The URL can be used to link to this page

Home My WebLink AboutSIGNATURE CONSTRUCTION, LLC- 160- 1/5/2011 Signature Construction, LLC Check: 160 . 720 3rd Ave., SW Date: 1/5/2011 Carmel, IN 46032 Vendor: SIGNAT01 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 6-14 68,109.33 68,109.33 0.00 0.00 68,109.33 App 14 on P7C1 68,109.33 68,109.33 0.00 0.00 68,109.33 160 1/5/2011 "*****68,109.33 THE SUM OF SIXTY EIGHT THOUSAND ONE HUNDRED NINE DOLLARS AND 33 CENTS ..."',,...,, Signature Construction, LLC 720 3rd Ave., SW Carmel, IN 46032 Signature Construction, LLC Check: 160 720 3rd Ave., SW Date: 1/512011 Carmel, IN 46032 Vendor: SIGNAT01 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 6-14 68,109.33 68,109.33 0.00 0.00 68,109.33 App 14 an P7C1 - 68,109.33 68,109.33 0.00 0.00 68,109.33 APPLICATION AND CERTIFICATION FOR PAYMENT A/A DOCUMFNTG702 PAGE ONE OF 2 PAG=_S TO OWNER CRC at City of Carmel PROJECT: 7C-I Main Theater APPLICATION NO,Application a I e Distribution W. Application g 11 Signature costs OWNER Cannel Indiana 46032 ARCHITECT PERIOD TO: 11/29/2010 X CONTRACTOR FROM CONTRACTOR. VIA ARCHITECT:Peden'Design Signature Construction Services LLC 720 3rd Avenue S.W. PROJECT NOS. Cannel,Indiana 46032 CONTRACT FOR. CONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best ofihe Contractor's knowledge, Application is made for payment,as shown below,in connection with the Contract information and belief the Work covered h}this Application for Payment has been Continuation Sheet,ALA 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 $ 1,003,429,96 2. Net change by Change Orders 5 0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE(Line 15 2) 5 1,003,429 96 4. TOTAL COMPLETED Sr STORED TO S 490,733.72 / / Hy: T `. re Date. 2A(/ f /0 A RETAtNAGE Thomas oonce,President ' a. 0%of Completed Work S 0 ubscribed an/sworn to before me this )C' day of f/cJ, ] ✓IU (Column D+E on G703) b- %of Stored Material 5 ✓_:.'=6 LINDA BUCHANAN g. .te k! (Column P on 3703) - __ _ Hancock Count' Total Retainaec(Lines is 4.'Ai or - My Commission Expires Total in Column l of G703) $ 0,00 ARCHITECT'S CERTIFICATE FOR PAYMENT :;t,;;'�'� - August 20,zotl 6 TOTAL,EARNED LESS RETAINACE S 490333 72 In accordance with the Contract Documents,based on on-site observations and the data (Line 4 Less Line 5'Coral) comprising the application,the Architect candies to the Owner that to the best of the 7, 1,155 PREVIOUS CERTIFICATES FOR Architect's knowledge,information and belief Etc Work has progressed as indicated, PAYMENT(Line 6 from prior Certificate) $ 422 624,39 the quality of the Work is in accordance with the Contract Documents,and the Contractor S. CURRENT PAYMENT DUE $ 68,109,33 is entitled to payment of the AMOUNT CERTIFIED. + 9. BALANCE TOFRE.SH,INCLUDING RETAINAGE 5 512.69624 OO )oa 33 (Line 3 less Line 6) AMOUNT CERTIFIED 8 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation 41-amount certified dltersfrom the umarmt applied lnilfat uNfigures on this Total changes approved Application and onrlre Cun(1nuaffort$!7µe5 thin are d icegrd m conform with the amoani certified) in previous months by Owner -.A„tn1-14--T OS/.4./Yl l 1-1,1 _. / .l Total approved this Month By: j p l /� Date: a /12 /3/j0 TOTALS $0.00 50.00 This Certificate is not negotiable. The AMOUNT CERTTFIED is payable only to the cArmrapnr nameu ncrem,issuance,payment ana acceptance or payment are wunuut NET CI IANGES by Change Order W 00 prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT 0702-APTVGAfON ANe CERTIFICATION FOR PAYMENT-1992 EDITION•MA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS,MS NEWYORK PVE..nw.,WASHINGTON,DC 2aa2G-5292 Users may obtain validation of this document by requesting a completed AIA Document D401-Certification of Document's Authenticity from the Licensee. ov CONDITIONAL AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) COUNTY OF HAMILTOP ) Thomas E. Koontz being duly sworn states that he is the President of Signature Construction, LLC having contract to furnish certain materials and / or labor as follows: Construction Management Services for a project known as Village on the Green Parcel 7c Main Theater, located at Carmel, Indiana and owned by the Carmel Redevelopment Commission and does state: CONDITIONAL WAIVER: that the balance due from the owner is the sum of sixty-eight thousand one hundred nine dollars and thirty-three cents ($68,109.33) the payment of which has been promised as the sole consideration for this Affidavit and Conditional Waiver of Lien which is given to and for said amount, effective upon receipt of such cash payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all line or claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, finished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work perform or material furnished to the undersigned for the said project, and within the scope of this affidavit and waiver. SIGNATURE CONSTRUCTION, LLC f Thomas E. I5dontz, President Subscribed and sworn to before me this: �,,'✓ a i ao tt) Notary Public: .p....... LINDA BUCHANAN :+n.�.:. ` Hancock County My Commission Expires ''+;�_pd'�'` August 20,2011 t. SIGNATURE CONSTRUCTION LLC 720 3rd Avenue, S. W. Carmel, Indiana 46032 Application # 14 11/29/10 7C-1 Main Theater Carmel , Indiana _ WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF SCHEDULED FROM PREVIOUS THIS PRESENTLY COMPLETED AND TO NO. WORK VALUE APPLICATIONS PERIOD STORED STORED TO DATE % FINISH RETAINAGE Fre-Construction Services: Site Supervision 20,921.29 20,098.12 823.17 0.00 20,921.29 100% 0.00 0.00 Construction Management 3,139, 47 3,139.47 - 0.00 3,139.47 100% 0.00 0-00 Design Drawings 5,066. 68 5,068.68 0.00 0.00 5,068.68 100% 0.00 0.00 Jobsite Trailer 2,947 .03 2,947.03 0.00 0.00 2,947.03 100% 0.00 0.00 General Conditions: Testing and Inspecting • 31,430.00 25,206.50 2,498.25 0.00 27,704.75 88% 3,725.25 0.00 Site Supervision 255, 689.00 122,472.31 23,795.62 0 .00 146,267.93 57% 109,421 .07 0.00 Construction Management 113, 964.00 6,023.68 3,292.64 0.00 9,316.32 8% 104,647. 68 0.00 Site Safety Director 21,104 .00 2,858.45 1,017.91 0.00 3,876.36 18% 17,227.64 0.00 Design Drawings 48,742.53 23,642.36 9,691.77 0.00 33,334.13 68% 15,408.40 0.00 Sanitary Facilities 16,461.00 0.00 0.00 0.00 0.00 0% 16,461.00 0.00 Field Office 24,692.00 2,883.41 1,425.02 0.00 4,308.43 17% 20,383.57 0.00 Temporary Electric 4,748.00 281.59 0.00 0.00 281.59 6% 4,466.41 0.00 Office Supplies 4,748.00 3,617 .55 452.88 0.00 4,070.43 86% 677.57 0.00 Temporary Telecommunications 9,022.00 286.43 0.00 0.00 286.43 3% 8,735.57 0.00 Temporary Water 949.00 112.46 0.00 0.00 112 .46 128 836.54 0.00 Tools and Equipment 56,026.21 1,183.02 2,998.56 0.00 4,181.58 7% 51,844.63 0.00 Access Road 5,979.60 3,436.00 2,000.00 0.00 5,436.00 91% 543.60 0.00 Field Eng. and Surveying 6,331.00 3,050.00 0 .00 0.00 3,050.00 48% 3,281.00 0.00 Insurance 17,432.00 16,141. 00 0 .00 0.00 16, 141.00 93% 1,291.00 0.00 Health and Safety 4,748.00 147. 66 0.00 0.00 147.66 3% 4,600.34 0.00 Waste Disposal 67,270.00 532. 95 0.00 0.00 532.95 1% 66,737.05 0.00 Project Signage 2,373.00 0.00 0.00 0.00 0.00 0% 2,373.00 0.00 Temp fencing 8,005.00 4,400.00 0.00 0.00 4,400.00 555 3,605.00 0.00 Temp Electric Site 23,743.00 5, 600.00 38.08 0.00 5,638.08 24% 18,104.92 0.00 Temp Lighting Site 39,570.00 0.00 0.00 0.00 0.00 0% 39,570.00 0.00 Temp Water ite 15,194.00 0.00 0.00. 0.00 0.00 0% 15,194.00 0.00 Temp Fire Protection 3,561.00 0.00 0.00 0.00 0.00 0% 3,561.00 0.00 Construction Management Fee 189,571.15 169,495.72 20,075.43 0.00 189,571.15 100% 0 .00 0.00 1,003,429.96 422,624.39 68,109.33 0.00 490,733.72 49% 512, 696.24 0.00 REQUISITION NO. 56 FOR DISBURSEMENT FROM ACQUISITION FUND The undersigned hereby states and certifies: (i) that he/she is the duly appointed, qualified and acting Chief Financial Officer of REI Real Estate Services, LLC, the sole member of Cannel Theater Development Company, LLC (the "Company"), and, as such, is familiar with the facts herein certified and is authorized to certify the same; (ii) that, pursuant to Section 3.5 of the Trust Agreement by and among Wells Fargo Bank, N.A., as trustee (the "Trustee"), and the Company, dated as of December I, 2009 (the "Trust Agreement"), the undersigned hereby requests the Trustee to disburse this date from the Acquisition Fund under the Trust Agreement, to the payees set forth on the attached Annex 1, the amounts set forth on the attached Annex I; and (iii) that each obligation referred to herein is a proper charge against the Acquisition Fund, and that payment for such charge has not previously been made. CARMEL THEATER DEVELOPMENT COMPANY, LLC By: REI Real Estate Services, LLC, sole Member U By: ‘44Iiiil Printed:AWff I , s.cr av- Title: ? rz' Date: 1/T / CONSENT GIVEN: f/ CITY OF CARMEL REDEVELOPMENT COMMISSION, for and on behalf of the City of Carmel Redevelopment District By: Printed: 6Is -5. 0 .05 Title: 1,Wt�lrnr piiru:74 Date: /•7�P Annex I • ACQUISITION FUND DISBURSEMENTS Item Purpose of Number Payee Name and Address Obligation Amount RL Turner Payment for services $42_,865.45 for 7C-3 Garage in November 1000 West Oak Street Zionsville, IN 46077 2 Real Mechanical Payment for services $5,171.80 for 7C-3 Garage in November 475 Cradle Drive Carmel, IN 46032 3 Sidney Electric Co. Payment for services $42,487.20 for 7C-3 Garage in November • S40 S. Vandemark Rd. Sidney, OH 45365 4 Signature Construction Construction $38,_687.86 Management services for 7C-3 Garage 720 3`a Avenue S.W. Carmel, IN 46032 6 RL Turner Payment for services $50,995.84 for 7C-10 Gen. Site Engineering—Nov 1000 West Oak Street Zionsville, IN 46077 I-1 • • 8 Signature Construction Construction $2,549.79 Management services for 7C-10—Gen. Site Bug—Novem0er 720 3rd Avenue S.W. Carmel, IN 46032 9 RL Turner Payment for services $4,900 for 7C-6 Site Utilities — Nov 1000 West Oak Street Zionsville, 11\146077 Total Amount for Requisition #56 $187,657.94 ]Nnsai NW5 1 rnsei,i I-I