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Home My WebLink AboutGibraltar - $11,090 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(Gibraltar) August 2011 $ 11,090.00 Total Authorized Disbursement $ 11,090.00 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 Bank and Carmel Theater Development Company, LLC. Dated: /5' 11 CITY OF CARMEL REDEVELOPMENT COMMISSION By: 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 (Gibraltar) April 2011 (application 1) Paid by the Carmel Theater Development Company $ 174,660.00 May 2011 (application 2) Paid by the Carmel Theater Development Company $ 21,375.00 July 2011 (application 3) Paid by the Carmel Theater Development Company $ 24,137.06 August 2011 (application 4) Amount to be paid by the Carmel Theater Development Company $ 11,090.00 • v AIA Document G702/CVaTm — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment Commission PROJECT: Parce17-B,Center for the Performing Arts APRUCATION NO fe0. Distribution to _ 30 West Main Street,Suite 220 PER1T(1 C. U6 „ OWNER El Carmel,IN 46032 '''' CONSTRUCTION MANAGER 0 FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: CONTRACT DATE: 4/161Vic ARCHITECT 0 .. _ ... 2932 N.Webster Ave. 77). PROJECT NOS: / .Ur, I CONTRACTOR 0 Indianapolis,IN 46219 --i"to VIA ARCHITECT: '1/ FIELD 0 CSO Architects,Inc. CONTRACT FOR: Amphitheater Package 0 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifi. hat to the best of the Contractor's knowledge, information and belief the Work covered by this A.• ,cation for Payment has been completed in accordance with the Application is made for payment,as shown below,in connection with the Contract. Contract Documents, that a amo . have been paid by the Contractor for Work for which previous Continuation Sheet,AIA Document G703,is attached 221,800.00 Certificates for Payment .le e is. ed and payments received from the Owner, and that current ) 1.ORIGINAL CONTRACT SUM $ payment shown pay diskial .c w 4: - 9,162.06 [ uction Corp 2. Net change by Change Orders $ CONTRACTOR: 231;262.06 3.CONTRACT SUM TO DATE(Line 1 ±2) $ 231,269 n6 By. li ) Date. , 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ State of: -, i , 1 Dg. D ' ,0 v P BRIAN FR, MCBRI - 5.RETAINAGE: , ' County of: te.A ,1 f ,.,. , <s. RES. of Hancnck Cbutify a. %of Completed Work 0.00 Subscribed and s , to'befeie' _ 7 * Spir y Comm, an 11=20;2017 (column D+E on G703) $ me this .1.7 'aY c'f: ' '- i'‘'‘D,°-'1411NreAr CorrnsTal # 611862 b. To of Stored Material Notary P (Column F on G703) $ My Corrmaission expires://......• — Total Retainage(Lines 5a+5b or Total in Column I of G703). $ CERTIFICATE FOR PAYMENT 231,2C2.0G In accordance with the Contract Doctnents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application the Construction Manager arid Architect certify to the Owner that to the best of their 1)( PP g Y the 1A)u (Line 4 Less Line 5 Total) 220,172.06 knowledge,information and belief the Work has progressed as indicated,the quality of h Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ accordance with the Contract Documents,and the Contractor is entitled to payment of the AM UNT CER111-41ED. (tine 6 from prior Certificate) 11,090.00 8.CURRENT PAYMENT DUE $ AMOUNT CERTIFIED $ 1 ()CO .._ , s * --, (Attach explanation if amount certified differs from the amount applied.Initialttll figures on this 9.BALANCE TO FINISH,INCLUDING RETAINAGE . 0.00 " Application and o io ,te tinuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) - - $ CONSTRUCTIO. ,;(7._ - Date: ,!. t .%1I CHANGE ORDER SLJNEvIAlki' ADDITIONS DEDUCTIONS ARCHITECT: P---• -•,/ tects, nc Total changes approved m previous Mouths by Owner $ $ By Aff Date: 112. it Total approved this Month $ $ This Ce .1,,.te is Tct nege,■aefe ---":C91 0 T CFR TINED is payable only to the Contractor - - TOTALS $ $ named he,, m Is,:ance pa, ent an. . ceptance of payment are without prejudice to any rights of the Own; or ,. tractor unir 1 -ontract. NET CHANGES by Change Order $ . CAUTION:You should sign an original AIA,Dontract Document,on which this text appears in RED.An original assures that changes will not be obscured. „ . , . . •,. . , - -. • r . . AIA Document G702/CMaTm-1992 Copyright CD 1992 by The American Institute of Arohitects.All tights reierved.WARNING:This AlA® Document is protected by US.Copyright Law and International Treaties. Unauthorized reproduction or distribution of thl.s-AIA e Document,or-any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible uncier the law. CONTINUATION SHEET Page 2 of 2 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification, is APPLICATION NO. : 4 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 8/31/2011 variable retainage for line items may apply. PERIOD TO: 8/31/2011 ARCHITECT'S PROJECT NO. : A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE FINISH (IF VARIABLE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G I C) (D+E) D OR E) (D+E+F) (C-G) RATE) 1 Allowance $10,000.00 $10,000.00 $10,000.00 100% - 2 General Conditions $17,000.00 $17,000.00 $17,000.00 100% - 3 Bond $3,500.00 $3,500.00 $3,500.00 100% - 4 Excavation $24,000.00 $24,000.00 $24,000.00 100% - 5 Backfill/Underdrains $10,900.00 $10,900.00 $10,900.00 100% - 6 Sump Pit $14,300.00 $14,300.00 $14,300.00 100% - 7 Concrete Foundations $11,900.00 $11,900.00 $11,900.00 100% - 8 Concrete Ramps/Steps $8,400.00 $8,400.00 $8,400.00 100% - __9 Block& Brick $81,000.00 $81,000.00 $81,000.00 100% - 10 Limestone $23,000.00 $23,000.00 $23,000.00 100% - 11 Steel Railings $7,750.00 $7,750.00 $7,750.00 100% - 12 URNS $5,800.00 $5,800.00 $5,800.00 100% - 13 Irrigation $1,800.00 $1,800.00 $1,800.00 100% - 14 Sod $1,700.00 $1,700.00 $1,700.00 100% - 15 Joint Sealants $750.00 $750.00 $750.00 100% - 16 Change Order#1 $9,462.06 $9,462.06 $9,462.06 100% - $231,262.06 $231,262.06 $0.00 $0.00 $231,262.06 100% $0.00 $0.00 ISA Form#1-402 AFFIDAVIT AND WAIVER OF LIEN ® FINAL ❑ PARTIAL /1 PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and /or labor for a project known as Parcel 7B, Center for Performing Arts, Amphitheater Package and owned by Carmel Theatre Development Corporation, LLC. and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the Owner the sum of Dollars ($) ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER)that the final balance due from the Owner is the sum of Eleven Thousand Ninety and No/100-------- Dollars ($11,090.00) ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THERFORE, the undersigned waives and releases unto the I�wner of said premises, any and all lien or claim whatsoever on the above-described property and improvements thereon count of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions •r:-sed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work a e'or -d or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By !' A Title President 011 WITNESS MY HAND AND NOTORIAL SEA . day of August, 2011. (Notary Public BRIAN R, MCBRIDE L Res. of Hancock County CS 1979 I4fb1ANA SuetOsTRACTORS ASSOCIATION INCORPORATED _ My Comm. Exp. 11-29-2017 UnaulhOr'tOd Repo OOuelwn Ptanrh,ted D I PN Commission # 611862 Rey IOW