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Home My WebLink AboutBybee Stone - $28,930 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 3(Bybee Stone) June 2012 $ 28,930.00 Total Authorized Disbursement $ 28,930.00 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 Nat nal Bank of Indianapolis and Carmel Theater Development Company, LLC. Dated: II 20 2 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) Paid by the Carmel Theater Development Company $ 12,426.00 June 2012 (application 3) Amount to be paid by the Carmel Theater Development Company $ 28,930.00 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 1 PAGES 2 ,TO OWNER Carmel Theater PROJECT: Parcel 7A APPLICATIONNO 3 Distribution to: Development Co Carmel Reg Performing 'OWNER j? A r t s am ARCHITECT PERIOD TO: 1 0/1 8 '1 2 111111 CONTRACTOR PROM CONTRACTOR: VIA ARCHITECT: Bybee Ston Co Inc PROJECT NOS: 25310 CONTRACiFOR: Limestone CONTRACT DATE CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned ctractor certifies that to the estoftheContractor'sknowledge. 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 , Cuntinuation Sheet,AIA Document 0703,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 $ Q.57 , a Qq 2. Net change by Change Orders • $ CONTRACTOR: 3. CONTRACT SUM TO DATE(Line I C 2) S 'l 5'7 DQ 0 ' 4. TOTAL COMPLETED&STORED TO S ' 5 i; Q U-0—• !,lt I, 4 %y 10/18/ 12 DATE (Column 0 on 0703) Ey: v,"\-1..,,---- �. ")',•`.; 'i..:_.k ,( ,.;.i✓.r Date: 5. R.E'I'AlNAOE: , A a. %of Completed Work $ State of: �t,`4 �(1_1 J County of: C ryt Lt �;� 0x� (Column 0+Eon 0703) Subscribed and sworn to before me this 1 day of ( ,(( ,C (J.(�,�4,� b. %of Stored Material 3 Notary Public: � ;,.,1`, �:--n. i-yt,,t j.} '1 (Column F ong0{03) My Commission expires: S� F�� Total Retsina a Lines 5a+5b or loud in Column I of 0703) $ ARCHITECT'S CER11F1CAtE PoR PRNIERIr 6. "TOTAL EARNED LESS RETAINAGE $ 4 S 7, fl f}fi In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line S 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) $ 428, 070 the quality of the Work is in accordance with the Contract Documents,and the Contractor S. CURRENT PAYMENT DUE 28, 930 � is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH,INCLUDING RETAINAGE S (Line 3 less Line 6) �� AMOUNT CERTIFIED S CHANGE ORDER SUMMARY ADDI'TI INS DEDUCTIONS (Attach eeplanation if amount certified differs front the am i,it applied.lnttial 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 Owns A;tCIIITTCT: CNf 'Fond n:Trov; this Month t Datc: /0. 2 2 •i 2 'TOTALS $0.00 �� $0.00 This Certificate is not negotiable. The AMOUNT CERTJFI ED is payable only to the ""— Contractor named herein.Issuance,payment and acceptance of payment are without NET CHANGES by Change Order $0.00 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT 0102'APPUCATION ANO CERTIFICATION FOR PAYMENT•1892 EOmON•AIA•DIM THE AMER1CMi INETIME OF ARCHITECTS.1736 NEW YORK AVE,N.W.,WASHINGTON,DC 7000ed202 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. CONTINUATION SHEET A1A DOCUMENT G703 PAGE 2 OF 2 PAGES • AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,Containing APPLICATION NUMBER 3 , Contractor's signed Certification is attached. APPLICATION DATE: 1 0/18/12 In tabulation below,amounts are stated to the nearest dollar. PERIOD 10: 1 0/18/12 Use Column I on Contracts where variable retainage for the line items may apply ARCHITECTS PROJECT NO: 25310 A B C D [— - E F G H I .. ITEM DESCRIPTION OF WORK SCHEDULED WORK COMMEIBD MATERIALS TOTAL --% BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED ((+C) TO FINISH APPLICATION STORED AND STORED' (C-0) (D+E) (NOT IN TO DATE D OR 8) (D+E+F) --- - - —— - --- *- 1 Drafting 14, 600 14, 600 0 0 14 ,600 0 730 2 Labor 436, 000 436, 000 0 0 436, 000 0 21 , 800 3 Freight 6, 400 0 6, 400 0 6, 400 0 0 4 Retainage -22 , 530 1 i , I i 1 , _ 100 4 I . 5e • ' II 0 457, 000 0 0