HomeMy WebLinkAboutSmock Fansler - $8204 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 City Center
Drive/Rangeline Road Streetscape Improvements installment purchase contract
Application 12(Smock) June 2011 $ 6,300.00
Invoice 204997(Hall,Render,Killian,Heath&Lyman) $ 26.00
Invoice 204998(Hall,Render,Killian,Heath&Lyman) $ 1,878.00
Total Authorized Disbursement $ 8,204.00
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: 7/4 CITY OF CARMEL REDEVELOPMENT
COMMISSION
By:
Les S. Olds
Printed:
Executive Director
Title:
P73 Hardscape
(Smock Fansler)
July 2010
Application 1
Paid by Carmel Theater Development $ 64,998.00
August 2010
Application 2
Paid by Carmel Theater Development $ 77,697.00
September 2010
Application 3
Paid by Carmel Theater Development $ 166,914.00
October 2010
Application 4
Paid by Carmel Theater Development $309,289.50
November 2010
Application 5
Paid by Carmel Theater Development $238,590.00
December 2010
Application 6
Paid by Carmel Theater Development $ 70,164.00
January 2011
Application 7
Paid by Carmel Theater Development $ 56,929.50
February 2011
Application 8
Paid by Carmel Theater Development $ 65,706.75
March 2011
Application 9
Paid by Carmel Theater Development $ 52,728.75
April 2011
Application 10
Paid by Carmel Theater Development $ 58,639.50
May 2011
Application 11
Paid by Carmel Theater Development $ 25,848.00
June 2011
Application 12
Amount to be paid by Carmel Theater Development $ 6,300.00
. AIA Type Document
Application and Certification for Payment Page 1 of 3
TO(OWNER):CARMEL THEATER DEVELOPMNT CORP PROJECT:CARMEL PARCEL 73 HARDSCAPE APPLICATION NO: 12 DISTRIBUTION
11711 N.PENNSYLVANIA ST. TO:
PERIOD 70:6/30/2011
CARMEL,IN 46032 _OWNER
–ARCHITECT
_CONTRACTOR
FROM(CONTRACTOR):Smock Fansler Corporation VIA(ARCHITECT): ARCHITECT'S
2910 W. Minnesota Street PROJECT NO:
Indianapolis,IN 46241
CONTRACT FOR: CONTRACT DATE:
CONTRACTOR'S APPLICATION FOR PAYMENT The Undersigned Contractor certifies that to the best of the Contractor's knowledge,information and
belief the work covered by this application for Payment has been completed in accordance with the
Application is made for Payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous
Continuation Sheet,AIA Type Document is attached. Certificates for Payment were issued and payments received from the owner,and�t ,�(,q;ipu�ip�l/
current payment shown herein is now due. sxp Y PUe, .4°i�i�i
1.ORIGINAL CONTRACT SUM $ 1,251,450.00 •. 0
O ..
Smock Fansler Corporation
2.Net Change by Change Orders $ 75,000.00 CONTRACTOR: 2910 W.Minnesota Street Indianapolis,IN 46241 •---'l`
3.CONTRACT SUM TO DATE(Line 1 +2) $ 1,326,450.00 y .
4.TOTAL COMPLETED AND STORED TO DATE $ 1,326,450.00 By: Vd 4( Date: v.. 4.' //.—
T.M.FANSLER / C O % • �P'.
5.RETAINAGE: State of:IN%of Completed Work $ 132,645.00 "�iii �TE p N�\
I " iF"I
a
County of: MORGAN �
b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me this / /t Day of fl j,7e 20 /7
/l/ r
Notary Public:
Total retainage(Line 5a+5b) $ 132,645.00 y/ 1�-:✓C4lGL ` y
My Commission Expires: ///q/)/c2_07
6.TOTAL EARNED LESS RETAINAGE $ 1,193,805.00
(Line 4 less Line 5 Total) ARCHITECT'S CERTIFICATE FOR PAYMENT
7.LESS PREVIOUS CERTIFICATES FOR PAYMENT In Accordance with the Contract Documents,based on on-site observations and the data corn-
(Line 6 from prior Certificate) $ 1,187,505.00 prising the above application, the Architect certifies to owner that to the best of the Architect's
knowledge,information and belief the Work has progressed as indicated,the quality of the work
8.CURRENT PAYMENT DUE $ 6,300.00 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the
9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED.
(Line 3 less Line 6) $ 132,645.00 AMOUNT CERTIFIED $ 18j*OP-0."---
(Attach explan ' n amount certified differs from the amount applied. Initial all figures on this
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application d o the Co tion Sh t that are changed to conform to the amount certified.)
Total changes approved in ARCHIT T:
previous months by Owner 75,000.00 0.00 By: , Date: 4/30/(
Total approved this Month 0.00 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor \�0
named herein. Issuance,Payment and acceptance of payment are without prejudice to any p
TOTALS 75,000.00 0.00 rights of the Owner or Contractor under this Contract. \
NET CHANGES by Change Order 75,000.00 / /
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AIA Type Document
Application and Certification for Payment Page 2 of 3
TO(OWNER):CARMEL THEATER DEVELOPMNT CORP PROJECT:CARMEL PARCEL 73 HARDSCAPE APPLICATION NO: 12 DISTRIBUTION
11711 N.PENNSYLVANIA ST. TO:
CARMEL,IN 46032 PERIOD TO:6/30/2011 _OWNER .
_ARCHITECT
_CONTRACTOR
FROM(CONTRACTOR):Smock Fansler Corporation VIA(ARCHITECT): ARCHITECTS
2910 W.Minnesota Street PROJECT NO:
Indianapolis, IN 46241
CONTRACT FOR: CONTRACT DATE:
SCHEDULE PREVIOUS COMPLETED STORED COMPLETED
ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE
1 MOBILIZATION 35,000.00 33,250.00 1,750.00 0.00 35,000.00 100.00 0.00 3,500.00
2 FIELD ENGINEERING 9,700.00 9,700.00 0.00 0.00 9,700.00 100.00 0.00 970.00
3 TRAFFIC CONTROL 10,300.00 10,300.00 0.00 0.00 10,300.00 100.00 0.00 1,030.00
4 DEMOLITION 54,000.00 54,000.00 0.00 0.00 54,000.00 100.00 0.00 5,400.00
5 EARTHWORK,DRAINAGE,UTIL 102,300.00 102,300.00 0.00 0.00 102,300.00 100.00 0.00 10,230.00 i
6 ASPHALT PAVEMENT 109,700.00 109,700.00 0.00 0.00 109,700.00 100,00 0.00 10,970.00
7 CONCRETE PAVEMENT 154,150.00 154,150.00 0.00 0.00 154,150.00 100.00 0.00 15,415.00
I
8 LANDSCAPING 46,500.00 46,035.00 465.00 0.00 46,500.00 100,00 0.00 4,650.00
9 CONCRETE WALLS,STAIRS 164,400.00 164,400.00 0.00 0.00 164,400.00 100.00 0.00 16,440.00
10 MASONRY 68,000.00 68,000.00 0.00 0.00 68,000.00 100.00 0.00 6,800.00
11 METAL RAILING 95,700.00 90,915.00 4,785.00 0.00 95,700.00 100.00 0.00 9,570.00
12 MECHANICAL 103,100.00 103,100.00 0,00 0.00 103,100.00 100.00 0.00 10,310.00
13 ELECTRICAL 114,100.00 114,100.00 0,00 0.00 114,100.00 100.00 0.00 11,410.00
14 UNIT PAVERS 184,500.00 184,500.00 0.00 0.00 184,500.00 100.00 0.00 18,450.00
15 CHANGE ORDER#1 3,875.00 3,875.00 0.00 0.00 3,875.00 100.00 0.00 387.50
16 CHANGE ORDER#2 4,500.00 4,500.00 0.00 0.00 4,500.00 100.00 0.00 450.00
17 CHANGE ORDER#3 11,810.00 11,810.00 0.00 0.00 11,810.00 100.00 0.00 1,181.00
18 CHANGE ORDER#4 6,500.00 6,500.00 0.00 0.00 6,500.00 100.00 0.00 650.00
19 CHANGE ORDER#5 16,490.00 16,490.00 0.00 0,00 16,490.00 100.00 0.00 1,649.00
20 CHANGE ORDER#6 10,350.00 10,350.00 0.00 0,00 10,350.00 100.00 0.00 1,035.00
21 CHANGE ORDER#7 14,650.00 14,650.00 0.00 0.00 14,650.00 100.00 0.00 1,465.00
AIA Type Document
Application and Certification for Payment Page 3 of 3
TO(OWNER):CARMEL THEATER DEVELOPMNT CORP PROJECT:CARMEL PARCEL 73 HARDSCAPE APPLICATION NO: 12 DISTRIBUTION
11711 N.PENNSYLVANIA ST. TO:
CARMEL,IN 46032 PERIOD TO:6/30/2011 _OWNER
_ARCHITECT
_CONTRACTOR
FROM(CONTRACTOR):Smock Fansler Corporation VIA(ARCHITECT): ARCHITECT'S
2910 W.Minnesota Street PROJECT NO:
Indianapolis,IN 46241
CONTRACT FOR: CONTRACT DATE:
SCHEDULE PREVIOUS COMPLETED STORED COMPLETED
ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE
22 CHANGE ORDER#8 6,825.00 6,825.00 0.00 0.00 6,825.00 100.00 0.00 682.50
REPORT TOTALS $1,326,450.00 $1,319,450.00 $7,000.00 $0.00 $1,326,450.00 100.00 $0.00 $132,645.00
AFFIDAVIT AND WAIVER OF LIEN
[ ] Final [X] Partial [X] Payment to Follow
State of Indiana
County of Marion
T.M.Fansler, being duly sworn states that he is the CEO of SMOCK FANSLER CORP.
having contracted with: Carmel Theater Development Corp. to furnish certain labor, materials, and/or
services as follows: Misc. Construction for a project known as: SFC#10-052 Carmel Parcel 73
Hardscape located at Carmel,IN and does hereby state on behalf of the aforementioned contractor:
(PARTIAL WAIVER)that there is due from the owner the sum of: ($6,300.00)
Six Thousand Three Hundred Dollars and No/100
[ ] receipt of which is hereby acknowledged;or
[X] 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($0.00)
[ ] 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 cf 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,
Materials, and/or Services, 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, materials, or services furnished to the undersigned for said project, and
within the scope of this affidavit and waiver.
SMOCK FANSLER CORP. By 7 $ , %, j, Title CEO
T.M.Fa s r-r
WITNESS MY HAND AND NOTARIAL SEAL,this 17th day of June,2011. ��`°o�PR • u8<i0'
/I/104M :41.4./4/7 .
Melissa J. Bishop Notary P4blic _*' SEAL
•My commission expires November 30, 2016 Residing in Morgan County ''% TgTE'' 'NONse`
//oinieOtFN 1llY�U����1�'
HALL, RENDER, KILLIAN, HEATH & LYMAN, P.S.C.
PLEASE SEND PAYMENT TO:
39778 Treasury Center
Chicago,IL 60694-9700
(317)633-4884
Federal ID#:35-1427161
Invoice No. : 204997
National Bank of Indianapolis Billing Atty: JJU
Attn: Jason Boyewsky
107 North Pennsylvania Street May 16, 2011
Indianapolis, IN 46204
Matter Number: 104332-000001
Carmel Redevelopment Commission Financing
FOR PROFESSIONAL SERVICES RENDERED
04/06/11 JAM Review Disbursement Request and forward .10
comments thereon to Bank
{
FEE SUBTOTAL $26 .00
TOTAL THIS INVOICE $26.00
TOTAL BALANCE NOW DUE $26. 00
All invoices are due and payable upon receipt. Interest will accrue at a
rate of 1% per month on balance not paid within 30 days of the invoice date.
HALL, RENDER, KILLIAN, HEATH & LYMAN, P.S.C.
PLEASE SEND PAYMENT TO:
39778 Treasury Center
Chicago,IL 60694-9700
(317)633-4884
Federal(D#:35-1427161
Invoice No. : 204998
National Bank of Indianapolis Billing Atty: JJU
Attn: Jason Boyewsky
107 North Pennsylvania Street June 29, 2011
Indianapolis, IN 46204
Matter Number: 104332-000001
Carmel Redevelopment Commission Financing
FOR PROFESSIONAL SERVICES RENDERED
05/04/11 JAM Review documents received from CRC counsel; -80
note questions thereon regarding amounts
disbursed; e-mail to CRC counsel with comments
and questions on documents
05/05/11 JAM Review documents received; review prior 1.20
transcript; note questions and comments for
review with CRC counsel
05/06/11 JAM Review Fourth Amendment to Collateral 2 .60
Assignment and accompanying documents received
from J. Shoup; note comments thereon; forward
comments to CRC counsel
05/09/11 JAM Review revised documents received from J. .60
Shoup; note comments thereon
05/10/11 JAM Forward documents to National Bank of .60
Indianapolis for signature; prepare Financing
Statement
05/13/11 JAM Review documents received from J. Shoup; .40
forward executed copy of Fourth Amendment to II
Collateral Assignment to J. Shoup
05/13/11 LMP File UCC financing statement with Secretary of .50
State
National Bank of Indianapolis Page 2
Matter Number: 104332-000001 June 29, 2011
Invoice No: 204998
05/20/11 JAM Review disbursement request received from .10
Carmel Theater
05/23/11 JAM Review and respond to questions received from .40
Bank regarding current $10M transaction and
debt service coverage ratio
05/25/11 JAM Review disbursement instructions received from .10
Carmel Theater
FEE SUBTOTAL $1, 878 .00
TOTAL THIS INVOICE $1, 878 .00
PREVIOUS BALANCE FORWARD $2G _89
TOTAL BALANCE NOW DUE 447-9-61-70-0
All invoices are due and payable upon receipt. Interest will accrue at a
rate of 1% per month on balance not paid within 30 days of the invoice date.