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EBENISTERIE BEAUBOIS LTEE- 001254- 10/21/2010
CARMEL REDEVELOPMENT COMMISSION 001254 Ebenisterie Beaubois LTEE Check: 1254 521 6th Ave Date: 10/21/2010 Saint=George, Quebec Vendor: EBENIST1 Canada, GSU OH1, ca oh1 Prior Invoice, P.O. Num. invoice Amt Balance Retention Discount Amt. Paid 21 - settelement 48 40,000.00 40,000.00 0.00 0.00 40,000.00 Application 21 delay claim 40,000.00 40,000.00 . • 0.00 0.00 40,000.00 cfn iVIal!6R111911RTHISICHECKdHAS'A C /."Cs61:Ft: Carmel Redevelopment Commission 0.0.12`5,4 /Q, ~ 30 West Main Street l�1► REGIONS Suite 220 2D-1421/740 °""""Ey Carmel, IN 46032 . . ��STPIG . . ._ 1254 ' DATE AMOUNT ' 4 • 10/21/2010 40,000.00 PAY • THE SUM OF FORTY THOUSAND DOLLARS TO THE ORDER Of - Ebenisterie Beaubois LIFE ' 521 6th Ave. 5Ex6gm , Saint-George, Quebec .i Canada, GSU OH1, ca,ohl E4�G ii'00425Lie' 1:0740L42131: DUEL 7 SO4 LLV' CARMEL REDEVELOPMENT COMMISSION 001254 Ebenisterie Beaubois LTEE Check: 1254 521 fith Ave Date: 10/21/2010 Saint-George, Quebec Vendor: EBENIST1 Canada, GSU OH1, ca oh1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 21 -settelement 48 40,000.00 40,000.00 0.00 0.00 40,000.00 Application 21 delay claim _ 40,000.00 40,000.00 0.00 0.00 40,000.00 Cleveland, Don H From: Mike Anderson [manderson @shielsexton.com] Sent: Monday, October 18, 2010 4:00 PM To: Cleveland, Don H Subject: FOP settlement claims Don: This is the info- These are agreements accepted by Les but not yet presented to the CRC. After approval, we have 10 days to pay them. That's the agreement to get them to settle. When that happens we will have MI proper paperwork. Thanks. Michael G. Anderson Senior Project Manager Shiel Sexton Co. 902 N. Capitol Ave. Indianapolis, IN 46204 317.423.6151 317.423.6300 (fax) 317.281.1900 (mobile) From: Mike Anderson Sent: Monday, October 18, 2010 3:49 PM To: 'mworthley @carmel.in.gov' Subject: Re: settlement claims Correct __ From: Worthley, Matthew D To: Mike Anderson Sent: Mon Oct 18 15:48:15 2010 Subject: settlement claims Mike: I called you just a minute ago to discuss the following....Please review and correct my information below. 1 1. Poynter Sheet Metal -$50,000 6 y 2. Beaubois- $40,000 y g N 0 3. W.R. Dunkin -$68,760 C6`)�O mw Sincerely, Matthew D.Worthley Carmel Redevelopment Commission 30 West Main Street,Suite 220 Carmel, IN 46032 mw orthley @carmehin.gov C: 317.205.7030 0: 317.571.2788 • 2 i A Document G702/CMarN — 1992 I2 G 49 VPg Application and Certificate for Payment Construction Manager-Adviser Edition • TO OWNER: PROJECT: APPLICATION NO: 021. Distribution to: City of Carm2I Car inel RPac av-131 , PERIOD TO: 30, ao10 OWNER ❑ • CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: VIA CONSTRUCTION CONSTRUCTION A+-or) PROJECT NOS: 2615 / solo / CONTRACTOR ❑ it r 6714 f°Y s VIA ARCHITECT: FIELD ❑ NT tea : co 5 Qrohi 4?G1S ❑ CONTRACT FOR: 1 Ilu,orK CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's 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. e� 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 - s3 1111010 payment show • rein is now due. L 2. Net change by Change Orders S x781 p° CONTRA OR: �� 3.CONTRACT SUM TO DATE(Line I ±2) $ 9j /7686/°' By: 1 / _ Date: 0 Vata /r9O I0 4.TOTAL COMPLETED&STORED TO DATE(Columm G on G703) $t-2 Q0/5.147 17 State of 0 n•&C l 5.RETAINAGE: • C.• my of: d"7=U'.l.t U a. To of Completed Work Subscribed and sworn to before r� Commissaire a rAssermentation (Column D+E on G703) $ /66 84'd. me this 2znd/c�dy�y"of S94 +er'` �aoi 6 f Commissioner for oath b. %of Stored Material Notary Public:6- aw07Z Manon Poulin (Column F on G703) $ p X1'1 My Commission expires: MC49 IQ 6013 It 1 Al R5f1 Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ 13687d• CERTIFICATE FOR PAYMENT District Beauce-Quebec 6.TOTAL EARNED LESS RETAINAGE $a 7yy �G� �, In accordance with the Contract Documents, based on on-site obsen8eat90B•QUebtd0 aiSififctng this application, the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) '/ ./ L/ knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $al 7d7 144, 6/ accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 front prior Certificate) CERTIFIED. 00 al{y rIL 8.CURRENT PAYMENT DUE $ y( coo . AMOUNT CERTIFIED $ A 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs from the amount applied. Initial all figures on this .. / Application and or to Continuation Sheet tl changed to conform with the amount certifier/.) (Line 3 less Line 6) 5 7 /4 3 CONST UCTION '��G-r. / By: 1:.`. ' _ 4_ �.. s _ Date: Z"T I CHANCE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHI C ir Total changes approved in previous months by Owner $ $ By: li' r. Date: i1 Total approved this Month S $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to thc'Co�actor TOTALS S $ named herein. Issuance, payment and acceptance of payment arc 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 will not be obscured. AIA Document G702/CMaT"'—1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document is protected by U.S.Copyright Law and International 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. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,email The American Institute of Architects'legal counsel,copyright o aiaorg. CONTINUATION SHEET AlA Document 6703 Format MA Doc.G702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterle Boas/bon Ltee containing Contractors signed Certification Is attached. APPLICATION NO:21 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 09/20/2010 Use Column Ion Contracts where variable retamage for line Items may apply. APUCATION PERIOD: 09/01/2010-09/30/2010 ARCHITECTS PROJECT NO; Carmel Regionvl Performing Arts Center,Carmel,IN A B C D 1 E 1 F G 1 H I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 5% No. I of work (D.E) (noun Dor El l (D.E•F1 1G/C1 (C•G) 1 1 MAT BASEMENT LEVEL 52 098.35$ 49 493.43 $ 0.00$ 0.00 $ 49 493.43 $ 2 604.92$ 2 474.67 $ LAB 11 883.71 $ 10 101.15 $1 0.00$ 0.00 $ 10 101.15 $ 1 782.56 $ 505.06 $ I I I MAT North 6 886.93 5 6 542.58$1 0.00$ 0.00$ 6 542.58$ 344.35$ 327.13$ 1 1 MAT I Miscellaneous items 45 211.43 5 42 950.05 SI 0.00$ 0.00$ 42 950.85 5 2 260.57$ 2 147.54 5 1 1 1 LAB North 1 257.05$ 1 068.49$ 0.00 5 0.00$ 1 068.49 51 108.56 51 53.42$ 1 LAB Miscellaneous items 10 626.66$ 9 032.66$ 0.00 5 0.00$ 9 032.66$1 1 594.00$ 451.63$ 1 1 1 MAT PLENUM LEVEL 49 668.53 $ 47 185.11 $ 0.00 $ 0.00 $ 47 185.11 $ 2 483.43 $ 2 359.26 $ LAB 42 456.67$ 36 088.17$ 0.00 $ 0.00 $ 36 088.17 $ 6 368.50 $ 1 804.41 $ 1 MAT Miscellaneous items 12 287.66$ 11 673.27$ 0.00$ 0.00$ 11 673.27$ 614.38$ 583.66$ MAT South 37 380.08$1 35 511.03$ 0.00 5 0.00 51 35 511.83$ 1 869.04$ 1 775.59 51 1 1 1 1 1 LAB I Miscellaneous items 26 524.2951 22 545.65$ 0.00 S 0.00$1 22 545.65$ 3 978.64$ 1 127.28$ 1 1 LAB I South 15 932.18$ 13 542.525 0.005 0.00$I 13 542.52$ 2 389.86$ 677.13 5 I { I I MAT I ORCHESTRA LOW LEVEL 884 071.73 $ 787 458.42$ 0.00 $ 0.00 $ 787 458.42$ 96 613.31 $ 39 372.92 $ LAB 317 235.98 $ 260 072.91 $ 0.00 $ 0.00 $ 260 072.91 $ 57 163.07 $ 13 003.65$ MAT Auditorium 536 641.30 5 488 125.89$ 0.00$ 0.00 5 488 125.90$ 48 515.40$ 24 406.29$ 1 MAT I East 137 103.55$ 130 248.37$ 0.00 5 0.00 5 130 248.37 5 6 855.18 51 6 512.42$ MAT 1 North 101 619.9551 68964.645 0.005 0.0051 68 964.64$ 32 655.31 51 3 448.23 S Page 1 CONTINUATION SHEET AIA Document 0703 Format AIA Doc.G702.APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterle Beaubois Ltee containing Contractor's signed Certification is attached. APPLICATION NO: 21 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 09/20/2010 Use Column Ion Contracts where variable retainage for line items may apply. APLICATION PERIOD:09/01/2010-09/30/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Cannel,IN A B C I D I E I F G I H I I I Work Completed Material Total Item Description scheduled Previous This Presently Complete % Balance Retalnage Value application Period Stored and stored to Finish 5% No. I of work ID.EI )not in Dor E) (D.E•F) (G/C) (C-GI I MAT West 50922.965 48376.81$ 0.00$ 0.00$ 48 376.81 $I 2 546.15$ 2418.84 SI I MAT i Miscellaneous Items 57783.98$ 51 742.71 5 0.005 0.00$ 51742.71 $ 6041.28 SI 2 587.14$ I LAB I Auditorium 161 191.08$ 14o 572.48 SI 0.00$I 0.00 S 140 572.48$ I 20 618.60$ 7 028.62 S I LAB East 40499.185 26 256.42$1 0.013$ 0.00$ 36 256.4 5 14 242.76$ 1 312.82$ I I LAB North 16932.65$ 7074.99$ 0.00$ 0.00$ 7074.99$I 9857.66$ 353.75$ LAB West 26 471.63$1 21 241.72$I 0.00 5 0.00$ 21 241.72$ 5 229.91$ 1 062.09$ I LAB Miscellaneous items 72 141.44$ 64 927.30$ 0.00 SI 0.00$ 64 927.30 5 7 214.14 SI 3 246.36$ I I I I I MAT ORCHESTRA HIGH LEVEL I 132 847.59 $ 126 205.21 $ 0.00 $I 0.00$ 126 205.21 $ 6 642.38 $I 6 310.26 $ LAB I 92 280.19 $ 83 052.17 $ 0.00 $ 0.00$ 83 052.17 $ I 9 228.02$ 4 152.61 $ MAT Auditorium 4 621.74$ 4 390.65$ 0.00$ 0.00$ 4 390,65 5 231.09$ 219.53$ MAT East 485.32$ 461.06 5 0.00$ 0.00$ 461.06$ 4.27 5 23.05 51 MAT South 101 013.48$ 95 962.80$ 0.00$ 0.00$ 95 962.80$ 5 050.67$I 4 798.14$ I MAT West 485.32$ 461.06$ 0.00$ 0.00$I 461.06$ 24.27$ 23.05 5 I I MAT Miscellaneous items I 26 241.73$ 24 929.645 0.00$ 0.005 24929.645 1 312.09$ 1 246.48$ I I I LAB Auditorium I 2262.18$ 2 035.96 5 0.00$ 0.00$ 2035.96$ 226.22$ 101.80$ LAB East I 381.52$ 343.37$ 0.00$ 0.00$ 343.37$ 38.15$ 17.17$ I Page 2 CONTINUATION SHEET AIA Document G701 Format AIA Doc.6702,APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterle Beaubels Ice. containing Contractors signed CerUlication Is attached. APPLICATION NO; 21 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE;09/20/2010 Use Column Inn Contracts where variable retalrape for line items may apply. APLICATION PERIOD, 09/01/2010-09/30/2010 ARCHITECTS PROJECT NO: Carmel Regional Pert arming Arts Center,Carmel,IN A B I 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 5% No. I of work ID+EI (not in D or El (D+E+F) (0/C) (C-G) LAB South 40723.56$ 36651.20$ 0.00 S 0.00$ 36651.20$I 4072.36$I 1 832.56$ 1 I I LAB West 381.52 S 313.37$ 0.00 5 0.00$ 343.37$ 38.15$ 17.17$ I I LAB Miscellaneous items 1 48 531.41$ 43 678.27$1 0.00$ 0.00$ 43 678.27$ 4 853.14$ 2 183.91$ I I I I I MAT BOX TIER LEVEL 326 347.94$ 310 251.71 $ 0.00 $ 0.00 $ 310 251.71 $ 16 096.24$ 15 512.59 $ LAB , 278 078.48 $ 250 270.63 $ 0.00 5 0.00 $ 250 270.63 $ 27 807.85 $ 12 513.53 $ MAT Auditorium 11 727.05$ 11 140.70 5 0.00$ 0.00$ 11 140.70$1 586.35$ 557.03$ MAT East 44 650.44$ 42 639.08$ 0.00$ 0.00$ 42 639.08$ 2 011.36 5 2 131,95$ MAT North 16 580.44$ 15 751.42$ 0.00 SI 0.00$ 15 751.42$ I 829.02$1 787.57 5 I I MAT South 81 787.06$ 77 697.71 $ 0.00$I 0.00 5 77 697.71 $ 4 089.35$ 3 884.89$ I MAT West I 82441.76$ 78319.67$ 0.00$ 0.00$ 78319.67$ 4122.09$ 3915.98$ MAT Miscellaneous items 89 161.20$ 84 703.14$ 0.00$ 0.00$ 84 703.14$ 4 458.06 5 4 235.16$ I LAB Auditorium 6058.74$ 5452.87$ 0.00$ 0.00$ 5452.87$ 605,87$1 272.64$ I LAB East 26 800.35$1 24 120.32$ 0.00$ 0,00$ 24 120.32$ 2 680.04$ 1 206.02$ I I I LAB North 6 898.68$ 6 208.81 $1 0.00$ 0.00$ 6 208.81 $ 689.87$ 310.44$ LAB South 37 667.50 5 33900.75$ 0.00$ 0.00$ 33900.75$ 3766.755 1695,045 I LAB West 47 037.97$ 37 834.17$ 0.00$ 0.00$ 37 834.17$ 4 203.80$ 1 891.71$ LAB Miscellaneous items 158 615.24$ 142 753.72$ 0.00$ 0.00$ 142 753.72$ 15 861.52$ 7 137.69$ I Page 3 CONTINUATION SHED' MA Document 6703 Format MA Doc.0701.APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubols Ltee containing Contractors signed Certification is attached. APPLICATION NO: 21 In tabulations below.amounts are stated to the nearest dollar. APPLICATION DATE: 09/20/2010 Use Column I on Contracts where variable retainage for line items may apply. APLICATION PERIOD:09/01/1610-09/30/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arts Center,Carmel,IN A B C D 1 E F I G I H I I Work Completed Material Total -- Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 5% No. I of work 10•E1 loot In D0r E1 (DmEA F) (G/C) (C-G) I I 1 1 I I I MAT BALCONY LOW LEVEL 30 066.12$ 28 562.81 $ 0.00 $ 0.00$ 28 562.81 $ 1 503.31 $ 1 428.75 $ LAB 48121.87$ 43309.68 $ 0.00 $ 0.00 $ 43309.68 $1 4812.19 $ 2165.48 $ MAT Auditorium 5 584.31 $ 5 305.09$ 0.00$ 0.00$ 5 305.09$I 279.22$ 265.25$ I I I MAT East 849.32 5 806.85$ 0.00 5I 0.00$ 806.85 5 42.47 SI 40.34$ I MAT North I 241.66$ 230.53$ 0.00$ 0.00$ 230.53$ 12.13 5 12.13$ MAT South 4 378.44$ 4 159.51$I 0.00$ 0.00$ 4 159.51$ 218.92 S 207.98$ MAT West 849.32$ 806.85$I 0.00$ 0.00$ 806.85 S I 42.47$ 40.345' MAT Miscellaneous items II 162.07$1 17 153.97$ 0.00$ 0.00 5 17 253.97 5 908.10 SI 862.70$ I I I I LAB Auditorium 2 674.80$ 2 407.32 5 0.00 S 0.00$1 2 407.32$ 267.48$ 120.37 5 LAB East 667.66 5 600.89$ 0.00$ 0.00$ 600.89$ 66.77$ 30.04 S 1 I LAB I North 190.76$ 171.68$ 0.00 5 0.00$ 171.68$ 19.08$ 8.58 5 LAB South 2 740.40$ 2 466.36$I 0.00 5 0.00$ 2 466.36$ 274.04$ 123.32 5 I LAB West 667.66$ 600.89 5 0.00$ 0.00 5 600.89$ 66.77$ 30.04 5 1 I 1 LA8 Miscellaneous items 41 180.59 5 37 062.53 5 0.00$ 0.00$ 37 062.53$ 4 118.06 Si 1 853.13$ I I I I I MAT I BALCONY HIGH LEVEL 143 538.52 $ 136 361.59$ 0.00$1 0.00 $ 136 361.59 $ 7 176.93 $ 6 818.08 $ LAB ' 105766.53 $ 93331.50$ 0.00$ 0.00 $ 93331.50 $ 12435.03 $ 4666.58 $ I MAT I Auditorium 6 701.17$ 6 366.11 SI 0.00$ 0.00$ 6 366.11$ 335.06$ 318.31$ I Page a CONTINUATION SHEET AIA Document 0703 Format Ala Doc.0702.APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenisterie Beaubals Ltee containing Contractors signed certification is attached. APPLICATION NO: 21 In tabulations below.amounts are stated to the nearest dollar. APPLICATION DATE:09/20/2010 Use Column Ion Contracts where variable retalnage for line Item may apply. APLICATION PERIOD:09/01/2010-09/3011010 ARCHITECTS PROJECT NO: Cannel Regional Per forming Arts Center,Cannel,IN A B C D I E 1 F I 0 I H I I Work Completed Material Total Item Description Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 5% No. I of work (D•E) (not in or El IDr E•F) (0/C1 (C-G){I MAT East 8672.67$1 8 239.03$ 0.00$ 0.00$1 8239.03$ I 433.63$ 411.95$ MAT North 121.33$ 115.26$ 0.00$ 0.00$1 115.26$ 6.07$1 5.76$ MAT South 85 647.88$ 81 365.48$ 0.00$ 0.00$1 81 365.48$ 4 282.39$1 4068.27$ 1 ! I- MAT West 5 840.25$ 5 548.23$1 0.00$ 0.00$ 5 548.23 5 292.01 S 277.41 $ MAT I Miscellaneous items 36 555.23$ 34 727.47$ 0.00$ 0.00$ 34 727.47$ 1 827.76$ 1 736.37$ LAB Auditorium 3 504.20$ 3 151.78$ _ 0.00$ 0.00$ 3 353,78$ 350.42 5 157.69$ I I LAB East 5 910.02$ 5 319.02$ 0.00$ 0.00$ 5 319.02$ 591.00$ 265.95$ LAB 1 North 95.38$ 85.84$ 0.00$ 0.0051 85.84$ I 9.54 51 4.29 5 I I LAB I South I 39 165.15$ 33 390.26$1 0.00 5 0.00$ 33 390.26$ I 5 774.89$ 1 669.51$ I I I LAB West I 3 896.68$ 3 507.01$ 0.00$ 0.00 51 3 507.01$ I 389.67$ 175.35$ I LAB Miscellaneous items 53 195.10 SI 47 875.59$ 0.00$ 0.00$ 47 875.59$ 5 319.51 S 2 393.78$ I I I I MAT ALLOWANCE 105 000.00$ 19 739.00$1 0.00 $ 0.00$ 19 739.00 $1 85 261.00 $1 986.95 $ 1 I I 5060 General Allowance 50 000.00 5 19 739.00$I 0.00$ 19 739.00$ 39% 30 261.00$ 986.95$ 6 8 500.00 5 I 8 500.00$ 425.1%/5 7 7749.00$ 7 749.00$ 387.45 S 8 1 690.00$ 1 690.00$ 84.50$ 9 1 057,00 5 1 057.00 5 52.85$ 11 743.00$ 743.00$ 37.15$ 5060 CAD Allowance 5 000.00$ 0% 5 000.00 5 I 5070 General Allowance 25 000.00$ I 0% 25 000.00$ I 5070 CAD Allowance 5 000.00$ I I Obi 5000.005 Page 5 CONTINUATION SNEEr Ala Document 6703 Format MA Dcc.5702.APPLICATION AND CERTIFICATE FOR PAYMENT Contractor:Ebenlsterie Beaubols Ltw containing Contractors signed Cerulicadon is attached. APPLICATION NO'. 21 In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE:09/20/2010 Use Column Ion Contracts where variable retainage lot line Items may apply. APLICATION PERIOD:09/01/2010-09/30/2010 ARCHITECTS PROJECT NO: Carmel Regional Performing Arta Center,Cannel,IN A B I C I D I E F 0 H I I I Work Completed Material Total Item Descnption Scheduled Previous This Presently Complete % Balance Retainage Value application Period Stored and stored to Finish 5% No. of work (D•El (not in 0 o EI (0•E•F) (0/C) (C•0) I I I 5080 General Allowance 15 000.00 5 0% 15 000.00$ 5080 CAD Allowance I 5 000.00$ 0% 5 000.00 5 I I SUB TOTAL 2 619 462.22$I 2 281 483.51 $I 0.00$ 0.00$ 2 281 483.51 51 337 978.71 51 114 074.78$ I I I I I I Administration Fees I I MAT Shop Drawings 174 383.84 5 174 383.84 S 0.00 5 174 383.84$ 100% 0.00$ 1 B 719.19$ INST I 1 MAT Engeneering and cutting sheet 116 255.86$ 113 930.74$ 0.00$ 113 930.74$ 98% 2 325.12$ 5 696.54$ INST _MAT Bond 20325.26$ 20325.26 SI 0.005 20 325.26 5 100% 0.00$ 1016.26$ INST I MAT Projel Management/Living/Travel 125 378.55$ 125 378.55$ 0005 125 378.55$ 100% 0.00$ 6 268.93 5 INST MAT_Superintendent/Living/Travel 118 264.27$ 118 264.27$ 0.00 5 I 118 264.27$ 100% 0.00$ I 5 913.21$ INST 1 I I I TOTAL BASE CONTRACT 3 174 070.00$ 2 833 766.17$ 0.00$ 0.00$I 2 833 766.17$ I 340 303.83$I 141 688.92$ I 1 1 1 I Change Orders I I 1 I Change order#001 I$ 5 158.00 5156 0.00$ 5 156.00$ 100%1 0.00$ 257.80$ Change order#002 I$ 17 479,00 17479 0.005 17 479.005 100%1 0.00 5 873.95 5 Change order#003 5 (86000 00) 0.00$ 0.00$ 0% .65 000.00$ 0.00$ Change order r004 0.005 0.00$ I 0% 0.00$ 0.005 Change order#005 5 5146.00 51461 0.00$ 5 146.00$ 100% 0.00$ 257.30$ Change order#006 $ 40000.00 40000.00$ 40000.005 100% 0.005 2000.00$ TOTAL CHANGE ORDERS $ 2 781.00 $ 27 781.00 $ 40 000.00 1 f • $ 87 781.00 $ 185 000.0011 S 3 389.05 I I I I I I f______l TOTAL 1 $ 3 176 851.00 1 $ 2 861 547.17 1 5 40 000.00 1$ . 1 s - 2 901 547.17 1 1 S 275 303.83 1 6 156 842.55 Page 6 INTERIM LIEN/CLAIM WAIVER • From:. Ebenisterie Beaubois Ltee Project: Carmel Regional t Performing Arts Center Hoe of ivirnl Release) (Protect Name) 521, 6th Ave Cannel, IN tF3usmese Address) lPro)mA Address) St-Georges (Quebec) G5Y OH1 (City, ale,Lip Code) 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$ 1,446,576.65 in the sum of$ 40,000.00 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) 05/31/2010 materials furnished and/or claims through (date) only and does not cover any retention or items furnished September 30th 2010 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 Co mle O icer Padner/Owner) \Q Germain Alexandre, Ass.General Manager �yy IAd "zn" orpydeOthcer Fa" o"U her) le) r� main Alexandre, Ass.General Manager (idle) Dated this 22nd day of September , 2010 Dated this 22nd day of_ September, 2010 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 Commissaire a I'Assermentatic written: �{�, , �� ' Commissioner for oath Commissaire I'Assermentation Notary Public Marlon Poulin (Am, at_e_ Commissioner for oat) My commission expires : Di e o Notary Public IvlauOn 8 0 Cs65oc # 163 850 Beauce-Quebec District My commission expires : May 10 201311 cl Buduce-Quabec Beauce-Quebec District WAIVER OF LIEN The undersigned is the duly authorized officer of Ebenisterie Beaubois Ltee , the general contractor, subcontractor, material man or other person furnishing the services, labor, material or equipment indicated below in the construction of improvements upon real estate located in_llamillon County, State of_Indiana , commonly known as_Carmel Performing Arts Center , which real estate is owned by_Carmel Redevelopment Commission (uOwner))). IN CONSIDERATION of the sum of'One One million four hundred forty six thousand live hundred seventy six dollars and sixty five cents DOLLARS ($_1,446,576.65) 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 and 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 fin- 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 particulaty 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_22nd day of September 2010 main Alexandre,Ass.Gencral Manager _Ebenisterie Beaubois Ltee (Name of Company) State of Quebec , County of l3eauce , SS : Before me, the undersigned, a Notary Public in and for said County and State,personally appeared_Germain Alexandre The _Assistant 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 free act deed of such Company and the free act and deed of said officer. WITNESS my hand and notarial seal this_22nd day of_September_,_2010 My Commission Expires : Commissaire fi I'Assermentafic^ May 10,2013 Commissioner for oath C: n 12,c ri (1/4,C Manon Poulin Notary Public My County of Residence : # 163 850 District Beauce-Quebec Beauce Beauce-Quebec District Manon l'oulin (Printed Name of Notary Public)