HomeMy WebLinkAboutBybee Stone - $12,426 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 2(Bybee Stone) June 2012 $ 12,426.00
Total Authorized Disbursement $ 12,426.00
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: 7724/1/, CITY OF CARMEL REDEVELOPMENT
COMMISSION
By:
Les S. Olds
Printed:
Executive Director
Title:
Draft
Acquisition Property
(Bybee Stone)
May 2012 (application 1)
Paid by the Carmel Theater Development Company $ 415,644.00
June 2012 (application 2)
Amount to be paid by the Carmel Theater Development Company $ 12,426.00
/03-
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 1 PAGES 2
TO OWNER Carmel Theater PROJECT: Parcel 7A APPLICATION NO 2 -f(?.3 Distribution to: •
Development Co Carmel Regional Performing I IOWNER
Arts Center ARCHITECT
PERIOD TO: 6/30/12 ` CONTRACTOR
FROM CONTRACTOR: VIA ARCHITECT: I
Bybee Stone Co Inc PROJECT NOS: 25310
CONTRACT 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 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.
1. ORIGINAL CONTRACT SUM $ 457, 000
2. Net change by Change Orders $ CONTRACTOR: 1
3. CONTRACT SUM TO DATE(Line I*2) $ 457, 0 0 0 i
4. TOTAL COMPLETED&STORED TO $ 450, 600
I
DATE (Column G on G703) By: Date: 6/20/12
5. RETAINAGE: ,/
a. 5 %of Completed Work $ 22 , 530 State of: //Y I County of: Monroe
(Column D+Eon G703) Subscribed and s •,.,to before me " day of J i n e, 2012
b. %of Stored Material $ Notary Public. i •
(Column F on G703) My Commission�expires:8/2 5/ 6
Total Retainage(Lines 5a+5b or
Total in Column I of G703) $ 22, 530 ARCHITECT'S CERTIFICAT `POR PAYMENT
6. TOTAL EARNED LESS RETAINAGE $ 428 , 070 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) $ 41 5, 6 4 4 the quality of the Work is in accordance with the Contract Documents,and the Contractor
8. CURRENT PAYMENT DUE , is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH,INCLUDING RETAINAGE $ 28, 930
�'
(Line 3 less Line 6) AMOUNT CERTIFIED $ 12-A t VA?"
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 amount certified)
in previous months by Owner ARCHITE ' : -')
Total approved this Month By: )- � — - Date: ( 141 2—
TOTALS $0.00 $0.00 Certifi ..a is not :.liable. a AMOUNT CERTIFIED is payable only to the
ntracto amen here'•- lssuan ,payment and acceptance of payment are without
NET CHANGES by Change Order $0.00 preju a_ to any rights 0 the• er or Contractor under this Contract.
AIA DOCUMENT G702•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION•MA•01982 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE,N.W.,WASHINGTON.DC 20006-5292
Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Ucensee.
CONTINUATION SHEET MA DOCUMENT 6703 PAGE 2 OF 2 PAGES
AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NUMBER 2
Contractor's signed Certification is attached. APPLICATION DATE: 6/20/12
In tabulation below,amounts are stated to the nearest dollar. PERIOD TO: 6/30/12
Use Column I on Contracts where variable retainage for the line items may apply ARCHITECTS PROJECT NO: 253 1 0
A B C D E F G H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH
APPLICATION STORED AND STORED- (C-G)
(D+E) (NOT IN TO DATE
D OR E) (D+$+1)
1 Drafting 14, 600 14, 600 0 0 14 , 600 0 730
2 Labor 436, 000 422, 920 13, 080 0 436, 000 0 21 , 800
3 Freight 6, 400 0 0 0 0 6 , 400
457, 000 437,920 11, 080 n 4Sn, 60n -6 , 40.0 22 , 30
i
I .
�
Sts.; S
w
- ar�rrwetrr.j Yy.
'FA , ,- •
. �::�::: e
June 30„2012 •
Brandon Bogan
CSO Architects •
280 E. 96th Street, Suite 200
Indianapolis,IN 46240
RE: Carmel City Center—Parcel 7A Regional Performing Arts Center
Payment Application
Mr. Bogan,
Shiel Sexton has reviewed the attached Prime Contractor AIA payment applications and requests payment of the amounts
indicated. Below is a Payment Request Summary. Upon review and approval, please forward to Les Olds for approval and
payment. Shiel Sexton requests a copy of the Prince Contractor payment checks for the project files.
Payment Request Summary
Bybee Stone Co. $ 12,426.00 (IPC)
Sincerely,
/41, , , .
Michael G. Anderson
Senior Project Manager
Shiel Sexton Company,Inc.
•