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Home My WebLink AboutI.W.P. INC.- 156- 1/5/2011 I. W. P. Inc. Check: 156 Date: 1/5/2011 - Vendor: IWP INC Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3 66,096.00 66,096.00 0.00 0.00 66,096.00 app 3 on p&c! Theater Bldg 66,096.00 66,096.00 0.00 0.00 66,096.00 156 1/5/2011 **********66,096.00 THE SUM OF SIXTY SIX THOUSAND NINETY SIX DOLLARS AND NO CENTS ************************** I. W. P. Inc. I. W. P. Inc. Check: 156 Date: 1/5/2011 Vendor: IWP INC Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 3 66,096.00 66,096.00 0.00 0.00 66,096.00 app 3 on p&c! Theater Bldg 66,096.00 66,096.00 0.00 0.00 66,096.00 PAYMENT APPLICATION Page 1 TO: Carmel Theater Development Corporation,LLC PROJECT 605 APPLICATION# 3 Distribution to: 11711 N Pennsylvania St.,Suite 200 NAME AND VOTG-Parcel 7-C-1 Theater Building PERIOD THRU: 11/30/2010 Carmel, IN 46032 LOCATION: 3rd Avenue SW ❑OWNER PROJECT#s: 12012 ❑ARCHITECT Attn: Carmel, IN 46032 FROM: I.W.P.Incorporated ARCHITECT: Pedcor Design Group DATE OF CONTRACT: 06/23/2010 ❑CONTRACTOR P.O.Box 421219 335 City Center Drive 0 Indianapolis,Indiana 46242-1219 Carmel,IN 40632 . FOR: MF,DW,Ins,AC CONTRACTOR'S SUMMARY OF WORK Contractor's signature below is his assurance to Owner,concerning the payment herein applied for, that:(1)the Work has been per-formed as required in the Contract Documents,(2)all sums previously Application is made for payment as shown below. paid to Contractor under the Contract have been used to pay Contractor's costs for labor,materials Continuation Page is attached. and other obligations under the Contract f. Work previously paid for,and(3)Contractor is legally entitled to this payment. 1. CONTRACT AMOUNT $638,420.00 CONTRACTOR: •.rporat: 2. SUM OF ALL CHANGE ORDERS ($8,460.00) By: if Date: 11/18/2010 3. CURRENT CONTRACT AMOUNT (Line 1 +/- 2) $629,960.00 n Perti /Project Manager 4. TOTAL COMPLETED AND STORED $281,710.00 State of: Ind O (Column G on Continuation Page) County of: Marion 5. RETAINAGE: Subscribed and sworn to before a. 10.00% of Completed Work $28,171.00 me this (i/f ' day of [ c 1 L)j (Columns D+E on Continuation Page) �- b. 10.00% of Material Stored $0.00 Notary Public: Barbara Ware ` /� L3 a--��'- (Column F on Continuation Page) Total Retainage(Line 5a+5b or My Commission Expires: 12/19/2017 Column Ion Continuation Page) $28,171.00 ARCHITECT'S CERTIFICATION 6. TOTAL COMPLETED AND STORED LESS RETAINAGE $253,539.00 Architect's signature below is his assurance to Owner,concerning the payment herein applied for, (Line 4 minus Line 5 Total) that:(1)Architect has inspected the Work represented by this Application,(2)such Work has bee-' . 7. LESS PREVIOUS PAYMENT APPLICATIONS $187,443.00 completed to the extent indicated in this Application,and the quality of workmanship and materials conforms with the Contract Documents,(3)this Application for Payment accurately states the amount . of Work completed and payment due therefor,and(4)Architect knows of no reason why payment 8. PAYMENT DUE $66,096.00 should not be made. 9. BALANCE TO COMPLETION CERTIFIED AMOUNT 66, O q 'ij (Line 3 minus Line 6) $376,421.00 (If the certified amount is different from the payment due,you should attach an explanation. Initial all the figures that are changed to match the certified amount.) SUMMARY OF CHANGE ORDERS ADDITIONS DEDUCTIONS Total changes approved in tir._sr ^ / // previous months $0.00 ($8,460.00) By. __/7/�—a ) Date: / /��t= Total approved this month $0.00 $0.00 �- $0.00 Neither this Application nor payment applied for herein is assignable or negotiable.Payment shall be TOTALS_ ($8,460.00) made only to Contractor,and is without prejudice to any rights of Owner or Contractor under the NET CHANGES ($8,460.00) Contract Documents or otherwise. PAYMENT APPLICATION Quantum Software Solutions,Inc.Document ery.7 CONTINUATION PAGE Page 2 of 5 PROJECT: 605 APPLICATION#: 3 VOTG-Parcel 7-C-1 Theater Building DATE OF APPLICATION: 11/18/2010 Payment Application containing Contractor's signature is attached. PERIOD THRU: 11/30/2010 PROJECT#s: 12012 A B C D E F G H I COMPLETED WORK STORED TOTAL % BALANCE ITEM# WORK DESCRIPTION SCHEDULED AMOUNT AMOUNT MATERIALS COMPLETED AND COMP. TO RETAINAGE AMOUNT PREVIOUS THIS PERIOD (NOT IN D OR E) STORED (G/C) COMPLETION (If Variable) PERIODS (D+E+F) (C-G) 1 Exterior Metal Framing 109-9000 N Elevation Materials $48,940.00 $48,940.00 $0.00 $0.00 $48,940.00 100.00% $0.00 109-9001 N Elevation Labor $22,530.00 $20,277.00 $0.00 $0.00 $20,277.00 90.00% $2,253.00 109-9002 E Elevation Materials $19,850.00 $17,865.00 $0.00 $0.00 $17,865.00 90.00% $1,985.00 109-9003 E Elevation Labor $10,130.00 $9,117.00 $0.00 $0.00 $9,117.00 90.00% $1,013.00 109-9004 S Elevation Materials $23,650.00 $21,285.00 $0.00 $0.00 $21,285.00 90.00% $2,365.00 109-9005 S Elevation Labor $15,940.00 $9,564.00 $3,188.00 $0.00 $12,752.00 80.00% $3,188.00 109-9006 W Elevation Materials $47,080.00 $0.00 $42,372.00 $0.00 $42,372.00 90.00% $4,708.00 109-9007 W Elevation Labor $20,580.00 $0.00 $8,234.00 $0.00 $8,234.00 40.01% $12,346.00 109-9007a Gypsum Sheathing 109-9008 N Elevation Materials $6,900.00 $6,900.00 $0.00 $0.00 $6,900.00 100.00% $0.00 109-9009 N Elevation Labor $4,530.00 $4,077.00 $0.00 $0.00 $4,077.00 90.00% $453.00 109-9010 E Elevation Materials $7,600.00 $6,840.00 $0.00 $0.00 $6,840.00 90.00% $760.00 109-9011 E Elevation Labor $5,630.00 $5,067.00 $0.00 $0.00 $5,067.00 90.00% $563.00 109-9012 S Elevation Materials $8,320.00 $832.00 $6,656.00 $0.00 $7,488.00 90.00% $832.00 109-9013 S Elevation Labor $6,100.00 $610.00 $4,270.00 $0.00 $4,880.00 80.00% $1,220.00 SUB-TOTALS $247,780.00 $151,374.00 $64,720.00 $0.00 $216,094.00 87.21% $31,686.00 CONTINUATION PAGE Quantum Software Solutions, Inc.Document CONTINUATION PAGE Page 3 of 5 PROJECT: 605 APPLICATION#: 3 VOTG-Parcel 7-C-1 Theater Building DATE OF APPLICATION: 11/18/2010 Payment Application containing Contractor's signature is attached. PERIOD THRU: 11/30/2010 PROJECT#s: 12012 A B C D I E F G H I • COMPLETED WORK STORED TOTAL % BALANCE ITEM# WORK DESCRIPTION SCHEDULED AMOUNT AMOUNT MATERIALS COMPLETED AND COMP. TO RETAINAGE AMOUNT PREVIOUS THIS PERIOD (NOT IN D OR E) STORED (G/C) COMPLETION (If Variable) PERIODS (D+E+F) (C-G) 109-9014 W Elevation Materials $7,200.00 $0.00 $6,480.00 $0.00 $6,480.00 90.00% $720.00 109-9015 W Elevation Labor $5,110.00 $0.00 $511.00 $0.00 $511.00 M00% $4,599.00 109-9015a Batt Insulation 109-9016 Materials $26,880.00 $0.00 $0.00 $0.00 $0.00 0.00% $26,880.00 109-9017 Labor $15,950.00 $0.00 $0.00 $0.00 $0.00 0.00% $15,950.00 109-9017a Rough Carpentry 109-9018 Materials $16,430.00 $4,108.00 $0.00 $0.00 $4,108.00 25.00% $12,322.00 109-9019 Labor $11,790.00 $2,945.00 $0.00 $0.00 $2,945.00 24.98% $8,845.00 109-9019a Interior Metal Framing 109-9020 1st Floor Materials $22,310.00 $20,079.00 $0.00 $0.00 $20,079.00 90.00% $2,231.00 109-9021 1st Floor Labor $32,410.00 $12,964.00 $6,482.00 $0.00 $19,446.00 60.00% $12,964.00 109-9022 2nd Floor Materials $5,440.00 $0.00 $544.00 $0.00 $544.00 10.00% $4,896.00 109-9023 2nd Floor Labor $10,510.00 $0.00 $1,051.00 $0.00 $1,051.00 10.00% $9,459.00 109-9024 3rd Floor Materials $3,740.00 $0.00 $374.00 $0.00 $374.00 10.00% $3,366.00 109-9025 3rd Floor Labor $3,780.00 $0.00 $378.00 $0.00 $378.00 10.00% $3,402.00 109-9025a Drywall SUB-TOTALS $409,330.00 $191,470.00 $80,540.00 $0.00 $272,010.00 66.45% $137,320.00 CONTINUATION PAGE Quantum Software Solutions, Inc.Document CONTINUATION PAGE Page 4 of 5 PROJECT: 605 APPLICATION#: 3 , VOTG-Parcel 7-C-1 Theater Building DATE OF APPLICATION: 11/18/2010 Payment Application containing Contractor's signature is attached. PERIOD THRU: 11/30/2010 PROJECT#s: 12012 A B C D I E F G H I COMPLETED WORK STORED TOTAL % BALANCE ITEM# WORK DESCRIPTION SCHEDULED AMOUNT AMOUNT MATERIALS COMPLETED AND COMP. TO RETAINAGE AMOUNT PREVIOUS THIS PERIOD (NOT IN D OR E) STORED (G/C) COMPLETION Of Variable) PERIODS (D+E+F) (C-G) 109-9026 1st Floor Materials $26,010.00 $0.00 $0.00 $0.00 $0.00 0.00% $26,010.00 109-9027 1st Floor Labor $67,100.00 $0.00 $0.00 $0.00 $0.00 0.00% $67,100.00 109-9028 2nd Floor Materials $6,620.00 $0.00 $0.00 $0.00 $0.00 0.00% $6,620.00 109-9029 2nd Floor Labor $14,990.00 $0.00 $0.00 $0.00 $0.00 0.00% $14,990.00 109-9030 3rd Floor Materials $6,020.00 $0.00 $0.00 $0.00 $0.00 0.00% $6,020.00 109-9031 3rd Floor Labor $13,670.00 $0.00 $0.00 $0.00 $0.00 0.00% $13,670.00 109-9031a Acoustical Ceilings 109-9032 1st Floor Materials $8,790.00 $0.00 $0.00 $0.00 $0.00 0.00% $8,790.00 109-9033 1st Floor Labor $5,080.00 $0.00 $0.00 $0.00 $0.00 0.00% $5,080.00 109-9034 2nd Floor Materials $1,610.00 $0.00 $0.00 $0.00 $0.00 0.00% $1,610.00 109-9035 2nd Floor Labor $1,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $1,000.00 109-9035a Install Metal Frames 109-9036 1st Floor Labor $3,450.00 $0.00 $0.00 $0.00 $0.00 0.00% $3,450.00 109-9037 2nd Floor Labor $610.00 $0.00 $0.00 $0.00 $0.00 0.00% $610.00 109-9038 3rd Floor Labor $540.00 $0.00 $0.00 $0.00 $0.00 0.00% $540.00 109-9039 Bonds $16,800.00 $16,800.00 $0.00 $0.00 $16,800.00 100.00% $0.00 SUB-TOTALS $581,620.00 $208,270.00 $80,540.00 $0.00 $288,810.00 49.66% $292,810.00 CONTINUATION PAGE Quantum Software Solutions,Inc.Document CONTINUATION PAGE Page 5 of 5 PROJECT: 605 APPLICATION#: 3 VOTG-Parcel 7-C-1 Theater Building DATE OF APPLICATION: 11/18/2010 Payment Application containing Contractor's signature,is attached. PERIOD THRU: 11/30/2010 PROJECT#s: 12012 A B C D I E F G H I COMPLETED WORK a BALANCE SCHEDULED STORED TOTAL �� RETAINAGE ITEM# WORK DESCRIPTION AMOUNT AMOUNT AMOUNT MATERIALS COMPLETED AND COMP. TO PREVIOUS THIS PERIOD (NOT IN D OR E) STORED (G/C) COMPLETION (If Variable) PERIODS (D+E+F) (C-G) 109-9040 Temp Heat $6,800.00 $0.00 $1,360.00 $0.00 $1,360.00 20.00% $5,440.00 109-9041 Allowance $50,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $50,000.00 109-9042 CO#50-Tax Exemption ($8,460.00) $0.00 ($8,460.00) $0.00 ($8,460.00) 100.00% $0.00 TOTALS $629,960.00 $208,270.00 $73,440.00 $0.00 $281,710.00 44.72% $348,250.00 CONTINUATION PAGE Quantum Software Solutions,Inc.Document • PRIME CONTRACTOR'S SWORN STATEMENT OF INDEBTNESS&WAIVER OF LIEN STATE OF Indiana COUNTY OF Hamilton n—Ott, Being duly sworn upon his/her oath disposes and says that: =j He/she isyc'� ` (inserting sole proprietor, partner or corporate office held, as the case maybe), )J" of , Inc. hereafter called the "Prime Contractor". He/she is over the age of twenty- one. He/she is authorized to make this affida�yit on behalf of Prime Contractor. 2. Prime Contractor is the iii, Drivct Prime Contractor for the construction of the development known as VILLAGE ON THE GREEN — PARCEL 7C1 — THEATER BUILDING located in CARMEL (City), INDIANA (state), hereafter referred to as the "Development", pursuant to the contract between the Prime Contractor and CARMEL THEATER DEVELOPMENT CORPORATION, LLC.,the Owner. 3. This affidavit is made for the express purpose of inducing and CARMEL THEATER DEVELOPMENT CORPORATION, LLC., to make payment to Prime Contractor of the invoice submitted herewith for labor and materials furnished pursuant to said Contractor. Upon receipt of said payment the Prime Contractor hereby waives any lien rights to which Prime Contractor is entitled for labor or materials furnished for the development to the date hereof. 4. Listed below are all suppliers or other persons who either has furnished or might furnish the Prime Contractor with materials, appliances, machinery, fixtures or furnishing placed upon or installed on the development. Mark (X) in the appropriate column for EACH supplier listed. Place an (X) in column: 1) If a waiver of lien by supplier conditioned by payment of a specified amount is attached hereto. (In this case also show the amount owed the supplier). 2.) If a FULL (final) lien release has been signed and delivered to the Owner. 3.) If the initial delivery has not been made. Supplier List(Add list if necessary 1. Amount Owed 2 3 04kg.lut,— et 19 r 634 cry #1 and 2 correspond to the same numbered choices on the waiver format. CARMEL THEATER DEVELOPMENT CORPORATION, LLC.is hereby authorized to make payment to each such unpaid creditor either directly or by check jointly payable to Prime Contractor and such creditor, as CARMEL THEATER DEVELOPMENT CORPORATION, LLC. shall determine. 5. There are no bills, charges, costs or expenses for labor or material which could now or hereafter result in lien being filed against the Development or a claim being asserted against the Owner except the persons or businesses named in Paragraph 4 above. IN WITNESS WHERE OF, affiant has signed this docume on behalf of the Prime Contractor this -.10 day of t'ioV a— , 20 I V . 01- II ��'I,{�,. thori d Representative of Prime Contractor, Title) (r County of 41-- State of `y Subscribed and sworn to before me a Notary Public in and for said County and State, This or"-' Day of 0auti r , 20 LO r A (Notary Public) % c (Printed Name) My Commission Expires: /a-19-17 NOTARY SEAL MUST APPEAR ON THIS FORM.