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Gibraltar - Motor Court Exterior Wall - $39,645
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 Motor Court Exterior Wall installment purchase contract Application 1 (Gibraltar) October 2011 $ 39,645.00 • Total Authorized Disbursement $ 39,645.00 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: 11/27/1( 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. Motor Court Exterior Wall (Gibraltar Construction) October 2011 Application 1 Amount to be paid by Carmel Theater Development $ 39,645.00 • wl, �' it TM •:...-4i--.,:. oc ent G732TM 0 L Application and Certificate for Payment, Construction Manager as Adviser Edition TO OWNER:Carmel Theater Development Company PROJECT: Motor Court P112 Veneer APPLICATION NO: 1 DISTRIBUTION TO: 11711 North Pennsylvania Street,Suite 200 Carmel;IN 46032 OWNER - PERIOD TO: 1012tN11 CONSTRUCTION MANAGER — FROM Gibraltar Construction Corp VIA CONSTRUCTION CONTRACT DATE: 7/5/11 ARCHITECT — CONTRACTOR: .: 2932 N.Webster Ave. MANAGER: PROJECT NOS: / / CONTRACTOR — Indianapolis, IN 46219 — FIELD CONTRACT FOR: Mater Court P112 VIA ARCHITECT: Pedoor Design Group OTHER —___ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor ce ifies that to the best of the Contractor's knowledge,information and belief the Work covered by this .pplication 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 at : ,.unts have been paid by the Contractor for Work for which previous AIA Document G703TM,Continuation Sheet,is attached. Certificates for Payment w: is:I ed and payments received from the Owner,and that current payment 1.ORIGINAL CONTRACT SUM S 201,000.00 shown herein is now due. R 2.NET CHANGES IN THE WORK S 0.00 CONTRACTOR: Gig .$.-r -■ ctlon Corp 3.CONTRACT SUM TO DATE(Line I±2) $ 201,000.00 By: lfib. Date: --,Pst:i-"f/ 4.TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $ 44,050.00 State of: ' 07 5.RETAINAGE: County of: ;,,�4k! .e4 *0444 BRIAN R. MCBRIDE a. %ofCom Completed Work Subscribed and s o .-for a Res, of Hancock Cou p T My Comm. 20 (Column D+E on G703) $ 4,405.00 me this -1 da o / ter. y Exp. ?1-2�-2017 b. /o of Stored Material Notary •. d Ntk CCrc iss:oci # 611862 (Column.Fon G703) $ My Commission expires:,- - 7 Total Retainage(Lines 5a+5b,or Total in Column I on G703) $ CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ 39,645.00 In accordance with the Contract Documents,based on evaluations of the Work and the data comprising (Line 4 minus Line 5 Total) this application,the Construction Manager and Architect certify to the Owner that to the best of their 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT 0,00 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in (Line 6 from prior Certificate) accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT 8.CURRENT PAYMENT DUE $ 3964500 CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED $ '39 telt (Attach explanation if amount certified differs from the amount applied Initial all figures on this (Line 3 minus Line 6) $ 161,355.00 Application and on the Continuation Sheet that are changed to conform with the amount certified.) CONSTRUCTIO NAG nature Construction,LLC / By: Date: /e t/;S/.. SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS ARCHITEC`f: OT • ,i :.le Prime Contractors are responsible for perfonnating portions of the Total changes approved inprevious months by Owner $ $ Project,the • a reification is not required) Total approved this month,including Construction Change / FP g By: � ��jJ Date: �Ll(di/ Directives $ $ This Ce icate is •t negotiable.The AMOUNT CERTIFIED is pa able only to the Contractor named TOTALS $ $ herein..Issuance,payment and acceptance of payment are witho ejudic o any rights of the Owner NET CHANGES IN THE WORK $ or Contractor under this Contract. 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. r X(�/lip fb/3!/f 4 AIA Document G732T.,—2009(formerly G702TMCMa—1992).Copyright®1992 and 2009 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright©aia.org. 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: 10/20/2011 variable retalnage for line items may apply. PERIOD TO: 10/31/2011 ARCHITECTS PROJECT NO. : A B C D 1 E F G H 1 WORK COMPLETED MATERIALS TOTAL ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS PRESENTLY COMPLETED AND % BALANCE TO RETAINAGE NO. APPLICATION THIS PERIOD STORED(NOT IN STORED TO DATE (G!C) FINISH (IF VARIABLE (D+E) DORE) (D+E+F) (C-G) RATE) 1 Allowance $25,000.00 $0.00 0% 25,000.00 - 2 Mobilization $8,500.00_ _ $4,500.00 $4,500.00 53% 4,000.00 450.00 3 Submittals-Base Bid $13,550.00 $11,550.00 o $11,550.00 85/or 2,000.00 1,155.00 4 Earth Moving _ $3,000.00 $0.00 0% 3,000.00 - 5 Lawns and Grasses $1,100.00_ $0.00 0% 1,100.00 - r. 6 Masonry $124,500.00 $28,000.00 $28,000.00 22% 96,500.00 2,800.00 7 Electrical $18,850.00 _ $0.00 0% 18,850.00 - 8 Joint Sealants/Waterproofing $6,500.00 $0.00 0% 6,500.00 - $201,000.00 $0.00 $44,050.00 $0.00 $44,050.00 22% $156,950.00 $4,405.00 ' ISA Form#1-402 AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL 1X4 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 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 Nine Thousand Six Hundred Forty Five and---- -----------------------No/100 Dollars ($39,645.00) ❑ 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 Owner of said premises, any and all lien or claim whatsoever on the above-described property and improvements then,•n account of LABOR or material or both,furnished by the undersigned thereto, subject to limitations of conditions - .'ressed herein, If any;and further certifies that no other party has any claim or right to a lien on account of any work..= + .rmed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. f Gibraltar Construction Corp P B Y 14 , Title President WITNESS MY HAND AND NOTORIAL SEAL, 7,121 o October, 2011. 4. 111 (Notary Public) C +sus INDIANA SulCONTRACtO NBADSOC+ATrpa iNCON INATta zc. k BRIAN R. MCBRIDE u...u„ ..:w a.o�ewaw��►��,� Res. ofi Hancock County R. 1 O * My Comm. Exp. 11-29-2017 D 10 Commission #611862