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Meyer Najem, Gibraltar, LaFever - $433,352.47
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 Green Improvements Installment purchase contract Pre-construction Invoice 02-09-746-001(Meyer Najem) August 2010 S 12,594.19 invoice 02-10-749-00001(Meyer Najem) September 2010 S 14,653.36 invoice 02-10-729-00003(Meyer Najem) November 2010 S 34,022.34 Application 2(Gibraltar) November 2010 S 198,245.70 Application 1(LaFever) September 2010 S 25,148.11 Application 3(LaFever) November 2010 S 148,688.77 Total Authorized Disbursement 15 433 352 47:, }'try a'� 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: tt/}J(o 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 Green Improvements (Meyer Najem) August 2010 (pre-construction invoice 02-09-746-001) Amount to be paid by the Carmel Theater Development Company $ 12,594.19 September 2010 (invoice 02-10-749-00001) Amount to be paid by the Carmel Theater Development Company $ 14,653.36 October 2010(invoice 02-10-749-00002) Paid by the Carmel Theater Development Company $ 26,749.76 November 2010 (invoice 02-10-749-00003) Amount to be paid by the Carmel Theater Development Company $ 34,022.34 1 �u- r r . ,,. i4.W. Meyer Najem Construction, LLC a '. ; 13099 Parkside Dr. :l' v xi, iii: 6° s Fishers, IN 46038 "-- i c f - 317-577-0007 i z �,n.� nntjui �° FAX: 317-577-0286 7 Website:www.meyer-najem.com E-Mail:mni @meyer-najem.com August 31,2010 Invoice Date Invoice No.: 02-09-746-001 REI Purchase Order No.: NA 11711 N. Pennsylvania.St., Suite 200 Terms: Upon Receipt Carmel, IN 46032 Attn: Brandon Weddle PROJECT#02-09-746 Carmel Greenway Pre-Construction Services Job No. INVOICE DESCRIPTION AMOUNT DUE 02-09-746 Preconstruction Services Direct Personnel -4 hours @$74.89 $299.56 Direct Personnel -66 hours @$46.93 $3,097.38 Direct Personnel -89 hours @$74.89 $6,665.21 25% Labor buden $2,515.54 Printing/Reproduction $16.50 !INVOICE TOTAL $12,594.19 I Tim Russell,President 0, III ®ta tom' N O if you have any questions,please reference the invoice number. a O:Accling\Preconstruction Invoice 8-31-10 t, Itki3 13099 Parkside Drive Fishers, IN 46038 e ` ° i 1 t�} � 317-577-0007 �— i``! I' 317-577-0286(fax) ♦�."-151 sY September 30,2010 CSO Invoice#: 02-10-749-00001 280 E.96th St.,Ste. 100 Terms: Net 30 Days Indianapolis, IN 46240 Attn: Brandon Bogan Project: Carmel Greenway Parcel 7B For Period Ending: 9/30/10 Schedule of Value' Prior Billings I Current Billing Cumulative Total I I. Staffing $ 154,050.00 $ - $ 12,574.99 $ 12,574.99 II. General Conditions $ 21,950.00 $ - $ 50.00 $ 50.00 ID. Construction Manager Fee $ 100,000.00 $ - $ 2,028.37 $ 2,028.37 $ 14,653.36 $ 276,000.00 TOTAL AMOUNT DUE $ 14,653.36 /4"‹? Tim Russell,President If you have any questions,please reference the invoice number. O Page 1 Project: Carmel Greenway Parcel 7B 9/30/2010 TOTAL TO DATE ADMINSTRATIVE 1-1210 A Project Signage $ - 1-1240 A Drinking Water $ - 1-1260 A Field Office Supplies $ - 1-1300 A Elect. Usage $ - 1-1330 A Phone/Fax Usage $ - 1-1340 A Cell Phone Service $ - 1-1510 A Postage $ - 1-1520 A Printing/Reproduction $ 50.00 1-1540 A F.S. Mileage $ - 1-1550 A P.M. Travel $ - EQUIPMENT 1-1180 E IT Equipment $ - 1-1190 E Field Office Trailer $ - 1-1250 E Field Office Equipment $ - 1-1350 E Small Tools $ - MATERIAL 1-1530 M Photo-Journal $ - IL GENERAL CONDITIONS SUBTOTAL $ - $ 50.00 PROJECT STAFF 1-1160 L/LB Safety $ 127.27 1-1910 L/LB Project Manager $ 3,791.32 1-1930 L/LB Field Superintendent $ 8,656.40 I. PROJECT STAFF SUBTOTAL $ - $ 12,574.99 $ 12,624.99 .r a 13099 Parkside Drive .,., „_*sue :.. Fishers, IN 46038 i i f )e' � .I 317-577-0007 „ /,) ' h i ■� 5; "T 317-577-0286(fax) CONSTFiC61 N November 30,2010 CSO Invoice#: 02-10-749-00003 280 E.96th St., Ste. 100 Terms: Net 30 Days Indianapolis, IN 46240 Attn: Brandon Bogan Project: Carmel Greenway Parcel 7B For Period Ending: 11/30/10 Schedule of Value! Prior Billings I Current Billing I Cumulative Total I. Staffing $ 154,050.00 $ 23,435.06 $ 13,353.09 $ 36,788.15 II. General Conditions $ 21,950.00 $ 836.86 $ 692.81 $ 1,529.67 III. Construction Manager Fee $ 100,000.00 $ 16,861.20 $ 19,976.44 $ 36,837.64 $ 75,155.46 $ 276,000.00 TOTAL AMOUNT DUE $ 34,022.34 TL''' --- Tim Russell,President If you have any questions,please reference the invoice number. Page 1 Project: Carmel Greenway Parcel 7B 9/30/2010 10/31/2010 11/30/2010 TOTAL TO DATE ADMINSTRATIVE 1-1160 A Safety/First Aid $ 22.00 $ 20.50 $ 42.50 1-1210 A Project Signage $ 104.86 $ 104.86 1-1240 A Drinking Water $ - 1-1260 A Field Office Supplies $ - 1-1300 A Elect. Usage $ - 1-1330 A Phone/Fax Usage $ 48.07 $ 48.19 $ 96.26 1-1340 A Cell Phone Service $ 87.24 $ 86.83 $ 174.07 1-1510 A Postage $ 37.69 $ 37.69 1-1520 A Printing/Reproduction $ 50.00 $ 50.00 $ 50.00 $ 150.00 1-1540 A F.S. Mileage $ - 1-1550 A P.M. Travel $ - 1-1560 A Builders Risk $ 323.00 $ 323.00 $ 646.00 $ - EQUIPMENT $ - 1-1175 E IT Equipment $ 114.00 $ 144.00 $ 258.00 1-1190 E Field Office Trailer $ - 1-1250 E Field Office Equipment $ - 1-1350 E Small Tools $ 20.29 $ 20.29 $ - MATERIAL $ - 1-1530 M , Photo-Journal $ - II. GENERAL CONDITIONS SUBTOTAL $ 50.00 $ 786.86 $ 692.81 $ 1,529.67 PROJECT STAFF 1-1160 L/LB Safety $ 127.27 $ 156.65 $ 146.87 $ 430.79 1-1910 L/LB Project Manager $ 3,791.32 $ 1,591.42 $ 4,399.79 $ 9,782.53 1-1930 L/LB Field Superintendent $ 8,656.40 $ 9,112.00 $ 8,806.43 $ 26,574.83 I. PROJECT STAFF SUBTOTAL $ 12,574.99 $ 10,860.07 $ 13,353.09 $ 36,788.15 $ 12,624.99 $ 11,646.93 $ 14,045.90 $ 38,317.82 Meyer Najem Construction Check: 13 13099 Parkside Drive Date: 12/4/2010 Fishers, IN 46038 Vendor: MEYNAJEM Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 02-09-746-001 12,594.19 12,594.19 0.00 0.00 12,594.19 Preconstruction Services 02-10-749-00001 86 14,653.36 14,653.36 0.00 0.00 14,653.36 Carmel Greenway P7B 02-10-749-00003 86 34,022.34 34,022.34 0.00 0.00 34,022.34 P7B Greenway 61,269.89 61,269.89 0.00 0.00 61,269.89 13 12/4/2010 ************61,269.89 THE SUM OF SIXTY ONE THOUSAND TWO HUNDRED SIXTY NINE DOLLARS AND 89 CENTS Meyer Najem Construction 13099 Parkside Drive Fishers, IN 46038 Meyer Najem Construction Check: 13 13099 Parkside Drive Date: 12/4/2010 Fishers, IN 46038 Vendor: MEYNAJEM Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 02-09-746-001 12,594.19 12,594.19 0.00 0.00 12,594.19 Preconstruction Services 02-10-749-00001 86 14,653.36 14,653.36 0.00 0.00 14,653.36 Carmel Greenway P7B 02-10-749-00003 86 34,022.34 34,022.34 0.00 0.00 34,022.34 P7B Greenway 61,269.89 61,269.89 0.00 0.00 61,269.89 Draft Green Improvements (Gibraltar) October 2010 (application 1) Paid by the Carmel Theater Development Company $ 197,162.10 November 2010 (application 2) Amount to be paid by the Carmel Theater Development Company $ 198,245.70 ,hR;;/i A I��' r �fl(, /�j/ (/t����}��/Jf�j� s 7 ..... Document �:.J7©2/V 111JU�T61 0 / 992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: APPLICATION NO: Distribution to: Carmel Theatre Development Corporation,LLC . Parcel 7B-Center for Perfoming Arts 2 30 West Main Street,Suite 220 PERIOD TO: 11/25/10 OWNER ❑ Carmel,IN 46032 • ISIA CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MA 1 •GEj� CONTRACT DATE: ARCHITECT ❑ Gibraltar Construction Corp 4/13/10 2932 N.Webster Ave. .4 PROJECT NOS: / / CONTRACTOR ❑ Indianapolis,IN 46219 VIA ARCHITECT: � FIELD ❑ CONTRACT FOR: CSO Architecctr nc. Vb ❑ Sitework Package 1 fP CONTRACTOR'S APPLICATION FOR PAYMENT fir, t ire undersigned Contractor certifies that to the best of the Contractor's knowledge. information and Application is made for payment,as shown below,in connection with the Contract. VA belief the Work covered by this •pplication for Payment has been completed in accordance with the Continuation Sheet.ALA Document G703,is attached. _"+S Contract Documents,that all amo nis have been paid by the Contractor for Work for which previous Certificates for Payment w.re i.sued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $1,046.700.00 payment shown herein is no'/!u. 2.Net change by Change Orders $ 0.00 CONTRACTOR:Gibraltar /■ uction Corp 3.CONTRACT SUM TO DATE(Line I ±1') 51,046,700.00 By: i Date: �����—f d 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) 5 439,342.00 State oL:5�.�)0,r��,1 5.RETAINAGE: County of: i /i � or?Ir;N R.a. %of Completed Work /�'"\; MCi3RIDE [ Subscribed and s� m to before (Column D+EonG703) $ 43,934.20 me this /Cf/I/dayofN.�V6.n✓��c� I SEAL r.._�. i ,c i�JCii �Otlfly b. Sn of Stored Material Notary r title ' /T My CGS;m. 1 1-20.201 (Column F on G703) $ My Commission expires:.//%247 'l`7 •'D I't` C,;.^r^;cinn 1 1 c.79 Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ CERTIFICATE FOR PAYMENT 395,407.80 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application,the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 197,162.10 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE $ 198,245.70 AMOUNT CERTIFIED $ /99251.5/: 7v 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied.initial all figures out this Application and on ontirumtion Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ 651,292.20 CONSTRUCTION A AGE : By: Date: /02//° CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: r approved p by B `O It-Ji,,Inc. 11 3;l' I. Total changes a roved in previous months b Owner $ y: _- Date: Total approved this Month $ $ This Certificate s not negotiable. The AMOUNT CERTIFIED is payable of ly to the Contractor TOTALS 5 5 named Screi stoner. payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Os Tier.r Contractor under this Contract. CAUTION:You'should.sign an original AIA Contract Document,•on•which this text appears in RED.An original assures that changes will.not tie obscured. AIA Document G702JCManA—1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:'Thii Ale,Document Is protected by U.S.Copyright l.aw,and International Treaties. Unauthorized reproduction or distribution of this Ale Document,or any portion of It,may result in severe civil and criminal penalties,and will be prosecuted'to the maximum extenrpossible under the law. Purchasers are permitted to reproduce ien(1 0)copies of this•document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @eia.org. CONTINUATION SHEET Page 2 of 6 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION NO. : 2 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 11/25/2010 PERIOD TO: 11/25/2010 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. A B C D I E F G H 1 WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) FINISH (IF VARIABLE (D+E) DORE) (D+E+F) (C-G) RATE) 1 Supervision $ 21,000 $5,250.00 $3,150.00 $8,400.00 40% 12,600.00 840.00 2 Allowance $ 70,000 $4,808.00 $4,808.00, 7% 65,192.00 480.80 3 Bonds $ 15,315 $15,315.00 $15,315.00 100% - 1,531.50 4 Misc. General Conditions $ 20,985 $5,246.00 $3,148.00 $8,394.00 40% 12,691.00 839.40 5 Phase 1 6 Earthwork Material $ 27,000 $13,500.00 $13,500.00 50% 13,500.00 1,350.00 7 Earthwork Labor $ 67,000 $50,250.00 $50,250.00 75% 16,750.00 5,025.00 8 Underdrains Material $ 36,850 $18,425.00 $18,425.00 50% 18,425.00 1,842.50 9 Underdrains Labor $ 36,850 $18,425.00 $18,425.00 50% 18,425.00 1,842.50 10 Structural Soil Material $ 20,000 $20,000.00 $20,000.00 100% - 2,000.00 11 Structural Soil Labor $ 2,000 $2,000.00 $2,000.00 100% - 200.00 12 Plumbing Material $ 17,000 $0.00 0% 17,000.00 - 13 Plumbing Labor $ 10,000 $0.00 0% 10,000.00 - 14 Asphalt Paving Material $ 10,000 $10,000.00 $10,000.00 100% - 1,000.00 15 Asphalt Paving Labor $ 6,000 $6,000.00 $6,000.00 100% - 600.00 16 Concrete Curbs Material $ 5,500 $2,750.00 $2,750.00 50% 2,750.00 275.00 17 Concrete Curbs Labor $ 30,000 $15,000.00 $15,000.00 50% 15,000.00 1,500.00 18 Temporary Walk Material $ 2,000 $0.00 0% 2,000.00 - 19 Temporary Walk Labor $ 2,000 $0.00 0% 2,000.00 - 20 Joint Sealants Material $ 100 $0.00 0% 100.00 - 21 Joint Sealants Labor $ 100 $0.00 0% 100.00 - 22 Concrete Pavers Material $ 8,000 $8,000.00 _ $8,000.00 100% - 800.00 23 Concrete Pavers Labor $ 4,000 $4,000.00 $4,000.00 100% - 400.00 24 Permeable Pavers Material $ 100,000 $100,000.00 $100,000.00 100% - 10,000.00 25 Permeable Pavers Labor $ 26,000 $24,700.00 $24,700.00 95% 1,300.00 2,470.00 CONTINUATION SHEET Page 3 of 6 APPLICATION NO. : 2 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is APPLICATION DATE: 11/25/2010 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 11/25/2010 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. A B C D E F G H 1 WORK COMPLETED MATERIALS TOTAL COMPLETED BALANCE TO ITEM FROM PREVIOUS PRESENTLY % RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO FINISH NO. APPLICATION THIS PERIOD STORED(NOT IN DATE(D+E+ (G!C) (C G) (IF VARIABLE RATE) (D+E) D OR E) 26 Phase 1A 27 Earthwork Material $ 3,000 $3,000.00 $3,000.00 100% - 300.00 28 Earthwork Labor $ 5,000 $5,000.00 $5,000.00 100% - 500.00 29 Concrete Curbs Material $ 2,300 $2,300.00 $2,300.00 100% , - 230.00 30 Concrete Curbs Labor $ 4,000 $4,000.00 $4,000.00 100% - 400.00 31 Concrete Walks Material $ 6,250 $6,250.00 $6,250.00 100% - 625.00 32 Concrete Walks Labor $ 6,250 6,250 $6,250.00 100% - 625.00 33 Joint Sealants Material $ 100 $0.00 0% 100.00 - 34 Joint Sealants Labor $ 100 $0.00 0% 100.00 - 35 Concrete Pavers Material $ 3,700_ 3,700 $3,700.00 100% - 370.00 36 Concrete Pavers Labor $ 1,800 1,800 $1,800.00 100% - 180.00 37 Granite Pavers Material $ 20,000 20,000 $20,000.00 100% - 2,000.00 38 Granite Pavers Labor $ 7,000 7,000 $7,000.00 100% - 700.00 39 Phase 1B 40 Earthwork Material $ 2,500 $0.00 0% 2,500.00 - 41 Earthwork Labor $ 2,500 $0.00 0% 2,500.00 - 42 Concrete Curbs Material $ 1,000 $0.00 0% 1,000.00 - 43 Concrete Curbs Labor $ 3,000 $0.00 0% 3,000.00 - 44 Concrete Walks Material $ 2,650 $0.00 0% 2,650.00 - 45 Concrete Walks Labor $ 2,650 $0.00 0% 2,650.00 - 46 Joint Sealants Material $ 100 $0.00 0% 100.00 - 47 Joint Sealants Labor $ 100 $0.00 0% 100.00 - 48 Concrete.Pavers Material $ 1,800 $0.00 0% 1,800.00 - 49 Concrete Pavers Labor $ 3,700 $0.00 0% 3,700.00 - 50 Permeable Pavers Material $ 4,000 $0.00 0% 4,000.00 - CONTINUATION SHEET Page4of6 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION NO. : 2 APPLICATION DATE: 11/25/2010 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 11/25/2010 ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS FINISH NO. VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (6/C) (IF VARIABLE RATE) (D+E) DORE) (D+E+F) (C-G) 51 Permeable Pavers Labor $ 1,000 - 0% 1,000 - 52 Phase 1 C 53 Earthwork Material $ 1,200` 600 600 1,200 100% - 120.00 54 Earthwork Labor $ 1,200 600 600 1,200 100% , - 120.00 55 Topsoil Material $ 500 - 0% 500 - 56 Topsoil Labor $ 500 - _ 0% 500 - 57 Site Demolition Material $ 500 500 500 100% - 50.00 58 Site Demolition Labor $ 1,500 1,500 1,500 100% - 150.00 59 Concrete Curbs Material $ 2,400 600 1,800 2,400 100% - 240.00 60 Concrete Curbs Labor $ 6,000 1,500 4,500 6,000 100% - 600.00 61 Concrete Walks Material $ 12,500 12,500 12,500 100% - 1,250.00 62 Concrete Walks Labor $ 12,500 _ 9,375 9,375_ 75% 3,125 937.50 63 Joint Sealants Material $ 100 - 0% 100 - 64 Joint Sealants Labor $ 100 - 0% 100 - 65 Concrete Pavers Material $ 15,400 15,400 15,400 100% - 1,540.00 66 Concrete Pavers Labor $ 7,600 - 0% 7,600 - 67 Landscaping Material $ 100 _ - 0% 100 - 68 Landscaping Labor $ 100 - 0% 100 - 69 Phase 2 _ 70 Earthwork Material $ 10,150 - 0% 10,150 - 71 Earthwork Labor $ 10,150 - 0% 10,150 - 72 Topsoil Material $ 16,250 - 0% 16,250 - 73 Topsoil Labor $ 16,250 - 0% 16,250 - 74 Concrete Walks Material $ 12,600 - 0% 12,600 - 75 Concrete Walks Labor $ 12,600 - 0% 12,600 - CONTINUATION SHEET Page 5 of 6 APPLICATION NO.: 2 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is APPLICATION DATE: 11/25/2010 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for Tine items may apply. PERIOD TO: 11/25/2010 ARCHITECT'S PROJECT NO. : A B C D E F G H I WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE DESCRIPTION OF WORK FINISH NO. VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) (C G) (IF VARIABLE RATE) (D+E) DORE) (D+E+F) 76 Joint Sealants Material $ 100 - 0% 100 - 77 Joint Sealants Labor $ 100 - 0% 100 - 78 Concrete Pavers Material $ 22,400 - 0% 22,400 - 79 Concrete Pavers Labor $ 11,100 - 0% 11,100 - 80 Granite Pavers Material $ 10,000 - 0% 10,000 - 81 Granite Pavers Labor $ 5,000 - 0% 5,000 - 82 Pourous Pavers Material $ 60,000 - 0% 60,000 - 83 Pourous Pavers Labor $ 15,000 - 0% 15,000 - 84 Decomposed Granite Material $ 66,000 - 0% 66,000 - 85 Decomposed Granite Labor $ 25,000 - 0% 25,000 - 86 Landscaping Material $ 10,000 - 0% 10,000 - 87 Landscaping Labor $ 3,000 - 0% 3,000 - 88 Irrigation Material $ 3,500 - 0% 3,500 - 89 Irrigation Labor $ 5,000 - 0% 5,000 - 90 Phase 3 _ 91 Earthwork Material $ 2,400 - 0% 2,400 - 92 Earthwork Labor $ 2,400 - 0% 2,400 - 93 Topsoil Material $ 1,000 - , 0% 1,000 - 94 Topsoil Labor $ 2,000 - _ 0% 2,000 - 95 Site Demolition Material $ 1,000 _ - _ 0% 1,000 - 96 Site Demolition Labor $ 4,000 - 0% 4,000 - 97 Concrete Curbs Material $ 2,800 - _ 0% 2,800 - 98 Concrete Curbs Labor $ 4,000 - 0% 4,000 - 99 Concrete Walks Material $ 7,500 - 0% 7,500 - 100 Concrete Walks Labor $ 7,500 - 0% 7,500 - • CONTINUATION SHEET Page 6 of 6 APPLICATION NO. : 2 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is APPLICATION DATE: 11/25/2010 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 11/25/2010 ARCHITECTS PROJECT NO. : A B C D E F G H 1 WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS BALANCE TO DESCRIPTION OF WORK SCHEDULED VALUE PRESENTLY COMPLETED AND % FINISH RETAINAGE NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) (C-G) (IF VARIABLE RATE) (D+E) DORE) (D+E+F) 101 Joint Sealants Material $ 100 - 0% 100 - 102 Joint Sealants Labor $ 100_ - 0% 100 103 Concrete Pavers Material $ 10,000 - 0% 10,000 - 104 Concrete Pavers Labor $ 3,200 - 0% , 3,200 - 105 Landscaping Material $ 50 - 0% 50 - 106 Landscaping Labor $ 50 - 0% 50 - 107 . 108 109 . 110 111 112 113 114 115 116 117 , 118 _ 119 120 . 121 122 123 124 _ 125 $1,046,700.00 $219,069.00 $220,273.00 $0.00 $439,342.00 42% $607,358.00 $43,934.20 ISA Form#1-402 � 4 K. AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ® PARTIAL ® PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and/or labor for a project known as Parcel 7B, Center for Performing Arts, Sitework Package 1 and owned by Carmel Theatre Development Corporation, LLC. and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the Owner the sum of One Hundred Ninety Eight Thousand Two Hundred Forty Five and 70/100 Dollars ($198,245.70) ❑ receipt of which is hereby acknowledged;or ® the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER)that the final balance due from the Owner is the sum of Dollars ( ) ❑ receipt of which is hereby acknowledged;or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THERFORE, the undersigned waives and releases unto the O ner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon ac 4 ount of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions exp es d herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work pe rm d or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. / Gibraltar Construction Corp By V Title President WITNESS MY HAND AND NOTORIAL SEAL, t 9th day If November, 2010. I / / (Notary Public) C 1979 INDIANA SUBCONTRACTORS ASSOCIATION INCORPORATED (.:::::__ ' _: u; CUUn}' i � - _ ROM ,aria Una utnor•Red RepIo u hon Pran,p,totl I'v1`,r' CC+Tilfll Q_;. �;a. i i-2� 017 -' C---,s.:: :--, — 51 1 65? Gibraltar Construction Corp Check: 14 2932 N. Webster Ave. Date: 12/3/2010 Indianapolis, IN 46219 Vendor: GIBR1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4-2 87 220,273.00 220,273.00 22,027.30 0.00 198,245.70 Application 2 Sitework Package 220,273.00 220,273.00 22,027.30 0.00 198,245.70 14 12/3/2010 **********198,245.70 THE SUM OF ONE HUNDRED NINETY EIGHT THOUSAND TWO HUNDRED FORTY FIVE DOLLARS AND 70 CENT: Gibraltar Construction Corp 2932 N. Webster Ave. Indianapolis, IN 46219 Gibraltar Construction Corp Check: 14 2932 N. Webster Ave. Date: 12/3/2010 Indianapolis, IN 46219 Vendor: GIBR1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 4-2 87 220,273.00 220,273.00 22,027.30 0.00 198,245.70 Application 2 Sitework Package 220,273.00 220,273.00 22,027.30 0.00 198,245.70 Draft Green Improvements (LaFever Electric) September 2010 (application 1) Amount to be paid by the Carmel Theater Development Company $ 25,148.11 October 2010 (application 2) Paid by the Carmel Theater Development Company $ 59,346.59 November 2010 (application 3) Amount to be paid by the Carmel Theater Development Company $ 148,688.77 itA][A ear TGl Document G7O2ICMa 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: Parcel 7B APPLICATION NO: 1 Distribution to: Carmel Theatre Dev. Commission 3rd Avenue Southwest PERIOD TO: 9/30/2010 OWNER ❑ 30 West Main Street, Suite 220 Carmel, Indiana Carmel, Indiana 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 9/17/2010 ARCHITECT ❑ LaFever Electric, Inc. Meyer Najem Construction, LLC PROJECT NOS: 1744 / i , CONTRACTOR rl 131 N. Rangeline Road Carmel, Indiana 46032 VIA ARCHITECT: FIELD ❑ CONTRACT FOR: CSO Architects, Inc. ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet. for Document G703,is attached. 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 1.ORIGINAL CONTRACT SUM $658,855.00 payment shown herein is now due. 2.Net change by Change Orders $ 0.00 CONTRAC ailp L.. gam~ trio, Inc. 3.CONTRACT SUM TO DATE(Line I ±2) 6658,855.00 By: Date: 9/22/2010 4.TOTAL COMPLETED&STORED TO DATE(Column 0 on G703) s 27,942.35 State of: Indiana Ctir's A. LaFever,Vice-President 5.RETAINAGE: Hamilton ``� c:),il I 10111%, 5. County of: CJ a. 10 %of Completed Work o` '�P..................6 Subscribed and sw • . befb• fb , (Column D+Eon G703) S 828.14 me this 22nd day of :,>-tuber. r 'c b. 10 To of Stored Material Notary Public: : ' -Jr Colleen S. Marvel (Column F on 0703) 5 1,966.10 My Commissio t expires: ^*; er RDA,101191; Total Retainage(Lines 5a+5b or Total in Column I of G703). $ 2,794.24 CERTIFICA : ��;r A CIV 1 6.TOTAL EARNED LESS RETAINAGE $ 25,148.11 In accordance with the Cont it Doettmentst,nnseda� on-site observations and the data comprising this application, the Constructiof' I't/�i f'.t(4 ht'F`.flttect certify to the Owner that to the best of their (Line 4 Less Line Total) knuwledee, information and belief'fffUi, ttianVogressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 0.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. IED. 8.CURRENT PAYMENT DUE $ 25,148.11 AMOUNT CERTIFIED $ 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach e.tplauatiun if amount certified differs front the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ 633,706.89 CONSTRUCTION , ER: By: Date: 0 QJ/c o CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner $ _ S - By Date: I— TOTALS approved this Month $ - I S. - This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor I TOTALS $ _ tic - named herein. Issuance, payment and acceptance of payment are without prejudice to any riuhts of [NET CHANGES by Change Order I y— ---=� the Owner or Contractor under this Contract. CAU 10t:: You should sign an original AlA Contract Document,on which this teat appears in RED.An original assures that changer:will not be obscured. AlA Document 17O21CMAnT' —1992.Copyright ta 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA° Document is protected by U.S.Copyright Law and International Treatles. Unriuthariz- —production or distribution of this Ale Document,or any portion of it,may result in se% lvit and criminal penalties,and will he prosecuted to the maximum extent possible and law. F;rcrie•,ars 7:n51cc to rai.roducc ten■Ipf cepio;.of ibis docurrrnt when ccioptatcid To report copyright V. i,of AMA Can cc'Documents.e•med Th..,'srneiicau Ir'-afute of Architects'legal counsel.co,. nTaia.orn, • JOB NAME Parcel 7B-Center for Performing Arts APPLICATION DATE 9/24/2010 PAGE NUMBER 1 APPLICATION NUMBER 1 PERIOD TO 9/30/2010 A B C • D 1 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+E+F) 1 Conduit M 64.205.00 - 1,926.15 12,841.00 14,767.15 23 49,437.85 1,476.72 L 105.840.00 - 3,175.20 3,175.20 3 102,664.80 317.52 2 Wire M 87,610.00 - - - - 87,610.00 - L 49,530.00 - - - 49,530.00 - 3 Switchgear M 11,610.00 - - - - 11,610.00 - L 9,460.00 - - - 9,460.00 - 4 Light Fixtures M 202,000.00 - - - - 202,000.00 - L 36,000.00 - - 36,000.00 - 5 Excavating 58,000.00 - - - - 58,000.00 - 6 Allowance 18,000.00 - - - - 18,000.00 - 7 Payment and Performance Bond 7,600.00 - 2,280.00 5,320.00 7,600.00 100 - 760.00 8 Submittals 3,000.00 - 900.00 - 900.00 30 2,100.00 90.00 9 Mobilization 3,000.00 - - 1,500.00 1,500.00 50 1,500.00 150.00 10 Closeout 3,000.00 - - - - 3,000.00 - M - - - - - - L - - - - - M - - - - - - L - - - - - M - - - - - - L - - - - - M - - - - - - L - - - - M - - - - - - L - - - - - 658,855.00 - 8,281.35 19,661.00 27,942.35 630,912.65 2,794.24 • WAIVER OF LfEd13 t[n DATE State ayfr Intdiptia }Ss County cif Hamilton ) File 4: TO WHOM PP MAX Ct r TCERN& WHMEAS the andarslened bus beret employed by LaFever Electric,Inc. to furnish Elescirical Work fat the premises described os Parcel 7B chnusruao,yrtrArr.,atlztra SO of which. _ Carmel Theatre Development Commission h the ovate Twenty-`iv"e°housand One Hundred Forty-eight Dollars and Eleven Cents THE undcradgntd,thr and in oonsidaretian of (S 25.148.11 ?Dollars,and other good end valuable emrsidernoian,the rttnipt when: is her uby acknowledged,dotes)hereby waive tnd tie any and ati lien or claim or right of nta under the Suttees of the Stew lehctain the land h lonskd,relating to 1 ofethanie's Sens.on the dove deaeribed eternise, and improvements thereon,and on the monies or other armsidxatione due at to boom duo horn the owner,on scoot rat of labor or Mites,mantis),£inure or artltartthte Woof=futtehhed to ctrl data by the undersigned on the Steve dmarrdbed psrmhaoa. sigsd this 22nd day of September ,20 1 0 Chris A.LaFcvcr,Vicc-President am NOTE:All here moat ha far the fall amount paid.If waiver is for a corporation,eurpotute paste should ha teed,corporate umt milted end tideOraf(icer ohlhble waiver altotdd bees forrbt tiwelver to ibr o rmrt erthIp.the partnership parser Should he wad.partner pdsaelrl.elf and di sh/n:1E Mtnadfee miner. CONTRACTOR'S AFFIDAVlt 8 -= of Imam }ss County err Hamilton i TO WHOM IT MAW CONCERN: Tirg ender*gncd,being duty swore,,deposes and says atst he le Vice-President or LaFever Electric,Inc. who is the oantrattor ler the Electrical Work work on the banding located st r venue outhwest;Carmel,Indiana 46032 owned by arme. eeatre 'eve o.ment ornmission .--,� That the total eatotatt of the COMMA bnattidh:g mares is$ 658,855.00 on+vhleb he has received paymentof s Q00 prior to this payment.That all waivers tat ttu:,tTct and genuine and delivered unconditionally and that rhea is no steam either legal or equitable to defeat the validity of acid waives.That the following are the names of all nettles who have famished mete&err labor,or froth,dbr odd work end all panics having contracts or subcontracts li r specific portions ofsdd warts or far materiel entering into the DoM MOM tasrnotend tea amount ado or in become des to etch,rated drat the hints meritlantd imitated all Lear and marls] ed to .,..,..:plaid walk=wets to d_a is and E,4•4r Wont NAM I , Wnf$t ' .'� r —.r NA OP .1 t.Y I v•a mnn :ors i ro :iV,>♦ 1 tree on: :Orin in jjall'._ .1.11 iiX1Ii1!E ![IZII►x1II 1 11111111111111111 IIIIIIIIIIIIIIIIIIIINIIIII IIIIIIIIIIIIIIIMIIIIIIIIIII IIIIIIMIIIIIIII T' a r are.tt MD srrt ri• , '''• ••',•If'— 111111 Ts 1:MIDIITIT0 'Treat tivwo are no other antractt sin spirt emir outeumdina.end dins there is flotillas dim or to become du to any item t • at 'el,taborer other watt• ape kind done or to be dean upon or in tmtntee den with said work other then above stated. $ib thh 22nd dqy of September ,2n 10 . 'O� .___. Chris A. LaFever.,Vice-President ettzaat�u�riuw _ schceritead end sites to be=Die diet 22nd day ot September ,20 I 1 . ` uuuutrtur,,v A. a TSI CD16QSADrnoo7 �� S. Marvel.' _ : ..i *= ,•,:,. _ J ems; j_ Docl [' ent 1992 99 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: Parcel 7B APPLICATION NO: 3 Distribution to: Carmel Theatre Dev. Commission 3rd Avenue Southwest 30 West Main Street, Suite 220 Carmel, Indiana PERIOD TO: 11/30/2010 OWNER ❑ Cannel, Indiana 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 9/17/2010 ARCHITECT ❑ LaFever Electric, Inc. Meyer Najem Construction, LLC PROJECT NOS: 1744 / / CONTRACTOR 1Il 131 N. Rangeline Road Carmel, Indiana 46032 VIA ARCHITECT: FIELD ❑ CONTRACT FOR: CSO Architects, Inc. ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet,ALA Document G703,is attached. 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 1.ORIGINAL CONTRACT SUM $658,855.00 payment sho vn herein is now due. 2.Net change by Change Orders $ 52,191.56 CONTRACT •: Fe •r lectric, Inc. 3.CONTRACT SUM TO DATE(Line I ±2) $711,046.56 By: 1 i 1 • - I Date: 11/22/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) $259,092.73 State of: ndiana Michael A. La,Fafrrur�r� Vice-President a�nut dui, Hamilton Ua'%- 5.RETAINAGE: County of: PAY � ,,�J a. 10 %of Completed Work Subscribed and sworn to Mare •��' (Column D+Eon G703) $ 14,847.47 me this 22nd dray ,( e er, .' ��Ileen S. Marvel b. 10 %of Stored Material Notary Public: t (Column F on G703) $ 11,061.80 My Commission expi s: / APri ��1=�-�� ' fir° Total Retainage(Lines 5a+5b or Total in Column I of 0703). $ 25,909.27 CERTIFICATE FOR PAYMENT,, . 233 183.46 In accordance with the Contract Documents, liti cd o .•atl.;,site• ier�etlions and the data comprising 6.TOTAL EARNED LESS RETAINAGE 'i� this application,the Construction Manager and Afej)ifdet4ge'rj}f tkZ,fi1e Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has pro ltr<A'>;tecl os'S`ticated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 84,494.69 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. pp 8.CURRENT PAYMENT DUE $ 148,688.77 AMOUNT CERTIFIED $ /4/6),680. 77 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied.lnida!all figures on this Application and on th . uintiatiott Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ 477,863.10 CONSTRUCTION M.t► By: / Date: /1 3 fa CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total chooses approved in previous months by Owner $ - _ By: ,f-- ,.---"*4--0 Date: Total approved this Month $ 52191.56 $ - Thrsertificate i. not negotiable. The AMOUNT CERTIFIED is payable my to the Contractor TOTALS $ 52191.56 $ - nailed herein, .suancc. payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ 52191,56 tl Owner Contractor under this Contract. `CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G702/CMam-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:Thls'Ale Document is,protected by U.S:Copyright Law and International Treaties. Unauthorized reproduction or distribution of Ihis.Alie Document,or any portion of It,may result in severe civil and criminal penalties;and will be prosecuted to the max_imum extent possible under:the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. JOB NAME Parcel 7B-Center for Performing Arts APPLICATION DATE 11/22/2010 PAGE NUMBER 1 APPLICATION NUMBER 3 PERIOD TO 11/30/2010 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 APPLICATION STORED AND STORED (C-G) (D+E) (NOT IN TO DATE ` D OR E) (D+E+F) 1.00 Conduit M 64,205.00 16,051.25 9,630.75 19,261.50 44,943.50 70 19,261.50 4,494.35 - - L 105,840.00 26,460.00 15,876.00 42,336.00 40 63,504.00 4,233.60 2.00 Wire M 87,610.00 - 4,380.50 83,229.50 87,610.00 100 - 8,761.00 - - L 49,530.00 - 2,476.50 2,476.50 5 47,053.50 247.65 3.00 Switchgear M 11,610.00 - 1,161.00 8,127.00 9,288.00 80 2,322.00 928.80 - - L 9,460.00 - 946.00 946.00 10 8,514.00 94.60 4.00 Light Fixtures M 202,000.00 - - - - 202,000.00 - - - L 36,000.00 - - - 36,000.00 - 5.00 Excavating 58,000.00 17,400.00 20,300.00 37,700.00 65 20,300.00 3,770.00 6.00 Allowance 18,000.00 - 12,664.00 12,664.00 70 5,336.00 1,266.40 7.00 Payment and Performance Bond 7,600.00 7,600.00 - 7,600.00 100 - 760.00 8.00 Submittals 3,000.00 900.00 1.800.00 2,700.00 90 300.00 270.00 9.00 Mobilization 3,000.00 3,000.00 - 3,000.00 100 - 300.00 10.0 Closeout 3,000.00 - - - 3,000.00 - 11.0 ASI#1&2 52,191.56 - 7,828.73 7,828.73 15 44,362.83 782.87 - - - - 100 - - - - M - - - - L - - - - - - - - M - - - - - - - - - L - - - - - - - - M - - - - - - - - - L - - - - - - - - M - - - - - - - - - L - - - - - - 711,046.56 71,411.25 77,063.48 110,618.00 259,092.73 451,953.83 25,909.27 WAIVER OP LIEN TO DATE Waite of Indiana )ss County of Hamilton Fee 4: TO WROM PP MAY CO'NCERNt WHESP-A.5 the undersigned has been employed by LaFever Electric,Inc. Re3G.r0+�d'.t�AOMACGt1f9iQS7m• •' ^.'- .. • tottunlsh El-ctrical Work Car the Pushes desaiLed as Parcel 7B ammo Atl 'Twit Leszt=nom of which Carmel Theatre Development Commission is the osvtuc One Hundred F�o,t�'-eight Thousand Ix Hundred Eighty-eight Dollars and Seventy-seven Cents ($ 148,688.77 1 E undersigned,hbrand in considmatton of ?Milers,and other good and vahrnbie cmrsidr Bann,the receipt whereof is her%by ecknoWledged,do(m)hereby ware and release any and an lien or ahtim or right of Ilan under the Stetutes of the Stabs whctsin the land is located,riming to Modesties liens,on the ahova described premium and imPmvaruents theteon,end on the monies or other considerations due or to become due Rvm the owner,on account of lobar or aettiaes,material,tamers or appernius hmato o e iirmined to this date by the undetaignad far the above described pn I: . wed this 22nd dayo f November zo 10 1 f. .11(t--% Michael A. LaFever,Vice-President sut NOM All waivers meat be rbr the WI amount paid.If waiver is for a corporation,corporate name Mould be wed,corporate odd affixed and tideofafftcar signing waiver should be set formt lf waiver is for a partnership,the partnership Dales sbonid tre used,partner should)esa and desigante Mosel fa,partner. CONTRACTOR'S AFFIDAVO$ State of Inoll ins )ss County of Hamilton TO WHOM IT MAY CONCERN: THE andcrstgawd.being duly sworn,deposed and tap that he Is Vice-President of LaFever Electric, Inc. ohm ls the oontraetor feu she_ Electrical Work work ondte building locatedat 3rd Avenue Southwest,Carmel Indiana 4602 owned by arme eatre II eve o s ment ommission That the total amount of the contract including extras to s 71 1,046.56 on which he has received payment of S 0.00 prior to this payroant That all v,atoers are true,correct and gettucse and dollwrcd unconditionally and that than Is no claim either Legal or equitable to defeat the validity of said waivers.That the Following ran the names of all parties who haw rmNebed material at labor,or both,tar said nark rind nil Mien having comma or rrrdroontrmts fbr specific portions ofsr dd work or for material towing Into the construction thereof and the amount doe onto become tine to each,and that the inure meatloaed inelndad nil lobar and Marini hed moan late said work ace' .to d tuts and txtlons:- C t QUrJ -> — mama KM OP W M ::. r i: Y i p' Q1rt :RT-Jla, . V V. urtn :ore.ro f ):minim •tree lona :ortn• 82 i i 1 ` i.1 I . ► 1 LlAim MOM .. Ir•-n• • • A:,.•r- • :MM HG .1 i iC. ! t►=:1.iflill 11 " •ors mono o other contracts fir said wolf outstanding,and esthete is e•• ,.p dery or to d 'to ••• .. •. m:..- : taborer emery/01k° mty kind done or to be done upon or in commotion with said avark other than above attend. g(gso this 22nd day of November 20 10 . �. Michael A. LaFever,Vice-President slsmmtswrl+nrarwnu. subscribed and sworn tobdbrcmothis 22nd jay or_ November zo 10:,11 ;;,.1" 11j1•,�,,� Vr Peivlarvel TSI GD1606tomooa ----� `. -4; It`r_l mil" ST...+J " Ili .'„11 r111C:Ifi II;lU1pl WAIVER OF LIEN r0 DATE 0talkt;,of Indiana }ss C4tuunty of Hamilton 1 File#: TO WifOM TI'MAY CONCERN: WHEREAS the undersigned boa hem employed by LaFever Electric, Inc. to famish Electrical Work for the premises described as Parcel 7B oaaauakurt.errorkttCnosupaa of which_ Carmel Theatre Development Commission _ ft the ovine One Hundred Fort�yy-eight Thousands six Hundred Eighty-eight Dollars and Seventy-seven Cents tH• undersigned,ibr and in consideration of, (S 148.688.77 )Body,and others good and vafushfe consideration,the receipt whereof is het sby acknowledged,do(co)hereby wain tad ielme arty nod ail lion or claim or right of lien under the 9mtulcs ante Stem wherein the land is located,relating to l riechanict liens on the above described premises and irnprovematts thereon,and on the mottles or other considerations due or to become doe •. th.ow, r,on aocos of labor or writes,material,from or npparl w haratof re ihmisbed to this data by the undersigned for the ebevo dasorited premi . stgtrndtris 22nd doyaf November ,2010 ti - 4*---- t - - Michael A. LaFever,Vice-President kg NOT Allwatvera matt be fir the fall amount paid.ltwnlve'in tarn car potation,corporate came',bold be sad,corporate seal affixed end dileofofficer elgntag waiver should be set forth;if waiver is for a pnrfnvsbip,the partnership opine should be used,partner should dg3I one drsigmte Monett as partner. CONTRACTOR'S AFFIDAVIt Steam of Wilma )SS County of Hamilton } TO WNOivf 1R'MAY CONCERN: mg andmsigtwd.being duly sworn,deposes and says that he is Vice-President of LaFever Electric, Inc. whole tho oommetorfarthe Electrical Work Work on the building located at 3rd Avenue Southwest,Carmel,Indiana 4661'2 0� owned by Carmel'lrieatre Development Commission That the tom amount of the contract imploding extras is$ 71 1,046.56 on'Mich he has received payment of S 0.00 prior to this payment mat ell wthn are true,correct and genuine and dative red unconditionally and that them is no claim either legal or equitable to defeat the validity of said waivers.That the following are the names of all parties who haver emitted material or labor,or both,fir said work cad all parties having contacts or seboonnmts fist specific portoas of said work or for material entmfng lrt0 t1*construction thereof told rho amount due arm become doe to each,end trial the items ratatfotted hwinded sir labor a_nd inntarisl "ite4 to - saki work act, ■ to dans and _cations: NAILIDS g71 '14" KIND GP MDR •a unn :orepro UM :• - . a tree Iona :ore, 8I t•I t MlignrinlirAltherlidi 11111=111.1 1111.1"1"11 Tara s..., • ., z ,• • TO"T".r— M:ir 1 1(11111111tG 1 t 1t.1.I/II 1 1 tt era aro co other cantatas ibr said wade outstanding,and■ rd them is not+..g due or to"--. .due:• .. •t'1, m°. ' tabor or ocher work o cry kind done or to be dorm upon or in ootatendtm with said work other than above stated. thin 22nd d ay of November ,20 10 . A 1._.. - • Michael A. LaFever, Vice-President _ s,r ...todidio aster.:, Subscribed and swum to before me this 22nd day of__ November ,1A 10.,at,,Ir' Dui,,,,' r--N\ ) 'v '.lie ri Sir,Marva TSI CD18 04V/2007 ---- t � l L' :..S ,A -fri WAIVER OF LIEN TO DATE Singe of Indl na }Ss extant/of Hamilton 1 the . TO WHOM PT MAY CONCERN' WHEREAS the undersigned has been employed by LaFever Electric, Inc. Rreederroer,CmpnRrrQFALr�er ••�.. •••• tofdrntsh EI-ctrical Work for the premises described as Parcel 7B Ga$!mAdtrenerrlAiQLAg1 Damn of which Carmel Theatre Development Commission fs the vox One Hundred Fotty-eight Thousancr=Hundred Eighty-eight Dollars and Seventy-seven Cents 1'to undersigned,for and in consideration of ($ 148,688.77 )Deltas,and other good and vahtnhle consideration,the receipt whereof is hctcby acknowledged,do(ca)hereby wive ad release any and an lien or claim or right of gen under the Stiahztcs orate Stato wherein the land is located,relating to Mechanic's liens,on the above described premises end hnpmvements tattoo,cod an the monies or other considerations doe or to become der Sem the owner,on soon of r or writes,material,forma or appershre heretofore(initiated to this date by the undersigned for the above described prezn signed this 22nd days f November ,z0 10 /- Michael A. LaFever, Vice-President Ira NOTEr All waivers mast be far the toil atoor nt paid.If waiver Is for a corporation,corporate name aboutd be used,corporate seal cubed and tide of officer signing waiver abxdd be set formt df waiver is for a pattnerabip,the partnership name should he nerd,partner shotilt9 Olga and designate himself as partner. CONTRACTOR'S AFFIDAvlt Shaba of Ondlsina )ss County of Hamilton 1 TO WHOM IT MAY CONCERN: rite micrstgncd.being duly sworn,deposes and says that he Is Vice-President of LaFever Electric, Inc. who is the connector for the Electrical Work work on the bufdingloatedat r venue Southwest,Carmel, Indiana 46032 owned my Carmel eatre l eve o•meat ommtssfon That the torel amount of the camel Including extras is$ 71 1,046.56 on lvhieh ha has rc elved prgmeart of g 0.00 prior to title payment_lhnt all waivers are bus twtttof cad genuine end delivered umconditfanafly and that thane is no claim either tegat or equitable to dedrat the validity of acid waivers That the following aro the names of all parties who have tendrilled or Woe, both,for said weak and all parties having contracts or sebrontreats for specific portions of said work or for material entering Into lice construction thereof and the amount duo or to become doe to- - raid that the items motioned hielided Mahar and material .„fred in.. ,.lam saki work according to darts -.,aatlons: _ ... mu I i 1r=i •i Rp..Y i,LY-- i iji iIO OP • ' P tree tons :Drina 82,473-076---t.t t , MEIN Ma Gin :orepro :• - • 1 t.,.• . u ,:A J. • TO •„•i':`- i7,re: ii,iii I.i l)♦m6 'ijei U S rift i)i tat cror other contracts flrr said wade outstanding,and tied there is notithig duo or to b . . e to any..'-•t — labor or other walk o any kind oa done or to be done upon or in cneation with said we*other linen above stated. I ' 51�dtlrla 22nd d yof November 2n 10 . kitl .1,. . —. — Michael A. LaFever, Vice-President _ (le n' y„� Subscribed and mom to before me tits 22nd day of ,20 1 Q,��.F� PV$`,- 1 TSI CD'16 05/07/2007 �;_ (Aileen S. el LaFever Electric, Inc. Check: 15 131 N Rangeline Road Date: 12/3/2010 Carmel, IN 46032 Vendor: LAFEVER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3-1 88 27,942.35 27,942.35 2,794.24 0.00 25,148.11 App 1 on P7B 27,942.35 27,942.35 2,794.24 0.00 25,148.11 15 12/3/2010 ************25,148.11 THE SUM OF TWENTY FIVE THOUSAND ONE HUNDRED FORTY EIGHT DOLLARS AND 11 CENTS La Fever Electric, Inc. 131 N Rangeline Road Carmel, IN 46032 LaFever Electric, Inc. Check: 15 131 N Rangeline Road Date: 12/3/2010 Carmel, IN 46032 Vendor: LAFEVER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3-1 88 27,942.35 27,942.35 2,794.24 0.00 25,148.11 App 1 on P7B 27,942.35 27,942.35 2,794.24 0.00 25,148.11