.00 -
16 Metal Fabrications $1,200.00 $1,000.00 $1,000.00 83% 200.00 100.0000
17 Waterproofing&Exp.Joints $742,000.00 . $200,000.00 $200,000.00 27% 542,000.00 20,000.0000
18 Joint Sealants $200.00 - $0.00, 0% 200.00 -
19 Plumbing $18,400.00 _ $3,680.00 $3,680.00 20% 14,720.00 368.0000
20 Electrical $1,800.00 _ $0.00 0% 1,800.00_ -
21 Alternate#7 $184,000.00 $0.00 0% 184,000.00 --
0%
Change Order#1 -$18,400.00 $0.00 0%- (18,400.00) -
23 ,
24 .
_ 25
$1,610,967.40 $0.00 $68,680.00 $300,000.00 $368,680.00 23% 1,242,287.40 $36,868.00
ISA Form#1-402
.
2 AFFIDAVIT AND WAIVER OF LIEN
❑ FINAL ■ PARTIAL ►1 PAYMENT TO FOLLOW
State of Indiana, County of Marion, SS
Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the
Owner to furnish certain materials and/or labor for a project known as Carmel City Cntr-P111 Waterproofing and Paving
Components and owned by Carmel Theater Development Company.
and does hereby further state on behalf of the aforementioned contractor:
(PARTIAL WAIVER)that there is due from the Owner the sum of
Three Hundred Thirty One Thousand Eight Hundred Twelve and No/100 Dollars ($331,812.00)
❑ receipt of which is hereby acknowledged;or
►4 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 Owner is the sum of
Dollars ( )
❑ receipt of which is hereby acknowledged; or
❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver
of Lien which shall become effective upon receipt of such payment.
THERFORE,the undersigned waives and releases unto the •1 er of said premises, any and all lien or claim whatsoever
on the above-described property and improvements thereon a,r .unt of LABOR or material or both,furnished by the
undersigned thereto, subject to limitations of conditions - 're--ed herein, if any;and further certifies that no other party
has any claim or right to a lien on account of any work for ,'ed or material furnished to the undersigned for said project,
and within the scope of this affidavit and waiver.
Gibraltar Construction Corp By / ;( A Title President
1
WITNESS MY HAND AND NOTORIAL SEA /is 18th day of June,2010.
...10,
2s r
�= e< B NIoAtaN ry R P.VIr5
RIDE
* Res. of Hancock County
*
0 1979 4070iAtoA SUBCONTRACTORS AssociATION ►acoaooaArso
My Comm. Exp. 11-29-2017
""'°'"°"g'°a®0'°�""io"FT°"`bio° o,�� Comm.ssIon # 611862 "°• '°�
P111 Waterproofing and Paving
(Signature Construction)
May 2010
Application 6
Amount to be paid by Carmel Theater Development $24,084.68
•
APPLICATION AND CERTIFICATION FOR PAYMENT ALADOCUAMIENTG702 PAGE ONE OF 2 PAGES2
TO OWNER CRC at City of Cannel PROJECT: Carmel City Pill Waterproofing APPLICATION NO Invoice-II 6 I Distribution to:
One Civic Square Signature costs OWNER
Carmel Indiana 46032
ARCHITECT
PERIOD TO: 05/24/2010 X CONTRACTOR
FROM CONTRACTOR: VIA ARCHITECT: Pedcor Design
Signature Construction Services LLC
720 3rd Avenue S.W. PROJECT NOS:
Carmel,Indiana 46032
CONTRACT FOR: CONTRACT DATE:
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,is 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
payments received from the Owner,and that current payment shown herein is now due.
I. ORIGINAL CONTRACT SUM $ 165,881.39
2. Net change by Change Orders $ 0.00 CONTRACTOR:
3. CONTRACT SUM TO DATE(Lint 1 A 2) $ 165,881.39
4. TOTAL COMPLETED&STORED TO $ 53,736.08
By: / Date: 5/2 5 /°
5. RETAINAGE: rTho las . oont President ;116y
a. 0 %of Completed Work $ 0 Subs,_•fF\Ibed and von to before me this d7 day of DeceifitF,20'417
(Column D+E on G703) _ __ __V_
b. %of Stored Material $ ( _g;:'■*'�Ie ._ LINDA BUCHANAN
aunty
Hancock County
(Column F on G703) / i .f.:19'..".7%.1 S ,'/ My Commission Expires
Total Retainagc(Lines 5a+5b or ••.2;o?,a '' August 20,2011 _
Total in Column I of G703) $ 0.00 ARCHITECT'S CERTIFICATE FOR PAYMEN• -------- -_,._"
6. TOTAL EARNED LESS RETAINAGE $ 53,736.08 In accordance with the Contract Documents,based on on-site observations and the data
(Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the
7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief the Work has progressed as indicated,
PAYMENT(Line 6 from prior Certificate) $ 29,651.40 the quality of the Work is in accordance with the Contract Documents,and the Contractor
8. CURRENT PAYMENT DUE $ 24,084.68 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 112,145.31
(Line 3 less Line 6) AMOUNT CERTIFIED $ 4,26_4_06
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanatioi unman certified dyers from the amount applied.Jolla!all figures on this
Total changes approved Application a with Continu lion S/wet that are changed to conform with the amount certified.)
in previous months by Owner ARCHITE :
Total approved this Month By: r f Date: 51Z-4 t D
TOTALS $0.00 $0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
contractor mimeo herein.issuance,payment and acceptance of payment are without
NET CHANGES by Change Order $0.00 prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702•APPLICATION AND CERTIFICATION FOR PAYMENT•1092 EDITION-AIA •®1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW,WASHINGTON,DC 20000.5292
Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee.
CONDITIONAL AFFIDAVIT AND WAIVER OF LIEN
STATE OF INDIANA
COUNTY OF HAMILTON )
Thomas E. Koontz being duly sworn states that he is the President of Signature
Construction, LLC having contract to furnish certain materials and/or labor as
follows: Construction Management Services for a project known as Carmel City
Center P111, located at Carmel, Indiana and owned by the
Carmel Redevelopment Commission and does state:
CONDITIONAL WAIVER:
that the balance due from the owner is the sum of twenty-four thousand
eighty-four dollars and sixty-eight cents($24,084.68)the payment of which has been
promised as the sole consideration for this Affidavit and Conditional Waiver
of Lien which is given to and for said amount, effective upon receipt of such
cash payment.
THEREFORE, the undersigned waives and releases unto the Owner of said premises any
and all line or claim whatsoever on the above-described property and improvements
thereon on account of labor or material or both, finished by the undersigned thereto, and
further certifies that no other party has any claim or right to a lien on account of any
work perform or material furnished to the undersigned for the said project, and within the
scope of this affidavit and waiver.
SIGNATURE CONSTRUCTION, LLC
/ f
omas •, oontz, President
Subscribed and sworn to before me this: filQY �
s 20i�
Notary Public.
I 5=.'; LINDA BUCHANAN
Hancock County
v: s My Commission Expires
'' ;;.1" August 20,2011
1. SIGNATURE CONSTRUCTION LLC
720 3rd Avenue, S. W.
Carmel, Indiana 46032
1 ( I I ( i (
Invoice # 6
5/24/10
__ ______ Carmel City Pill Waterproofing
Carmel, Indiana
1 I I i
Total Work RETAINAGE ( BALANCE
Scheduled Completed 1 WITHHELD _ PREVIOUS TOTAL COMPLETED TO,
DESCRIPTION Value This period THIS PERIOD APPLICATIONS TO DATE 1 % FINISH
Pre-Construction Services.:
Project Management 3,117.15 0.00 0:.00_ 3,117.15 3,117.15' 100% 0.00
Site Supervision 4,173.64 0:00 0.00 4,173.64 4,173:64 100% 0.00
General Conditions:
Testing and Inspecting 12,500.00 0:00 0.00 0.00 0..00 0% 12,500.00'
Project Management 10,000.00 0.00._ 0.00 0..00 0.00 0W 10,000.00
Site Supervision 46,494:42 . 4,794.66 0.00 17,,102.03 21,896.69 47% 24,597.73
Site Safety Director 6,666.67. 270.,69 0.00 524.95 795.64• 12% 5',871.03'
Design Drawings 10,000.00 0.00 0.00 3,508.42 3,508.,42 35% 6,491.58
Temporary Electric 8,750.00 0.00. 0.00 0.00 0.00 0% 8,750.00'
Temporary Lighting 5,000.00 0.00 . 0.00 0.00 0.00 0.§s 5,000.00
Office Supplies 2,500;00 245..62 0.00 24.75 270.37 11% 2,229.63
Temporary Fire Protection 1,125.00 0.00 0.00 _ 0.00 0.00 0% 1,125.00
Temporary water __ 5,000_00 0.00 0.00 0.00 0.00 0% 5,000:00
Tools and E. i. 'ent 8,750.00 80.61 0.002 1,200.46 1,281.07 15% 7,468.93
Project ,Signage 986.41, 0.00 0.00 0.00 0.00 0% 986.41
Field Engineering and Surveying 5,000.00 0.00 0.00: 0.00 0.00 0A 5,000.00
Health and Safety 24625.00 0.00. 0.00 0.00 0.00 0% 2,625.00
Waste Disposal 14,500.00, 0.00 0.00 0.00 0..00 0% _ 14,500.00
Construction Management Fee 18,693.10 . 18,693.10 0.00 . 0.00 18,693.10 100% 0.00
165,,881.39 24,084.68 0.00 29,651.40 53,736..08 32%V 112,145.31