HomeMy WebLinkAboutGibraltar - Motor Court Exterior Wall - $99,005 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
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Amount to be paid by Carmel Theater Development Company as per the Motor
Court Exterior Wall installment purchase contract
Application 2(Gibraltar) November 2011 $ 99,005.00
Total Authorized Disbursement $ 99,005.00
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: 1/5-72 CITY OF CARMEL REDEVELOPMENT
COMMISSION
IC-TX/
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
Paid by Carmel Theater Development $ 39,645.00
November 2011
Application 2
Amount to be paid by Carmel Theater Development $ 99,005.00
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. 5k Document G732 TM - 2009
Application and Certificate for Payment, Construction Manager as Adviser Edition
TO OWNERrmel Theater Development Company PROJECT: Motor Court P112 Veneer APPLICATION NO: 2 DISTRIBUTION TO:
11711 North Pennsylvania Street,Suite 200 OWNER
Carmel,IN 46032" PERIOD TO: 11/30/11 CONSTRUCTION MANAGER
FROM Gibraltar Construction Corp VIA CONSTRUCTION CONTRACT DATE; 715111 ARCHITECT
CONTRACTOR: 2932 N.Webster Ave. MANAGER: PROJECT NOS: / / CONTRACTOR
Indianapolis,IN 46219 FIELD
CONTRACT FORMotor Court P112 VIA ARCHITECT: Pedcor Design Group OTHER
CONTRACTOR'S APPLICATION FOR PAYMENT
The undersigned Contractor c: ifies that to the best of the Contractor's knowledge,information and
belief the Work covered by thi ,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:11 a stints have been paid by the Contractor for Work for which previous
AlA Document G703T7`1,Continuation Sheet,is attached. Certificates for Payment ere i•:ued and payments received from the Owner,and that current payment
1.ORIGINAL CONTRACT SUM S 201,000.00 shown herein is now d// A A
2.NET CHANGES IN THE WORK $ 0.00 CONTRACTOR: Gi. r struction Corp
3.CONTRACT SUM TO DATE(Line./f 2) $ 201 000,00 By: //fit. I Date: /7—/-7i if
4.TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $ 151,950.00 State of / 171 5.RETAINAGE: County of: x ,,-,,./ B MCBRunt
�4' cock County
a. %of Completed Work : Subscribed a . before
(Column D+Eon G703) .: $ 10050,00 me this ', day o I° 241 �` *�My Comm. F_x . 11-29 2017
b. %of Stored Material No . --= vs D I��
Commission. # 511862
(Column.:F:on G703) $ My Commission expires::fj!�0j�/7
Total Retainage(Lines 5a+5b,or Total in Column Ion G703) $ CERTIFICATE_FOR PAYMENT
6.TOTAL EARNED LESS RETAINAGE S .141,900.00 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 39,645.00 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in
(Line 6 from prior Cert f cote) accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT
B.CURRENT PAYMENT DUE $ CERTIFIED.402.:25, 570cr
9.BALANCE TO FINISH,INCLUDING RETAINAGE • a V>,009.00 AMOUNT CERTIFIED $ /Dar?js. 6111
OW (Attach explanation if amount certified differs from the amount applied.Initial all figures on this
(Line 3 minus Line 6) $ 59,100.00 Application and on the Continuation Sheet that are changed to conform with the amount certified.)
CONSTRUCTION MA ature Construction LLC
By: Date: ill /
SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS ARCHITEC :(2 -.1 Multiple ' e Contractors.are responsible for performating portions ofthe
Total changes approved in previous months by Owner S $ Project, th .r.tiled i-rtificanon is not required)
Total approved this month;meinding Construction Change By a -1 \ I}ate: \\J2-2 '
Directives ';. S S This Certifica -i.not n=.O iabie The'AMOUNT CERTIFIED is paya e only t,the"Contractor named
TOTALS S S herein.Issuam e,payment and acceptance of payment are without prej dice to driy rights of the Owner
NET CHANGES IN THE WORK $ or Contract. rider 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.
AIA Document 6732"'—2009(formerly G702"'CMa—1992).Copyright a 1992 and 2009 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and
International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil y„, 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 Con ct 016cuments,e-mail The American Institute of Architects'legal counsel,copyright aia.org.
4&___. i106 & VC=: 'r I,
c 2.
CONTINUATION SHEET Page 2 oft
APPLICATION NO.: 2
APPLICATION AND CERTIFICATE FOR PAYMENT,containing Contractor's signed Certification,is APPLICATION DATE: 11/30/2011
attached. In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where PERIOD TO: 11/30/2011
variable retainage for line items may apply.
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 1 C) FINISH (IF VARIABLE
(D+E) D OR E) (D+E+F) (C-G) RATE)
r
1 Allowance $25,000.00 $0.00 0% 25,000.00
2 Mobilization $8,500.00 $4,500.00 $4,000.00 $8,500.00 100% -
3 Submittals-Base Bid $13,550.00 $11,550.00 $2,000.00 $13,550.00 100% -
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
6 Masonry $124,500.00 $28,000.00 $78,435.00 $106,435.00 85% 18,065.00 10,050.00
7 Electrical $18,850.00 $16,965.00 $16,965.00 90% 1,885.00
8 Joint Sealants/Waterproofing $6,500.00 -$6500.0 -$6;609:0G XA% -
111.47.41 &RA ,li'iLIiLO
$201,000.00 $44,050.00 $107,900.00 $0.00 $151,950.00 76% $49,050.00 $10,050.00
t
ISA Form# 1-402
I4 4, ,t.
' 1
i
AFFIDAVIT AND WAIVER OF LIEN
❑ FINAL ® PARTIAL ® PAYMENT TO FOLLOW
State of Indiana,County of Marlon, 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
One Hundred Two Thousand Two Hundred Fifty Five and----------No/100 Dollars ($102,255.00)
❑ 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
El the payment of which has been promised as t': sole consideration for this Affidavit and Final Waiver
of Lien which shall become effective upon rec. •t 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 thereo• -ccount of LABOR or material or both,furnished by the
undersigned thereto, subject to limitations of conditio exp.:ssed herein, if any; and further certifies that no other party
has any claim or right to a lien on account of any wor� 'ed..med or material furnished to the undersigned for said project,
and within the scope of this affidavit and waiver.
Gibraltar Construction Corp By ;/al. Title President
r
WITNESS MY HAND AND NOTORIAL S� i th of ovember, 2011.
(Notary Public)
<':' BRIAN R. MCBRIDE
Res. o "'
Hancock County
c 1979 INQIALNA SU;CONTRACTORS AISOC1ADON INCQ111041MID * * Rev
Un.u*Nea't.4 R.weevetro"heAPeiva My Comm. Exp. 11-29-2017
o r�.<' Commission # 611862