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Home My WebLink AboutGibraltar - $42,390 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 Garage West Wall Improvements installment purchase contract Application 1 (Gibraltar) December 2011 $ 42,390.00 Total Authorized Disbursement $ 42,390.00 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: I/1// 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. C � 41 Garage West Wall (Gibraltar Construction) December 2011 Application 1 Amount to be paid by Carmel Theater Development $ 42,390.00 m _i� Docur n G7O2/C.Ma�` - X 992 Document 3 X0 Appl ication and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: ....Theater Development CompanypROJECT: Carmel City Cntr-P112 Veneer Alts 1&5 APPLICATION NO: 1.. Distribution to: 11711 North Pennsylvania St,Suite 200 PERIOD TO: 12/31/11 OWNER ❑ Carmel,IN 46032 CONSTRUCTION MANAGER ❑ FROM CO NTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: _ ANAGER: CONTRACT DATE: 10/31/11 ARCHITECT ❑ 2932 N.Webster Ave. PROJECT NOS: I. I CONTRACTOR ❑ Indianapolis,IN 46219 VIA ARCHITECT: FIELD ❑ Pedcor Design Group,LLC CONTRACT FOR: .Masonry Veneer-P112 Alts 1&5 ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifi.s 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 t is A..lication for Payment has been completed in accordance with the Continuation Sheet,AIA Document shown is attached. Contract Documents,that all ou, s have been paid by the Contractor for Work for which previous Certificates for Payment w.'_ is ■ and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM... $ 281.000.0Q payment shown herein is no f ue 2.Net change by Change Orders $ 0.00 CONTRACTOR: Gibraltar ction Corp %L 3.CONTRACT SUM TO DATE(Line 1±2) $ 281,000.00 By ► Date: ,4:2,,01�4./ 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 47,100.00 State of ply l'a;,r .°-. ' IAN R. NSCSRIDE yam.•r•`,B 0 5.RETAINAGE: County of: /e ms 2s' ��. �z;. o; Hancock County a. Wof;Completed Work Subscribed and swo I'._:- re` * x My Comm, ?, 1 29-2617 (Colut_r►n D+Eon G703) $ 4,710.00 me this �d.: of"`.# ._ =a, cc # 611�� b. -%of Stored Material Notary Publi (Column F on G703) $ My.Commission expires:. Total Retainage(Lines 5a+Sb or Total in Column I of G703).. $. CERTIFICATE FOR PAYMENT p�t� 42,390.00 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application,the Construction Manager and Architect certify 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 $ 0.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CER 11r1hU. 8.CURRENT PAYMENT DUE $ 42,390.00 I AMOUNT CERTIFIED t ; $ 2P-40 9.BALANCE TO FINISH,INCLUDING RETAINAGE'' (Attach explanation if amount certified differs from the,art F7 s applied.Initial all figures on this • Application and on the Continuation Sheet that are chappid'to conform with the amount certified.) 238,810.00 (Line 3 less Line 6) $ BBONSTRUCTIO ,'=_ Date: /d•-IL',/ § y ADDITIONS DEDUCTIONS CHANGE ORDER SUMMt�ItY ARCHITECT: ,„ t , Ij, Grou0..LLC Z Total changes approvedin previous months by Owner $ $ By * =4. tt Date: Total approvedithis'Month $ $ This Ce I s ,.ot n .uable. The AMOUNT CEIni. .r.D is.payable y to the Contractor TOTALS $ $ named he 4.i�'u p: meat and acceptance of payment are without pre dice o any rights of -NET CHANGES by Change Order $ the Owner or Co .actor de CAUTION: You should sign an original AIA Contract Document,on which this text appears In.RED..An original assures that changes will not be��wr.cured I AIA Document G7021CMaTM-1992.Copyright 0 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document Is protected by U.S.Copyright Law and International Treaties. CONTINUATION SHEET Page 2 of 2 • APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is APPLICATION NO.: 1 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 12/3112011 variable retainage for line items may apply. PERIOD TO: 12/31/2011 ARCHITECT'S PROJECT NO. : A B C _ 0 1 E F G H I WORK COMPLETED MATERIALS TOTAL ITEM FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED VALUE APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (GI C) FINISH (IF VARIABLE RATE) (D+E) D OR E) (D+E+F) (C G) . Aft#1 -West Wall 9 General Conditions $18,400.00 $4,500.00 $4,500.00 24% 13,900.00 10 Submittals $18,000.00 _ $15,000.00 $15,000.00 83% 3,000.00 11 Concrete , $14,400.00 $4,400.00 $4,400.00 31% 10,000.00 12 Misc.Metals $24,400.00 $18,000.00 $18,000.00 74% 6,400.00 13 Handrails _ $18,400.00' $0.00 0% 18,400.00 Masonry $89,800.00 $0.00 0% 89,800.00 19,905.00 Electrical $16,400.00 $0.00 0% 16,400.00 Earth Moving _ $9,400.00 $3,200.00 $3,200.00 34% 6,200.00 Rough Carpentry $17,800.00 $0.00 0% 17,800.00 CO System $18,600.00 $0.00 0% 18,600.00 18 Store Fronts $14,400.00 _ $0.00 0% 14,400.00 _ Alt#5-West Wall Copings 19 General Conditions $1,000.00 $0.00" 0%_ 1,000.00 20 Submittals $2,000.00 $2,000.00 _ $2,000.00 100% 21 West wall copings $16,200.00 $0.00 0% 16,200.00 22 Joint Sealants $1,800.00, $0.00 0% 1,800.00 r - $281,000.00 $0.00 $47,100.00 $0.00 $47,100.00 17% $233,900.00 $19,905.00 • • ISA Form#1-402 AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ® PARTIAL o 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 Motor Court P112 Veneer Ms 1&5 and owned by Carmel Theater Development Company and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER)that there is due from the Owner the sum of Thirty Seven Thousand Two Hundred Forty Five and ----- No/100 Dollars ($37,245.00) ❑ 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 Dollars () ❑ 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 th., Owner of said premises,any and all lien or claim whatsoever on the above-described property and improvements th ;o j account of LABOR or material or both,furnished by the undersigned thereto, subject to limitations of conditionsj..xp!essed herein, if any;and further certifies that no other party has any claim or right to a lien on account of any work .'�: rf• med or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By A. 1 Title President WITNESS MY HAND AND NOTORIAL SEAL, t,r./"1' Fecember,of 2011. // (Notary Public) v"� E,RLAN R. MCBRIDE C 1979 0rlb1ANA SUOCOM ACToS ASSOCIATt�r arCOA*ORATEO ";t RES. Ci Hancock County +e. 1can Uneuertemaed Neeteeva�o►l ikeftote•! My�+COMM. , 11-29-2017 \piAN Cm nmisSinn #611$62