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Home My WebLink AboutJ.R. Clancy - $252,754Exhibit 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, LLC as per the PAC Equipment installment purchase contract Application 18 (JR Clancy) October 2010 $ 252,754.70 Total Authorized Disbursement $ 252,754.70 .. 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 betwee Le +er and Village Financial, LLC. Dated: 11" CITY OF CARMEL REDEVELOPMENT COMMISSION By Les S. Olds Printed Executive Director Title 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 Paid by Village Financial $ 1,321,092.70 May 2010 Paid by Village Financial $ 307,512.15 June 2010 Paid by Village Financial $ 613,487.55 July 2010 Paid by Village Financial $ 57,114.02 August 2010 Paid by Village Financial $ 140,058.83 September 2010 Paid by Village Financial $ _ 162,371.17 October 2010 Amount to be paid by Village Financial $ 252,754.70 APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER - ADVISER EDITION AIA DOCUMENT G702 /CMa (Instructions on reverse side) PAGE ONE OF PAGES TO OWNEFkLYWIeA R elie \iztopr Qv j- ComviiSSic,'l v1( vLr Y- CaY vvt e (, FROM CONTRACTORS.e.CICW1U-),SrIC, '10I•i 1.!Yt i2I's }tip .Tslahct etk Syracuc,Q, 1 1 PROJECT:J•a.0 ui 2L9 Ca. r IN16 PAc. Ord Nemue Sin/ CCU( me,t1 VIA CONSTRUCTION MANAGER: CONTRACT FOR:pew -at l�, Qkope.)41 ,) „its flY VIA ARCHITECT: APPLICATION NO.: `O PERIOD TO: td f;( / /0 PROJECT NOS.: J((CLI l 4 2 2QS -5110 CONTRACT DATE: 2114 Distribution to: ❑ OWNER ❑ CONSTRUCTION MANAGER ❑ ARCHITECT ❑ CONTRACTOR CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection Continuation Sheet, AIA Document G703, is attached. ORIGINAL CONTRACT SUM 2. Net Change By Change Orders 3. CONTRACT SUM TO DATE (Line 1 ± 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on G702) 5. RETAINAGE: % of Completed Work (Columns D + E on G703) b. % of Stored Material with the Contract. $ -715 ( 0() $ ( 5z5 -7 L,PD, cc) s 4C1 2 -CCU (Column F on G703) Total Retainage (Line 5a + 5b or Total in Column I of G703) 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 L `Ic1i•02, 9. BALANCE TO FINISH, INCLUDING RETAINAGg Z n 2 (Line 3 less Line 6) $ �� 1 ` J CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner 0.(n (5 ZS •- -)0(1 CC)) Total approved this Month 0. OD 0.00 C52_(; —1(.0060 TOTALS 6. O O NET CHANGES by Change Order ICj2S 71CIO(Dj 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:'% By: State of: / ejA C//.)' V&�x County of: vl6tidet-qa. Subscribed and sworn to before me this t� day of .T L_ Notary Public: My Commission expires Date LDjZSI 10 0�O/ OBRADLEY R RIVERS Notary Puulic. State of New York Qualified in Onondaga County No 0 1 E115018349 —I3 Commission Expires September 27, 2'� 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. AMOUNT CERTIFIED g Z'S5`1 (Attach explanation if amount certified differs from the amount applied for Initial all figures on this Application and on the Con nation Sheet that changed to conform to the amount certified.) C! STRUC By: ARC MA GER: Dare By' �.,;_ 3. Date /O tt t 2,1 i(e 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 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 rAIITIttlI• Vnn cl.ngirl nca an nnninaI AIA rine. aman} which ham }hie rautinn nrintori in rad An nrininal aceurac that rhannae will not he nhcrurorl ac mast nrrur whop dnrumontc an. renrndiu Pd. CONTINUATION PAGE Page 2 of 4 PROJECT: J.R. Clancy 2695 -5170 Carmel PAC Payment Application containing Contractor's signature is attached. APPLICATION #: 18 DATE OF APPLICATION: 10/15/2010 PERIOD THRU: 10/31/2010 PROJECT #s: J.R. Clancy 2695 -5170 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 Of 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 $373,980.60 $20,776.70 $0.00 $394,757.30 95% $20,776.70 Management/Mobilization 3 Master Control System $238,100.00 $214,290.00 $23,810.00 $0.00 $238,100.00 100% $0.00 4 Control System Electrical Work $33,750.00 $33,750.00 $0.00 $0.00 $33,750.00 100% $0.00 5 Control System Turn on and $68,900.00 $10,335.00 $55,120.00 $0.00 $65,455.00 95% $3,445.00 Testing 6 CYC, FOH, Lighting Truss $1,356,800.00 $1,356,800.00 $0.00 $0.00 $1,356,800.00 100% $0.00 Motorized Rigging 7 CYC, FOH, Lighting Truss $514,200.00 $514,200.00 $0.00 $0.00 $514,200.00 100% $0.00 Motorized Rigging Installation 8 Canopy Rigging and Cable Reels $1,301,000.00 $1,301,000.00 $0.00 $0.00 $1,301,000.00 100% $0.00 9 Canopy Rigging and Reel $348,800.00 $348,800.00 $0.00 $0.00 $348,800.00 100% $0.00 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 $55,800.00 $0.00 $0.00 $55,800.00 100% $0.00 12 Variable Acoustic Curtains $118,000.00 $0.00 $118,000.00 $0.00 $118,000.00 100% $0.00 • 13 Curtain Installation $17,700.00 $0.00 $14,160.00 $0.00 $14,160.00 80% $3,540.00 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 $131,745.00 $0.00 $0.00 $131,745.00 100% $0.00 16 Extension Lift & Railings $607,521.00 $607,521.00 $0.00 $0.00 $607,521.00 100% $0.00 SUB - TOTALS $5,997,316.00 $5,737,687.60 $231,866.70 $0.00 $5,969,554.30 99% $27,761.70 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONTINUATION PAGE Page 3 of 4 PROJECT: J.R. Clancy 2695 -5170 Carmel PAC Payment Application containing Contractor's signature is attached. APPLICATION #: 18 DATE OF APPLICATION: 10/15/2010 PERIOD THRU: 10/31/2010 PROJECT #s: J.R. Clancy 2695 -5170 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 $90,000.00 $0.00 $0.00 $90,000.00 100% $0.00 18 Extension Lift Wagons $111,300.00 $111,300.00 $0.00 $0.00 $111,300.00 100% $0.00 19 Extension Lift Wagon Installation $18,000.00 $4,500.00 $900.00 $0.00 $5,400.00 30% $12,600.00 20 House Mix Lift & Railings $248,000.00 $248,000.00 $0.00 $0.00 $248,000.00 100% $0.00 21 House Mix Lift Installation $60,000.00 $60,000.00 $0.00 $0.00 $60,000.00 100% $0.00 22 House Mix Lift Wagons $70,000.00 $70,000.00 $0.00 $0.00 $70,000.00 100% $0.00 23 House Mix Lift Wagon Installation $16,000.00 $4,000.00 $8,000.00 $0.00 $12,000.00 75% $4,000.00 24 Loudspeaker Wagon $35,384.00 $35,384.00 $0.00 $0.00 $35,384.00 100% $0.00 25 Loudspearker Wagon Installation $7,000.00 $1,750.00 $350.00 $0.00 $2,100.00 30% $4,900.00 26 Demountable Risers $45,000.00 $45,000.00 $0.00 $0.00 $45,000.00 100% $0.00 27 Demountable Riser Installation $4,800.00 $3,600.00 $1,200.00 $0.00 $4,800.00 100% $0.00 28 Chorus Wagons $189,000.00 $37,800.00 $0.00 $0.00 $37,800.00 20% $151,200.00 29 Package 5170 Allowance $200,000.00 $183,646.42 $1,661.00 $0.00 $185,307.42 93% $14,692.58 30 Package 5180 Allowance $200,000.00 $161,326.00 $8,777.00 $0.00 $170,103.00 85% $29,897.00 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 $6,808,994.02 $252,754.70 $0.00 $7,061,748.72 97% $255,051.28 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONTINUATION PAGE Page 4 of 4 PROJECT: Payment Application containing Contractor's signature is attached. J.R. Clancy 2695 -5170 Carmel PAC APPLICATION #: DATE OF APPLICATION: PERIOD THRU: PROJECT #s: J.R. 18 10/15/2010 10/31/2010 Clancy 2695 -5170 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 C/O #1 Orchestra riser /slack line ($203,040.00) $0.00 $0.00 $0.00 $0.00 0% ($203,040.00) deletions, chairwagon - bronze, ■ 37 C/O #2 Allowance Reductions ($322,720.00) ($320,000.00) $0.00 $0.00 ($320,000.00) 99% ($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 $6,493,994.02 $252,754.70 $0.00 $6,746,748.72 97% $243,291.28 CONTINUATION PAGE Quantum Software Solutions, Inc. Document CONDITIONAL WAIVER AND RELEASE UPON PROGRESS PAYMENT Upon receipt by the undersigned of a check from Te C C D Y (Maker of Check) in the sum of $ L521 S Li fl 0 (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 relpAse any m ha ic's lien, stop notice, or bond right the undersigned hasn the job �f Y'Y\ . i' df I I (Owner) located at 7"11 Avg SVI% 4L00032.: (Job Description) to the following extent. This release cows a p gres payment for labor, services, equipment, or material furnished to D°) it I xe.i(TOI\ (Your Customer) through DC Uhf r O (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: I DI u 1 l J, R. Cave, mac. COMPANY NAME (PRINT NAME AND TITLE)