Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BUNTING GRAPICS- 45- 2/25/2011
Bunting Grapics Check: 45 20 River Road Date: 2/25/2011 Vernon, PA 15147 Vendor: BUNTING1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 1&2 198,430.20 198,430.20 0.00 0.00 198,430.20 Aps 1 & 2 198,430.20 198,430.20 0.00 0.00 198,430.20 45 2/25/2011 ******"198,430.20 THE SUM OF ONE HUNDRED NINETY EIGHT THOUSAND FOUR HUNDRED THIRTY DOLLARS AND 20 CENTS** Bunting Grapics 20 River Road Vernon, PA 15147 Bunting Grapics Check: 45 20 River Road Date: 2/25/2011 Vernon, PA 15147 Vendor: BUNTING1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 1&2 198,430.20 198,430.20 0.00 0.00 198,430.20 Aps 1 & 2 198,430.20 198,430.20 0.00 0.00 198,430.20 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 PAC Signage Installment purchase contract Application 1(Bunting Graphics) December 2010 $121,933.35 Application 2(Bunting Graphics) January 2011 S 76,496.85 Total Authorized Disbursement 1843Dr2 _ "r,'4 r 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: E/lT/1D 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. Draft PAC Signage (Bunting Graphics) December 2010 (application 1) Amount to be paid by the Carmel Theater Development Company $ 121,933.35 January 2011 (application 2) Amount to be paid by the Carmel Theater Development Company $ 76,496.85 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 1 PAGES TO: CSO Architects PROJECT: The Palladium at the APPLICATION NO: 01 Distribution to: 280 East 96th Street, Suite 100 Center for Performing Arts OWNER Indianapolis, IN 46240 _ARCHITECT Attn: Brandon Bogan PERIOD TO: 12/31/10 -CONTRACTOR FROM CONTRACTOR: ViA ARCHITECT: Bunting Graphics, Inc. 20 River Road, Verona, PA 15147 PROJECT NOS: CONTRACT FOR: CONTRACT DATE: 09/22/10 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,AIA Document G703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner,and that current payment shown herein is now due. I. ORIGINAL CONTRACT SUM S 454,080.00 2. Net change by Change Orders S CON I •,'TOR: 3. CONTRACT SUM TO DATE(Line I ±2) S 454,080.00 4. TOTAL COMPLETED&STORED TO S 135,481.50 y Alit,, DATE (Column G on 6703) B Date: 12/21/10 5. RETAINAGE: A unting.President a. 10 %of Completed Work 13,548.15 State . ' t I h County of Allegheny (Column D+Eon G703) Subscribe. s% 1 e'o • - his 21st day of Deco i , b. 10 %of Stored Material 5 0 Notary Pub ' : ,% '/l; / .;;.r,,^' Notarial Seal (Column F on G703) My Commissl• ex s: September 15,2011 Richard G.Zoilnas,Notary Public Q IrEALTH OF PENNSYLVANIA Total Rctainage(Lines 5a+5b or Verona Boro,Allegheny County— Total in Column I ofG703) S 13,548.15 ARCHITECT'S CERTIFICATE T r'-:' 0T ' 't s,ctatlonofh,o«, .s 6. TOTAL EARNED LESS RETAINAGE S 121,933.35 In accordance with the Contract Documents,bused on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) S the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE S 121,933.35 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FiNISH, INCLUDING RETAINAGE S 332,146.65 (Line 3 less Line 6) AMOUNT CERTIFIED S 12.1.��3 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from rom the amount applied.Initial all figures on this Total changes approved Application and anthe Continuation Sheet that are changed to can/brrn with the amount certified.) in previous months by Owner ARCHITECT: Total approved this Month By: ---- --- 2// Date: 1`?7L\l t TOTALS S0.00 $0.00 This Certificate is ngqtneggtfable. The AMOUNT CERTIFIED is payable only to the Contractor named ferei !Issuance,payment and acceptance of payment are without NET CHANGES by Change Order $0.00 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702.APPLICATION AND CERTIFICATION FOR PAYMENT.1992 EDITION•AIA •®1992 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,N.W.,WASHINGTON.DC 20006.5292 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. CONTONUAT •N SHEET AIA DOCUMENT G703. AlA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 01 Contractor's signed certification is attached. _ APPLICATION DATE: 12/21/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/10 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) . TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D±E) . (NOT IN TO DATE D OR E) (D+E+F) I General Conditions(Sep.-Dec.2010) 5158,928.00 50.00 S119,196.00 50.00 5119,196.00 75% $39,732.00 511,919.60 2 Submittals $14,758.00 S0.00 511,068.50 $0.00 SI1,068.50 75% 53,689.50 51,106.85 3 Alt li I Sign Type A Wall&Letters 531.229.00 S0.00 S0.00 50.00 50.00 0% 531,229.00 50.00 4 Alt 4 2 Sign Type B 58,255.00 50.00 S0.00 50.00 $0.00 0% , 58,255.00 50.00 5 Sign Type C Fabrication 53.369.00 $0.00 S0.00 S0.00 50.00 0% 53,369.00 50.00 6 Sign Type C Installation S 1,925.00 50.00 $0.00 S0.00 $0.00 0% S 1,925.00 SO 00 7 Alt it 3 Sign Type D $1,216.00 S0.00 $0.00 $0.00 S0.00 0% S1,216.00 $0.00 8 Alt it 4 Sign Type E 59,155.00 50.00 S0.00 50.00 S0.00 0% S9,155.00 $0.00 9 Sign Type F Fabrication $17,570.00 50.00 S0.00 $0.00 $0.00 0% 517,570.00 S0.00 10 Sign Type F Installation $7,796.00 50.00 S0.00 50.00 S0.00 0% S7,796.00 S0.00 II Sign Type G Fabrication 51,146.00 $0.00 $0.00 50.00 S0.00 0% $1,146.00 50.00 12 Sign Type G Installation S9I.00 S0.00 50.00 50.00 S0.00 0% $91.00 SO.OD 13 Sign Type J Fabrication 52,437.00 $0.00 50.00 50.00 $0.00 0% S2,437.00 50.00 14 Sign Type J Installation $1,997.00 $0.00 S0.00 50.00 $0.00 0% 51,997.00 50.00 15 Sign Type K Fabrication 5884.00- $0.00 50.00 50.00 $0.00 0% S884.00 $0.00 16 Sign Type K Installation S 128.00 $0.00 $0.00 50.00 $0.00 0% S 128.00 50.00 17 Sign Type L Fabrication 51,419.00 50.00 $0.00 50.00 S0.00 0% S 1,419.00 S0.00 18 Sign Type L Installation S97.00 S0.00 50.00 50.00 S0.00 0% S97.00 50.00 1 9 Sign Type I I Fabrication $162.00 $0.00 S0.00 S0.00 S0.00 0% $162.00 S0.00 20 Sign Type 1I Installation $989.00 S0.00 $0.00 S0.00 S0.00 0% S989.00 50.00 21 Sign Type AA.Fabrication $508.00 50.00 $0.00 50.00 $0.00 0% 5508.00 SO 00 22 Sign Type AA Installation $614.00 $0.00 $0.00 50.00 $0.00 0% S614.00 $0.00 23 Sign Type BB Fabrication 52.418.00. 50.00 50.00 SO 00 S0.00 0% $2,418.00 50.00 24 Sign Type BB Installation S693.00 S0.00 $0.00 $0.00 S0.00 0% S693.00 50.00 25 Sign Type CC Fabrication S2I0.00 S0.00 50.00 50.00 S0.00 0% 5210.00 50.00 26 Sign Type CC Installation 5189.00 $0.00 S0.00 50.00 $0.00 0% $189.00 50.00 27 Sign Type DD Fabrication $883.00 S0.00 S0.00 50.00 S0.00 0% $883.00 S0.00 28 Sign Type DD Installation $189.00 S0.00 50.00 S0.00 50.00 0% S189.00 50.00 29 Sign Type EE Fabrication 51,363.00 S0.00 50.00 50.00 S0.00 0% 51,363.00 SO 00 30 Sign Type EE Installation SI99.00 $0.00 $0.00 50.00 S0.00 0% S 199.00 S0.(1(1 31 Sign Type FF Fabrication $1,229.00 5000 50.00 S0.00 S0.00 0% $1,229.00 50.00 32 Sign Type FF Installation S370.00 $0.00 50.00 50.00 $0.00 0% S370.00 50.00 AIA DOCUMENT G703'CONTINUATION SHEET FOR G702-1992 EDITION•AIA..®1992 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVENUE,N .WASHINGTON,D.C. 20006-5232 G703-1992 CONTINUATION SHEET AIA DOCUMENT G703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 01 Contractor's signed certification is attached. APPLICATION DATE: 12/21/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/10 Use Column I on Contracts where variable retainagc for line items may apply. ARCHITECT'S PROJECT NO: A B C D I E F G 11 I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G=C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 33 Sign Type 1111 Fabrication 515.199.00 S0.00 $0.00 $0.00 S0.00 0% S 1 5,199.00 50.00 34 Sign Type 1111 Installation S14,664.00 $0.00 50.00 S0.00 $0.00 0% SI4,664.00 50.00 35 Sign Type 11 Fabrication 516,710.00 $0.00 S0.00 S0.00 S0.00 0% $16,710.00 S0.00 36 Sign Type 11 Installation 52,514.00 S0.00 S0.00 S0.00 50.00 0% , S2,514.00 S0.00 37 Sign Type KK Fabrication 517.531.00 $0.00 50.00 50.00 $0.00 0% S 17,531.00 50.00 38 Sign Type KK Installation 53,608.00 50.00 S0.00 50.00 $0.00 0% S3,608.00 S0.00 39 Sian Type LL Fabrication S4,532.00 50.00 $0.00 50.00 $0.00 0% 54,532.00 S0.00 40 Sign Type LL Installation S682.00 50.00 50.00 $0.00 S0.00 0% $682.00 S0.00 41 Sign Type MM Fabrication 52,512.00 50.00 $0.00 50.00 $0.00 0% $2,512.00 $0.00 42 Sign Type MM-Installation S620.00 50.00 S0.00 S0.00 50.00 0% 5620.00 50.00 43 Sign Type NN Fabrication 516,009.00 50.00 S0.00 50.00 S0.00 0% S 16,009.00 $0.00 44 Sign Type NN Installation S3,676.00 $0.00 $0.00 S0.00 50.00 0% 53,676.00 50.00 45 Sign Type 00 Fabrication $5,259.00 50.00 50.00 S0.00 50.00 0% $5,259.00 S0.00 46 Sign Type 00 Installation S976.00 $0.00 $0.00 $0.00 50.(10 0% 5976.00 50.00 47 Sign Type PP Fabrication 53,999.00 50.00 50.00 50.00 50.00 0% S3,999.00 $0.00 48 Sign Type PP Installation 5381.00 50.00 S0.00 $0.00 50.00 0% 5381.00 50.00 49 Sign Type QQ Fabrication 51,752:00 S0.00 50.00 $0.00 S0.00 0% 51,752.00 S0.00 50 Sign Type QQ Installation S29.00 S0.00 S0.00 50.00 50.00 0% 529.00 $0.00 51 Sign Type RR&SS Fabrication S3,805.00 50.00 S0.00 50.00 S0.00 0% S3,805.00 50.00 52 Sign Type RR&SS Installation 51,541.00 50.00 50.00 $0.00 $0.00 0% S1,541.00 S0.00 53 Sign Type TT Fabrication 52,339.00 S0.00 $0.00 50.00 S0.00 0% S2,339.00 50.00 54 Sign Type TT Installation $369.00 50.00 50:00 50.00 $0.00 0% 5369.00 $0.00 55 Alt 11 5 Cast Mounting Brackets 514.093.00 50.00 $0.00 50.00 50.00 0% $14,093.00 50.00 56 Sign Type AAA Fabrication 5731.00 50.00 5731.00 $0.00 5731.00 100% 573.10 57 Sign Type AAA Installation 5126.00 S0.00 50.00 $0.00 50.00 0% S 126.00 S0.00 58 Sign Type BBB Fabrication 52,413.00 50.00 S2,413.00 50.00 S2,413.00 100% $241.30 59 Sign Type BBB Installation 5984.00 50.00 50.00 50.00 50.00 0% S984.00 50.00 60 Sign Type BBB-2 Fabrication 5300.00 S0.00 5300.00 50.00 $300.00 100% 530.00 61 Sign Type BBB-2 Installation 565.00 $0.00 50.00 $0.00 S0.00 0% $65.00 S0.00 62 Sign Type CCC Fabrication $966.00 $0.00 5966.00 50.00 5966.00 100% 596.60 63 Sign Type CCC Installation 5419.00 50.00 50.00 S0.00 50.00 0% 5419.00 50.00 64 Sign Type DDD Fabrication 5477.00 50.00 $477.00 50.00. $477.00 100% S47.70 65 Sign Type DDD Installation S195.00 50.00 50.00 50.00 50.00 0% SI95.00 50.00 66 Sign Type FIT Fabrication 5212.00 $0.00 5212.00 S0.00 $212.00 100% - 521.20 67 Sign Type FFF Installation 586,00 $0.00 50.00 50.00 S0.00 0% 586.00 50.00 AIA DOCUMENT G703-CONTINUATION SHEET FOR G702•1992 EDITION•AIA•©1992 6703-1992 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVENUE.N.W.WASHINGTON.D.C. 20006-5232 C.NT NUATION SHEET AIA DOCUMENTG703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 01 Contractor's signed certification is attached. APPLICATION DATE: 12/21/10 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 12/31/10 Use Column I on Contracts where variable rctainage For line items may apply. ARCHITECT'S PROJECT NO: A B C D I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) . TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 68 Sign Type I-IHH Fabrication 5118.00 50.00 5118.00 50.00 5118.00 100% 511.80 69 Sign Type HHH Installation $43.00 50.00 S(L00 50.00 50.00 0% S43.00 50.00 70 Sign Type JJJ Fabrication 5206.00 50.00 50.00 50.00 50.00 0% S206.00 50.00 71 Sign Type JJJ Installation 5365.00 50.00 50.00 50.00 $0.00 0% . S365.00 50.00 72 Sign Type MMM Fabrication 52,312.00 50.00 50.00 50.00 50.00 0% 52,312.00 50.00 73 Sign Type MMM Installation 5492.00 50.00 $0.00 $0.00 50.00 0% S492.00 50.00 74 Sign Type NNN Fabrication 5256.00 50.00 50.00 $0.00 $0.00 0% 5256.0a $0.00 75 Sign Type NNN Installation 5101.00 $0.00 50.00 50.00 50.00 0% 5101,00 S0.00 76 Allowencc General 518,998.50 $0.00 50.00 50.00 50.00 0% 518,998.50 50.00 77 Allowencc Lime Stone Engraving 518,998.50 $0.00 50.00 $0.00 50.00 0% S 18,998.50 50.00 GRAND TOTALS S454,080.00 S0.00 S135,481.50 S0.00 $135,481.50 30% S318,598.50 513,548.15 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity AIA DOCUMENT G703•CONTINUATION SHEET FOR G702•1992 EDITION•AIA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W.WASHINGTON,D.C. 20006-5232 G703-1992 Bunting Graphics, Inc. 20 River Road Verona, PA 15147-1159 E IJon pMp Phone: (41 2) 820-2200 119(19Gag Duo c19 Fax: (41 2) 8211-44(14 WAIVER AND RELEASE OF LIENS FINAL X IN PROGRESS The undersigned is a subcontractor furnishing services or labor or material in the construction or repair of improvements upon real estate owned by and described as follows: Project Name: The Palladium at the Center for Performing Arts Project Location: Carmel, IN Upon receipt by Bunting Graphics, Inc. of a check from Carmel Theatre Development Company in the amount of One hundred twenty one thousand nine hundred thirty three & 35/100 ($121,933.35) and when the check has been paid by the bank upon which it is drawn, the undersigned does hereby waive, release and quitclaim in favor of the owner or owners of said real estate and in favor of each and every party making a loan on said real estate, as improved and his or its successors and assigns, all right that the undersigned may have to a lien upon the land and improvements above described. RECEIVED TO DATE, INCLUDING CURRENT PAYMENT: $121,933.35 Company Name: Bunting Graphics, Inc. Address: 20 River Road Verona, PA 15147 Signature: #.0*.I! Printed Name: Ric Zolinas Title: Chief Financial Officer Date: February 9, 2011 IV Il�U Witnessed by: �!� APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF I PAGES TO: CSO Architects PROJECT: The Palladium at the APPLICATION NO: 02 Distribution to: 280 East 96th Street,Suite 100 Center for Performing Arts OWNER Indianapolis, IN 46240 ARCHITECT Attn: Brandon Bogan PERIOD TO: 01/31/11 CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT: Bunting Graphics, Inc. - 20 River Road, Verona, PA 15147 PROJECT NOS: CONTRACT FOR: CONTRACT DATE: 09/22/10 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet,AIA Document G703,is attached. completed in accordance with the Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner,and that current payment shown herein is now due. I. ORIGINAL CONTRACT SUM S 454,080.00 2. Net change by Change Orders 2) S CONTRAC �/ 3. CONTRACT SUM TO DATE(Line I ±_) S 454,080.00 4. TOTAL COMPLETED&STORED TO S 220,478.00 w,41 DATE (Column G on G703) By: /�►�•!a 7 Date: 01/21/11 5. RETAINAGE: Richard'. .. ,C.F.O. COMMONWEALTH OF PENNSYLVANIA a. 10 %of Completed Work 22,047.80 State of: Pennsylvania County of A legtteny Notarial Seal (Column D+E on G703) Subscribed and sworn to before met s 21. day of Janaury 2011 Mariorie R.Germanowsld,Notary Public b. 10 %of Stored Material 5 0 Notary Public: Y/» Verona Born,Allegheny County > My Commission Expires June 20,2014 2(Column F on G703) My Commission expire : June_ ,2014 Member,Pennsylvania A§sedatton of Notnrles Total Retainage(Lines 5a+5b or Total in Column I of G703) S 22,047.80 ARCHITECT'S CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE S 198,430.20 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5 Total) comprising the application,the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief the Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) S 121,933.35 the quality of the Work is in accordance with the Contract Documents,and the Contractor 8. CURRENT PAYMENT DUE S 76,496.85 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE S 255,649.80 ,1qjl (Line 3 less Line 6) AMOUNT CERTIFIED S 7(.p "4 L(n CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied. Initial ali figures on this Total changes approved Application and onthe Continuation Sheet that are changed to corrfbrnl with he amount certified.) in previous months by Owner ARCHITECT: Total approved this Month By: Date: I TOTALS 50.00 $0.00 This Certificate is of negotialSle. The AMOUNT CERTIFIED is payable only to the Contractor name herein lisuance,payment and acceptance of payment are without NET CHANGES by Change Order S0.00 prejudice to any rtghtS"of the Owner or Contractor under this Contract. AIA DOCUMENT G702•APPLICATION AND CERTIFICATION FOR PAYMENT•1992 EDITION•AIA .m1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.•WASHINGTON.DC 20006.5292 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. • CONTINUATION SHEET AIA DOCUMENT G703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 02 Contractor's signed certification is attached. APPLICATION DATE: 01/21/11 In tabulations below,amounts arc stated to the nearest dollar. PERIOD TO: 01/31/11 Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D 1 E F G H 1 ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (0_C) . TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D.1.E) (NOT IN TO DATE D OR E) (D+E+F) 1 General Conditions(Sep.-Dec.2010) $158,928.00 $119;196.00 539,732.00 50.00 S158,928.00 100% 50.00 SI5,892.80 2 Submittals 514,758.00 SI1,068.50 S3,689.50 50.00 514,758.00 100% S0.00 51,475.80 3 Alt II I Sian Type A Wall&Letters S31,229.00 50,00 50.00 50.00 S0.00 0% S31,229.00 S0.00 4 Alt I/2 Sign Type B 58,255.00 50.00 50.00 50.00 S0.00 0% , S8,255.00 50.00 5 Sign Type C Fabrication 53369.00 50.00 S0.00 50.00 S0.00 0% S3,369.00 S0.00 6 Sign Type C Installation 51,925.00 S0.00 S0.00 50.00 S0.00 0% 51,925.00 S0.00 7 Alt II 3•Sign Type D S1,216.00 50.00 50.00 S0.00 S0.00 0% 51216.00 50.00 8 Alt n 4 Sign Type E 59,155.00 50,00 50.00 S0.00 50.00 0% 59,155.00 $0.00 9 Sign Type F Fabrication 517,570.00 50.00 50.00 511.00 50.00 0% S 17,570.00 50.00 10 Sign Type F Installation 57.796.00 50.00 50.00 50.00 S0.00 0% S7,796.00 50.00 II Sign Type G Fabrication S1,146.00 50.00 S1,146.00 $0.00 SI,146.00 100% 50.00 $114.60 12 Sign Type Cr Installation 591.00 50.00 591.00 50.00 S91.00 I00% 50.00 $9.10 13 Sign Type J Fabrication S2,437.00 $0.00 52,437.00 50.00 S2,437.00 100% $0.00 $243.70 14 Sign Type J Installation $1,997.00 $0.00 51,997.00 $0.00 $1,997.00 100% S0.00 5199.70 15 Sign Type K Fabrication 5884.00 50.00 S884.00 $0.00 $884.00 100% 50.00 588.40 16 Sign Type K Installation 5128.00 50.00 5128.00 50.00 S 128.00 100% 50.00 512.80 17 Sign Type L Fabrication SI,419.00 50.00 S0.00 50.00 S0.00 0% $1,419.00 $0.00 18 Sign Type L Installation 597.00 S0.00 S0.00 $0.00 S0.00 0% S97.00 50.00 19 Sign Type H Fabrication S162.00 $0.00 S0.00 $0.00 S0.00 0% $162.00 S0.00 20 Sign Type I I Installation S989.00 $0.00 50.00 50.00 S0.00 0% 5989.00 50.00 21 Sign Type AA Fabrication $508.00 S0.00 S0.00 50.00 S0.00 0% $508.00 50.00 22 Sign Type AA Installation 5614.00 50.00 $0.00 50.00 S0.00 0% $614.00 $0.00 23 Sign Type BB Fabrication 52,418.00 50.00 $2,418.00 $0.00 52,418.00 100% $0.00 S241.80 24 Sign Type BB Installation 5693.00 50.00 5693.00 S0.00 5693.00 100% S0.00 569.30 25 Sign Type CC Fabrication 5210.00 50.017 $0.00 50.00 $0.00 0% $210.00 S0.00 26 Sign Type CC Installation S 189.00 $0.00 $0.00 50.00 50.00 0% $189.00 S0.U0 27 Sign Type DD Fabrication 5883.00 50.00 $0.00 $0.00 $0.00 0% 5883.00 SO.UP 28 Sign Type DD Installation S189.00 50.00 $0.00 50.00 $0.00 0% 5189.00 50.00 29 Sign Type EE'Fabrication 51,363.00 S0.00 $0.00 50.00 S0.00 0% 51,363.00 50.00 30 Sign Type EE Installation SI99.00 50.00 $0.00 50.00 S0.00 0% S199.00 50.00 31 Sign Type FF Fabrication $1,229.00 S0.00 S0.00 SO.Ot) $0.00 0% $1,229.00 5(1.00 32 Sign Type FF Installation 5370.00 S0.00 S0.00 S0.00 S0;00 0% S370.00 S0.00 AIA DOCUMENT G703-CONTINUATION SHEET FOR G702•1992 EDITION-AIA•01992 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVENUE,N.W.WASHINGTON.D.C. 20000-5232 G7034 992 CONTINUATION SHEET AIA DOCUMENT G703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 02 Contractor's signed certification is attached. APPLICATION DATE: 01/21/11 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 01/31/11 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A 13 C D I E F 0 II I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) • TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-GI RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 33 Sign Type 1111 Fabrication S15,199.00 S0.00 515,199.00 50.00 S15.199.00 100% 50:00 SI.519.90 34 Sign Type HI-1 Installation 514,664.00 S0.00 S14,664.00 S0.00 514;664,00 100% S0.00 51.466.40 35 Sign Type JJ Fabrication 516,710.00 S0.00 S0.00 S0.00 S0.00 0% S 16,710.00 50.00 36 Sign Type JJ Installation 52.514.00 50.00 50.00 S0.00 50.00 0% . S2,514.00 50.00 37 Sign Type KK Fabrication S 17,531.00 50.00 S0.00 S0.00 S0.00 0% S 17,531.00 50.00 38 Sign Type KK Installation 53.608.00 50.00 50.00 5090 S0.00 0% S3,608.00 S0.00 39 Sign Type LL Fabrication 54,532.00 S0.00 50.00 S0.00 S0.00 0% 54,532.00 S0.00 40 Sign Type LL Installation S682.00 S0.00 50.00 S0.00 5090 0% 5682.00 50.00 41 Sign Type MM Fabrication 52,512.00 50.00 50.00 50.00 50.00 0% 52,512.00 50.00 42 Sign Type MM Installation S620.00 50.00 50.00 50.00 50.00 0% S620.00 S0.00 43 Sign Type NN Fabrication 516,009.00 50.00 S0.00 50.00 S0.00 0% 516,009.00 S0.00 44 Sign Type NN Installation 53,676.00 50.00 50.00 S0.00 50.00 0% S3,676.00 S0.00 45 Sign Type 00 Fabrication 55,259.00 50.00 50.00 S0.00 S0.00 0% S5,259.00 50.00 46 Sign Type 00 Installation 5976.00 50.00 50.00 50.00 50.00 0% S976.00 50.00 47 Sign Type PP Fabrication 53,999.00 50.00 50.00 50.00 S0.00 0% $3,999.00 50.00 48 Sign Type PP Installation S381.00 $0.00 50,00 50.00 50.00 0% S381.00 50.00 49 Sign Type QQ Fabrication 51,752.00 50.00 S0.00 50.00 50.00 0% S 1,752.00 50.00 50 Sign Type QQ Installation 529.00 50.00 50.00 50.00 50.00 0% S29.00 50.00 51 Sign Type RR&SS Fabrication 53,805.00 50.00 50.00 50.00 50.00 0% S3,805.00 50.00 52 Sign Type RR&SS Installation 51.541.00 50.00 50.00 50.00 50.00 0% SI,541.00 50.00 53 Sign Type TT Fabrication 52.339.00 50.00 S0.00 50.00 50.00 0% S2,339.00 S0.00 54 Sign Type TT Installation 5369.00 50.00 50.00 50.00 50.00 0% S369.00 50.00 55 Alt#5 Cast Mounting Brackets 514.093.00 50.00 50.00 50.00 50.00 0% S 14,093.00 50.00 56 Sign Type AAA Fabrication 5731.00 5731.00 50.00 50.00 5731.00 100% S0.00 S73.10 57 Sign Type AAA Installation 5126.00 50.00 5126.00 50.00 5126.00 100% 50.00 512.60 58 Sign Type 11313 Fabrication 52,413.00 52,413.00 50.00 5090 52,413.00 100% S0.00 5241.30 59 Sign Type BBB Installation 5984.00 5090 5984.00 50.00 5984.00 100% S0.00 598.40 60 Sign Type BBB-2 Fabrication 5300.00 5300.00 50.00 50.00 5300.00 100% S0.00 530.00 61 Sign Type 131313-2 Installation 565.00 50.00 565.00 50.00 565.00 100% S0.00 56.50 62 Sign Type CCC Fabrication 5966.00 5966.00 50.00 50.00 5966.00 100% S0.00 S96.60 63 Sign Type CCC Installation 5419.00 50.00 5419.00 50.00 5419.00 100% S0.00 541.90 64 Sign Type DDD Fabrication 5477.00 S477.00 S0.00 50.00 5477.00 100% S0.00 547.70 65 Sign Type DDD Installation 5195.00 50.00 5195.00 S0.00 5195.00 100% $0.00 S19.50 66 Sign Type FFF Fabrication S2I2.00 5212.00 50.00 50.00 5212.00 100% $0.00 521.20 67 Sign Type FFF Installation 586.00 50.00 586.(10 S0.U0 586.00 100% S0.00 S8.60 AIA DOCUMENT G703•CONTINUATION SHEET FOR G702•1992 EDITION•AIA•©1992 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE.N.W.WASHINGTON.D.C. 20005.5232 G703-1992 CONTIINUATHON SHEET T AIA DOCUMENT G703 AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 02 Contractor's signed certification is attached. APPLICATION DATE: 01/21/11 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 01/31/11 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A 13 C D I E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) , TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE D OR E) (D+E+F) 68 Sign Type HHII Fabrication SI 1 8.00 5118.00 50.00 50.00 SI 1 8.00 100% S0.00 SI 1.80 69 Sign Type 111.11.1 Installation S43.00 50.00 543.00 50.00 543.00 100% $0.00 54.30 70 Sign Type JJJ Fabrication 5206,00 50.00 $0.00 $0.00 50.00 0% S206.00 50.00 71 Sign Type iii Installation S365.00 S0.00 S0.00 S0.00 50.00 0% , S365.00 S0.00 72 Sign Type MMM Fabrication 52,312.00 S0.00 S0.00 S0.00 S0.00 0% 52,312.00 SO.00 73 Sign Type MMM Installation S492.00 S0.00 S0.00 S0.00 50.00 0% $492.00 SO.00 74 Sign Type NNN Fabrication 5256.00 S0.00 S0.00 $0.00 50.00 0% S256.00 50.00 75 Sign Type NNN Installation 5101.00 S0.00 50.00 50.00 50.00 0% S 101.00 $0.00 76 Allowence General S18,998.50 50.00 50.00 50.0(1 S0.00 0% S 18,998.50 S0.00 77 Allowcnce Lime Stone Engraving 518,998.50 S0.00 . S0.00 50.00 $0.00 0% S 18,998.50 50.0U GRAND TOTALS $454,080.00 5135,481.50 S84,996.50 . S0.00 5720,478.00 49% S233,602.00 $22,047.80 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity AIA DOCUMENT G703.CONTINUATION SHEET FOR G702•1992 EDITION•AlA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVENUE.N.W.WASHINGTON.D.C. 20006-5232 G703-1992 • Bunting Graphics, Inc. 20 River Road Verona. PA 15 147-) 15() ED DO=FIFIGz Phone: (412) S20-2200 lDdOCIDL7G-00 Fax: (412) S20-4404 WAIVER AND RELEASE OF LIENS FINAL X IN PROGRESS The undersigned is a subcontractor furnishing services or labor or material in the construction or repair of improvements upon real estate owned by and described as follows: Project Name: The Palladium at the Center for Performing Arts Project Location: Carmel, IN Upon receipt by Bunting Graphics, Inc. of a check from Carmel Theatre Development Company in the amount of Seventy six thousand four hundred ninety six & 85/100 ($76,496.85) and when the check has been paid by the bank upon which it is drawn, the undersigned does hereby waive, release and quitclaim in favor of the owner or owners of said real estate and in favor of each and every party making a loan on said real estate, as improved and his or its successors and assigns, all right that the undersigned may have to a lien upon the land and improvements above described. RECEIVED TO DATE, INCLUDING CURRENT PAYMENT: $198,430.20 Company Name: Bunting Graphics, Inc. Address: 20 River Road Verona, PA 15147 Signature: Printed Name: Ric ..41Prinas Title: Chief Financial Officer Date: February 9, 2011 Witnessed by: