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HomeMy WebLinkAboutJ.R. Clancy - $1,628,604.85Exhibit D Disbursement Instructions Mercantile 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 Village Financial (April) $ 1,321,092.70 �ay $ 307,512.15 Total Authorized Disbursement $ 1;628.,604.85 All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (PAC Equipment), dated, as of August 31, 2009, by and between Lender and Village Financial, LLC. ,r, 2 Dated: 412 i 12 CITY OF CARMEL REDEVELOPMENT COMMISSION By wit% Printed Title Les S. Olds Executive Director Draft Theater Equipment JR Clancy (Mercantile) January 2010 Paid by Village Financial $ 13,956.69 February 2010 Paid by Village Financial $ 11,219.41 March 2010 Paid by Village Financial $ 2,875,751.98 April 2010 Amount to be paid by Village Financial May 2010 Amount to be paid by Village Financial `: $., _ „...:307;512:15 APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER - ADVISER EDITION AIA DOCUMENT G702 /CMa (Instructions on reverse side) PAGE ONE OF PAGES TO OWNER: (n.rwlet 12.edCveto9rneK -4- Comm1 SSl 'ROJECT: ZuQS One Ci v 1'C. S�vavt, Ca rvoc l I ')AC Canwiei, .■J r✓oo32— *ill 33'd AvQ S� , C0. irmA e , FROM CONTRACTOR) Q _ C[QY �Y1C - UuI -IV - t I l9U�Z is la. Ct 121- <C (� !, n SC3rncuS � Ny 1 VIA CONSTRUCTION MANAGER D1 l- J Sat i CONTRACT FOR: ?tYce 1A 2e9i6yvi.`ftykyni165 Ay. icCVkA„AI RCHITECT: CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in Continuation Sheet, AIA Document G703, is attached connection with the Contract. l . ORIGINAL CONTRACT SUM $ -15 15 , �OC . dcD 2. Net Change By Change Orders $ (52�,,�1 DU,�C) $ 1o,ci�( ,01-1-0 .00 $ 5,2e,y- 30 3. CONTRACT SUM TO DATE (Line 1 ± 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on G702) 5. RETAINAGE: % of Completed Work ( olumns D + E on G703) %/ of Stored Material $ (Column F on G703) Total Retainage (Line 5a + 5b or Total in Column I of G703) $ ISC�2, 00 _60 6. TOTAL EARNED LESS RETAINAGE (Line 4 Tess Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $ , $ 3 1`'I I5c2.0 I J 2,`C%.tQ 0 $ c2,1O 1210 oq (.iO CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner 0 -Co (5Lr i o CO) Total approved this Month O CO 0 00 TOTALS Ci 00 (C;2Cj 1 Lp(11 COj NET CHANGES by Change Order (CC7c . ) (Qn ()() APPLICATION NO.: i2_ PERIOD TO: I„Sv ! 1 PROJECT NOS.:20 Q CONTRACT DATE:I2 -10q Distribution to: ❑ OWNER ❑ CONSTRUCTION MANAGER ❑ ARCHITECT ❑ CONTRACTOR The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor- mation and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and pay- ments received from the Owner, and that current payment shown herein is now due. By: . State of: Akin) V0 /Zyr County of: 0 j1/ pin/D/9-6.- Subscribed and sworn to before me this St' da ' of T O l , /t'�� MICHAEL JAY PARKIN Date: 1/Z-1 /ZO /O � Notary Public: My Commission expires: c� j3Cc t' 1 /Z• v, 0.5 _4%/l o/0 CERTIFICATE FOR PAYM ENT Notary Public, State of New York ualified in Onondaga County Reg. No. 01 PA4807278 My Crtmjniccinn Fxpireas May 31, 20a In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED $ 2J2.1 I!?S a. (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Sheet that changed to conform to the amount certified.) CO STRUCTI By • Dare: ARCH By • Date 444 t (J�' This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. MA AGER 1 AIA DOCUMENT G702ICMa • APPLICATION AND CERTIFICATE FOR PAYMENT • CONSTRUCTION MANAGER - ADVISER EDITION 1992 EDITION • AIA© • ©1992 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON. D.C. 20006.5292 • WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. G702 /CMa -1992 (A1ITIIIIU- Vn�, chn.drl nco an nrininal AIA rinrumnnt which hac this cauutinn nrintari in runt An nrininal accurac that rhannoc will not ha nhcrurati ac may nrrur whan rtnrl'manic arta ronrndllced. CONTINUATION PAGE Page 2 of 4 PROJECT: 2695 Carmel PAC Payment Application containing Contractor's signature is attached. APPLICATION #: DATE OF APPLICATION: PERIOD THRU: PROJECT #s: 12 04/15/2010 04/30/2010 2695 A B C D I E F G H I ITEM # WORK DESCRIPTION SCHEDULED AMOUNT COMPLETED WORK STORED MATERIALS (NOT IN D OR E) TOTAL COMPLETED AND STORED (D + E + F) % COMP. (G / C) BALANCE TO COMPLETION (C -G) RETAINAGE (If Variable) AMOUNT PREVIOUS PERIODS AMOUNT THIS PERIOD 1 Bond $47,266.00 $47,266.00 $0.00 $0.00 $47,266.00 100% $0.00 2 Engineering /Project $415,534.00 $228,543.70 $20,776.70 $0.00 $249,320.40 60% $166,213.60 Management/Mobilization 3 Master Control System $238,100.00 $202,385.00 $11,905.00 $0.00 $214,290.00 90% $23,810.00 4 Control System Electrical Work $33,750.00 $6,750.00 $10,125.00 $0.00 $16,875.00 50% $16,875.00 5 Control System Turn on and $68,900.00 $0.00 $0.00 $0.00 $0.00 0% $68,900.00 Testing 6 CYC, FOH, Lighting Truss $1,356,800.00 $678,400.00 $542,720.00 $0.00 $1,221,120.00 90% $135,680.00 Motorized Rigging 7 CYC, FOH, Lighting Truss $514,200.00 $92,556.00 $164,544.00 $0.00 $257,100.00 50% $257,100.00 Motorized Rigging Installation 8 Canopy Rigging and Cable Reels $1,301,000.00 $1,040,800.00 $195,150.00 $0.00 $1,235,950.00 95% $65,050.00 9 Canopy Rigging and Reel $348,800.00 $62,784.00 $111,616.00 $0.00 $174,400.00 50% $174,400.00 Installation 10 Loudspeaker Motorized Rigging $316,200.00 $316,200.00 $0.00 $0.00 $316,200.00 100% $0.00 11 Loudspeaker Rigging Installation $55,800.00 $10,044.00 $17,856.00 $0.00 $27,900.00 50% $27,900.00 12 Variable Acoustic Curtains $118,000.00 $0.00 $0.00 $0.00 $0.00 0% $118,000.00 13 Curtain Installation $17,700.00 $0.00 $0.00 $0.00 $0.00 0% $17,700.00 14 Variable Acoustic Tracks /Blocking $426,000.00 $426,000.00 $0.00 $0.00 $426,000.00 100% $0.00 & Actuators 15 Track & Actuator Installation $131,745.00 $118,570.50 $0.00 $0.00 $118,570.50 90% $13,174.50 16 Extension Lift & Railings $607,521.00 $546,768.90 $0.00 $0.00 $546,768.90 90% $60,752.10 SUB - TOTALS $5,997,316.00 $3,777,068.10 $1,074,692.70 $0.00 $4,851,760.80 81% $1,145,555.20 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONTINUATION PAGE Page 3 of 4 PROJECT: 2695 Carmel PAC Payment Application containing Contractor's signature is attached. APPLICATION #: DATE OF APPLICATION: PERIOD THRU: PROJECT #s: 12 04/15/2010 04/30/2010 2695 A B C D E F G H I ITEM # WORK DESCRIPTION SCHEDULED AMOUNT COMPLETED WORK STORED MATERIALS (NOT IN D OR E) TOTAL COMPLETED AND STORED (D + E + F) % COMP. (G / C) BALANCE TO COMPLETION (C -G) RETAINAGE Of Variable) AMOUNT PREVIOUS PERIODS AMOUNT THIS PERIOD 17 Lift Installation $90,000.00 $72,000.00 $0.00 $0.00 $72,000.00 80% $18,000.00 18 Extension Lift Wagons $111,300.00 $0.00 $0.00 $0.00 $0.00 0% $111,300.00 19 Extension Lift Wagon Installation $18,000.00 $0.00 $0.00 $0.00 $0.00 0% $18,000.00 20 House Mix Lift & Railings $248,000.00 $0.00 $198,400.00 $0.00 $198,400.00 80% $49,600.00 21 House Mix Lift Installation $60,000.00 $0.00 $48,000.00 $0.00 $48,000.00 80% $12,000.00 22 House Mix Lift Wagons $70,000.00 $0.00 $0.00 $0.00 $0.00 0% $70,000.00 23 House Mix Lift Wagon Installation $16,000.00 $0.00 $0.00 $0.00 $0.00 0% $16,000.00 24 Loudspeaker Wagon $35,384.00 $0.00 $0.00 $0.00 $0.00 0% $35,384.00 25 Loudspearker Wagon Installation $7,000.00 $0.00 $0.00 $0.00 $0.00 0% $7,000.00 26 Demountable Risers $45,000.00 $0.00 $0.00 $0.00 $0.00 0% $45,000.00 27 Demountable Riser Installation $4,800.00 $0.00 $0.00 $0.00 $0.00 0% $4,800.00 28 Chorus Wagons $189,000.00 $0.00 $0.00 $0.00 $0.00 0% $189,000.00 29 Package 5170 Allowance $200,000.00 $193,289.50 $0.00 $0.00 $193,289.50 97% $6,710.50 30 Package 5180 Allowance $200,000.00 $150,000.00 $0.00 $0.00 $150,000.00 75% $50,000.00 31 Package 5190 Allowance $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100% $0.00 32 CAD As- Builts 5170 & 5180 $20,000.00 $10,000.00 $0.00 $0.00 $10,000.00 50% $10,000.00 Allowance SUB - TOTALS $7,316,800.00 $4,207,357.60 $1,321,092.70 $0.00 $5,528,450.30 76% $1,788,349.70 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONTINUATION PAGE Page 4 of 4 PROJECT: 2695 Carmel PAC Payment Application containing Contractor's signature is attached. APPLICATION #: DATE OF APPLICATION: PERIOD THRU: PROJECT #s: 12 04/15/2010 04/30/2010 2695 A B C D I E F 0 H I COMPLETED WORK STORED TOTAL % BALANCE MATERIALS COMPLETED AND COMP. TO RETAINAGE SCHEDULED ITEM # WORK DESCRIPTION AMOUNT AMOUNT PREVIOUS AMOUNT THIS PERIOD (NOT IN D OR E) STORED (G / C) COMPLETION (If Variable) PERIODS (D + E + F) (C -G) 33 CAD As- Builts 5190 Allowance $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100% $0.00 34 Orchestra Risers $194,000.00 $0.00 $0.00 $0.00 $0.00 0% $194,000.00 35 37 C/O #1 Orchestra riser /slack line deletions, chairwagon - bronze, C/O #2 Allowance Reductions ($203,040.00) ($322,720.00) $0.00 ($320,000.00) $0.00 $0.00 $0.00 $0.00 $0.00 ($320,000.00) 0% 99% ($203,040.00) ($2,720.00) 38 C/O #3 Work Directive $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALS $6,990,040.00 $3,892,357.60 $1,321,092.70 $0.00 $5,213,450.30 75% $1,776,589.70 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONDITIONAL WAIVER AND RELEASE UPON PROGRESS PAYMENT Upon receipt by the undersigned of a check from Itff co r Cu YvI pave I Qs (Maker of Check) in the sum of $ 021,01210 (Amount of Check) payable to (Payee or Payees of Check) and when the check has been properly endorsed and has been paid by the bank upon which it is drawn, this document shall become effective to rel se any rr Bch ic's^lien, to Vice, or bond right the undersigned has the tich/ of ,�w t 9 en-m(6 ViQ JkY l,Pr1-P1' (Owner) located at- T1 rite (, Tti!(� (3Z (Job Description) to the following extent. This release vers a ro ress payment for labor, services, equipment, or material furnished, to I (Your Customer) through 1-1 -J3b ID (Date) only and does not cover any retentions retained before or after the release date; extras furnished before the release date for which payment has not been received; extras or items furnished after the release date. Rights based upon work performed or items furnished under a written change order which has been fully executed by the parties prior to the release date are covered by this release unless specifically reserved by the claimant in this release. This release of any mechanic's lien, stop notice, or bond right shall not otherwise affect the contract rights including rights between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the right of the undersigned to recover compensation for furnished labor, services, equipment, or material covered by this release if that furnished labor, services equipment, or material was not compensated by the progress payment. Before any recipient of this document relies on it, said party should verify evidence of payment to the undersigned. Dated: L 1224 )"D J12_Clancy, Jc. COMPANY NAME • • IA At VC, C (PRINT NAME AND TITLE) APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER- ADVISER EDITION AIA DOCUMENT G702 /CMa (instructions on reverse side) 10 OWNER:`OLVMel R eye(atmWG4 QmOV SC)OnPROJECT: jJc �i'le Ci V t C S�vct.i�.� CO v rM e 1 PAC Cox vine (, Tlv 4(_00.32_ -Kr v4 , , A- Ve1 v q)e SW FROM CONTRACTOR) .R.Cct h Cakvvie i"R032- -7041 ilin4C V land (75ti,YC1CLAX, IJ 192_(-)q VIA CONSTRUCTION MANAGER: CONTRACT FOR:' rcet 11\ to 9iZ 'Vylg Rd'(VIA ARCHITECT: CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet AIA Document G703 is attached. 1 . ORIGINAL CONTRACT SUM $ 1 5 1 5 ) 5 U 1 2 Net Change By Change Orders $ l 525:1 Lf0 QDD $ Lv 01 -1�c 1tJ;IX- 6 60 $ 5,5 2622.4 -S 3. CONTRACT SUM TO DATE (Line 1 ± 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on G702) 5. RETAINAGE: a. % of Completed Work (Columns D + E on G703) b. % of Stored Material (Column F on G703) Total Retainage (Line 5a + 5h or Total in Column I of G703) $ $ $ ` l 02_6() 5 ; I I , y-(ov. Lf 3 4, Si 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) $ 8. CURRENT PAYMENT DUE $ 3S- 115(2.15 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner (100 ( L(j UQ•O Total approved this Month Q, CC) )') o. CO TOTALS 0 ; 00 . `7- ,--1(QU ai) NET CHANGES by Change Order C 5? C.3 71 Eon cn) 5s PAGE ONE OF PAGES APPLICATION NO.: J3 PERIOD TO: S/�li 10 PROJECT NOS.: 2C1.5 CONTRACT DATE: 2-1120(3 Distribution to: El OWNER ❑ CONSTRUCTION MANAGER ❑ ARCHITECT El CONTRACTOR The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor- mation and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and pay- ments received from the Owner, and that current payment shown herein is now due. CONTRACTOR) • k • UCV `" J , Y1 By: State of: (L! eak- County of: Citiv DI4- Subscribed and sworn to before A me this )c, / nay cif /1 / Notary Public: /IA�L t1 010 My Commission expires: y (��Q-I. 45- , i/2010 Date: _S7/ 1.//o MICHAEL JAY PARKIN Notary Public, State of New York Qualified in Onondaga County Reg. No. 01 PA4807278 My Commission Expires May 31, 20& CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 1$ AMOUNT CERTIFIED $ 512 (Attach explanation if amount certified differs from the amount applied for Initial all figures on this Application and on the Continuation Sheet that changed to conform to the amount certified.) Date: Date• This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G707JCMa • APPLICATION AND CERTIFICATE FOR PAYMENT • CONSTRUCTION MANAGER - ADVISER EDITION 1992 EDITION • AIA® • ©1992 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D C. 20006-5292 • WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. r:AI ITIr1N• G702 /CMa -1992 VA,. ehn.drt "CO an nrininal AIA einr..mant whirh hac this rantinn nrintart in rarl An nrininal acenrac that rhannac will not ha nhcrurart ac may nrrnr whan rinnnmontc ara rpnrnrlurpd. CONTINUATION PAGE Page 2 of 4 PROJECT: 2695 Carmel PAC Payment Application containing Contractor's signature is attached. APPLICATION #: DATE OF APPLICATION: PERIOD THRU: PROJECT #s: 13 05/15/2010 05/31/2010 2695 A B C D I E F G H I ITEM # WORK DESCRIPTION SCHEDULED AMOUNT COMPLETED WORK STORED MATERIALS (NOT IN D OR E) TOTAL COMPLETED AND STORED (D + E + F) % COMP. (G / C) BALANCE TO COMPLETION (C -G) RETAINAGE (If Variable) AMOUNT PREVIOUS PERIODS AMOUNT THIS PERIOD 1 Bond $47,266.00 $47,266.00 $0.00 $0.00 $47,266.00 100% $0.00 2 Engineering /Project $415,534.00 $249,320.40 $41,553.40 $0.00 $290,873.80 70% $124,660.20 Management/Mobilization 3 Master Control System $238,100.00 $214,290.00 $0.00 $0.00 $214,290.00 90% $23,810.00 4 Control System Electrical Work $33,750.00 $16,875.00 $8,437.50 $0.00 $25,312.50 75% $8,437.50 5 Control System Turn on and $68,900.00 $0.00 $0.00 $0.00 $0.00 0% $68,900.00 Testing 6 CYC, FOH, Lighting Truss $1,356,800.00 $1,221,120.00 $0.00 $0.00 $1,221,120.00 90% $135,680.00 Motorized Rigging 7 CYC, FOH, Lighting Truss $514,200.00 $257,100.00 $102,840.00 $0.00 $359,940.00 70% $154,260.00 Motorized Rigging Installation 8 Canopy Rigging and Cable Reels $1,301,000.00 $1,235,950.00 $65,050.00 $0.00 $1,301,000.00 100% $0.00 9 Canopy Rigging and Reel $348,800.00 $174,400.00 $69,760.00 $0.00 $244,160.00 70% $104,640.00 Installation 10 Loudspeaker Motorized Rigging $316,200.00 $316,200.00 $0.00 $0.00 $316,200.00 100% $0.00 11 Loudspeaker Rigging Installation $55,800.00 $27,900.00 $11,160.00 $0.00 $39,060.00 70% $16,740.00 12 Variable Acoustic Curtains $118,000.00 $0.00 $0.00 $0.00 $0.00 0% $118,000.00 . 13 Curtain Installation $17,700.00 $0.00 $0.00 $0.00 $0.00 0% $17,700.00 14 Variable Acoustic Tracks /Blocking $426,000.00 $426,000.00 $0.00 $0.00 $426,000.00 100% $0.00 & Actuators 15 Track & Actuator Installation $131,745.00 $118,570.50 $6,587.25 $0.00 $125,157.75 95% $6,587.25 16 Extension Lift & Railings $607,521.00 $546,768.90 $0.00 $0.00 $546,768.90 90% $60,752.10 SUB - TOTALS $5,997,316.00 $4,851,760.80 $305,388.15 $0.00 $5,157,148.95 86% $840,167.05 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONTINUATION PAGE Page 3 of 4 PROJECT: 2695 Carmel PAC Payment Application containing Contractor's signature is attached. APPLICATION #: DATE OF APPLICATION: PERIOD THRU: PROJECT #s: 13 05/15/2010 05/31/2010 2695 A B C D E F G H I ITEM # WORK DESCRIPTION SCHEDULED AMOUNT COMPLETED WORK STORED MATERIALS (NOT IN D OR E) TOTAL COMPLETED AND STORED (D + E + F) % COMP. (G / C) BALANCE TO COMPLETION (C -G) RETAINAGE (If Variable) AMOUNT PREVIOUS PERIODS AMOUNT THIS PERIOD 17 Lift Installation $90,000.00 $72,000.00 $0.00 $0.00 $72,000.00 80% $18,000.00 18 Extension Lift Wagons $111,300.00 $0.00 $0.00 $0.00 $0.00 0% $111,300.00 19 Extension Lift Wagon Installation $18,000.00 $0.00 $0.00 $0.00 $0.00 0% $18,000.00 20 House Mix Lift & Railings $248,000.00 $198,400.00 $0.00 $0.00 $198,400.00 80% $49,600.00 21 House Mix Lift Installation $60,000.00 $48,000.00 $0.00 $0.00 $48,000.00 80% $12,000.00 22 House Mix Lift Wagons $70,000.00 $0.00 $0.00 $0.00 $0.00 0% $70,000.00 23 House Mix Lift Wagon Installation $16,000.00 $0.00 $0.00 $0.00 $0.00 0% $16,000.00 24 Loudspeaker Wagon $35,384.00 $0.00 $0.00 $0.00 $0.00 0% $35,384.00 25 Loudspearker Wagon Installation $7,000.00 $0.00 $0.00 $0.00 $0.00 0% $7,000.00 26 Demountable Risers $45,000.00 $0.00 $0.00 $0.00 $0.00 0% $45,000.00 27 Demountable Riser Installation $4,800.00 $0.00 $0.00 $0.00 $0.00 0% $4,800.00 28 Chorus Wagons $189,000.00 $0.00 $0.00 $0.00 $0.00 0% $189,000.00 29 Package 5170 Allowance $200,000.00 $193,289.50 $0.00 $0.00 $193,289.50 97% $6,710.50 30 Package 5180 Allowance $200,000.00 $150,000.00 $2,124.00 $0.00 $152,124.00 76% $47,876.00 31 Package 5190 Allowance $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100% 00.00 32 CAD As- Builts 5170 & 5180 $20,000.00 $10,000.00 $0.00 $0.00 $10,000.00 50% $10,000.00 Allowance SUB - TOTALS $7,316,800.00 $5,528,450.30 $307,512.15 $0.00 $5,835,962.45 80% $1,480,837.55 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONTINUATION PAGE Page 4 of 4 PROJECT: 2695 Carmel PAC Payment Application containing Contractor's signature is attached. APPLICATION #: DATE OF APPLICATION: PERIOD THRU: PROJECT #s: 13 05/15/2010 05/31/2010 2695 A B C D E F G H I ITEM # WORK DESCRIPTION SCHEDULED AMOUNT COMPLETED WORK STORED MATERIALS (NOT IN D OR E) TOTAL COMPLETED AND STORED (D + E + F) % COMP. (G / C) BALANCE TO COMPLETION (C -G) RETAINAGE (If Variable) AMOUNT PREVIOUS PERIODS AMOUNT THIS PERIOD 33 CAD As- Builts 5190 Allowance $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100% $0.00 34 Orchestra Risers $194,000.00 $0.00 $0.00 $0.00 $0.00 0% $194,000.00 35 37 C/O #1 Orchestra riser /slack line deletions, chairwagon - bronze, C/O #2 Allowance Reductions ($203,040.00) ($322,720.00) $0.00 ($320,000.00) $0.00 $0.00 $0.00 $0.00 $0.00 ($320,000.00) 0% 99% ($203,040.00) ($2,720.00) 38 C/O #3 Work Directive $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALS $6,990,040.00 $5,213,450.30 $307,512.15 $0.00 $5,520,962.45 79% $1,469,077.55 CONTINUATION PAGE Quantum Software Solutions, Inc. Document UNCONDITIONAL WAIVER AND RELEASE UPON PROGRESS PAYMENT The undersigned has been paid and has received a progress payment in the sum of $ 13 fq 1_91 for labor, services, equipment, or material furnished to �� r► A (Your Customer) on the job ?,A the L f r A —Cr (Owner) located at -17l anryi .f ;, 0-S2— (Job Description) and does hereby release any mechanic's lien, stop notice, or bond right that the undersigned has on the above referenced job to the following extent. This release cov -rs progress payment for labor, services, equipment, or materials furnished to Lric (Your Customer) through ().tart 21HO (Date) only and does not cover any retentions retained before or after the release date; extras furnished before the release date for which payment has not been received; extras or items furnished after the release date. Rights based upon work performed or items furnished under a written change order which has been fully executed by the parties prior to the release date are covered by this release unless specifically reserved by the claimant in this release. This release of any mechanic's lien, stop notice, or bond right shall not otherwise affect the contract rights, including rights between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the right of the undersigned to recover compensation for furnished labor, services, equipment, or material covered by this release if that furnished labor, services, equipment, or material was not compensated by the progress payment. MR Y��� COMPANY NAM THIS DOCUMENT WAIVES RIGHT'S UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE EIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAO, USE A CONDITIONAL RELEASE FOR', TRANSFER OF TITLE J.R. Clancy, Inc. ( "Contractor ") transfers to Village Financial, LLC any and all right, title and /or interest that Contractor has in any labor and /or materials described in (i) that Affidavit of Waiver of Lien executed by the Contractor on MQ,(A , 20 /0, and (ii) in the "Amount of this Request" section of that Affidavit executed by the Contractor on M CUJ , (9 , 20 /0. "CONTRACTOR" B "II ui s. Printed: *.Ul (,, i Vo-v NCI d: U� Title: Pa () U V I'h V QA C cy .{/- UNCONDITIONAL WAIVER AND RELEASE UPOII PROGRESS PAYMENT The undersigned has been paid and has received a progress payment in the sum of $ )Jq for labor, services, equipment, or material furnished to (Your Customer) on the job Z (Owner) located at -1 Ave S w . 0S (Job Description) and does hereby release any mechanic's lien, stop notice, or bond right that the undersigned has on the above referenced job to the following extent. This release cov -rs prog ss payment for labor, services, equipment, or materials furnished to (Your Customer) through I..1. i 4 I (Date) only and does not cover any retentions retained before or aft - the release date; extras furnished before the release date for which payment has not been received; extras or items furnished after the release date. Rights based upon work performed or items furnished under a written change order which has been fully executed by the parties prior to the release date are covered by this release unless specifically reserved by the claimant in this release. This release of any mechanic's lien, stop notice, or bond right shall not otherwise affect the contract rights, including rights between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the right of the undersigned to recover compensation for furnished labor, services, equipment, or material covered by this release if that furnished labor, services, equipment, or material was not compensated by the progress payment. Dated: fACuj 0,260 .R Ga s�,c COMPANY NAM B NOTICE: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN FAIR FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. CONDITIONAL AL WAIVER AND RELEASE UPON PROGRESS PAYMENT Upon receipt by the undersigned of a check from �� CO � O V v l VIM l� (Maker of Check) in the sum of $ ?7;5 )2, /F (Amount of Check) payable to (Payee or Payees of Check) and when the check has been properly endorsed and has been paid by the bank upon which it is drawn, this document shall become effective to rel se any m ha ic's lien, stop notice, or bond right the undersigned has n the job �f Y 6MC ( i' �at'►M I h Mc CP �� -�' (Owner) located at --n-7 AVQ SVt/ 1��'►MP , INJ 1-- [ -I.PO? 5 (Job Description) to the following extent. This release co rs a progress payment for labor, services, equipment, or material furnished to I Sc.ic'--on (Your Customer) through (�/1(u4 2D 1 (Date) only and does not cover any retentions retained before or after the release date; extras furnished before the release date for which payment has not been received; extras or items furnished after the release date. Rights based upon work performed or items furnished under a written change order which has been fully executed by the parties prior to the release date are covered by this release unless specifically reserved by the claimant in this release. This release of any mechanic's lien, stop notice, or bond right shall not otherwise affect the contract rights including rights between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the right of the undersigned to recover compensation for furnished labor, services, equipment, or material covered by this release if that furnished labor, services equipment, or material was not compensated by the progress payment. Before any recipient of this document relies on it, said party should verify evidence of payment to the undersigned. Dated: 19i .Di 0 J, R. C a , ._a, c . COMPANY NAME By Its r( u Wore I' v- r. A r. 4 J (PRINT NAME AND TITLE)