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Home My WebLink AboutSimplex Grinnell - $2,330 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 Café Improvements installment purchase contract Application 1 (Simplex) May 2011 $ 2,097.00 Application 2(Simplex) May 2011 $ 233.00 Total Authorized Disbursement $ 2,330.00 All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (Equipment and Improvements), dated July 22, 2010, by and between Regions Bank and Carmel Theater Development Company, LLC. Dated: 7/24 // 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 Cafe Improvements (Simplex Grinnell) May 2011 (application 1) Amount to be paid by the Carmel Theater Development Company $ 2,097.00 May 2011 (application 2) Amount to be paid by the Carmel Theater Development Company $ 233.00 Simplex Grinnell BE SAFE. A Tyco lntemationaiCompany APPLICATION AND CERTIFICATE FOR PAYMENT _ . .�. /yay�k.% '.&`��^ �� F� "� � /'�''� �yy�.�„wga.. .Ry,. �fii"'s� .. .vr.y TtiOwner:ii: v 4 ,. i strtIlWillIsT: tK,Z,;:zZaa.41v1E t-Ft a 4, a R � 1 oval ,,:, .g��>". .'..��'.R..,.Scc��_�:esex•-:yxrs�x:,n+ca»�^x_�+.+ piyt�k'..:r."'i?�5 .#'.s.-sts�wrna � ' Carmel Theater Development Cor 1r '*�"8 . 11711 N Pennsylvania 8t `CARMEL PERF ARTS CTR - CA, ` 957278401 00001 Owner ��: Suite 200 , wt, i,, CARMEL IN 46032-0000 "' -;�. `" ,'` a - D,, .. 4 1 enatE`Ct f� .��-,- , GUSTONF�FiR•PrCJ.� { 6.� ��•>�� . _ WIMP�' . �' �� +�• , • .. �„�4s'�:.v9�a°.�i,�i'�•, ..,�.m�tts.,a._c�+.t�,'+��5.' .ra , ? ,�$,��:,� art. _ rr r. �; From;.Contractor: W . .• 40329924 . � .' �I� INDIANAPOLIS AGREEMENT #2 05/17/2011 rw Oitatiae,tor 11820 Pendleton Pike ° *�, 2' INDIANAPOLIS IN 462363979PE.w;:DTQ; xr r :� "` ry ... Phone: (317) 826-2130 05/10/2011 •-°_, '`'' ''', CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor=ceih ies that to the best of the Contractor's knowledge,_ \pplication is made for Payment, as shown above, in connection with the Contract. information and belief;the work"covered by this Application for Payment has bet Continuation Sheet is attached. completed in accordance with the Contract Documents, that all amounts have been pain by the Contractorfor,,�Work for which previous Certificates For Payment were issued and payments receivedtfrotnnttieOwner,and that current payment shown herein is now due. 1. Original Contract Sum $2, 330 .00 'i ti%_ '` ' 2. Net Change By Change Orders $0.00 w`� Wilk 3. Contract Sum To Date $2,330 .00 _CONTRA,CT+R�: p1 =xGrinnell 4. Total Completed & Stored To Date $2, 330.,::.-:f IT V-- �_� // 5. RETAINAGE Of Work Complete $233:Q0 y: ''' �..A rate: 6. Total Earned Less RETAINAGE $2, 097 .0;0�.;- '-=fir :wf, AA .�yl 7. Less Previous Certificates .., $0. 00?`= State=of: C tax\GL County of: 8. Current Payment Before Sales Tax $2, 097 .00 ;`'" $0.0 0 t' I?Subscribed and y rn to be gre e this / / Day of ,4�/ oZd',r Sales Tax „!T. ,° Notary Public: /�/,,i�� Total Current Payment Due Including Sales Tax ''uq$,r097.00 ry ��: 9, Balance To Finish, Not Including Sales Tax ;: `:;,; $233 .00 My Commission expires: G — . . o d ^ ` A A PAULA It LCWI3 GEMIG ”stRO ,''fq- yj i? "" �i DD OVISt:7 a':°OCES• I . ARCHITECT'S CERTIFICATE FOR PA1Kt�ahTt�L'c- Seal 4: 7 v� =4 Y F 4 .v . ^' +�y9�n. .v 1 i i 4 1 L r _�.. DU,Nwi ra k r,N;4 State of Indiana TOTAL CHANGES APPROVED ' In accordance with the Contract Documents, bas d of6l otSitflris os�r$' sA�ic\�h2��.ta IN PREVIOUS MONTH BY OWNER: $,0. 00 , $0.00 comprising the above application, the Architect Veil tl t Ozinej t tZ es o� "' the Architect's knowledge, information and belief the Tor has progressed-as in tcate TOTALS APPROVED THIS MONTH: $0.00 $0 .00 the quality of the Work is in accordance with the Contract Documents, and the Contract TOTALS: $0.00 $0.0 0 is entitled to payment of the AMO T CERTIFIED NET CHANGES BY CHANGE ORDER: $0 . 00 AMOUNT CERTIFIED Z% f l ` Attach explanation if amount certified differs from the amount applied for. ARCHIT__CT: P '!}` By: Date: 1' I ' tl This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without ejudice to any rights of the Owner or Contractor under this Contract. C) 1 , 1 t�=Iir'Jrl /� e O�;o Simplex Grinnell BE SAFE. . . A Tyco International Company APPLICATION AND CERTIFICATE FOR PAYMENT DETAIL PAGE ____ TO;COwner:: :f91; 7,' --,,..u..r44.eaTfflr-ac-,---ewdl Ogari*AMb:K 4417461,&414-0BNAN Carmel Theater Development Cor 11711 N Pennsylvania St ,CARMEL PERF ARTS CTR - CA,3.' 957278401 , 00001 . Suite 200 . CARMEL IN 46032-0000 4-",•,•:.-314:mcbg5,54a-kipeit.itawsi • , vete . 0 !, 4., , Apa,,,allia, RoiriZoritractor:. AGREEMENT #2695-02604 ,_ 40329924 ., , 05/17/2011 . INDIANAPOLIS 11820 Pendleton Pike Kifit;%76.1:04'.0,M4 INDIANAPOLIS IN 462363979 Phone : (317) 826-2130 05/10/2011 ...dela / A '•''''', 7'''''''''"''''''''t"'": •e't" "'"4""'-'' '''''=.1'9',''''M t,x,..r,,,,x, n:::: :,re,c-,14144-nt:,..&:„.:,..:I.,,,.... :-, , . , "7'7.7 ; ,-;','"f:77', ;'.:::,;qn:7,r:';',5•::W--,':" =;q2:'::' '':.1- 2,:--': ''='' '''':-:OW,1&_. ':',; (...'7),-;f•:-. .,!..,:-;:',,,zi..q.,,,:- .',:' ',t,,,S,t4V,-F.,741,t3r,,,,'w ,..,5,.:'-‘4,4':,4'G,P.;•4,1,4 '-",',:".A.' :.•,',',:' ,z,-:'-.,.•;•,•'::, ,, •', . , • .,, ,13:% „:i1-- f.,.-W*4?..,$,,S:g.TA'.:i44',-,!'," :'','''g':- .(`,:''''-:'4'''1`2 ,,:','"A"M' )-i.,..,'''-'''',''':: ::.,,;•;r4 .Mg,:."■4* o-A,',ip,2,p,,,:,4, -,:;r tZ;31 ,,-..v:. .....d::, . - —. ..::4:,.:.: :;.,:;-,, ,--,;,-;:: ..• ..-....„,.. . . :- • —,, 1':,'!-;;;;,-,-,,:,:: ”:,--.'-. ,-:-:-.,.,.%',,-..-,:1''.,1..;v:.,','';-,L''..r,:,.,i.,',`:::',:;':,'•ii',,"f,i.,::.':,k 4,,-j4','Y'': '';'''3,':'-'','';';'''",•:7';5'f'.'',:..:..'6'.. "''.:',,.' ,;4.:''.'..':.:.."•,:4;,,,,,,.:,',,.1.,..7...,,,,;.'.,,:4',.:,'.i,.1Z1,:,,g,.,vz;:,;:.■,.,:;'A''-,:;'V..,.:_!..-T'.'.:'.1',,7Qf:;:!:.jfi.;;...t*.,:,;' ";.;,.,.,:',1,^'',,Z.,,'..'h.'''-:.:rTI4,T,,;,V).;,'.,,':.r'),,,::';,,,.:.1S.“.,5zC:..;.4''.,)1.:,.,47a'..W0 tf.4t.l°.r,,4;1,,'.-,,,.,.,:.';,.t;5F„I;•:g.'.,,:,,,g.41 V,7,:,64P=t1..,,.:,..,I.,7t,'Zi,-.t.4'1,4..A;,.,.%.'.:I.,P3,!'t;''r;t:.,,.,:,e y#,.r...k;.i%7i,i,;ir'',.'..,.:4,:','?',',;.41 ITEM SCHEDULED PREVIOUS THIS I.:,.;j,;,..0:',%,,:4,:..i'''..;i':.,.4:kgz...,:::' i. A. g..6'.■',t -t,, o. .;..,'',,':,R%. t-TA,I N.A G t . , , q 3- ,4 - NO DESCRIPTION, OF.NoRk VALUE APPLICATION "ERS01 ? S30RED; a iNDSt0REP . : FINISH TO DATE IA' -,,ip 00001 Sprinkler Commercia Material $240.00 $0.00 $2402tEM :;:' f,;',;;$0.00 $240.00 100.00 $0.00 $24.00 00002 Sprinkler Commercial Design La $761.00 $0.00 . , .$761.001(: ' :•i. '1$0.00 $761.00 100.00 $0.00 $76.10 00003 Sprinkler Commercial Install L $1,329.00 $0.00t, $L,329.00 „,..., $0.00 $0.00 $132.90 $1,329.00 100.00 ... . 'i.C:....; ;.; • SUBTOTAL $2,330.00 $0.00, $2,330.00 $0.00 $2,330.00 100.00% $0.00 $233.00, D-U-N-S 09-4738007 �r \ %F,` `i_ _ FED. ID 58-260886I it1:.�y�.s�tiiS,aFx..� ':IC;¢;r.=,,a ( rl?RTE; `�"'"-:' ` .6� ^i" er -` +: ShiBp!exG 'd/��9�®,BE SAFE. . 40329924 , 05/17/2011 AGREEMENT #2695-02604 #,W ER t r SiT;c` 3 7tM .;*449W'4 WA7 Y co International Company .; INDIANAPOLIS VET30 Schedule of Values 11820 Pendleton Pike ` INDIANAPOLIS IN 462363979 Phone: (317) 826-2130 BILL TO 331-015261616 PROJECT: 331 957278401 Carmel Theater Development Cor Carmel Performing Arts Center 11711 N Pennsylvania St 777 3rd Ave. SW Suite 200 CARMEL IN 46032-0000 CARMEL IN 46032-0000 INVOICE SUMMARY TOTAL P.O. - $2, 330 . 00 INVOICE SUBTOTAL - $2, 330. 00 INVOICED TO DATE $2, 097.00 LESS RETAINAGE DUE THIS INVOICE - $2, 097 . 00 SUBTOTAL - $2$097. 00 REMAINING TO INVOICE - $233 . 00 SALES TAX - $0.00 TOTAL INVOICE - $2, 097.00 Please direct inquiries to our local branch office listed above. PAY THIS AMOUNT D $2, 097 .00 PROGRESS BILLING FORMS FOLLOW: WE .r„f'' .aa'to . ALL .._ . Comments SimplexGrinnefl BE SAFE REMITTANCE COPY sc ,YC"..§[*15i7t ,4MN,4sr"s A' k3.k u2 `4-c... ' :s 7 5 1"Y-�-E�,' .4az`t u .�`'ScE - .�^irz. INVOICE AMOUNT A Ty.Intemalcnal CCmw„v ,? r'4t2 F, ;TD R iL c�' THIS PCRTICtIWirIII'Fi CUt h¢PiTs 'SIT43.4110K.:± SO:..,hL,19:_;,_ $ 2,097.00 BILL TO 331-015261616 Carmel Theater Development Corm,OICE NUMBER 40329924 SHIP TO 331-015261616 Carmel Performing Arts CenterINVOICE DATE 05/17/2011 CUSTOMER P.o. AGREEMENT #2695-02604 REMIT TO SimplexGrinnell Dept.CH 10320 Palatine, IL 60055-0320 4000209700540329924 Check Box and Complete Reverse Side for Credit Card Payments OR Pay Online at www. simplexgrinnell.com SirnplexGrinnell BE SAFE. ATyco International Company APPLICATION AND CERTIFICATE FOR PAYMENT - ,.M , a r' .i� s. F n To-Owner. '" ' r PR9g.g.7 91,g-. .. z,f;:4,r ', :' V.3,,90, . •lvt #R t ,r> vmx4x,, , . • .,,....n> ->. - .wa,..---.-�T ,,*ra5u$F+;>d;^ =^,M;<,'°ii: �:xS--zat sau,•z ',':✓.se:IBE , 1' >P � "N w, r,>:y ,.a ;^•;.=P•._ . • Carmel Theater Development ;,.-,.: . . � :. tk��-:. 44 A•7.,,µ ;-0.,.^°wu.,,• •:,. : 11711 N Pennsylvania `CARMEL PERF ARTS CT - «CA r,', , 11 Penns lvania t R � 957278401 t, 00002 �.O�z�er:°;:':' Suite 200 ' '", „".;,; ',' `-;•`' >.Y>.t :qis" ,�;,,. !^'�� =„"•.>,> ':�zZG�zc'an»vrM: »ad¢.;a, ,.�. :�^';�`;Y'M:a4!m�s<f:, 73.,i�?��<:��'�% CARMEL IN 46032-0000 _,.,. t.,t,Y = ?,`.- ..�,r to•u,•• .�r.:- .,,t ,.3t<: -�,,,.:::=.;�us�'ctit�tz��o:, :��;,,,; rrc�a`��: 7v. .��;vcar•"�;�a :;Arc},, .{. }- ^4ixf. • �;;,r,.,, ..,:-9f'i' ....:;.K'•skz�1�^, ”tS.>,d''�✓� '= ..rz..�3':M�',�: .w,� �,,:,:i✓assaez ��''�R'°' ',:>.ei�'cr,,..t•-- �A'1"1 4:�e�'l. ,, .•.Po-::: .'-.;•o:,-.,>,., i ...,, . :•+,.: FromContractor: aTr°"°%; `z INDIANAPOLIS AGREEMENT #2 40330347 , ` 05/18/2011, �; c„,,Q ;! ; ontra'ctor 11820 Pendleton Pike ;>g ";;rW,:;: INDIANAPOLIS IN 462363979 32,t r;P'E? O?¢T O _�` .- P Phone : (317) 826-2130 .,, =; s P:";-., . y.,,;• , 05/10/2011 �°<;�,.-,.. CONTRACTOR 'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,_ O.,.pina:uon is made for Payment. as shown above, in connection with the Contract. information and belief, the work covered by this Application for Payment has bee :::;ntintiaiien Sheet is attached completed in accordance with the Contract Documents, that all amounts have been pair, by the Contractor for Work for which previous Certificates For Payment were issued and payments receivedfrom`'the.Owner, and that current payment shown herein is now due. 1. Original Contract Sum $2, 330. 00 2. Net Change By Change Orders $0 . 00 3. Contract Sum To Date $2, 330. 00 . CONTRACT'R: . m•1 7i Grinnell 4. Total Completed & Stored To Date $2, 330. 00 5. RETAINAGE Of Work Complete $0 :0.0 B y: Date: S` i9' // 6. Total Earned Less RETAINAGE $2, 330 .00— • . -:=-. 7. Less Previous Certificates $2!, 097 . 00' State-of: T-f\cilana. County of: 14c-1-10 1) 8. Current Payment Before Sales Tax $233 . 00 ,. 711- Sales Tax $0 . 00 . Subscribed and rn to before me his //�' Day of/t'f.. „20// Total Current Payment Due Including Sales Tax $233 . 00 Notary Public _ X., _ Including Sales Tax $0.00 — Al. - 9. Balance To Finish, Not My Commission expires: -/,, ./7 ,.ti�,:r t:;>. ,: ,:: PAULA If. LEWIG C (?RD`E°� `°E, ARCHITECT S CERTIFICATE FOR P I�,�rb(�-seat RANGE" Rt:,SUMM:ARY... w > --`AD��I'I`,TONS::.:=:'_'i'' �.. �EDUCTI�ON:S,'-'.r=. AnYa� State of Indiana TOTAL CHANGES APPROVED In accordance with the Contract Documents, ba d mi,tBriii,tiTsOBAearOlnAiflinfielnfliata IN PREVIOUS MONTH BY OWNER: $0. 00 $0. 00 comprising the above application, the Architect efy4 tla �yvvr� cUhv4 4 the Architect's knowledge, information and belief the Work has progressed as indicate '-- TOTALS APPROVED THIS MONTH: $0 . 00 $0.0 0 the quality of the Work is in accordance with the Contract Documents, and the Contract, TOTALS: $0. 00 $0 . 0 0 is entitled to payment of the AMOUNT CERTIFIED. NET CHANGES BY CHANGE ORDER: $0 . 00 AMOUNT CERTIFIED 23 c,0 Attach explanation if amount certified differs from the amount applied for. ARCHI ECT: By: Date: 1 /I / 20 t This Certi icate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without p dice to any rights of the O er or Contractor under this Contract. u . )111.., - 1114•tr-/- /,, / 040/XO/t