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Legacy TIF Draw 11 111814 FALCON NEST II , LLC November 13,2014 Diana L.Cordray Carmel Clerk Treasurer (317)571-2414 Via E-mail: DCorrfray(cDcarrnel,ln.gav; csheeks(alcarmel.in.gav_; johnalexanderaregi¢ns.Qomi jake.tavlort starfinanctal.com Re; Legacy TIF—Draw#11 Dear Diana: Attached please find the Legacy TIF draw for the current month. If everything is in order, please sign the Request for-Disbursement Form and forward this draw to the Trustee. Also attached is a budget sheet that will track all costs to date. Please let me know if you have any questions. Sincerely, Raja!Zumot Member of SALT; LW , 5f 1 ' 1356 BEVERLY RD SUITE 250 • MCLEAN, VA •22101 PHONE: (703) 893-7233 • FAX: (703) 893-5267 i STATEMENT NO.2 REQUESTING DISBURSEMENT OF FUNDS FROM PROJECT FUND PURSUANT TO ; SECTION 4.3 OF THE TRUST INDENTURE BETWEEN THE CITY OF CAR1vIEL, i INDIANA AND REGIONS BANK,AS TRUS'1EE i Pursuant to Section 43 of the Trust Indenture (the "Indenture") dated as of December 1, 2013,between the City of Carmel, Indiana (.the "Issuer") and Regions Bank (the "Trustee"), the undersigned; as the Authorized Representative (as defined in the Indenture) of the Company; hereby requests and authorizes the Tr4lstee, as depositary of the Project Fund created by and as defined in the Indenture to pay to the Company or to the person(s) listed on the Disbursement Schedule attached hereto out of the moneys on deposit in the Project Fund,the aggregate sum of $91,961.11 to pay such person(s) or to reimburse the Company in full, as indicated in the Disbursement Schedule;for advances, payments and expenditures made by it in connection with the items listed in the Disbursement Schedule. 1 In connection with the foregoing request and authorization; the undersigned hereby i certifies that: 1 a the costs of an aggregate amount set forth in this written request i ) have been made or incurred and were necessary for the construction of the Project and were made or incurred in accordance with the construction contracts, plans and specifications,or purchase contracts therefor then in effect or that the amounts set forth in i l such written request are for allowable Costs of Construction.of the Project; ri ten re uest,is (b) the amount paid or to be paid, as set forth in thiS w t q , , reasonable and represents a part of the amount payable for the Costs of Construction of t ; the Project all in accordance with the cost budget; and that such payment was not paid in I advance of the time,if any, fixed for payment and was made in accordance with the ti of any contracts applicable thereto and in accordance with usual and customary practice under existing conditions; E (c) no part of said costs was included in anty written request previously filed with the Trustee under the provisions hereof;and I (d) such costs are appropriate for the expenditure of proceeds of the . Bonds under the Act. This statement and all exhibits hereto, including the Disbursement Schedule, shall be conclusive evidence of the facts and statements set forth herein and shall constitute full warrant, protection and authority to the Trustee for its actions taken pursuant hereto;and } : : tes the approval of the Company of each This Siatement coitstitti disbursement hereby requested:and authorized. 1 i i II IN WITNESS WHERE() , the authorized representative of the Company has set his is hand as of the //day of —00!: _ m.,�O/9 f Pursuant to Section 4.3 of the Indenture the foregoing disbursement request is hereby ii FALCON NEST II LLC, an Indiana limited liability company By: SALT, LLC,Member By: , k Rajai Alma., ..Mem. •` SALT,LLC approved: i i 9 CITY ORCARMEL,INDIANA laia+ia L.Cord ray,IAi\4C,Clerkl're:..'r' 1 S I j. I f � 2 i 1 Legacy TIF Draw _ Application No.: 10 Application Date:_ _�13-Nov-14 Prepared By: Kathy Tekulve Telephone No: (317) 863-2052 Amount: $ 91,961.11 Reference or Total Retainage _ invoice' Work This Invoice Code Contractor/Payee Number Completed Period Amount 2 CrossRoads Engineers, PC 14812 $ 2,280.00 $ - $ 2,280.00 $ 2,280.00 $ - $ 2,280.00 CrossRoads Engineers, PC 14812 $ 20,650.00 $ - $ 20,650.00 3 Cro g --Stoeppelwerth 8,Assocs., Inc. 191868 $ 2,030.00 $ - $ 2,030.00 $ 22,680.00 $ - $ 22,680.00 i 4 Weihe Construction, Inc. 3935 $ 19,981.50 $ 1,998.15 $ 17,983.35 $ 19,981.50 $ (1,998.15) $ 17,983.35 8 Weihe Construction, Inc. 3936 $ 21,021.00 $ 2,102.10 $ 18,918.90 $ 21,021.00 $ 2,102.10 $ 18,918.90 10 Manley Finish Grading — 5926 $ 275.00 $ _ - $ 275.00 Manley Finish Grading 5894 $ 1,400.00 $ 140.00 $ 1,260.00 $ 1,675.00 $ 140.00) $ 1,535.00 11 Ski Landscape 45453 $ - 1 $ 3,528.20 $ 3,528.20 $ - $ 3,528.20 $ 3,528.20 12 Luminaire Service, Inc. 61489 $ 18,619.77 Milli $ 18,619.77 $ 18,619.77 $ - $ 18,619.77 Management Fees 1070 $ 6,469.30 $ (53.40) $ 6,415.89 $ 6,469.30 $ (53.40L$ 6,415.89 Total _ $ 92,726.57 $ (765.45) $ 91,961.11 $ (0.00) l of 1 PLATINUM PROPERTIES MANAGEMENT COMPANY, LLC INVOICE 1070 November 13, 2014 Zumot Real Estate Management, Inc. rzumot @zumot.net Falcon Nest II, LLC 1356 Beverly Road Suite 300 McLean, VA 22101 Re: Development Service Fees - The Legacy TIF Draw Summary of November 2014 Construction Costs: CrossRoads Engineers, PC $ 22,930.00 Stoeppelwerth & Assocs., Inc. $ 2,030.00 Weihe Construction, Inc. $ 36,902.25 Manley Finish Grading $ 1,535.00 Ski Landscape Corporation $ 3,528.20 Luminaire Service, Inc. $ 18,619.77 Total Monthly Costs $ 85,545.22 Development Fee @ 7.5% $ 6,415.89 Please remit payment to: Platinum Properties Management Company, LLC 9757 Westpoint Drive,Ste 600 Indianapolis, IN 46256 9757 Westpoint Drive,Suite 600,Indianapolis,IN 46256 (317)818-2900 • 1 f rse ?= cr Q gglRiMU FVG14.IE ERS;PC CrossRoad Engineers,PC 3417 Sherman Drive Beech Grove, IN 46107 317-780-1555 Platinum Properties Management Co.,LLC Invoice number 14812 Timothy Walter,P.E, Date 11/05/2014 9757 Westpoint Drive,Suite 600 Indianapolis, IN 46256 Project RIVER ROA�RECONSTRUCTION ;TALL'"' TIM BER'RUN`TO 146TH`ST." For services performed September 27,2014 through October 31,2014. PROMPT PAYMENT OF INVOICE IS APPRECIATED!! The services were provided in accordance with our proposal dated February 14,2014,and our Professional Services Agreement dated March 20,2014. Amount 1.Topographic Survey Contract Amount 16,500.00 Percent Complete 100.00 Total Billed 16,500.00 Current Billed 0.00 2.Preliminary Design Contract Amount 8,100.00 Percent Complete 100.00 Total Billed 8,100.00 Current Billed 0.00 4.Phase I Final Design Contract Amount 37,500.00 Percent Complete 90.00 Total Billed 33,750.00 Current Billed 15,000.00 5.Phase I Drainage Permitting Contract Amount 2,000.00 Percent Complete 25.00 Total Billed 500.00 Current Billed 500.00 7.Phase I Rule 5 Permit Application Contract Amount 1,000.00 ,) Percent Complete 50.00 Total Billed 500.00 7 J Current Billed 4 500.00 3 Y Platinum Properties Management Co.,LLC Invoice number 14812 Invoice date 11/05/2014 Page 1 of 3 ty¢$� } • Platinum Properties Management Co.,LLC Invoice number 14812 Project RIVER ROAD RECONSTRUCTION-TALL TIMBER RUN TO 146TH ST. Date 11/05/2014 Amount 8.Roadway Legal Descriptions Contract Amount 3.00 5,400.00 Percent Complete 66.67 Total Billed 2.00 . 3,600.00 Current Billed 0.00 0.00 9.Phase) Monumentation Contract Amount 1,500.00 Percent Complete 0.00 Total Billed 0.00 Current Billed 0.00 10.Preliminary Design for RAB @ Cherry Creek Blvd. Contract Amount 9,500.00 Percent Complete 100.00 Total Billed 9,500.00 Current Billed 0.00 13. Maintenance of Traffic to close traffic during Construction Contract Amount 3,000.00 Percent Complete 50.00 Total Billed 1,500.00 Current Billed 1,500.00 :3 A 14. Meetings • Contract Amount 3.00 1,200.00 Percent Complete 66.67 Total Billed 2.00 800.00 • Current Billed 1.00 " 400.00 4{ 16.Wetland Permitting Contract Amount 2,000.00 Percent Complete 0.00 Total Billed 0.00 Current Billed 0.00 16a.Williams Creek-Natural Resource Assessment Contract Amount 3,100.00 Percent Complete 100.00 Total Billed 3,100.00 Current Billed 0.00 16b.Williams Creek-Stormwater Consultation Contract Amount 5,700.00 Percent Complete 50.00 Total Billed 2,850.00 Current Billed 2,280.00 Z(:- ) 17. Construction Cost Estimate-Preliminary Design Area Contract Amount 1,500.00 Percent Complete 100.00 Total Billed 1,500.00 Current Billed 0.00 Platinum Properties Management Co.,LLC Invoice number 14812 Invoice date 11/05/2014 Page 2 of 3 t Platinum Properties Management Co.,LLC Invoice number 14812 1 Project RIVER ROAD RECONSTRUCTION-TALL TIMBER RUN TO 146TH ST. Date 11/05/2014 Amount i 18. Construction Cost Estimate-Final CD Area Contract Amount 3,000.00 Percent Complete 50.00 Total Billed 1,500.00 Current Billed 1,500.00 y 19.Project Manual Contract Amount 2,500.00 Percent Complete 50.00 Total Billed 1,250.00 Current Billed 1,250.00 3J 21.Topographical Information-Final CD Area Contract Amount 800.00 Percent Complete 0.00 Total Billed 0.00 • Current Billed 0.00 23. 12"Water Main Relocation Design-new Eliz.Warner culvert to Community Dr. Contract Amount 4,900.00 Percent Complete 0.00 Total Billed 0.00 Current Billed 0.00 Total 22,930.00 Invoice total 22,930.00 E -1/ >y (44t1') -3 d fr 2© ,7)--,ii.) I,- it(1111 r L 'II F(0I 4,k) — Zi : p z,2._g 1 Platinum Properties Management Go.,LLC Invoice number 14812 Invoice date 11/05/2014 i Page 3 of 3 • 1 /--"L-----\ ! I: • > ST O E P P E E W E R T H ofc: 317.849.5935 7965 East 106th Street `r fax: 317.849.5942 Fishers,Indiana 46038-2505 ALWAYS ON www.stoeppelwerth.com 1 FALCON NEST II, LLC Invoice number 191868 CIO PLATINUM PROPERTIES, LLC Date 11106/2014 9757 WESTPOINT DRIVE 1 SUITE 600 Project 55115PLA CC3„MEADO,WS,ATT.LEGACY$i INDIANAPOLIS,IN 46256 ra SirC 3 CHERRI(CREEK4BOIJLEUARD' " Professional Services for the Period:October 2014 Contract Percent Total Prior Current Description Amount Complete Billed Billed Billed Final Design Construction Document Preparation 6,950.00 100.00 6,950.00 6,950.00 0.00 Project Management!Permitting 1,050.00 100.00 1,050.00 1,050.00 0.00 Subtotal 8,000.00 100.00 8,000.00 • 8,000.00 0.00 Construction Services Construction Staking 2,900.00 70.00 2,030.00 0.00 2,030.00 Subtotal 2,900.00 70.00 2,030.00 0.00 2,030.00 Completion Certifications Ditch in center of Boulevard 650.00 0.00 0.00 0.00 0.00 Streets 950.00 0.00 0.00 0.00 0.00 Digital GIS Submittal 400.00 0.00 0.00 0.00 0.00 Subtotal 2,000.00 0.00 0.00 0.00 0.00 Monumentation Street Centerline Monuments 450.00 0.00 0.00 0.00 0.00 Subtotal 450.00 0.00 0.00 0.00 0.00 Additional Services 0.00 0.00 0.00 0.00 0.00 Total 13,350.00 75.13 10,030.00 8,000.00 2,030.00, 1. �llW(tii'' lIt) .". .. f) Invoice total 2 030.00 Aging Summary `11 t(f 7�t Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120 l( [ t 191868 11/06/2014 2,030.00 2,030.00 Total 2,030.00 2,030.00 0.00 0.00 0.00 0.00 • • If any portion of this invoice is in dispute, it is the client's responsibility to notify Stoeppelwerth&Associates, Inc.in writing within thirty (30)calendar days from the date of the invoice. The client remains responsible for paying the undisputed portion of the invoice by the due date. Any invoices unpaid after 30 days shall incur a finance charge of one-and-one-half(1 Y)percent of the invoiced amount per month, excepting any disputed portion of the invoiced amount. Payment thereafter shall be applied first to accrued interest and then to the unpaid principal amount. r APPLICATION FOR PAYMENT PROJECT NAM The Meadows at The Legacy Section 3 OWNER. Falcon Nest II,LLC CONSTRUCTION MANAGER:Platinum Properties Mgmt Co.,LLC CONTRACTOR:Weihe Construction,Inc. INVOICE NO 3935 CONTACT: _ CONTACT:Tim Walter CONTACT: 15215 Stony Creek Way APPLICATION DATE: 10?28/2014 ADDRESS: 1356 Beverly Road,SuIte 500 ADDRESS:9757 Westpoinl Drive,Suite 600 ADDRESS:*REF! RETA[NAGE: 10'��j, McLean.VA 2210'i Indianapolis,IN 46256 Noblesville,IN 46060 APPROVED BY: �t.✓ ' Phone: Phone:.1317)818-2900,590-88171M) Phone:317-776-2966(0) 776-3050{61 DATE: i i it A B Ci J C2 0 E I F G H=E+F+G 1=H/D J K L../..K M=¢H*L N 11 Project Cost Work Description ` Unit Scheduled Work Completed Materials Total Completed % Previous Retainage Total BAL.TO Nat Pay Code Code Price Value Previous This Stored And stored To Date Compl. Reteinage This Period Retained PAY This Month The Meadows at The Legacy Section 3 On-site construction i _gy O: 4c Stripping Topsoil NA $5,179.00 $5,179.00 $5,179.00 100% $517.90 5517.90 $517.90 / _gy O: 4d Prelim Erosion Control NA $9,181.00 $9,181.00 $9,181.00 100% $918.10 $918.10 $918.10 _gy 0: 4e Mass Excvation and Mounding NA $41,544.27 $22,544.27 $19,000.00 $41,544.27 100% 52,254.43 $1,900.00 $4,154.43 $4,154.43 $17,100.00 Lgy O: :4h Soil Stabilization NA $19,442.50 $19,442.50 $19,442.50 100% $1,944.25 $1,944.25 $1,944.25 •7,498.25 _gy 0:: 4g Site&Finish Grading NA $10,841.00 $5,841.00 $5,841.00 54% $584.10 $584.10 $5,584.10 $ 56.90 _gy O: 5b Sanitary Sewer Mains NA $75,730.20 $63,730.20 $12,000.00 $75,730.20 100%1 $6,373.02 $1,200.00 $7,573.02 $7,573.02 $10,:80.00 _gy O; 5c Sanitary Sewer Laterals NA $32,895.00 $27,895.00 $5,000.00 $32,895.00 100% $2,789.50 $500.00 $3,289.50 $3,289.50 , 54,504 I■ Lgy 0: 6a Storm Sewers NA $36,051.80 534,051.80 $2,000.00 $36,051.80 100% $3,405.18 $200.00 $3,605.18 $3,605.18 $1,80..1 I ._gy O: 6b Subsurface Drains NA $50,532.00 $10,000.00 $10,000,00 20% $1,000.00 $1,000.00 $41,532.00 $9,810.08 _gy OC 7b Water Mains NA $108,516.40 $108,516.40 $108,516.40 100% $10,851.64 S10,851.64 $10,851.64 :$• .664.76 _gy 0: 7e Water Service Laterals NA $26,837.60 $26,837.60 $26,837.60 100% $2,683.76 $2,683.76 $2,683.76 24,153.84 _gy 0: . 8a Roll Curb and Gutter $7.00Af $22,344.00 522,344.00 1-gy 0: 8b 5'Wheel Chair ramps $600/ea $1,200.00 $1,200.00 _gy O: Sb Common Area Sidewalk $3.50/sf $2,625.00 $2,625.01 Cherry Creek Blvd Constructic ' gyTlF, 4c Stripping Topsoil NA 53,184.00 $2,684.00 $500.00 53,184.00 100% 5268.40 $50.00 $318.40 $318.40 ::$450:00" gy TIF 4e Mass Excvation and Mounding NA $8,641.00 $3,841.40 $4,800.00 $8,641.00 100% $384.10 $480.00 $864.10 $884,10 - $4,320.00 'gy TIF 4h° SollStabilization NA $12,428.50 $12,428.50 $12,428.50 100% $1,242.85 $1,242.85 $1,242.85 `,$1118565 gy h F 4g',Site 8.Finish Grading NA $13,253.00 $2,253.00 32,253.00 17% $225.30 $225.30 $11,225.30 $2,027.70 r` _gy Tlf 6a Storm Sewers NA $24,225.60 $24,225.60 $24,225.60 100% $2,422.56 $2,422.56 $2,422.56 , _gy TIF 8a Chair Back Curb and Gutter $7.60/If $12,600.80 $12,600.80 ..gy TIF 8b Multi Use Path Wheel Chair Ran$1,1001es $4,400.00 $4,400.00 _gy TIF 86 Common Area Sidewalk $3.50/sf $4,287.50 $4,287.50 CO#1-Cherry Creek Blvd _gy TIF 4h Multi-use Path Stabilization NA $4,360.00 $4,360.00 TOTAL $530,300.17 $193,331.87 $228,619.00 $421,950.87 80% $19,333.19 $22,861.90 $42,195.09 5150,544.39 $205,757.10 t &i TM = � Doc umen t G7a2 1992 Application and Certificate for Payment TO OWNER'PIatinum Properties PROJECT: Meadows ta'�L e¢acv Section 3 APPLICATION It gg35 Distribution to: 9757 Westpoint Drive PERIOD TO: OWNER )47.1 Suite 600 CONTRACT FOR: ARCHITECT ❑ FROM CoNf tf ? " N 46256 VIA ARCHITECT: Weihe Construction,Inc. CONTRACT DATE: CONTRACTOR ❑ 15215 Stony Creek Way PROJECT NOS:201422-01 / 1 FIELD ❑ Noblesville,IN 46060 OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information Application is made for payment,as shown below,in connection with the Contract. and belief the Work covered by this Application for Payment has been completed in accordance AEA Document made for,Continuation Sheet,is attached. 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 1.ORIGINAL CONTRACT SUM $ 5)5,94.n 1i that current payment shown herein is now due. 2.NET CHANGE BY CHANGE ORDERS $ CONTRACTOR: 0.00 CONTRACTOR: Construction,Inc. 3.CONTRACT SUM TO DATE(L i n e 1±2) $ 525,940.17 By: Date: k 0(Z 1 k4".: - 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 421,950 117 State of:Indiana 5.RETAINAGE: County offIamilton a10-00---%of Completed Work Subscribed and sworn to before (ColumnsD+Eon G703) $ z17,141 nn me this day of 6 _ b. X4/0 of Stored Material (Column F on G703) $ Notary Public: jr.5,,c-t ) My commission expires: 1 0,1 Lo 5 Total Reta.inage(Lines Sa+5b,or Total in Column 1 of G703)...... $ A7 195 no 6.TOTAL EARNED LESS RETAINAGE $ 379,754 7R _ ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 minus Line 5 Total) In accordance with the Contract Documents,based on on-site observations and the data comprising 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT.... . $ 173.44R FR this application,the Architect certifies to the Owner that to the best of the Architect's knowledge. (Line 6from prior Certificate) information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 8.CURRENT PAYMENT DUE 1 5 701 757 In I AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE AMOUNT CERTIFIED g 7 7167.lo (Line 3 minus Line 6) $ 1d6,184 19 (Attach explanation if amount certified differs from the amount applied Initial all)7gur•es an this Application and on the Continuation Sheet that are changed to conform with the amount certified) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: • Total changes approved it¢previous months by Owner $ $- By: .14 W Date: Total apprrued ftis4ttdnth $ $ This Certificate is not negotiable.The AMOUNT CERTIFIED is payable on[ to he ontractor TOTAL $ $ 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 will not be obscured. AIA Document G70211"-1992.copyright®1953,1963,1965,1971,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document Is protected by U,S.Copyright Law artd International Treaties.Unauthorized reproduction or distribution of this Ale 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.rv,uhasor are permitted to reproduce ten(101 copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects legal counsel,copyrighl@aia,erg . CONTINUATION SHEET ATA DOCUMENT G703 (Instructions on reverse,side) PAGE OF PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: contatn.Mg Contractor's signed Certification, Is=etched. APPLICATION DA'Z'E: In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 3935 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO.: 10/2812.014 A 13 C D E P G 201422.01 ^ .1 WORK COMPLETED MATERIALS TEL COMPLETED BALANCE AETAINAGE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY AND STORED TO (IF VARIABLE) NO, VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (G C) FINISH RATE) (D' + E) D OR E) (D+E+F) (C-G) 1-00 On-Site 2-00 Stripping Topsoil 5,179.00 5,179.00 5,179.00 100.00 517.90 3-00 Prelim Erosion Control 9,181.00 9,181.00 9,181.00 100.00 918.14 0 Mass Exc&Mounding 41,54427 22,544.27 19,000.00 41,544.27 100.00 4,154.43 5-04 Soil Stabilization 19,442.50 19,442.50 19,442.50 100.00 1,944.25 00 Site&Finish Grading 10,841.04 5,841.00 5,841.00 53.88 5,000.00 584.10 7-00 Sanitary Sewer Mains 75,730.20 63,730.20 12,000.00 75,730.20 100.00 7,573.02 08-00 Sanitary Sewer Laterals 32,895.00 27,895.00 5,000.00 32,895.00 100.00 3,289.50 09-00 !Storm Sewers 36,051.80 34,051.80 2,000.00 36,051.80 100.00 3,605.18 10-00 Subsurface Drains 50,532.00 10,000.00 . 10,000.00 19.79 40,532.00 1,000.00 11-00 Watermain - 108,516.40 108,516.40 108,516.40 100.00 10,851.64 12-00 Water Service Lateral 26,837.60 26,837.60 ' 26,837.60 100.00 2,683.76 13-00 Roll Curb and Gutter 22,344.00 • 22,344.00 14-00 5'Wheel Chair ramps 1,200.00 1,200.00 15-00 Common Area Sidewalk 2.625.00 2,625-00 16-00 Cherry Tree Blvd Construction 17-00 Stripping Topsoil 3,184.00 2,684.00 500.00 3,184.00 100.00 318.40 18-00 Mass Exc&Mounding 8,641.00 3,841.00 4,800.00 8,641.00 100.00 864.10 19-00 Soil Stabilization 12,428.50 12,428.50 12,428.50 100.00 1,242.85 20-00 Site&Finish Grading 13,253.00 2,253.00 2,253.00 17.00 11,000.00 225.30 21-00 Storm Sewer 24,225.60 24,225.60 24,225.60 100.00 2,422.56 22-00 Chair Back Curb&Gutter 12,600.80 12,600.80 23-00 Multi Use Path Wheel Ramps 4,400.00 4.400.00 24-00 Common Area Sidewalk 4,287.50 4,2157.ou- 1 Amappumenrr 07D3•CONTINUATION SHEET Feff2P9413.1502 EDITTr193,30.&7®1992•22911,6i41ffi0m INSTITtTrE OF ARCHITSCTS4 b ) tx 80.23 103,989.30 42,195.09 AVENUE,NV. 'WASHINGTON.DC.200065292•WARNING:Unlicensed.photocopyln8�falaies U.S.copyright taws and will subject the violator to legal prosecution. 0703-1992 -1 1E1 CAUTION:You should use an original ALA document which has this caution printed in red.An original assures that changes will not be obscured as may occur when documents are reproduced. APPLICATION FOR PAYMENT AND PARTIAL RELEASE OF LIEN Subcontractor or Supplier Name Weihe Construction,Inc Subcontractor or Supplier Address Noblesville,IN 46060 Phone (317)776-2966 • Type of Service Furnished Construction Construction Cost Division Number Project(Building Number) Meadows®Legacy Section 3 Owner Platinum Properties Application Number 3935 Date 10/30/2014 Period From 10/1/2014 To 10/30/2014 Original Contract Sum -$ 525,940.17 Net Change by Approved Change Orders $ - t Contract Sum to Date $ 525,940.17 Total In-Place Work Completed $ 421,950.87 Value of Material Stored on Site $ - Total Earned to Date $ 421,950.87 Retained Percentage $ 42,195.09 Total Earned Less Retalnage $ 379,755.78 Less Previous Certificates for Payment.. $ 173,998.68 Current Payment Due $ 205,757,10 The undersigned hereby certifies that the amount Earned end Due the Undersigned For all materials,supplies furnished,and labor and services of every nature performed by the Undersigned for the use on or In connection with the above named Project 1) Has been paid In full as per shown(except Amount Due as listed below)through the above-mentioned pay period;and 2) The Undersigned hereby warrants that the premises of the above-named job cannot be made subject to any valid lien or claim by anyone who furnished materials,supplies, labor or services to the Undersigned for use in the above-named Project;and 3) The Undersigned hereby waives any and all claims of whatsoever kind or nature against the General Contract,and the Owner,and against the building(s),improvements or Project,and the land on which same is located for any tabor,materials,or supplies furnished or services performed through the above-mentioned pay period. This release is given in order to induce payment in the Amount Due of$ $ 205,757.10 _and on receipt of Amount Due by the Undersigned,this release as to the Amount Due becomes valid,enforceable and of full effect. Upon attachment of the legal description of the Project,the release my be recorded by the Owner or Mortgagee of the Project, Notwithstanding the foregoing,the Undersigned does hereby unconditionally waive and release any and all liens or rights to liens upon the premises,improvements thereto,or monies due in connection therewith, with respect to monies due the undersigned for previous payment requests in the total sum of $205,757.10 ,the receipt and suiTklency of which Is hereby acknowledge. Dated this 30 day of Oct 2014 Weihe Construction,Inc. (Subcontractor or Supplier Nana) State of Indiana ) By: ) SS: (underulgneo) County of Hamilton ) Title: HR/Safety Before me,a Notary Public In and for said county and State,this 30 day of Oct 2014, personally appeared Brian Nifong known to me to be the HR/Safety of the Undersigned who acknowledge the execution of the foregoing for and on behalf of the Undersigned. WITNESS my hand and Notarial Seal. Dated this 30 day of Oct 2014 My commission expires: Oct 2015 ` l I\ ddb 1 Notary Public My county of residence Is: Hamilton Michelle Garda (Printed) APPLICATION FOR PAYMENT PROJECT NAME: The Playschool at Legacy-Legacy Developer OWNER: Falcon Nest II.LLC CONSTRUCTION MANAGER: Platinum Properties Mgmt Co.,L LC CONTRACTOR:Weihe Construction,Inc. INVOICE NO 3936 CONTACT: CONTACT:Tim Walter CONTACT: 15215 Stony Creek Way APPLICATION DATE: 10/26/2014 ADDRESS: 1356 Beverly Road,Suite 250 ADDRESS:9757 Westpoint Drive,Suite 600 ADDRESS:#REF! RETAINAGE: 10% 1 McLean,VA 22101 Indianapolis,IN 46256 Noblesville,IN 46060 APPROVED BY: Phone: v - Phone:j3171818-2900,,590-88174A1 Phone:317-776-2966 jo) 776-3050 t) DATE: Y( !�� A B Ci Cx D E I F G H=E+F+G ' 1=WD J K L=J+K _ M=0-H+L N 1 ttt Project Cost Work Description Unit Scheduled Work Completed Materials Taal Completed % Previous Retainege Total BAL.TO Net Pay Code Code Price Value Previous This Stored And stored To Date Compl. Retainage , This Period _ Retained PAY This Month The Playsehool at Legacy-Legacy Developer On-ste Construction Lgy FN2. 4g Site&Finish Grading NA $9,639.00 $5,639.00 $4,000.00 59,639.00 t00% $563.90 $400.00 $963.90 $963.90 $ 600.0. Lgy FN2 5b Sanitary Sewer Laterals NA $8,046.25 $8,046.25 $8,046.25 100% $804.63 $804.63 $804.63 Lgy F■2 6a Storm Sewers NA $6,902.00 $6,902.00 36,902.00 100% $690.20 $690.20 $690.20 Lgy FN2 6b Subsurface Drains NA $6,450.00 $3,950.00 $2,500.00 $6,450.00 100% $395.00 $250.00 $645.00 $645.00 $2 50.11 :•,1, . Lgy FN2 8a Chair Back Curb and Gutter $14.15111 37,541.95 37,541.95 $7,541.95 100% $754.20 $754.20 $754.20 :6,787.76 Lgy FN2 8a Depressed Curb and Gutter $29.39111 $11,199.05 $11,199.05 $11,199.05 100% $1,119.91 $1,119.91 $1,119.91 $10,079.15 u\ Lgy FN2 8c Heavy Duty Concrete Crosswalk$13.00131! $3,718.00 $3,718.00/ Lgy FN2 4h Soil stabilization NA $6,834.00 $6,834.00 $6,834.00. 100% 5683.40 $683.40 $683.40 Community Drive RAW(TIP) C1 Lgy TIF 8b 6'Handicap Ramp with Curb $650/ea $1,300.00 $1,300.00 Lgy TIF 8b 11'Handicap Ramp with Curb $1,2501eo $2,500.00 $2,500.00 LgyT1F 8b 5'Handicap Ramp with Curb $610/ea $1,220.00 $1,220.00 Lgy TIF 8b Standard Concrete Sidewalk $3.501sf $21,021.00 $21,021.00 $21,021.00 too=/ $2,102.10 52,102.10 $2,102.10 1$1891890:; l '': • TOTAL , $86,371.25 $31,371.25 $46,262.00 $77,633.25 90% $3,137.13 $4,626.20 $7,763.33 516,501.33 $41,635.80 • t .. ® . ti = - Document G702' ® 1992 Application and Certificate for Payment TO OWNER:Platinum Properties PROJECT: APPLICATION NO' Distribution to: pe The Playschool a Leeacv 3552 9757 Westpoint Drive PERIOD TO.: OWNER Suite 600 CONTRACT FOR ARCHITECT ❑ FROM COO+1 RUs'ill 46256 VIA ARCHITECT: CONTRACTOR ❑ Weihe Construction,Inc. CONTRACT DATE: 15215 Stony Creek Way PROJECT NOS:201425_0i / / Noblesville,IN 46060 FIELD ❑ OTHER ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information Application is made for payment,as shown below,in connection with the Contract. and belief the Work covered by this Application for Payment has been completed in accordance ALA Document made for,Continuation Sheet,is attached. with the Contrast 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 1.ORIGINAL CONTRACT SUM $ 2.NET CHANGE BY CHANGE ORDERS $ $ 171 I5 that current payment shown herein is now due. CONTRAC 8-- 0.00 -411011°" eihe Construction,Inc. it)(Z (' 3.CONTRACT SUM TO DATE(Line.1 t 2) -•• $ 136,371.25 By: Date: g 4- 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ 77,633.25 _ State of:Indiana 5.RETAINAGE; County of:Hamilton a l l��%of Completed Work Subscribed and sworn to before (ColumnsD 1'Eon G703) $ 7,761 34 me this 2.$ day of a c...4-13 ii b, L%of Stored Material (Column F on G703) S Notary Public: v A,C l F4'64.-1\ My commission expires: iti I -Lot�J - Total Retainage(Lines 5a+Sb,or Total in Column I of G703) $ 7,761 14 _ -" - �F4 91 ARCHITECT'S CERTIFICATE FOR PAYMENT 6.TOTAL EARNED LESS RETAINAGE $ Fq (Line 4 minus Line 5 Total) In accordance with the Contract Documents,based on on-site.observations andthe.data comprising 7,LESS PREVIOUS CERTIFICATES FOR PAYMENT S 98,234 12 this application,the Architect certifies to the Owner that to the best of the Architect's knowledge, (Line 6 from prior Certificate) information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 8.CURRENT PAYMENT DUE $ 41 pi 79 AMOUNT CERTIFIED. 9.BALANCE TO FINISH,INCLUDING RETAINAGE $ AMOUNT CERTIFIED $ 4/ 3,59 (Line 3 minus Line 15 Ken i 24 (Attach explanation If amount certified dyers from the amount applied Initial all gure3 on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHfTECT:— Total changes approved iti previous months by Owner $ $ By: PP1 Date: ft �" fy Total approvedthismonth $ $ This Certificate is not gegotiable.The AMOUNT CERTIFIED is payable onl to tit Contractor ''' TOTAL $ $ , named herein.Issuance,payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order S the Owner or Contractor under this Contract. CAUTION:You should sign an original AlA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AlA Document G702T°—1992.Copyright®1953,1963,1965,1971,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this ALA°Document,or any portion of it,may result In severe civil and criminal penalties,and will bo prosecuted to the maximum extent possible under the lanai.r-o,uhesero are permitted to reproduce tan(10)copies of this document when completed,To report copyright violations of AIA Contract Documents,e-mail The American institute of Architects'legal counsel,copyright@aie.org. • CONTINUATION SHEET ALA DOCUMENT G703 (Instructions on reverse side) PAGE OP PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.:3952 containing Contractor's signed Certification, is attached. APPLICATION DATE:10/2812014 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: Use Column'I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT N0.:201425-0] A '3' — C D E F C H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM SCHEDULED PRESENTLY COMPLETED RETAINAGE NO DESCRIPTION OF WORK VALUE FROM PREVIOUS STORED AND STORED % TO (IF VARIABLE) APPLICATION . THIS PERIOD (NOT IN TO DATE (G _ C) FINISH ' RATE) (D + E) , D OR E) (D+E+F) (C—G) 01-00 Ste&Finish Grading 9,639.00 5,639.00 4,000.00 9,639.00 100.00 963.90 0200 Sanitary Sewer Laterals 8,046.25 8,046.25 8,046.25 100.00 804.63 03-00 S orm Sewer 6,902.00 6,902.00 6,902.00 100.00 890.20 04-00 S ibsurface Drains 6,450.00 3,950.00 2,500.00 6,450.00 100.00 645.00 05-00 Chair Back Curb&Gutter 7,541.95 7,541.95 7,541.95 100.00 754.20 06-00 Depressed Curb&Gutter 11,199.05 11,199.05 11,199.05 100.00 1,119.91 0700 H=avy Duty Concrete Crosswall 3,718.00 3,718.00 08-00 Community Drive R/W(7IF) 09-00 6'Handicap Ramp w/curb 1,300.00 1,300.00 10-00 1"Handicap Ramp w/curb 2,500.00 2,500.00 11-00 5'Handicap Ramp wicurb 1,220.00 1,220.00 12-00 S andard Concrete Sidewalk 21,021.00 21,021.00 21,021.00 100.00 2,102.10 13-00 Line Stabilization 6,834.00 6,834.00 6,834.00 100.00 683.40 Totals 86,371.25 31,371.25 46,262.00 77,633.25 89.88 8,738.00 7,763.34 I AIA DOCUMENT 6703 •CONTINUATION SHEET FOR 0702 • 1992 EDITION•AIAa • ©1992 •THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK x,.#11/ AVENUE.NW,WASHINGTON,D.C.20006-5292•WARNING:Unlicensed photocopying vlalatQs u.$.copyright laws and will subject the violator to legs!prosecution. G703-1992 . 5, CAUTION;You should use an original AIA document which has this caution printed In red.An original assures that changes wilt not be obscured as may occur when documents are reproduced. APPLICATION FOR PAYMENT AND PARTIAL RELEASE OF LIEN Subcontractor or Supplier Name Weihe Construction,Inc. Subcontractor or Supplier Address Noblesville,IN 46060 Phone (317)776-2966 Type of Service Furnished Construction Construction Cost Division Number Project(Building Number) The Playschool @ Legacy Owner Platinum Properties Application Number • 3952 Date 10/30/2014 Period From 10/1/2014 To 10/30/2014 Original Contract Sum $ 86,371.25 Net Change by Approved Change Orders Contract Sum to Date $ 86,371,25 Total In-Place Work Completed $ 77,633.25 Value of Material Stored on Site $ - Total Earned to Date $ 77,633.25 Retained Percentage $ 7,763.34 Total Earned Less Retainage $ 69,869.91 Less Previous Certificates for Payment.. $ 28,234,12 Current Payment Due $ 41,635.74 The undersigned hereby certifies that the amount Earned and Due the Undersigned for all materials supplies furnished,and labor and services of every nature performed by the Undersigned for the use on or in connection with the above named Project.. 1) Has been paid In full as per shown(except Amount Due as listed below)through the above-mentioned pay period;and 2) The Undersigned hereby warrants that the premises of the above-named job cannot be made subject to any valid lien or Balm by anyone who furnished materials,supplies, labor or services to the Undersigned for use In the above-named Project;and 3) The Undersigned hereby waives any and all claims of whatsoever kind or nature against the General Contract,and the Owner,and against the building(s),improvements or Project,and the land on which same Is located for any Tabor,materials,or supplies furnished or services performed through the above-mentioned pay period. This n lease is given in order to Induce payment in the Amount Due of$ $ 41,635.79 and on receipt of Amount Due by the Undersigned,this release as to the Amount Due becomes valid,enforceable and of full effect Upon attachment of the legal description of the Project,the release my be recorded by the Owner or Mortgagee of the Project. Notwithstanding the foregoing,the Undersigned does hereby unconditionally waive and release any and all liens or rights to liens upon the premises,improvements thereto,or monies due In connection therewith, with respect to monies due the Undersigned for previous payment requests In the total sum of $ 41,635.79 ,the receipt and sufficiency of which is hereby acknowledge. Dated this 30 day of Oct 2014 Wefhe Construction,Inc State of Indiana (�of P�Name) ) By: U ) SS; {untie ed) County of Hamilton ) Title: HR/Safety Before me,a Notary Public In and for said County and State,this 30 •day of Oct 2014, personally appeared Brian NIfong known to me to be the HR/Safety of the Undersigned • who acknowledge the execution of the foregoing for and on behalf of the Undersigned, WITNESS my hand and Notarial Seal. Dated this 30 day of Oct 2014 My commission expires: Oct 2015 ' +WA l akr gtL `Ua..J Notary Public My county of residence Is: Haml)ton Michelle Garcia (Printed) • '; C7T:;'Ft a • ©•acs :) 1 rc Manley Finish aradin Inc. _ ■`'iiia DATE INVOICE# ry � 11/10/201.4 . 59;'6 7437 W. Banton Circle New Palestine, IN 46163 Phone & Fax (317) 895-8586 BILL TO FALCON NEST II LLC C/C PLATINUM PROPERTIES • 9757 WESTPOINT DR. SUITE 600 INDIANAPOLIS,IN.46256 1 P.O.NO. TER%AS PROJECT )EIZRY TREE `` DUE ON RECEIPT QUANTITY i ESCRIPTION RA-E 141AQUNT 120 L.F.OF SILT FENCE 2.29167 275.00 - 11 Tr f'61KD ICE) - ((I1 )� THANK YOU FOR YOUR BUSINESS Total ( $2■5.1)0 Erosion Control, Retaining Walls,. Straw Mulch, Slit Seeding, Wetland & Prarie Grass Seeding AFFIDAVIT AND WAIVER OF LIEN FINAL x PARTIAL X PAYMENT TO FOLLOW JOHN MANLEY being duly sworn,state that be/she is the PRESIDENT _ of MANLEY FINISH GRADING INC.having contracted with FALCON NES'': , LLC. to furnish certain materials and/or labor as follows: INVOICE 5923 for a project known as LEGACY ,located at CARMEL,IN and owned by FALCON NEST H LLC..,and further states: PARTIAL WAIVER: that the balancr:due by the owner is the sum of TWO HUNDRED SEVENTY-FIVE 001100 Dollars(5275.00 _ ). Receipt of which is heri by acknowledged;or X The payment of which has been promised as the sole consideration for ti is Affidavit and Partial Waiver of Lien which is given to and for said amount,effective upon receipt of such payment. '1TIAL WAIVER: that the final IN lance due by the owner is the sum of Dollars( _ -). Receipt of which is here by acknowledged;or The payment of which I as been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for sai f amount,effective upon receipt of such paymen:. THEREFORE,the undersigned waives anal releases unto the Owner of said premises any and all lien or claims whatsoever on the above-described property and improve nents thereon on account of labor or material or nth,furnished by the undersigned hereto,and further certifies tl at no other party has any claim or right to a lien 311 account of any work performed or material furnished to the and ersigned:'or said project,and within the scope of this affidavit and weiver. MANLEY FINISH GRADING,INC._ Co sn ,1 Name 'Authorized Represe� : 've PRESIDENT - Title /74 WITNESS: Iti..ruc%Att '" 4 i g°ature LYNDA MANLEY Printed Name cif Witness e APPLICATION FOR PAYMENT PROJECT NAME: Looney Tame&Flit*Ph II-Offs OWNER. Falcon Ness II,LAO CONSTRUCTION MANAGER:PlathlitITI Probertiea Kra,LLC CONTRAOTOFt Mao*.fleish Oro o INVOICE_No: 5804 CONTACT Relei Zuorot CONTACT:Teo heehm CONTACT:John Manley APPLICATION OATE 1011:2303. AuDIREBS. 1353 Bever*Read.Colts 300 ADDRESS:07.57 Wesheent Olive,Belia 900 ADOBE=7437 Men Banton Cress RETAINAGE; 1,41% Maann,Mown 29101 kelisnapolo,IN 40285 N..Peloslinst.IN 4431133 APPROVED BY; Mow, Phoodee"317)810-2000:500.01117CPU Peons:rain wisasso. 01.4047 ton) DATE: i li3O(Illeli A B '-C - C.1 0 R F 0 I -lEF.Q !ems r .I K Le., K Is4u0..14.1 N Pr O*1 Casl Wait DaSerlf;50o Wet 6chmiuled Work Cornoieted Mateeide Total Compleme % Previous RetiollOt TOW EIAL.To is Psty Ooda Coes Pepe Vieue Peenous This , atoned And atNe4 To Di to _Corned. Relannses. This Pedal- Retained PAY This Month Legacy Tawas&Fiats Ph II-Offsfte Seeding,Grading&Erosion Control Lgy I 100 Emsion Control Blanket and Seed se?13/If $ 9,5 18.00' 19,516.00 5%518.00 3951.00 3951.60 Lgy I 10 cl anti Inlet Protection $175/ea $ 1,575.00 $700.00 $760.00 370.00 390.00 4\ FN1 10a P9011 Seeding and Grading $0.05/!f $ 2,000.00 52,600,00 $2,000.00 $2200.00 $200.00 991 10b Temp Seeding and Gnading $0.031sf $ 1,500.00 51,500.00 51,500.013 9150.03 5150.00 r F N1 10d Silt Fence $1.20/1 $ 1,104.00 FN1 10d Yard Inlet Protectiort $75/a $ 150.00 SP 10c Erosion Controf Efanket $0.13e t $ 9,620.00 $7,178.00 47,178.00 5717.00 5717.30 SP 10c1 Silt Fence 51.20it 5 1,200.00 SP 13d Pam anent Seeding $0.06181 S 1,200.00 51,200.00 $1,200.00 5120.00 5120.00 SP 13d Earty Succ;assional Weliand Nils ' $0.94fat $ 18,000.06 $5,250.00 $5,250.00 $320.1:51 $521.03 ... .. ... SP it Stonnwater Management Signs $1Milea $ 1,400.00 51,400.00 51400.00 swam 1140,00 . ‘,......i c-3-10..61N kri3 ArEii---' 10,K (T1 r-') . . _ _ TOTAL . $47,265.00' $26.844.00 i $2,100.00 $28744.00 $2684.40 $214.00 $2,674 40 51,890.00 _ ......._.._____. ......... _____. ...., _ .. .. .. ._....._. .......___ _ AFFIDAVIT AND WAIVER OF LIEN r k FINAL x PARTIAL X PAYMENT TO FOLLOW JOHN MANLEY being duly sworn,state that he/she is the PRESIDENT of MANLEY FINISH GRADING INC._having contracted with FALCON NEST I I LLC. to furnish certain materials and/or labor as follows: INVOICE 5893 for a project known as TOWN FLATS go LEGACY located at CARIVIEL,IN ,and owned by FALCON NEST It LLC.._,and further states: PARTIAL WAIVER: that the balance due by the owner is the sum of ONE THOUSAND EIGHT HUNDRED NINETY 00/100 Dollars($1,890.00 ) Receipt of which is hereby acknowledged;or X The payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount,effective upon receipt of such payment. FINAL WAIVER: that the final balance due by the owner is the sum of Dollars( ). Receipt of which is hereby acknowledged;or The payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount,effective upon receipt of such payment. THEREFORE,the undersigned waives and releases unto the Owner of said premises any and all lien or claims whatsoever on the above-described property and improvements thereon on account of labor or material or both,furnished by the undersigned thereto,and further certifies that no other party has any claim or right to a lien on account ofany work performed or material furnished to the undersigned for said project,and within the scope of this affidavit and waiver. MANLEY FINISH GRADING,INC. omp. y Name IF Authorized Repr sentative PRESIDENT _ Title f 'v WITNESS: t.0 Signature 1 � ' LYNDA MANLEY Printed Name of Witness 1 X c. Manley Finish Grading. inc. i g E!' trA c ie,.:-4 DATE I INVOICE live§out s`n' Ir„'' 10/13/2014 5894 7437 W. Banton Circle New Palestine, IN 46163 Phone & Fax (317) 895-8586 BILL TO FALCON NEST I]LLC C/O PLATINUM PROPERTIES ' 9757 WESTPOINT DR.SUITE 600 INDIANAPOLIS,IN.46256 P.O.NO. TERMS PROJECT - TOWN FLATS DUE ON RECEIPT TOWN FLATS OUAt4Tfl Y DESCRIPTION RATE AMOUNT CURB INLET PROTECTION 700.00 700.00 S I ORMWATER MANAGEMENT SIGNS 1,400.00 1;400.00 -10%RETAINAGE -210.00 -210,00 I f THANK YOU FOR YOUR BUSINESS Testa° $1,890.00 Erosion Control, Retaining Walls, Straw Mulch, Slit Seeding, Wetland & Prarie Grass Seeding APPLICATION FOR PAYMENT ` PROJECT NAMS: Legacy-Residential Section 1,Master Infrastructure Phase 2 Meadows Section 1 end Overlook Section 1 OWNER: Falcon Nest II,LLC CONSTRUCTION MANAGER:Platinum Properties,LLC CONTRACTOR'Ski Landscape Corporation INVOICE NO 45453 CONTACT' Rajai Zumot CONTACT:Tim Walter CONTACT:John Wolski APPLICATION DATE: 10/2n 2014 ADDRESS: 1356 Beverly Road,Suite 300 ADDRESS:9757 Wesipolnt Drive,Suite 605 ADDRESS:9788 5,96TH Street RETAINAGE: McLean,Virginia 22101 Indianapolis,IN 46256 IndianaPalls,IN 46236 APPROVED BY !'i Phone: Phone:(317]818-2900,590$B17(M" Phone:j317)897-5585.714-2100(m) DATE: ,1 f it e( A 0 ci Co D E I F G H=E+F+G I=FUD J K L=J+K M=D-H+1. I N 11 1 Project Cost Work Description Una Scheduled Work Completed _ Materials Total Completed % Previous Retairage Total BAL.TO Net Pay Code Code Price Value Previous This Stored And stored To Dete Compl. Retalnape TMs Paned Retained PAY _ This Month Landscape Installation I Residential Phase 1,Section 1 (aka The Ridge at Legacy) Lgy(FN)Al 11a Plant Material and Labor NA $86,574.00 $86,574.00 $86,674.00 100% $8,657.40 (58,657.40) 8,65 - 0 Lgy(FN)Al 13u Detention Basin Plants&Seeding NA $43,963.00 $43,963.00 $43.963.00 100% $4,396.30 ($4,396.30) t$ ,3 .30 4-T1 1✓ I Master Infrastructure Phase 2 Lgy,Comm Dr. 11a Plant Material and Labor NA $35,282.00 $35,282,00 $35,282.00 100% $3,528.20 ($3,52820) .53,525.20 ", Lgy FN1 13u Detention Basin Plants&Seeding NA $186,709.00 $186,709.00 $186,709.00 100% $18,670.90 ($18,670.90) $1:670.9• The Meadows at Legacy Sec 1 Lgy01 11a Plant Material and Labor NA $24,924.00 $24,924.00 $24,924.00 100% $2,492.40 ($2,492.40) 52,412..t the Overlook at Legacy Sec 1 Lgy P1 11a Plant Material and Labor NA $7,548.00 $7,548.00 $7.548,00 100% $754.80 ($754.80) $75. :0 CO#1-Addi Storm BMP's Lgy FN1 13u Bio-swales In CC Blvd NA $5,175.64 $5,175.64 $5,175.64 100% $517.56 ($517.56) $0.00 $0.00 $5 7, . I CO#2-Material Accounting Lgy(FN)Al 11a Plant Material and Labor NA $ - $ - $ $ — $ $ - $ - $ - $ - $ - CO#3-Ridge Sec 2&Irrigated Basin Lgy(FN)A2 I 11 a Plant Material and Labor NA $ 8,015.00 $8,015.00 $8,015.00 t00% $801.50 ($801.50) $801.50 Lgy FN1 13u Detention Basin Plants&Seeding NA $ 3,459.40 53,459.40 53,459.40 100% $345.94 ($345,94) $345.94 TOTAL 5401,650.04 $401,650.04 _ $401,650.04 100% _ 540,165.00 ($40,165,00 $0.00 $0.00 $40,165.00 I A "1 SKI Invoice �� LANDSCAPE NDSCAPE Invote Number: CORPORATION 45453 9786 E.56th Street•Indianapolis, IN 46236 Invoice Date: Phone:(317)997-5885 Oct 29,2014 Fax:(317)898-3890 www.skilandscape.com Page: 1 Sold To: Ship to: The Legacy Legacy-Residential Section One 9757 Westpoint Dr., Ste. 600 Master Infrastucture Phase 2 Indianapolis, IN 46256 Meadows Section 1 & overlook 1 Customer ID I Customer PO _ Payment Terms LEGACY Net 30 Days Quantity Item Description Unit Price Extension Legacy Residential Section 1 Master Infrastructure Phase 2 eadows Section 1 and Overlook , ection 1 1.00 'etainage ;.40,165,00 40,165.00 I I I i a a I I 1. ,.». - Subtotal 40,165.00 " We are not responsible for any dyed Sales Tax mulch that may leach in color" Total Invoice Amount 40165.00 Payment/Credit Applied \y L 1\\�\40 TOTAL 40,165. , INTEREST WILL BE CHARGED ON ANY BALANCE OVER 30 DAYS @ 1 1/2%PER MONTH(18%ANNUALLY). NT AGREES TO PAY REASONABLE ATTORNEY'S FEES AND OTHER COSTS INCURRED FOR COLLECTION.PAYMENTS MADE ON ACCOUNT WITH DEBIT OR CREDIT CARDS WILL BE CHARGED A 3%FEE. rirrl_IL}M I IUN FUrr 1-AY MtN I PROJECT NAME Lega cy-Resldonliat 5e roan 1,Mester Infrastructure Phase 2 1 Meadows Seaton 1 e,d Chedook Snob an1 OWNER: Felol Nest IE LLC CONSTRUCION MANAGER.Platinum Properties.LLC CONTRACTOR$14 Landscape Corporation Il 4O;CE NO-Retainage s. CONTACT Rejai nouns CONTACT:Tun Walter 'CONTACT:John Wntsk] APPLICATION DATE: 10/29/2014 .. ADDRESS; 135E Eevery Reed.Suite 300 ADDRESS.9767Wes1pofrn Nye,Suite 605 ADDRESS.9796 E.56TH Street RETAINAGE: 1 0% Mdean Vanilla 221-01 I.ndiennpalltl,IN 46256 Indianapolis.IN 46236 APPROVED eY. Phone' Phone:1 317)618-2555,590-891 i001 PhoneLS317)997.5666.7142190(m) DATE: A CI LS Cr 0 E F G • N-E•F•O _!-HID 2 N L-J•K M-6 +L _ N Proles Ca91 Work Destanonn Unit Scheduled Work Completed Marmots Total Completed Is Previous Retain sae Tetpl ML TO Not Pay Code Code _ Price Value Previous This Stored _And stored To Date CompL Retsin,So Thls Period Retained PAY _ lso Month Landscape installation Residential Phase 1,Section 1 take The Ridge at Legacy) Lgy4FN)Al 11a Plant Material and Labor NA $80574.00 $86574.00 $86574.00 100% $6.657.40 $8657.40 59.657,40 56.657.40 Lgy(PN)Al 13u Detention Basin Plants&Seeding NA $43,963.00 $43,963.00 $43,963.00 100: $4,396.39 $4,396.30 $4.396.30 $4,396,30 Master Infrastructure Phase 2 Lgy Comm Dr 11a Plant Material and Labor NA $35282.00 $35282.00 $35282.00 100% $3.528.20 53.52820 $3.528.20 53.52920 Lgy FNI 13u Detention Basin Plants&Seeding NA $186,709.00 $186,709.0 $186,709.00 100% $18.670.90 519,670.90 518,670,90 519.67030 The Meadows at Legacy Sec 1 Loy 01 11a Plant Material and Labor NA $24,924.00 $24524.00 $24,92490 100% $2,492.40 $2,492.40 $2.492,40 $2,492.40 The Overlook at Legacy Sec 1 Lgy P1 11a Plant Material and Labor NA $7-548-00 $7548.00 $7,548.00 100% 9764.80 5754.80 $754.80 3754.80 L.gyFNt 13u 00#1•Addl Storm MAP'S NA $5,175.64 $5,175.64 $5.175.64 100% 0517.56 3517.56 5517.56 $517.56 1 C011-Wetland Plugs N/A $11,474.40 $11,474.40 $11,474.40 1013% 51,147.44 1 $1.147.44 51.147,44 51,147.44 T0TAL $401,650.04 $401,650.04 $401,650.041100%_ 040,160.00_ $40,565.00 $40,165.00 $40.159.00 u AFFIDAVIT AND WAIVER OF LIEN X FINAL PARTIAL X PAYMENT TO FOLLOW 9 Philip Wolski being duly sworn,state that he/she is the Vice President of Ski Landscape Corporation having contracted with The Legacy to furnish certain materials and/or labor as follows: Landscape for a project known as The Legacy ,located at SW Corner of 146th St and River Road ,and owned by Falcon Nest, LLC ,and further states: PARTIAL WAIVER: that the balance due by the owner is the sum of Dollars($ ). Receipt of which is hereby acknowledged;or The payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount,effective upon receipt of such payment. l FINAL WAIVER: that the final balance due by the owner is the sum of Forty Thousand one Hundred Sixty Five Do I la rs(S40,165.dti). Receipt of which is hereby acknowledged;or X The payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount,effective upon receipt of such payment. THEREFORE,the undersigned waives and releases unto the Owner of said premises any and all lien or claims whatsoever on the above-described property and improvements thereon on account of labor or material or both,furnished by the undersigned thereto,and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project,and within the scope of this affidavit and waiver. Ski Lan: a•e Corporation Comp. .i e tl. ti(q..... • Authorized Representative V Title WITNESS: ) 1 .... .:ill= . Signa11 e Printe• ame of Witness Invoice gati 'i •�fi µ ' E 5srvlce, fnc. Luminaire Service, Inc. 2828 N. Webster Avenue COMMERCIAL �. I G H T I N G Indianapolis, IN 46219 (317) 808-7010 (317) 808-7015 (fax) Date: 11/13/2014 Invoice No.: 61489 Bill to: Falcon Nest II, LLC Service at: Falcon Nest II, LLC c/o Platinum Properties 14471 Community Drive, Platinum Propertk 9727 Westpoint Drive, Suite 600 Carmel, IN 46000 Indianapolis, IN 46256 Customer ID: 1204 Description: Work Order 23497 Projects Reference: Work Order 23497 Terms: Net 30 Days PO Number: i Item Description Quantity Unit Price Amount l Progress Billing 90.0%Complete • or,'510:-) t l Tgacy3Playschool CommunntyDrive Street•Lights Subtotal: $18,619.77 Sales Tax: $0.00 Payments: 'SORT— Total Due: $18,649.77 � AFFIDAVIT AND WAIVER OF LIEN FINAL x PARTIAL PAYMENT TO FOLLOW Charles Ryerson being duly sworn,state that he/she is the President of Luminaire Service, Inc.having contracted with Platinum Properties Management Co.,LLC to furnish certain materials and/or labor as follows:Invoice No.61489 for a project known as Legacy Playschool Community Drive,located at Carmel,Indiana,and owned by Falcon Nest II,LLC,further states: PARTIAL WAIVER: that the balance due by the owner is the sum of ii Receipt of which is hereby acknowledged;or x The payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount,effective upon receipt of such payment. G FINAL WAIVER: that the final balance due by the owner is the sum of eighteen thousand six hundred and nineteen 77/100 Dollars($18,619.77). Receipt of which is hereby acknowledged The payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount,effective upon receipt of such payment. THEREFORE,the undersigned waives and releases unto the Owner of said premises any and all lien or claims whatsoever on the above-described property and improvements thereon on account of labor or material or both,furnished by the undersigned thereto,and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project,and within the scope of this affidavit and waiver. _Lumi •ire Service, Inc. Co� y Na�• thorized Re Ise't!I've President Title WITNES A 741( " tur _Shawn Sullivan Printed Name of Witness