HomeMy WebLinkAboutBybee Stone - $415,644 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 Acquisition
Property installment purchase contract
Application 1(Bybee Stone) May 2012 $415,644.00
Total Authorized Disbursement $415,644.00
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: <� ;�Y ��— CITY OF CARMEL REDEVELOPMENT
COMMISSION
By:
Les S. Olds
Printed:
Executive Director
Title:
Draft
Acquisition Property
(Bybee Stone)
May 2012 (application 1)
Amount to be paid by the Carmel Theater Development Company $ 415,644.00
TO OWNER Carmel Theater PROJECT: Parcel 7A APPLICATION NO 1— 103 Distribution to: ,_
Development Co Carmel Regional Performing
Arts Center ( 'OWNER
I ARCHITECT
PERIOD TO: 5/3 1 /12 _ CONTRACTOR /.�' ,
FROM CONTRACTOR: VIA ARCHITECT: 1 w i V
Bybee 'Stone Co Inc F
PROJECT NOS: 2531 0
CONTRACI FOR: Limestone 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 coveted 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 $ 457 , 000
2. Net change by Change Orders S CONTRACTOR:
3. CONTRACT SUM TO DATE(Line I t 2) S 45 2 0 n n
d. TOTAL COMPLETED&STORED TO S 437, 590 s 1, • i j ,,(2..{�
DATE (Column G on G703) By: /
5. RETAINAGE: Y ; . <�____�{ 1 � cy �� Date: S I �� ' a Q l "Z
a. 5 %of Completed Work $ 21 , 876 .00 State of: id County of:Thil e-'tir&E--'
(Column D+Eon G703) Subscribed and s m to before e this a 3 day of 7Y)ai.t i •a-O/ aL r
b. %of Stored Material S 0.00 Notary Public: r
(Column F on G703) My Commissio expires:
Total Retainage(Lines 5a+5b or g -' a S—i ,A*
Total in Column I of 0703) $ 21 , 87&oo ARC* Ca C-. .. C•1'TE FO P.,.l + ,-lT 11"'"6.
6, TOTAL EARNED LESS RETAINAGE $ 4 1 5 , 6 4 43.00 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 . 0 0 Architect's knowledge,information and belief the Work has progressed as indicated,
PAYMENT(Line 6 from prior Certificate) $ 4 6,1 4 00 the quality of the Work is in accordance with the Contract Documents,and the Contractor
8. CURRENT PAYMENT DUE $it::;;;:::f il::1;'•:;,:ii ii,;: is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH,INCLUDING RETAINAGE $ ,l, .3.`t(9.P(0 0 ® J/
(Line 3 less Line 6) AMOUNT CERTIFIED S (1'
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied.Initial all figures on this
Total changes approved Application and onthe Continuation Sheet that are changed to conform with the amou certified.)
in previous months by Owner ARC _!L CT:
Total approved this Month B Date:
BY:
TOTALS $0.00 $0.00 Th' ertificaie F not :•tiable. , e AMOUNT CERTIFIED is payable only the
•., ,ctor n:••,::. here alas 'e.-,payment and acceptance ot'payment are wtthout
NET CHANGES by Change Order $0.00 i ejudice to.-y rights o`::'i watt or Contractor under this Contract.
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AIA DOCUMENT G105•APPLICATION AND CERTIFICATION FOR PAYMENT•1882 EDITION•AIA•01632 'v INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHa OTON.DC 70Oe5-112Qs
Users may obtain validation of thin document by requesting a completed AEA Document D4 t 1 -Certification of Document's Authenticity front tho Licensee.
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MA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NUMBER 1
Contractors signed Certification is attached. APPLICATION DATE: 5/23/1 2
In tabulation below,amounts are stated to the nearest dollar. P.ERIODTO: 5/31 /12
Use Column I on Contracts where variable retainage for the line items may apply ARCHITECT'S PROTECT NO: 25310 _,
A ___..__...__V B C D _ _�___' F G H _- Y
ITEM DESCRIPTION OF WORK SCHEDULED `WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH
APPLICATION STORED AND STORED (C-G)
(D+E) (NOT IN TO DATE
D OR R) (D+E+F)
1 Drafting 14, 600 14 , 600 14, 600 100 0 730
2 Labor 436 , 000 422 , 920 422, 920 97 13 , 080 21 , 146
3 Freight 6 , 400 0 0 0 6, 400
+ - $ $ • ' 1 1 • ' : $ 71-t-,a76