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Home My WebLink AboutSmock Fansler - $70,665.81 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 Dr./Range Lind Rd.Streetscape Improvements installment purchase contract Application 14(Smock) August 2011 $ 67,255.31 Application 15(Smock) August 2011 $ 3,410.50 Total Authorized Disbursement $ 70,665.81 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 Nation I Bank of Indianapolis and Carmel Theater Development Company, LLC. Dated: ZF (/ CITY OF CARMEL REDEVELOPMENT COMMISSION By: W' 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 Cannel Theater Development $ 58,639.50 May 2011 Application 11 Paid by Carmel Theater Development $ 25,848.00 June 2011 Application 12 Paid by Carmel Theater Development $ 8,300.00 July 2011 Application 13 Paid by Carmel Theater Development $ 16,790.40 August 2011 Application 14 Amount to be paid by Carmel Theater Development $ 67,255.31 August 2011 Application 15 Amount to be paid by Carmel Theater Development $ 3,410.50 49\P-P17 AIA Type Document Application and Certification for Payment i • ,,,,� Page 1 of 3 TO(OWNER):CARMEL THEATER DEVELOPMNT CORP PROJECT:CARMEL PARCEL 73 HARDSCAPE APPLICATION NO: 14 A/' ` 1 1 , OISTRIBUTION CARMEL,1711 N. PENNSYLVANIA 46032 VANIA ST. PERIOD TO:8/31/201 G'O OWNER Or l0/ _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,andOatluuulle/// current payment shown herein is now due. °`o\\`\PAY P UB�'CI 1.ORIGINAL CONTRACT SUM $ 1,251,450.00 O a �. 2.Net Change by Change Orders $ 93,656.01 CONTRACTOR: Smock Fansler Corporation ,.--- '.• 2910 W. Minnesota Street Indianapolis, IN 46241 = 3.CONTRACT SUM TO DATE(Line 1 +2) $ 1,345,106.01 . E4ki S i643—) t 4.TOTAL COMPLETED AND STORED TO DATE $ 1,345,106.01 . \r/A %/ By: r ,�_ Date: $,� P 5.RETAINAGE: T.M.FANSLER / CEO ///S,7- OF\\AO ? State of: IN �plilllllllllllllll "`\\ a. 5.00%of Completed Work $ 67,255.30 County of: MARION b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me this '- Day of, yU 20 1( Total retainage(Line 5a+5b) $ 67,255.30 Notary Public: 47e., /Z J J My Commission Expires: // (30424/ 6.TOTAL EARNED LESS RETAINAGE $ 1,277,850.71 ( (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) $ 1,210,595.40 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 $ 67,255.31 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Line 3 less Line 6) $ 67,255.30 AMOUNT CERTIFIED $4,7; .5511 (Attach explan. on if amount certified differs from the amount applied. Initial all figures on this_ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application . d o the Co, uation heet that are changed to conform to the amount certified.) Total changes approved in ARCHITE'T: ./ previous months by Owner 93,656.01 0.00 By: Date: jamY/ Total approved this Month 0.00 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, Payment and acceptance of payment are without prejudice to any TOTALS 93,656.01 0.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 93,656.01 r+M /fir/// . " " - !!' Ce. - • , 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: 14 DISTRIBUTION 11711 N. PENNSYLVANIA ST. TO: CARMEL, IN 46032 PERIOD TO:8/31/2011 _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 1 MOBILIZATION 35,000.00 35,000.00 0.00 0.00 35,000.00 100.00 0.00 1,750.00 2 FIELD ENGINEERING 9,700.00 9,700.00 0.00 0.00 9,700.00 100.00 0.00 485.00 3 TRAFFIC CONTROL 10,300.00 10,300.00 0.00 0.00 10,300.00 100.00 0.00 515.00 4 DEMOLITION 54,000.00 54,000.00 0.00 0.00 54,000.00 100.00 0.00 2,700.00 5 EARTHWORK, DRAINAGE, UTIL 102,300.00 102,300.00 0.00 0.00 102,300.00 100.00 0.00 5,115.00 6 ASPHALT PAVEMENT 109,700.00 109,700.00 0.00 0.00 109,700.00 100.00 0.00 5,485.00 7 CONCRETE PAVEMENT 154,150.00 154,150.00 0.00 0.00 154,150.00 100.00 0.00 7,707.50 8 LANDSCAPING 46,500.00 46,500.00 0.00 0.00 46,500.00 100.00 0.00 2,325.00 9 CONCRETE WALLS,STAIRS 164,400.00 164,400.00 0.00 0.00 164,400.00 100.00 0.00 8,220.00 10 MASONRY 68,000.00 68,000.00 0.00 0.00 68,000.00 100.00 0.00 3,400.00 11 METAL RAILING 95,700.00 95,700.00 0.00 0.00 95,700.00 100.00 0.00 4,785.00 12 MECHANICAL 103,100.00 103,100.00 0.00 0.00 103,100.00 100.00 0.00 5,155.00 13 ELECTRICAL 114,100.00 114,100.00 0.00 0.00 114,100.00 100.00 0.00 5,705.00 14 UNIT PAVERS 184,500.00 184,500.00 0.00 0.00 184,500.00 100.00 0.00 9,225.00 15 CHANGE ORDER#1 3,875.00 3,875.00 0.00 0.00 3,875.00 100.00 .0.00 193.75 t6 CHANGE ORDER#2 4,500.00 4,500.00 0.00 0.00 4,500.00 100.00 0.00 225.00 17 CHANGE ORDER#3 11,810.00 11,810.00 0.00 0.00 11,810.00 100.00 0.00 590.50 18 CHANGE ORDER#4 6,500.00 6,500.00 0.00 0.00 6,500.00 100.00 0'.00 325.00 19 CHANGE ORDER#5 16,490.00 16,490.00 0.00 0.00 16,490.00 100.00 0.00 824.50 20 CHANGE ORDER#6 10,350.00 10,350.00 0.00 0.00 10,350.00 100.00 0.00 517.50 21 CHANGE ORDER#7 14,650.00 14,650.00 0.00 0.00 14,650.00 100.00 0.00 732.50 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: 14 DISTRIBUTION 11711 N. PENNSYLVANIA ST. TO: CARMEL, IN 46032 ` PERIOD TO:8/31/2011 _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 22 CHANGE ORDER#8 6,825.00 6,825.00 0.00 0.00 6,825.00 100.00 0.00 341.25 23 Veneer Falswork for Pavers at 3,500.00 3,500.00 0.00 0.00 3,500.00 100.00 0.00 175.00 entry 24 Topsoil and Irrigation for NE 12,430.00 12,430.00 0.00 0.00 12,430.00 100.00 0.00 621.50 Planter 25 Bond Increase 2,726.01 2,726.01 0.00 0.00 2,726.01 100.00 0.00 136.30 REPORT TOTALS $1,345,106.01 $1,345,106.01 $0.00 $0.00 $1,345,106.01 100.00 $0.00 $67,255.30 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: ($67,255.31) Sixty Seven Thousand Two Hundred Fifty Five Dollars and 31/100 [ ] 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 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, 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 y Title :E,;\\\ T. M. Fansler Y g -YwPiUig4 c WITNESS MY HAND AND NOTARIAL SEAL, this 5th day of August,2011. Melissa J. Bishop Notytry Public S AI • yy 4P My commission expires November 30, 2016 Residing in Morgan County�'o S7-•••• ••• • \P \\ //iiii,9TE OFI',NO\\ 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: 15 DISTRIBUTION 11711 N.PENNSYLVANIA ST. TO: CARMEL,IN 46032 PERIOD TO:8/31/2011 _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: 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 that current payment shown herein is now due. 1.ORIGINAL CONTRACT SUM $ 1,251,450.00 2.Net Change by Change Orders $ 97,246.01 CONTRACTOR: Smock Fansler Corporation . 2910 W.Minnesota Street Indianapolis,IN 46241 3.CONTRACT SUM TO DATE(Line 1 +2) $ 1,348,696.01 - . t; h 4.TOTAL COMPLETED AND STORED TO DATE $ 1,348,696.01 By: `� 'r1, / , c-; j � Date: :-4:-CS` 7,4::',;, ; . - T.M.FANSLER / CEO . 5.RETAINAGE: State of IN a. 5.00%of Completed Work $ 67,434.80 County of: MARION _• • . b. 0.00%of Stored Material $ 0.00 Subscribed and Sworn to before me this Day of -- „, 20 ,. Total retainage(Line 5a+5b) $ 67,434.80 Notary Public: " , My Commission Expires: 6.TOTAL EARNED LESS RETAINAGE $ 1,281,261.21 (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) $ 1,277,850.71 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 $ 3,410.50 is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Line 3 less Line 6) $ 67,434.80 AMOUNT CERTIFIED $S14-10.90 (Attach explanatis i,amount certified differs from the amount applied. Initial all figures on this CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Application an. on f e Conti ion Sheet that are changed to conform to the amount certified.) Total changes approved in ARCHITEC': previous months by Owner 93,656.01 0.00 By: ��—Y• • Date: U$ . l Total approved this Month 3,590.00 0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein.Issuance,Payment and acceptance of payment are without prejudice to any TOTALS 97,246.01 0.00 rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order 97,246.01 CM ''''''°AM------- b. • y ALA Type Document Application and Certification for Payment Page 2 of 3 TO(OWNER):CARMEL THEATER DEVELOPMNT CORP PROJECT:CARMEL PARCEL 73 HARDSCAPE APPLICATION NO: 15 DISTRIBUTION 11711 N.PENNSYLVANIA ST. TO: CARMEL,IN 46032 PERIOD TO:8/31/2011 _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 1 MOBILIZATION 35,000.00 35,000.00 0.00 0.00 35,000.00 100.00 0.00 1,750.00 2 FIELD ENGINEERING 9,700.00 9,700.00 0.00 0.00 9,700.00 100.00 0.00 485.00 3 TRAFFIC CONTROL 10,300.00 10,300.00 0.00 0.00 10,300.00 100.00 0.00 515.00 4 DEMOLITION 54,000.00 54,000.00 0.00 0.00 54,000.00 100.00 0.00 2,700.00 5 EARTHWORK,DRAINAGE,UTIL 102,300.00 102,300.00 0.00 0.00 102,300.00 100.00 0.00 5,115.00 6 ASPHALT PAVEMENT 109,700.00 109,700.00 0.00 0.00 109,700.00 100.00 0.00 5,485.00 7 CONCRETE PAVEMENT 154,150.00 154,150.00 0.00 0.00 154,150.00 100.00 0.00 7,707.50 8 LANDSCAPING 46,500.00 46,500.00 0.00 0.00 46,500.00 100.00 0.00 2,325.00 9 CONCRETE WALLS,STAIRS 164,400.00 164,400.00 0.00 0.00 164,400.00 100.00 0.00 8,220.00 10 MASONRY 68,000.00 68,000.00 0.00 0.00 68,000.00 100.00 0.00 3,400.00 11 METAL RAILING 95,700.00 95,700.00 0.00 0.00 95,700.00 100.00 0.00 4,785.00 12 MECHANICAL 103,100.00 103,100.00 0.00 0.00 103,100.00 100.00 0.00 5,155.00 13 ELECTRICAL 114,100.00 114,100.00 0.00 0.00 114,100.00 100.00 0.00 5,705.00 14 UNIT PAVERS 184,500.00 184,500.00 0.00 0.00 184,500.00 100.00 0.00 9,225.00 15 CHANGE ORDER#1 3,875.00 3,875.00 0.00 0.00 3,875.00 100.00 0.00 193.75 16 CHANGE ORDER#2 4,500.00 4,500.00 0.00 0.00 4,500.00 100.00 0.00 225.00 17 CHANGE ORDER#3 11,810.00 11,810.00 0.00 0.00 11,810.00 100.00 0.00 590.50 18 CHANGE ORDER#4 6,500.00 6,500.00 0.00 0.00 6,500.00 100.00 0.00 325.00 19 CHANGE ORDER#5 16,490.00 16,490.00 0.00 0.00 16,490.00 100.00 0.00 824.50 20 CHANGE ORDER#6 10,350.00 10,350.00 0.00 0.00 10,350.00 100.00 0.00 517.50 21 CHANGE ORDER#7 14,650.00 14,650.00 0.00 0.00 14,650.00 100.00 0.00 732.50 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:15 DISTRIBUTION 11711 N.PENNSYLVANIA ST. TO: CARMEL,IN 46032 PERIOD TO:8/31/2011 _OWNER _ARCHITECT _CONTRACTOR FROM(CONTRACTOR):Smock Fenster 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 22 CHANGE ORDER#8 6,825.00 6,825.00 0.00 0.00 6,825.00 100.00 0.00 341.25 23 Veneer Falswork for Pavers at 3,500.00 3,500.00 0.00 0.00 3,500.00 100.00 0.00 175.00 entry 24 Topsoil and Irrigation for NE 12,430.00 12,430.00 0.00 0.00 12,430.00 100.00 0.00 621.50 Planter 25 Bond Increase 2,726.01 2,726.01 0.00 0.00 2,726.01 100.00 0.00 136.30 26 Ice Melt System Exterior Work 3,590.00 0.00 3,590.00 0.00 3,590.00 100.00 0.00 179.50 REPORT TOTALS $1,348,696.01 $1,345,106.01 $3,590.00 $0.00 $1,348,696.01 100.00 $0.00 $67,434.80 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: ($3,410.50) Three Thousand Four Hundred Ten Dollars and 50/100 [ ] receipt of which is hereby acknowledged;or [X] the payment of which has been promised as the vie 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 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, 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 u for said project, and within the scope of this affidavit and waiver. undersigned SMOCK FANSLER CORP. By 'Title CEO T. M. Fanslcr WITNESS MY I-LAND AND NOTARIAL SEAL, this 19u' day of August,2011. Melissa J. Bishop Notary Public My commission expires November 30, 2016_ Residing in Morgan County