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Home My WebLink AboutEBENISTERIE BEAUBOIS LTEE- 26- 2/15/2012 Ebenisterie Beaubois LTEE Check: 26 521 6th Ave Date: 2/15/2012 Saint-George, Quebec Vendor: EBENIST1 Canada, GSU OH1, ca oh1 Prior Invoice P.O. Num. Invoice Amt Balance Retention D iscount Amt. Paid 27 48 4,117.00 4,117.00 0.00 0.00 4,117.00 App 27 4,117.00 4,117.00 0.00 0.00 4,117.00 26 2/15/2012 4,117.00 THE SUM OF FOUR THOUSAND ONE HUNDRED SEVENTEEN DOLLARS AND NO CENTS ***"***** Ebenisterie Beaubois LTEE 521 6th Ave Saint-George, Quebec Canada, GSU OH1, ca oh1 Ebenisterie Beaubois LTEE Check: 26 521 6th Ave Date: 2/15/2012 Saint-George, Quebec Vendor: EBENIST1 Canada, GSU OH1, ca oh1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 27 48 4,117.00 4,117.00 0.00 0.00 4,117.00 App 27 4,117.00 4,117.00 0.00 0.00 4,117.00 - ®'of Document 6702/CMaT" - 1992 tO Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: PROJECT: APPLICATION NO: oa 7 Distribution to: oil 0i' (.1207112 i COrltvlel g19CaC CO/.5f... PERIOD TO: c4?mBer 4151 ,20t J OWNER ❑ CONSTRUCTION MANAGER ❑ FROM CONTRAC OR: WA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ Lte ISFQYIC �emm5 L ff,, i, 6,1h Q�'e 5h le 1 ion PROJECT NOS: g96g5" 1 e010 i CONTRACTOR ❑ 51 .( r at -4 OH I VIA ARCHITECT: FIELD ❑ CONTRACT FOR:11 11�&/' O (..kr.ICI Pell ❑ 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 this Application for Payment has been completed in accordance with the Continuation Sheet.AIA Document G703,is attached. a t 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 1.ORIGINAL CONTRACT SUM $ ?J IN .;U1(, payment sh . • rein is new due. 2. Net change by Change Orders $ aat-5 9 ` CONT• • TOR: t 3.CONTRACT SUM TO DATE(Line I ±2) $3a0Ci ')9C1. '° By: --' = —cte- Date: I /72 I &OI 4.TOTAL COMPLETED S STORED TO DATE(Column G on G703) ...........,$2);GC)! 2)9Q. O w State of: (f rs C 5.RETAINAGE: Com of:creij_jce. . Commissaire a CAssermentation a. %of Completed Work scribed and sworn to before Commissioner for oath (Column D+Eon 6703) $ `fit me this 215} day of Dece l C i., b. %of Stored Material Marton Poulin 9 Notary Public: yl li�dYti # 163 850 (Column F on G703) $ �` My Commission expires, 0,9 1 o 0013 Dtsrr'c' Queboo - Total Retainage(Lines 5a+5b or Total in Column I of 0703). $ (3 CERTIFICATE FOR PAYMENT Quebec District 6.TOTAL EARNED LESS RETAINAGE ";ail 2{19_p In accordance with the Contract Documents, based on on-site observations and the data comprising this application,the Constmction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) o knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ ?j '� accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CER 11 f7F,D. 8.CURRENT PAYMENT DUE $ Fi 1 11-. C u I AMOUNT CERTIFIED $ tin , 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from t want applied. Initial ail figures on this Application and on t onunuation Sheet ,t are ,god to conform with the amount c tiled.) (Line 3 less Line 6) $ (.5l) CONS : CTION ••• tom/ / t By, 1..a -ter. i t a r Dale: I � CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH Total changes approved in previous months by Owner $ $ By: A _ Date: i ' '✓?j • 1•101 IZ Total approved this Month _ $ S _ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ $ named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner 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 wilt not be obscured. AIA Document G7D2CMa^'-1992.Copyright Cr 1992 by The American Institute of Architects.All rights reserved. WARNING:This AIA"Document is protected by L.S.Copyright Law and International Treaties. Unauthorized reproduction or distribution al this Ale Document.or any portion of il,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(1 D)copies of this document when completed.To report copyright violations et AIA Contract Documents,a-mail The Amsdean Institute of Architects'legal counsel,copyrightsPaia,erg. CONTINUATION SHEET Ala Document 0703 Format Ala Doc.0702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenistetie Beaubois LW* containing Conn actors signed Certification is attached. APPLICATION NO: 27 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 12/20/2011 Use Colons Ion Contracts where variable rctainage for line items may apply. APLICATION PERIOD: 12/01/2011-1Z/31/2011 ARCHITECTS PROJECT NO: Cannel Regional Performing arts Center.Cannel,IN A B C D I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retalnage Value application Period Stored and stored to Finish 0% No. I of work (D•EI (not in or El (0•E•F) (0/C) (C-G) MAT BASEMENT LEVEL 52 098.35 $ 52 098.35 $ 0.00$ 0.00 $ 52 098.35 $ 0.00 $ 0.00 $ LAB 11 883.71 $ 11 883.71 $ 0.00$ 0.00 $ 11 883.71 $ 0.00$ 0.00 $ MAT North 6 886.93 5 6 886.93 5 0.00$ 0.00$ 6 886.93$ 0.00$ 0.00 S MAT Miscellaneous items 4s 211.43 51 45 211.43 5 0.00$ 0.00$ 45 211.43 5 0.00 S 0.00$ LAB North 1 257.05$ 1 257.05 5 0.00 S 0.00$ 1 257.05$ 0.00$ 0.00$ LAB Miscellaneous items 10 626.66$ 10 626.66$ 0.00 5 0.00$ 10 626.66$ 0.00 5 0.00 S i MAT PLENUM LEVEL 49 668.53 $ 49 668.53 $ 0.00$ 0.00 $ 49 668.53 $ 0.00 $ 0.00 $ LAB 42 456.67 $ 42 456.67$ 0.00$ 0.00$ 42 456.67 $ 0.00$ 0.00 $ MAT Miscellaneous items 12 287.665 12287.66$ 0.00 S 0.005 12 287.66$ 0.005 0.00$ MAT South 37 380.88$ 37 380.88$ 0.00 5 0.00 S 37 380.88$1 0.00$ 0.00$ 1 LAB Miscellaneous items 26 524.29$ 26 524.29$ 0.00$ 0.00 5 26 524.29$ 0.00 S 0.00$ LAB South 15 932.38 5 15 932.38$ 0.00 5 0.00$ 15 932.38$ 0.00$ 0.00$ MAT ORCHESTRA LOW LEVEL 884 071.73 $ 884 071.73 $ 0.00$ 0.00$ 884 071.73 $ 0.00$1 0.00$ LAB 317 235.98 $ 317 235.98 $ 0.00$ 0.00$ 317 235.98 $ 0.00$ 0.00$ MAT Auditorium 536 641.30$ 536 641.30$ 0.00 5 0.00$ 536 641.30$ 0.00$ 0.00$ MAT East 137 103.55$ 137 103.55$ 0.00$ 0.00 5 137 103.55$ 0.00$ 0.00$ MAT North 101 619.955 101 619.95$ 0.00$ 0.0051 101 619,955 0.00$ 0.005 Pagel CONTINUATION SHEET Ala Document 0703 Format AIA Doc.0702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebentstene Beaubois Ltee containing Contractor s signed Certification is attached. APPLICATION NO: 27 In tabtAattom below.amounts are stated to the nearest dollar. APPLICATION DATE: 12/20/2011 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD: 12/01/2011-12/31/2011 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D I E F G H I Work Completed Material Total item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 0% No. I of work 104E) (not in D or El (D+L4F) 10/C) IC-G) I MAT West 50922.96 S 50922.96$ 0.00$ 0.005 50 922.96$ 0.005 0.00$ MAT Miscellaneous items 57 783.98$ 57 783.98$ 0.00$ 0.00$ 57 783.98$ 0.00$ 0.00$ LA8 Auditorium 161 191.08$ 161 191.08$ 0.00$ 0.00$ 161 191.08$ 0.00$ 0.00$ I LAB East 40499.18$I 40499.18$ 0.00$ 0.00$ 40499.18$ 0.00$ 0.00$ LAB North 16932.65$ 16932.65 SI 0.00$ 0.00$ 16932.65$ 0.00$ 0.00$ 1 LAB West 26471.63$ 26471.635 0.00$ 0.00$ 26471.63$ 0.00$ 0.00$ LAB Miscellaneous items 72 141.44$ 72 141.44$ 0.00$ 0.00 5 72 141.44$ 0.00$ 0.00$ I MAT ORCHESTRA HIGH LEVEL 132 847.59 $ 132 847.59 $ 0.00$ 0.00 $ 132 847.59 $ 0.00 $ 0.00 $ LAB 92 280.19 $1 92 280.19 $ 0.00$ 0.00 $ 92 280.19 $ 0.00 $ 0.00 $ I MAT Auditorium 4621.74 SI 4621.74$ 0.00$ 0.00$ 4621.74$ 0.00$ 0.00$ MAT East 485.32$ 485.32$ 0.00$ 0.00$ 485.32$ 0.00$ 0.00$ MAT South 101013.48$ 101013.47$ 0.00$ 0.00$ 101 013.48$ 0.00$ 0.00$ MAT West 485.32$ 485.32$ 0.00$ 0.00$ 485.32$ I 0.00$ 0.00$ MAT Miscellaneous items 26 241.73$ 16 241.73$ 0.00$ 0.00$ 26 241.73$ 0.00$ 0.00$ LAB Auditorium 2 262.18$ 2 262.18$ 0.00$ 0.00$ 2 262.18$ 0.00$ 0.00$ LAB East 381.52$ 381.52$ 0.00$ 0.00$ 381.52$ 0.00$ 0.00$ Pape 2 • CONTINUATION SHEET Au Document 0703 Frame< GA Doc.6702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenistebe Beaubais Ltec containing Contractor's signed Certification is attached. APPLICATION NO:27 In tabulations below,amounts arc stated to the nearest dollar. APPLICATION DATE: 12/20/2011 Use Column Ion Coouacts where variable retainer for line items may apply. •PLICATION PERIOD: 12/01/2011-12/31/2011 ARCHITECTS PROJECT NO: Cannel Regional Performing Arts Center,Cannel,W A B C D I E F G H 1 Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 0% No. of work (CI•E) (not lnoor El (0•E•F) (0/C) (C-G) 1 LAB South 40 723.56$ 40 723.56$ 0.00 5 0.00$I 40 723.56$ 0.00 5 0.00$ LAB West 381.52 5 381.52 S 0.00$ 0.00 5I 381.52$ 0.00$ 0.005 LA8 Miscellaneous items 48 531.41$ 48 531.41$ 0.00 SI 0.00$1 48 531.41$ 0.00$ 0.00$ I I MAT BOX TIER LEVEL 326 347.94 S 326 347.95 $ 0.00$ 0.00 $ 326 347.94 $ 0.00 $ 0.00 $ LAB 278 078.48 S 278 078.48 $ 0.00 $ 0.00 $ 278 078.48 $ 0.00$ 0.00$ MAT Auditorium 11 727.05 5 11 727.05$ 0.005 0.005 11 727.05$ 0.005 0.00$ MAT East 44 650.44$ 44 650.44$ 0.00 5 0.00 5 44 650.44$ 0.00$ 0.00 5 MAT North 16 580.44 5 16 580.44$ 0.00 5 0.00$ 16 580.44$ 0.00$ 0.00$ MAT South 81 787.06$ 81 787.06$ 0.00 5 0.00$ 81 787.06$ 0.00$ 0.00$ MAT West 82441.765 82 441.76 51 0.005 0.005 82441.76$ 0.005 0.005 MAT Miscellaneous items 89 161.20$ 89 161.20 S 0.00$ 0.00$ 89 161.20$ 0.00$ 0.00$ LAB I Auditorium 6 058.74$ 6058.74$ 0.00$ 0.005 6058.74$ 0.005 0.00$ LAB East 26 800.35$ 26 800.35$ 0.00 5 0.00$ 26 800.35$ 0.00 5 0.00$ 1 I LAB North 6898.68$ 6898.68$I 0.00$ 0.00$ 6 898.68 5 0.00$ 0.00$ LAB South 37 667.50$ 37 667.50$ 0.00 5 0.00$ 37 667.50$ 0.00$ 0.00 5 LAB West 42 037.97$ •2 037.97$ 0.00$ 0.00$ 42 037.97$ 0.00$ 0.00 5 LAB Miscellaneous items 158 615.24 5 158615.24$ 0.00$ 0.00$ 158 615.24$ 0.00$ 0.00$ Page 3 CONTINUATION SHEET AIA Document 6701 Format AIA Doc.0702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Mee containing Contractors signed Certification Is attached. APPLICATION NO: I7 In tatUlahons below,amounts are stated to the nearest dollar. APPLICATION DATE: 12/20/2011 Use Column Ion Contracts where'tenable retainer for line items may apply. APLICATION PERIOD: 12/01/2011-12/31/2011 ARCHITECTS PROJECT NO: Cannel Regional Performing Arts Center,Cannel,IN A B C I D I E F G H I Work Completed Material Total Item Description Scheduled previous This Presently Complete % Balance Retalnage Value application Period Stored and stored to Finish 0% No. of work (D•E) Mot In Dor El (D•E•F) (0/C) (C.G ) MAT BALCONY LOW LEVEL 30 066.12 $ 30 066.12 $ 0.00$ 0.00 $ 30 066.12$ 0.00 $ 0.00$ LAB 48 121.87 $ 48 121.87 $ 0.00 $ 0.00 $ 48 121.87$ 0.00 $ 0.00 $ MAT Auditorium s 584.31 $ 5 584.31 S 0.00$ 0.00$ 5 584.31 5 0.00 5 0.00$ MAT East 849.32$ 849.32$ 0.00$ 0.00$ 849.32$ 0.00 5 0.00$ MAT North 242.66$ 242.66$ 0.00$ 0.00 5 242.66$ 0.00 5 0.00$ I MAT South 4 378.44$ 4 378.44$ 0.00 S 0.00$ 4 378.44$ 0.00$ 0.00$ MAT West 849.32$ 849.32$ 0.00$ 0.00$ 849.32$ 0.00$ 0.00$ MAT Miscellaneous items 18 162.07$ 18 162.07 5 0.00 5 0.00$ 18 162.07$ 0.00$ 0.00$ LAB Auditorium 2 674.80$ 2 674.80$ 0.00 5 0.00$ 2 674.80 S 0.00$ 0.00$ LAB East 667.66$ 667.66 5 0.00$ 0.00$ 667.66 S 0.00$ 0.00$ LAB North 190.76$ 190.76$1 0.00$ 0.00$ 190.76$ 0.00$ 0.00$ LAB South 2 740.40$ 2 740.40 5 0.00$ 0.00$ 2 740.40 5 0.00$ 0.00$ LAB West 667.66$ 667.66$ 0.00 S 0.00$ 667.66 S 0.00$ 0.00$ LAB Miscellaneous items 41 180.59$ 41 180.59$ 0.00$ 0.00 5 41 180.59$ 0.00$ 0.00$ MAT BALCONY HIGH LEVEL 143 538.52$ 143 538.52 $ 0.00 $ 0.00 $ 143 538.52 $ 0.00$ 0.00$ LAB 105 766.53 $ 105 766.53 $ 0.00 $ 0.00 $ 105 766.53$ 0.00 $ 0.00$ MAT Auditorium 6701.17$ 6 701.17 5 0.00$ 0.005 6701.17$ 0.00$ 0.00$ Page a CONTINUATION SHEET AIA Document 6703 Format Ala Pee_0702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterle Beaubois Ltee containing Contractor's signed Certillcaton Is attached. APPLICATION NO; 27 In tabulations below.amounts are stated to the nearest dollar. APPLICATION DATE: 12/70/2011 Use Column Ion Contracts where variable retainers for line Items may apply. APLICATION PERIOD: 12/01/2011-12/31/2011 ARCHITECT'S PROJECT NO: Cannel Regional Performing Arts Center,Cannel,IN A B C D I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 0% No. I of work (D•E) (not in D or E) (D•E•F1 (0/C) (C-G) MAT I East 8 672.67$ 8 672.67 5 0.00$ 0.00 2 B 672.62$ 0.00 S I 0.00$ MAT North 121.33$ 121.33$ 0.00$ 0.00$ 121.33$ 0.00$ 0.00$ I MAT South 85 647.88$ 85 647.88$ 0.00$ 0.00$ 85 647.68$ 0.00$ 0.00$ I MAT West 5 840.25$I 5 840.25$ 0.00$ 0.00$ 5 840.25$ 0.00$ 0.00$ MAT Miscellaneous items 36 555.23$ 36 555.23$ 0.00$ 0.00$ 36 555.23$ 0.00$ 0.00$ LAB Auditorium 3 504.20$ 3 504.20$ 0.00$ 0.00$ 3 504.20 5 I 0.00$ 0.00$ LAB East 5910.02$ 5910.02$ 0.00$ 0.00$ 5910.02$ 0.00$ 0.00$ I LAB North 95.38$ 95.38$ 0.00$ 0.00$ 95.38 S I 0.00 5 0.00$ LAB South 39 165.15$ 39 165.15$ 0.00$ 0.00$ 39 165.15$ 0.00$ 0.00$ LAB West 3 896.68$ 3 896.68$ 0.00$ 0.00$ 3 896.68$I 0.00$ 0.00$ LAB Miscellaneous items 53 195.10$ 53 195.10$ 0.00 5 0.00$ 53 195.10$ 0.00$ 0.00$ i MAT ALLOWANCE 105 000.00 $ 105 000.00 $ 0.00 S 0.00 $ 105 000.00$ 0.00$ 0.00 $ 5060 General Allowance 50 000.00$ 50 727.00$ 0.00 5 0.00 5 50 727.00 S 101% -727.00$ 0.00 5 I 1 25 000.00$ 25 000.00 5 I 2 .27461.17$ 37461.175 3 .5 758.35$ -5 758.35$ • 8 201,00 5 8201.®$ 5 5696.00$ I 5696.00$ 6 8 500.00$ I 8 500.00$ 7 7 749.00 5 I 7 749.00$ 8 1 690.00 5 I 1 690.00$ Page 5 CONTINUATION SHEET AIA Document G703 Format AIA Doc.6702.APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubois Ltee contemns Convectors signed Certification n attached. APPLICATION NO: 27 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 12/20/2011 Use Column Ion Contracts where vanable retainage for line items may apply. APLICATION PERIOD: 12/01/2011-12/31/2011 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Cannel,IN A 8 C 0 I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 0% No. of work ID•EI (not in D or El ID•E•F) (0/Cl (C-GI 9 1 057.00 5 1 057.00 5 10 1 280.00$ 1 260.00 5 11 743.00$ 743.00 5 12 2 597.00 5 2592.005 13 1 212.00$ 1212.00$ 15 4525.00$ I 4525.00$ 161Quotes 5037-048-701.702) 15 696.52$ 15 696.52 5 5060 CAD Allowance 5 000.00$ 5 000.00$ 0.00 5 5 000.00$ 100% 0.00$ 1 5000.00$ 5 000.00 5 5070 General Allowance 25 000.00 S 22 323.00 51 0.00 5I 0.00$ 22 327.00 5 139%1 2 677.00$ 1 15 000.00 5 15000.00$ 2 I 1 078.00$ I 1 078.00$ 3 969.00$ 969.00$ 4(Qwem 5037.062401-7021 7 214.00$ 7 214.00$ 5070 CAD Allowance 5 000.00$ 5 000.00$ 0.00$ 5 000.00 5 100% 0.00$ 1 5000.00$ 5000.00$ 5080 General Allowance 15 000.00$1 16 950.00$ 0.00$ 16 950.00$I 113% -1 950.00$ t 10 000.00$ 10 000.00$ 1Iauotes 5037-700-702.703) 6 950.00 5 6 950.00$ 5080 CAD Allowance 5 000.00$ 5 000.00$ 0.00$ 5 000.00 5 100% 0.00$ t 5000.005 5000.00$ SUB TOTAL 2 619 462.22$ 2 619 462.23$ 0.00$ 0.00$ 2 619 462.22 S 100% 0.00$ 0.00$ I Administration Fees MAT Shop Drawings 174 383.84 S. 174 383.84 5 0.00$ 174 383.84$ 100% 0.00 5 0.00 5 INST MAT Engeneering and cutting sheet 116 255.86$ 116 255.86 S 0.00$ 116 255.86$ 100% 0.00$ 0.00$ IN5T I MAT Bond 20 32525$ 20 325.26 S 0.00$ I 20 325.26$ 192% 0.00$ 0.00$ Page 0 CONTINUATION SHEET Ale Document G703 Format AIA Doe.0702.APPLICATION AND CERTI.9CATE FOR PAYMENT Contractor.Ebenistene Beaubois Ltee containing Contractors signed Certification Is attached. APPLICATION NO: 27 In lebuladons below,amounts are stated to the nearest dollar. APPLICATION DATE: 12/20/2011 Use Column I on Contracts where variable retainage for line items may apply. APLICATION PERIOD: 12/01/2011-12/31/2011 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Cannel,IN A B I C D I E F G H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainer Value application Penod Stored and stored to Finish 0% No. of work (D•E) (not in Dor E) (0•E•F ) lG7cl IC-GI INST MAT Projet Management/Living/Travel 125 376.55$ 125 378.55$ 0.00 5 125 378.55$ 100% 0.00$ 0.00$ INST MAT Superintendent/Living/Travel 119 264.27$ 118 264.27$ 0.00 S 118 764.27$ 100% 0.00 5 0.00 5 INST TOTAL BASE CONTRACT 3 174 070.00$I 3 174 070.00$ 0.00$ 0.00$ 3 174 070.00$1 100% 0.00$ 0.00$ Change Orders I I I Change order#001 S 5 156.00 5 5 156 00 0.00 S 5 156.00$ 100% 0.00 5 0.00$ Cnange order 8002 S 1747900 I S 17479.00 0.00$ 17479.00$ 100% 0.00$ 0.00$ Change order 4003 S (65 000 00) S 165000.00) 0.005 65000.00$ 100% 0.005 0.005 Change order 8004 0.00$ 0.00 5 100% 0.00$ 0.00$ Change order 4005 S 5 146.00 S 5 14E 00 0.00$ 5 146.00$ 100% 0.00 5 0.00 5 Cringe order#096 $ 4000000 S 4000000 0.00$ 40 000.00 5 100% 0.00$ 0.00$ Change order#007 $ 24 150.00 I s 24 150.00 0.00$ 24 150.00$ 100% 0.00 5 0.00$ Cringe order#005 5 4 281.00 1 5 4 281.00 0.00$ 4 281.00$ 100% 0.00$ 0.00$ Change order 0009 5 4 117.00 1 4 117.00 5 4117.005 100% 0.00 5 0.00$ TOTAL CHANGE ORDERS S 35 329.00 1 5 31 212.00 5 4 117.00 3 5 35 329.00 100% 5 - S TOTAL I $ 3 209 399.00 1 $ 3 205 282.00 1 5 4 117.00 15 - I$ 3 209 399.001 100% 15 - I$ Page 7 INTERIM LIEN/CLAIM WAIVER From,. Ebenisterie Beaubois Ltee Project Carmel Regional Performing Arts Center ■Name of Firm Giving Release) (Prole[ Name.) 521, 6t" Ave Carmel, IN teusiness Address) (Project Address) St-Georges (Quebec G5Y OH1 (City, ate,Zip Code) Contact Person: Steeve Lapointe Project Manager: Contact Telephone: 418-228-5104 Project Telephone CONDITIONAL RELEASE UNCONDITIONAL RELEASE The undersigned does hereby acknowledge that The undersigned does hereby acknowledge that the upon receipt by the undersigned of a check from (Name of undersigned has received progress payments in the sum Firm writing check): The Pedcor Companies of$ 3,047,017.97 in the sum of Si 4.117.00 for labor, services, equipment or materials furnished to the and when the check has been properly endorsed and has above referenced job and does hereby release pro tanto been paid by the bank upon which it was drawn, this any and all claims and rights of lien which the document shall become effective to release pro tanto any undersigned has on the above referenced job. This and all claims and rights of lien which the undersigned release covers all payment for labor services, equipment, has on the above referenced job. This release covers a materials furnished and/or claims to the above referenced progress payment for labor, services, equipment, job through (date) 03/31/2011 materials furnished and/or claims through (date) only and does not cover any retention or items furnished December 31st 2011 after that date. only and does not cover any retention or items furnished after that date. Before any recipient of this document NOTICE: THIS DOCUMENT WAIVES RIGHTS relies on it said party should verify evidence of payment to UNCONDITIONALLY AND STATES THAT YOU HAVE the undersigned. BEEN PAID FOR GIVING UP THOSE RIGHTS, THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID, IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. I CERTIFY UNDER PENALTY OF PERJURY UNDER LAWS OF THE STATE OF QUEBEC THAT THE I CERTIFY UNDER PENALTY OF PERJURY UNDER ABOVE IS A TRUE AND CORRECT STATEMENT, LAWS OF THE STATE OF QUEBEC THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT, Signat Signature: tkuthoreetl t,or crate OfOCerlPannen woer - - Germain Alexandre, Ass General Manager Authorized Corpora mceriParinerrOwner) del Germai lexandre, Ass General Manaaer 6dlel Dated this 21st day of December , 2011 Dated this 21st day of December 2011 at: St-Georges, Beauce Quebec at: St-Georges, Seance, Quebec Subscribed and sworn before me day and year first above written: Subscribed and sworn before me day and year first above written: Notary Public / ! 11:1 ;r•�` ' 1 My commission ( . s Notary public Commissaire a 1'Assermentalon Commissioner for oath My commission expires: May 10 20.1$m„i Si�r,er;or oath Manon Poulin Manon Poulin # 163 850 # 163 850 District uueoee District Quebec Quebec District t+uebec District TRANSFER OF TITLE Ebenisterie Beaubois bloc c-', . ! . i.. _! ("Contractor") transfers to Village Financial, LLC any and all right, title and/or interest that Contractor has in any labor and/or materials described in (i) that Affidavit of Waiver of Lien executed by the Contractor on December 21st 20 " , and (ii) in the "Amount of this Request" section of that Affidavit executed by the Contractor on December 21at 20 " "CONT• • ' aR" By: �} f hrii ed: Germain Alexandre • Ass. General Manager Title: WAIVER OF LIEN The undersigned is the duly authorized officer of Ehenisteric Reaubois Ltee , the general contractor, subcontractor, materialman or oilier person furnishing the services, labor, material or equipment indicated below in the construction of improvements upon real estate located in_Hamilton County, State of_Indiana , commonly known as Carmel Performing Arts Center , which real estate is owned by_Carmel Redevelopment Commission (0Owner ?>). IN CONSIDERATION of the sum of One Three million forty seven thousand one seventeen dollars and ninety seven cents DOLLARS ($_3,047,017.97) receipt of which is hereby acknowledged,and in order to procure one or more payments for services, labor, material or equipment provided in such construction, the Company does hereby waive, release and quit claim in favor of the Owner of the real estate and the lender or lenders providing funds with which payment of construction costs is or is to be made, and their assigns, all liens or claim or right to liens upon the land or improvements above described which the Company may now have for services, labor, material or equipment furnished in respect of such land or improvements to and including the date hereof The undersigned warrants that the Company has not and will not assign any claim for payment nor any right to perfect a Hen against the real estate,and that he has the right to execute this waiver and release of liens on behalf of himself(herself)and the Company. The undersigned further warrants and represents that the Company has the right to transfer and does hereby transfer title to the services, labor, material or equipment to the Owners or Lenders named above in consideration of the payment received hereunder. The undersigned further states that the consideration received hereunder is the sole consideration received by the Company for said services, labor, material or equipment furnished to date, and that the Company has neither received nor made any security interest, title retention interest or lien rights in the said services, labor, material or equipment other than that released and transferred hereby. The material, labor, services or equipment furnished are more particular) described in the affidavit for payment suhmitted of even date herewith_ The undersigned further warrants and represents that the Company has complied with all prevailing wage requirements under applicable law or as may be set forth in the contract documents the execution hereof this_21st day of December 201 I Germ'H Alexandre,/ :s.General Manager Ebenisterie Beauhois Ltee (Name of Company) State of Quebec , County of Retrace , SS : Before me, the undersigned, a Notary Public in and for said County and State, personally appeared Germain Alexandre The_Ass.General Manager . of_Ebenisteric Reaubois Ltee ,who acknowledged the execution of the foregoing Waiver of Lien on behalf of such Company and that the same is the free act deed of such Company and the free act and deed of said officer. WITNESS my hand and notarial seal this 21st day of December . 2011 My Commission Expires : n Commissaire a I'.4ssermenta jn / May 10,2013 Commissioner for WV' G>?D 7 �1C9�iy Manon Poulin Notar Public My County of Residence : # 163 850 District Quebec Beauce Quebec District Manon Poulin (Printed Name of Notary Public) INTERIM LIEN/CLAIM WAIVER From:. Ebenisterie Beaubois Ltee Project: Carmel Regional Performing Arts Center {Name of I-am Giving Malcom) (Pro)d Name) 52.1. &b Ave Carmel, IN {dustneaa Address) (Prolott Addn:ss) St-Georges(Quebec) 05Y OHf (Crty State.dp Ludt) Contact Person: Steeve Lapointe Project Manager: Contact Telephone: 418-228-5104 Project Telephone : CONDITIONAL RELEASE UNCONDITIONAL RELEASE The undersigned does hereby acknowledge that The undersigned does hereby acknowledge that the upon receipt by the undersigned of a check from(Name of undersigned has received progress payments in the sum Firm writing check): the Pecker Companies of$ 3 209,399.00 in the sum of$ 4,117.00 for labor, services,equipment or materials furnished to the and when the check has been properly endorsed and has above referenced job and does hereby release pro tanto been paid by the bank upon which it was drawn, this any and all claims and rights of lien which the document shall become effective to release pro tanto any undersigned has on the above referenced job. This and all claims and rights of lien which the undersigned release covers all payment for labor services, equipment, has on the above referenced job. This release covers a materials furnished and/or claims to the above referenced progress payment for labor, services, equipment, job through (date) 12/30/2011 materials furnished and/or claims through (date) only and does not cover any retention or items furnished December 31st 2011 after that date. only and does not cover any retention or items furnished after that date. Before any recipient of this document NOTICE: THIS DOCUMENT WAIVES RIGHTS relies on it said party should verify evidence of payment to UNCONDITIONALLY AND STATES THAT YOU HAVE the undersigned. BEEN PAID FOR GIVING UP THOSE RIGHTS, THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU �� SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. I CERTIFY UNDER PENALTY OF PERJURY UNDER LAWS OF THE STATE OF QUEBEC THAT THE I CERTIFY UNDER PENALTY OF PERJURY UNDER ABOVE IS A TRUE AND CORRECT STATEMENT. LAWS OF THE STATE OF QUEBEC THAT THE ABOVE 1S A TRUE AND CORRECT STATEMENT. Signature: C� � Signature: 1 GHmd commutfr.wirafNerfOwlltt) ^ � eweeleadCprpo 4cetfPaMerfUnit- Germain xandre.Ass.General Manager {I Me) Germ ' Alexandre.Ass.General Manager Cl eie Dated this 27th day of January , 2012 Dated this 27th day of January ,2012 at:_ St-Georges, Beauce Quebec . at St-Georges, Beauce. Quebec . Subscribed and sworn before me day and year first above written: Subscribed and sworn before me day and year first above 1 written: (Y r� k 1 Notary Public ., A) It. -..-.0 4�: ,� My commission expires: j )• �.O I Lf Notary Public p_ 1 My commission expires: 1� i , j ;;ammissaire a1'AssermematlDn pourieCiue` Conmssaire al'Assermeni�hon pour leUue3er. Commissionerior cat forQuebec Comnissioner for oath iorQuebec Francne Nolet Francine Nolet #136016 #136018 • TRANSFER OF TITLE Ebenincerie Beauboin Lire [CONTR ACTOR1 _ ("Contractor")transfers to Village Financial, LLC any and all right, title and/or interest that Contractor has in any labor and/or materials described in(i)that Affidavit of Waiver of Lien executed by the Contractor on°'Cent" 30th ,_,20 11 , and(ii) in the"Amount of this Request" section of that Affidavit executed by the Contractor on neeeeher 30th _ ,20 11 "CONTRACTOR" • nB�y: Y Printed. rain Aiesandre Ass. General Manager ' • Title: • • • • 1. • • WAIVER OF LIEN The undersigned is the duly authorized officer of_Ebenisterie Beauhois Ltee , the general contractor, subcontractor, materialman or other person furnishing the services, labor, material or equipment indicated below in the construction of improvements upon real estate located in_Hamilton County, State of_Indiana ,commonly known as Cannel Performing Arts Center ,which real estate is owned by_Carmel Redevelopment Commission («Owner»). IN CONSIDERATION of the sum of One Three million two hundred five thousand two hundred eighty-two dollars and zero cents DOLLARS ($_3,205,282.00) receipt of which is hereby acknowledged,and in order to procure one or more payments for services, labor, material or equipment provided in such construction, the Company does hereby waive,release and quit claim in favor of the Owner of the real estate and the lender or lenders providing funds with which payment of construction costs is or is to be made, and their assigns, all liens or claim or right to liens upon the land or improvements above described which the Company may now have for services, labor, material or equipment furnished in respect of such land or improvements to and including the date hereof. The undersigned warrants that the Company has not and will not assign any claim for payment nor any right to perfect a lien against the real estate,and that he has the right to execute this waiver and release of liens on behalf of himself(herself)and the Company. The undersigned further warrants and represents that the Company has the right to transfer and does hereby transfer title to the services, labor, material or equipment to the Owners or Lenders named above in consideration of the payment received hereunder. The undersigned further states that the consideration received hereunder is the sole consideration received by the Company for said services, labor, material or equipment furnished to date, and that the Company has neither received nor made any security interest,title retention interest or lien rights in the said services,labor,material or equipment other than that released and transferred hereby. The material, labor, services or equipment furnished are more particulary described in the affidavit for payment submitted of even date herewith. The undersigned further warrants and represents that the Company has complied with all prevailing wage requirements under applicable law or as may be set forth in the contract documents. WITNESS the execution hereof this 27th day of January 2012 Ge,'-. n Alexandr s.General Manager Ebenisterie Beaubois Ltee (Name of Company) State of_Quebec , County of_Beauce , SS : Before me, the undersigned, a Notary Public in and for said County and State,personally appeared_Germain Alexandre The_Ass.General Manager , of Ebenisterie Beaubois Ltee ,who acknowledged the execution of the foregoing Waiver of Lien on behalf of such Company and that the same is the Gee act deed of such Company and the free act and deed of said officer. WITNESS my hand and notarial seal this_27th day of January_,_2012_ My Commission Expires : Notary Public My County of Residence: CoInm(ssaIte$i ASSefflle01aUOPPUUr leOue3d Beauce Commissioner fo r oath iot Quebec Not, Name of Notary Public) #136 018 Carmel Redevelopment Comm Page. 1 POSTING REGISTER 8'111209:48 General Ledger Postings Company.LO 8/1/2012 • Postings to: Feb. 2012 Reference: 12055480 Account Account Reference Debit Credit Number Name Date Reference Amount Amount Source 5200000 Subcontract 2/15/2012 Payments to Ebenistere Beaub 158264.10 JE 1061100 R Rights available-8175 2/15/2012 Payments to Ebenistere Beaub 158264.10 JE 158264.10 158264.10 4,.,„ ..„. .,_ -,17-1.A.IA Document G702icAfiat:f — 1992 Application and Certificate for Payment Construction Manager-Adviser Edition 4q TO OWNER: _ .• r PROJECT: APPLICATION NO: 026 C�C.2 0i �L:rrr2 J' �� `) �C Distribution to: fa;j f. PERIOD TO:-M� .3t 2_10 11 1 O+N`'_,R ❑ FROM CONTRACTOR) CONSTRUCTION MANAGER U ��f ONTtACT VIA CONSTRUCTION MANAGER: ID {� hr..) is CONTRACT DATE: 1 (o.th Qve• 5hItf S i) PROJECT NOS: 269 ARCHITECT o 5-f-�Sl fk3 Qp2C � C'�i VIA ARCHITECT: �� ( CONTRACTOR CONTRACT FOR:)� I�i(,(AXK C�(J Q r„I,1 Tr Cf FIELD C �• CONTRACTOR'S APPLICATION FOR PAYMENT l ° NT The undersigned Contractor certifies that to the best of the Conl.raclo:'s knowlcdgr., information and Application is made for payment,as shown below,in connection wino the Contract belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet, ALA Document GT03,is below,attached. b Contract Documents,that o1!amounts have been paid by the Contractor for Work for whicit previous 1.ORIGINAL CONTRACT SUM.............. c' Certificates for Payment were issued and payments received from the Owner, and that current $� l41{QiC payment sh -a-teaein is now tlu� 5 �`' due_ ................... ."-` fit X17 °s CONTR CAT /� 2. Net change by Change Orders � . 9.CONTRACT SUM TO DATE(Lint l ±2) S 7� �j' 'f�'`f c Ay- \ e r 1/(J 1� �'e q 4.TOTAL COMPLETED 8 STORED TO DATE(Column G on G703)....,.,.... SS_$"LJI pT ' �J- /�^`_ ` Date:[ 0-.5/,'"?`6 1/�t1/ S RETA)NAGE: - 2�-r�4 S,a[e of- �E� G �/ - a. To of Completed Work Subscribed ri e ,p5).-L( t - - Ion (Column D?G on G703) D Subscribed and sworn to before!re ..�r;l�nissionar for oath $ `d _ me. ZOfi, yof, '-'�0r �171 � Iv;,�n163B Din 6• oo€Stored G703)al p;f ` '1 163 out (Column F on G703) !U Notary Public -es: I ! f-�__ $ if _ My Commis n expires: V''�Of-f; I0 a Q l3, Oistriet Quebec Total Rotainage(Lines 5a+55 or Total in Column I of 0703)., $ CERTIFICATE FOR PAYMENT \,ucl.ns.fiiabid. E.TOTAL EARNED LESS RETAINAGE $ 3 2�]-, oc Li accordance with the Contract Documents, based on on-she observations and the data composing t this application,the Construction Manager and Architect certify to the Owner that to the best of their (line 4 Ecss Line 5 Tots]) — 7,LESS PREVIOUS CERTIFICATES FOR PAYMENT 2 �rr kno•a9edge.information and belief the Work has progressed as indicated,the quality of the Work is in t,"i (Line 6 from prior Cdrtifitate} S ) G47 �J17, accordance with the Contract Documents,and the Contractor is entitled to payment of the (A�bIOLJN'I' 9.BALANCE To FINISH,DINCLUDING RETAINAGE - � 5 1 � G� A 1 . "' $-IsVt4e Y lrs 1p ach eotand on sun CERTIFIED. MOUNT CERTIFIED (Attach explanation+ mo+enr cent led AT eras fro F. an i applied Anna!¢f(Jrgure'on this (Line 3 less Line 6) - S spy P ;Conlin anon Shoe"at ay Phrin-rat to conjnmt with the amp fit Cr, fed) mow(tn' CONS UCTION CHANGE ORDER SUMMARY ADDITIONS ! DEDUCTIONS ARCM T, y - 12c i By, .%�,.Nhr�rn∎ Date: Total changes appioved in previous months by Owner S - Total approved Shits Month $ By' � Dale: $TOTAL S $ $ This Certificate is to negotiable. The AMOUNT CERTIFIED is payable only to the C tractor _ named herein. issuance;'payment and acceptance of payment are without prejudice to any rights of NTT CHANGES by Change Order g the Owner or Conractor under this Contract. CAUTION:You should Sign an origins/AlA Contract Document,on which this text appears in RED.Ain original assures that changes vest not be obscured. AM Document G7029C1.1a19-1992.Copyright ®1992aby The American Institute at Architects All rights reserved,WARNING:This AIA°Document is protected by f a,Copyright Law and Intornationat 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. Porchttsors are permitted to reproduce ten(10)copies of this dccumer.]when completed.To report copyright violations of AA Contract Oocurrents,email The Amen:art lnslitute of Architects'legal counsel,copyrlgel @aia.org, CONTINUPTiON SHEET ,iA ppry:Kn:c/D3 forma: MP Ear.G301,2PPLtca3I0N See CEPIIFICATE FOR PM%EMO ontalnnq cent-2a,s sinn d EertAicsn03 If eCnchea. Centrae :Eaenlf:enb Bwuncn bare In ubulatlens Nlen,am9wta n.r fated 1a the nearest$ollar, �aPP'CUTION No: 26 line Column I sr tonlfnCb e.f,ere Varlajle fe4Inaye far flee items may PPIJ[STCY DATE.100: Uteri/5011 ) Mr, AHKATION 3E91w: os1o112331.ti plume A9CHAFTS PROJECT NO- comic,Prgiono!PerfenJ03 MU Center,Carmel,!N A B o work_L_ omple;ea MAWS I ku t H Item Oescription StJleduled Previous li rM. presently Complete K 9alence No. I value e:>:ica[ian Peried Ra1a[nase ofwcrk stared and stared to Flnfsh 0'El 1b IneIIn0mEt (➢.E^P) I (c,q i (c-c1 I MAT BASEMENT LEVEL L 52 098.35$ 52 09835$ _ `..` LABI o.o051 0.005 5zo4B3s5 0,005- - o.00$ 11 883.71 5 11 883.71 $ 0.00$ axle j 11 883.71 $ I - I I o.0o S o.00$ - T I North _ 6530.935-! e583,9351 0.005 0,0051 6996.933 __ 0,005E 0.005 NAT Miscellaneous Items 4521(43$ 452:143$ 0.005 0.005 45 �- 0.00 sl 0,00 51 '-AB North 1 257.05$ 1157,05$[ 0,0051 0.00 S1 1 _ 1 - _ D.00$ o-aa$ LAO Miscellaneous items 10 626 265 5 10 626.66 5 040 5 . MI I O Oa$ 10636.66$ ! 000 5 0305 MAT PLENUM LEVEL l 49 668,53$ 49 668.53$ 0.00$ 0.00 $ 49 668.53 $I I 3.00 51 0,0 IECI 0 42455.67$ 42 456.67$ 0.00 5 0.00 $ 42 456,67 $ 1I 0.00$ 0.00 $ MAT Miscellaneous items 12 29].66 S is 23x.665, f 1 0.005 0,00 51 1220].665 0.005 0.005 "aAT! South nSsp ass 17190,3es I I 0.005( O.00S 17 380.88$I 0.005 0.005 uB Mi3ce41aneaus items _ 1 1 25534.1951 x652,295 0.0o$ 0.005 _ 25534.29$1 9.005 0.005 LAB 5olt11 - _ - [593x,305 15331.]65 0.003 0.00$ 15932,38$ a.ao5 0,00$ I- MAT ORCHESTRA LOW I LEVEL F-884 071.73$I_ 884 071,73 $ 0.00$ 0.00 $ 884 071.73 $ L48 I - 317 235-98$ 317 235,98$1 0.00$ 0.00 $ 317 235,98 $ - 0.00$ D.00$ MAT _ - 0.00 5 0,00$ Auditorium 536641,335- 536641.305 0.00 51 0005 536641 Jos 0.005 4.005 MAT East I _ 137 103.55 5 137 303,55 5 - III 0,09$ 0.0051 13]103.5551 Gall 51 _ 0.005 T North -_ 800 101619.935 1016{9.953 1 �1 �'-5 _ 0.0051 ID: 619.9551 0,0057] 0_005 Pagel • CONiMLte7106$wEES Al:,on:umcnt 0701 Ecima: Ala Can,0703,APPCIC?T1094$3 C 0 IIFICA cF0kRatei containing Cenba<teri,fonte CertNclecn,a z(G_hed Contrast.-_Eeenn erie 6mu4ela 14e In tabulatfenf below,aTJwts are Staled to the rimiest dollar. aPAi1CP HG II F:01.470•40t Use Cohann I on Contreras wTme v_nayerelainale for Lin-i may apply. nipCATIOU O00 110011 Artt 5P ON Pry100:,05/0111011-05/31.$11 4RCfj!TECT'6 ARQ:LCT HO_ tonne!Resdanar.....-mina arts sew.C.,aael I+ A S 1 r p = c Visits Co ++ mpleter I 1 e l acerla] Total Item Cesaiptinn Schedpted Previous Presently Value this . re °( Balance Xc. I GFWeTV anPGeatlan f Serf$$ ftetainage 11 Stored and s:eteC to Finish Ott Ism in CI or El [Oa°-F) 40 15.5) 14•GS 1 --. UAT West 50922,96$ 50 __fl 0,90$ 0,005 _ 50422,965 0,0051 0.005 MAT Miscellaneous items _ 5]Ye3985 Si]sass 5 O,W$ 0.005 5]781.985 _� 1 I 1 0.00 S_ 9.00$, I EMI L6e Auditorium _ 1 161 191.04 5 161191.06$ 0.0051 0.005 06113408$I 0.005E OCAS MI_ East 40 499.13 51 40 499,16 5 0.00$ _ OCO$ 40499.165 0.005 0.00$ 14e North l 932.0 5 I _I 16912,6551 0.005 0405 569]2,3551 9.00 5 0,005 _GB West 26<]L615 369]1.615 I I -{I 0,0051 0.005 26471.x3$ jI 0.005 0.00 SI LAB Miscellaneous items 72141.04 f JI 51 72 141.94 0,0051 0.005 72 141 aa$ _ O.001 0.005 __I I MAT ORCHESTRA HIGH LEVEL 132 847.59 5 132 847,59$I 0.00 1108 $ 0.00$ 132 847.59$ 0.00$I 0.00 $ 92 280.19 $ 92 280,19 51 0.00 $I 0,00$ 92 280,19$ r 0.00$j 0.00 it `T Auditorium 4 621_79$ 4 621.70 �` - I 5 0.005 0,005 45x:.]451 0,00 S� .0051 • IuY East 405.13$ 'cs.335 0.00$ 1.006 46132$ - 0.-00 Si 0.09 51 SLAT SOuth 1 10101],465 101011.4)5 1! MAT 0,0051 0,005 101011485 0.CC SI 0005 West - JBSd7i 415.32$ I 0.00 5 0,00 5 495.32$�� _1.00 5 0.00 5 MAT Miscellaneous Items $6241.735 262 1 +1,7351 0.00$! 1.0051 26241.73 5 o-ops 0.005 V.a Auditorium u6x.18 5 - 1 I 2260555 0.00$ 0.001 2263.185 _ t. -` ^- 0.005 0.00 51 u6- East j 3x1.535 3815251 49051 0.005` 31152$ ---�� 4005 0.^0 • Vane x t f S I COVTINUenow SHEET All 15v,Grol,APPLICAllON AND CER7IRCATE FOR DAYMz NT nu`hc_men;elm ro,I-.et e.nt lmns Conuaeai,epne4 Cerelhcat%on h attucpy. Overate,/ Ebc1I0.5 0. 26 L:Oe le upul3tinnr below amcnb are stated to the rearett dollar. APPLICATION NO ie j Ike Colvin 101 Contracts where_4461 r.tI to for line Items-say apJLIUION DATE 05/ot/ZJa Y>Po1 y APUUIION PERIOD:05/01/2%I OSgt/20 aRCRI:£TS P4pJEa NO Cannel.9es/ono/Perfonninj Am Center,Con,,(•IN A a C I D I E I 0 I N WaM1 CeR101c•ed I Material l Total Item Desdrlotlon Scheduled PrevIous This 1 P:Presently <w-store y No I of work applIcativl Period secret Balance RetainaHe and rtprpe ID.EI Ohl in O or E) (D-E.F) (Gig to nine Gl _ Lab South I 40723,65 7a5s5 0.00${ 13.00 oTV.56$! 1005 D.0051 c I LAB West I ]91sz 181.52 S 000$1 0.00 51 _ Si _ 381 52 0 0 Si 0.0051 LAS Miscellaneous items 1 I 1 de 531.41$ 48531.41$ O.L q S i O.WS ae 5l:.415 1 -- C.00 i• o,on Si I H MAT BOX TIER LEVEL I----- €7347.94$ 326 347.95$ 0.00$1 0.00$ 326 347,94$ LAB $1! 278 078.48 5, 278 078.49 0.00$1 0.00 $ ;.1313 51 0.013 s; 278 078 48$ -_ 1 MAT 13.13; $I a.oe 5 Auditorium 11 727.05$ I t 727 1-). S Si o.00s am Si! nTn.os o.DD 51 0 O S MAT East _ ++650.44 44650.44 5 I O.00 3I 0.00 5 44 650.44$ _1 O.JB$I o.DOS Ae_ North 1 16 x00.+45 16580.445 0 OE 1 0.0051 15530,44$ r 0.00 5 DOGS MAT South at 797.06$ 81 787.06$ O.bJS 0.005 81 187.06$ 0 0 Si 0,00$ MAT West 52 1 441.76 8244765 I I 0.00$ 0.005, 62441,75$ MI "1 _I I 0.80$ 0.00 i, MAT Miscellaneous items 89 161.20$ B9 16120$ I ..•� 0DO$ 0.005 '916120 Si D005I 0.00$1 in I �� Auditorium 6 0x8,74 5 6056J45 2054.74$ 0.00 5 0.00 S MI LAB East MN 26600.]5$ 26;00.]x5® In ® 25800.15$ 0.005 O.CAS North Ii 695.68$ 6 890.68$ 0 0.00$1 6898.66$ LAB South 0005 0.005 _ 37 66150$ .. . I - 0.005 0.005 37667.505 West 0.007 0.005 Mal 42017.975 42 W7.vT9� i 0.005 420]7.975 LAB Miscellaneous items I 000 s$ 0.005 i tsa 615 24 S 0 0 0,005 ooD$I ae 615 34 _`_0.0051 0.005 I I I Page] ` r pc¢ CoNIINNsfl3N SHEET Al.Cot unapt 5703 Format MA Soc.C70?,APlLt[a TON 5N0 CERTIFICATE Fop P>VN1tii Con:reea. [Een6mie Seoueole Clime con kr5T.9 Cenliac'era si ngd Len:Mceaton if a anted . In ra6ulanon a c.m,.,a.,,a�es err we ted a the nearest dollar. APr_A-noN fl N0-.6 Use Column ren Centracu.where varlb54e reoalee oPCArIO4 001E-_05,10/H-111 9e[Cr 1]e Ii f.B I][mt-a/ppPty, IPLIG iION)EPIO➢;05/04 120:1•X5131 f101: ARCHITECT'S PROJECT NO: Carmel Rev.zol Pe'4arpnin9 Arts Canter,Cannel,TN a a C D E F Work Completed � Atalenal Total I:en Description Scheduled are4nus This Rata/ape Reselnase ntly Complete % Rata/ape Value application Period S:ored and 3l are d to Finn i I I It i of war[ f0'E) Inol ln'Jw E t➢+E+F c/d c) 9 1 -�_ 097,005 h 1 457.005 10 1 260.30 S 1 290.00 5 ' 11 243.20 5 943.00$ 12 2 552.00 5 --- 13 1 212.00 5 1 252 c]5 - 15 1525.035 0525.005 I 4 525.03 5 n ffi(Quotes 3032:048-;01-2621 IS 69552 S 1 In 1 _ 1 SC60 CAD Alhnanu S 000.005 5 000.00 S 0.005 1 h 5000,005 Ip0° 0005! 5 000.00 5 5 000.EC 5 - 1 1 5070 General Allowance 25 000_00$_ 22 323.00$ 0.00 5 OEM 5 22 323.00 5 592.1 2 577.00 Si 15 coa.00 5 15 000,00 5 I - 2 1075,000 - I --I _ 1 079,005 I I 3 969A0 S -969130 5 _ 1f05/a'aS 5092-062.701-7321 - I 2 21 4,005 - 1 7214.005 I 5070 Lid Atlwma I 5 000,00$ 5 000,00 5 5000.32$ 0.005 s 000.00 5IP 0.00 S Ma I SOCR.00$ 1 MIE 5250Oeeeral Allowance 15000.005 16950.005 000$ 1 - 1 NM 1 :9003.00 5. 16955,0351 :GTI -1950.0451 �... ' %IO i5 150 Z:7ntc70ia031. ID 50.005 I I� .�s _ I 55545 Ott 5950.00$ =Ea MI I a6rm seat uO AUewance 5 000.005 50ov,Op sl 0.0051 � 5 3 G] 5'000 Gil 5 IIMII SUB TOTAL 3 619 462.22; 2 619 962.23$ 0.00 5 0.00 5 2 619 962.22 5 100% 0.00$ 0.00 5 Administration Fees -INa MAT Shop 01as>7ngs 1 I 174 381-.34 S 174 323.99 5) 2.00 S I I :74 153 84 5 0031 6.025 0,00 5 NT ] I. I MGT IEngeneenng 30/00509 sheet ;16265.66-2 116255.552 115255,85$ 1000 0005 I a coo MAT Bond 1 2G 325.263 20]25.265 DOG; 20 Sls.ESi 101A 0.005 0.005___1 Pape 9 CtiNTIrcutTlo9 SiFir AA Ltic anti G703 Fen'Iwz :ta Or 6701.APPrrLICATION a H 5 CEATOIC+TE FOR PaYZtiiT containing C b.cta'.r flOn&5 CS@FOton ivtta .ectrac n fbCS. !odd dmuSais lie^ Iea, In tabulations IYIo+,amount)ere state m the a[t ett mlln,: <AT:ICanau NP eS lose Column 2121!car,,5ts+Mne veOaOIr re remote Inc line(tens ma APILICITil•DATE,o5/20um1 VcoprY. MLI(AT A V PI E N6: 05501r2e:: 05n1/3011 AR[)0:ECT'S ig0.1ER NO' Carmel Hesicnv!Performing,Am Center,Corr/tr.AN A 9 c I D II a I F G Wort Completed Material Total Item Description Scheduled Previous Thu PesentIy Complete % Salons, Retalnage Value application Period 55sre0 and stored to Finlsn GX AO it wolo ID.E. r (not In Dar El ^� 1NSr 1 I I MAT IAolet Management I Living I TrAvel }25370.55 S 12S27C.t$ 0.WS L 10537a_15$ 1601 0.0o5 4.30 5 1 -115T — J I MAT 532]erinleildAnj I Liviltg l Travel 118 2E4,27 s 11026427$1 DOGS I I lie 251.275 MIMI _ 0 Dos I 0::45 INST I TOTAL BASE CONTRACT 3 174 070.00 S 3 174 07000 5] 0.00 5 0.00$ 3 174 070.00$ 100%. o oo S� 0.00 5I I — - --. I Change or�ar aCC1 55 �--� 5156.DO 5 5155.474 0005 5156.00S 100% 0.352 0005 CMnge root 4033 I6 17 479 CC 3 it ai96C 6.605 55001.05 Azo% 0005 _ 0.005 ItTange ordert0r3 _ s I95:ce C0) S 05 COO 00) 0.005 .E5 OOOaF.S Inc% 0405 0.005 C3,a�.ownawa - - ICnarlgrwCerasps 05a5 D.005 100E 0.005 0.005 S a:mm $ 914560 0.005 5146.05 1005 WOOS 0.005 Change erter20013 s ao OMoo $ 40 coo 00, ICC5 40 v0JM5 1001. 0.005 0 G3$ Ominga order e010 5 24 158.00 15 2t)150.00E 0.00$ I _ E 14 150.10 5 100% c,60 5 __ 0 CEO 5 _ (}.once code:COOS 5 4291.0015 4291.00` - 0.50 5- ___il 42514305 100% 0,005 0.045 I 1 I I I s TOTAL CHANCE 09➢E95 15 31 21000 3 31 212,101 5 - I5 - I S 31 212.00 100% 3 . I$ 1 TOTAL I S 3205292.00),5 3205251001 5 14tlOII S .. I S 3 135 242.001 100% I$ - 15 3 • ?age 2 . -.1 INTERIM LIEN/CLAIM WAIVER' From:. Ebenisterie Beauhois Ltee Project: Carmel Regional Perini-mind Arts Center irrame el For,Iviiry Release) (Pm ee Name) 521. 6""Ave _ Carmel, IN (ivaness Atloressr (Proiccl Address) SI-Georges (Quebec) G5Y 0111 ruytstan, p ocel Contact Person: Sleeve Lapointe Project Manager: - Contact Telephone: 418-228-5104 Project Telephone : CONDITIONAL RELEASE UNCONDITIONAL RELEASE The undersigned does hereby acknowledge that The undersigned does hereby acknowledge that the upon receipt by the undersigned of a check from(Name of undersigned has received progress payments in the sum Firm writing check): The Pedcor Companies of $ 3,017 157.45 in the sum of$ 158,264.10 for labor, services, equipment or materials furnished to the and when the check has been properly endorsed and has above referenced job and does hereby release pro tanlo been paid by the bank upon which it was drawn, this any and all claims arid rights of lien which the document shall become effective to release pro tanto any undersigned has on the above referenced job. This and all claims and rights of lien which the undersigned release covers all payment for labor services, equipment, has on the above referenced job. This release covers a materials furnished and/or claims to the above referenced progress payment for labor, services, equipment, job through (date) 12131/2010 materials furnished and/or claims through (date) only and does not cover any retention or items furnished May 31st 2011 after that date. only and does not cover any retention or items furnished after that date. Before any recipient of this document NOTICE- THIS DOCUMENT WAIVES RIGHTS relies on it said party should verify evidence of payment to UNCONDITIONALLY AND STATES THAT YOU HAVE • the undersigned. BEEN PAID FOR GIVING UP THOSE RIGHTS, THIS • DOCUMENT LS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. 1 I CERTIFY UNDER PENALTY OF PERJURY UNDER LAWS OF THE STATE OF QUEBEC THAT THE I CERTIFY UNDER PENALTY OF PERJURY UNDER ABOVE IS A TRUE AND CORRECT STATEMENT. LAWS OF THE STATE OF QUEBEC THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT. Signature: - Signa�� l e '��'/ •et— _brpora,:u rcet/Puriner�c,wner • Germain Alexandre. Ass.General Manager ^cm°n:ad66perafe UrymenNaimer,uwnrn 1°`) Gefmain Alexandre, Ass.General Manager • o • met Dated this 25th day of May ,2011 Dated this 25th day of May , 2011 at:_ St-Georges, Beauce Quebec . at: St-Georges, Beauce. Quebec Subscribed and sworn before me day and year first above • written: Subscribed and sworn before me day and year first above • written: Notary ublie 7 4j—n, 4G? 1--- r My ccurnmission.expair sssern a tulip rah 10 2013 Nota4 Publ;cCommissairc a l'Assermentarron ommissarre M' commission e h Commissioner for oath y 1t�5idii$�iie7t827f @DQ'� Marron Poulin Marron Poulin 4 163£350 # 163 850 District Quebec t3iWne-Qt+ebec Quebec District Quebec District WAIVER OF LIEN The undersigned is the duly authorized officer of_Ebe.nisterie Beaubois Ltce , the general contractor, subcontractor,materialman or other person furnishing the services, labor, material or equipment indicated below in the construction of improvements upon real estate located in Hamilton Cody, State of_Indiana ,commonly known as Carmel Performing Arts Center , which real estate is owned by Carmel Redevelopment Commission («Owner IN CONSIDERATION of the sum of One Three million seventeen thousand one hundred fifty seven dollan and fourty five cents DOLLARS (.I.:_3,017,157.45) receipt of which is hereby acknowledged,and in order to procure one or more payments for services, labor, material or equipment provided in such construction, the Company does hereby waive, release and quit claim in favor of the Owner of the real estate and the lender or lenders providing funds with which payment of construction costs is or is to be made, and their assigns, all liens or claim or right to liens upon the land or improvements above described which the Company may now have for services, labor, material or equipment furnished in respect of such land or improvements to and including the date hereof. The undersigned warrants that the Company has not and will not assign any claim for payment nor any right to perfect a lien against • the real estate,and that he has the right to execute this waiver and release of liens on behalf of himse]((herself) and the Company. The undersigned further warrants and represents that the Company has the right to transfer and does hereby transfer title to the services, labor, material or equipment to the Owners or Lenders named above in consideration of the payment received hereunder. The undersigned further states that the consideration received hereunder is the sole consideration received by the Company for said services, labor, material or equipment furnished to date, and that the Company has neither received nor made any security interest, title retention interasi nn- lien rights in the said services,labor,material or equipment other than that released and transferred hereby. The material, labor, services or equipment furnished are more particulary described in the affidavit for payment submitted of even date herewith, The undersigned further warrants and represents that the Company has complied with all prevailing wage requirements under applicable law or as may be set forth in the contract documents. WITNESS the execution hereof this__25th_ day of' May 201 I • y C lcdcl Germain Alexandre, e.General Manager • • _fibenisterie Beaubois Lice (Name of Company) State of Quebec , County or Bernice 55 ', Before me, the undersigned, a • Notary Public in and for said County and State, personally appeared Germain Alexandre The Ass.General Manager , of_Ebenisterie Beaubois Ltee who acknowledged the execution of the foregoing Waiver of Lien on behalf of such Company and that the sane is the flee act deed of such Company and the free act and decd of said officer_ WITNESS my hand and notarial seal this_25th day of May_, 2011 My Commission Expires : May 10,2013 _ //,(� Commissaira a 1'Assermenintton_____� �pew • My County of Residence : Commissioner for oath - Notary Pu ltc Moon Poulin 7115385° [Seance District Quebec _Marron Poulin • Quebec District (Printed Name of Notary Public) • NO.MS3096337(GC NA)/6617847(GENERAL) OWNER CONSENT OF SURETY ARCHITECT TO FINAL PAYMENT CONTRACTOR U Conforms with the American Institute of SURETY Architects,AIA Document G707 OTHER U TO OWNER: ARCHITECTS PROJECT NO.: AGREEMENT NO.2695-5070 (Name and address) CITY OF CARMEL 1 CIVIC SQ CAR.\1EL IN 46032 CONTRACT FOR: PARCEL 7A,REGIONAL PERFORMING ARTS CENTER-INTERIOR FINISH PACKAGE PS. PROJECT: CONTRACT DATED: NOVEMIIER 5,2008 (Name on.:address) CARMEL REGIONAL PERFORMING ARTS CENTER 575 WEST CARMEL DRIVE CARMEL IN 46032 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Inters name and nddres:of Surety) GENERAL INSURANCE COMPANY OF AMERICA SAFECO PLAZA SUI'T'E 1700 SEATTLE WA 981850001 ,SURE n•, on bond of (Inset name and address ofCanuncar) EIIENISTERIE IBEAU1JOIS LTEE 521 6TI1 AVENUE. ST-GEORGES QC G5Y 5137 ,CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any • of its obligations to Onsets aurae and address crOwner) CITY OF CARMEL I CIVIC SQ CARMEL IN 46032 ,OWNER, • as set forth in said Surety's bond. • IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: MAY 27.2011 Onset,in arising she month Plowed by the numeric dme and year.) GENERAL INSURA NCE COMPANY OF AMERICA (Surely Attest: (Signature ofauthorized/reserriative) CAROL PAYNE,ATTORNEY-IN-PACs (Printed name and title) S-213410E 10101 XDP Safety Insurance Company al America 1 General Insurance Company of America ■` , Liberty POWER 10010th Avenue fr 1 Mutual, OF ATTORNEY suite 7WA981sa NO, 7480 KNOW ALL BY THESE PRESENTS: That SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA. each a Washington corporation,does each hereby appoint 'fl""'4“'"*YVES BOILARD;MICHEL BOURQUE;LUC LANTHIER;CAROL PAYNE;BENOIT PHENIX; ROSELLINA RUSSO;NATHALIE SANSCARTIER;R.F.SMITH;Montreal,QC Canada*""""'"^*"""""""'" w" Its true and lawful attorney(s)-in-fact, with full authority to execute on its behalf fidelity and surety bonds or undertakings and other documents of a similar character issued in the course of its business,and to bind the respective company thereby. IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents this 21st day of March 2009 Dexter R.Legg,Secretary Timothy A.Mikolajowski,Vice President CERTIFICATE Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA: "Article V.Section 13.-FIDELITY AND SURETY BONDS...the President,any Vice President,the Secretary,and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations,shall each have authority to appoint individuals as • attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of Its business...On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof. may be impressed or affixed or in any other manner reproduced; provided,however,that the seal shall not be necessary to the validity of any such Instrument or undertaking." Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA adopted July 28, 1970. 'On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (') The provisions of Article V,Section 13 of the By-Laws,and (ii) A copy of the power-of-attorney appointment,executed pursuant thereto,and (lit) Certifying that said power-of-attorney appointment is In full force and effect, the signature of the certifying officer may be by facsimile,and the seal of the Company may be a facsimile thereof: I,Dexter R.Legg .Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA,do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of these • corporations,and of a Power of Attorney issued pursuant thereto,are true and correct,and that both the By-Laws,the Resolution and the • Power of Attorney are still In full force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the facsimile seal oh said corporation his 271/7 day of May . 2011 • Codpg,�,� P��ECOMpA ra JF W SEAL 7. kt "117 x S' tt7f p1sM ''o+ � !s2 \6` Dexter R.Legg,Secretary M Wa)e 5-0970/DS 3(09 WEB PDF INTERIM LIEN/CLAIM WAIVER From:. Ebenisterie Beaubois Ltee Project: Carmel Regional Performing Arts Center (Name or him Gimps Hebase) (Project Neme) 521, 6th Ave Carmel, IN (tla>tnese Aaaron) (Project Address) St-Georges (Quebec) G§Y QH1 IF ,Stale,ap ) Contact Person: Steeve Lapointe Project Manager: Contact Telephone: 418-228-5104 Project Telephone : CONDITIONAL RELEASE UNCONDITIONAL RELEASE The undersigned does hereby acknowledge that The undersigned does hereby acknowledge that the upon receipt by the undersigned of a check from (Name of undersigned has received progress payments in the sum Firm writing check): The Pedcor Companies of$ 3.205,282,00 in the sum of$ 158.264.10 for labor, services, equipment or materials furnished to the and when the check has been properly endorsed and has above referenced job and does hereby release pro tanto been paid by the bank upon which it was drawn, this any and all claims and rights of lien which the document shall become effective to release pro tanto any undersigned has on the above referenced Job. This and all claims and rights of lien which the undersigned release covers all payment for labor services, equipment, has on the above referenced job. This release covers a materials furnished and/or claims to the above referenced progress payment for labor, services, equipment, job through(date) 05/31/2011 materials furnished and/or claims through (date) only and does not cover any retention or items furnished May 31d 2011 after that date. only and does not cover any retention or items furnished after that date. Before any recipient of this document NOTICE: THIS DOCUMENT WAIVES RIGHTS relies on it said party should verify evidence of payment to UNCONDITIONALLY AND STATES THAT YOU HAVE the undersigned. BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM. I CERTIFY UNDER PENALTY OF PERJURY UNDER LAWS OF THE STATE OF QUEBEC THAT THE I CERTIFY UNDER PENALTY OF PERJURY UNDER ABOVE IS A TRUE AND CORRECT STATEMENT. LAWS OF THE STATE OF QUEBEC THAT THE ABOVE IS A TRUE AND CORRECT STATEMENT. Signature: Signature: Authorized Gorpo CerMeMerlOumw) (Authorized kAnpor9r///a Umaermartncr/Owner) Germs' Alexandre,Ass.General Manager 1 ") Gel nm t Alexandre. Ass.General Manager (rifle) Dated this 27th day of January ,2012 Dated this 27th day of January ,2012 at: St-Georges, Beauce Quebec at St-Georges, Beauce,Quebec Subscribed and sworn before me day and year first above written: Subscribed and sworn before me day and year first above written: ) NSA \ f Notary Publicj� �� r�,� e My commission expires : q r, 6 I 4 Notary Public My commission expires .0 Y 6 I 4 Commissaireal'Assermentaton pour le Uue: Commissaireal'Asseir4Naiion pourleDueOec Commissioner for oath for Quebec Commissioner for oath for pipe branclneNolet Francine Nolet • #136018 #136018 TRANSFER OF TITLE • Ebeniptorie Seaubole Luce CONTRA CTOR j ("Contractor")transfers to Village Financial, LLC any and all right, title and/or interest that Contractor has in any labor • and/or materials described in (i)that Affidavit of Waiver of Lien executed by the Contractor on May llch , 20 11 ,and(ii) in the"Amount of this Request" section of that Affidavit executed by the Contractor on May 31th , ,20" • "CONT By RACT " R`/� Firth Germain Alexandra An General Manager • Title: • • • • • • • WAIVER OF LIEN The undersigned is the duly authorized officer of_Ebenisterie Beaubois Ltee , the general contractor, subcontractor, materialman or other person furnishing the services, labor,material or equipment indicated below in the construction of improvements upon real estate located in_Hamilton County, State of_Indiana ,commonly known as_Carmel Performing Arts Center ,which real estate is owned by Carmel Redevelopment Commission («Owner»). IN CONSIDERATION of the sum of One Three million forty-seven thousand seventeen dollars and ninety- seven cents DOLLARS ($_3,047,017.97) receipt of which is hereby acknowledged,and in order to procure one or more payments for services, labor, material or equipment provided in such construction, the Company does hereby waive, release and quit claim in favor of the Owner of the real estate and the lender or lenders providing funds with which payment of construction costs is or is to be made, and their assigns, all liens or claim or right to liens upon the land or improvements above described which the Company may now have for services, labor, material or equipment furnished in respect of such land or improvements to and including the date hereof. The undersigned warrants that the Company has not and will not assign any claim for payment nor any right to perfect a lien against the real estate, and that he has the right to execute this waiver and release of hens on behalf of himself(herself)and the Company. The undersigned further warrants and represents that the Company has the right to transfer and does hereby transfer title to the services, labor, material or equipment to the Owners or Lenders named above in consideration of the payment received hereunder. The undersigned further states that the consideration received hereunder is the sole consideration received by the Company for said services, labor, material or equipment furnished to date, and that the Company has neither received nor made any security interest, title retention interest or lien rights in the said services,labor,material or equipment other than that released and transferred hereby. The material, labor, services or equipment furnished are more particulary described in the affidavit for payment submitted of even date herewith. The undersigned further warrants and represents that the Company has complied with all prevailing wage requirements under applicable law or as may be set forth in the contract documents. WITNESS the execution hereof this_27th day of_January 2012 ap Ge.r ain Alexandre,Ass General Manager i Ebemstcne Beaubois Ltee (Name of Company) State of Quebec , County of_Beauce , SS : Before me, the undersigned, a Notary Public in and for said County and State,personally appeared_Germain Alexandre The Ass General Manager ,of_Ebenisterie Beaubois Ltec ,who acknowledged the execution of the foregoing Waiver of Lien on behalf of such Company and that the same is the free act deed of such Company and the free act and deed of said officer. WITNESS my hand and notarial seal this_27th day of_January_,_2012 My Commission Expires: : . X p ,1-1 L�ts,,,. C�r V, yam' `ctit My County of Residence: Commissalfe al Assermental��O 1e WE3l�ci. Commissioner for cathfor Quebec Beauce Francine Ndet #136 01 Printed Name of Notary Public) Disbursement Instructions (PAC Millwork) 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. Purpeo of Authorized Diebunomont Amount of Authorised Obburomont flmot F fe Lc pea (y Villt9P Fis*ncj*I Aft lifa}tah 2 /Bau Lei s) /1st/ Oil $ ISBN �6- to APRIceiKbk 927 (Bu,yde's) Detpmkr2oll Ii? Total Authorized Disbursement All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto In that certain Loan Agreement(PAC Millwork),dated January 28,2010, by and between Lender and Village Financial, LL C. Dated: /1/j�2 CITY OF CARMEL REDEVELOPMENT COMMIS ION By Printed C S S. 01c\ JJ Title EXecuii Ye O'ire[T'er Drag PAC Mill Work (Ebonisterle) up Throu96 Movamb.r 2009 Total Control Amouta 110(0011 apSMnlion f 0 Completed and 51orp In tale $ 305.601.51 Retention MYl 3 30,506 15 Paid l(dale 3 275,005 30 Amount mimburrd to CRC $ 275,095.16 December 2000 Total Contract Amours for application II Completed end Stored to date $ 20.04090 Retention held 5 2,00101 7o be paid $ 10,011.76 Paid by Village Financial 5 15,041.74 January 2010 Paid by Village Financial 9 10,717,61 F.buary 2010 Paid by Village Financial 5 300.531.30 March 2010 Paid by Village Financial $ 256,445,90 April 2010 Paid by Village Financial 5 169,791.37 May 2010 Paid by Village Financial 5 415,05319 June 2010 Paid by Vulag•Financial $ .64.375,77 July 2010 Paid by Village Financial $ 454,NO 05 August 2010 Paid by Village Fln.nCnl 5 2311,415 04 September 2010 Paid by Village Financial 5 000 457.23 Ocleb.r 7010 Paid by Village Financial 5 103 42365 Mov.mb.r 2010 Paid by Village Financial 3 77,329.20 December 2010 Paid by Village Financial $ 11,699.93 Mach 2011 Paid by Village Financial 5 20.660.50 May 2011 Amount to be paid by Village Financial!F '15 11.264.10 December 2011 Amount to be paid by Village Fin•nclali F • •.117.00 Vendor: EBENIST1 I Sort by: Voucher Number To: EBENIST1 Include Unpaid Invoices: Yes Paid Invoice Report Page 1 Carmel Redevelopment Comm 81111295:59 8/1/2012 1.0 9.0.120611 Vendor: EBENIST1 Ebenisterie Beaubois LTEE Voucher Invoice PO/Sub Invoice Check Check Number Number Number Amount Number Date Paid Ret. Discount 2565 1 48 66,878.90 21 7/31/2011 6,687.89 -6,687.89 0.00 483 4/6/2009 60,191.01 6,687.89 0.00 2590 2 48 5,794.82 21 7/31/2011 579.48 -579.48 0.00 505 5/15/2009 5,215.34 579.48 0.00 2625 3 48 13,946.58 21 7/31/2011 1,394.65 -1,394.65 0.00 519 6/18/2009 12,551.93 1,394.65 0.00 2659 4 48 30,250.11 21 7/31/2011 3,025.01 -3,025.01 0.00 556 7/20/2009 27,225.10 3,025.01 0.00 2695 5 48 56,868.18 21 7/31/2011 5,686.81 -5,686.81 0.00 582 8/19/2009 51,181.37 5,686.81 0.00 3691 6 48 49,864.88 21 7/31/2011 4,986.49 -4,986.49 0.00 604 9/21/2009 44,878.39 4,986.49 0.00 4323 7 48 14,774.69 11 10/20/2009 13,297.22 1,477.47 0.00 21 7/31/2011 1,477.47 -1,477.47 0.00 5220 8 48 15,386.95 21 7/31/2011 1,538.69 -1,538.69 0.00 633 11/13/2009 13,848.26 1,538.69 0.00 5573 9 48 36,409.04 21 7/31/2011 3,640.91 -3,640.91 0.00 655 12/7/2009 32,768.13 3,640.91 0.00 5801 10 48 15,487.36 21 7/31/2011 1,548.74 0.00 0.00 1827 1/19/2010 13,938.62 0.00 0.00 5966 11 48 20,046.37 21 7/31/2011 20,046.37 0.00 0.00 6174 12 48 11,908.46 1 R 4/14/2010 10,717.61 1,190.85 0.00 21 7/31/2011 1,190.85 -1,190.85 0.00 6413 13 48 333,923.73 1 R 4/14/2010 300,531.36 33,392.37 0.00 21 7/31/2011 33,392.37-33,392.37 0.00 6602 14 48 284,939.89 4 R 5/7/2010 256,445.89 0.00 0.00 21 7/31/2011 28,494.00 0.00 0.00 6904 15 48 188,657.08 7 R 7/21/2010 169,791.38 0.00 0.00 21 7/31/2011 18,865.70 0.00 0.00 7169 16 48 462,170.30 7 R 7/21/2010 415,953.29 0.00 0.00 12 R 9/28/2010 3,888.17 0.00 0.00 21 7/31/2011 42,328.84 0.00 0.00 7450 17 48 460,487.61 12 R 9/28/2010 460,487.61 0.00 0.00 7657 18 48 454,849.94 12 R 9/28/2010 454,849.94 0.00 0.00 7976 19 48 238,415.04 13 R 11/17/2010 238,415.04 0.00 0.00 8255 20 48 100,487.23 13 R 11/17/2010 100,487.23 0.00 0.00 8256 21 - settelement 48 40,000.00 2 R 10/21/2010 40,000.00 0.00 0.00 8505 22 48 183,423.55 23 R 1/7/2011 183,423.55 0.00 0.00 8706 23 48 77,329.28 17 R 2/22/2011 77,329.28 0.00 0.00 9013 24 48 13,121.48 17 R 2/22/2011 11,699.93 1,421.55 0.00 21 7/31/2011 1,421.55 -1,421.55 0.00 9641 25 48 29,860.53 21 7/31/2011 29,860.53 0.00 0.00 3,205,282.00 3,205,282.00 0.00 0.00 3,205,282.00 3,205,282.00 0.00 0.00