Loading...
HomeMy WebLinkAboutMeyer Najem, Gibraltar, LaFever - $78,361.31 , 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 Application 5(Gibraltar) February 2011 $ 28,496.70 /04 Application 6(LaFever) February 2011 $ 40,718.24 Invoice 02-10-749-00006(Meyer Najem) February 2011 $ 9,146.37 Total Authorized Disbursement h$ 8x361 3 1 - a. s ,li'°; { 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 B k and Carmel Theater Development Company, LLC. Dated:_ 3/� l/ CITY OF CARMEL REDEVELOPMENT COM SSION 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. '\'-' 11) '41 \INioi0 Mr 0 well Draft Green Improvements (Gibraltar) October 2010 (application 1) Paid by the Carmel Theater Development Company $ 197,162.10 November 2010 (application 2) Paid by the Carmel Theater Development Company $ 198,245.70 December 2010 (application 3) Paid by the Carmel Theater Development Company $ 84,847.50 January 2011 (application 4) Paid by the Carmel Theater Development Company $ 18,270.70 February 2011 (application 5) Amount to be paid by the Carmel Theater Development Company .$` :28,49.6.70 VP) � �.. .: c ent G 21C a TM — 1992 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 5 30 West Main Street,Suite 220 PERIOD TO: . 2/18/11 OWNER ❑ • Carmel,IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION-MANAGER: CONTRACT DATE:. ARCHITECT ❑ Gibraltar Construction Corp 4/13/10 2932 N.Webster Ave. PROJECT NOS: 1 / CONTRACTOR ❑ Indianapolis, IN 46219 VIA ARCHITECT: FIELD ❑ •CONTRACT FOR: CSO Architects,Inc. Sitework Package 1, ❑ CONTRACTOR'S APPLICATION FOR PAYMENT- The undersigned Contractor certifi-s 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 A;'.lieation for Payment has been completed•in accordance with the Contract Documents,that all 1,-6 ,i is have-been paid by the Contractorifor Work for which previous Continuation Sheet,AIA Document G703,is attached. Certificates for Payment w, :4 is•l ed and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 1.046.700.00 payment shown herein is no,.' 46e. • 2: Net change by Change Orders • $ 0.00 CONTRACTOR:Gibraltar •n uction Corp: 3.CONTRACT SUM TO DATE(Line 1 ±2) $ 1,046,700.00 By:. f`l Date: �"p�,�j7 4.TOTAL COMPLETED&STORED TO DATE(Column G on 0703) $ 585,580.00 State of. �/'1 a =/.1 . 5.RETAINAGE: County of: �. n i _..=�6 BRIAN R. MCBRIDE a. %of Completed Work Subscribed and sw.r< to be e'/ �ti e� ^ of (Column D+E on G703) $ 58,558.00 me this �2 /day of fr ,/ '� ' Res. of Hancock County b. %of Stored Material Notai • • • � , MY Comm, Exp. 11-29-2017 (Column F on G703) $ My Commission expires: /)...;e957.! 'o..aN Commission # ii1 1 Rfi2 Total Retainage(Lines 5a+5b or Total in Column I ofG703).. $ CERTIFICATE FOR PAYMENT . 527,022.00 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application, the Constniction 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 $ 498,525.30 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. f 8:.CURRENT PAYMENT DUE $ 28,496.70 AMOUNT CERTIFIED $ ZR 1q Q`b ' — 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied.Initial all figures on this Application and or ...,•ntinuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) 519,678.00 , : $ CONSTRUCTION ANA • y� s® . By: .- „'j— : ,_. .:` • . .._ Date: �s�, CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Inc.'-cts, •ry i Total changes approved in previous months by Owner $ $ By: • CSO A .•', Date: G-�,1 Total approved this Month - $ $ This Certific is of negotiable. The AMOUNT CERTIFIED is payable only to the Contractor ' TOTALS $ $ named here- . I : ance; payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the 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/CMaTM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA' Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA' Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum 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. CONTINUATION SHEET Page 2 of 6 APPLICATION NO. : 5 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION DATE: 2/18/2011 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 2/18/2011 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE TO RETAINAGE ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % OF WORK SCHEDULED VALUE STORED(NOT IN STORED TO DATE (G I C) FINISH (IF VARIABLE NO. APPLICATION THIS PERIOD (C-G) RATE) (D+E) DORE) (D+E+F) 1 Supervision $ 21,000 $8,400.00 $1,470.00 $9,870.00 47% 11,130.00 987.00 2 Allowance $ 70,000 $4,808.00 $12,141.00 $16,949.00 24% 53,051.00 1,694.90 3 Bonds $ 15,315 $15,315.00 $15,315.00 100% - 1,531.50 4 Misc. General Conditions $ 20,985 $8,394.00 $1,469.00 $9,863.00: 47% 11,122.00 = 986.30 5 Phase 1 6 Earthwork Material $ 27,000 $27,000.00 $27,000.00 100% - 2,700.00 7 Earthwork Labor $ 67,000 $67,000.00 $67,000.00 100% - 6,700.00 8 Underdrains Material $ 36,850 $18,425.00 $16,583.00 $35,008.00 95% 1,842.00 3,500.80 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 $12,750.00 $12,750.00 75% 4,250.00 1,275.00 13 Plumbing Labor $ 10,000 $7,500.00 $7,500.00_ 75% 2,500.00 750.00 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 $5,500.00 $5,500.00 100% - 550.00 17 Concrete Curbs Labor _$ 30,000 $30,000.00 $30,000.00 100% - 3,000.00 18 Temporary Walk Material $ 2,000 $2,000.00 $2,000.00_ 100% - 200.00 19 Temporary Walk Labor $ 2,000 $2,000.00 $2,000.00 100% - 200.00 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_ $26,000.00 $26,000.00 100%, - 2,600.00 CONTINUATION SHEET Page 3 of 6 APPLICATION NO. : 5 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 2/18/2011 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 2/18/2011 variable retainage for line items may apply. ARCHITECT'S PROJECT NO. : A B C D 1 E F G H I WORK COMPLETED MATERIALS TOTAL COMPLETED BALANCE TO ITEM FROM PREVIOUS PRESENTLY % RETAINAGE DESCRIPTION OF WORK SCHEDULED VALUE AND STORED TO NO. APPLICATION THIS PERIOD STORED(NOT IN DATE(D+E+F) (G/C) (C G)FINISH (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 - I CONTINUATION SHEET Page 4 of 6 APPLICATION NO. : 5 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 2/18/2011 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts PERIOD TO: 2/18/2011 where variable retainage for line items may apply. ARCHITECT'S PROJECT NO. A B C D I 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 (G/C) (C G) (IF VARIABLE RATE) (D+E) D OR E) (D+E+F) 51 Permeable Pavers Labor $ 1,000 - 0% 1,000 - 52 Phase 1C 53 Earthwork Material $ 1,200 1,200 1,200 100% - 120.00 ' 54 Earthwork Labor - $ 1,200 1,200 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 2,400 2,400 100% - 240.00 60 Concrete Curbs Labor $ 6,000 6,000 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 12,500 12,500 100% - 1,250.00 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 7,600 7,600_ 100% - 760.00 67 Landscaping Material $ 100 - 0% 100 - 68 Landscaping Labor $ 100 - 0% 100 - 69 Phase 2 70 Earthwork Material $ 10,150 10,150 10,150 100% - 1,015.00 71 Earthwork Labor $ 10,150_ 10,150 10,150 100% - 1,015.00 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 AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO. : 5 attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts APPLICATION DATE: 2/18/2011 where variable retainage for line items may apply. PERIOD TO: 2/18/2011 ARCHITECT'S PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) FINISH (IF VARIABLE RATE) (D+E) DORE) (D+E+F) (c G) 76 Joint Sealants Material $ 100 - 0% 100 - 77 Joint Sealants Labor $ 100 - 0% 100 - 78 Concrete Pavers Material $ 22,400 - 0% 22,400 - `*- -794 Concrete-Pavers-Labor__. Y 11,100 - ° -- 0% -_ - -_ 11,100' - 80 Granite Pavers Material $ 10,000 10,000 10,000 100% - 1,000.00 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 AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO. : 5 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 2/18/2011 variable retainage for line items may apply. PERIOD TO: 2/18/2011 ARCHITECT'S PROJECT NO. : A B C D 1 E F G H I WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) ��!�� (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 $553,917.00 $31,663.00 $0.00 $585,580.00 56% $461,120.00 $58,558.00 . ISA Form# 1-402 A , 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 Twenty Eight Thousand Four Hundred Ninety Six and 70/100- Dollars ($28,496.70) ❑ 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 '.uch payment. THERFORE, the undersigned waives and releases unto the Ow :r of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon,acc• nt of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions exp : s-• herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work pe or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By ./il,. Title President /f , WITNESS MY HAND AND NOTORIAL SEAL, t 2 st day .Ii February, 2011. , - J (Notary Public) 2,' BRIAN R. MCBRIDE �� JT/ 0 1979 fNOL NA 51}SCONTRACTONS ASSOCIATION INCORPORATED 2 Res. o` Hancock County �� �c« Unaorso.•iee Reprodwctw^Pro*,.bltad * * My Comm. E . 11-29-2017 D I P\- Commission # 611862 Draft Green Improvements (LaFever Electric) September 2010 (application 1) 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) Paid by the Carmel Theater Develk pment Company $ 148,688.77 December 2010 (application 4) Paid by the Carmel Theater Development Company $ 164,895.86 January 2011 (application 5) Paid by the Carmel Theater Development Company $ 46,690.61 February 2011 (application 6) 1 Amount to be paid by the Carmel Theater Development Company. $ '40.;718:24' ` f. Q� ,e TM ocument 'G7O2IC a 1992 � Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: Parcel 7E APPLICATION NO: 6 . Distribution to: Carmel Theatre Dev. Commission 3rd Avenue Southwest 2/28/2011 30 West Main Street, Suite 220 Carmel, Indiana PERIOD T0: OWNER ❑ Carmel, Indiana 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 9/17/2010 ARCHITECT ❑ LaFever Electric,• Inc. Meyer Najem Construction, LLC 1744 131 N. Rangeline Road PROJECT NOS: / / CONTRACTORX❑ 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 paymept,.as shown below,in connection-with the Contract. belief the Work covered by,this Application for Payment has been sompleted in accordance with the Continuation Sheet,AIA 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 $ 106,499.05 CONTRACTOR. L Fever E ect c; Inc. 3.CONTRACT SUM TO DATE Line l ±2 $ 765'354.05 f 2/23/2011 ( ) + By: Date:4.TOTAL COMPLETED&STORED TO DATE(Column G on 6703) $ 539,431.30 State of: na MI hael A. Lahever, Vice-President 5.RETAINAGE: County of: Hamilton. "t��;'Y"P"101fj,,,�� a. 10 %of Completed Work Subscri a d swor •s .e • 4� �� % (Column D+Eon G703) $ 39,603.36 - me this rIA d. of ' uaryt'011.. C' b. 10 %of Stored Material Notary Public: -, �:' =Colleen S. Marvel (Column F on G703) $ 14,339.77 My Commission e.Aires: Apr , I_ Total Retainage(Lines 5a+Sb or Total in Column I of G703). $ 53,943.13 CERTIFICAT OR PAYMENT'••.—'` 485,488.17 ' In accordance with the Contract Docume s, lased on op-site ci ervations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application, the Construction Manager #ie to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information•and belief the Work hk°progro ad'tas indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 444,769:93 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 $ 40,718:24 AMOUNT CERTIFIED $ 421 ` t e) 9.-BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied. initial all figures on this • Application and o ontinuation Sheet that are changed to conformm with the amount certified.) (Line 3 less Line 6) $ 279,865.88 CONSTRUCTION = R: By: :°iv_ Date: a. 6/, CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: ,.-''� �J Total changes approved in previous months by Owner $52,191.56- $ - By: ,i Date: (/0.12 .(` Total approved this Month $61,502.58 $ 7095.09 This Certificated•.not eg'otiable. The AMOUNT CERTIFIED is payable only to the Contractor - TOTALS /13,694.14 $ 7,195.09 named here',. Isssance,payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ 106,499.05 the Owner or Co actor 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/CMaTM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This Ate Document is protected by U.S.Copyright Law 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 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 2/23/2011 PAGE NUMBER 1 APPLICATION NUMBER 6 PERIOD TO 2/28/2011 . 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 38,523.00 - 12,841.00 51,364.00 80 12,841.00 5,136.40 - L 105,840.00 63,504.00 - 63,504.00 60 42,336.00 6,350.40 - 2 00 Wire M 87,610.00 48,185.50 - 39,424.50 87,610.00 100 - 8,761.00 - - L 49,530.00 27,241.50 - 27,241.50 55 22,288.50' 2,724.1'5 3.00 Switchgear M 11,610.00 11,377.80 - 232.20 11,610.00 100 - 1,161.00 - L 9,460.00 9,270.80 - 9,270.80 98 189.20 927.08 4 00 Light Fixtures M 202,000.00 80,800.00 - 90,900.00 171,700.00 85 30,300.00 17,170.00 - - L 36,000.00 14,400.00 - 14,400.00 40 21,600.00 1,440.00 5.00 Excavating 58,000.00 37,700.00 - 37,700.00 65 20,300.00 3,770.00 6.00 Allowance 18,000.00 12,664.00 5,336.00 18,000.00 100 - 1,800.00 • 7.00 Payment and Performance Bond 7,600.00 7,600.00 - 7,600.00 100 - 760.00 8.00 Submittals 3,000.00 3,000.00 - 3,000.00 100 - 300.00 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(Part of C.O#1) 52,191.56 33,924.51 - 33,924.51 65 18,267.05 3,392.45 12.0 ASI#3 Fixtures(Part of C.O.#1) 612.58 - 612.58 612.58 100 - 61.26 13.0 ASI#3R 60,890.00 - 6,089.00 6,089.00 10 54,801.00 608.90 14.0 Conduit Credit (7,195.09) - (7,195.09) (7,195.09) 100 - (719.51) - - M - - - - - - - - L . - - - - - - - M - - - - - - - - L - - - - - - - - M _ _ _ - _ - - L - - - - - - I765,354.05 391,191.11 4,842.49 143,397.70 539,431.30 225,922.75 53,943.13 WAIVER OP LIEN TO DATE 8e bf Indiana 1 ss County of Hamilton Pile#: TO WHOM fr MAY Ct NcieRNa WHEREAS the undersigned an bhxa employed by LaFever Electric, Inc. area eo.mopo.dwavo..w...r to Amhiai Electrical Work • Eh:the premises described as Parcel 7B anunmeoverirsormearnelaame of which Carmel Theatre Development Commission is theovrne — Fo -s'�z` iousand Six Hundred Ninety Dollars and Sixty-one Cents THE ur7dctsigned,tat and In eonddera Ica of (S 40,718.24 ?Dollars,and other good end valuable c onal the receipt agrenxa is hereby acknowledged,do(m)hereby wale and release any and all lien or dahn or right of lien under the Statutes eft Siam wherein the land is located,relating to 1 deelanics limbs,on dm above described premisoe and improvements thereon,end on the monks or other considerations due or to become doe born the owner,on meant of labor or services,rogirriol.then=or appsrthra heutolbre lhrnished to this data by the undersigned for the above deserlbcd premises. Wed ana 23rd day of February m 11 Michael A.LaFever,Vice-President kg NOTEr All walven meat be for the fall amount paid.If waiver In for a ear peredon,corporate same should be 'sed,corporate seal affixed sad tide of officer signing waiver ehntdd be set forest if waiver is for a partnership,the pattnergtdp acme should be used,parrntr should sigh and designate hlapelf et partner. CONTftACTOR*B AFFIOAVIt 8tst4 of Indiana }ss County of Hamilton TO WHOM IT MAY CONCERN: 114E cn.r++eraigand,befog duty sworn,deposes and says that he is Vice-President of LaFever Electric,Inc. wlho le the oonlractor for the El ctrical Work work on tee building batted at r Avenue Southwest,Carmel Indiana 46 owned hr Cantle eatre eve o.ment ommission • not tinc total amount aft menace hamicding extra isS 765.354.05 on wifidi he ha received pmeiitof S 398,079.33 prior to tilts payment met all wavers are true,correct tad genuine and delivered unconditionally and that diem is no claim either What or equitable to dolbst the validity of said waivers.That the hallowing are the nertwa of all parties who have etnnidred material or labor,Or both,for said weal and all parties having comment or enbourararta for specific portions of saki work or for material entering into the coma motion the eof and duo anocrht due or to booms dos to each,stxd fiat the iteahs mentioned included all labor end materiel -.to .-said wok etas to done and one: uriri :ore.ray h!i<I �S.Y i irec one 'worm_ ���][ ,. •_ Y t �i�•�t� T. 1._71 .: _• 11.30 ■11111 • 'l •I�lt11<ITI>♦��•Ti�►•T.L• .1 1'n a t them a r c no other contract'i b r said watt outstanding,and at Mena is e., wipe or to b e c o m e doe to my pease t m a labor or other way iC o ant'kind done or to be done upon or in oenneetlon with said work other then chore staled. I Si1�this 23rd day of February .. _,20 11 . _. Michael A. LaFever Vice-President 061'01151 Milkfik, Subscribed end sworn to been me this 23rd day of—_. February o°z•�k 1�? eel . T$1 CD16 odi noo7 C, , e ✓'s�xNfd},'y�ft91i11i1111R���6, Draft Green Improvements (Meyer Najem) August 2010 (pre-construction invoice 02-09-746-001) Paid by the Carmel Theater Development Company $ 12,594.19 September 2010 (invoice 02-10-749-00001) 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) Paid by the Carmel Theater Development Company $ 34,022.34 December 2010 (invoice 02-10-749-00004) Paid by the Carmel Theater Development Company $ 26,668.18 January 2011 (invoice 02-10-749-00005) Paid by the Carmel Theater Development Company $ 15,325.58 February 2011 (invoice 02-10-749-00006) Amount to be paid by the Carmel Theater Development Company .$ 9,146.37' i • I' :::`,,21M;1.--...:-;, , rK `Y =:' 13099 Parkside Drive t, "Fishers, IN 46038 ,, her 317-577-0007 ': ' f ;' 317-577-0286(fax) ,., h. --- 1. S; CONSTRUCTION�; • :;r 17 t 1,...\ Kendall 85161H Wall Enclosure I Sharps Conatiner Holder I Bracket-Mountainside Med... Page 1 of 2 '--- 1•Pa•68'r•4334 fustomet Service 'Lour Account Contact Us Mosi to nsideMedit:<al IlY Tee-'19`S:' -e3, > FRE£GROUND SHIPPING WITH ORDERS OVER 5154!CLICK FOR DETAIL`> . - i t t°ly gts ... _'.1';'$'1-',_ : 4JN Fti2.;':.: .,. ._P€'"*'��W's�`:',='`. 1_, n Create An Account Your Shopping Cart- 5 Home '. .rhopB,C3tpirof'y 4 Shop,ay tir3nl, 'Sissi.ay Profession ,,N alth RPSvurces. Ahouf fis r Ccrpprate Atcssln.s _ SEARCH I. : +eh;J I Advanced Search ..::........-.... •:7.uc- ,-_,.,der;^y�;r-e:->:.„.r-_;°,,-wr..-;v:.-.,.,.,:- r.--._...t`-„T.'—” -.r'° .-..rf_+.°.,ncrn,_- ..g•--„,,,,f,'..,,,,,'","",-",. --.."-4---_ $k�tasoR5 to-,Bil7 :i _ �t-,131 ::v,, L ZC vcF tT I •t• v- 7'iV l y b�''@ _c 3ecvta t � „,. fast F satnta.ri a c ' , i ia:; li.egi - ^"n,`r'. rx '!g;al'.. 4 ;,5:;�6:t?, :b i:+'x-k�• tt � f. t -Y:_ 'Ykil.>•.:sjtt!f# ru tr 5.:k:'C .{ ,.`at#''X l Related Products Hying 5hatos Containers Sharps Disposal System with Key Locking Door TranspatableSharps Sharps Disposal System with Key Locking Door Containers 5_qt y # RRP: $5&59 ,c d r� r ' : :�”" :; -, `a, Your Price: ;1xrA (�I } $18.00(excluding tax) 1 r (You save$40.50) $6.89 :t P .` <� # SKI: KND85165H-Promo Container Sharps : °;It�T r i i x�; Brand: Cov!dlen]Kendall Container 2 Gallon v' ; 85345A .y O t Weight 5.00 1B5 '� st' - t -- Rating: r:e.Ft atc4 cx 536.49 10 z .7.;Y::-.1":' r ,�s k- Shipping: Calculated at checkout $9.99 .1 .5 3_5 Quantity: _ Qt,-305943' 1----._...i.. . >4+:- ,.. $11.5e 1 1 • - • . $8.27 .L +v:3HflRb'r $ at ,dome Sharps . ''Iii "€ontatner_i 4 at. a 94:85 171, i Similar Products Reviews $3.59 f.. i Product Description tr s ±. SiD iayps . .. Containers.Dual The 85165H Sharps Disposal System bracket protects workers and patients from harmful ? :access 1.5 quart , needles,lancets and other Infection disposable medical supplies.This sharps system can be ' '' a ' hung from a wall or medicine cart for easy access.Mounting the sharps container system • • 9-se approximately fifty seven Inches from the floor helps prevent children or confused elderly • $4.94 l�I patients from tampering with the system.Having the needles or syringes securely.locked and fastened to the wall in high public traffic areas prevents any cross-contamination. You Recently Viewed... #85165H System Sharps Disposal System with Key Dimensions:12.5"Wide,9.5'tall,5"Deep Locking Door Shipping•Weight:5 lbs ssa-se 518.00 The sharps containers that will fit the system are the Kendall/Covidien#'s 85095A and Nsr.r,er,,d 8507SA,85065A containers only! tiirp --t A S > afety: k apdafl ydw-,hock i eSs. ctJxea-•s • Company Customer Service Using Our Store Policies f' (" %? e;F.,,,.°- �iACF:FitOF.Tri:: Mecca!Supplies Customer Service Track an Order Forget Passwcrd7 StiS{FtjSg Y', 9rnds Contact Us Grate An Account Shipping Policy i`13Ba..,;x pt,;t.:.::'=_;; Heath Resources Sate Shopping Corp.Accounts Privacy Policy :inks My A=cc rnt Retool Policy R.S.S.Feeds Site Map http://www.mountainside-medical.com/products/Sharps-Disposal-System-with-Key-Lockin... 1/5/2011 Kendall 85161H Wall Enclosure I Sharps Conatiner Holder Bracket-Mountainside Med... Page 2 of 2 ' �' k5 �` T. ' 3 .sue;-rie,,,„q:w z,ri: , 'at.w. 4r.: r t v "M'r ] ,-2y 5 a" f e e . . *F c r �y .Yx Syr e`as ; - fit y tM-y.,r y, 3 4, f li t trr • z ,� t-, 'u, " r . • • • W' . • • • • • • • • • http:/hl.mountainside medical.com/products/Sharps-Disposal System with Kev-Lockin... 1/5/2011 Page 1 Project: Carmel Greenway Parcel 7B 9/30/2010 10/31/2010 11/30/2010 12/20/2010 1/25/2011 2/24/2011 TOTAL TO DATE ADMINSTRATIVE 1-1160 A Safety/First Aid $ 22.00 $ 20.50 $ 9.50 $ 10.00 $ 62.00 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 $ 48.29 $ 48.11 $ 48.27 $ 240.93 1-1340 A Cell Phone Service $ 87.24 $ 86.83 $ 134.01 $ 87.63 $ 87.09 $ ' 482.80 1-1510 A Postage $ 37.69 $ 19.31 $ 78.00 $ 135.00 1-1520 A Printing/Reproduction $ 50.00 $ 50.00 $ 50.00 $ 2,434.97 $ 50.00 $ 50.00 $ 2,684.97 1-1540 A F.S.Mileage $ - 1-1550 A P.M. Travel $ 12.75 $ 12.75 1-1560 A Builders Risk $ 323.00 $ 323.00 $ 323.00 $ 323.00 $ 323.00 $ 1,615.00 $ - . EQUIPMENT $ - 1-1175 E IT Equipment $ 114.00 $ 144.00 $ 108.00 $ 102.00 $ 84.00 $ 552.00 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. $ 3;077.08 $ 698.74 $ - 605.11 $ 5;910.60 PROJECT STAFF 1-1160 L/LB Safety $ 127.27 $ 156.65 $ 146.87 $ 107.70 $ 538.49 1-1910 L/LB Project Manager $ 3,791.32 $ 1,591.42 $ 4,399.79 $ 2,621.15 $ 2,714.78 $ 2,621.15 $ 17,739.61 1-1930 L/LB Field Superintendent $ 8,656.40 $ 9,112.00 $ 8,806.43 $ 6,378.40 $ 7,745.20 $ 1,822.40 $ 42,520.83 I. PROJECT STAFF SUBTOTAL $ 12,574.99 $ 10,860.07 $ - 13,353.09 $ 9,107.25 ' $ 10,459.98 $ 4,44155 $ 60,798.93 $ 12,624.99 $ 11,646.93 $ 14,045.90 $ 12,184.33 $ 11,158.72 $ 5,048.66 $ 66,709.53 Meyer Najem Construction Check: 61 13099 Parkside Drive Date: 3/22/2011 Fishers, IN 46038 Vendor: MEYNAJEM Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 02-10-749-00006 9,146.37 9,146.37 0.00 0.00 9,146.37 fees for period ended 2/24/201 9,146.37 9,146.37 0.00 0.00 9,146.37 61 3/22/2011 ***********9,146.37 THE SUM OF NINE THOUSAND ONE HUNDRED FORTY SIX DOLLARS AND 37 CENTS ************** Meyer Najem Construction 13099 Parkside Drive Fishers, IN 46038 Meyer Najem Construction Check: 61 13099 Parkside Drive Date: 3/22/2011 Fishers, IN 46038 Vendor: MEYNAJEM Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 02-10-749-00006 9,146.37 9,146.37 0.00 0.00 9,146.37 fees for period ended 2/24/201 9,146.37 9,146.37 0.00 0.00 9,146.37