HomeMy WebLinkAboutMERCANTILE BANK - 002028 6/16/2011 THE KEY TO''DOCUMENT SECURITY,WHEAT ACTIVATED7HUMB PRINT"ADDI OrilAL!S'ECURITY F'EATURE'S INCLUDED V SEEiBACIOOR DETAILS :.
g6DES's:
�O * ,Carmel Redeveloprrient Commission REGIONS 2
� 30 West Main"Street O O 2 02 8
1. �` Suite 220.. 20-142;/740
o6`**wnE Carmel;'IN 46032
}2028
DATE . AMOUNT
7,242.10
6/16/2011 . •� .
PAY THE SUM or SEVEN THOUSAND•TWO HUNDRED FORTY TWO DOLLARS AND 10 CENTS*********
TO THE
ORDER
OF
Mercantile-Bank
• .. SSENSiti
Q
11°00202811' ':0740012L31: 0087SOIli L11°
CARMEL REDEVELOPMENT COMMISSION 0 0 2028
Mercantile Bank Check: 2028
Date: 6/16/2011
Vendor: MERCANBA
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
25 Retainage 7,242.10 7,242.10 0.00 0.00 7,242.10
WR Dunkin Ret increase ac 5010
7,242.10 7,242.10 0:00 0.00 7,242.10
•
K-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-37228 `
p�O„Eopm,„t.
A Public/Private
COQ
f Partnership
p CRCV �
City of Carmel
Indiana
CARMEL REDEVELOPMENT COMMISSION
James Brainard June 16, 2011
Mayor
Mercantile Bank
Teresa Kuchling
Commissioners p0 Box 3455
William Hammer Quincy, II 62305-3455
President
Dear Ms. Kuchling:
Carolyn E.Anker
Vice President I am sending you the check from the CRC for$7,242.10 to go to the Escrow account
Jeff Worrell 5010 for W R Dunkin &Son. This will bring the Retainage sent to you up to the balance
Secretary of$20,000, and after deducting the annual fee and adding interest earned, the balance
for you to send to W R Dunkin would be
Bradley Meyer $19,731.95 plus any earnings since the end of May statement.
Commissioner
David Bowers Please send W R Dunkin the full Retainage, less fees, plus interest earned. This should
Commissioner close out the account 5010 escrow account.
Gregory Phillips Thank you for your help on this account.
Commissioner
,. „el
Les Olds,AIA Don Cleveland
Executive Director Finance Manager
30 WEST MAIN STREET, SUITE 220, CARMEL, IN 46032 OFFICE 317.571.ARTS (2787) FAX 317.571.2759
- = IA Document G732 — 2009 51
Application and Certificate for Payment, Construction Manager as Adviser Edition
TO OWNER: Cannel Redevelopm't Comm PROJECT: Parcel 7A,#5010 CPA APPLICATION NO:0254LE1'AINAGE DISTRIBUTION TO:•One Civic Square 777 3rd Ave S.W.
Cannel,IN 46032 Carmel,IN 46032 OWNER
PERIOD TO:April 30,20t 1 CONSTRUCTION!MANAGER
FROM W.R.Dunkin&Son,Inc. VIA CONSTRUCTION Shiel Sexton Co.,Inc. CONTRACT DATE:February 23,2009 ARCHITECT
CONTRACTOR: PO Box 2247 MANAGER: PROJECT NOS:25310H/2695/5010/2695 CONTRACTOR
Anderson,IN 46018 FIELD
CONTRACT FOR Bid Package#5010-Gen VIA ARCHITECT: CSO Architects OTHER
Trades
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 this Application for Payment as been completed in accordance with the
Application is made for payment,as shown below,in connection with the Contract. Contract Documents,that all amounts have be:'. .aid .• - 'ontractor for Work for which previous
AEA Document G703114 Continuation Sheet,is attached. Certifirates for Payment w.. issued .•4 pa . e.- - ived from the Owner, and that current
1.ORIGINAL CONTRACT SUM $ 1,480,000.00 payme. ... .. -in is due.
2 NET CHANGES IN TIE WORK $ -81,040.00 CONT � W %►- nkin Son. ! sc.
3.CONTRACT SUM TO DATE(Line I+2) $ 1,398,960.00 By ..■PwL.■' 1•c ' A•ri125,2011
4.TOTAL COMPLETED AND STORED TO DATE(Column G on G703) $ 1 338,055.00 St of:Indiana "i'y p bm( ) 1,338,055.00 .Z)-.,J,..-\ "wv"14q A CARPENTER
5.RETAINAGE: County of:Madison l\, NO'T'ARY PUBLIC
a. 0 %of Completed Work Subscribed and sworn to before ±arc• stATE OF INDI. 4 A
(Column D+E on G703) $ 0.00 me this 25th day of April,, 2¢�'h� � :..� �,r y
b. 0 %of Stored Material Notary Public:Martha A.Carpenter �// i
(Column Fon G703) $ 0.00 My Commission expires:January 08,2017
Total Retainage(Lines 5a+5b,or Total in Column Ion G703) $ 0.00 CERTIFICATE FOR PAYMENT
6.TOTAL EARNED LESS RETAINAGE S 1,338,055.00 In accordance with the Contract Documents, based on evaluations of the Work and the data
(Line 4 minus Line 5 Total) comprising this application,the Construction Manager and Architect certify to the Owner that to the
7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 1,318,055.00 best of their knowledge,information and belief the Work has progressed as indicated,the quality of
m Certificate) the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of
(Line 6 from prior the AMOUNT CERTIFIED. - :• ;
8.CURRENT PAYMENT DUE IS 20,000.00 AMOUNT CERTIFIED $ 2..,0, - ,. ..........
9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs 'm the• cunt applied.Initial all figures on this
Application and on • Continuation t th‘ are c .nged to conform with the am' cer ifted)
(Line 3 minus Line 6) 5 60,905.00 CO -UCTION M G
A
By /l'.4*%,:.. —.�lk i Date: •
SUMMARY OF CHANGES IN THE WORK ADDITIONS DEDUCTIONS AR CT: . r ltiple Prime Contractors are responsible for perfor , ' • '. lions of
the Pro,/ \,, r Certifteatron is not required)
Total changes approved in previous months by Owner$ 0.00$ 81,040.00 r
By: �;: Date: %L �4
Total approved this month including Construction
Change Directives $ 0.00$ 0.00
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
TOTALS $ 0.00$ 81,040.00 named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of
NET CHANGES IN THE WORK
$ -81,040 00 the Owner or Contractor under this Contract
AIA Document G732 '—2009(formerly G702n'CMa—1992).Copyright B 1992 and 2009 by The American Institute of Architects.Atl sights reserved.WARNING:This Ale Document is protected by U,S.
Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAC Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted i
to the maximum extent possible under the iaw.Thia document was produced by AIA software at 15:12:48 on 04/25/2011 under Order No.0215931572 1 which expires on 05/10/2012,and is not for resale.
User Notes; (1383754070)
Director of Redevelopment 1 01-16 0$07
Mai
ip:. AIA Document X703 TM 1992
Continuation Sheet
AIA Document,G702114-1992,Application and Certification for Payment,or G7361/4-2009, APPLICATION NO:025
Project Application and Project Certificate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE:04/25/2011
containing Contractor's signed certification is attached. PERIOD TO:04/30/2011
In tabulations below,amounts are in US dollars.
Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:253101i
A B C D E F G H I
WORK COMPLETED TOTAL
MATERIALS COMPLETED BALANCE TO RETAINAGE
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY AND STORED TO % FINISH (IF VARIABLE
NO. WORK VALUE PREVIOUS THIS PERIOD STORED (G_C)
APPLICATION THIS IN D OR E) DATE (C-G) RATE)
(D+E) (D+E+F)
01010 Performance Bond 26,400.00 26,400.00 0.00 0.00 26,400.00 100.00% 0.00 0.00
Mobilize/
01015 Demobilize 8,000.00 8,000.00 0.00 0.00 8,000.00 100.00% 0.00 0.00
Supervision/
01020 Coordination 87,000.00 87,000.00 0.00 0.00 87,000.00 100.00% 0.00 0.00
General Conditions-
01025 M 30,000.00 30,000.00 0.00 0.00 30,000.00 100.00% 0.00 0.00
General Conditions-
01026 L 34,000.00 34,000.00 0.00 0.00 34,000.00 100.00% 0.00 0.00
1400A Organ Facade Pipes 200,000.00 200,000.00 0.00 0.00 200,000.00 100.00% 0.00 0.00
Carpentry Labor
1400B Hours 32,000.00 32,000.00 0.00 0.00 32,000.00 100.00% 0.00 0.00
Provide Tie-Off
1400C Points at Balconies 25,000.00 7,000.00 0.00 0.00 7,000.00 28.00% 18,000.00 0.00
Vertical Partition
System&Backfold
1400D Doors 15,000.00 15,000.00 0.00 0.00 15,000.00 100.00%" 0.00 0.00
16'X16'Temporary
1400E Overhead Door 6,000.00 6,000.00 0.00 0.00 6,000.00 100.00% 0.00 0.00
Temporary OHD
Enclosure and
1400F Insulation 10,000.00 1,644.00 0.00 0.00 1,644.00 16.44% 8,356.00 0.00
1000 SY of BX 1200
1400G Tensar Geogrid 17,000.00 4,117.00 0.00 0.00 4,117.00 24.22% 12,883.00 0.00
1400H 350 CY of#2 Stone 18,200.00 5,718.00 0.00 0.00 5,718.00 31.42% 12,482.00 0.00
AIA Document G7037"-1992.Copyright 1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by
U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be I
prosecuted to the maximum extent possible under the Iaw.Thls document was produced by AIA software at 15:23:05 on 04/25/2011 under Order No.0215931572 1 which expires on 05/10/2012,and is not for
resale.
User Notes: (963278680)
A B C D 1 E F G H I
WORK COMPLETED TOTAL
FROM
MATERIALS COMPLETED e BALANCE TO RETAINAGE
ITEM DESCRIPTION OF SCHEDULED PRESENTLY /e
NO. WORK VALUE PREVIOUS AND STORED TO FINISH (IF VARIABLE
APPLICATION THIS PERIOD STORED DATE (G_C)
(NOT IN D ORE) (C-G) RATE)
(D+E) (D+E+F)
14003 200 CY of#53 Stone 10,000.00 1,746.00 0.00 0.00 1,746.00 17.46% 8,254.00 0.00
1400K General Allowance 75,000.00 74,070.00 0.00 0.00 74,070.00 98.76% 930.00 0.00
CAD As-Built
1400L Allowance 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 0.00
General Clean Up-
01560 M 4,000.00 4,000.00 0.00 0.00 4,000.00 100.00% 0.00 0.00
01561 General Clean Up-L 25,000.00 25,000.00 0.00 0.00 25,000.00 100.00% 0.00 0.00
Final Cleaning(Items
01562 in BP 5010 10,000.00 10,000.00 0.00 0.00 10,000.00 100.00% 0.00 0.00
Dewatering for 9
02110 Months-M-Eq 18,500.00 18,500.00 0.00 0.00 18,500.00 100.00% 0.00 0.00
Dewatering for 9
02111 Months-L-Eq 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 0.00
Piping from Tri-Plex
02240 to Lift Station 21,000.00 21,000.00 0.00 0.00 21,000.00 100.00% 0.00 0.00
Interior Metal
Fabrications-
05504 Submittals 6,200.00 6,200.00 0.00 0.00 6,200.00 100.00% 0.00 0.00
Interior Metal ,
Fabrications-
05505 Materials 86,500.00 86,500.00 0.00 0.00 86,500.00 100.00% 0.00 0.00
Interior Metal
05506 Fabrications-Erection 24,000.00 24,000.00 0.00 0.00 24,000.00 100.00% 0.00 0.00
Miscellaneous Metals
05511 -M 5,640.00 5,640.00 0.00 0.00 5,640.00 100.00% 0.00 0.00
Miscellaneous Metals
05512 -L 2,500.00 2,500.00 0.00 0.00 2,500.00 100.00% 0.00 0.00
Interior Rough
06100 Carpentry-M 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 0.00
Interior Rough
06101 Carpentry-L 36,500.00 36,500.00 0.00 0.00 36,500.00 100.00% 0.00 0.00
07810 Skylight Shade-M 62,000.00 62,000.00 0.00 0.00 62,000.00 100.00% 0.00 0.00
MA Document G703".-1892.Copyright®1963,1985,1966,1967,1970,1978.1983 and 1992 by The American Institute of Architects.MI rights reserved.WARNING:This AIA'Document is protected by
U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe' Document,or any portion of it,may result in severe civil and criminal penalties,and will be 2
prosecuted to the maximum extent possible under the law.This document was produced by AlA software at 15:23:05 on 04/25/2011 under Order No.0215931572 1 which expires on 05/10/2012,and is not for
resale. -
User Notes: (963278680)
A B C D 1 E F G H I
WORK COMPLETED MATERIALS TOTAL
ITEM DESCRIPTION OF SCHEDULED FROM PRESENTLY COMPLETED a/ BALANCE TO RETAINAGE
PREVIOUS AND STORED TO FINISH (IF VARIABLE
NO. WORK VALUE APPLICATION THIS PERIOD STORED DATE (G±C) (C-G) RATE)
(D+E) (NOT IN D OR E) (D+E+F)
Skylight Shade-
0781 I Installation 29,500.00 29,500.00 0.00 0.00 29,500.00 100.00% 0.00 0.00
07910 Joint Sealants-M 48,000.00 48,000.00 0.00 0.00 48,000.00 100.00% 0.00 0.00
07911 Joint Sealants-L 24,500.00 24,500.00 0.00 0.00 24,500.00 100.00% 0.00 0.00
08810 Interior Glazing 42,000.00 42,000.00 0.00 0.00 42,000.00 100.00% 0.00 0.00,
09610 Access Flooring 19,500.00 19,500.00 0.00 0.00 19,500.00 100.00% 0.00 0.00
09710 FRP Wall Panels-M 1,000.00 1,000.00 0.00 0.00 1,000.00 100.00% 0.00 0.00
09711 FRP Wall Panels-L 2,000.00 2,000.00 0.00 0.00 2,000.00 100.00% 0.00 0.00
Acoustic Fabric
09712 Wrapped Panels 42,500.00 42,500.00 0.00 0.00 42,500.00 100.00% 0.00 0.00
10210 Toilet Compartments 44,000.00 44,000.00 0.00 0.00 44,000.00 100.00% 0.00 0.00
Backfold Door
10220 Tracks-M 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00, 0.00
Backfold Door
10221 Tracks-L 4,560.00 4,560.00 0.00 0.00 4,560.00 100.00% 0.00 0.00
10222 Operable Partition 21,000.00 21,000.00 0.00 0.00 21,000.00 100.00% 0.00, 0.00
10223 Wire Mesh Partitions 9,500.00 9,500.00 0.00_ 0.00 9,500.00 100.00% 0.00 0.00
Toilet Accessories-
10224 M 34,000.00 34,000.00 0.00 0.00 34,000.00 100.00% 0.00 0.00
Toilet Accessories-
10225 L 28,000.00 28,000.00 0.00 0.00 28,000.00 100.00% 0.00 0.00
10510 Metal Lockers 16,500.00 16,500.00, 0.00 0.00 16,500.00 100.00%, 0.00 0.00
10520 Phenolic Lockers-M 110,000.00 110,000.00 0.00 0.00 110,000.00 100.00% 0.00 0.00
10521 Phenolic Lockers-L 29,000.00 29,000.00 0.00 0.00 29,000.00 100.00% 0.00 0.00
10610 Corner Guards-M 9,500.00 9,500.00 0.00 0.00 9,500.00 100.00% 0.00 0.00
10611 Corner Guards-L 3,500.00 3,500.00 0.00 0.00 3,500.00 100.00% 0.00 0.00
17001 Changr Order No.01 -81,040.00 -81,040.00 0.00 0.00 -81,040.00 100.00% 0.00 0.00
GRAND TOTAL $1,398,960.00 $1,338,055.00 $0.00 $0.00 $1,338,055.00 95.65% $60,905.00 $0.00
AIA Document G703",-1992.Copyright®1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by
_ U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result In severe civil and criminal penalties,and will be 3
prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 15:23:05 on 04/25/2011 under Order No.0215931572_1 which expires on 05/10/2012,end is not for
resale.
User Notes: (963278680)
AFFIDAVIT AND WAIVER OF LIEN
[X]FINAL [ ]PARTIAL [X]PAYMENT TO FOLLOW
State of Indiana,County of Madison.SS
Bradley Tyler , being duly sworn states that he is the Project Manager of W, R. Dunkin &
Son, Inc. having contracted with City of Carmel Redevelopment Commission to furnish
certain materials and/or labor as follows: Bid Package 5010-Interior Finishes for a project
known as Parcel 7A, Carmel Regional Performing Arts Center located at Carmel, Indiana and
owned by City of Carmel and does hereby further state on behalf of the aforementioned
Contractor.
Application for Payment #_has been received for work performed through .
(PARTIAL WAIVER)that there is due from the contractor the sum of
dollars and 00/cents ($ 0.00)
Application for Payment # 25 for work performed through 03/31/11 .
(FINAL WAIVER)that the final balance due from the Owner is the sum of
Twenty Thousand dollars and 00/cents($20,000.00 )
THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim
whatsoever on the above described property and improvements thereon on account of LABOR or material or both,
furnished by the undersigned thereto, subject to limitations or conditi.ns expressed herein, if any; and further
certifies that no other party has any claim or right to a lien o• • co , of any work performed or material furnished
to the undersigned for said pr.'- _-;;- •nut;ol 'scope o i .• .-(davit an er.
W.R.Dunkin&Son,Inc.011,64,,,i ��_ Title:Project Manager
i
WITNESS MY HAND AND NOTARIAL SEAL,this 25th day of April ,2011
5/276M-4KC-,,d2/krY-A'.&-Ld
(Notary Publ )
My Commission Expires:January 08,2017 Printed Martha A.Carpenter
Residing in Madison County ;�1, MARTHA A CARPENTER
z �f_ NOTARY PUBLIC
' t,,� STATE OF INDIANA
oF my Commission Expires 1-8-17
AFFIDAVIT AND WAIVER OF LIEN
[X]FINAL [ ]PARTIAL [ j PAYMENT TO FOLLOW
State of Indiana,County of Madison. SS
Bradley Tyler , being duly sworn states that he is the Project Manager of W. R. Dunkin &
Son, Inc. having contracted with City of Carmel Redevelopment Commission to furnish
certain materials and/or labor as follows: Bid Package 5010-Interior Finishes for a project
known as Parcel 7A, Carmel Regional Performing Arts Center located at Carmel, Indiana and
owned by City of Carmel and does hereby further state on behalf of the aforementioned
Contractor.
Application for Payment # been received for work performed through
(PARTIAL WAIVER)that there is due from the contractor the sum of
dollars and 00/cents ($ 0.00)
Application for Payment # 24 has been received for work performed through 03/31/11 .
(FINAL WAIVER)that the final balance due from the Owner is the sum of
Forty-nine Thousand Nine Hundred Forty-eight dollars and 00/cents($49,948.00 )
THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim
whatsoever on the above described property and improvements thereon on account of LABOR or material or both,
furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further
certifies that no other party has any claim or right to a lien on . o %any work performed or material furnished
to the undersigned for said pro'ect,�• . '..in,/cope of :. ;avit and
W.R.Dunkin&Son,Inc. ,,�, Title:Project Manager
WITNESS MY HAND AND NOTARIAL SEAL,this 25th day of April ,2011
(Notary Publi c'
My Commission Expires:January 08.2017 Printed Martha A.C. .enter
Residing in Madison County :%1°c MARTHA A CARPENTER
�1� 6 NOTARY PUBLIC
' I ' STATE OF INDIANA
kv" My Common Expires 1-8-t7
AFFIDAVIT AND WAIVER OF LIEN
[ ]FINAL [X]PARTIAL [ ]PAYMENT TO FOLLOW
State of Indiana,County of Madison. SS
Bradley Tyler , being duly sworn states that he is the Project Manager of W. R. Dunkin &
Son, Inc. having contracted with City of Carmel Redevelopment Commission to furnish
certain materials and/or labor as follows: Bid Package 5010-Interior Finishes for a project
known as Parcel 7A, Carmel Regional Performing Arts Center located at Carmel, Indiana and
owned by City of Carmel and does hereby further state on behalf of the aforementioned
Contractor.
Application for Payment # 23 has been received for work performed through 01/31/11.
(PARTIAL WAIVER)that there is due from the contractor the sum of
Three Hundred Twelve dollars and 00/cents ($ 312.00)
Application for Payment # has been received for work performed through
(FINAL WAIVER)that the final balance due from the Owner is the sum of
dollars and 00/cents(S )
THEREFORE, 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 thereon on account of LABOR or material or both,
furnished by the undersigned thereto, subject to limitations or conditio• expressed herein, if any; and further
certifies that no other party has any claim or right to a lien on • •unt • ;a , . performed or material furnished
to the undersigned for said • •'ect •, scope of is . t and w.'.er.
.R.Dunkin&So In. :,,,4461116(40/ Title:Project Manager
WITNESS MY HAND AND NOTARIAL SEAL,this 25th day of April ,2011
(Notary P lic)
My Commission Expires:January 08,2017 Printed Martha A.Carpenter
Residing in Madison County MARTHA A.CARPENTER
4■°
� n NOTARY PUBLIC
STATE OF INDIANA
°F My Commission
Expires 1.8-17
AFFIDAVIT AND WAIVER OF LIEN
[ ]FINAL [X]PARTIAL [ ] PAYMENT TO FOLLOW
State of Indiana,County of Madison.SS
Bradley Tyler , being duly sworn states that he is the Project Manager of W. R. Dunkin &
Son, Inc. having contracted with City of Carmel Redevelopment Commission to furnish
certain materials and/or labor as follows: Bid Package 5010-Interior Finishes for a project
known as Parcel 7A, Carmel Regional Performing Arts Center located at Carmel, Indiana and
owned by City of Carmel and does hereby further state on behalf of the aforementioned
Contractor.
Application for Payment # 22 has been received for work performed through 12/31/10.
(PARTIAL WAIVER)that there is due from the contractor the sum of
Five Hundred Fifteen dollars and 00/cents ($ 515.00)
Application for Payment # has been received for work performed through
(FINAL WAIVER)that the final balance due from the Owner is the sum of
dollars and 00/cents($ )
THEREFORE, 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 thereon on account of LABOR or material or both,
furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further
certifies that no other party has any claim or right to a lien on account I': k performed or material furnished
to the undersigned for said project,and .- in 0.--scope of I'. • • .7. and .aiver.
W.R.Dunkin&Son,Inc. OP Title:Project Manager
WITNESS MY HAND AND NOTARIAL SEAL,this 25th day of April _,2011
(Notary P ic)
My Commission Expires: January 08,2017 Printed Martha A. Carpenter
Residing in Madison County
TA' MARTHA A.CARPENTER
NOTARY PUBLIC
' f STATE OF INDIANA
• ' Ady Commission Expires 1-8-17
Mercantile Trust Services - W R Dunkin & Son, Inc.
Bid item 4050 q/G 73513 7G9
Retainage witheld thru 12/31/2010
application 33A 491,833.80
application 31B 113,435.00
Total retainage due 605,268.80
Retainage in escrow account 633,070.30
Retainage excess held (27,801.50)
Bid item 5010 Q/L -39/3600
Retainage witheld thru 12/31/2010
Application 22 69,948.00
Retainage in escrow account 34,904.40
Retainage Shortage 35,043.60
Net retainage due escrow account 7,242.10
Mercantile Trust Services Bid item 5010
Deposit
Date Amount Increase decrease Balance Principal Interest Description
01/07/20010 34,904.40 34,904.40 34,904.40 34,904.40 Opening deposit
2/2/2010 1.44 1.44 34,905.84 1.44 Interest 1/1 thru 1/31/2010
3/1/2010 1.68 1.68 34,907.52 1.68 Interest 2/1 thru 2/28/2010
4/1/2010 1.95 1.95 34,909.47 1.95 Interest 3/1 thru 3/31/2010
5/3/2010 2.37 2.37 34,911.84 2.37 Interest 4/1 thru 4/30/2010
6/1/2010 2.90 2.90 34,914.74 2.90 Interest 5/1 thru 5/31/2010
7/1/2010 2.55 2.55 34,917.29 2.55 Interest 6/1 thru 6/30/2010
8/3/2010 2.48 2.48 34,919.77 2.48 Interest 7/1 thru 7/31/2010
9/2/2010 2.48 2.48 34,922.25 2.48 Interest 8/1 thru 8/31/2010
10/1/2010 2.08 2.08 34,924.33 2.08 Interest 9/1 thru 9/30/2010
11/1/2010 2.17 2.17 34,926.50 2.17 Interest 10/1 thru 10/31/2010
12/1/2010 2.10 2.10 34,928.60 2.10 Interest 11/01 thru 11/30/2010
Total thru 12/31/2010 34,904.40 24.20
1/3/2011 1.87 1.87 34,930.47 1.87 Interest 1 2/01 201 0 to 12/31/2010
2/1/2011 1.86 1.86 34,932.33 1.86 Interest 1/1/11 to 1/31/2011
3/1/2011 1.68 1.68 34,934.01 1.68 Interest 2/1 thru 3/31/2011
3/21/2011 300.00 34,634.01 (300.00) Annual Fee
3/28/2011 27,801.50 62,435.51 27,801.50
3/28/2011 49,948.00 12,487.51 (49,948.00) Partial retainage payment
4/1/2011 1.74 1.74 12,489.25 1.74 Interest 3/1 thru 3/31/2011
5/2/2011 0.60 0.60 12,489.85 0.60 Interest 4/1 to 4/30/2011
6/16/2011 7,242.10 7,242.10 19,731.95 7,242.10
Totals 20,000.00 (268.05)