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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