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HomeMy WebLinkAboutGibraltar - $59,450.40 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 4(Gibraltar) April 2012 $ 59,450.40 Total Authorized Disbursement $ 59,450.40 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: 7i 07t 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 Paid by Carmel Theater Development $ 63,057.60 April 2012 Application 4 Amount to be paid by Carmel Theater Development $ 59,450.40 \'mil/4 A i :i Document 702/C a TM ® 1992 o' Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Theater Development Compan�ROJECT: Carmel City Cntr-P112 Veneer Alts 1&5 APPLICATION NO 4 t3 Distribution to 11711 North Pennsylvania St,Suite 200 PERIOD TO 4/30/12 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 111 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 Contractors knowledge, information and Application is made for payment, as shown below, in connection with the Contract. belief the Work covered by th s Application for Payment has been completed in accordance with the Continuation Sheet,AIA Document G703 is attached. Contract Documents, that all a mounts have been paid by the Contractor for��ork for which previous Certificates for Payment her. issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM $ 281,000.00 payment shown herein is I w.1 e. 2. Net change by Change Orders $ 0.00 CONTRACTOR: Gibral/fir /instruction Corp 3.CONTRACT SUM TO DATE(Line'I ±2) $ 281,000.00 By /", Date: ���.„1i/_ 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 218,150.00 State of �ti�� r� 5 RETAINAGE: County of yVi '`-� SPAY-I6c oR R meaRiag a. %of Completed Work Subscribed ands . to before � ��Hancock�Q� 21,815.00 10,,,,, a (Column D+Eon G703) $ me this day of "!Y b. %of Stored Material Notary PF > b l:N Mi vuM ' ``" 1 149,201' �� Commission 0 611862 (Column F on G703) $ My Commission expires: /� iJ Total Retainage(Lines 5a+5b or Total in Column I of G703).. $. CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 196,335.00 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 $ 136,884.60 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CER111 LED. 8.CURRENT PAYMENT DUE $ 59,450.40 AMOUNT CERTIFIED $ IYIT 9 BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied.Initial all gures on this 84,665.00 Application and on the Continuation Sheet that are changed to conform with the amount certified.) (Line 3 less Line 6) $ CONSTRUCTION • AG 1 By ._ vm, _ Date: ,S/� ADDI(IONS DEDUCTIONS CHANGE ORDER SUMMARY ARCHITECT 1 =;dcor DVn Group,LLC Total changes approved in previous months by Owner $ $ By IIIIIke.., 7,5�E� Date Total approved this Month $ $ This Certificate is • negot .ble. The AMOI h\'T CERILhth.D is payable my o the Contractor TOTALS $ $ named heceyn. Issu ce, payment and acceptance of payment are without prejudic to an.rights of NET CHANGES by Change Order $ the Owner or actor under this Contract. CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that chap-ill not be obscured. AIA Document G702/CMaTM-1992. Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA3 Document "prot'cted y ight Lawa�International a Treaties. • CONTINUATION SHEET Page 2 of 2 APPLICATION NO. : 4 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is APPLICATION DATE: 4/27/2012 attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 4/30/2012 ARCHITECT'S PROJECT NO. : A B C D 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 (G/C) FINISH (IF VARIABLE RATE) (D+E) DORE) (D+E+F) (C G) Alt#1 -West Wall 9 General Conditions $18,400.00 $11,124.00 $5,776.00 $16,900.00 92% 1,500.00 1,690.00 10 Submittals $18,000.00 $18,000.00 $18,000.00 100% - 1,800.00 11 Concrete $14,400.00 $12,896.00 $1,504.00 $14,400.00 100% - 1,440.00 12 Misc. Metals $24,400.00 $21,904.00 $2,496.00 $24,400.00 100% - 2,440.00 13 Handrails $18,400.00 $0.00 0% 18,400.00 - 13 Masonry $89,800.00 $62,860.00 $22,940.00 $85,800.00 96% 4,000.00 8,580.00 14 Electrical $16,400.00 $6,560.00_ $5,840.00 $12,400.00 76% 4,000.00 1,240.00 15 Earth Moving $9,400.00 $3,200.00 $5,200.00 $8,400.00 89% 1,000.00 840.00 16 Rough Carpentry $17,800.00 $8,900.00 $7,400.00 $16,300.00 92% 1,500.00 1,630.00 17 CO System $18,600.00 $4,650.00 $4,650.00, 25% 13,950.00 465.00 18 Store Fronts $14,400.00 $14,400.00 $14,400.00 100% - 1,440.00 Alt#5-West Wall Copings 19 General Conditions $1,000.00 $500.00 $500.00 50% 500.00 50.00 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 $152,094.00 $66,056.00 $0.00 $218,150.00 78% $62,850.00 $21,815.00 ISA Form# 1-402 ,,iAFFIDAVIT AND WAIVER OF LIEN ❑ FINAL PARTIAL fj 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 Fifty Nine Thousand Four Hundred Fifty and 40/100 Dollars ($59,450.40) n 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 Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvemen herein account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations of con.. is s ex" ressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any; o pert med or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver./ / !I Gibraltar Construction Corp By %I ,f 01,A ./ Title President I �' WITNESS MY HAND AND NOTORIAL S � ! 11 this 30'yh' •April, 2012. S/� ���� (' �- b '-- -__,- (Notary Public) 44* BRIAN R. MCBRIDE c i9T9 ,1/20uNA SUACONTRACTOsi5 ASSOCIATlQN tNCOAPoRATfp Res. o. Hancock County sr q7 kinyuiho�=;ed Aegliotluct.on Pfah,b+ted My Comm. Exp, 11-29-2017 D i 0 Commission # 611862