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HomeMy WebLinkAboutLaFever Electric - $15,113.14 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 Amphitheater Equipment and Improvements installment purchase contract Application 4(LaFever) May 2011 $ 3,568.40 Application 5(LaFever) July 2011 $ 4,769.05 Application 6(LaFever) September 2011 $ 6,775.69 Total Authorized Disbursement $ 15,113.14 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 nk and Carmel Theater Development Company, LLC. Dated: /0 27 �! CITY OF CARMEL REDEVELOPMENT COMMISSION By: WV' 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. Draft Amphitheater (LaFever Electric) March 2011 (application 1) Paid by the Carmel Theater Development Company $ 11,655.00 April 2011 (application 2) Paid by the Carmel Theater Development Company $ 13,249.12 May 2011 (application 3) Paid by the Carmel Theater Development Company $ 7,211.48 May 2011 (application 4) Amount to be paid by the Carmel Theater Development Company $ 3,658.40 July 2011 (application 5) Amount to be paid by the Carmel Theater Development Company $ 4,769.05 September 2011 (application 6) Amount to be paid by the Carmel Theater Development Company $ 6,775.69 '" `- Document G702/CMaTM - 1992 DECEIVE® Application and Certificate for Payment Construction Manager-Adviser Edition MAY 23 2011 TO OWNER: PROJECT: 7B-2 Amphitheater APPLICATION NOM CR Nq EM CONS Distribution to: Carmel Theatre=Dev. Commission 3rd Avenue Southwest PERIOD TO 5/31/2011 TRVQION OWNER ❑ . 30 West Main Street, Suite 220 Carmel, Indiana Carmel, Indiana 46032 CONSTRUCTION MANAGER El FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 3/7/2011 ARCHITECT ❑ LaFever Electric, Inc. Meyer Najem Construction, LLC PROJECT NOS: 1777 / / CONTRACTOR I=1 131 N. Rangeline Road VIA ARCHITECT: Carmel, Indiana 46032 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 payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed 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 $ 41,500 00 payment shown herein is now due. 2. Net change by Change Orders $ -5,816.00 CONTRACTOR: LaFev rrlectric, Inc 3.CONTRACT SUM TO DATE(Line 1 ±2) $ 35,684.00 By V.cJ Q •O'• — Date: 5/20/2011 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 35,684.00 State of: Indiana Michael A,.,,�Fever, Vice-President 5.RETAINAGE County of Hamilton �o\‘°��N{ Jati�'4 �'' a. 1 p %of Completed Work Subscribed and sworn to before (Column D+Eon G703) $ - me this20th day . 4 - b 10 %of Stored Material Notary Public: .. " Colleen S. Marvel (Column F on G703) $ - My Commission -xpires: a i� °P' c : ��i. ■ Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ - CERTIFICA OR PAYMENT `tj� 6.TOTAL EARNED LESS RETAINAGE $ 35,684.00 In accordance with the Contract Docu ,,nts'•based op.. n-sitp'observations and the data comprising this application,the Construction ManagBr�j�1d Ot k fy to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work tffia, tt'pgt st'A d as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 32,115.60 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 RETAINAGE $ 3,568.40 AMOUNT CERTIFIED $ 1 i 5-(0g �� 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if •int certified differs from the amount applied. Initial all figures on this Application and on 'e Con Cation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) ° $ - CONSTRUCTION M•N:GER: By '.;,.. Date: % CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: � Total changes approved in previous months by Owner $ - $ 5,816.00 By ;;�,.. "� �� `� Date: Total approved this Month $ - $ - This Certificate is not n- otiable. Th:I MOUN+ CERTIFIED is payable o y to the Contractor TOTALS $ - $ 5,816.00 named herein. Issuanc , payment a . 3cceptanc• of payment are without prej dice to any rights of NET CHANGES by Change Order $ -5.815.00 the Owner or Contrac or under ti': Co ract. 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. ^ti ��� G, == Document G702/CMaTM - 1992 Instructions ,,.pplication and Certificate for Payment Construction Manager-Adviser Edition A.General Information --_ AIA Document G702/CMa",-Application and Certificate for Payment,Construction Manager-Adviser Edition,is to be used in conjunction with AIA Document G703, Continuation Sheet.These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A201/CMa,General Conditions of the Contract:for.Construction,Construction Manager-Adviser Edition,1992 Edition. B.Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this.document:nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702/CMa,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End'User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. C.Completing the G702/CMa Form .. After the Contractor tics completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor shouldsign G702/CMa,have it notarized and submit it together with G703,to the Construction Manager and Architect. The Construction Manager and Architect should review G702/CMa and G703 and if they are acceptable,complete the Certificate for Payment on G702/CMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and,9.6 of A201/CMa.They should then initial all figures on G702/CMa and G703 that have been changed to conform to the amount certified and attach an explanation.The-completed G702/CMa and G703 should be forwarded to the Owner. ". D.Completing the G703.;Form �ading:This information should be completed to be consistent with similar information on AIA Document G702/CMa,Application and Certificate for Payment, onstruction Manager-Adviser Edition. Columns A,B&C:These columns should be completed by identifying the various portions;of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used'when required. Column C should be subtotaled at the bottom when more than one page is used and:totaled on the last page.Initially,this total should egifl the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. ; Column D:Enter in this column the amount of completed work covered by the previous application(columns D&E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. `• Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at'the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this.columri Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column,E(Work Completed-This Period). d-, Column G:Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the difference between column C(Scheduled Value)and-column G(Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own G703 form oat the end of the basic schedule.The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702/CMa form:'. Construction Change Directives:Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change -Orders.Amounts remaining in dispute should be dealt with according to Section 7:3 in A201/CMa. E.Making Payment '° o lee Owner should make payment directly to the Contractor based on the amount certified by tf e Construction Manager and Architect on ArAIDocument G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completed-form contains the name and address of°tfae.Contractor.Payment should not be made to any other party unless specifically indicated on G702/CMa. 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. 0 0 0 JOB NAME 7B-2 Amphitheater APPLICATION DATE 5/20/2011 PAGE NUMBER 1 APPLICATION NUMBER 4 PERIOD TO 5/31/2011 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 2,500.00 2,500.00 - - 2,500.00 100 - - - - L 4,500.00 4,500.00 - 4,500.00 100 - - - 2.00 Wire M 4,525.00 4,525.00 - 4,525.00 100 - - L 2,200.00 2,200.00 2,200.00 100 - - 3.00 Switchgear M 5,000.00 5,000.00 - - 5,000.00 100 - - - - L 2,525.00 2,525.00 - 2,525.00 100 - - 4.00 Light Fixtures M 3,600.00 3,600.00 - - 3,600.00 100 - - - - L 1,200.00 1,200.00 - 1,200.00 100 - - 5.00 Excavating 1,000.00 1,000.00 - - 1,000.00 100 - - 6.00 Core Drilling and Weatherproofing 2,200.00 2,200.00 - 2,200.00 100 - - 7.00 Allowance 10,000.00 10,000.00 - - 10,000.00 100 - - 8.00 Payment and Performance Bond 750.00 750.00 - 750.00 100 - - 9.00 Submittals 500.00 500.00 - - 500.00 100 - - 10.0 Mobilization 500.00 500.00 - 500.00 100 - - 11.0 Closeout 500.00 500.00 - - 500.00 100 - - 12.0 Unused Allowance (5,816.00) (5,816.00) (5,816.00) 100 - - - - L - - - - - M - - - - - - - - - L - - - - - - M - - - - - - - - - L - - - - - M - - - - - - - - L - - - - - - I35,684.00 35,684.00 _ 35,684.00 - - FINAL WAIVER OF LIEN State of Indiana }ss County of I-Iamilton Pilo: - _ - -- TO WHOM IT B Y CONCERris WIOREA.4 the orders4 iwd trac hewn eutpteyed by LaFever Electric,Inc. MowstOeatr.om.whrwSeteeeaeaer to ttrmdeh Electrical Work • - - Rwerrs.z n;d.b be tt+e fe tedeee dm ated to, 7B-2 Amphitheater *wow ear aw&Seta*awrb•t+r OfthiCtt Carmel Theater Development Commission is the owner, ro.eedewat THE onderstpos,Caroad irh conotiendlon Three Thousand Five Hundred Sixty-Eight Dollars and Forty Cents j3,568.40)Aotlart.and otter good avid vahtshte aoeaii eruion,the receipt Motor it hereby achnowkdged,de(es)Nubby waive scud Plumt inn end sil Men or chitn or right of lien under the Statute of the State wherein the had 1s betted,Madre to Mccbmac's liens,on the above described premises and imprat orterde therm,and or Ike,Wailes or Our conaideraeiiens due or to become doe them Ste owner.an account of tabor or auvates,motorist.t4xt>ms or epostrelus henstofore finished or which nurse be rtmrisbed at any time h by the undersigned itir the aboan descn'ked Premises. Signed this 20th day,of Miv 1 1 Michael A. LaFever,Vice-President a. Nana A/waivers mast be ibr the Atil amount paid.ifereiver b fora corporation,c rpotatt acme shoe td be mat,oerperate seal sabred said tide correct aigniing waver*oilld be set forth;It waiver is for a parmersnip,the partnership nose should be treed,peruse"t bould atgs and destume Masself es parr. CONTRACTOR'S AFFIDAVIT State of Indiana }ss County of Hamilton 1 TO WHOM if MAY CONCERN: 11M Inulatolkned4,beln4 dtdy AV sa dppo says drat he is Vice-President at ever Electnc,Inc.'" who fa the aamraaar tar pro Pleetn ca rr or• waits on the butldivgtoc d 3rd venue arme, n Tana '2 " owned by anne ea er eve opmen o sus ion That the toad mnuuat of theme/Fact lmeiudt*hA extras is s 3S 684.00 ow which he has rxaveit paymai of$ 1 1_655.00 prior to this payocem.That all waivers ate true,crmet and gamine zed delivered uncont tonatty aon truss theta is no claim cutter regal or ogeitabk to defeat ttte validity vtw4[wstaa a lace dhc following tun the namrs of all parties who hone finished material or labor,ar fin-said work that sll panics bah'ail ctntrattrt of inihoOriort5 for sprxlGo panties of said work or for materiel entering into the consrructivo thereof and the mount thHI or to bcaosno doe to each,and Salle items mtmtioccd iocbnhtd all Mot cad rttareriol to .. ., � _. . �, said work t:Lwrdd to plans old • . r� � a i. _ MAMA Dog :T T' e`� trR!rr1i: y 'i�'� i KDT rent mg c. j:}�!!r.[h �cavalon y �[IUII�II17 1 0 .00�111111M 0 10 rn.r• . n--1 z 4".7—s iimmtesigii III II 0 0 1 11 + , sir no enter contrasts foT said work=standing,and that dine is nothing.. -or to became dine to any p aeon for'menial,labor or other wont dray kind 44700 or to be drat*upon or in oaratectioat with said wok other that+rove raped. Aped this 20th day ca- May ,10 11 Michael A.LaFever Vice-President Y Subscribed and mom to` me this.. , >,. .• ,20 _ Collet S. Marv-1 SEA' e � •� Tel CD16 r'.:;sion Ea . - : •. ,2018 ` of Madison County ,//1(D!ASP ,ry,r,hhnputthturih _ . ,, At. Document G702/CMaTM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition � �F!vet) TO OWNER: PROJECT: 7B-2 Amphitheater APPLICATION NO: 5 Jul. 2 o Distribution to: Carmel Theatre Dev. Commission 3rd Avenue Southwest PERIOD TO: iE f�daq,� 2 11 OWNER ❑ 30 West Main Street, Suite 220 Carmel, Indiana M CONS 1RUCTION MANAGER ❑ Carmel, Indiana 46032 FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 3/7/2011 'ON ARCHITECT ❑ LaFever Electric, Inc. Meyer Najem Construction, LLC PROJECT NOS: 1777 I / CONTRACTOR ❑ 131 N. 131 N. Rangeline Road VIA ARCHITECT: FIELD ❑ Carmel, Indiana 46032 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 payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed 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 $ 41,500.00 payment shown herein is now due. 2.Net change by Change Orders '. $ -1.046.95 CONTRACT�ORA:^ L,aFQver Elec ric, Inc. 3.CONTRACT SUM TO DATE(Line ( ±2) $ 40,453.05 By: Vul1 G , Date: 7/20/2011 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 40,453.05 State of: Indiana Michael P\ �,afever Vice-President 5.RETAINAGE: • County of: Hamilton ��``4�" �( 8� `"'4o,,��� a. 10 %of.Completed Work Subscribed and sworn to b re �° Q • j<S? (Column D+Eon G703) $ 0.00 me this2oth day o J ly, t 0 b. 10 %of Stored Material Notary Public: __ � Colleen S. Marvel (Column F on G703) $ 0.00 My Commission expir : 4'1; ' 'Kg, Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ o.00 CERTIFICATE FOR PAYMENT—" _- z 40 453.05 In accordance with the Contract Docuiknts;•based oq..o'-situ bservations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application,the Construction Manag i'vP) t `ay to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Worktiftenimgliiws'el as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT . $ 35,684.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AUNT (Line 6 from prior Certificate) CERTIFIED. �����. 8.CURRENT PAYMENT DUE $ 4,769.05 AMOUNT CERTIFIED $ 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on t e Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ 0.00 CONSTRUCTIO oix, R: By: ',S Date: 7 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner $ - $ 5,816.00 By: Itf Date: II Total approved this Month $ 4769.05 $ - This Certificate negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ 4769.05 $ - named herein. ce payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ -1046.95 the Owner or ractor 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 AIA®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. • Document G702/CMaTM - 1992 Instructions Application and Certificate for Payment Construction Manager-Adviser Edition A.General Information AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition,is to be used in conjunction with AIA Document G703, Continuation Sheet.These documents are d'e`signed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A201/CMa,General Conditions of the Contract"for-Construction,Construction Manager-Adviser Edition, 1992 Edition. B.Reproductions •. -- This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document;;nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702/CMa,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. C.Completing the G702/CMa Form After the Contractor has completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition. = - The Contractor shouldsign G702/CMa,have it notarized and submit it together with G703,to the Construction Manager and Architect. The Construction Manage?and Architect should review G702/CMa and G703 and if they are acceptable,complete•the Certificate for Payment on G702/CMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections.9.5 and 9.6 of A201/CMa.They should then initial all figures on G702/CMa and G703 that:have been changed to conform to the amount certified and attach an explanation.The completed G702/CMa and G703 should be forwarded to the Owner. D.Completing the G703 Form Heading:This information should be completed to be consistent with similar information on AIA Document G702/CMa,Application and Certificate for Payment, Construction Manager-Adviser Edition. Columns A,B&C:These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. Column D:Enter in this column the amount of completed work covered by the previous application(columns D&E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,includingthe value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this-column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column,E(Work Completed-This Period)... Column G:Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own•G703 form or at the end of the basic schedule.The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702/CMa forrn:. Construction Change Directives:Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201/CMa. E.Making Payment °Cifvf/ sa `„ The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager Architect on AIA D trent G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completed form contains the name a.. .ddress of th Contor.Payment should not be made to any other party unless specifically indicated on G702/CMa..;:• �" �e �" , 1A co. 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. JOB NAME 7B-2 Amphitheater APPLICATION DATE 7/20/2011 PAGE NUMBER 1 APPLICATION NUMBER 5 PERIOD TO 7/31/2011 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 2,500.00 2,500.00 - - 2,500.00 100 - - - - L 4,500.00 4,500.00 - 4,500.00 100 - - 2.00 Wire M 4,525.00 4,525.00 - - 4,525.00 100 - - - L 2,200.00 2,200.00 - 2,200.00 100 - - 3.00 Switchgear M 5,000.00 5,000.00 - - 5,000.00 100 - - - L 2,525.00 2,525.00 - 2,525.00 100 - - 4.00 Light Fixtures M 3,600.00 3,600.00 - - 3,600.00 100 - - - L 1,200.00 1,200.00 - 1,200.00 100 - - 5.00 Excavating 1,000.00 1,000.00 - - 1,000.00 100 - - 6.00 Core Drilling and Weatherproofing 2,200.00 2,200.00 - 2,200.00 100 - - 7.00 Allowance 10,000.00 10,000.00 - - 10,000.00 100 - - 8.00 Payment and Performance Bond 750.00 750.00 - 750.00 100 - - 9.00 Submittals 500.00 500.00 - - 500.00 100 - - 10.0 Mobilization 500.00 500.00 - 500.00 100 - - 11.0 Closeout 500.00 500.00 - - 500.00 100 - - 12.0 Unused Allowance (5,816.00) (5,816.00) - (5,816.00) 100 - - 13.0 Change order 002 4,769.05 - - 4,769.05 4,769.05 100 - - - - L - - - - - - - M - - - - - - - L - - - - M - - - - - L - - - - - - M - - - - - - L - - - - - -1 40,453.05 35,684.00 - 4,769.05 40,453.05 - - FINAL WAIVER OF LIEN State of Indiana }ss Cciunty of Hamilton TO WHOM if MAY art= WRiPREAS the unfastened tear been narkryed by LaFever Electric,Inc. Nam afAlien Crnnol.r.raalo,mw to furnish Electrical Work rAoO d iftcar rengdetr Iberia mantras deeaatbod es • •■ 7B-2 Amphitheater OINK.Adnar.■ttwrteex nenflieb crt'whict, Carmel Theater Development Commission _is tbc owned uwre.rtrnas THE+wed.for 0124 in cmsiErxattoa Four Thousand Seven Hundred Sixty-nine Dollars and Five Cents j4,769.05>Dollore art,other good end vulvahte aaaaideraion,the nmeipt whereof to hereby acknowledged,de(es)tuatlby waive red lame any end ell Ilea or clan or tight of lien mdar the Sabers of the Stars Wherein the tend b Wed,relating to Mmhanic's lets,eo the above described premises and imptace mco thereon,artd ear the rumbas or ether coesideraclmts dune or to become doe morn the owner,an adroit of labor or=uses,rrotaird.azure"or taynaneur hart ft e aatddled this wh>b may be tufted at any time b by the undersigned or the above described prcmiso. day of_July • Michael A.LaFever,Vice-President NO•Ptio AS waivers room he lbw the fag amount paid tfwalvrr to for a corporation,eorpoiwtt tome shoat,be mod,CeraoTRte seat aflbted°id tge of rifest• signer srslve•*Mid be set forth;If wolves is for a parmersetp,me psrtaenahip name should be used,ptufaor t hoidd sibb and dk&enet Monett a peNner• CONTRACTOR'S AFFIDAVIT State of Indiana }ss County of Hamilton 1 TO WROM iT MAY CONCERN: , �b duly sworn, and says that he is Vice-President _ ever Electric,lire. who Ls Ma orictramar fr thy ectrl ca 17 or - _ - work aorta orracd butltliagt 3rd Avenue SW',Canna,Indiana 46.032 - awned by arme ea er tr eve opmen ommis ion - That the tetra tanolmt of the eonusot rulers is S-4 i4 3.05 as which he Irsa cece;vice ym-.—aP 32-115.60 prior to NA payatettt That oil amiroars arc tote,wrreCe aid MOM Ned dClivered unconditionally and that there is no claim cotter legs!or Ktutoblt m tlettot tha vaff4hy of said watva•Thou arc following tae the names dell polka who havo finished=twirl Or Wee,Or ball;fbrsaid pork end on parties bar a8 contacts or suborgraas lbs sperm portions of said woes or for atacmiei en1&Jl$aro6 ttrcovn t thoranf and the emotes that or to bwonto due to cant,and ism the duos magiamd awhtded Ml labor end material .• -.is -. said wnek W.Ians and :... NAM la►AOPWORR i•:(i.'.�� pmt i y i _ieTi —.��? �Ze' IN131 r'TR7 rRK1 �i '2:}�erdll► —zcava on- Yr[IZIIII[IIIZ - 111.01 1.10 - 0 10 IIIMMI1111.111111111111M1 11111111111 1'1:747 7. simicard 1 1• 1 1 1 10 1 11 IOC no oilwr convects for told work cascading,tad drat fine is noting or to beomne dam any pima fOr Menial,bear or outer wo of m+y load boo or to be don*upon or in commotion with mid wort other then sham Mod. Signedthfe 20th 4%9,62- July .gyp 11 ___1,6116,2_ `\\t\\1\11 i11+1 i iil!(!fl/(1j�/,' �( Pgji• Michael A.LaFever Vice President Subscribed and sworn to bRike‘,MEI 20th• • ,20 Y.;P rr^C aingEgirir el Tel col 6 osfirr * "`' •• 'ic}n Exphres: April-1-1,2018 Residentitif Madison County p /Aib ,���rlllenddlf UtllllSUlS•�. /MOO !:„. Document 6702/CMaTM - 1992 , Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT:7B-2 Amphitheater REAP. 1CATION NO 6 Distribution to Carmel Theatre Dev. Commission 3rd Avenue Southwest PERIOD TO: 9/30/2011 OWNER ❑ 30 West Main Street, Suite 220 Carmel, Indiana SEP 2 2 2011 CONSTRUCTION MANAGER ❑ Carmel, Indiana 46032 FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: MEYER NAJEhCON-T RAC-TZDA-TR:O3/7/2011 ARCHITECT ❑• LaFever Electric, Inc. Meyer Najem Construction, LLC PROJECT NOS: 1777 / I CONTRACTOR ❑ 131 N. Rangeline Road VIA ARCHITECT: Carmel, Indiana 46032 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 payment,as shown below,in connection with the Contract belief the Work covered by this Application for Payment has been completed 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 $ payment shown herein is now due.. 2. Net change by Change Orders _ 5,728.74 CONTRACTOR: aF ver EI tric, Inc 3.CONTRACT SUM TO DATE(Line I 2) $ 47, 228.74 BY ,G, _AA,- Date: 9/22/2011 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 47,228.74 State of: Indiana Mich it, ��a ” VQx,Vice-President 5.RETAINAGE: County of:Hamilton ,o`O�Ys. ..•• •••. 6"/���'% a. %of Completed Work Subscribed and sworn to before <?'.: (Column D+Eon G703) $ 0.00 me this22nd day of • e mi err - _� b. %of Stored Material Notary Public: ,, ,' . Colleen S. Marvel Column F on G703) $ 0.00 My Commission expires 17�, ''Li Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ 0.00 CERTIFICATE FOR PAYMF. In accordance with the Contract Documef vf*E T' ;t �observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ 47,228.74 this application,the Construction Manager aHtk� ��h(8`1�t`�rtify 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 $ 40,453.05 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 $ 6.775.69 AMOUNT CERTIFIED $ 40I b ry S� 9.BALANCE TO FINISH,INCLUDING RETAINAGE (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 aunt certified.) (Line 3 less Line 6) $ 0.00 CONSTRUCTI• GER: By: Al Date: 9 ' /I CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner _`$ 4769.05 $ 5,816.00 By: _ Date: 0 ! it Total approved this Month $ 6775.69 $ - This Certificate is of nego •P he AMOUNT CERTIFIED is payable ly to the Contractor TOTALS $11544.74 $ 5816.00 named herein. Is'' ance, s. mint and acceptai •e of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner or Co. t•, or under t Co . 5728.74 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 AIA® Document is protected by U.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® 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. AIA • Document G7O2ICMaTM - 1992 Instructions Application and-Certificate for Payment Construction Manager-Adviser Edition _ A.General Information _ AIA Document G702/CMa;Application and Certificate for Payment,Construction Manager-Adviser Edition,is to be used in conjunction with AIA Document G703, Continuation Sheet.These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A201/CMa,General Conditions of the Contract for Construction,Construction Manager-Adviser Edition,1992 Edition. B.Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants thepurchaser a limited license to reproduce a maximum of ten copies of a completed G702/CMa,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. C.Completing the G702/CMa Form After the Contractor has completed AIA Document 6703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa;Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor should•sign G702/CMa,have it notarized and submit it together with G703,to the Construction Manager and-Architect. The Construction Manager and Architect should review G702/CMa and G703 and if they are acceptable,complete the Certificate for Payment on G702/CMa.The Construction Manager and Architect may certify a different amount than that-applied for pursuant to Sections 9.5 and.9.6 of A201/CMa.They should then initial all figures on G702/CMa and G703 that have been changed to conform to the amount certified and attach an explanation.The completed G702/CMa and G703 should be forwarded to the Owner. - D.Completing the G703Form Heading:This information should be completed to be consistent with similar information on AIA Document G702/CMa,Application and Certificate for Payment, Construction Manager-Adviser Edition. Columns A,B&C:These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be usedwhen required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. = - Column D:Enter in this column the amount of completed work covered by the previous application(columns D&E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including-the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). = Column F:Enter here the value of Materials Presently Stored for which payment is sought:The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stared for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this;column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column-E(Work Completed-This Period)._ Column G:Enter here the.total of columns D,E and F.Calculate the percentage.completed by dividing column G by column C. Column H:Enter here the difference between column C(Scheduled Value)and•column G(Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own-G703 form or at the end of the basic schedule.The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702/CMa form:: Construction Change Directives:Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section-7.3 in A201/CMa. E.Making Payment The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager and Architect on AIA Document G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completed form contains the name and address of the-Contractor.Payment should not be made to any other party unless specifically indicated on G702/CMa. .; AIA Document G702/CMaTM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA® 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. • JOB NAME 7B-2 Amphitheater APPLICATION DATE 9/22/2011 PAGE NUMBER 1 APPLICATION NUMBER 6 PERIOD TO 9/30/2011 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 2,500.00 2,500.00 - - 2,500.00 100 - - - - L 4,500.00 4,500.00 - 4,500.00 100 - - 2.00 Wire M 4,525.00 4,525.00 - - 4,525.00 100 - - - - L 2,200.00 2,200.00 - 2,200.00 100 - - 3.00 Switchgear M 5,000.00 5,000.00 - - 5,000.00 100 - - - - L 2,525.00 2,525.00 - 2,525.00 100 - - 4.00 Light Fixtures M 3,600.00 3,600.00 - - 3,600.00 100 - - - - L 1,200.00 1,200.00 - 1,200:00 100 - - 5.00 Excavating 1,000.00 1,000.00 - - 1,000.00 100 - - 6.00 Core Drilling and Weatherproofing 2,200.00 2,200.00 - 2,200.00 100 - - 7.00 Allowance 10,000.00 10,000.00 - - 10,000.00 100 - - 8.00 Payment and Performance Bond 750.00 750.00 - 750.00 100 - - 9.00 Submittals 500.00 500.00 - - 500.00 100 - - 10.0 Mobilization 500.00 500.00 - 500.00 100 - - 11.0 Closeout 500.00 500.00 - - 500.00 100 - - 12.0 Unused Allowance (5,816.00) (5,816.00) - (5,816.00) 100 - - 13.0 Change order 002 4,769.05 L/ -Req --' 95- - 4,769.05 100 - - 14.0 Change order 003 6,775.69 - 6,775.69 6,775.69 100 - - - M - - - - L - - - M - - - - - - L - - - - - M - - - - - L - - - - - - 11Q,y53.OS 4.016'-(Q9 47,228.74 35 1 4 47,228.74 - • 11' FINAL WAIVER OF LIEN State of Indiana y Ss County of Hamilton Pile 0: TO WHOM TI MAY CONCZRWi hlvtiEREns the minima hat Nan remsleyed by LaFever Electric,Inc. to furnish Electrical Work Radom.co.n.IMb p•eeataoa naow;btly to 7B-2 Amphitheater _ remit* Carmel Theater Development Commission is the owl nwle•tormt 11t13 at hid,for aed in cambse stioe Six Thousand Seven Hundred Seventy-five Dollars and Sixty-nine Cents f6,775-69)thlaare,end other good and valaabte ones seamen,the toodyt whereof is hereby aclowwledged,de(es)hi b7 waive iced m s'w end ail lien of claim or tight alien rotor the Stag of the Seam%Thor&the fend la/DP W,relathsg to Mmhotic'e liens,ott the above dworibed premises and WPM:meutt thereon,end Ca dte mattes or Odue consigeratIMIS due or to become doe thorn rhO owner.an m0eaea of labor or cervices,mStariel.fixtures or nmaratns hemedin flimisbtd or avbioh fay be finished at any time hetoatter by the undersigned for the above described ptettlisaai. stgitod this_22nd day of September 2021_ Michael A.LaFever,Vice-President ow; NOTEi AD mimes mast be roar the frill mount paid_Ifvrafrer to fire cos ratline,eorporwit cattle reined be m ed,corporate seat cabled sod the(dealer aping waif tdandd Oh eta forth;if waiver Is for a paroecrsetp,me perdxrahip MOO ahandd be nee,partner thaeld algtst and tie himself as partner. CONTRACTOR'S AFFIDAVIT State of Indiana 1 Ss County of Hamilton • TO WROM IT RAY COMMIX: THEandm>r:sasekb sworn, and sat}stha herto Vice-President of_ ever Electric, c. ~~ who In the etemnow tbr Q•o Electrical Work walk antra baildiaplocamed 3rd 'venue la arme, • ana .1 • owned by acme tea er,t eve opmen o s ion That the total await of the comma inducting atria is S 4 228. 4 on which he has received mom!of i.32,1 1 5.60 owr to this payment.That all waivers it lane,correct and genuine std deiIVed+ed unceraSttortady mea a rte Mete is no claim circa legal or ogeirabil m retest the vatilftY of satd wet."Tiad•ha following em the names of alt parties who have finished tidal or labor,erbath,ibraaid worst end all panics hav an carivacd5 or Stiborlerns fir Vetere parties amid work or for materlst entering into rhea ooetstntctica thereof and the mane due or to beaamro due to web,nod teethe items rnmdi000d included ell labor clad tT» to WOl1t: _ 4to he q etUt :... MAItists iota on WORK ii. Y t .. — I.U4M`- ;a �i� a•SSiT�iTKfr�2tslei►d1r xcava on TICIN1IlI1Z1IM 111.01 1.10 010 1111111111111111111111111111111111111111111111111111 — MEM MEM TrD?qr.1?:11':1�T`�.�f 1 U3><.a.,:a. 11M 1 is 1 as 1 11 + etc no Mho comets tot enid work nunmcding,and that there is nothing.,.ear to became dice to any p user fir material,beer or other av deny kind done or to be done aeon or in ooratectioel with ssld Wof(r other that above std, soled ch6 22ndd&y,6f September .zo 11 Michael A.LaFever Vice-President Sinteerlbed end mom to butte rh a this 22nd or Sits e11ber.20 11 I tR I I P,1 „ " T4OTARY PiUBLtC COhl' i 1lt: Via.•' (.)��:: Tel CD1 6 t> Commission Expires: Ap /2018 Resident of Madison County.'