Legacy TIF draw 19 082515 . .
.11 I FALCON NEST II , LLC
01011P
August
• Diana L. Cordray
Carmel Clerk Treasurer
(317)571-2414
Via E-mail: DCordravAcarmel.in.qov; 000t00)cartral.ingov: iotwi.alexander@regionswm:
'kglajlxg_s_tg±r_gl • •• •
Re: Legacy TIF—Praw
Dear.Diana
•
Attacheq.pleasefind the-Legaoy TIFdrawforThe current f everything j in:order,
pieaaeigri-the Reqiest fQr Disbursement Form arid forward this draw to the Trustee
Also.,attached is a:budget:sheet:that:will:track:64 coata.to:dafe, Pleaseletimekhowiif
yowhave:any:questions,
Sincerely,
•
Rajai Zumot
Member of SALT., LLC
1356 BEVERLY RD SUITE 250 • MCLEAN, VA •22101
PHONE: (703) 893-7233 • FAX: (703) 893-5267
STATEMENT NO. 19
REQUESTING DISBURSEMENT OF FUNDS FROM PROJECT FUND PURSUANT TO •
SECTION 4.3 OF THE TRUST INDENTURE BETWEEN TI-IF CITY OF CARMEI,,
INDIANA AND REGIONS BANK, AS TRUSTEE
Pursuant to Section 4.3 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 Trustee, as depository 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
$783,131.46 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.
•
• In connection with the foregoing request and authorization, the undersigned hereby
certifies that:
(a) the costs of an aggregate amount set forth in this written request
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
such written request are for allowable Costs of Construction of the Project;
(b) the amount paid or to be paid, as set forth in this written request, is
reasonable and represents a part of the amount payable for the Costs of Construction of
the Project all in accordance with the cost budget; and that such payment was not paid in
advance of the time, ifany,fixed for payment and was made in accordance with the terms
of any contracts applicable thereto and in accordance with usual and customary practice
under existing conditions;
• (c) no part of said costs was included in any written request previously
filed with the Trustee under the provisions hereof; and
(d) such costs arc appropriate for the expenditure of proceeds of the
Bonds under the Act.
This statement and all exhibits hereto, including the Disbursement
Schedule, shall he 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.
pursuaiit hereto; and
This statement constitutes the approval of the Company •of each
disbursement'hereby requested and authorized.
IN WITNESS WHEREOF, the authorized representative of the Company has :5t. his
hand as of the As_day of Ajty.A- 20 0 .
Pursuant to Section 4.3 of the
Indenture the foregoing
disbursement request is hereby
FALCON NEST II LLC,
an Indiana limited liability company
By: SALT, L , Membe•-•■■••-•
By:.
Rujai Zurnot, Member of SALT,LLC
approved:
CITY 9ftARMEL,
di°
Diana L. Cordray, IA C, Clerk-Treasuret
•
•
2
•
Legacy TIF Draw
_ Application No.: 19 —Application Date: 17-Aug-15
—
Prepared By: Kathy Tekulve
Telephone No: • (31 7) 863-2052
-
Amount $ 783,131.461
Reference or Total Retainage
Invoice Work This Invoice
Code Contractor!Payee Number Completed Period Amount
2 Nelson&Frankenberger 47393 $ 393,00 $ - $ 393.00
Nelson & Frankenberger 45040 $ 1,105.90 $ - $ 1,105.90
Nelson& Frankenberger 44701 $ 846.87 $ - $ 846.87
Conner Prairie Foundation 2015-201 $ 552.50 S - $ 552.50
$ 2,898,27 $ - $ 2,898.27
3 Stoeppelwerth&Assocs., Inc. 198375 $ 3,450.00 $ - $ 3,450.00
Stoeppelwerth&Assocs., Inc. 197444 $ 3,230.00 $ - $ 3,230.00
Rieth Riley Construction 32002630 $ 15,200.00 . $ (1,520.00) $ 13,680.00
$ 21,880.00 $ (1,520.00) $ 20,360.00
4 Weihe Construction 4420 $ 49,630.00 $ (4,963.00) $ 44,667.00
Rieth Riley Construction 32002630 $ 145,544.95 $ (14,554.49) $ 130,990.46
$ 195,174.95 $ (19.517.49). $ 175,657.46
6 Weihe Construction 4420 $ 3,895.00 $ (389.50) $ 3,505.50
Rieth Riley Construction 32002630 $ 65,591.75 $ (6,559.17) $ 59,032.58
$ 69,486.75 $ (6,948.67). $ 62,538.08
7 Rieth Riley Construction 32002630 $ 6,706.93 $ (670.70) $ 6,036.23
$ 6,706.93 $ (670.70) $ 6,036.23
8 Rieth Riley Construction 32002630 $ 137,516.80 $ (13,751.68) $ 123,765.12
$ 137,516.80 $ (13,751.68) $ 123,765.12
9 Rieth Riley Construction 32002630 $ 364,362.25 $ (36,436.23) $ 327,926.02
$ 364,362.25 $ (36,436.23) $ 327,926.02
10 Rieth Riley Construction 32002630 $ 10,348.00 $ (1,034.80)' $ 9,313.20
$ 10.348,00 $ (1,034.80) $ 9,313.20
Management Fees 1099 5 60,628.05 S (5,990.97) $ 54,637.08
$ 60,628.05 5 (5,990.97) $ 54,637.08
Total $ 869,002.00 S (85,870.54) $ 783,131.46
0
.1 ofi
STATEMENT NO. 19
REQUESTING DISBURSEMENT OF FUNDS FROM PROJECT FUND PURSUANT TO
SECTION 4.3 OF THE TRUST INDENTURE BL I WFl.?N.1.111: CITY OF CARMEL,
INDIANA AND REGIONS BANK, AS TRUSTEE
Pursuant to Section 4.3 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 Trustee, as depository 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
$783,131.46 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.
In connection with the foregoing request and authorization, the undersigned hereby
certifies that:
(a) the costs of an aggregate amount set forth in this written request
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
such written request are for allowable Costs of Construction of the Project;
(b) the amount paid or to be paid, as set forth in this written request, is
reasonable and represents a part of the amount payable for the Costs of Construction of
the Project all in accordance with the cost budget; and that such payment was not paid in
advance of the time, if any, fixed for payment and was made in accordance with the terms
of any contracts applicable thereto and in accordance with usual and customary practice
under existing conditions;
(c) no part of said costs was included in any written request previously
filed with the Trustee under the provisions hereof; and
(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 he 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
'['his statement constitutes the approval. of the Company of each
disbursement hereby requested and authorized.
IN WI`INESS WHEREOF, the authorized representative of the Company has set his
hand as of the day of , 20
Pursuant to Section 4.3 of the
Indenture the foregoing
disbursement request is hereby
FALCON NEST if LLC,
an Indiana limited liability company
I3y: SALT, LLC; Member
By: _
Rajai Zumot, Member of SALT, LLC
approved:
CITY OF CARMEL, INDIANA
Diana L. Cordray, !AMC. Clerk-"treasurer
2
PLATINUM PROPERTIES MANAGEMENT COMPANY, LLC
INVOICE 1099
August 17, 2015
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 August 2015 Construction Costs:
Nelson& Frankenberger $ 2,345.77
Conner Prairie Foundation, Inc. $ 552.50
Stoeppelwerth &Assocs., Inc. $ 6,680.00
Weihe Construction, Inc $ 48,172.50
Rieth-Riley Construction $ 670,743.61
Total Monthly Costs $ 728,494.38
Development Fee @ 7.5% $ 54,637.08
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
NELSON & FRA.NKENBERGER
A PROFESSIONAL CORPORATION
3105 EAST 98TH STREET, SUITE 170
INDIANAPOLIS, INDIANA 462.80
PHONE: 317-844-0106
FACSIMILE: 317-846-8782
July 15, 2015
Falcon Nest II, LLC
c/o Platinum Properties,Attn: Kathy Tekulve
9757 Westpoint Drive,#600
Indianapolis, IN 46256
INVOICE
Matter 1D: FALCON-0028 i2-0 #16
ROW Dedication -�L44,4 / Pi�JE�
Invoice# 47393
Federal ID# 35-1442210
For Professional Services Rendered:
06/05/2015 cdf Telephone conference- Sue Finkam 0.20 hr $59.00
06/05/2015 cdf Email-Mayor Brainard and S. Finkam 0.30 hr $88.50
06/05/2015 cdf Email-P. Rioux 0.30 hr $88.50
06/23/2015 jcd Work on dedication issues 0.20 hr $39.00
06/23/2015 cdf Review letter from Will Stump and email- City of Carmel 0.40 hr $118.00
Total Professional Services: $393.00
INVOICE SUMMARY
Producer Role Rate Hours Amount
Charlie Frankenberger PARTNER $295.00 ".20 $354.00
Jon Dobosiewicz Land Use Professional $195.00 0,20 $39.00
For Professional Services: 1.401-tours $393.00
Total this Invoice: .393.00
4, 7-,4,o- A
qy 3
Page 1
1
NELSON & FRANKENBERGER
A PROFESSIONAL CORPORATION
3105 EAST 98TH STREET, SUITE 170
INDIANAPOLIS, INDIANA 46280
PHONE: 317-844-0106
FACSIMILE: 317-846-8782
February 09, 2015
Falcon Nest II, LLC
c/o Platinum Properties,Attn: Kathy Tekulve
9757 Westpoint Drive,#600
Indianapolis, IN 46256
INVOICE
Matter ID: FALCON-0028
ROW iJedication 144A(A '1V PP— R
Invoice# 45040
Federal ID# 35-1442210
For Professional Services Rendered:
01/10/2015 cdf Review and reply to email from Conner Prairie about deed 0.20 hr $59.00
01/15/2015 cdf Review various emails regarding appraisals and offers, review revised Tyner 0.50 hr $147.50
appraisal and telephone conference-P. Rioux
01/21;2015 cdf Emails- P. Rioux, C. Kaiser,and J. Singleton to expedite finalizing of 0.70 hr $206.50
documents from Tyner
01/21/2015 cdf Email-K.Wenger for authority to attach exhibits 0,30hr $88.50
01/21/2015 cdf File and email maintenance 0.40 hr $118.00
01/22/2015 jcd Email-J. Kashman and prepare for transmittal 0.30 hr $58.50
01/23/2015 jcd Work on ROW dedications 0.60 hr $117.00
01/27/2015 cdf Conference-C. Kaiser to coordinate signatures from Tyner Group 0.80 hr $236.00
01/2812015 jcd Work on deed documents 0.30 hr $58.50
Total Professional Services: $1,089.50
For Disbursements Incurred:
01/15/2015 Check i 113175 Direct Delivery; Disbursement for Falcon-0033-Delivery to Bill 516.40
tyner
Total Disbursements Incurred: $16.40
INVOICE SUMMARY
r �
Producer Role Rate Hours Amount
Charlie Frankenberger PARTNER $295.00 2.90 5855.50
Jon Dobosiewicz Land Use Professional $195.00 1.20 $234.00
For Professional Services: 4.10 Hours $1,089.50
For Disbursements Incurred: $16.40
Total this Invoice: $1,105.90
vQ Y i
Page 1
NELSON & FRANKENBERGER
A PROFESSIONAL CORPORATION
3105 EAST 98TH STREET, SUITE 170
INDIANAPOLIS, INDIANA 46280
PHONE: 317-844-0106
FACSIMILE: 317-846-8782
January 13, 2015
Falcon Nest II, LLC
c/a Platinum Properties,Attn: Kathy Tekulve
9757 Westpoint Drive, #600
Indianapolis, IN 46256
C,= Cp
Matter ID: FALCON-0033
Legacy Right of Way from Conner Prairie ruF¢ 2,„4.1)
Invoice# 44701
Federal ID# 35-1442210
For Professional Services Rendered:
12/17/2014 cdf Telephone conference and email-K. Wenger about deed of right of way 0.40 hr $118.00
12/1812014 cdf Email-K.Wenger of Conner Prairie 0.20hr $59.00
12/22/2014 cdf Telephone conference-B.Tucker from the Tyner parcel group 0,20hr $59.00
12122/2014 cdf Finalize and mail temporary right of entry to Tyner parcel group 0,80 hr $236.00
12/23/2014 cdf Emails to and from G. Ilko 0.40 hr $118.00
12/29/2014 cdf Telephone conference-J. Singleton 0.30 hr $88.50
1212912014 cdf Revise trust signature line on documents and email-J. Singleton 0.50 hr $147.50
Total Professional Services: $826.00
For Disbursements Incurred:
12/15/2014 Check#112674 Direct Delivery; Disbursement for FALCON-ROW $20.87
Total Disbursements Incurred: $20.$7
INVOICE SUMMARY
Producer Rate Hours Amount '
roducer Role
Charlie Frankenberger PARTNER $295.00 2.80 $826.00
For Professional Services: 2.80 Hours $826.00
For Disbursements Incurred: $20.87
Total this invoice: $846.87
1 6evh- ,7":31(i(
fl`r
Page 1
Conner Prairie Foundation, inc.
13400 Allisonville Rd DATE: July 30, 2015
Fishers, IN 46038 INVOICE# 2015-201
Phone 317.776.6000 Fax 317.776.6014
Bill To:
Platinum Properties Mgmt. Co., LLC
9757 Westpoint Drive, Suite 600
Indianapolis, IN 46256
DESCRIPTION AMOUNT
River Road right-of-way conveyance of approximately 4.449 acres for River Road
Legal Fees $552.50
TOTAL $ 552.50
Make all checks payable to Conner Prairie Foundation, Inc.
If you have any questions concerning this invoice, contact Kyle Wenger, (317)214-4722
THANK YOU FOR YOUR BUSINESS!
4 -. . S T O E P P E I W E R I H ofc: 317.849.5935 7965 East 106th Street
�/ fax: 317.849.5942 Fishers,Indiana 46038-2505
A l W A Y S OH www.stoeppelwerth.com
FALCON NEST II, LLC Invoice number 198375
C/O PLATINUM PROPERTIES, LLC Date 08/07/2015
9757 WESTPOINT DRIVE
SUITE 600 Project 55115PLA-CC2 OVERLOOK AT
INDIANAPOLIS,IN 46256 LEGACY,.SEC 2 CHERRY CREEK
BOULEVARD
Professional Services for the Period:July 2015
Contract Percent Total Prior Current
Description Amount Complete Billed Billed Billed
Final Design
Construction Document Preparation 11,950.00 100.00 11,950.00 11,950.00 0.00
Project Management!Permitting 1,500.00 100.00 1,500.00 1,500.00 0.00
Coordination with Williams Creek Consulting 1,000.00 100.00 1,000.00 1,000.00 0.00
Micro Pool Design&Construction Plans 1,950.00 100.00 1,950.00 1,950.00 0.00
Subtotal 16,400.00 100.00 16,400.00 16,400.00 0.00
Construction Services
Construction Staking 9,000.00 60.00 5,400.00 2,700.00 2,700.00
Subtotal 9,000.00 60.00 5,400.00 2,700.00 2,700.00
Completion Certifications
Ditch in center of Boulevard 1,300.00 0.00 0.00 0.00 0.00
Storm Sewers 1,800.00 0.00 0.00 0.00 0.00
Sanitary Sewers(Including Lateral &Clean Out 170.00 0.00 0.00 0.00 0.00
Locations)
Streets 1,900.00 0.00 0.00 0.00 0.00
Digital GIS Submittal 950.00 0.00 0.00 0.00 0.00
Subtotal 6,120.00 0.00 0.00 0.00 0.00
Monumentation
Street Centerline Monuments 2,040.00 0.00 0.00 0.00 0,00
Concrete Monuments 1,500.00 0.00 0.00 0.00 0.00
Subtotal 3,540.00 0.00 0.00 0.00 0.00
Additional Services 0.00 0.00 1,280.00 530.00 750.00
'CHECK AND/OR REPLACE ALL CURB STAKES(CC BLVD)ON 7/28-$750
Total 35,060.00 65.83 23,080.00 19,630.00 3,450.00
Leto F7- - 35 '_.
Invoice total (3.450.00
Aging Summary Q�1,V
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
197444 07/08/2015 3,230.00 3,230.00
198375 08/07/2015 3,450.00 3,450.00
Total 6,680.00 3,450.00 3,230.00 0.00 0.00 0.00
FALCON NEST II,LLC Invoice number 198375
Project 55115PLA-CC2 OVERLOOK AT LEGACY,SEC 2-CHERRY CREEK BOULEVARD Date 08i0712015
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%)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.
A
A.
r \
4 -1- P S T O E P P E L W E R T H ofc: 317.849.5935 7965 East 106th Street
i
:4J •
ALWAYS D x fax: 317.849.5942 Fishers,Indiana 46038-2505
www.stoeppelwerth.com
FALCON NEST II, LLC Invoice number 197444
CIO PLATINUM PROPERTIES, LLC Date 07!08/2015
9757 WESTPOINT DRIVE
SUITE 600 Project 55115PLA-CC2 OVERLOOK AT
INDIANAPOLIS, IN 46256 LEGACY,SEC 2-CHERRY CREEK
BOULEVARD
Professional Services for the Period:June 2015
Contract Percent Total Prior Current
Description Amount Complete Billed Billed Billed
Final Design
Construction Document Preparation 11,950.00 100.00 11,950.00 11,950.00 0.00
Project Management?Permitting 1,500.00 100.00 1,500.00 1,500.00 0.00
Coordination with Williams Creek Consulting 1,000.00 100.00 1,000.00 1,000.00 0.00
Micro Pool Design&Construction Plans 1,950.00 100_00 1,950.00 1,950.00 0.00
Subtotal 16,400.00 100.00 16,400.00 16,400.00 0.00
Construction Services
Construction Staking 9,000.00 30.00 2,700.00 0.00 2,700.00
Subtotal 9,000.00 30.00 2,700.00 0.00 2,700.00
Completion Certifications
Ditch in center of Boulevard 1,300.00 0.00 0.00 0.00 0.00
Storm Sewers 1,800.00 0.00 0.00 0.00 0.00
Sanitary Sewers(Including Lateral &Clean Out 170.00 0.00 0,00 0.00 0.00
Locations)
Streets 1,900.00 0.00 0.00 0.00 0.00
Digital GIS Submittal 950.00 0.00 0.00 0.00 0.00
Subtotal 6,120.00 0.00 0.00 0,00 0,00
ivionumeritation
Street Centerline Monuments 2,040.00 0.00 0.00 0,00 0.00
Concrete Monuments 1,500.00 0.00 0.00 0.00 0.00
Subtotal 3,540.00 0.00 0.00 0.00 0.00
Additional Services 0.00 0.00 530.00 0.00 530.00
'RESTAKE MISSING LATH FOR BOTH LANES OF CHERRY CREEK BLVD ON 6/5. ROUGHLY HALF OF EAST BOUND LANE
AND TWO THIRDS OF WEST BOUND LANE-$250
*REMOVE PROPOSED ENTRANCE CUT ON NORTH SIDE OF CHEERY CREEK BLVD. DUE TO UNKNOWN LOCATION AT
THIS POINT PER REQUEST FROM TIM WALTER. REVISE PLAN SHEETS AFFECTED AND SEND TO CARMEL EXPLAINING
CHANGE. ALSO, REVISE STAKING POINTS.-$280
Total 35,060.00 55.99 19,630.00 16,400.00 3,230.00
Laiti ?t - , :, 1,. F
Invoice total 3, 0.00
Aging Summary �� III is
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
197444 07/08/2015 3,230.00 3,230.00
1
FALCON NEST It,LLC Invoice number 197444
Project 55115PLA-CC2 OVERLOOK AT LEGACY,SEC 2-CHERRY CREEK BOULEVARD Date 0 710 81201 5
Total 3,230.00 3,230.00 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 %)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.
3
APPLICATION FOR PAYMENT
PROJECT NAME:The Overtook at The Legacy Section 2
OWNER: Falcon Nest II,LLC CONSTRUCTION MANAGER: Platinum Properties Mgmt Co.,LLC CONTRACTOR:Weihe Construction.Inc. INVOICE NO: 4420
CONTACT: CONTACT:Tm Walter CONTACT: 15215 Stacy Creek Way APPLICATION DATE: 7/312015
ADDRESS: 1356 Beverly Road,Suite 300 ADDRESS:0757 Westpoint Drive,Suite 600 ADDRESS'#REFI RETAINAGE: 10%
McLean,VA 22101 Indianapolis,IN 46256 Noblesville,IN 46060 APPROVED BY: El
Phone: Phone:(3171.818-2900,590-8817(M Phone:317-776-2066 lel 776-3050If� DATE: 8111/2015
A B C, C; .„ D E I F G H=E+F+G 1=Hip _ J K I_�1+K M=D-H+L N
Project Cost Work Description Unit Scheduled Work Completed Materials Total Completed % Previous Retainage Total BAL.TO Net Pay
Code Code Price Value Previous This Stored And stored To Data Comp!, Retainage This Period Retained PAY This Month
The Overlook at The Legacy Section 2
On-site construction
Lgy P2 4c Stripping Topsoil NA $4,257.00 $4,267.00 S4,267.00 100% $426.70 $426.70 $426.70
Lgy P2 4d Prelim Erosion Control NA 518,697.00 $11,697.00 $7,000.00 $18,697.00 100% $1,169.70 $700.00 $1,869.7fl $1,869.70 $6,300.00
Lgy P2 4e Mass Excvation and Mounding NA $45,118.00 $45,118.00 $45,118.00 100% $4,511.80 $4,511.80 $4,511.80
Lgy P2 4h Soil Stabilization NA $14,623.00 $14,623.00 $14,623.00 100% $1,462.30 $1,462.30 $1,462.30 $13,160.70
i Lgy P2 4g Site&Finish Grading NA $15,620.00 $10,620.00 $10,620.00 68% $1,062.00 $1,052.00 $6,062.00 $9,558.00
Lgy P2 5c Sanitary Sewer Laterals NA $10,095.84 $10,095.84 $10,095.84 100% $1,009.58 $1,009.58 $1,009.58
Lgy P2 6b Subsurface Drains NA $31,452.50 $15,452.50 $15,000-00 $31,452.50 100% $1,645.25 $1,500.00 $3,145.25 $3,145.25 $13,500.00
Lgy P2 7b Water Mains NA $111,797.95 $110,798.00 $110,798.00 99% $11,079.80 $11,079,80 $12,079.75
Lgy P2 7e Water Service Laterals NA $10,894.80 $10,894.80 $10,894.80 100% S1,089.48 $1,089.48 $1,089.48
TOTAL
$4 8.70
lCfterry reek Blvd Constructio
LgyTIF 4a Demolition NA $10,555.00 $10,555.00 $10,555.00 100% $1,055.50 $1,055.50 $1,055.50
Lgy TIF 4c Stripping Topsoil NA $5,428.00 $5,428.00 $5,428.00 100% 5542.80 $542.80 $542.80
Lgy TIF 4e Mass Excvation and Mounding NA $17,733.00 $17,733.00 $17,733.00 100% 51,773.30 $1,773.30 $1,773.30
Lgy TT 4h Soil Stabilization(roadway) NA $18,935.00 $18,935.00 $18,935.00 100% $1,893.50 $1,893.50 $1.893.50 $17,041.50
Lgy TIF 4h Soil Stabilization(multi-use path) NA $10,284.00 $10,284.00 $10,284.00 100% $1,028.40 $1,028.40 $1,028.40 $9,255.60
Lgy TIF 4g Site&Finish Grading NA $25.411.00 $20,411.00 $20,411.00 80% $2,041.10 $2,041.10 $7,041.10 $18,369-90
Lgy TIF Ba Storm Sewers NA $148,171.95 $148,171.95 $148,171.95 100% $14,817.20 $14,817.20 $14,817.20
LgyTIF 6b Subsurface Drains NA $3,895.00 $3,895.00 $3,695.00 100% $389-50 $389.50 $389.50 $3,505 50
TOTAL
c$hB:;Ir72:50
Change Orders
Lgy P2 5b CO#1-Raise sanitary MM NA $1,245.29 $1,245.29 $1,245.29 $124,53 $124.53 $124.53
Lgy P2 6b CO#1-Additional 8"SSD NA $1.722.00 $17,222.00 $17,222.00 $1,722.20 $1,722.20 $1,722.20
Lgy P2 7b CO#1-Add 12"GV&Elbow NA $3,298.50 $3,298.50 53,298.50 5329.85 $329.85 $329.85
TOTAL $509,244.83 $412,976.88 $100,768.00 $513,744.88- 100% $41,297.69 $10076.80 _ $51,374.49 $62,374.44 $9 91.20
,:
v'
`..4 AIA Document G7021e - 1992
Application and CerWicate for Payment
TO OWNER Platinum Properties PROJECT: APPi ICATION N!4420
Overlook at the Legacy Seca Dlst_iutti_t ::
9757 Wesipoint Drive PERIOD T0.
' .•. Suite CO 6 OWNER X 0
FROM C4NTg lis, IN 46256
CONTRACT FOR.. ARCHITECT ❑
VIA
Weihe Construction,Inc. ARCHITECT: CONTRACT DATE:
15215 Stony Creek Way CONTRACTOR ❑
Noblesville,IN 46060 PROJECT NO5201511-01 / /
FIELD ❑
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned OTHER ❑
gn Contractor certifies that to the beat of the Contractor's knowledge,information
Application is made for payment,as shown below,in connection with the Contract and belief the Work coveted by this Application for Payment has been completed in accordance
ALA Document made for,Continuation Sheet,is attached. with the Contract Documents,that all amounts have been paid by the Contractor for Work for
1.ORIGINAL COM aAcT SUM which previous Certificates for Payment were issued and payments received from the Owner,and
E 502,97994 that current payment shown herein in now due.
2.NET CHANGE BY CHANGE ORDERS $ 6 265 79 CONTRA '• r ctioo,in ,
3.CONTRACT SUM TO DATE(Line l±2) E 509.244.8.3 By; , 1(3i()5
4.TOTAL COMPLETED&STORED TO DATE(Column Gon0703 $ • Date:
446.244.86 State of Indiana
a.RETAINAGE: County of}iamilton
a•L4 Q2%of Clitttpleced Work Subscribed and sworn to before`
(Columnr D+Ron G703) 5 me this'49,824.49 �j` day of tL1
b. ?!o of Scored Material ,
•(Colomh Fan G703) S �A^�LxA)
. Notary PubHc ��p� l�`
Total Retainage(Lines 5a+Sb,orTomint Column l of G703)..... $ 49,824.49
My commission expires: to 1 +5
8.TOTAL EARNEDLESSRETAINAGE u S 448,420.39 ARCHITECT'S CERTIFICATE FOR,AAYMENT
{Line 4 minus Line S Total) Io accordance with the Contract Documents,based on on- '
7.LESS PREVIOUS CERTIFICATES FOR PAYMENT E 357,729.19 this application,the Architect certifies to the to a es observations and the catskn knowledge,
,
(Line Gfram prior C information and belief die Work has ro tossed that to the best of the icy Architect's Imawl is in
p iC41eJ P , essed as Indicated, the quality of the Work is in
accordance with the Contract Documents, end the Contractor is entitled to
8.BALANCE PAYMENT INC r payment of the
n`,.N �:. S 90,691.20 I AMOUNT CFRTIFIED.
A.BALANCE TO FINISH,INCLUDING RETAINAGE V11
AMOUNT CERTIFlED__ :.. ..... .°.....•......••......$ 4 7)w 4l
'(Line 3 minus Lint 6) 5 60,824.44 {Attach erplanalien
if amount certified dyers from the cmount applied Initial alt./Igoe,on this
CHANGE ORDER�tr . Application and on the Confirmation Sheet that are changed to conform with the amount certified)
Totalcha changes ADDITIONS DEDUCTIONS ARCHITECT:
ti8 PD?g"ttd Iq ous months by Owner 5 E By
To app aritrnfonth • $ Date:
TOTAL $ 'S This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to tit ntractor
•"'t E named herein.Inc;satla payment and acceptance of payment are without prejudice to any rights of
NET C13Ah'GfiS by Change Order S
the Owner or Contractor under this Contract
CAUTION:You should sign an original AIA Contract Document,on which!Ms text appears In RED.An orfgtnsl eseuraa that changes will not be°towered.
and lntamatlonel Treatise. naurho dit�d roc 11353 1983,xans,1971,1878.7ean e8 1892 tr!The Arr ml®n atltcla°rArtl itacte,AO tights reeeuvad.WARNING:This AIA°Document la protected by U.s,Copyright Law
and siata under the anti e.ttna to are pamprodod 6 tan duce efatitturtion of thle AIA Oacurn nt,or ally potion eft.may result in aevare civil and criminal penalties,and ant bo
counsel,eopyAghtgrals orp, reproduce { 1 of this document when eattgeied.To roped copyright violations of ALA Contract Documents,a+nau The Mee American Insii uca or 'Irge extent
CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE of PAGES
AIA Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.:
containing Contractor's signed Certification,Is attached. APPLICATION,DATE: 4420
In tabulations below,amounts are stated to the nearest dollar_ PERIOD TO: 7/31/201S
Use Column I on C,Ontracts where variable retalnagc for line items may apply. ARCHITECT'S PROJECT NO.:
A ' B C D E F 0 01511-0I
H
• 'WORK COMPLETED MATERIALS TOTAL
-
ITEM SCHEDULED PRESENTLY COMPLETED BALANCE
NO. DESCRIPTION OF WORK FROM PREVIOUS, RETALNAGE
VALUE STORED AND STORED TO
APPLICATION THIS PERIOD INOT IN TD DATE (G+C) ' ?MESH . VARIABLE)
co + 5) A OR E) (D+9+9) (C-G) RATE)
-
•
01-00 Stripping Topsoil 4,267.00 4,267.00 4,267.00 100.00 426.70
02-00 Prelim Erosion Control 18,697.00 11,697.00 7,000.00 18,697.00 100.00 1,869.70
03-00 Mass Excavation&Mounding 45,118.00 45,118.00 45,118.00 100.00 4,511.80
04-00 Soil Stabilization 14,623.00 14,623.00 14,623.00 100.00 1,482.30
05-00 Site&Finish Grading 15,620.00 10,620.00 10,620,00 67.99 5,000.00 1,062.00
06-00 Sanitary Sewer Laterals 10,095.84 10,095.84 10,095.84 100.00 1,009.58
07-00 Subsurface Drains 31,452.50 16,452.50 15,000.00 31.452.50 100.00 3,145.25
08-00 4ratarmains 111,797.95 110,798.00 110,798.00 99.11 999.95 11,079.80
09-00 Water Service Laterals 10,894,80 10,894.80 10,894.80 100.00
10.00 Cherry Creek Blvd Construction 1,089.48
'1-00 5amolllion 10,555.00 10,555.00 - 10,555.00 100.00 1,055.50
12-00 Stripping Topsoil 5,428.00 5,428.00 5,428.00 100.00
13-00 Mass Excavation&Mounding 17,733.00 17,733.00 542.80
44-00 Soil Stabilization Roadwe 18,935.00 100.00 -1,773.30
�(Roadway) 18,935.00 18,935.00 18,935.00 100.00 1,893.50
15-00 Soil stabilization(path) 10,284.00 10,284.00 10.284.00 100.00
'6-00 Site&Finish Grading 25,411.00 20,411.00 20,411.00 80.32 5,000.00 2,041,10
'7-00 Storm Sewers 148,171.95 148,171.95 148,171.95 100.00
18-00 subsurface Drains 3,895.00 3,895.00 3,895.00 100.00 14,817.20 9
CO-01 Change 326.50
9 6,285.78 6,265.79 6,265.79 100.00 • 626.58 •
•
Totals 509,244,83 397,476.88 100,768.00 • 498,244.88 97.84 10,999.95 J 49,824.49 •
AP.DOCUMENT C47e3•CONTINUATION SHEET FOR G702•1992 EDITION•AIA° •et992•THE AMERICAN CNSIIi UTE OF ARCH5TECTE 1735 NEW YORK
s, :, AVENUE.NW,WASHINGTON,DC..2170.5291•WARNINCC DnEesraed photocopying vloletes US.copyright tors and wilt e 5 fea fie ablator to Mow cuter, G703-1992
Mil-DON:You should use an ortglnel AIA document which has this caution printed In red,An orlatnal assures that changes will not be obscured as may occur when documents em repmduae d.
■
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) Overlook at the Legacy Sec 2
Owner Platinum Properties
Application Number 4420 Date 7/28/2015
Period From 7/1/2015 To 7/30/2015
Original Contract Sum $ 502,979.04
Net Change by Approved Change Orders $ 6,265.79
Contract Sum to Date $ 509,244.83
Total In-Place Work Completed $ 498,244,88
Value of Material Stored on Site $ __ -
Total Earned to Date $ 498,244.88
Retained Percentage .. $ 44,824.49
Total Earned Less Retainage $ 448,420.39
Less Previous Certificates for Payment.. $ 357,729.19
Current Payment Due $ 9 0,691.20
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 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 daims 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 labor,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$ $ 90,691.20 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 desciptlon 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 afl
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
$ 90,691.20 ,the receipt and sufficiency of which is hereby acknowledge.
Dated this 31 day of July 2015
Weihe Construction,Inc.
Su had r r up her Name)
State of Indiana ) By:
) SS: (Undersign
County of Hamilton ) Title: HR/Safety Di
Before me,a Notary Public in and for said County arid State,this 31. day of July 2015,
personally appeared Brian Nifong known to me to be Director of the Undersigned
who acknowledge the execution of the Foregoing for and on behalf of the Undersigned.
WITNESS my hand and Notarial Seal.
Dated tht 31 day of July 2015
My commission expires: Oct 2015 ,L 1 J PIIVCA.6tj
Notary Public
My county of residence Is: Hamilton Michelle Garcia
(Printed)
•
{ I
IN- CONSTRUCTION CO. INC.
P.O.Box 278 Indianapolis,IN 45206 Telephone; (317)634-5581 FAX: (317)831-8423
Progress Estimate No.: 2
Sold re Falcon Nest II,LLC Customer No.: 716316
1356 Beverly Road,Ste.250 Job Number: 3200554
Mclean,VA 22101 Invoice Number: 32002630
Date: 8/7/15
Period Covered: 7/1/16-817115
Terms: Due upon receipt
.lob 14-03 River Road Constiuction
CONTRACTOR'S INVOICE
1 Original Contract Sum $1,214,680.00
2 Net change by Change Orders $11,216.93 (Co#4)
3 Contract Sum to Date (fine I +line 2) $1,225,896.93
4 Total Contract Completed to Date $1,135,875.04 92.7%
5 Deductions: 10.00 % Retainage: $113,587.51
6 Total Earned Less Deductions (line 4-line 5) $1,022,287.53
7 Less Previous Billings $351,543.92
B Invoice Amount Due (line 6-line 7) 670,743,61
Balance Remaining $90,021.89 7.3%
A service charge of 1-1/2 7 per month(18%annual rate)will be made on all account balances not paid,according to the terms stated.
Office We Only(Current Estimate 7otalq: ,hang,Or4er Summate
Total e[ima[e $745,270A8 Change Order,approved on previewse.11intaes by Owner $6,038.00
Retainage $74,5R.07 Approved We Estimate 55,1711.93
Current Poornen[Coo $675,74.1.81 Total Net Change by Change Orders $11,810.87
\()
Rieth-Riley Construction Co.,Inc.
P.Q.Box 276 Indianapolis,iN 46206 Telephone: (317)634-5561 FAX: (317)631-6423
Sold To: Falcon Nest II,LLC Progress Estimate#: 2
1356 Beverly Road,Ste.250 Customer#: 716316
Mclean,VA 22101 Invoice#: 32002630
Date: 8/7/15
Period Covered: 7/1/15-8/7115
Job: 14-03 River Road Construction
This Estimate Job to Date:
Original Plan Change Order
Item No. Item Description Quantity Quantity Total Quantity Units $per Unit Enter Units Total$ Units to Date $to Date
14-03 River Road -
0 Construction 0.000 0.000 0.000 0.000 0.00 0.000 0.00 0.000 0.00
1 Original Contract 1.000 0.000 1.000 LSM #### 0.000 740,091.75 0.000 1,128,566.11
2 Change Orders 1 0.000 1.000 1.000 I_SM 3,908.00 0.000 0.00 0.000 0.00
3 Change Orders 2 0.000 1.000 1.000 LSM 2,130.00 _ 0.000 0.00 1.000 2,130.00
4 Change Orders 3 0.000 1.000 1.000 LSM 3,428.93 1.000 3,428.93 1.000 3,428.93
5 Change Orders 4 0.000 1.000 1.000 LSM 1,750.00 1.000 1,750.00 1.000 1,750.00
Balance: 745,270.68 1,135,875.04
APPLICATION FOR PAYMENT
PROJECT N mE 14.03 River Road Reconstruction
DEVELOPER: Falcon Nest ILLLC AGENT:PIatInurr4 PrOperhes Mgml Co..LLC CONTRACTOR-.Rielh Riley Cont Co.,!no IPNOICE NO: 32002630
CONIACL CONEACT.1imWaite' CONTACT:MarkOenAey APPLICATION DATE: 8/7/15
ADDRESS: 1356 Beverly Road,Sute 250 AC'DOE55.9757Westpoinl Drfve,Suite 600 ADDRESS:1751 W_Minnesota St+eat RET4NAGE• , 1 k.,4113:
McLean,vA 22101 lndianapota,IN 46258 Indianapolis,IN 45221 APPROVED BY: IM
Phone: Phone.1317t1119-2400,590-88171M1 Rhone- 3171834-55611813171631-8423111 DATE: 0/7/15
4 o I C, Cz D E I F G H-E..F.G 1=■/0 J _ K _ 1...1-K M=D-HnL .N
Cost Coll Work 0escr lion Unit Scheduled Welk Cornpleted Mate(:aIr Total Completed Previous RMainage Total SAL-10 Ni e Pay
Code Code Rice Value Previous This 51oind And stored T o Daze Como'. Relalnaye This Penrod _ Retained PAY This Month
Lgy TIF 3g Construction Engineering LS $15,200.00 $15,200.00 $15,200.00 100.3 $1,520.00 51,520.00 51,520.00 $13,620.00
Loy TtF 4a Demolition LS $18,375.00 $18,375.00
116,375,00 100 C': 41,837.50 57.837.50 51,837.50
Lgy TIF 4b Tree Removal LS $2,025.00 $2,025 00 $2,025.00 100.0: 5202.50 5202,53 520250
1 Lgy TIF 4d Temporary Construction Entrance LS $8,560,00 $4,480.00 $4.480.00 $8,960.00 100.0% 5446.00 $44003 6696.33 4896.00 $4,032.00
Loy 71F 4e. Site Prep and Common Excavation L5 1167,040.45 1117,348.00 $50,292.45 1167,640.45 100.00 $11,734.011 55,02925 116,764.05 016,76405 $45,263.21
Lgy TIF 4h Subgrade Treatment LS $90,772.50 $90,772 50 $90,772.50 100.00 59,077.25 $9,077,25 59_077 25 $21,695.25
Lgy TIF 6 Storm Sewer L5 1242,151.36 $242,151.36 $242,151.38 140.0% 524,215,14 124,21514 524,215.14
gy TIF 66 Sub•surfaceDiain LS $26,283.75 $26,283.75 $26,28075 1000O 62.62339 $2,620.38 s2.529.38 $23,655.38
Lgy TIF Se Conduit LS $33,308.00 $33,309.00 139,308.00 10o.00 5193023 53.930 80 5.3,33013C1 $35,377.20
Lgy TIF 7b Water M sin LS 18,191.28 $4,095.00 $3,278.00 $7,373.00 9000 5409.50 $327.80 5737.30 61.555.56 12,950.20
Lgy 11F 8a Curb and gullet LS $111,860.50 $111,860.50 1111,860.50 100,00 511.106.05 511 86.45 111,18St5 $100,674.45
Lgy TIF 86 Sidewalk LS 623,905.30 $23,906.30 $23.906.30 133.73 0235463 52.390.53 52,350.83 $21.515.57
Lgy EIF 9a Stone andAspha!t ease LS $309,105.50 $309.105.50 8309,10550 loin% 530,910.55 930,910.55 639,910-56 $270,194.95
Lgy TIF Sb Aspha$Surlace LS $71,015.90 571.015.40
082[IF- Se Asphal Trail LS $55,256.75 155,256.75 $55,256.75 100.00 55.525.59 15.525.59 95.525.58 $45,731 08
Lgy TIE 9h Pavement Markings LS 14,991 50
$4,991.50
Lgy TIF 10a ,Erosion Control LS $13,756.2 $10,348.00 $10,348.00 7500 $1A3430 11,034-80 54.483 03 $9,313.20
Lgy.TIE 12e Sheet Signs LS 15,840.00 55,040.40
Change 0rdets
Lgy TIF Ga C0111 •Add'I Storm to avoid Gas Main LS $3,903.00 92.60000
Lgy TIF 4e COt12-Additional Barricades LS $2.130.00 $2,130.00 $2,130.00 10050 5213.00 $21380 3213.00
L2,,I 1 lb CO#3-Fire Hydrant LS $3,4288.93 $3,428.93 $3,428.93 100.00 $342.69 $342,45 534209 13,086.04
1,i yffl f.a6
03E4'Concrete IAopholt LS $1,750.00 $1,750.00 $1,750.00 100.00 6175.00 6175.00 $175 CZ $1,575.00
TOTAL 11,225,896.33 $390,604.36 $745,270.68 $1,135,875.04 139,050.44 $74,527.07 $113,5137.50- $203,609.39 8670,743.61
CONTRACTOR
AFFIDAVIT AND WAIVER OF LIEN
FINAL X PARTIAL X PAYNIEN'F 7'O FOLLOW
Kevin A. Tussey being duly sworn,state that he/she is the Area Office Manager of Rieth-Riley
Construction Co. , Inc. having contracted with Falcon Nest, II, LLC to
furnish certain materials, labor and/or equipment as follows: General Construction fora
project known as 14-03 River Road , located at Hamilton County , and owned by
Falcon Nest II LLC ,and further states:
PARTIAL WAIVER: that the balance due from the owner is the sum of Six hundred seventy thousand
seven hundred forty three 61/100 Dollars(S 670,743.61
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 from the owner is the sum of
Dollars(S
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.
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.
Riech-Riley Construction Co. , Inc.
Company Name
Aut zed Representative
Kevin A. Tussey, Area Office Manager
Title
-
WITNESS: 414 - 144.
Signature
Erin IL_ Newl in
Printed Name of Witness