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HomeMy WebLinkAboutGibraltar - $63,057.60 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 3(Gibraltar) March 2012 $ 63,057.60 Total Authorized Disbursement $ 63,057.60 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: 4///2 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. Garage West Wall (Gibraltar Construction) December 2011 Application 1 Paid by Carmel Theater Development $ 42,390.00 February 2012 Application 2 Paid by Carmel Theater Development $ 31,437.00 March 2012 Application 3 Amount to be paid by Carmel Theater Development $ 63,057.60 ,, i4, :,,,,,.., Document G702/CMaTM — 1992 �c ;a° Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Theater Development Company Carmel City Cntr-P112 Veneer Alts 1&5 APPLICATION NO: 3 Distribution to: 11711 North Pennsylvania St,Suite 200 PERIOD TO: 3/19/12 OWNER ❑ Carmel, IN 46032 CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: CONTRACT DATE: 10/31/11 ARCHITECT ❑ 2932 N.Webster Ave. PROJECT NOS: / / 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 certifies that to the best of the Contractor's knowledge, information and belief the Work covered by tais Application for Payment has been completed in accordance with the Application is made for payment,as shown below, in connection with the Contract. Contract Documents, tha.all .mounts have been paid by the Contractor for Work for which previous Continuation Sheet, AIA Document G703,is attached. Certificates for Payme� �, w: e issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 281,000.00 payment shown herein ! , ov, due. 2. Net change by Change Orders $ 0.00 CONTRACTOR: Gibr- :r ( onstruction Corp 3.CONTRACT SUM TO DATE(Line 1 ±2) 281,000.00 By: Date: State of: __ _ 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 152,094.00 .�1A-771 5.RETAINAGE: • ,,,,'-� =E bi•RIAN R. MCBRIDE County of:, > , �� of y Res. of Hancock County a. %of Completed Work Subscribed and worn[o :efod SEAL 15,209.40 _-o - My Comm, , 11-29-2017 (Column. +Eon G703) $ me this day of_ b. %of Stored Material Notary Public: ' .' AN Commission # 611862 (Column F on G703) $ My Commtsston expires:, ///�1 i/7 Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 136,884.60 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 (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 $ 73,827.00 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CER I INIeD. 8.CURRENT PAYMENT DUE $ 63,057.60 AMOUNT CERTIFIED • $ 06)67,CD 9.BALANCE TO FINISH,INCLUDING RETAINAGE. (Attach explanation if amount certified differs from the amount applied.Initial all figures on this 144,115.40 Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ CONSTRUCTION I,• GE•• By: Date: 3 4a6,s- CHANGE ORDER SUMMARY ADDILIONS DEDUCTIONS ARCHITECT: P r D . -s'gn Group,LLC Total changes approved in previous months by Owner $ $ B ' a . Date: 3 Z-t° �--- Total approved this Month $ $ This Certificate is not Negotiable. The AMOUNT CERIfhIID is payable my o the Contractor TOTALS $ $ named herein. I s .r c•, p gym•, t and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order L$ the Owne r . trac or nde thi tract. — #_ 3[Z9`t Z CAUTION: You should sign an original AIA Contract Document,on which this text appears in RED. An origina assures that changes will not be obscured. AIA Document G702VCMaTM-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. CONTINUATION SHEET Page 2 of 2 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION NO. : 3 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where APPLICATION DATE: 3/19/2012 PERIOD TO: 3/31/2012 variable retainage for line items may apply. 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 DESCRIPTION OF WORK SCHEDULED VALUE FINISH NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G/C) (C G) (IF VARIABLE RATE) (D+E) DORE) (D+E+F) Alt#1 -West Wall _ 9 General Conditions $18,400.00 $7,444.00 $3,680.00 $11,124.00 60% 7,276.00 1,112.40 10 Submittals $18,000.00 $16,260.00 $1,740.00 $18,000.00 100% - 1,800.00 11 Concrete $14,400.00 $8,576.00 $4,320.00 $12,896.00 90% 1,504.00 1,289.60 12 Misc. Metals $24,400.00 $18,000.00 $3,904.00 $21,904.00 90% 2,496.00 2,190.40 13 _Handrails $18,400.00 $0.00 0% 18,400.00 - 13 Masonry $89,800.00 $22,450.00 $40,410.00 $62,860.00 70% 26,940.00 6,286.00 14 Electrical $16,400.00 $4,100.00 $2,460.00 _ $6,560.00 40% 9,840.00 656.00 15 Earth Moving $9,400.00 $3,200.00 $3,200.00 34% 6,200.00 320.00 16 Rough Carpentry $17,800.00 $8,900.00 $8,900.00 50% 8,900.00 890.00 17 CO System $18,600.00 $4,650.00 $4,650.00 25% 13,950.00 465.00 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% - 200.00 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 - $281,000.00 $82,030.00 $70,064.00 $0.00 $152,094.00 54% $128,906.00 $15,209.40 ISA Form# 1-402 AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ® PARTIAL ® 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 Sixty Three Thousand Fifty Seven and 60/100 Dollars ($63,057.60) ❑ 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 f e Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements therion�account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of conditions w'/, p -ssed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work o?'-rfo ed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Gibraltar Construction Corp By Title President . WITNESS MY HAND AND NOTORIAL SEAL, �/�I o March, 2012. (Notary Public) ` '✓�� BRIAN R. MCBRIDE c 197 fitiDfAkA SUBCONTRACTOR aSSQLiATapN kMCE)Rf flRAtEQ ,t ,r Res, of Hancock County (pnauina=.rea RbN OdvctPn on.Eiietl _ My Comm, E p, 11-29-2017a" +ate ti �D PN Commission # 611862