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HomeMy WebLinkAboutBunting Graphics - $198,430.20 Regions Bank 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 Company as per the PAC Signage installment purchase contract Application 1 (Bunting Graphics) December 2010 $121,933.35 Application 2(Bunting Graphics) January 2011 $ 76,496.85 Total Authorized Disbursement $198;436:20 _ " ' All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (Equipment and Improvements), dated July 22, 2010, by and between Regions Bank and Carmel Theater Development Company, LLC. Dated: L irf II CITY OF CARMEL REDEVELOPMENT COMMISSION By: '' Les S. Olds Printed: Executive Director Title: It is acknowledged and agreed by the parties that CRC has reserved the right to require, as a condition of authorizing disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of) Borrower: (a) completion of a satisfactory inspection by CRC of the portions of the Equipment and/or the Improvements to which the disbursement relates; and (b) receipt of customary submittals. Draft PAC Signage (Bunting Graphics) December 2010 (application 1) Amount to be paid by the Carmel Theater Development Company $ 121,933.35 January 2011 (application 2) Amount to be paid by the Carmel Theater Development Company $ 76,496.85 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF I PAGES TO: CSO Architects PROJECT: The Palladium at the APPLICATION NO: 01 Distribution to: 280 East 96th Street, Suite 100 Center for Performing Arts OWNER Indianapolis, IN 46240 ARCHITECT Attn: Brandon Bogan PERIOD TO: 12/31/10 CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: Bunting Graphics, Inc. . 20 River Road, Verona, PA 15147 PROJECT NOS: CONTRACT FOR: CONTRACT DATE: 09/22/10 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. I. ORIGINAL CONTRACT SUM $ 454,080.00 2. Net change by Change Orders $ CON 1• •,%TOR: 3. CONTRACT SUM TO DATE(Line 1 ±2) $ 454,080.00 4. TOTAL COMPLETED&STORED TO S 135,481.50 y Apt,, DATE (Column G on G703) B Date: 12/21/10 5. RETAINAGE: Igiarr ;.unting,President a. 10 %of Completed Work 13,548.15 State • . •- - I I County of: Allegheny (Column D+E on G703) Subscribe. s ,�� •e o his 21 st day of DecQ11Qtt HEALTH OF PENNSYLVANIA1 b. I 0 %of Stored Material 9 0 Notary Pub : , %#1;� `;,r .;.' Richard Notarial Bed Notary Public (Column F on G703) My Commissi.a ex. 's: •September 15,2011 Total Retainage(Lines 5a+Sb or Verona Boro,Allegheny County - sin Fxoire5 Sept 15,201, Total in Column I ofG703) $ 13,548.15 ARCHITECT'S CERTIFICATE 4.7,.j. \TI' . \' ciationofNotaries 6. TOTAL EARNED LESS RETAINAGE $ 121,933.35 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) $ the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 121,933.35 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE S 332,146.65 5 (Line 3 less Line 6) AMOUNT CERTIFIED $ 12-11; 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 ARCHITECT: Total approved this Month By: Date: 114 L t • TOTALS $0.00 $0.00 This Certificate is n9t4egotiable. The AMOUNT CERTIFIED is payable only to the Contractor named Iteer !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 G702.APPLICATION AND CERTIFICATION FOR PAYMENT_1992 EDITION AIA .©1992 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 Licensee. CONTINUATION SHEET AIA DOCUMENT G703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 01 Contractor's signed certification is attached. . APPLICATION DATE: 12/21/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/1 0 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I 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 (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) , (NOT IN TO DATE D OR E) (D+E+F) 1 General Conditions(Sep.-Dec.2010) $158,928.00 $0.00 5119,196.00 $0.00 5119,196.00 75% $39,732.00 $11,919.60 2 Submittals $14,758.00 $0.00 $11,068.50 $0.00 $11,068.50 75% $3,689.50 $1,106.85 3 Alt 9 1 Sign Type A Wall&Letters $31,229.00 $0.00 $0.00 $0.00 $0.00 0% $31,229.00 $0.00 4 Alt#2 Sign Type B $8,255.00 $0.00 $0.00 $0.00 $0.00 0% S8,255.00 $0.00 5 Sign Type C Fabrication $3,369.00 $0.00 $0.00 $0.00 $0.00 0% $3,369.00 $0.00 6 Sign Type C Installation $1,925.00 $0.00 $0.00 $0.00 $0.00 0% $1,925.00 $0.00 7 Alt#3 Sign Type D $1,216.00 $0.00 $0.00 $0.00 $0.00 0% $1,216.00 $0.00 8 Alt#4 Sign Type E $9,155.00 $0.00 $0.00 $0.00 $0.00 0% $9,155.00 $0.00 9 Sign Type F Fabrication $17,570.00 $0.00 $0.00 $0.00 $0.00 0% 517,570.00 $0.00 10 Sign Type F Installation $7,796.00 $0.00 $0.00 • $0.00 50.00 0% $7,796.00 $0.00 11 Sign Type 0 Fabrication $1,146.00 $0.00 $0.00 $0.00 $0.00 0% $1,146.00 $0.00 12 Sign Type G Installation $91.00 $0.00 $0.00 $0.00 $0.00 0% $91.00 $0.00 13 Sign Type J Fabrication $2,437.00 $0.00 $0.00 $0.00 $0.00 0% $2,437.00 $0.00 14 Sign Type J Installation $1,997.00 $0.00 $0.00 $0.00 $0.00 0% $1,997.00 $0.00 15 Sign Type K Fabrication $884.00 $0.00 $0.00 $0.00 $0.00 0% $884.00 $0.00 16 Sign Type K Installation $128.00 $0.00 $0.00 $0.00 $0.00 0% $128.00 $0.00 17 Sign Type L Fabrication $1,419.00 $0.00 $0.00 $0.00 $0.00 0% $1,419.00 $0.00 18 Sign Type L Installation $97.00 $0.00 $0.00 $0.00 $0.00 0% $97.00 $0.00 19 Sign Type H Fabrication $162.00 $0.00 $0.00 $0.00 $0.00 0% $162.00 $0.00 20 Sign Type 1-1 Installation $989.00 $0.00 $0.00 $0.00 $0.00 0% $989.00 $0.00 21 Sign Type AA Fabrication $508.00 $0.00 $0.00 $0.00 $0.00 0% $508.00 $0.00 22 Sign Type AA Installation $614.00 $0.00 $0.00 $0.00 $0.00 0% $614.00 $0.00 23 Sign Type BB Fabrication $2,418.00 $0.00 $0.00 $0.00 $0.00 0% $2,418.00 $0.00 24 Sign Type BB Installation $693.00 $0.00 $0.00 $0.00 $0.00 0% $693.00 $0.00 25 Sign Type CC Fabrication $210.00 $0.00 $0.00 $0.00 $0.00 0% 5210.00 $0.00 26 Sign Type CC Installation $189.00 $0.00 $0.00 $0.00 $0.00 0% $189.00 $0.00 27 Sign Type DD Fabrication $883.00 $0.00 $0.00 $0.00 $0.00 0% $883.00 $0.00 28 Sign Type DD Installation $189.00 $0.00 $0.00 $0.00 $0.00 0% $189.00 $0.00 29 Sign Type EE Fabrication $1,363.00 $0.00 $0.00 $0.00 $0.00 0% $1,363.00 $0.00 30 Sign Type EE Installation $199.00 $0.00 $0.00 $0.00 $0.00 0% $199.00 $0.00 31 Sign Type FF Fabrication $1,229.00 $0.00 $0.00 $0.00 $0.00 0% $1,229.00 $0.00 32 Sign Type FF Installation $370.00 $0.00 $0.00 $0.00 $0.00 0% $370.00 $0.00 AIA DOCUMENT G703.CONTINUATION SHEET FOR G702-1992 EDITION•AIA•©1992 • THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N W WASHINGTON,D C. 20006-5232 G703-1992 CONTINUATION SHEET AIA DOCUMENT G703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 01 Contractor's signed certification is attached. APPLICATION DATE: 12/21/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/10 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I 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 (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 33 Sign Type HH Fabrication $15,199.00 $0.00 $0.00 $0.00 $0.00 0% $15,199.00 $0.00 34 Sign Type HH Installation $14,664.00 $0.00 $0.00 $0.00 $0.00 0% $14,664.00 $0.00 35 Sign Type JJ Fabrication 516,710.00 $0.00 $0.00 $0.00 $0.00 0% $16,710.00 $0.00 36 Sign Type JJ Installation $2,514.00 $0.00 $0.00 $0.00 $0.00 0% $2,514.00 $0.00 37 Sign Type KK Fabrication $17,531.00 $0.00 $0.00 $0.00 $0.00 0% $17,531.00 $0.00 38 Sign Type KK Installation $3,608.00 $0.00 $0.00 $0.00 $0.00 0% $3,608.00 $0.00 39 Sign Type LL Fabrication $4,532.00 $0.00 $0.00 $0.00 $0.00 0% $4,532.00 $0.00 40 Sign Type LL Installation $682.00 $0.00 $0.00 $0.00 $0.00 0% $682.00 $0.00 41 Sign Type MM Fabncation $2,512.00 $0.00 $0.00 $0.00 $0.00 0% $2,512.00 $0.00 42 Sign Type MM Installation $620.00 $0.00 $0.00 $0.00 $0.00 0% $620.00 $0.00 43 Sign Type NN Fabrication $16,009.00 $0.00 $0.00 $0.00 $0.00 0% $16,009.00 $0.00 44 Sign Type NN Installation $3,676.00 $0.00 $0.00 $0.00 $0.00 0% $3,676.00 $0.00 45 Sign Type 00 Fabrication $5,259.00 $0.00 $0.00 $0.00 $0.00 0% $5,259.00 $0.00 46 Sign Type 00 Installation $976.00 $0.00 $0.00 $0.00 $0.00 0% $976.00 $0.00 47 Sign Type PP Fabrication $3,999.00 $0.00 $0.00 $0.00 $0.00 0% $3,999.00 $0.00 48 Sign Type PP Installation $381.00 $0.00 $0.00 $0.00 $0.00 0% $381.00 $0.00 49 Sign Type QQ Fabrication $1,752.00 $0.00 $0.00 $0.00 $0.00 0% S1,752.00 $0.00 50 Sign Type QQ Installation $29.00 $0.00 $0.00 $0.00 $0.00 0% $29.00 $0.00 51 Sign Type RR&SS Fabrication $3,805.00 $0.00 $0.00 $0.00 $0.00 0% $3,805.00 $0.00 52 Sign Type RR&SS Installation $1,541.00 $0.00 $0.00 $0.00 $0.00 0% $1,541.00 $0.00 53 Sign Type TT Fabrication $2,339.00 $0.00 $0.00 $0.00 $0.00 0% $2,339.00 $0.00 54 Sign Type TT Installation $369.00 $0.00 $0.00 $0.00 $0.00 0% $369.00 $0.00 55 Alt#5 Cast Mounting Brackets $14,093.00 $0.00 $0.00 $0.00 $0.00 0% S 14,093.00 $0.00 56 Sign Type AAA Fabncation $731.00 $0.00 $731.00 $0.00 $731.00 100% $73.10 57 Sign Type AAA Installation $126.00 $0.00 $0.00 $0.00 $0.00 0% $126.00 $0.00 58 Sign Type BBB Fabrication $2,413.00 $0.00 $2,413.00 $0.00 $2,413.00 100% $241.30 59 Sign Type BBB Installation $984.00 $0.00 $0.00 $0.00 $0.00 0% $984.00 $0.00 60 Sign Type BBB-2 Fabrication $300.00 $0.00 $300.00 $0.00 $300.00 100% $30.00 61 Sign Type BBB-2 Installation $65.00 $0.00 $0.00 $0.00 $0.00 0% S65.00 $0.00 62 Sign Type CCC Fabrication $966.00 $0.00 $966.00 $0.00 $966.00 100% $96.60 63 Sign Type CCC Installation $419.00 $0.00 $0.00 $0.00 $0.00 0% $419.00 $0.00 64 Sign Type DDD Fabncation $477.00 $0.00 $477.00 $0.00 $477.00 100% $47.70 65 Sign Type DDD Installation $195.00 $0.00 $0.00 $0.00 $0.00 0% $195.00 $0.00 • 66 Sign Type FFF Fabrication $212.00 $0.00 $212.00 $0.00 $212.00 100% $21.20 67 Sign Type FFF Installation $86.00 $0.00 $0.00 $0.00 $0.00 0% $86.00 $0.00 AIA DOCUMENT G703 CONTINUATION SHEET FOR G702.1992 EDITION.AIA•©1992 ' THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.WASHINGTON,D C 20006-5232 G703-1992 CONTINUATION SHEET AIA DOCUMENT G703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 01 Contractor's signed certification is attached. APPLICATION DATE: 12/21/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/10 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B _ C D I 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 (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 68 Sign Type HHI-I Fabrication $118.00 $0.00 $118.00 $0.00 $118.00 100% $11.80 69 Sign Type H1-1H Installation $43.00 $0.00 $0.00 $0.00 $0.00 0% $43.00 $0.00 70 Sign Type JJJ Fabrication S206.00 $0.00 $0.00 $0.00 $0.00 0% $206.00 $0.00 71 Sign Type JJJ Installation $365.00 $0.00 $0.00 $0.00 $0.00 0% $365.00 $0.00 72 Sign Type MMM Fabrication $2,312.00 $0.00 $0.00 $0.00 $0.00 0% $2,312.00 $0.00 73 Sign Type MMM Installation $492.00 $0.00 $0.00 $0.00 $0.00 0% $492.00 $0.00 74 Sign Type NNN Fabrication $256.00 $0.00 $0.00 $0.00 $0.00 0% $256.00. $0.00 75 Sign Type NNN Installation $101.00 $0.00 $0.00 $0.00 $0.00 0% $101.00 $0.00 76 Allowence General $18,998.50 $0.00 $0.00 $0.00 $0.00 0% $18,998.50 $0.00 77 Allowence Lime Stone Engraving $18,998.50 $0.00 $0.00 $0.00 $0.00 0% $18,998.50 $0.00 GRAND TOTALS $454,080.00 $0.00 $135,481.50 $0.00 $135,481.50 30% $318,598.50 $13,548.15 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity AIA DOCUMENT G703 CONTINUATION SHEET FOR G702 1992 EDITION.AIA.©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W WASHINGTON,D C 20006-5232 G703-1992 Bunting Graphics, Inc. in/ 20 River Road Verona, PA 15147-1159 ED i7® 1 E21:1Qp Phone: (412) 820-2200 COI E) Qa UC9 Fax: (412) 820-4404 WAIVER AND RELEASE OF LIENS FINAL X IN PROGRESS The undersigned is a subcontractor furnishing services or labor or material in the construction or repair of improvements upon real estate owned by and described as follows: Project Name: The Palladium at the Center for Performing Arts Project Location: Carmel, IN Upon receipt by Bunting Graphics, Inc. of a check from Carmel Theatre Development Company in the amount of One hundred twenty one thousand nine hundred thirty three & 35/100 ($121,933.35) and when the check has been paid by the bank upon which it is drawn, the undersigned does hereby waive, release and quitclaim in favor of the owner or owners of said real estate and in favor of each and every party making a loan on said real estate, as improved and his or its successors and assigns, all right that the undersigned may have to a lien upon the land and improvements above described. RECEIVED TO DATE, INCLUDING CURRENT PAYMENT: $121,933.35 Company Name: Bunting Graphics, Inc. Address: 20 River Road Verona, PA 15147 Signature: ! ►,.12,�� Printed Name: Ric 4.17. Zolinas Title: Chief Financial Officer Date: February 9, 2011 iJA r ,(.:6 U4(x iVA Witnessed by: � APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENTG702 PAGE ONE OF I PAGES TO: CSO Architects PROJECT: The Palladium at the APPLICATION NO: 02 Distribution to: 280 East 96th Street, Suite 100 Center for Performing Arts _OWNER Indianapolis, IN 46240 ARCHITECT Attn: Brandon Bogan PERIOD TO: 01/31/11 CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: Bunting Graphics, Inc. 20 River Road, Verona, PA 15147 PROJECT NOS: CONTRACT FOR: CONTRACT DATE: 09/22/10 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 $ 454,080.00 2. Net change by Change Orders S CONTRA Air 3. CONTRACT SUM TO DATE(Line 1 ±2) S 454,080.00 e / 4. TOTAL COMPLETED&STORED TO $ 220,478.00 i �►�__ DATE (Column G on G703) By: /� �� �' ( ) y: t ► Date: 01/21/11 5. RETAINAGE: Richard X011 ,C.F.O. COMMONWEALTH OF PENNSYLVANIA a. 10 %of Completed Work 22,047.80 State of: Pennsylvania County of: A legheny Notarial Seal (Column D+E on G703) Subscribed and sworn to before me t s 2 1 s day of Janaury 2011 MarJorle R.Germanowski,Notary Public b. 10 %of Stored Material S 0 Notary Public: Verona Boro,Allegheny County (Column F on G703) My Commission expir : June 2 2014 My Commission Expires June 20,2014 Total Retainage(Lines Sa+Sb or Member,Pennsylvania ASsedatlon of Notaries Total in Column I of G703) $ 22,047.80 ARCHITECT'S CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $ 198,430.20 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) $ 121,933.35 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE $ 76,496.85 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 255,649.80 �Qjl (Line 3 less Line 6) AMOUNT CERTIFIED $ ---7(4 4 (p�`(A, 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°tithe Continuation Sheet that are changed to conform with he amount certified.) in previous months by Owner ARCHITECT: • 19 Total approved this Month By: Date: I TOTALS $0.00 _ $0.00 This Certificate is of negotia.le. The AMOUNT CERTIFIED is payable only to the Contractor name herein. Nuance,payment and acceptance of payment are without NET CHANGES by Change Order $0.00 prejudice to any rightrof the Owner or Contractor under this Contract. AIA DOCUMENT G702•APPLICATION AND CERTIFICATION FOR PAYMENT-1992 EDITION•AIA .©1992 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 Licensee. Ii. CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 02 Contractor's signed certification is attached. APPLICATION DATE: 01/21/11 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 01/31/11 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I E F G Fl I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPUTED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) _ I General Conditions(Sep.-Dec.2010) $158,928.00 $119,196.00 $39,732.00 $0.00 $158,928.00 100% S0.00 SI5,892.80 2 Submittals $14,758.00 $11,068.50 $3,689.50 $0.00 $14,758.00 100% $0.00 $1,475.80 3 Alt# I Sign"Type A Wall&Letters $31,229.00 $0.00 $0.00 $0.00 S0.00 0% $31,229.00 $0.00 4 Alt#2 Sign Type B $8,255.00 $0.00 $0.00 $0.00 $0.00 0% $8,255.00 $0.00 5 Sign Type C Fabncation $3,369.00 $0.00 $0.00 $0.00 $0.00 0% $3,369.00 $0.00 6 Sign Type C Installation $1,925.00 $0.00 $0.00 $0.00 $0.00 0% $1,925.00 $0.00 7 Alt#3 Sign Type D $1,216.00 $0.00 $0.00 $0.00 $0.00 0% 51,216.00 $0.00 8 Alt#4 Sign Type E $9,155.00 $0.00 $0.00 $0.00 $0.00 0% 59,155.00 $0.00 9 Sign Type F Fabrication $17,570.00 $0.00 $0.00 $0.00 $0.00 0% $17,570.00 $0.00 10 Sign Type F Installation $7,796.00 $0.00 $0.00 $0.00 S0.00 0% $7,796.00 $0.00 11 Sign Type G Fabrication $1,146.00 $0.00 $1,146.00 $0.00 $1,146.00 100% $0.00 $114.60 12 Sign Type G Installation $91.00 $0.00 $91.00 $0.00 $91.00 100% $0.00 $9.10 13 Sign Type J Fabrication $2,437.00 $0.00 $2,437.00 $0.00 $2,437.00 100% S0.00 $243.70 14 Sign Type J Installation $1,997.00 $0.00 $1,997.00 $0.00 $1,997.00 100% $0.00 $199.70 15 Sign Type K Fabrication $884.00 $0.00 S884.00 $0.00 $884.00 100% $0.00 $88.40 16 Sign Type K Installation $128.00 $0.00 S128.00 $0.00 $128.00 100% $0.00 $12.80 17 Sign Type L Fabrication $1,419.00 $0.00 $0.00 $0.00 $0.00 0% $1,419.00 $0.00 18 Sign Type L Installation S97.00 $0.00 $0.00 $0.00 $0.00 0% $97.00 $0.00 19 Sign Type H Fabrication $162.00 $0.00 $0.00 $0.00 $0.00 0% $162.00 $0.00 20 Sign Type H Installation $989.00 $0.00 $0.00 $0.00 $0.00 0% $989.00 $0.00 21 Sign Type AA Fabrication $508.00 $0.00 $0.00 $0.00 $0.00 0% $508.00 $0.00 22 Sign Type AA Installation $614.00 $0.00 $0.00 $0.00 S0.00 0% $614.00 $0.00 23 Sign Type BB Fabrication $2,418.00 $0.00 $2,418.00 $0.00 $2,418.00 100% $0.00 $241.80 24 Sign Type BB Installation $693.00 $0.00 $693.00 $0.00 $693.00 100% S0.00 $69.30 25 Sign Type CC Fabrication $210.00 $0.00 $0.00 $0.00 $0.00 0% $210.00 $0.00 26 Sign Type CC Installation $189.00 $0.00 $0.00 $0.00 $0.00 0% $189.00 $0.00 27 Sign Type DD Fabrication $883.00 $0.00 $0.00 $0.00 $0.00 0% $883.00 $0.00 28 Sign Type DD Installation $189.00 $0.00 $0.00 $0.00 $0.00 0% $189.00 $0.00 29 Sign Type EE Fabrication $1,363.00 $0.00 $0.00 $0.00 $0.00 0% $1,363.00 $0.00 30 Sign Type EE Installation $199.00 $0.00 $0.00 $0.00 $0.00 0% 5199.00 $0.00 31 Sign Type FF Fabrication $1,229.00 $0.00 $0.00 $0.00 $0.00 0% $1,229.00 $0.00 • 32 Sign Type FF Installation S370.00 $0.00 $0.00 $0.00 $0.00 0% $370.00 $0.00 AIA DOCUMENT G703 CONTINUATION SHEET FOR G702.1992 EDITION•AIA ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.WASHINGTON,D C 20006-5232 G703-1992 CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 02 Contractor's signed certification is attached. APPLICATION DATE: 01/21/11 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 01/31/11 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I E F 0 H 1 ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G=C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 33 Sign Type HH Fabrication 515,199.00 $0.00 $15,199.00 $0.00 $15,199.00 100% $0.00 $1,519.90 34 Sign Type HH Installation $14,664.00 $0.00 $14,664.00 $0.00 $14,664.00 100% $0.00 $1,466.40 35 Sign Type JJ Fabrication $16,710.00 $0.00 $0.00 $0.00 $0.00 0% 516,710.00 $0.00 36 Sign Type JJ Installation $2,514.00 $0.00 $0.00 $0.00 $0.00 0% $2,514.00 $0.00 37 Sign Type KK Fabrication $17,531.00 $0.00 $0.00 $0.00 $0.00 0% $17,531.00 $0.00 38 Sign Type KK Installation $3,608.00 $0.00 $0.00 $0.00 $0.00 0% 53,608.00 $0.00 39 Sign Type LL Fabrication $4,532.00 $0.00 $0.00 $0.00 $0.00 0% $4,532.00 $0.00 40 Sign Type LL Installation $682.00 $0.00 $0.00 $0.00 $0.00 0% $682.00 $0.00 41 Sign Type MM Fabrication $2,512.00 $0.00 $0.00 $0.00 $0.00 0% $2,512.00 $0.00 42 Sign Type MM Installation $620.00 $0.00 $0.00 $0.00 $0.00 0% $620.00 $0.00 43 Sign Type NN Fabrication $16,009.00 $0.00 $0.00 $0.00 $0.00 0% 516,009.00 $0.00 44 Sign Type NN Installation $3,676.00 $0.00 $0.00 $0.00 $0.00 0% $3,676.00 $0.00 45 Sign Type 00 Fabrication $5,259.00 $0.00 $0.00 $0.00 $0.00 0% $5,259.00 $0.00 46 Sign Type 00 Installation $976.00 $0.00 $0.00 $0.00 $0.00 0% S976.00 $0.00 47 Sign Type PP Fabrication $3,999.00 $0.00 $0.00 $0.00 $0.00 0% $3,999.00 $0.00 48 Sign Type PP Installation $381.00 $0.00 $0.00 $0.00 $0.00 0% $381.00 $0.00 49 Sign Type QQ Fabrication $1,752.00 $0.00 $0.00 $0.00 $0.00 0% $1,752.00 $0.00 50 Sign Type QQ Installation S29.00 $0.00 $0.00 $0.00 $0.00 0% 529.00 $0.00 51 Sign Type RR&SS Fabrication $3,805.00 $0.00 $0.00 $0.00 $0.00 0% $3,805.00 $0.00 52 Sign Type RR&SS Installation $1,541.00 $0.00 $0.00 $0.00 $0.00 0% $1,541.00 $0.00 53 Sign Type TT Fabrication $2,339.00 $0.00 $0.00 $0.00 $0.00 0% $2,339.00 $0.00 54 Sign Type TT Installation $369.00 $0.00 $0.00 $0.00 $0.00 0% $369.00 $0.00 55 Alt#5 Cast Mounting Brackets $14,093.00 $0.00 $0.00 $0.00 $0.00 0% $14,093.00 $0.00 56 Sign Type AAA Fabrication $731.00 $731.00 $0.00 $0.00 $731.00 100% $0.00 $73.10 57 Sign Type AAA Installation $126.00 $0.00 $126.00 $0.00 $126.00 100% $0.00 $12.60 58 Sign Type BBB Fabrication $2,413.00 $2,413.00 $0.00 $0.00 $2,413.00 100% $0.00 $241.30 59 Sign Type BBB Installation $984.00 $0.00 $984.00 $0.00 $984.00 100% $0.00 $98.40 60 Sign Type BBB-2 Fabrication $300.00 $300.00 $0.00 $0.00 $300.00 100% $0.00 $30.00 61 Sign Type BBB-2 Installation $65.00 $0.00 $65.00 $0.00 $65.00 100% $0.00 $6.50 62 Sign Type CCC Fabrication $966.00 $966.00 $0.00 $0.00 $966.00 I00% $0.00 $96.60 63 Sign Type CCC Installation $419.00 $0.00 $419.00 $0.00 $419.00 100% $0.00 $41.90 . 64 Sign Type DDD Fabrication $477.00 $477.00 $0.00 $0.00 $477.00 100% $0.00 $47.70 65 Sign Type DDD Installation $195.00 $0.00 $195.00 $0.00 $195.00 100% $0.00 $19.50 66 Sign Type FFF Fabrication $212.00 $212.00 $0.00 $0.00 $212.00 100% $0.00 $21.20 67 Sign Type FFF Installation $86.00 $0.00 $86.00 $0.00 $86.00 100% $0.00 $8.60 AIA DOCUMENT G703-CONTINUATION SHEET FOR G702 1992 EDITION•AIA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,NM,WASHINGTON,D C 20006-5232 G703-1992 CONTINUATION SHEET AIA DOCUMENT G703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 02 Contractor's signed certification is attached. APPLICATION DATE: 01/21/11 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 01/31/11 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I E F G I-1 I ITEM DESCRIPTION OF WORK SCHEDULED ' WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G±C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 68 Sign Type HHH Fabrication $118.00 $118.00 $0.00 $0.00 $118.00 100% $0.00 $11.80 69 Sign Type H1-11-1 Installation $43.00 $0.00 . $43.00 $0.00 $43.00 100% $0.00 $4.30 70 Sign Type JJJ Fabrication $206.00 $0.00 $0.00 $0.00 $0.00 0% $206.00 $0.00 71 Sign Type JJJ Installation $365.00 $0.00 $0.00 $0.00 $0.00 0% $365.00 $0.00 72 Sign Type MMM Fabrication $2,312.00 $0.00 $0.00 $0.00 $0.00 0% $2,312.00 $0.00 73 Sign Type MMM Installation $492.00 $0.00 $0.00 $0.00 $0.00 0% $492.00 $0.00 74 Sign Type NNN Fabrication $256.00 $0.00 $0.00 $0.00 $0.00 0% $256.00 $0.00 75 Sign Type NNN Installation $101.00 $0.00 $0.00 $0.00 $0.00 0% $101.00 $0.00 76 Allowence General $18,998.50 $0.00 $0.00 $0.00 $0.00 0% $18,998.50 $0.00 77 Allowence Lime Stone Engraving $18,998.50 $0.00 . $0.00 $0.00 $0.00 0% $18,998.50 $0.00 • GRAND TOTALS $454,080.00 $135,481.50 $84,996.50 ' $0.00 $220,478.00 49% $233,602.00 $22,047.80 . Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity AIA DOCUMENT G703.CONTINUATION SHEET FOR G702•1992 EDITION.AIA.©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W WASHINGTON,D.C. 20006-5232 G703-1992 Bunting Graphics, Inc. 20 River Road Verona, PA 15147-1159 EDGE: 06z Phone: (412) 820-2200 EDUIFJUD MOD Fax: (412) 820-4404 WAIVER AND RELEASE OF LIENS FINAL X IN PROGRESS The undersigned is a subcontractor furnishing services or labor or material in the construction or repair of improvements upon real estate owned by and described as follows: Project Name: The Palladium at the Center for Performing Arts Project Location: Carmel, IN Upon receipt by Bunting Graphics, Inc. of a check from Carmel Theatre Development Company in the amount of Seventy six thousand four hundred ninety six & 85/100 ($76,496.85) and when the check has been paid by the bank upon which it is drawn, the undersigned does hereby waive, release and quitclaim in favor of the owner or owners of said real estate and in favor of each and every party making a loan on said real estate, as improved and his or its successors and assigns, all right that the undersigned may have to a lien upon the land and improvements above described. RECEIVED TO DATE, INCLUDING CURRENT PAYMENT: $198,430.20 Company Name: Bunting Graphics, Inc. Address: 20 River Road Verona, PA 15147 Signature: i / Printed Name: Rich.AFAvinas Title: Chief Financial Officer Date: February 9, 2011 Witnessed by: �1 ! ,` `AA O