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HomeMy WebLinkAboutGibralter, Signature - $147,388.04 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 Veteran's Way Improvements installment purchase contract Application 16(Gibraltar) August 2011 $147,388.04 Total Authorized Disbursement $147,388.04 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: q/Z// CITY OF CARMEL REDEVELOPMENT COMMISSION By: Les S. Olds Printed: Executive Director Title: P111 Waterproofing and Paving (Gibraltar) May 2010 Application 2 Paid by Carmel Theater Development $331,812.00 June 2010 Application 3 Paid by Carmel Theater Development $188,748 00 July 2010 Application 4 Paid by Carmel Theater Development $ 57,970.80 August 2010 Application 5 Paid by Carmel Theater Development $ 98,281.10 September 2010 Apphcahon 6 Paid by Carmel Theater Development $174,561.30 October 2010 Application 7 Paid by Carmel Theater Development $223,782.30 November 2010 Application 8 Paid by Carmel Theater Development $331,778.70 December 2010 Application 9 Paid by Carmel Theater Development $ 50,827.70 February 2011 Application 10 Paid by Carmel Theater Development $ 14,715.90 March 2011 Application 11 Paid by Carmel Theater Development $ 7,847.10 April 2011 Application 12 Paid by Carmel Theater Development $ 55,737.90 May 2011 Application 13 Paid by Carmel Theater Development $ 20,627 46 June 2011 Application 14 Paid by Carmel Theater Development $ 15,465 60 July 2011 Application 15 Paid by Carmel Theater Development $ 12,105.00 August 2011 Application 16 Amount to be paid by Carmel Theater Development 8147,388 04 41 tlY/4 A : Document ent G7021 a 1992 ty n R' Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Theater Development CompanPROJECT: Carmel City Cntr-P111 Waterproofing&PAR .tr TIION NO: 16 ; Distribution to: PERIOD TO: 8/31/11' OWNER ❑ CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION'MANAGER: CONTRACT DATE: 1/18/10 ARCHITECT ❑ 2932 N.Webster Ave. PROJECT NOS: / / CONTRACTOR ❑ Indianapolis,IN 46219 VIA ARCHITECT:pedcor Design Group,LLC FIELD ❑ CONTRACT FOR: Waterproofing&Topping Slabs ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certi is 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 - i pli cation for Payment has been completed in accordance with the Continuation Sheet,AIA Document shown is attached. Contract Documents, that all ai,;i nts have been paid by the Contractor for Work for which previous G703, 1,610,967.40 Certificates for Payment w:1 '.sued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 149,078.00 payment shown dfbinalf of :traction Corp . 2. Net change by Change Orders $ CONTRACTOR: / . 1,760;045.40 , 3.CONTRACT SUM TO DATE(Lined ±2) $ 0_ By: � Date: �� 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ State of: fJ .�/ RRlAN R. 5.RETAINAGE: County of: ,� MCBRIDE a. %of Completed Work 25,000.00 Subscribed ands..` to b ore * ►: �5; 01 Hancock County (Column D+Eon G703) $ me this . / ,,',day of —,..0 j �o ♦ My Comm. Exo, 11-29_ b. %of Stored Material Not P bli•t _ / N Co 11-29-2017 .. mmisslDn # 6'11862 (Column F on G703) $ My Commission expires: ,//y. �I7 Total Retainage(Lines 5a+5b or Total in Column I of 0703). $.. CERTIFICATE FOR PAYMENT • 1,735,045.40 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) 1,584,040.86 knowledge,information and-belief the Work has progressed as indicated,.the quality ofthe 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) CER'l'ih'11 D. . 151,004.54 r 8.CURRENT PAYMENT DUE $' AMOUNT CERTIFIED •• . ' $ 1500A. -41.'� 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the;amoiurtt applied.Initial all figuon th 25,000.00 Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ CONSTRUCTION MAC R�_ / / By: _ / - ....., Date: �' , V•CHANGE ORDER SUMMARY, ADDITIONS DEDUCTIONS ARCHITECT: ', i• Cr'up,LLC Total.changes approved in previous months by Owner $ $ By � .. t�' • Date: 6,12,1511‘ Total a roved.this Month of neg PP. $, $ This Certi not negotiable. The AMOUNT CER 1••10.11 is',payable y tthe Contractor TOTALS $. $ named herein ance;,payment and acceptance of pa g . e • 'ut rejudice to any rights of NET CHANGES by•Change:Order $ the Owner or Contractor under this Contract. e,/ rfi/ CAUTION:You should sign an original,AIA,Contract Document;on:which this text appears in RED...An original assures thatchanges will-not be obscured. AIA Document G702/CMa11"-1992.Copyright ©1992'by.The American.Institute of Architects.All rights reserved:WARNING:This AIA® 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 resultin severe civil and criminal penalties,,and:will be prosecuted to the maximum extent possible,under the.law. (4'. , „ /- ;1/ CONTINUATION SHEET Page 2 of 3 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO. : 16 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 8/31/2011 variable retainage for line items may apply. PERIOD TO: 8/31/2011 ARCHITECT'S PROJECT NO. : A B C D 1 E F G H 1 WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) FINISH (IF VARIABLE (D+E) D OR E) (D+E+F) (C-G) RATE) 1 Allowance $25,000.00 $25,000.00 $25,000.00 100% - 25,000.00 2 Supervision $47,500.00 $47,500.00 $47,500.00 100% - 3 Demobilization $2,000.00 $2,000.00 $2,000.00 100% - 4 Submittals $18,000.00 $18,000.00 $18,000.00 100% - 5 Misc. General Conditions $32,724.40 $32,724.40 $32,724.40 100% - 6 Excavation at North Ramp $4,643.00 $4,643.00 $4,643.00 100% - 7 Storm Casting Materials $79,000.00 $79,000.00 $79,000.00 100% - 8 Storm Casting Labor $11,000.00 $11,000.00 $11,000.00 100% - 9 Trench Drain Material $59,000.00 $59,000.00 $59,000.00 100% - 10 Trench Drain Labor $15,000.00 $15,000.00 $15,000.00 100% - 11 Demolition Labor $35,000.00 $35,000.00 $35,000.00 100% - 12 Topping Slabs&Curbs Material $170,000.00 $170,000.00 $170,000.00 100% - 13 Topping Slabs&Curbs Labor $164,900.00 $164,900.00 $164,900.00 100% - 14 Rebar Material $15,000.00 $15,000.00 $15,000.00 100% - 15 Masonry $3,000.00 $3,000.00 $3,000.00 100% - 16 Metal Fabrications $1,200.00 $1,200.00 $1,200.00 100% - 17 Waterproofing& Exp. Joints $742,000.00 $742,000.00 $742,000.00 100% - 18 Joint Sealants $200.00 $200.00 $200.00 100% - 19 Plumbing $18,400.00 $18,400.00 $18,400.00 100% - 20 Electrical $1,800.00 $1,800.00 $1,800.00 100% - 21 Alternate#7 $184,000.00 $184,000.00 $184,000.00 100% - 22 Change Order#1 -$18,400.00 -$18,400.00 -$18,400.00 100% - 23 Change Order#2 $5,182.00 $5,182.00 $5,182.00 100% - 24 Change Order#3 $3,252.00 $3,252.00 $3,252.00 100% - 25 Change Order#4 $26,871.00 $26,871.00 $26,871.00 100% - f . CONTINUATION SHEET Page 3 of 3 APPLICATION NO. : 16 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 8/31/2011 attached. 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: 8/31/2011 ARCHITECT'S PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) FINISH (IF VARIABLE (D+E) D OR E) (D+E+F) (C-G) RATE) 26 Change Order#5 $7,200.00 $7,200.00 $7,200.00 100% - 27 Change Order#6 $3,986.00 $3,986.00 $3,986.00 100% - 28 Change Order#7 $4,008.00 $4,008.00 $4,008.00 100% - 29 Change Order#8 $14,921.00 $14,921.00 $14,921.00 100% - 30 Change Order#9 $8,529.00 $8,529.00 $8,529.00 100% - 31 Change Order#10 $12,192.00 $12,192.00 $12,192.00 100% - 32 Change Order#11 $1,959.00 $1,959.00 $1,959.00 100% - 33 Change Order#12 $2,265.00 $2,265.00 $2,265.00 100% - 34 Change Order#13 $8,441.00 $8,441.00 $8,441.00 100% - 35 Change Order#14 $2,791 2,791 2,791 100% - 36 Change Order#15 $1,340 1,340 1,340 100% - 37 Change Order#16 $8,042 8,042 8,042 100% - 38 Change Order#17 $2,205 2,205 2,205 100% - 39 Change Order#18 $3,415 3,415 3,415 100% - 40 Change Order#19 $6,464 6,464 6,464 100% - 41 Change Order#20 $3,592 3,592 3,592 100% - 42 Change Order#21 $5,110 5,110 5,110 100% - 43 Change Order#22 $3,863 3,863 3,863 100% - 44 Change Order#23 $11,839 11,839 11,839 100% - 45 Change Order#24 $1,611 1,611 1,611 100% - 46 47 48 49 50 $1,760,045.40 $1,760,045.40 $0.00 $0.00 $1,760,045.40 100% $0.00 $25,000.00 ISA Form# 1-402 AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ® PARTIAL ® 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 One Hundred Fifty One Thousand Four and----- 54/100 Dollars ($151,004.54) ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER)that the final balance due from the Owner is the sum of Dollars () ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THERFORE, the undersigned waives and releases unto the O er of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon ,:$c•unt of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions exp -s e+ herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work perf.a1: ed sr material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By j Title President 0P WITNESS MY HAND AND NOTORIAL SEAL, this �: .� Au• st, 2011. (Notary Public) IAN R, MCBRIDE ,e Re: of Hancock County t g 1979 INDIANA SuBCONTRACTOAS ASSOCIATION INCONYOAATED My Comm, Exp, 11-29-2017 Rev 10•*7 • t,Pnsulh*,.1•0 060•004.4cgtpn Fhnnthited D I PN COMMISsion # 611862