HomeMy WebLinkAboutContract payments previously made - $83,350Mercantile 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
Payment to Carmel Redevelopment Commission for reimbursement of
Contract payments previously made
83,350.00
Total Authorized Disbursement
r_ '.F..: _ :; ,
$83;35000
„-
,;_ -• ,
All terms used in these Disbursement Instructions without definition shall have the meanings ascribed
thereto in that certain Loan Agreement (Seating Contract), dated as of August 31, 2009, by and between
Lender and Village Financial, LLC.
Dated: December 15, 2009
CITY OF CARMEL REDEVELOPMENT
COM SION
By:
Printed: Les Olds
Title: Director of Redevelopment
1tAIA Document GR 02 /*+MaTM
1992
Application and Certificate for Payment Construction Manager - Adviser Edition
TO OWNER:
FROM
CONTRACTOR:
CONTRACT FOR:
City of Carmel Indiana
Redevelopment Commission
Indianapolis, IN 46032
SECOA, Inc.
8650 109th Ave. North
Champlin, MN 55316
Fixed Audience Seatign
PROJECT:
VIA CONSTRUCTION
MANAGER:
VIA ARCHITECT:
Carmel Regional Performing Arts
Center
211 City Center Drive
Carmel, IN 46032
Shiel Sexton Co. Inc.
CSO Architects, Inc.
APPLICATION NO: 002
PERIOD TO: May 31, 2009
CONTRACT DATE: November 18, 2008
PROJECT NOS: / / 2695 -5200
Distribution to:
OWNER: X
CONSTRUCTION MANAGER: X
ARCHITECT: X
CONTRACTOR:
FIELD:
OTHER:
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 $
2. NET CHANGE BY CHANGE ORDERS $
3. CONTRACT SUM TO DATE (Line 1 ± 2) $
4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) $
835,196.00
0.00
835,196.00
83,350.00
5. RETAINAGE:
a. 10 % of Completed Work
(Column D + E on G703) $ 8,335.00
b. 0 % of Stored Material
(Column F on G703) $ 0.00
Total Retainage (Lines 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
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information 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 payments received from the Owner, and that current
payment shown herein is now due.
CONT O :
iorY
By:
State of:
es
a
County of: Hennepi
Subscribed and sworn to befog M
me this /40-) day of Mat/ / 0 9
Notary ublic: Kristen Shattuck ' ! "�
My Commission expires: January 31, 2010
Date; May 14, 2009
er, Secretary
,:Q KRISTEN M. SHATTUCK
Notary Public
Minnesota
;�. My Canmission Expires January 31, 2010
8,335.00 CERTIFICATE FOR PAYMENT
75,015.00
7,515.00
$ 67,500.00
$ 760,181.00
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months by Owner
$ 0.00
$
Total approved this Month
$ 0.00
$ 0.00
TOTALS
$ 0.00
$ 0.00
NET CHANGES by Change Order
$ 0.00
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
JCERTIFIED.
AMOUNT CERTIFIED $ 67,500.00
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this
Application and on the Continuation Sheet that anged to conform with the amount certified.)
CONSTRUCTION *AGE!:
BY: Ilk, • •.�• • �.�.
�,. 11•
ARCHIT
By: .gil Date:
This Cert. cate is of negotiable. The AMOUNT CERTIFIED is payable only to he Contractor
named rein. ante, payment and acceptance of payment are without prejudice to any rights of
the 0 er o ' ontractor under this Contract.
Date:
AIA Document G7021CMaTM' —1992. Copyright 01992 by The American Institute of Architects. All rights reserved. UTARNING: This AIA® Document is protected by U.S. Copyright Law and International
Treaties. Unauthorized reproduction or distribution of this AIAe 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. This document was produced by AIA software at 09:54:41 on 05/14/2009 under Order No.1000377944 1 which expires on 11/10/2009, and is not for resale.
User Notes:
(1179859049)
1
''41I�'�', rnt
?2 Document G7O2 /CMa —1992
Application and Certificate for Payment Construction Manager - Adviser Edition
TO OWNER: City of Carmel Indiana PROJECT: Carmel Regional Performing Arts APPLICATION NO: 001
Redevelopment Commission Center
Indianapolis, IN 46032 211 City Center Drive
Carmel, IN 46032
VIA CONSTRUCTION Shiel Sexton Co. Inc.
MANAGER:
FROM
CONTRACTOR:
CONTRACT FOR:
SECOA, Inc.
8650 109th Ave. North
Champlin, MN 55316
Bid Package #5200 - Fixed
Audience Seating
VIA ARCHITECT: CSO Architects, Inc.
PERIOD TO: January 31, 2009
CONTRACT DATE: November 18, 2008
PROJECT NOS: / / 2695 -5200
Distribution to:
OWNER: El
CONSTRUCTION MANAGER:
ARCHITECT:
CONTRACTOR: ❑
FIELD: ❑
OTHER: ❑
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 $
2. NET CHANGE BY CHANGE ORDERS $
3. CONTRACT SUM TO DATE (Line 1 ± 2) $
4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) $
5. RETAINAGE:
a. 10 % of Completed Work
(Column D + E on G703) $ 835.00
b. 0 % of Stored Material
(Column F on G703) $ 0.00
Total Retainage (Lines 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
835,196.00
0.00
835,196.00
8,350.00
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
835.00
7,515.00
0.00
$ 7,515.00
$ 827,681.00
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months by Owner
$ 0.00
$ 0.00
Total approved this Month
$ 0.00
$ 0.00
TOTALS
$ 0.00
$ 0.00
NET CHANGES by Change Order
$ 0.00
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information 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 payments received from the Owner, and that current
payment shown herein is now due.
CONTRA
By:
Date: January 15, 2009
State of: Min esota
County of: Hennepin
Subscribe and sworn to bee
me this ( ,141 day of j a /1 COA \f & 01 0 Notary Public: Kristen Shattuck t
My Commission expires: January 31, 2010
CERTIFICATE FOR PAYMENT
KRISTEN M. SHE ATT K
tVil! Notary Public
Minnesota
my Cot omission Ex iresJanu731.2010
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 CER I IMED.
AMOUNT CERTIFIED $ 7,515.00
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this
Application and on the Continuation Sheet that are changed to conform with the amount certified.)
CONSTRUCTION MANAGER: /
By: Date: 1 12. /03
ARCHITECT: -- /
By:
This Cert cafe is .t negotiable. The AMOUNT CER 171'ItD is payable o ly to the Contractor
named ein. I ice, payment and acceptance of payment are without prejudice to any rights of
the Ow o ' . ntractor under this Contract.
Date:
AIA Document G702/CMa*M -1992. Copyright ® 1992 by The American Institute of Architects. All rights reserved. WARNING: This Ale 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. This document was produced by AIA software at 14:20:16 on 01/16/2009 under Order No.1000377944 1 which expires on 11/10/2009, and is not for resale.
User Notes: —
(2619445903)
1