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HomeMy WebLinkAboutGibraltar - $31,437 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 2(Gibraltar) February 2012 $ 31,437.00 Total Authorized Disbursement $ 31,437.00 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: 3X/Z CITY OF CARMEL REDEVELOPMENT COMMISSIO By: "to 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. Garage West Wall (Gibraltar Construction) December 2011 Application 1 Paid by Carmel Theater Development $ 42,390.00 February 2012 Application 2 Amount to be paid by Carmel Theater Development $ 31,437.00 I�iI • 41130 0 A.14r. J�r A. Tht ==�,1= 5 Document G7 2/C a — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: . ROJECT: APPLICATION NO: St �►ut on to Carmel Theater Development Compan}� Carmel City Cntr-P112 Veneer Alts 1&5 2 11711 North Pennsylvania St,Suite 200 PERIOD TO: 2/21/12 (WI\j ER ❑ Carmel, IN 46032 CONSTRUCTION INOAG ER ❑ FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT 0 Gibraltar Construction Corp 10/31/11 2932 N.Webster Ave. PROJECT NOS: / / CONTIACTOR ❑ 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 certifies that to the best of the Contractor's knowledge, idorrnation and Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by 0 i•Application for Payment has been completed in accotkrtce. with the Continuation Sheet,AIA Document 0703,is attached. Contract Documents,that at ounts have been paid by the Contractor for Work for ouch previous Certificates for Payment 1' issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ P81,000.00 payment shown herein is n,.` 'I e. 2. Net change by Change Orders ' • ' $ • 0.00. CONTRACTOR: Gibralt.' A struction Corp 3,CONTRACT SUM TO DATE(Line'I±2)' $ 281,000,00 By /1. Date: ��,7� 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 82,030.00 State of: �/L)9/ if . ' .SEC BRIAN 8.1,10 BRIDE 5.RETAINAGE: County of: �• I * SEAL. -7. Res, of(;3;(OCk County a. %:of;Completed Work Subscribed and sw...- :`.'*; °e _ My Comm. E, 11 -29.2017 (Column D+Eon G703) $ 8,203.00 me this �?//a ay ofi ,L� �f�"o I Nk' Commission# 611 862 b. d::%of Stored Matenal Notary Public: i. /__�.— (Column F on 0703) $ My Commission expires: jr► Total Retainage(Lines 5a+5b or Total in Column I of G703).. $. CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 73,827.00 In accordance with the Contract Documents, based on on-site observations and the dua comprising 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 tie Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 42,390.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. _ B.CURRENT PAYMENT DUE $ 31,437.00 AMOUNT CERTIFIED = $�� 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from thel,anWitrit_applied.Initial all 'guns on this 207,173.00 Application and on the Continuation Sheet that are chizng$d to conform with the amouni certified.) (Line 3 less Line 6) $ CONSTRUCTION MA • ER: 4 f ,. .. By ...r��... .:-.. Date: I'a'JL`J- CHANGE ORDER SUMIVIAIaY ADDITIONS DEDUCTIONS ARCHITECT: v ,, ,_ ' :■;LLC r 12 Total changes appi.ovcd iii previous mouths by Owner $ $ By: - �I Date: 2-,/1 Total approved't is"Month $ • $ This : ificate is._ lot negotiable. The AMOUNT ERTIFIED is.payable only to the Contractor .TOTALS $ - $ named he I. - =ice'payment and accep meet are without prejudice to any rights of NET CIlANGES by Change Order $ the Owner or Contractor under this Contrac Zip/1L.. 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/CMa"-1992.Copyright 0 1992 by The American Institute of Architects.All rights reserved,WARNING;This AIA°Document Is protected by U.S.Copyright Law and International Treaties. CONTINUATION SHEET Page 2 of 2 APPLICATION NO.: 2 APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is APPLICATION DATE: 2/21/2012 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 2!29!2012 variable retainage for line Items may apply. ARCHITECT'S PROJECT NO. : WORK COMPLETED MATERIALS TOTAL •VALUE ir RETAINAGE BALANCE TO • • •• • . • FINISH D (IF VARA3LE RA Alt#1 -West Wall 9 General Conditions $18,400.00 $4,500.00 $2,944.00- $7,444.00 40% 10,958.00 744.40 HIW $14,400.00 $4,400.00 0r � $8,578.00 .•• 00 857.60 ®Misc. Metals $24,400.00 $18,000.00 $18,000.03 6,400.00 •• o• ®Handrails $18,400.00 • 00 18,400.00 Masonry $89,800.00 $22,450.00 $22,450.00 25% 67,350.00 2,245.00 1111 Electrical $16,400.00 $4,100.00_ 00 00 25% 12,300.00 410.00 ® $9,400.00 Earth Movi • 0 0 r 0 $3,200.00 34% 6,200.00 320.00 16 Rou•h Ca +ent $17,800.00 ' • •0+ 18,800.00 Imil COS stem $18,600.00 � �•� • 18,600.00 18 Store Fronts $14,400.00 -- $0.00 0% 14,400.00 Alt#5-West Wall Copings _ s General Conditions Submittals $1,000.00 $2,000.00 t • • 0% • •• - - 200.00 ®West wall copings $16,200.00 $0.00 0% 16,200.00 - ©Joint Sealants $1,800.00 $0.00 0% 1,800.00 I I lin ' 1111 i 111111 11.111.111 • U $281,000.00 $47,100.00 $34,930.00 $0.00 $82,030.00 29% $198,970.00 $8,203.00 ISA Form# 1-402 yf fi .'Ei 8 ' AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ® PARTIAL 4‘.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 Motor Court P112 Veneer Alts 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 One Thousand Four Hundred Thirty Seven and-----------------------No/10Q Dollars ($31,437.00) ❑ 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 the iwner of said premises,any and all lien or claim whatsoever on the above-described property and improvements thereon .ccount of LABOR or material or both,furnished by the undersigned thereto,subject to limitations of conditions ex,= a sed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work pe -d or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. 1} Gibraltar Construction Corp By Title President r WITNESS MY HAND AND NOTORIAL SEAL, this o F •ruary,2012. (Notary Public) m 1979 wvttiaNa SUeCOe*UiACTORS ASSOCIATION INCO+rooaA1ED BRIAN R. MCBRIDE ,a,,, ioca Ur+au�no•.R.a Ragetluetmri 4ha+aenta0 z t Res. of Hancock County My Comm. Exp. 11-29-2017 D I�� Commission # 611862